Ake sithole 'nge-calcium yamahhala' egazini lakho? (I-calcium ene-ionized)

Yini oyaziyo nge -calcium emzimbeni wakho? Sonke siyazi ukuthi amathambo namazinyo adinga i-calcium. Kodwa ubuwazi ukuthi kukhona uhlobo lwe-calcium egazini olukhethekile kancane. Namuhla sizokhuluma ngalolo hlobo olubizwa ngokuthi ' i-calcium ene-ionized' . Lokhu kudlala indima ebaluleke kakhulu emizimbeni yethu. Ake sibone ukuthi iyini, kungani ibalulekile, nokuthi kwenzekani uma iphansi kakhulu noma iphezulu kakhulu.

Kuyini 'i-calcium ionized'?

Kalula nje, enye i-calcium egazini lakho iyantanta ngaphandle kokuboshwa yinoma iyiphi iphrotheni . Leyo calcium yamahhala, esebenzayo yilokho esikubiza ngokuthi 'i-calcium ene-ionized' noma 'i-calcium yamahhala.' Cabanga nje, lena yi-calcium 'esebenzayo' esebenza emizimbeni yethu. Cishe ingxenye, noma cishe u-50%, we-calcium iyonke egazini lakho yi-calcium ene-ionized.

Kwenzekani kwenye ingxenye ye-calcium? Iboshelwe kumaprotheni egazini, ikakhulukazi kuphrotheni ebizwa ngokuthi ' i-Albumin ' . Siyibiza ngokuthi 'i-bound calcium' . Le calcium eboshelwe ayenzi umsebenzi omningi, imane nje 'ingasebenzi', okusho ukuthi ayisebenzi. Yingakho kuyi-calcium yamahhala, ene-ionized esetshenziswa ngqo emisebenzini yomzimba wethu.

Manje bheka, u-99% we-calcium ephelele emzimbeni wethu usemathanjeni nasemazinyweni ethu . Sonke siyakwazi lokho. U- 1% osele ujikeleza egazini . Ngakho-ke, le calcium ene-ionized (i-calcium yamahhala) esikhuluma ngayo empeleni iyinani elincane, cishe u-0.5% we-calcium iyonke emzimbeni. Ungase ucabange, 'Wow, inani elincane kakhulu lelo.' Kodwa, njengopelepele , le calcium ene-ionized ibalulekile empilweni yethu iyonke. Uyazi ukuthini?

Le calcium ene-ionized yile:

• Kusiza uhlelo lwezinzwa ukuthi lusebenze kahle. Lokhu kubaluleke kakhulu ekuhambiseni imiyalezo.
• Kusiza imisipha ukuthi ifinyele, okusho ukuthi iyafinyela futhi ikhule, futhi isebenze kahle.
• Isekela ukusebenza kahle kwenhliziyo kanye nesigqi senhliziyo .
• Ukuqunjelwa kwegaziKubalulekile futhi kule nqubo. Lokhu kuyadingeka ukuze kumiswe ukopha uma kukhona inxeba.

Cabanga ukuthi lezi zinto zibaluleke kangakanani. Ngakho-ke uma inani le-calcium ene-ion egazini liphezulu kakhulu noma liphansi kakhulu, kungabonisa ukuthi kunenkinga ethile yezempilo emzimbeni. Yingakho kubalulekile ukuqaphela lokhu.

Kungani kwenziwa lokhu kuhlolwa kwe-'Ionized Calcium'?

Ngokuvamile uma sihlola i-calcium egazini, odokotela babheka i-calcium iyonke, okuyinani le-calcium eboshiwe kanye ne-calcium yamahhala. Kodwa ngezinye izikhathi, ufuna ukwazi ukuthi une-calcium engakanani ekhululekile, esebenzayo. Yilapho-ke lokhu kuhlolwa 'kwe-calcium ene-ionized' kwenziwa khona . Kulinganisa kuphela inani le-calcium ekhululekile, esebenzayo.

Ukuze wenze lokhu kuhlolwa, kuzothathwa isampula yegazi elincane kuwe. Yilokho kuphela.

Manje ake sibone ukuthi kuziphi izimo udokotela angacela ukuhlolwa kwe-calcium okune-ionized:

• Uma amazinga akho e-protein egazini (ikakhulukazi i-albumin) engajwayelekile . Ngoba uma i-albumin ikhuphuka noma yehla, izinga le-calcium eliphelele lingashintsha, kodwa izinga le-calcium eliyi-ionized yiyona ndlela kuphela yokuqonda isimo sangempela.
• Uma ugula kakhulu futhi udinga ukunikezwa uketshezi lwe-IV (uketshezi olufana nosawoti olufakwa engalweni) . Lokhu kubalulekile ukuhlola ibhalansi yomzimba ezimweni zokugula okukhulu.
• Uma uzohlinzwa kakhulu , kubalulekile ukuqapha leli zinga ngaphambi nangemva kokuhlinzwa.
• Uma uke wampontshelwa igazi . Ezinye izinto ezisegazini elinikelwe zingabangela ushintsho emazingeni e-calcium.
• Uma ukhulelwe futhi udinga ukuqashwa kwezingane ezisanda kuzalwa .
• Uma unezimpawu ze-pancreatitis ebukhali , amazinga e-calcium athintwa yizinkinga ze-pancreatic.
• Uma usola ukuthi unesifo se-parathyroid , la ma-gland akhiqiza ama-hormone alawula i-calcium.

