Ingaba igazi lakho liphantsi kwi-phosphate? Masithethe ngale meko (Hypophosphatemia)!

Mhlawumbi ukhe wayibona into ebizwa ngokuba yi-"Phosphate" xa ujonga ingxelo yegazi, akunjalo? Okanye mhlawumbi ugqirha ukuxelele ngayo. Le phosphate ibaluleke kakhulu emzimbeni wethu. Ngoko ke, kwenzeka ntoni ukuba eli nqanaba le-phosphate liyehla egazini? Yiloo nto siyibiza ngokuba yi-`(Hypophosphatemia)`. Makhe sithethe ngale nto ngokweenkcukacha, ngokulula, namhlanje.

Ithetha ukuthini i-phosphate ephantsi? Ingaba yi-`(Hypophosphatemia)`?

Ngamafutshane, ewe. I-Hypophosphatemia yimeko apho inqanaba leminerali ebizwa ngokuba yi-phosphate egazini lakho liphantsi. I-phosphate yi- electrolyte ebalulekileyo kwimisebenzi emininzi emizimbeni yethu. Isebenza njengebhetri emizimbeni yethu. Le meko inokuba buthathaka okanye ibe nzima. Inokwenzeka ngequbuliso (ngokukhawulezileyo) okanye ngokuhamba kwexesha (engapheliyo).

Ngoko ke, le phosphate ibaluleke kangakanani emzimbeni?

Khawucinge nje ukuba le phosphate isebenza kangakanani emizimbeni yethu!

• Ukwakha amathambo namazinyo ethu nokuwagcina eqinile: I-85% ye-phosphorus emizimbeni yethu ikwithambo lethu. Ngoko ke oku kubalulekile kumathambo aqinileyo.
• Gcina inkqubo yemithambo-luvo isebenza kakuhle: Imithambo-luvo yethu ifuna i-phosphate ukuze isebenze kakuhle.
• Inceda izihlunu ziqine: Xa sishukumisa iingalo nemilenze yethu, kwaye xa intliziyo yethu ibetha, izihlunu zethu ziqine, ngoko ke oku kuyanceda nakwelo.

Sifumana le phosphorus/phosphate ekutyeni esikutyayo.

Okubalulekileyo kukuba, inqanaba le-phosphate egazini lethu linxulumene ngokuthe ngqo nenqanaba le-calcium. Ezi zimbini zisebenza ngokuchaseneyo. Oko kukuthi, njengoko inqanaba le-calcium egazini lisanda, inqanaba le-phosphate liyehla. Oku kwenzeka rhoqo ngomzuzwana. I-parathyroid hormone (PTH), eveliswa zii-parathyroid glands entanyeni yethu, ilawula la manqanaba e-calcium kunye ne-phosphate.

Ixhaphake kangakanani le meko (iHypophosphatemia)?

I-hypophosphatemia encinci yimeko eqhelekileyo efunyanwa kwiimvavanyo zegazi. Ezinye iingxelo zibonisa ukuba ichaphazela ukuya kuthi ga kwi-5% yabemi baseMelika. Uninzi lwexesha, ayisiyongxaki imbi kwaye ayibangeli zimpawu. Idla ngokufunyanwa ngengozi.

Nangona kunjalo, i-hypophosphatemia ekhawulezileyo neqatha (i-hypophosphatemia eqatha neqatha) ixhaphake kakhulu kubantu abaneengxaki ezithile zempilo. Umzekelo:

• Kwabo baxhomekeke kutywala `(Ingxaki yokusebenzisa utywala)`
• Kwimeko ye-ketoacidosis enxulumene nesifo seswekile (i-DKA)
• Kwisifo esinzima, i-sepsis
• Kwabo batsha kakhulu

Abantu abanjalo banokuyibona le meko ukuya kuthi ga kwi-80%.

Ngoko ke, zithini iimpawu ze-`(Hypophosphatemia)`?

Iimpawu zixhomekeke ekubeni inqanaba le-phosphate liphantsi kangakanani.

I-Hypophosphatemia ebuthathaka

Abantu abane-hypophosphatemia encinci badla ngokungabi nazimpawu , kodwa abanye banokuba nobuthathaka bemisipha kunye nokudinwa okuncinci.

Ukuba inzima kakhulu (i-Severe Hypophosphatemia)

Nangona kunjalo, ukuba amanqanaba e-phosphate aphantsi kakhulu (i-hypophosphatemia enzima), ezi mpawu zilandelayo zinokuvela, kwaye akufuneki zithathwe lula :

• Intlungu kwimisipha nasemathanjeni
• Ubuthathaka obukhulu bemisipha
• Utshintsho kwimo yengqondo - umzekelo, ukungakwazi ukugxila, ukucaphuka lula
• Ukusilela kokuphefumla okanye kwentliziyo
• Ukuziva ubuthathaka, ukuncipha kokuphendula
• Ukuba nesifo sokuxhuzula (ukuxhuzula)

Oku kubaluleke kakhulu: Ukuba i-hypophosphatemia enzima ayinyangwa ngokukhawuleza , inokukhokelela kwi-coma kwanokufa . Ngoko ke ukuba wena okanye umntu omaziyo unezi mpawu zinzima, kufuneka uye esibhedlele esikufutshane ngoko nangoko.

