Ingaba umzimba wakho unecalcium encinci? Masithethe nge-hypocalcemia!

Ngaba wakha weva nge-calcium ephantsi emzimbeni? Usenokuchaphazeleka yile meko ungazi nokuba ibaluleke kangakanani. Sonke siyazi ukuba i-calcium ibaluleke kangakanani emathanjeni ethu. Kodwa i-calcium ibalulekile kwezinye izinto ezininzi emzimbeni wethu. Ngoko ke, namhlanje siza kuthetha ngale meko yamanqanaba aphantsi e-calcium egazini, ebizwa ngokuba yi -hypocalcemia . Ungakhathazeki, le yimeko enokunyangwa kwaye inyangeke rhoqo.

Yintoni i-calcium? Kutheni ibaluleke kangaka kuthi?

Ngamafutshane, ikhalsiyam yiminerali ebaluleke kakhulu neqhelekileyo emizimbeni yethu. Inceda ngezinto ezingaphezulu kunokuba ucinga.

• Iqinisa amathambo namazinyo: Le yeyona nto ibalulekileyo sonke esiyaziyo. Uninzi lwekhalsiyam emizimbeni yethu lugcinwa emathanjeni ethu.
• I-calcium ikwafuneka egazini: Kungekhona emathanjeni kuphela, kodwa nasegazini lethu, kufuneka kubekho umlinganiselo othile we-calcium. I-calcium kweli gazi yile:
• Inceda inkqubo yethu yemithambo-luvo isebenze kakuhle .
• Inceda izihlunu zethu ziqine kwaye ziphumle (oko kuthetha ukuba siyashukuma).
• Inceda ukujiya kwegazi xa senzakele.
• Inceda intliziyo yethu isebenze kakuhle .

Khawucinge nje, ukuba inqanaba le-calcium egazini lethu liyehla (hypocalcemia), imizimba yethu iya kuba nobunzima bokwenza ezi nkqubo zibalulekileyo ngokuchanekileyo.

Okubalulekileyo kukuba, ukuba asifumani i-calcium eyaneleyo ekutyeni kwethu, imizimba yethu iya kuthatha i-calcium emathanjeni ethu ize iyongeze egazini lethu. Oku kunokwenza amathambo ethu abe buthathaka. Nangona kunjalo, i-'Hypocalcemia' kukuncipha kwe-calcium egazini, kungekuphela nje ukuncipha kwe-calcium emathanjeni.

Inqanaba le-calcium egazini nasemathanjeni ethu lilawulwa zii-hormone ezimbini eziphambili: i-Parathyroid Hormone (PTH) kunye neCalcitonin . I-Vitamin D ikwabaluleke kakhulu ekugcineni amanqanaba e-calcium. I-Vitamin D ibalulekile emzimbeni ukuze ukwazi ukufunxa i-calcium esiyityayo.

Ngubani onokuba ne-hypocalcemia?

Le meko yokuba ne-calcium ephantsi inokwenzeka nakubani na wanoma yimuphi ubudala, kwanakwiintsana ezincinci kakhulu. Ubudala bokuba yenzeka buqhele ukuxhomekeka kwisizathu. Umzekelo, ukuba le meko yenzeka kumntwana omncinci, kusenokwenzeka ukuba ibangelwa sisifo semfuza.

Kunzima ukutsho ukuba oku kuqheleke kangakanani na, kuba kudla ngokuba yimpembelelo embi yesinye isifo. Nangona kunjalo, kuqhelekile ukubona esi sifo emva kotyando lokususa i-thyroid gland (i-thyroidectomy) . Ezinye izifundo zibonisa ukuba phakathi kwe-7% kunye ne-49% yabantu banokufumana i-hypocalcemia yexeshana emva kotyando lwe-thyroid.

Zithini iimpawu zokunqongophala kwe-calcium emzimbeni?

Abanye abantu banekhalsiyam encinci emizimbeni yabo kodwa ababonisi zimpawu. Iimpawu zixhomekeke kwinqanaba lokunqongophala kwekhalsiyam - oko kukuthi, nokuba imeko `incinci` okanye `inzima`.

