Hypocalcemia (Matenda Operewera a calcium)

Zamkati

• Kodi chimayambitsa hypocalcemia ndi chiyani?
• Kodi zizindikiro za hypocalcemia ndi ziti?
• Kodi matenda osowa calcium amapezeka bwanji?
• Neonatal hypocalcemia
• Kodi hypocalcemia imachiritsidwa bwanji?
• Kodi zovuta za hypocalcemia ndizotani?
• Kodi hypocalcemia ingapewe bwanji?
• Vitamini D.
• Zosintha m'moyo

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi matenda a calcium calcium ndi ati?

Calcium ndi mchere wofunikira. Thupi lanu limagwiritsa ntchito kupanga mafupa ndi mano olimba. Calcium imafunikanso kuti mtima wanu ndi minofu ina igwire bwino ntchito. Mukakhala kuti mulibe calcium yokwanira, mumawonjezera chiopsezo chokhala ndi zovuta monga:

• kufooka kwa mafupa
• nyamakazi
• matenda a calcium (hypocalcemia)

Ana omwe sapeza kashiamu wokwanira sangakule msinkhu wawo wonse atakula.

Muyenera kudya kashiamu wambiri patsiku kudzera pazakudya zomwe mumadya, zowonjezera, kapena mavitamini.

Kodi chimayambitsa hypocalcemia ndi chiyani?

Anthu ambiri ali pachiwopsezo chowonjezeka cha kuchepa kwa calcium akamakalamba. Kuperewera kumeneku kumatha kukhala chifukwa cha zinthu zosiyanasiyana, kuphatikiza:

• kudya kashiamu wochepa kwa nthawi yayitali, makamaka ali mwana
• mankhwala omwe amachepetsa kuyamwa kwa calcium
• kusalolera pazakudya zomwe zili ndi calcium yambiri
• kusintha kwa mahomoni, makamaka kwa akazi
• zifukwa zina za chibadwa

Ndikofunika kuonetsetsa kuti calcium imadya nthawi zonse.

Kwa ana ndi achinyamata, ndalama zomwe amapereka tsiku lililonse za calcium ndizofanana kwa amuna ndi akazi. Malinga ndi National Institutes of Health (NIH), zopereka za tsiku ndi tsiku ndi izi:

Malinga ndi boma la US, zofunikira za calcium kwa akulu ndi:

Amayi amayenera kuwonjezera kudya kashiamu kale m'moyo kuposa amuna, kuyambira azaka zapakati. Kukwaniritsa zofunikira za calcium ndikofunikira makamaka pamene mayi akuyandikira kusamba.

Pa nthawi yoleka kusamba, azimayi amayeneranso kuwonjezera kudya kashiamu kuti athe kuchepetsa kufooka kwa mafupa komanso kuchepa kwa calcium. Kuchepa kwa mahomoni a estrogen pakutha kwa thupi kumapangitsa mafupa azimayi kuchepa msanga.

Matenda a mahomoni hypoparathyroidism amathanso kuyambitsa matenda a calcium. Anthu omwe ali ndi vutoli samatulutsa timadzi tambiri tating'onoting'ono, tomwe timayang'anira calcium m'magazi.

Zina mwazomwe zimayambitsa matenda a hypocalcemia zimaphatikizapo kuperewera kwa zakudya m'thupi ndi malabsorption. Kuperewera kwa zakudya m'thupi ndi pamene simukupeza zakudya zokwanira, pomwe malabsorption ndi pomwe thupi lanu silingathe kuyamwa mavitamini ndi michere yomwe mumafunikira pachakudya chomwe mumadya. Zowonjezera zimaphatikizapo:

• mavitamini D ochepa, zomwe zimapangitsa kuti zikhale zovuta kuyamwa calcium
• mankhwala, phenytoin, phenobarbital, rifampin, corticosteroids, ndi mankhwala omwe amagwiritsidwa ntchito pochiza calcium
• kapamba
• hypermagnesemia ndi hypomagnesemia
• hyperphosphatemia
• septic mantha
• kuthiridwa magazi kwakukulu
• aimpso kulephera
• mankhwala enaake a chemotherapy
• "Hungry bone syndrome," yomwe imatha kuchitika atachitidwa opaleshoni ya hyperparathyroidism
• Kuchotsa minofu ya parathyroid ngati gawo la opaleshoni kuchotsa chithokomiro

Ngati mwaphonya calcium yanu tsiku lililonse, simudzasowa calcium tsiku limodzi. Koma nkofunikabe kuyesetsa kupeza calcium yokwanira tsiku lililonse, popeza thupi limagwiritsa ntchito mwachangu. Zamasamba zimatha kusowa kashiamu mwachangu chifukwa samadya mkaka wokhala ndi calcium.

Kulephera kwa calcium sikungabweretse zizindikiritso zazifupi chifukwa thupi limasunga calcium mwakuyitenga kuchokera m'mafupa. Koma kuchepa kwa calcium kwakanthawi kochepa kumatha kukhala ndi zovuta.

Kodi zizindikiro za hypocalcemia ndi ziti?

