Sonke siyazi ukuthi i-calcium ibalulekile emathanjeni namazinyo aqinile. Kodwa bewazi ukuthi ngaphezu kwe-calcium emathanjeni ethu, i-calcium egazini lethu nayo ibaluleke kakhulu emisebenzini eminingi emzimbeni wethu? Uma izinga le-calcium kuleli gazi liphansi kunejwayelekile, sikubiza ngokuthi i-hypocalcemia. Lokhu kungabangela izinkinga ongazilindele. Ngakho-ke ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.
Kalula nje, kuyini i-hypocalcemia?
I-Hypocalcemia yilapho izinga le-calcium egazini lakho liphansi kakhulu. I-calcium ayibalulekile nje kuphela emathanjeni nasemazinyweni ethu, kodwa futhi ibalulekile emithanjeni yegazi ukuthi inciphe futhi ivuleke, imizwa yezinzwa idlulisele, igazi lijiyile, kanye nokusebenza kwemisipha. Ngokuvamile, imizimba yethu ilawula leli zinga le-calcium kahle kakhulu. Ama-hormone amathathu ayinhloko asiza ngalokhu: i-parathyroid hormone (PTH), i-calcitonin, kanye ne-vitamin D. Ngokuvamile, izinga le-calcium egazini lomuntu omdala kufanele libe phakathi kuka-8.5 no-10.2 mg/dL (milligrams/deciliter). Kodwa-ke, la manani angahluka kancane kusuka elabhorethri kuya elabhorethri. Ezinganeni nakubantu abadala abasebasha, leli nani liphakeme kancane. Uma izinga le-calcium egazini lakho liphansi kunaleli nani elijwayelekile, lokho kuyi-hypocalcemia.
Kungani lokhu kwenzeka? Yiziphi izimbangela ze-hypocalcemia?
Lesi simo sivame ukwenzeka lapho umzimba wakho ulahlekelwa i-calcium eningi kakhulu emchameni wakho noma lapho amathambo akho engakhiphi i-calcium eyanele egazini lakho. Ake sibheke izimbangela eziyinhloko.
| Isizathu | Incazelo elula |
|---|
| I-Hypoparathyroidism | Izindlala ze-parathyroid ziyizindlala ezine ezincane ezitholakala ngemuva kwendlala ye-thyroid entanyeni yethu. Lezi yizo ezikhiqiza i-hormone i-PTH, elawula i-calcium. Uma lezi zindlala zonakala ngesikhathi sokuhlinzwa kwe-thyroid, amazinga e-PTH ayancipha futhi amazinga e-calcium egazini ayancipha. |
| Ukuntuleka kwevithamini D | I-Vitamin D ifana nomngane osiza umzimba ukuthi umunce i-calcium. Uma ungatholi i-vitamin D eyanele elangeni, ekudleni, noma emithini, ukumuncwa kwe-calcium kuyancipha futhi amazinga e-calcium egazini ehla. |
| Isifo sezinso esingamahlalakhona | Uma izinso zingasebenzi kahle, kuba nzima ngomzimba ukusebenzisa i-vitamin D. Futhi, i-mineral ebizwa ngokuthi i-phosphorus iyanda egazini. Lezi zinkinga zingabangela amazinga aphansi e-calcium. |
| Ezinye izizathu | - Ukungahambi kahle kwamazinga e-magnesium : I-magnesium eningi kakhulu noma encane kakhulu ingathinta amazinga e -calcium .
- I-Pancreatitis : Lesi simo singabangelwa ukuphuza utshwala ngokweqile noma amatshe enyongo futhi singaholela emazingeni aphansi e-calcium.
- Eminye imithi: Ingabangelwa futhi yimithi yesifo sokuwa, eminye imithi elwa namagciwane , kanye nemithi yomdlavuza wamathambo.
- Ukukhulelwa: Ngezinye izikhathi lesi simo singabangelwa ukuntuleka kokudla okunempilo noma ukuhlanza ngokweqile .
- Ukutheleleka okukhulu: Amazinga e-calcium angase ehle ezifweni ezinzima ezisakazeka emzimbeni wonke, njenge- sepsis .
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Ziyini izimpawu ze-hypocalcemia?
Ngezinye izikhathi ungase ungabi nazimpawu, kodwa ngezinye izikhathi lesi simo singaba sibi kakhulu futhi sisongela ukuphila.
Izimpawu ezincane
- Ukuqaqamba kwemisipha emhlane nasemilenzeni
- Isikhumba esomile, esinamaqhubu
- Izinwele ziba zinkulu kunokujwayelekile
- Izinzipho ziphuka kalula
Izimpawu ezingase zivele uma isimo sibi kakhulu
- Ukuba ndikindiki kwezindebe, ulimi, iminwe, noma izinyawo
- Ukufinyela kwemisipha okubuhlungu ngendlela engabekezeleleki
- Ubunzima bokuphefumula ngenxa yokucinana kwemisipha yomphimbo
- Ukuquleka
- Ukukhubazeka kwesigqi senhliziyo (i-Arrhythmia) kanye nokwehluleka kwenhliziyo
- Izinguquko zengqondo ezifana nokulahlekelwa yinkumbulo, ukucindezeleka, ukucasuka, kanye nokubona izinto ezingekho
Kuyini i-tetany? I-Tetany iqoqo lezimpawu ezibangelwa yi -hypocalcemia . Ibonakala ngokucasuka kanye nokufinyela kwemisipha okungahleliwe . Izimpawu zifaka phakathi ukuqaqamba, ukungazweli, kanye nobunzima bokuphefumula ezithweni. Uma i-tetany ingelashwa ngokushesha, ingaqhubekela esimweni esibi esibizwa ngokuthi i-rhabdomyolysis, esingabangela ukuphuka kwemisipha kanye nokwehluleka kwezinso.
