Wake wabona inani elibizwa ngokuthi 'iCalcium' uma ubheka umbiko wegazi? Sonke siyazi ukuthi i-calcium ilungele kangakanani amathambo namazinyo. Kodwa ngezinye izikhathi udokotela wakho angase acele ukuhlolwa okukhethekile okubizwa ngokuthi "i-Ionized Calcium" esikhundleni sokuhlolwa kwe-calcium okuvamile. Bese sicabanga, "Kuyini lokho? Akuyona yini i-calcium efanayo?" Empeleni kukhona umehluko omncane, kodwa obaluleke kakhulu phakathi kwalezi ezimbili. Namuhla, ake sixoxe ngaleli qhawe elibaluleke kakhulu emzimbeni wethu elibizwa ngokuthi "i-ionized calcium".
Kuyini i-calcium ene-ionized?
Kalula nje, lena yi-calcium "ekhululekile" noma "esebenzayo" egazini lethu. Cabanga ngakho, ama-99% e-calcium iyonke emzimbeni wethu asemathanjeni nasemazinyweni ethu. Kufana nemali ebhange. I-1% esele ijikeleza egazini.
Manje, kule 1% ye-calcium egazini, enye yayo iboshelwe kumaprotheni (ikakhulukazi i-albumin), noma "i-alloyed." Lokhu sikubiza ngokuthi "i-calcium eboshiwe." Le ngxenye ayisebenzi, njengomuntu ohleli ebhentshini esitobhini sebhasi. Ikhona nje, ayenzi lutho.
Enye ingxenye yingxenye ejikeleza egazini "ngokukhululeka" ngaphandle kokuboshwa yinoma iyiphi iphrotheni. Le ngxenye ekhululekile, esebenzayo yilokho esikubiza ngokuthi i-calcium ene-ionized noma "i-calcium yamahhala." Yile calcium yamahhala empeleni eyenza umsebenzi emzimbeni, inikela ezintweni ezibaluleke kakhulu. Le ngxenye yakha cishe u-50% we-calcium iyonke.
Lokho kusho ukuthi, yile calcium ene-ionized eyenza imisebenzi ebalulekile emizimbeni yethu, njengokudlulisa imiyalezo yezinzwa, ukufinyeza kwemisipha, kanye nokwenza inhliziyo ishaye.
Kungani i-calcium ene-ionized ibaluleke kangaka emizimbeni yethu?
Nakuba inani le-calcium yamahhala lincane, umsebenzi wayo awubalulekile. Ibalulekile ekusebenzeni kahle kwezinhlelo eziningi ezinkulu emzimbeni wethu.
- Imizwa: Imizwa ithwala imiyalezo esuka ebuchosheni bethu iye emzimbeni wonke. Njengoba nje ugesi uhamba ngentambo. I-calcium ene-ion ibalulekile ukuze le miyalezo ihambe kahle.
- Imisipha: Sisebenzisa imisipha yethu ukuhambisa izingalo nemilenze yethu, ukuhamba, nokuphakamisa izinto. Yonke le misipha idinga le calcium yamahhala ukuze ifinyele futhi iphumule. Inhliziyo nayo iyimisipha ekhethekile. Lokhu kubaluleke kakhulu ukuze ishaye ngesivinini esifanele.
- Inhliziyo: Lokhu kusiza ukugcina ukushaya kwenhliziyo kanye nesigqi esifanele.
- Ukuqunjelwa kwegazi:Uma sinesilonda ndawana thize futhi siphuma igazi, kwenzeka inqubo eyinkimbinkimbi yokumisa ukuphuma kwegazi. Isinyathelo esibaluleke kakhulu kuleyo nqubo yile calcium ene-ionized.
Kungani ucela lokhu esikhundleni sokuhlolwa kwe-calcium okuvamile?
Lona umbuzo omuhle kakhulu. Ukuhlolwa kwe-calcium okuvamile kulinganisa inani eliphelele le-calcium egazini. Okusho ukuthi, isamba sezingxenye "eziboshiwe" kanye "nezikhululekile".
Kodwa-ke, kunezimo ezithile lapho amazinga e-protein yegazi lomuntu (i-albhamuin) ephansi. Isibonelo, umuntu ogula kakhulu, umuntu onesifo sezinso, noma umuntu onesifo sesibindi angaba namazinga aphansi e-protein. Bese, inani le-calcium eliboshelwe ku-protein nalo liyancipha. Ngakho-ke, uma ubheka izinga labo "le-Total Calcium", lingabonisa inani eliphansi.