Kuchepa kwa calcium koyambirira sikungayambitse zizindikiro zilizonse. Komabe, zizindikilo zimakula pakukula kwa matendawa.

Zizindikiro zazikulu za hypocalcemia ndi monga:

• kusokonezeka kapena kuiwalika
• kutuluka kwa minofu
• dzanzi ndi kumva kulasalasa m'manja, mapazi, ndi nkhope
• kukhumudwa
• kuyerekezera zinthu m'maganizo
• kukokana kwa minofu
• misomali yofooka komanso yopepuka
• mafupa osavuta

Kuperewera kwa calcium kumatha kukhudza ziwalo zonse za thupi, zomwe zimapangitsa misomali yofooka, kukula kwa tsitsi pang'onopang'ono, komanso khungu lofooka, lowonda.

Calcium imathandizanso potulutsa ma neurotransmitter komanso kutsekeka kwa minofu. Chifukwa chake, kuchepa kwa calcium kumatha kubweretsa kugwidwa kwa anthu athanzi.

Mukayamba kukumana ndi matenda amitsempha monga kukumbukira kukumbukira, kufooka ndi kumva kuwawa, kuyerekezera zinthu m'maganizo, kapena kugwidwa, konzekerani kuti mukaonane ndi dokotala posachedwa.

Kodi matenda osowa calcium amapezeka bwanji?

Lumikizanani ndi dokotala wanu ngati muli ndi vuto la kuchepa kwa calcium. Adzawunikanso za mbiri yanu ya zamankhwala ndikukufunsani za mbiri yakuchepa kwa calcium ndi osteoporosis.

Ngati dokotala akukayikira kuchepa kwa calcium, amatenga magazi kuti awone kuchuluka kwa calcium m'magazi anu. Dokotala wanu adzayesa calcium yanu yonse, mulingo wanu wa albumin, komanso calcium yanu "yaulere". Albumin ndi puloteni yomwe imamangiriza ku calcium ndikuyipititsa m'magazi. Magulu ochepa a calcium m'magazi anu amatha kutsimikizira kuti matenda a calcium akusowa.

Mulingo wambiri wa calcium kwa achikulire umatha kuyambira 8.8 mpaka 10.4 milligrams pa deciliter (mg / dL), malinga ndi Merck Manual. Mutha kukhala pachiwopsezo cha kuchepa kwa calcium ngati calcium yanu ili pansi pa 8.8 mg / dL. Ana ndi achinyamata amakhala ndi calcium yambiri kuposa achikulire.

Neonatal hypocalcemia

Neonatal hypocalcemia imachitika mwa makanda atangobadwa. Matenda ambiri a neocatal hypocalcemia amapezeka masiku awiri oyambirira atabadwa. Koma kuchepa kwa hypocalcemia kumatha kuchitika masiku atatu atabadwa, kapena pambuyo pake.

Zowopsa za makanda zimaphatikizira kuchepa msinkhu wawo komanso matenda a shuga amayi. Hypocalcemia yochedwa mochedwa nthawi zambiri imayamba chifukwa chakumwa mkaka kapena mkaka wa ng'ombe wokhala ndi phosphate yambiri.

Zizindikiro za neonatal hypocalcemia ndi monga:

• jitteriness
• kusadya bwino
• kugwidwa
• apnea, kapena kupuma pang'ono
• tachycardia, kapena kuthamanga kwambiri kuposa kugunda kwamtima

Kuzindikira kumachitika poyesa magazi a khanda kuti adziwe kuchuluka kwa calcium kapena ionized calcium. Mulingo wama glucose a khanda uyesedwanso kuti athetse hypoglycemia.

Chithandizochi chimaphatikizapo kupatsa calcium gluconate yolowa m'mitsempha yotsatiridwa ndi masiku angapo owonjezera a calcium.

Kodi hypocalcemia imachiritsidwa bwanji?

Kuperewera kwa calcium nthawi zambiri kumakhala kosavuta kuchiza. Izi zimaphatikizapo kuwonjezera calcium yambiri pazakudya zanu.

Osadzichitira nokha mwa kumwa mankhwala ambiri a calcium. Kutenga zochulukirapo kuposa zomwe mwalandira popanda chilolezo cha dokotala kungayambitse zovuta monga miyala ya impso.

Zowonjezera zomwe calcium imalimbikitsa ndi monga:

• calcium carbonate, yomwe ndi yotsika mtengo kwambiri ndipo imakhala ndi calcium yoyambira kwambiri
• calcium citrate, yomwe ndi yosavuta kwambiri
• calcium phosphate, yomwe imalowanso mosavuta ndipo siyimayambitsa kudzimbidwa

Zowonjezera za calcium zimapezeka m'madzi, piritsi, ndi mitundu yotafuna.

Gulani zowonjezera calcium.