Ungasibona kanjani lesi simo?
Indlela eyinhloko yokuxilonga lokhu iwukuhlolwa kwegazi. Udokotela wakho angahlola kokubili i-calcium ephelele kanye ne-calcium ene-ionized. Ngaphezu kwalokho, udokotela wakho uzobheka izimpawu ezimbili ezithile lapho ekuxilonga: 1.
Isibonakaliso se-Chvostek: Cabanga ukuthi udokotela uthinta inzwa emhlathini wakho ngomunwe wakhe. Uma uzwa umuzwa wokuthuthumela ohlangothini lobuso bakho, leso kungaba yisibonakaliso. 2.
Isibonakaliso se-Trousseau: Uma i-cuff yomfutho wegazi ibekwa engalweni yakho futhi ibanjwe cishe imizuzu emi-3, imisipha engalweni yakho nasesihlakaleni sakho iyafinyela kabuhlungu. Lesi isivivinyo esibaluleke kakhulu ukuhlola i-hypocalcemia. Kungadingeka ukuthi ube nokuhlolwa okwengeziwe ukuthola imbangela yalesi simo.
- Ukuhlolwa kwegazi ukuhlola amazinga e-magnesium, i-phosphorus, i-PTH hormone, kanye ne-vitamin D
- Ukuhlolwa komchamo ukuhlola impilo yezinso
- Ukuskena nge-ultrasound ukuhlola amatshe ezinso
- Ukuhlolwa kwe-EKG (i-Electrocardiogram) ukuhlola ukungasebenzi kahle kwesigqi senhliziyo
- Ukuskena kwamathambo ukuhlola isimo samathambo
Iphathwa kanjani?
Ukwelashwa okutholayo kuzoncika embangela yesifo kanye nobukhulu bezimpawu zakho.
- Ngezimpawu ezincane: Ungase unikezwe amaphilisi e-calcium ne-vitamin D ukuze uwathathe nsuku zonke. Kubaluleke kakhulu ukuthatha isilinganiso esiqondile esinqunywe udokotela wakho.
- Ngezimpawu ezibucayi: Uma izimpawu zakho zinzima, uma unezinkinga zesigqi senhliziyo, noma uma lesi simo sifika ngokuzumayo, kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe i-calcium ngemithambo yegazi (engena emthanjeni - IV). Ngokuvamile inikezwa ngendlela ebizwa ngokuthi i-calcium gluconate. Ngemva kokwelashwa nge-IV, kungadingeka ukuthi uphuze amaphilisi e-calcium isikhashana.
- Ukwelapha imbangela eyinhloko:Uma amazinga akho e-magnesium ephansi, kungadingeka uyelaphe, okuhlanganisa nokwelapha isifo sezinso.
Into ebaluleke kakhulu ukuthi, ungalokothi uthathe amaphilisi e-calcium wedwa. Xhumana nodokotela wakho njalo bese uthatha kuphela umthamo awunikezayo.
Izinkinga ezingase zenzeke uma zingelashwa
Izimpawu zivame ukuphela ngokwelashwa, kodwa uma zingalashwa, kungaba nezinkinga eziyingozi kakhulu.
- Ukwehluleka kwenhliziyo
- Ukuquleka
- Izinkinga zesigqi senhliziyo ezisongela impilo
Futhi, ukuthatha imithamo ephezulu ye-calcium ne-vitamin D isikhathi eside kungabangela imiphumela emibi efana namatshe ezinso. Ngakho-ke, kubaluleke kakhulu ukuthi uhlale uthatha ukwelashwa ngaphansi kokuqondisa kukadokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypocalcemia yisimo lapho izinga le-calcium egazini liphansi khona. Lokhu akuthinti amathambo kuphela, kodwa nomzimba wonke.
- Ungazinaki izimpawu ezifana nokuqaqamba noma ukuba ndikindiki. Kungaba uphawu lokuqala lwesimo esibucayi.
- Njengoba kunezimbangela eziningi zalesi simo, kubalulekile ukuthola nokwelapha imbangela kanye nokwelapha izimpawu.
- Uma unalezi zimpawu, bona udokotela wakho ngokushesha. Landela imiyalelo yakhe ukuze uthole izivivinyo nokwelashwa okudingekayo.
I-Hypocalcemia, ukuntuleka kwe-calcium, ukuntuleka kwe-calcium, ukudikiza kwemisipha, ukungazweli, i-vitamin D, i-parathyroid
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