Sonke siyazi ukuthi i-calcium ibaluleke kangakanani emizimbeni yethu, akunjalo? Sesizwile kusukela ebuntwaneni ukuthi “sidinga i-calcium ukuze siqinise amathambo ethu.” Kodwa empeleni, i-calcium ayibalulekile nje kuphela emathanjeni, kodwa futhi nasekusebenzeni kwenhliziyo yethu, imizwa , kanye nemisipha . Ngakho-ke namuhla sizokhuluma ngokuhlolwa okulula kakhulu, kodwa okubaluleke kakhulu okuhlola ukuthi amazinga e-calcium egazini lakho alungile yini.
Kuyini lokhu kuhlolwa kwegazi le-calcium?
Kalula nje, lokhu kulinganisa inani le-calcium egazini lakho. I-calcium ingenye yamaminerali abaluleke kakhulu futhi atholakala emizimbeni yethu. Eqinisweni, ama-99% e-calcium iyonke emizimbeni yethu asemathanjeni nasemazinyweni ethu. I-1% esele isegazini. Ngakho-ke lokhu kuhlolwa kubheka lelo 1%.
Kunezinhlobo ezimbili eziyinhloko zalezi zivivinyo:
- Ukuhlolwa kweKhalsiyamu Ephelele: Lokhu kulinganisa inani eliphelele lekhalsiyamu egazini lakho eliboshwe kumaprotheni athile kanye nenani lekhalsiyamu "elikhululekile" ngaphandle kokuboshwa kunoma yini. Lolu ukuhlolwa okuvame kakhulu.
- Ukuhlolwa kwe-calcium ene-ionized: Lokhu kulinganisa kuphela inani le-calcium elikhululekile, okungukuthi, elisebenza ngokusebenzayo, futhi elingaboshelwe kumaprotheni.
Into eyodwa okufanele uyikhumbule ukuthi lokhu kuhlolwa kwegazi akukwazi ukukutshela ukuthi ingakanani i-calcium emathanjeni akho , akunjalo? Uma udokotela wakho efuna ukuhlola impilo yamathambo akho, kunezivivinyo ezihlukene zalokho, njenge-DEXA scan.
Kungani ngicelwa ukuthi ngibhale lolu vivinyo?
Kungase kube nezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa.
1. Njengengxenye yokuhlolwa kwempilo okuvamile: Lokhu kuhlolwa kwe-calcium kufakiwe ephaketheni lokuhlolwa kwegazi ovame ukuba nalo, njenge-"Basic Metabolic Panel – BMP" noma i-"Comprehensive Metabolic Panel – CMP".
2. Uma unezimpawu: Izimpawu ze-hypercalcemia ( isib. isicanucanu, ukuhlanza, ukuchama ngokweqile, ubuhlungu besisu, ukukhathala okukhulu) nomaUma ubonisa izimpawu ze-hypocalcemia (isib., ukungazweli ezinzwaneni, ukuqaqamba ezandleni , ukungazweli ezindebeni).
3. Qapha isimo sezokwelapha: Uma usuvele unesimo sezokwelapha esithinta amazinga e-calcium (isib. isifo sezinso, izinkinga ze-parathyroid gland), udokotela wakho angase akucele lokhu kuhlolwa ukuze abone ukuthi ukwelashwa kwakho kusebenza kahle yini.
4. Hlola imiphumela yemithi: Eminye imithi oyithathayo ingathinta amazinga e-calcium egazini lakho. Ngakho-ke, lokhu kuhlolwa kwenzelwa ukuqapha amazinga akho e-calcium ngezikhathi ezinjalo.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Esikhathini esiningi, lokhu akudingi ukulungiselela okuningi. Uma nje uhlolwa i-calcium, ungadla futhi uphuze ngendlela evamile bese unikela ngegazi.
Kodwa-ke, uma lokhu kuhlolwa kwenziwa njengengxenye yochungechunge lwezivivinyo, njenge-BMP noma i-CMP, ungase ucelwe ukuba uzile ukudla amahora ambalwa. Kodwa-ke, udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu kusengaphambili.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kulula kakhulu. Ungesabi ukunikela ngegazi. Yilokhu okuvame ukwenzeka:
- Uzohlaliswa esihlalweni.
- Isisebenzi sezempilo (ngokuvamile isazi se-phlebotomist) sizofuna umthambo ngaphakathi kwengalo yakho, endololwaneni, ukuze sikhiphe igazi.
- Uma usuyitholile indawo, yihlanze kahle bese ufaka isibulala-magciwane.
- Ngemuva kwalokho, kufakwa inaliti encane emthanjeni bese kuthathwa isampula yegazi. Ngalesi sikhathi, ungase uzizwe ulunywa kancane, njengokulunywa yintuthwane .
- Ngemva kokuba inani legazi elidingekayo seliqoqwe ngepayipi elincane lokuhlola, inaliti iyasuswa.