Iimpawu zokunqongophala kwe-calcium encinci:

• Ukuqaqamba kwemisipha: Ingakumbi emqolo nasemilenzeni. Khawuthelekelele ulele ebusuku uze ngequbuliso umlenze wakho uzive ngathi uyaphelelwa ngamandla, yiloo nto uziva ngayo.
• Ulusu olomileyo nolunamaxolo.
• Izipikili ezithambileyo.
• Iinwele ziya zisiba rhabaxa kunesiqhelo.

Ukuba le meko incinci ayinyangwa ngokufanelekileyo, ngokuhamba kwexesha, iimpawu ezichaphazela inkqubo yemithambo-luvo (`neurologic`) okanye impilo yengqondo (`psychologic`) zinokuvela. Ezi ziquka:

• Ukudideka.
• Iingxaki zememori.
• Ukucaphuka rhoqo okanye ukungazinzi.
• Uxinzelelo.
• Ukuzibona izinto ezingekhoyo: Oku kuthetha ukubona izinto ezingekhoyo ngokwenene.

Iimpawu ze-hypocalcemia enzima:

Le yimeko eyingozi eyenzeka xa inqanaba le-calcium egazini lehla kakhulu.

• Ukurhawuzelela kwemilebe, ulwimi, iminwe kunye/okanye iinyawo.
• Iintlungu zemisipha.
• Ubunzima bokuphefumla ngenxa yokuqina kwemisipha yomqala (i-laryngospasm). Oku kuyingozi kancinci.
• Ukuqina kwemisipha kunye nokuxhuzula (iTetany).
• Ukuxhuzula.
• Ukuphazamiseka kwentliziyo (i-Arrhythmia).
• Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani.

Ukuba unezinye zezi mpawu zinzima, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.

Kutheni i-calcium emzimbeni wethu incipha? Zithini izizathu?

Imizimba yethu inenkqubo enzima yokugcina amanqanaba azinzileyo e-calcium egazini. Ke ngoko, i-hypocalcemia inokubangelwa ziimeko ezahlukeneyo zempilo kunye nezifo.

Ixesha elininzi, eyona nto ibangela oku yingxaki ngamanqanaba e-parathyroid hormone (PTH) okanye amanqanaba e-vitamin D. Oku kungenxa yokuba i-PTH inceda ukulawula i-calcium egazini, kwaye i-vitamin D inceda umzimba ukuba ufunxe i-calcium.

Izizathu ezintathu eziqhelekileyo zezi:

1. I-Hypoparathyroidism: Oku kwenzeka xa amadlala e-parathyroid (amadlala amane amancinci akwi-thyroid gland) entanyeni yakho engavelisi i-PTH eyaneleyo. Xa amanqanaba e-PTH ephantsi, amanqanaba e-calcium emzimbeni wakho nawo ayehla. Oku kusenokubangelwa yimfuza, utyando lokususa idlala elinye okanye ngaphezulu le-parathyroid, okanye i-thyroid gland.

2.Ukunqongophala kweVithamin D: Ukuba awunayo iVithamin D eyaneleyo, umzimba wakho awukwazi ukufunxa icalcium ngokufanelekileyo. Oku kunokukhokelela ekubeni amanqanaba e-calcium egazini aphantsi. Ukunqongophala kweVithamin D kunokubangelwa yimfuza, ukungafumani ilanga elaneleyo, okanye ukungafumani iVithamin D eyaneleyo ekutyeni kwakho.

3. Ukungasebenzi kakuhle kwezintso / Ukungasebenzi kakuhle kwezintso: Abantu abanesifo sezintso esinganyangekiyo banokuba ne-hypocalcemia. Oku kungenxa yokwanda kwamanqanaba e-phosphorus egazini kunye nokwehla kohlobo oluthile lwe-vitamin D oluveliswa zizintso.