Ukuba ibikhona ixesha elide (Chronic Hypophosphatemia)

Abantu abane-phosphate ephantsi ixesha elide (i-hypophosphatemia engapheliyo) banokubona iimpawu ezifana nezi:

• Intlungu emathanjeni
• Ukuqhekeka kwamathambo
• Ubuthathaka
• Umnqweno wokutya

Abantwana abancinci abanamanqanaba aphantsi e-phosphate ixesha elide banokuba neempawu zesifo esibizwa ngokuba yi-rickets , eziquka:

• Ukulahlekelwa bubude xa kuthelekiswa nobudala
• Ukugoba kwemilenze okufana nokugoba
• Ukwandiswa kwesandla kunye neendawo zamaqatha ngenxa yotshintsho emathanjeni

Ukuba wena okanye umntwana wakho unezinye zezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha.

Zithini izizathu ze-`(Hypophosphatemia)`?

Kukho izizathu ezininzi zokuba le meko inokwenzeka. Izizathu ziyahluka ngokuxhomekeke ekubeni ingaba incinci okanye inzima, ngequbuliso, okanye ihlala ixesha elide.

Izizathu ze-hypophosphatemia ephakathi neqatha

Ukunqongophala kwe-phosphate okuphakathi ukuya kokukhulu kunokwenzeka kwezi meko zilandelayo:

• Ngexesha lokuchacha kwi-diabetes ketoacidosis (DKA)
• Ukusetyenziswa kotywala kunye nokuyeka utywala
• Ukutsha kakhulu
• Isifo sokutya kwakhona : Oku kunzima ngakumbi. Ngamafutshane, kukubuyela ngokukhawuleza ekutyeni emva kwexesha lokuzila ukutya, okubangela utshintsho oluyingozi, ngamanye amaxesha olusongela ubomi, kumanqanaba olwelo kunye ne-electrolyte emzimbeni.
• I-alkalosis yokuphefumla eqatha: Oku kwenzeka xa kungekho carbon dioxide eyaneleyo egazini.

Izizathu ze-hypophosphatemia yexesha elide

• Ukwanda kwamanqanaba e-hormone ye-parathyroid, umzekelo kwimeko ethi ``Hyperparathyroidism``.
• Ezinye iingxaki zehomoni, ezifana ne-Cushing's syndrome.
• Ukunqongophala kweVithamin D.
• Ukungafunxwa kokutya yimeko apho ukutya kungafunxwa kakuhle ngenxa yokungondleki kakuhle kunye neengxaki zamathumbu.
• Ezinye iingxaki zokungalingani kwe-electrolyte, ezifana ne-magnesium ephantsi (hypomagnesemia) kunye ne-potassium ephantsi (hypokalemia).
• Unyango lokungabikho kwesinyithi kukufakwa kwesinyithi kwi-IV, ingakumbi uhlobo olubizwa ngokuba yi-ferric carboxymaltose (FCM). Oku kwenzeka rhoqo xa isinyithi sithathwa rhoqo ngale ndlela.
• Ukusebenzisa amayeza okukhupha isisu ixesha elide.
• Ukusetyenziswa rhoqo okanye ngokugqithisileyo kwee-antacids ezibopha i-phosphate, ezithengwa kwikhemesti ngaphandle kwengcebiso kagqirha. Oku kuquka ii-antacids eziqulethe i-aluminium, i-calcium, kunye ne-magnesium.
• Ukutyhefwa ngamayeza abizwa ngokuba yi-theophylline, anikwa abafazi abakhulelweyo.

Abantu abanesifo sezintso esiqhubekekayo (ingakumbi abo bakwi-dialysis) bathatha amayeza abizwa ngokuba yi-"phosphate binders" xa besitya, anikwe yingcali yezintso zabo, ukunciphisa ukufunxwa kwe-phosphate ekutyeni. Ezi zinokubangela amanqanaba aphantsi e-phosphate ukuba zisetyenziswa ixesha elide.

Ifunyanwa njani le meko `(Hypophosphatemia)`?

Kulula kakhulu ukuxilonga oku. Ugqirha uza kwenza uvavanyo lwegazi ukujonga inqanaba le-phosphate egazini lakho . Ukuba uxinaniso lwe-phosphate egazini lakho lungaphantsi kwe-2.5 milligrams nge-deciliter (mg/dL), kuthiwa une-"Hypophosphatemia".

Inqanaba eliqhelekileyo le-phosphate egazini kubantu abadala liphakathi kwe-2.5 kunye ne-4.5 mg/dL, kwaye kubantwana, liphakathi kwe-4.5 kunye ne-6.5 mg/dL. Nangona kunjalo, la maxabiso anokwahluka kancinci kwilabhoratri nganye.

Kwiimeko ezininzi, ingakumbi kwiimeko ze-acute hypophosphatemia, unobangela unokufunyanwa ngokucacileyo ngokusekelwe kwimbali yakho yezonyango kunye neempawu.