- Ucezu lukakotini lubekwa endaweni yokulunywa, lucindezelwe kancane, bese kufakwa uplasta phezu kwalo.
- Konke kuqediwe! Le nqubo yonke ivame ukuthatha imizuzu engaphansi kwemihlanu .
Ungayiqonda kanjani imiphumela?
Ngokuvamile ungathola umbiko wakho wokuhlolwa zingakapheli izinsuku ezimbili. Uma uthola umbiko, uzobona imininingwane efana nale:
- Igama lokuhlolwa okwenziwe (isb. i-Serum Calcium)
- Inani elilinganiswe kusukela kusampula yegazi lakho (umphumela wakho)
- Ububanzi obujwayelekile ngokwalelo labhorethri
- Kungakhathaliseki ukuthi umphumela wakho ujwayelekile, uphansi, noma uphezulu
Ayini Amazinga Ajwayelekile?
Ngokusho kwezindawo eziningi zokucwaninga, izinga elijwayelekile le-calcium egazini lomuntu omdala kufanele libe phakathi kwama-milligram angu-8.5 no-10.2/deciliter (8.5 kuya ku-10.2 mg/dL) .
Kodwa lokhu kubaluleke kakhulu: Ububanzi obujwayelekile belebhu eyodwa bungase buhluke kancane kwenye ilebhu. Yingakho umbiko wakho uzophinde usho ukuthi ububanzi babo obujwayelekile buyini. Kufanele uqhathanise inani lakho nalelo banga.
Isho ukuthini imiphumela engavamile?
Uma amazinga akho e-calcium engekho ezingeni elijwayelekile, kungaba nezizathu eziningana zalokhu. Kodwa ungesabi ngemva kokubona lolu hlu. Lezi yizimbangela nje ezingaba khona . Akusho ukuthi unalezi zifo.
| Amazinga e-calcium akhuphukile (i-Hypercalcemia) | Amazinga aphansi e-calcium (i-Hypocalcemia) |
|---|---|
| I-Hyperparathyroidism | I-Hypoparathyroidism |
| Ezinye izinhlobo zomdlavuza (amaphaphu, amabele, igazi) | Ukuntuleka kwevithamini D |
| Ukwehluleka kwezinso | Ukwehluleka kwezinso |
| I-Hyperthyroidism | Amazinga aphansi e-magnesium (Hypomagnesemia) |
| Izifo zamaphaphu ezifana ne-sarcoidosis noma isifo sofuba | I-Pancreatitis |
| Imithi ethile (isb., i-lithium, imithi yokukhipha isisu) | Ukumuncwa kwe-Malabsorption |
Ingabe kufanele ngikhathazeke uma imiphumela yami ingavamile?
Lutho neze.Ukuthi nje izinga lakho le-calcium liphezulu noma liphansi akusho ukuthi unesifo esibi kakhulu.
Khumbula ukuthi eminye imithi oyiphuzayo, ukudla kwakho, namavithamini nakho kungathinta leli nani. Ngezinye izikhathi, inani lingashintsha ngenxa yephutha elincane lapho kuthathwa isampula yegazi, ukuliyisa elebhu, noma ukwenza isivivinyo.
Uma imiphumela yakho ingajwayelekile, udokotela wakho angase acele ukuhlolwa okwengeziwe ukusiza ekutholeni imbangela. Isibonelo:
- Izinga le-calcium eliyi-ionized
- I-calcium emchameni
- Amazinga e-phosphorus, i-magnesium, i-vitamin D
- I-hormone ye-parathyroid (PTH)
Ngakho-ke, uma unemibuzo mayelana nombiko, ungangabazi ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-calcium ayibalulekile nje kuphela emathanjeni, kodwa futhi nasekusebenzeni kahle kwenhliziyo yethu, imisipha kanye nesimiso sezinzwa.
- Ukuhlolwa kwegazi le-calcium kuyindlela elula nesheshayo enikeza ulwazi olubalulekile mayelana nempilo yakho iyonke.
- Ungakhathazeki uma imiphumela yakho yokuhlolwa ingaphezu kwesilinganiso esijwayelekile. Kungase kube ngenxa yezinye izici, njengemithi noma ukudla okudlayo.
- Into ebaluleke kakhulu ukuxoxa ngemiphumela yokuhlolwa kwakho nodokotela wakho . Ungabheki nje ulwazi ku-inthanethi bese unquma ukuthi unesifo. Udokotela wakho kuphela ongakunikeza iseluleko esingcono kakhulu ngembangela eqondile kanye nokwelashwa okudingekayo.
Ukuhlolwa kwe-calcium, ukuhlolwa kwegazi, i-calcium, i-Hypercalcemia, i-Hypocalcemia, ukuhlolwa kwegazi, i-calcium ephansi
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