Kukho nezinye izizathu:

• Amayeza athile: Umzekelo, amayeza athile afana ne-`Bisphosphonates`, `Corticosteroids`, `Rifampin`, `Calcitonin` anokubangela ukunqongophala kwe-calcium. Thetha nogqirha wakho malunga namayeza owasebenzisayo.
• I-Pseudohypoparathyroidism: Le yimeko yemfuza. Okwenzekayo apha kukuba, nangona umzimba unezinga eliqhelekileyo lehomoni ye-PTH, umzimba awuphenduli kakuhle kuyo.
• I-Hypomagnesemia: Eli linqanaba eliphantsi le-magnesium egazini. Amadlala e-parathyroid afuna i-magnesium ukwenza nokukhupha i-hormone i-PTH. Ukuba i-magnesium iphantsi, kuveliswa i-PTH encinci, nto leyo ebangela ukuba amanqanaba e-calcium ehle.
• I-Pancreatitis: Phakathi kwe-15% kunye ne-88% yabantu abane-pancreatitis ebukhali banokufumana i-hypocalcemia.
• Izifo ezingaqhelekanga zemfuza: Le meko inokubangelwa naziinguqu ezithile zemfuza, ezifana ne-`DiGeorge syndrome`.

Ndingafumanisa njani ukuba ndinale meko?

Ukuba i-calcium yakho iyonke egazini ingaphantsi kwe-8.8 mg/dL, usenokuba ne-hypocalcemia. Ngamanye amaxesha, i-hypocalcemia encinci ifunyanwa ngengozi xa uvavanyo lwegazi lwenziwa kwenye into.

Kubaluleke kakhulu ukufumanisa ukuba le meko ikhona, kunye nokufumanisa ukuba yintoni ebangela oko.

Ugqirha wakho angayalela iimvavanyo ezifana nezi ukuze afumane unobangela wale meko aze abone ukuba ingaba ichaphazela amanye amalungu omzimba na:

• Ezinye iimvavanyo zegazi: Jonga amanqanaba akho e-magnesium, i-phosphorus, i-PTH hormone kunye/okanye i-vitamin D.
• I-ECG (i-Electrocardiogram): Oku kulinganisa izinga lentliziyo yakho ngokubeka ii-electrode esifubeni sakho. I-Hypocalcemia inokubangela ukubetha kwentliziyo okungaqhelekanga.
• Uvavanyo lokujonga amathambo: Olu vavanyo lunokusetyenziswa ukubona ukuba unengxaki ye-calcium emathanjeni akho (njenge-osteomalacia okanye i-rickets).

Iphathwa njani i-calcium deficiency?

Oku kudla ngokuphathwa ngezongezo zekhalsiyam ezithethwa ngomlomo.Kwakhona, kubalulekile ukufumanisa ukuba yintoni ebangela i-calcium ephantsi kwaye uyinyange. Khawuthelekelele ukuba i-calcium ephantsi ibangelwa liyeza olisebenzisayo, ugqirha usenokutshintsha iyeza okanye anyuse okanye anciphise umthamo.

Ngawaphi amayeza kunye nonyango olusetyenziswa koku?

• Iipilisi zeCalcium: Ezi zinikwa ukuze kulungiswe amanqanaba eCalcium egazini.
• I-Vitamin D supplement: Abantu abanesifo esingapheliyo se-calcium badla ngokunikwa i-vitamin D supplements kunye neepilisi ze-calcium. Le yindlela umzimba onokufunxa ngayo i-calcium ngokufanelekileyo.
• I-PTH yokwenziwa: Ukuba unezinga eliphantsi le-calcium ngenxa ye-hypoparathyroidism, ugqirha wakho unokukunika i-PTH yokwenziwa.
• I-calcium gluconate efakwa kwimithambo yegazi (IV calcium gluconate): Ukuba amanqanaba akho e-calcium aphantsi kakhulu kwaye uneempawu eziqatha ezifana nokuxhuzula kwemisipha (tetany), unganikwa isisombululo se-calcium gluconate esinikwa ngemithambo esibhedlele.
• Amanye amayeza: Ngokuxhomekeke kwisizathu se-calcium ephantsi, unokufuna ukusebenzisa amanye amayeza ukunyanga/ukulawula loo nto.

Ziziphi izinto ezibangela ukungabikho kwe-calcium emzimbeni?

