Wakamboona kukosha kunonzi 'Calcium' here pakutarisa rondedzero yeropa? Tese tinoziva kuti calcium yakanaka sei pamapfupa nemazino. Asi dzimwe nguva chiremba wako anogona kukumbira bvunzo yakakosha inonzi "Ionized Calcium" pachinzvimbo chekuongororwa kwecalcium nguva dzose. Ipapo tinofunga kuti, "Chii ichocho? Haisi calcium imwe chete here?" Pane musiyano mudiki, asi wakakosha pakati pezviviri izvi. Nhasi, ngatitaurei nezvegamba iri rinokosha mumuviri wedu rinonzi "ionized calcium".
Chii chinonzi Ionized Calcium?
Zvichitaurwa zviri nyore, iyi ndiyo calcium "isina" kana "inoshanda" muropa redu. Funga nezvazvo, 99% yecalcium yese iri mumuviri wedu iri mumapfupa nemazino edu. Zvakafanana nemari iri mubhangi. 1% yasara inotenderera muropa.
Zvino, pa1% yecalcium iri muropa, imwe yacho inosungirirwa kumapuroteni (kunyanya albumin), kana kuti "alloyed." Tinoidaidza kuti "bound calcium." Chikamu ichi hachina basa, semunhu akagara pabhenji pachiteshi chebhazi. Chiripo chete, hachiiti chero chinhu.
Chimwe chikamu chikamu chinotenderera muropa "zvakasununguka" pasina kusungwa nepuroteni. Chikamu ichi chakasununguka, chinoshanda ndicho chatinodaidza kuti ionized calcium kana kuti "free calcium." Ndiyo iyi free calcium inoita basa mumuviri, ichibatsira pazvinhu zvinonyanya kukosha. Chikamu ichi chinoumba inenge 50% ye calcium yese.
Izvi zvinoreva kuti, ndiyo iyi calcium ine ion inoita mabasa akakosha mumuviri wedu, akadai sekutumira mameseji etsinga, kukwenya tsandanyama, uye kuita kuti mwoyo urove.
Sei calcium ine ionized ichikosha zvikuru kumuviri wedu?
Kunyangwe huwandu hwecalcium yakasununguka huri hudiki, basa rayo harisi rekusakosha. Inokosha pakushanda zvakanaka kwehurongwa hwakawanda hukuru mumuviri wedu.
- Tsinga: Tsinga dzinotakura mashoko kubva kuuropi hwedu kuenda kumuviri wese. Sezvinoita magetsi anofamba netambo. Calcium ine ioni yakakosha kuti mashoko aya afambe zvakanaka.
- Tsandanyama: Tinoshandisa tsandanyama dzedu kufambisa maoko nemakumbo edu, kufamba, uye kusimudza zvinhu. Tsandanyama idzi dzese dzinoda calcium iyi yemahara kuti dzigadzikane uye dzizorore. Mwoyo itsandanyama yakakoshawo. Izvi zvakakosha kuti urove nekukurumidza kwakakodzera.
- Mwoyo: Izvi zvinobatsira kuchengetedza kurova kwemoyo kwakakodzera uye kumhanya kwakakodzera.
- Kugwamba kweropa:Kana paine ronda pane imwe nzvimbo uye tichibuda ropa, pane nzira yakaoma yekumisa kubuda ropa. Danho rakakosha zvikuru mukuita izvozvo icalcium iyi ine ionized.
Sei muchikumbira izvi pachinzvimbo chekuongororwa kwecalcium nguva dzose?
Uyu mubvunzo wakanaka kwazvo. Kuongororwa kwecalcium kwakajairika kunoyera huwandu hwecalcium muropa. Kureva, huwandu hwezvikamu "zvakasungwa" uye "zvakasununguka".
Zvisinei, kune dzimwe nguva apo huwandu hweprotein muropa remunhu (albumin) hunenge hwakaderera. Semuenzaniso, munhu anorwara zvakanyanya, munhu ane chirwere cheitsvo, kana munhu ane chirwere chechiropa anogona kunge aine huwandu hweprotein hushoma. Zvadaro, huwandu hwecalcium hunobatanidzwa neprotein hunodererawo. Saka, kana ukatarisa huwandu hwavo hwe "Total Calcium", hunogona kuratidza kukosha kwakaderera.