Ungalungiselela kanjani ukuhlolwa?

Kunokulungiselela okuncane okudingeka ukwenze ngaphambi kokuya kulolu vivinyo lwe-calcium olune-ionized.

• Ngokuvamile ucelwa ukuthi ungadli noma ungaphuzi lutho cishe amahora ayisithupha (6) ngaphambi kokuhlolwa . Kulungile ukuphuza amanzi amancane. Lokhu kungenxa yokuthi inani lezinto ezisegazini lingashintsha kancane kuye ngokudla esikudlayo, okwenza kube nzima ukuthola ukufundwa okunembile.
• Futhi, kufanele utshele udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo ozithathayo . Eminye imithi ingathinta imiphumela yalolu vivinyo. Uma kunjalo, udokotela wakho angakutshela ukuthi uyeke ukuyithatha izinsuku ezimbalwa ngaphambi kokuhlolwa.Kodwa khumbula, ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.

Kusho ukuthini ukuthi izinga le-calcium eliyi-ionized lisho ukuthini?

Ngokubheka izinga lakho le-calcium elino-ionized, udokotela wakho angaqonda okuningi ngempilo yakho. Isibonelo, kungasiza ekuxilongeni izimo zezokwelapha ezahlukahlukene njenge- pancreatitis, isifo sezinso, kanye nezimo ze-parathyroid gland .

Ukuba namazinga akho e-calcium afakwe i-ion ngaphakathi kwebanga elifanele kusho ukuthi imisebenzi yomzimba wakho ehlobene ne-calcium isebenza kahle.

Nazi izinhlobo ezijwayelekile ze-calcium ene-ionized (lezi zindinganiso zingahluka kancane kusuka kwelebhu kuya kwelebhu, ngakho hlola ububanzi obujwayelekile embikweni wakho):

• Usana olusanda kuzalwa: 4.8 – 5.5 mg/dL (ama-milligram nge-deciliter ngayinye)
• Ezinganeni: 4.8 – 5.3 mg/dL
• Abantu abadala: 4.6 – 5.3 mg/dL

Kwenzekani uma i-calcium ene-ion incipha? (Hypocalcemia)

Uma izinga lakho le-calcium elifakwe i-ion egazini liphansi, ngokwezokwelapha sikubiza ngokuthi 'i-hypocalcemia' . Lokhu kungasho ukuthi unenkinga yezempilo.

Yiziphi izizathu zokwehla?

Kunezizathu eziningana eziyinhloko zokuthi kungani amazinga e-calcium e-ionized angase anciphe:

• I-Hypoparathyroidism: Lokhu kusho ukuthi izindlala zakho ze-parathyroid azikhiqizi i-hormone ye-parathyroid eyanele (i-PTH), i-hormone elawula amazinga e-calcium egazini.
• I-Pancreatitis: Ukuvuvukala okubuhlungu kwe-pancreas.
• Ukungamuncwa: Umzimba awumunci kahle i-calcium ekudleni okudlayo.
• Ama-Ricket: Isifo lapho amathambo ezingane ethamba khona, okubangelwa kakhulu ukuntuleka kwevithamini D.
• Ukwehluleka kwezinso: Uma izinso ziyeka ukusebenza kahle, ukulawulwa kwe-calcium kuyaphazamiseka.
• Ukuntuleka kwe-Vitamin D: I-Vitamin D ibalulekile emzimbeni ukuze umunce i-calcium. Uma ungenayo eyanele, amazinga akho e-calcium angase ehle.

Ziyini izimpawu zamazinga aphansi e-calcium?

Uma amazinga e-calcium afakwe i-ion ephansi (i-Hypocalcemia), izimpawu ezahlukahlukene zingavela. Akuwona wonke umuntu ozobhekana nazo zonke lezi zimpawu, futhi abanye abantu bangase babe nesinye noma ezimbili.

• Ukuqhaqhazela noma ukuqaqamba kwemisipha (ukuqaqamba kwemisipha).
• Ukudideka.
• Ukulahlekelwa yinkumbulo.
• Izinzipho ezibuthakathaka neziqhekekile.
• Ukuba ndikindiki nokuthuthumela ezithweni.
• Ukucindezeleka.

Uma unezimpawu ezinjengalezi, kungcono ukubona udokotela ukuze akunike iseluleko.

Lesi simo selashwa kanjani?