Abantu abanokuthi babe nale meko ngaba:

• Kwabo bangenayo i-vitamin D.
• Kwabo bakha banesifo se-parathyroid gland okanye utyando lwe-parathyroid gland .
• Kwabo baye benza utyando lokususa i-thyroid gland (`thyroidectomy`) .
• Ukuba kukho nabani na kusapho oneemeko zemfuza (ezifana notshintsho oluthile lwemfuza, izifo ze-vitamin D zemfuza, i-DiGeorge syndrome).

Ngaba ikho indlela yokuthintela oku?

Ngelishwa, akukho nto unokuyenza ukuthintela i-hypocalcemia. Nangona kubonakala ngathi ungayithintela ngokutya ukutya okune-calcium eninzi, ubungakanani be-calcium oyityayo abuchaphazeli ngqo amanqanaba e-calcium egazini lakho. Nangona kunjalo, ukufumana i-calcium eyaneleyo kubalulekile kwimpilo yamathambo.

Iyintoni ikamva lale meko? (Ingqikelelo)

Iindaba ezimnandi zezokuba i-hypocalcemia yimeko enokunyangeka. Xa amanqanaba akho e-calcium ebuyela esiqhelweni, iimpawu ziya kuphela.

Nangona kunjalo, ukuba ayinyangwa, i-hypocalcemia enzima inokuba yingozi ebomini ngenxa yeengxaki ezinje ngokuxhuzula kunye nokusilela kwentliziyo okuxineneyo. Ngoko ke, bona ugqirha ukuba uneempawu. Ukuba iimpawu zakho zinzima, yiya kwisibhedlele esikufutshane.

Ukuba le meko ihlala ixesha elingakanani kuyahluka ngokuxhomekeke kwisizathu. Isenokuba yeyokwexeshana okanye yobomi bonke ('engapheliyo'). Buza ugqirha wakho ukuba le meko iza kuhlala ixesha elingakanani kwaye kuya kufuneka uthathe amayeza ixesha elingakanani.

Ukuba ayinyangwa, i-hypocalcemia inokubulala, ngoko ke ziqaphele iimpawu.

Ufanele uye nini kugqirha?

Ukuba uneempawu ze-hypocalcemia , qiniseka ukuba ubona ugqirha. Ukuba une-hypocalcemia engapheliyo, kubalulekile ukubona ugqirha wakho rhoqo ukuqinisekisa ukuba amanqanaba akho e-calcium aqhelekile kwaye unyango lwakho lusebenza kakuhle.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha ukuba ndinayo le meko?

Wakuba wazi ukuba une-hypocalcemia, kunokuba luncedo ukubuza ugqirha wakho okanye umongikazi le mibuzo:

• Kutheni ndifumene olu hlobo lwe-hypocalcemia?
• Ndiza kuba nale meko ixesha elingakanani?
• Kuza kufuneka ndithathe amayeza ixesha elingakanani oku?
• Kuthatha ixesha elingakanani ukuba iimpawu ziphele emva kokuqalisa amayeza?
• Ngaba abantwana bam okanye amanye amalungu osapho asengozini yokufumana le meko?

Kuqhelekile ukuziva usoyika xa ufumanisa ukuba unesifo. Kodwa khumbula, i-hypocalcemia iyanyangeka. Ngonyango, amanqanaba akho e-calcium aya kubuyela esiqhelweni kwaye iimpawu zakho ziya kuphela. Ungoyiki ukubuza imibuzo yeqela lakho lezonyango malunga nemeko yakho kunye nonyango olufumanayo.

Umyalezo Wokuya Ekhaya

Ngoko ke, i-hypocalcemia, okanye i-calcium ephantsi egazini, yinto esifanele siyixhalabele, kodwa asiyonto yokoyika. Inganyangwa kwaye iphuculwe rhoqo. Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngaphandle kokuchitha ixesha ukuba ufumana iimpawu. Ukuba ulandela unyango olucetyiswa ngugqirha wakho, ungaphila ngokukhawuleza. Hlala usempilweni!

I- Hypocalcemia, i-calcium, ukungabikho kwe-calcium, i-calcium egazini, i-parathyroid hormone, i-vitamin D, impilo yamathambo, iimpawu, unyango