Kodwa inani le-calcium "ekhululekile" (i-calcium ene-ionized) elisebenza emzimbeni wakhe lingase libe elijwayelekile. Uma-ke, uma wenza isinqumo ngokusekelwe embikweni we-calcium iyonke kuphela, kungase kube iphutha. Ezimweni ezinjalo, odokotela bacela ukuhlolwa kwe-calcium ene-ionized ukuze bazi izinga eliqondile le-calcium esebenzayo emzimbeni.
Nazi ezinye zezimo eziyinhloko lapho udokotela angase acele khona lolu vivinyo:
- Uma izinga leprotheyini (ikakhulukazi i-albumin) egazini lingajwayelekile.
- Kumuntu ogula kakhulu futhi othola i-saline emithanjeni (i-IV fluids).
- Komuntu olungiselela ukuhlinzwa okukhulu.
- Kumuntu ovame ukumpontshelwa igazi.
- Qapha isimo somama abakhulelwe kanye nezinsana ezisanda kuzalwa.
- Uma kusolwa ukuthi i-pancreatitis ebukhali ibangelwa.
- Uma kukhona ukusolakala kwesifo sezindlala ze-parathyroid.
Ungalungiselela kanjani ukuhlolwa?
Ngokuvamile ucelwa ukuthi uzile ukudla cishe amahora ayisithupha ngaphambi kokuhlolwa. Kulungile ukuphuza amanzi amancane. Kubalulekile futhi ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo ozithathayo. Eminye imithi ingathinta imiphumela yalolu vivinyo, ngakho udokotela wakho angakucela ukuthi uyeke ukuyithatha ngosuku olwandulela ukuhlolwa. Kodwa khumbula, ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.
Ayini amazinga e-calcium ajwayelekile e-ionized?
Lezi zindinganiso zingase zihluke kancane kuye ngelebhu eyenza ukuhlolwa. Qhathanisa njalo inani lakho "ne-Normal Range" embikweni wakho.
| Iqembu lobudala | Ibanga elijwayelekile (mg/dL) | Ibanga elijwayelekile (mmol/L) |
|---|---|---|
| Izinsana ezisanda kuzalwa | 4.8 – 5.3 mg/dL | 1.20 – 1.32 mmol/L |
| Izingane | 4.8 – 5.5 mg/dL | 1.20 – 1.38 mmol/L |
| Abantu abadala | 4.6 – 5.3 mg/dL | 1.15 – 1.32 mmol/L |
Uma izinga le-calcium elihlanganisiwe lehla (i-Hypocalcemia)
Ukwehla kwezinga le-calcium esebenzayo egazini (eyaziwa ngokwezokwelapha ngokuthi i-hypocalcemia) kungabangelwa yizimo ezahlukene zezokwelapha.
- I-Hypoparathyroidism: Isimo lapho izindlala ze-parathyroid entanyeni zingakhiqizi i-hormone eyanele (i-PTH) elawula i-calcium emzimbeni.
- I-Pancreatitis: Ukuvuvukala kwe-pancreas.
- Ukuntuleka kwevithamini D: Ivithamini D ibalulekile emzimbeni ukuze umunce i-calcium ekudleni.
- Ukwehluleka kwezinso.
- Ukungamuncwa kokudla.
- Isifo sama-rickets ezinganeni.
Izimpawu zokuphelelwa ngamandla
Uma amazinga e-calcium ehla, izimpawu ezahlukahlukene zingavela.
| Uhlobo oluyisici | Izimpawu ezibonisiwe |
|---|---|
| Okuhlobene nemisipha kanye nemizwa | Ukuqaqamba kwemisipha, ukungazweli ezithweni nasezindaweni ezizungezile umlomo, ukuqaqamba. |
| Okuhlobene nengqondo | Ukulahlekelwa inkumbulo, ukudideka, ukucindezeleka. |
| Ezinye izici | Izinzipho ezibuthakathaka kanye nokuphuka kalula, isikhumba esomile. |
Wenzani uma kuncipha?
Udokotela wakho uzoqala athole imbangela yamazinga akho e-calcium aphansi. Bese kuthi, ngenkathi elapha leso sizathu, aqale ukwelashwa ukuze abuyisele amazinga akho e-calcium esimweni esijwayelekile.