Uma izinga lakho le-calcium elino-ion liphansi, udokotela wakho uzonquma imbangela bese ekunikeza ukwelashwa ngokufanele. Nazi ezinye izindlela zokwelapha ezivamile:

• Izithako ze-calcium: I-calcium inikezwa ngamaphilisi noma ngendlela yoketshezi.
• Izithako ze-Vitamin D: Siza umzimba ukuthi umunce i-calcium.
• Umjovo we-calcium gluconate: Uma amazinga e-calcium ephansi kakhulu, lo mjovo unikezwa ukuze uwandise ngokushesha.
• Ukufakwa esikhundleni kwe-Parathyroid hormone (PTH): Lokhu kwelashwa kunganikezwa uma une-hypoparathyroidism.

Kanye nalokhu kwelashwa, kubalulekile ukwelapha isimo sezokwelapha esiyisisekelo esibangele ukuntuleka kwe-calcium.

Kwenzekani uma i-calcium ene-ion ikhuphuka? (I-Hypercalcemia)

Uma izinga le-calcium ene-ion egazini liphezulu kakhulu, sikubiza ngokuthi 'i-hypercalcemia.' Lesi futhi yisimo esingabangelwa yizinkinga ezithile zempilo.

Yiziphi izizathu zokwanda?

Kunezizathu eziningana zokuthi kungani i-calcium ene-ion inganda:

• I-Hyperthyroidism: Indlala ye-thyroid esebenza ngokweqile.
• I-Hyperparathyroidism: Ukukhiqizwa ngokweqile kwe-hormone ye-parathyroid (PTH) yizindlala ze-parathyroid. Lesi yimbangela eyinhloko ye-hypercalcemia.
• Isifo sikaPaget sethambo: Isifo lapho izicubu zethambo ziwohloka futhi ziphinde zikhule ngokweqile.
• I-Thrombocytosis: Ukwanda kwenani lama-platelet egazini.
• I-Sarcoidosis: Isimo lapho kwakheka khona amaqhubu amancane abizwa ngokuthi ama-granuloma ezingxenyeni ezahlukene zomzimba.
• I-Multiple Myeloma: Uhlobo olungavamile lomdlavuza wegazi.

Ziyini izimpawu zamazinga aphezulu e-calcium?

Uma amazinga e-calcium ahlanganisiwe ekhuphuka (i-Hypercalcemia), izimpawu ezahlukahlukene zingavela:

• Ukuchama njalo.
• Ubuhlungu bemisipha noma ukuqaqamba.
• Isicanucanu nokuhlanza.
• Ubuhlungu bekhanda.
• Ukukhathala.
• Ubuhlungu bethambo.
• Ukuqunjelwa.
• Ukulahlekelwa yinkumbulo.
• Ukucindezeleka.
• Ukulahlekelwa yisifiso sokudla.

Okubalulekile: Amazinga aphezulu kakhulu e-calcium ngezinye izikhathi angaba yisimo esiphuthumayo sezokwelapha, ngakho-ke qaphela lezi zimpawu.

Lokhu kungalungiswa kanjani?

Ukwelashwa kwe-calcium ephezulu ene-ion kuncike embangela. Kunezindlela eziningana zokwelapha:

• I-Calcimimetics: Le mithi isiza ukulawula izindlala ze-parathyroid ezisebenza ngokweqile.
• Izithako zeCalcitonin: Zisiza ukulawula amazinga e-calcium egazini.
• Ama-Bisphosphonates: Le yimithi esetshenziselwa ukwelapha i-osteoporosis (ukuncipha kwamathambo). Asetshenziswa futhi ukunciphisa i-hypercalcemia ebangelwa umdlavuza.
• I-Denosumab: Lokhu kusetshenziselwa abantu abangaphenduli kuma-bisphosphonates.
• I-Prednisone: Le steroid inikezwa uma i-hypercalcemia ibangelwa amazinga aphezulu e-vitamin D.
• Uketshezi lwe-IV (usawoti ofakwa emthanjeni): Lolu hlobo lokwelashwa lunikezwa esimweni esiphuthumayo uma i-hypercalcemia inzima kakhulu.
• I-Parathyroidectomy: Ukususwa kwezicubu ezithintekile ezindlaleni ze-parathyroid.

Ngaphezu kwalokho, udokotela uzophinde akunikeze ukwelashwa kwesifo esiyisisekelo esibangele isimo sakho.

Okokugcina, yini okufanele ukwazi

Cishe usuyaqonda manje ukuthi le calcium ene-ion ibaluleke kangakanani empilweni yethu. Kungakhathaliseki ukuthi iningi kakhulu noma incane kakhulu egazini, imizimba yethu ayikwazi ukusebenza kahle.

Ukuhlolwa kwe-calcium okune-ion kukodwa akukwazi ukukutshela ukuthi yisiphi isifo onaso. Kodwa-ke, kunikeza udokotela wakho ulwazi oluningi olubalulekile mayelana nempilo yakho. Esebenzisa lolo lwazi, angakunikeza ukuxilongwa okunembile futhi aqale ukwelashwa okudingekayo.

Ngakho-ke, uma unemibuzo noma ukungabaza ngalokhu, ungabi namahloni futhi ukhulume nodokotela wakho . Uzokuchazela konke. Hlala uphilile!

I- calcium ene-ion, i-calcium, ukuhlolwa kwegazi, i-hypocalcemia, i-hypercalcemia, impilo, izimpawu