Ngenxa yokuba i-hypophosphatemia idla ngokuba yimbangela yesinye isifo, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo ukuze afumanise unobangela kwaye ahlole impilo yakho iyonke. Ezi zingabandakanya:

• Ezinye iimvavanyo zegazi: Uvavanyo lokusebenza kwezintso, uvavanyo lwegazi le-calcium, uvavanyo lwegazi le-vitamin D.
• Uhlalutyo lomchamo.
• Mhlawumbi ii-imaging scans.

Ziziphi iindlela zonyango ze-`(Hypophosphatemia)`?

Unyango oluphambili kukunyanga unobangela wale meko, ngelixa kubuyiselwa amanqanaba e-phosphate egazini.

Abantu abane-hypophosphatemia engaphantsi ukuya kwephakathi badla ngokunikwa iipilisi zokuthatha indawo ye-phosphate yomlomo. Ugqirha wakho unokucebisa ukuba utye ukutya okune-phosphorus eninzi.

Nangona kunjalo, ukuba imeko imbi kakhulu, i-phosphate inikwa ngemithambo yegazi (nge-IV) .

Ngaba ikho into esinokuyenza ukuthintela le meko?

Kakade ke, ayizizo zonke iimeko ze-hypophosphatemia ezinokuthintelwa, ingakumbi ezo zinzima kwaye ngequbuliso. Nangona kunjalo, ukutya ukutya okunempilo nokulinganayo kunokunceda ngandlela ithile ekuthinteleni amanqanaba e-phosphate aphantsi.

Ziziphi ukutya ezine-phosphorus eninzi?

• Inyama, intlanzi kunye nezinye iiproteni: Iindawo ezifana namaqanda, inkukhu, ikarikuni, inyama yehagu, ukutya kwaselwandle kunye nesibindi.
• Iimveliso zobisi: ubisi, itshizi, itshizi yekottage, iyogathi.
• Amandongomane nembewu: iialmond, iicashews, amandongomane aseBrazil, imbewu yethanga, imbewu yesesame.

Kubalulekile: Ngaphambi kokuba wenze naluphi na utshintsho olukhulu kwindlela otya ngayo, qiniseka ukuba uthetha nogqirha okanye ingcali yesondlo.

Ukuba unemeko ekubeka emngciphekweni omkhulu we-hypophosphatemia, efana ne-hyperparathyroidism, iingxaki ze-malabsorption, okanye ukungabikho kwe-vitamin D, kubalulekile ukubona ugqirha wakho rhoqo kwaye ulandele isicwangciso sakho sonyango. Oku kunokunceda ukuthintela i-hypophosphatemia.

Kuza kwenzeka ntoni kwixesha elizayo? (Ingxelo yokuxela kwangaphambili)

Uqikelelo lwale meko luxhomekeke ekubeni ingaba incinci okanye inzima, iqala ngesiquphe, okanye ihlala ixesha elide. Iimeko ezincinci zihlala zisabela kakuhle kunyango, oko kuthetha ukuba zinokunyangeka. Nangona kunjalo, iimeko ezinzima neziqala ngesiquphe zinokukhokelela kwiingxaki ezinkulu ukuba azinyangwa ngokukhawuleza.

Ngaba iingxaki zinokwenzeka ngenxa ye-`(Hypophosphatemia)`?

Ewe, ukuba ayinyangwa, ingakumbi ukuba kukho ukwehla kwexesha elide kwe-phosphate (i-hypophosphatemia engapheliyo), imeko ebizwa ngokuba yi -osteomalacia inokuvela. Ngamafutshane, oku kuxa amathambo ethamba aze aphuke lula .

Njengoko bekutshiwo ngaphambili, ukuba uneempawu eziqatha ze-hypophosphatemia, ezifana neentlungu zemisipha ezingachazwanga kunye notshintsho kwisimo sengqondo, kubaluleke kakhulu ukuya kwisibhedlele esikufutshane ngokukhawuleza.

Okokugqibela, khumbula oku.

Ngoko ke, le phosphate esithethe ngayo namhlanje yi-"electrolyte" ebaluleke kakhulu egazini lethu. Ukuncipha okuncinci kwe-phosphate (``i-hypophosphatemia ethambileyo``) kunokubonwa kuvavanyo lwegazi kwaye akuyonto ibalulekileyo. Ukuba oko kuyenzeka, ugqirha wakho uya kukuxelela ukuba utye ukutya okuninzi okune-phosphorus eninzi.

Nangona kunjalo, ukuba unesifo okanye umkhwa okubeka emngciphekweni wokunqongophala kwe-phosphate, njengokusela utywala kakhulu okanye ukungafunxwa kwamathumbu, kungcono ukuthetha nogqirha wakho ngayo. Babuze indlela yokuthintela i-hypophosphatemia kunye neempawu ekufuneka uziqaphele. Khumbula, ugqirha wakho ngumhlobo wakho osenyongweni kuhambo lwakho lwempilo. Banokukunceda.

"I-Hypophosphatemia, i-phosphate, i-phosphorus, ii-electrolytes, i-phosphate ephantsi, uvavanyo lwegazi, isondlo, i-phosphate, i-phosphorus, uvavanyo lwegazi, isondlo