- Izithako ze-calcium
- Izithako ze-Vitamin D
- Ngezinye izikhathi imijovo ye-calcium gluconate inikezwa emthanjeni
- Ukufakwa esikhundleni kwe-hormone ye-parathyroid (PTH)
Into ebaluleke kakhulu ukuthi udokotela wakho uzonquma ngalolu hlobo lokwelashwa. Uzokutshela ukuthi yini engcono kakhulu kuwe nokuthi kufanele uyithathe isikhathi esingakanani. Ungalokothi uye ekhemisi uyothenga amaphilisi e-calcium ngokubona kwakho.
Uma izinga le-calcium elihlanganisiwe likhuphuka (i-Hypercalcemia)
Ukwanda kwezinga le-calcium esebenzayo egazini (eyaziwa ngokwezokwelapha ngokuthi i-hypercalcemia) nakho kuyisimo esidinga ukunakwa.
- I-Hyperparathyroidism: Ukukhiqizwa ngokweqile kwama-hormone yizindlala ze-parathyroid.
- I-Hyperthyroidism: Indlala ye-thyroid esebenza ngokweqile.
- Eminye imidlavuza: Isibonelo, i-multiple myeloma, umdlavuza wegazi.
- Isifo se-Paget sethambo.
- I-vitamin D eningi emzimbeni.
Izimpawu zokwanda
Ngisho noma amazinga e-calcium ephezulu, izimpawu eziningi zingavela.
| Uhlobo oluyisici | Izimpawu ezibonisiwe |
|---|---|
| Izici ezijwayelekile zomzimba | Ukukhathala okukhulu, ikhanda elibuhlungu, isicanucanu nokuhlanza, ukulahlekelwa yisifiso sokudla. |
| Uhlelo lokugaya ukudla | Ukuqunjelwa, ubuhlungu besisu. |
| Okuhlobene nezinso | Ukuchama njalo, ukoma ngokweqile. |
| Amathambo nemisipha | Ubuhlungu bamathambo, ubuhlungu bemisipha noma ubuthakathaka. |
| Ingqondo | Ukulahlekelwa inkumbulo, ukucindezeleka. |
Yini okufanele uyenze uma ikhula?
Uma welapha amazinga aphezulu e-calcium, kubalulekile ukuhlonza imbangela kuqala. Izindlela zokwelapha ziyahlukahluka kuye ngembangela.
- Imithi elawula ukusebenza kwezindlala ze-parathyroid (i-Calcimimetics).
- Imithi eqinisa amathambo futhi inciphise i-calcium egazini (ama-Bisphosphonates).
- Uma lesi simo sibangelwa amazinga aphezulu e-vitamin D, imithi efana ne-prednisone inganikezwa.
- Uma isimo sibi kakhulu, kungadingeka ukuthi kulaliswe esibhedlela kanye nokufakwa usawoti ngemithambo yegazi (i-IV fluids).
- Uma kungenxa yento efana nesimila se-parathyroid gland, singasuswa ngokuhlinzwa (i-parathyroidectomy).
Lokhu kwelashwa kunqunywa nangokuthola imbangela yokwanda kwe-calcium. Ungenzi lutho ngaphandle kweseluleko sikadokotela wakho. Ngezinye izikhathi lokhu kungaba yisimo esiphuthumayo sezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-calcium ene-ion iyingxenye "ekhululekile" futhi "esebenzayo" ye-calcium egazini lethu. Ibalulekile emisebenzini eminingi ebaluleke kakhulu emizimbeni yethu.
- Nakuba ukuhlolwa kwe-calcium okuvamile kubonisa inani eliphelele le-calcium, ukuhlolwa kwe-calcium okune-ionized kunikeza isithombe esicacile senani le-calcium elisebenza emzimbeni.
- Lokhu kuhlolwa kubaluleke kakhulu ezimweni zezokwelapha ezimbi kakhulu, ezifweni zezinso, nangaphambi kokuhlinzwa.
- Leli zinga le-calcium eliphansi noma eliphezulu lingase libe uphawu lwesifo esithile esiyimfihlo.
- Xoxa njalo ngemiphumela yokuhlolwa kwakho nanoma yikuphi ukwelashwa nodokotela wakho. Ungalokothi uzenzele imithi noma uyeke ukuthatha imithi.
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