Sonke siyazi ukuba ikhalsiyam ibalulekile kumathambo namazinyo aqinileyo. Kodwa ubusazi na ukuba ukongeza kwikhalsiyam emathanjeni ethu, ikhalsiyam egazini lethu ikwabaluleke kakhulu kwimisebenzi emininzi emzimbeni wethu? Ukuba inqanaba lekhalsiyam kweli gazi liphantsi kunesiqhelo, silibiza ngokuba yi-hypocalcemia. Oku kunokubangela iingxaki ongazilindelanga. Ngoko masithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje.
Ngamafutshane, yintoni i-hypocalcemia?
I-Hypocalcemia kuxa inqanaba le-calcium egazini lakho liphantsi kakhulu. I-calcium ayibalulekanga nje kuphela emathanjeni nasemazinyweni ethu, kodwa ikwabalulekile nakwimithambo yegazi ukuba inciphe kwaye ikhule, imithambo-luvo idlulisele, igazi lijiyile, kwaye izihlunu zisebenze kakuhle. Ngokwesiqhelo, imizimba yethu ilawula eli nqanaba le-calcium kakuhle. Iihomoni ezintathu eziphambili zinceda koku: i-parathyroid hormone (PTH), i-calcitonin, kunye ne-vitamin D. Ngokwesiqhelo, inqanaba le-calcium egazini lomntu omdala kufuneka libe phakathi kwe-8.5 kunye ne-10.2 mg/dL (ii-milligrams/deciliter). Nangona kunjalo, la maxabiso anokwahluka kancinci kwilabhoratri nganye. Kubantwana nakubantu abadala abancinci, eli xabiso liphezulu kancinci. Ukuba inqanaba le-calcium egazini lakho liphantsi kuneli xabiso liqhelekileyo, yi-hypocalcemia.
Kutheni oku kusenzeka? Zithini izizathu ze-hypocalcemia?
Le meko idla ngokuvela xa umzimba wakho ulahlekelwa yi-calcium eninzi kumchamo wakho okanye xa amathambo akho engakhuphi i-calcium eyaneleyo egazini lakho. Makhe sijonge ezona zizathu ziphambili.
| Isizathu | Ingcaciso elula |
|---|
| I-Hypoparathyroidism | Ii-parathyroid glands zii-glands ezine ezincinci ezikwi-thyroid gland entanyeni yethu. Ezi zezo zivelisa i-hormone i-PTH, elawula i-calcium. Ukuba ezi glands zonakele ngexesha lotyando lwe-thyroid, amanqanaba e-PTH ayancipha kwaye amanqanaba e-calcium egazini ayancipha. |
| Ukunqongophala kweVithamin D | I-Vitamin D ifana nomhlobo onceda umzimba ukuba ufunxe i-calcium. Ukuba awufumani i-vitamin D eyaneleyo elangeni, ekutyeni, okanye kumayeza, ukufunxwa kwe-calcium kuyehla kwaye amanqanaba e-calcium egazini ayehla. |
| Isifo sezintso esingapheliyo | Xa izintso zingasebenzi kakuhle, kuba nzima emzimbeni ukusebenzisa i-vitamin D. Kwakhona, iminerali ebizwa ngokuba yi-phosphorus iyanda egazini. Ezi ngxaki zinokubangela amanqanaba aphantsi e-calcium. |
| Ezinye izizathu | |
Zithini iimpawu ze-hypocalcemia?
Ngamanye amaxesha usenokungabi nazimpawu, kodwa ngamanye amaxesha le meko inokuba nzima kakhulu kwaye ibeke ubomi esichengeni.
Iimpawu ezibuthathaka
- Ukuqaqamba kwemisipha emqolo nasemilenzeni
- Ulusu olomileyo nolunamaxolo
- Iinwele ziya zityeba kunesiqhelo
- Izikhonkwane ziyaphuka lula
Iimpawu ezinokwenzeka xa imeko imbi kakhulu
- Ukungabi namandla kwemilebe, ulwimi, iminwe, okanye iinyawo
- Ukushwabana kwemisipha okubuhlungu ngendlela enganyamezelekiyo
- Ubunzima bokuphefumla ngenxa yokuxinana kwemisipha yomqala
- Ukuxhuzula
- Ukungasebenzi kakuhle kwesingqisho sentliziyo (i-Arrhythmia) kunye nokusilela kwentliziyo
- Utshintsho lwengqondo olufana nokulahlekelwa yinkumbulo, ukudakumba, ukucaphuka, kunye nokubona izinto ezingekhoyo
Yintoni i-tetany? I-Tetany yingqokelela yeempawu ezibangelwa yi -hypocalcemia . Ibonakaliswa kukucaphuka kunye nokufinyela kwemisipha ngokungazi . Iimpawu ziquka ukurhawuzelela, ukungaziva, kunye nobunzima bokuphefumla kwimilenze. Ukuba i-tetany ayinyangwa ngokukhawuleza, inokuqhubekela kwimeko embi ebizwa ngokuba yi-rhabdomyolysis, enokubangela ukuqhekeka kwemisipha kunye nokungasebenzi kakuhle kwezintso.