Ndikofunika kuzindikira kuti mankhwala ena amatha kulumikizana molakwika ndi zowonjezera calcium. Mankhwalawa ndi awa:

• kuthamanga kwa magazi beta-blockers ngati atenolol, omwe amachepetsa kuyamwa kwa calcium akatengedwa mkati mwa maola awiri mutalandira zowonjezera zowonjezera calcium
• Maantacid okhala ndi aluminium, omwe amatha kuwonjezera magazi a aluminium
• cholesterol-yochepetsa bile acid sequestrants monga colestipol, yomwe imatha kuchepetsa kuyamwa kwa calcium ndikuwonjezera kutayika kwa calcium mkodzo
• mankhwala a estrogen, omwe angapangitse kuchuluka kwa calcium m'magazi
• digoxin, popeza kuchuluka kwa calcium kungapangitse digoxin kawopsedwe
• diuretics, yomwe imatha kuwonjezera calcium (hydrochlorothiazide) kapena kuchepetsa calcium m'magazi (furosemide)
• maantibayotiki ena monga fluoroquinolones ndi tetracyclines, omwe mayamwidwe ake amatha kutsika ndi zowonjezera calcium

Nthawi zina kusintha kwa zakudya ndi zowonjezera sikokwanira kuthana ndi vuto la calcium. Poterepa, adotolo angafune kuwongolera calcium yanu mwa kukupatsani jakisoni wokhazikika wa calcium.

Mutha kuyembekezera kuwona zotsatira mkati mwa milungu ingapo yoyambirira yamankhwala. Matenda owopsa a kuchepa kwa calcium amayang'aniridwa pakadutsa mwezi umodzi kapena itatu.

Kodi zovuta za hypocalcemia ndizotani?

Zovuta zamatenda akusowa kwa calcium zimaphatikizapo kuwonongeka kwa diso, kugunda kwamtima kosazolowereka, ndi kufooka kwa mafupa.

Zovuta za kufooka kwa mafupa ndizo:

• kulemala
• mafupa a msana kapena mafupa ena
• kuyenda movutikira

Ngati sangasamalidwe, matenda osowa calcium amatha kupha.

Kodi hypocalcemia ingapewe bwanji?

Mutha kupewa matenda akusowa kwa calcium kuphatikiza calcium mu chakudya chanu tsiku lililonse.

Dziwani kuti zakudya zokhala ndi calcium yambiri, monga zopangidwa ndi mkaka, zitha kukhala zamafuta ambiri komanso mafuta osakanikirana. Sankhani zosankha zamafuta ochepa kapena zopanda mafuta kuti muchepetse chiopsezo chokhala ndi cholesterol komanso matenda amtima.

Mutha kutenga 1/4 mpaka 1/3 ya RDA yanu ya calcium mu kutumikiridwa kamodzi kwa ma milk ndi ma yogiti. Malinga ndi, zakudya zina zokhala ndi calcium zambiri ndi izi:

Mukakumana ndi zofunikira zanu za calcium ndikofunikira kwambiri, mufunikiranso kuwonetsetsa kuti simukupeza zambiri. Malinga ndi Chipatala cha Mayo, kuchuluka kwa calcium mu miligram (mg) kwa akulu ndi awa:

• 2,000 mg tsiku ndi tsiku kwa amuna ndi akazi azaka 51 kapena kupitilira apo
• 2,500 mg patsiku amuna ndi akazi a zaka zapakati pa 19 mpaka 50

Mungafune kuwonjezera pazakudya zanu pomwa multivitamin. Kapena dokotala wanu angakulimbikitseni kuwonjezera ngati muli pachiwopsezo chachikulu chokhala ndi vuto la calcium.

Ma multivitamini sangakhale ndi calcium yonse yomwe mukufuna, chifukwa chake onetsetsani kuti mumadya zakudya zabwino. Ngati muli ndi pakati, tengani vitamini wobereka.

Vitamini D.

Vitamini D ndikofunikira chifukwa amachulukitsa kuchuluka kwa calcium yomwe imalowa m'magazi anu. Funsani dokotala wanu kuchuluka kwa vitamini D komwe mukufuna.

Kuti muwonjezere kudya kashiamu, mutha kuwonjezera zakudya zokhala ndi vitamini D pazakudya zanu. Izi zikuphatikiza:

• nsomba zamafuta ngati saumoni ndi tuna
• msuzi wolimba wa lalanje
• mkaka wokhala ndi mipanda yolimba
• portobello bowa
• mazira

Monga momwe zimakhalira mkaka wokhala ndi calcium, zopangira mkaka zina za vitamini D zitha kukhala ndi mafuta ambiri.

Kuwala kwa dzuwa kumapangitsa thupi lanu kupanga vitamini D, chifukwa chake kuwonekera nthawi zonse padzuwa kumathandizanso kukulitsa kuchuluka kwanu kwa vitamini D.

Zosintha m'moyo

Kuphatikiza pa kukhala ndi calcium komanso mavitamini D athanzi, pali zosintha zina ndi zina pamoyo wanu zomwe mungachite kuti mukhale olimba. Izi zikuphatikiza:

• kukhala ndi thupi labwino
• kuchita masewera olimbitsa thupi pafupipafupi
• Kuletsa kugwiritsa ntchito fodya komanso kumwa mowa