Asi huwandu hwecalcium "isina" (calcium ine ionized) huri kushanda mumuviri wake hunogona kunge hwakajairika. Saka, kana ukaita sarudzo zvichibva pane huwandu hwecalcium chete, zvinogona kunge zvisirizvo. Muzviitiko zvakadaro, vanachiremba vanokumbira bvunzo yecalcium ine ionized kuti vazive huwandu chaihwo hwecalcium inoshanda mumuviri.
Heano mamwe emamiriro ezvinhu makuru ayo chiremba angakumbira bvunzo iyi:
- Kana huwandu hweprotein (kunyanya albumin) muropa husina kujairika.
- Kune munhu ari kurwara zvakanyanya uye ari kugamuchira mushonga wemushonga une intravenous saline (IV fluids).
- Kune mumwe munhu ari kugadzirira kuvhiyiwa kukuru.
- Kune munhu anowanzo wedzerwa ropa.
- Tarisa mamiriro emadzimai ane pamuviri nevana vacheche.
- Kana paine chinofungidzirwa kuti pancreatitis inorwadza zvakanyanya.
- Kana paine fungidziro yechirwere cheparathyroid glands.
Ungagadzirira sei bvunzo?
Unowanzo kumbirwa kutsanya kwemaawa matanhatu usati waongororwa. Hazvina kuipa kunwa mvura shoma. Zvakakoshawo kuudza chiremba wako nezvemishonga yese, mavhitamini, nezvimwe zvinovaka muviri zvauri kutora. Mimwe mishonga inogona kukanganisa mhedzisiro yeongororo iyi, saka chiremba wako anogona kukukumbira kuti urege kuitora zuva risati raongororwa. Asi yeuka, usamborega kutora chero mushonga usina kurayirwa nachiremba wako.
Ndezvipi mazinga ecalcium akajairika?
Maitiro aya anogona kusiyana zvishoma zvichienderana nerabhoritari inoita bvunzo. Gara uchienzanisa kukosha kwako ne "Normal Range" iri pamushumo wako.
| Boka rezera | Nhamba yakajairika (mg/dL) | Range yakajairika (mmol/L) |
|---|---|---|
| Vacheche vachangoberekwa | 4.8 – 5.3 mg/dL | 1.20 - 1.32 mmol/L |
| Vana | 4.8 – 5.5 mg/dL | 1.20 - 1.38 mmol/L |
| Vakuru | 4.6 – 5.3 mg/dL | 1.15 – 1.32 mmol/L |
Kana huwandu hwecalcium hwakaderedzwa (Hypocalcemia)
Kuderera kwehuwandu hwecalcium inoshanda muropa (inozivikanwa se hypocalcemia) kunogona kukonzerwa nematambudziko akasiyana-siyana ehutano.
- Hypoparathyroidism: Chirwere chekuti magland eparathyroid ari mumutsipa haabudisi hormone yakakwana (PTH) inodzora calcium mumuviri.
- Pancreatitis: Kuzvimba kwepancreas.
- Kushaikwa kweVitamin D: Vitamin D inokosha kuti muviri ukwanise kutora calcium kubva muchikafu.
- Kukundikana kweitsvo.
- Kusanwiwa kwechikafu zvakanaka.
- Chirwere cheRickets muvana.
Zviratidzo zvekupera simba
Kana huwandu hwecalcium hukadzikira, zviratidzo zvakasiyana-siyana zvinogona kuitika.
| Rudzi rwehunhu | Zviratidzo zvinoratidzwa |
|---|---|
| Zvine chekuita netsandanyama netsinga | Kurwadziwa kwetsandanyama, kusanzwa simba mumakumbo nemumuromo, kukwenya. |
| Zvine chekuita nepfungwa nepfungwa | Kurasikirwa nendangariro, kuvhiringidzika, kuora mwoyo. |
| Zvimwe zvinhu | Nzara dzisina simba uye ganda rakaoma uye rinotyoka nyore nyore. |
Unoitei kana zvikaderedzwa?
Chiremba wako ndiye achatanga aona chikonzero chekuderera kwecalcium mumuviri wako. Zvadaro, pavanenge vachirapa chikonzero ichocho, vachatanga kurapwa kuti calcium yako idzoke zvakanaka.