Ungayibona njani le meko?
Eyona ndlela iphambili yokuxilonga oku kukuvavanya igazi. Ugqirha wakho angajonga zombini i-calcium iyonke kunye ne-ionized calcium. Ukongeza, ugqirha wakho uza kukhangela iimpawu ezimbini ezithile xa ekuxilonga: 1.
Uphawu lweChvostek: Khawuthelekelele ukuba ugqirha ubetha umthambo emhlathini wakho ngomnwe wakhe. Ukuba uziva urhawuzelelwa ecaleni lobuso bakho, loo nto inokuba luphawu. 2.
Uphawu lweTrousseau: Ukuba i-blood pressure cuff ibekwe engalweni yakho kwaye ibanjwe malunga nemizuzu emi-3, izihlunu ezingalweni nasesihlahleni sakho ziyafinyela kabuhlungu. Olu luvavanyo olubaluleke kakhulu lokujonga i-hypocalcemia. Kusenokufuneka wenze iimvavanyo ezingaphezulu ukuze ufumane unobangela wale meko.
- Uvavanyo lwegazi ukujonga amanqanaba e-magnesium, i-phosphorus, i-PTH hormone, kunye ne-vitamin D
- Uvavanyo lomchamo ukujonga impilo yezintso
- I-ultrasound scan ukujonga amatye ezintso
- Uvavanyo lwe-EKG (i-Electrocardiogram) ukujonga ukungasebenzi kakuhle kwesingqisho sentliziyo
- Iskeni yethambo ukujonga imeko yamathambo
Iphathwa njani?
Unyango olufumanayo luya kuxhomekeka kwisizathu sesifo kunye nobunzima beempawu zakho.
- Ngeempawu ezibuthathaka: Unganikwa iipilisi ze-calcium kunye ne-vitamin D ukuze uzithathe yonke imihla. Kubaluleke kakhulu ukuthatha umlinganiselo ochanekileyo owunikwa ngugqirha wakho.
- Kwiimpawu eziqatha: Ukuba iimpawu zakho zinzima, ukuba uneengxaki zesingqisho sentliziyo, okanye ukuba imeko ifika ngequbuliso, kunokufuneka ulaliswe esibhedlele kwaye unikwe i-calcium ngemithambo yegazi (efakwa kwi-intravenous - IV). Ihlala inikwa ngohlobo olubizwa ngokuba yi-calcium gluconate. Emva konyango lwe-IV, kunokufuneka uthathe iipilisi ze-calcium okwethutyana.
- Ukunyanga unobangela oyintloko:Ukuba amanqanaba akho e-magnesium aphantsi, kunokufuneka uyinyange, kuquka nokunyanga isifo sezintso.
Eyona nto ibalulekileyo kukuba, ungaze uzithathele iipilisi zecalcium wedwa. Hlala uqhagamshelana nogqirha wakho kwaye uthathe kuphela idosi ayinikiweyo.
Iingxaki ezinokwenzeka ukuba azinyangwanga
Iimpawu zihlala ziphela xa kunyangwa, kodwa ukuba azinyangwa, iingxaki eziyingozi kakhulu zinokubakho.
- Ukumelwa yintliziyo
- Ukuxhuzula
- Izifo zesingqisho sentliziyo ezisongela ubomi
Kwakhona, ukuthatha iidosi eziphezulu ze-calcium kunye ne-vitamin D ixesha elide kunokubangela iziphumo ebezingalindelekanga ezifana namatye ezintso. Ke ngoko, kubaluleke kakhulu ukuhlala uthatha unyango phantsi kweliso likagqirha.
Umyalezo Wokuya Ekhaya
- I-Hypocalcemia yimeko apho inqanaba le-calcium egazini liphantsi. Oku akuchaphazeli amathambo kuphela, kodwa nomzimba wonke.
- Musa ukuzityeshela iimpawu ezinje ngokurhawuzelela okanye ukuba ndindisholo. Kusenokuba luphawu lokuqala lwesifo esinzulu.
- Ekubeni zininzi izizathu zesi sifo, kubalulekile ukufumana nokuphatha unobangela kunye nokunyanga iimpawu zaso.
- Ukuba unale mpawu, bonana nogqirha wakho ngoko nangoko. Landela imiyalelo yakhe ukuze ufumane uvavanyo nonyango olufunekayo.
I-Hypocalcemia, ukungabikho kwe-calcium, ukungabikho kwe-calcium, ukuxhuzula kwemisipha, ukuba ndindisholo, i-vitamin D, i-parathyroid
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