- Zvinovaka Muviri zveCalcium
- Zvekuwedzera zveVitamin D
- Dzimwe nguva majekiseni ecalcium gluconate anoiswa mutsinga
- Kutsiva Parathyroid Hormone (PTH)
Chinonyanya kukosha ndechekuti chiremba wako ndiye achasarudza mushonga uyu. Iye achakuudza kuti chii chakakunakira uye kuti unofanira kuutora kwenguva yakareba sei. Usambofa wakaenda kupharmacy kunotenga mapiritsi ecalcium iwe pachako.
Kana huwandu hwecalcium hwakasanganiswa hukawedzera (Hypercalcemia)
Kuwedzera kwehuwandu hwecalcium inoshanda muropa (inozivikanwa se hypercalcemia) chirwere chinodawo kutarisirwa.
- Hyperparathyroidism: Kugadzirwa kwakanyanya kwemahormone neparathyroid glands.
- Hyperthyroidism: Gland rethyroid rinoita basa rakawandisa.
- Dzimwe kenza: Semuenzaniso, multiple myeloma, kenza yeropa.
- Chirwere chePaget chepfupa.
- Vitamin D yakawandisa mumuviri.
Zviratidzo zvekuwedzera
Kunyangwe kana calcium yakawanda mumuviri, zviratidzo zvakawanda zvinogona kuitika.
| Rudzi rwehunhu | Zviratidzo zvinoratidzwa |
|---|---|
| Hunhu hwemuviri | Kuneta kwakanyanya, musoro, kuda kurutsa uye kurutsa, kurasikirwa nechido chekudya. |
| Sisitimu yekugaya chikafu | Kuzvimba, kurwadziwa mudumbu. |
| Zvine chekuita neitsvo | Kuita weti kakawanda, nyota yakawandisa. |
| Mapfupa netsandanyama | Kurwadziwa kwemapfupa, kurwadziwa kwemhasuru kana kushaya simba. |
| Pfungwa | Kurasikirwa nendangariro, kuora mwoyo. |
Chii chekuita kana ikawedzera?
Pakurapa calcium yakawanda, zvakakosha kutanga waziva chikonzero chacho. Nzira dzekurapa dzinosiyana zvichienderana nechikonzero chacho.
- Mishonga inodzora mashandiro eparathyroid glands (Calcimimetics).
- Mishonga inosimbisa mapfupa uye inoderedza calcium muropa (Bisphosphonates).
- Kana chirwere ichi chikakonzerwa nehuwandu hwakawanda hwevhitamini D, mishonga yakaita seprednisone inogona kunyorerwa.
- Kana chirwere chacho chakakomba, zvingada kuti munhu apinzwe muchipatara uye apinzwe mutsinga dzemuropa (IV fluids).
- Kana zvichikonzerwa nebundu reparathyroid gland, rinogona kubviswa kuburikidza nekuvhiyiwa (parathyroidectomy).
Kurapa uku kunowanikwawo nekutsvaga chikonzero chekuwedzera kwecalcium mumuviri. Usaite chero chinhu usina kurairwa nachiremba wako. Dzimwe nguva izvi zvinogona kunge zviri zvekukurumidzira.
Mharidzo Yekuenda Nayo Kumba
- Calcium ine ioni ndiyo chikamu checalcium "isina" uye "inoshanda" muropa redu. Inokosha pamabasa mazhinji akakosha mumuviri wedu.
- Kunyange zvazvo bvunzo yecalcium yenguva dzose ichiratidza huwandu hwese hwecalcium, bvunzo yecalcium ine ionized inopa mufananidzo wakajeka wehuwandu hwecalcium huri kushanda mumuviri.
- Kuongororwa uku kwakakosha zvikuru kana paine zvirwere zvakakomba, chirwere cheitsvo, uye vasati vavhiyiwa.
- Kuderera uku kana kuti kuwanda kwecalcium mumuviri kunogona kuva chiratidzo chechirwere chiripo.
- Gara uchikurukura nachiremba wako zvabuda muongororo yako uye chero kurapwa kupi zvako. Usambofa wakazvirapa wega kana kurega kutora mishonga.
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