Hypocalcemia: Zizindikiro, Zoyambitsa ndi Chithandizo

Zamkati

• Zomwe zimayambitsa
• Momwe mungatsimikizire
• Zizindikiro zazikulu za Hypocalcemia
• Momwe mankhwalawa amachitikira

Hypocalcemia ndikuchepa kwama calcium m'magazi omwe, nthawi zambiri, samayambitsa zizindikiro zilizonse ndipo amadziwika pazotsatira zoyesera magazi. Komabe, kuchuluka kwa calcium ndikotsika kwambiri, zizindikilo zowopsa monga kupindika kwa minofu, kusokonezeka kwamaganizidwe ndi kugwidwa kumatha kuchitika.

Hypocalcemia nthawi zambiri imabwera thupi likalephera kusunga calcium yaulere, monga hypoparathyroidism kapena kusowa kwa vitamini D, mwachitsanzo, ndipo chithandizo chimachitika molingana ndi chifukwa chake, poganizira kuopsa kwa vutoli. palibe zizindikiro, zomwe zimafuna calcium supplementation.

Calcium ndi mchere wofunikira pa thanzi la mafupa komanso kagayidwe kake ka thupi, ndipo milingo yake m'magazi imayendetsedwa ndimatenda a parathyroid ndi vitamini D, omwe amalowetsa kuyamwa kwa calcium mu chakudya, kugawa m'mafupa ndi thupi kapena kuwonongedwa ndi impso. Onani zambiri za ntchito ndi phindu la calcium m'thupi.

Zomwe zimayambitsa

Zomwe zimayambitsa hypocalcemia ndi monga:

• Hypoparathyroidism, makamaka pakakhala kuvulala kapena kuchotsedwa kwa ma gland a parathyroid, omwe amatha kuchitika kudzera pakuchita opareshoni ya khosi, monga nthawi ya kuchotsa chithokomiro, kapena kuwunikira pa nthawi ya chithandizo cha khansa;
• Pseudo-hypoparathyroidism, thupi likataya chidwi ndipo silingathe kuyankha milingo ya PTH, yomwe ndi hormone yamatenda a parathyroid;
• Zofooka pakukula kwa ma gland a parathyroid, monga matenda a DiGeorge, omwe amakhudza ana;
• Kulephera kwa Vitamini D;
• Kudya kashiamu kochepa kapena malabsorption;
• Impso, zomwe zimalepheretsa kutsegula kwa vitamini D ndipo zimatha kuyambitsa calcium mu mkodzo;
• Zotsatira zoyipa za mankhwala ena, monga Asparaginase, Cisplatin, Rifampicin, Ketoconazole, anticonvulsants kapena bisphosphonates, mwachitsanzo;
• Kusintha kwa milingo ina yamchere yomwe imasokoneza calcium, monga phosphate yochulukirapo kapena kusowa kwa magnesium;
• Kuledzera kosatha.

Kuphatikiza apo, hypocalcemia imatha kukhala vuto la kapamba kakang'ono, chifukwa mafuta amchere omwe amatulutsidwa ndi kapamba otupa amatha kusokoneza calcium.

Momwe mungatsimikizire

Hypocalcemia imapezeka poyesa calcium yaulere m'mwazi, yotchedwa ionic calcium, yomwe ili pansi pamiyeso yokhazikika, yomwe imayenera kukhala pakati pa 4 mpaka 5 mg / dl ndipo kuchuluka kwa calcium kumawonetsa kuti ikusowa pansi pa 8, 5 mg / dl. Komabe, mfundozi zimatha kusiyanasiyana kutengera labotale yomwe imayesa. Onaninso zomwe zimachitika mukakhala ndi calcium yambiri m'magazi anu.

Komabe, adokotala angafunikebe kuyezetsa impso, mahomoni komanso magawo azinthu zina m'magazi, monga PTH, vitamini D, phosphorus ndi magnesium, mwachitsanzo, kuti adziwe chomwe chingayambitse vutoli.

Zizindikiro zazikulu za Hypocalcemia

Ngakhale hypocalcemia siziwonetsa zisonyezo pocheperako, calcium ikakhala yotsika kwambiri kapena kutsika mwadzidzidzi, zizindikilo monga:

• Kukokana kwaminyewa;
• Kuyika pakamwa, manja ndi mapazi;
• Kupweteka;
• Kutuluka thukuta;
• Nseru ndi kusanza;
• Kukokana m'mimba;
• Chifuwa cha mphumu.

Pamene hypocalcemia imakhala yayitali ndipo imawonekera pang'onopang'ono, monga hypoparathyroidism, khungu louma, misomali yolimba, kutaya tsitsi komanso kukokoloka kwa mano kumawonekeranso, komanso mantha, nkhawa, kusokonezeka kwamaganizidwe, kusintha kukumbukira ndi kunjenjemera. Dziwani zambiri pazizindikiro zina za vutoli.

Momwe mankhwalawa amachitikira

Chithandizo cha hypocalcemia chimadalira chifukwa, kuopsa kwa vutoli komanso kupezeka kapena kupezeka kwa zizindikilo. Pakakhala hypocalcemia yoopsa ndi zizindikilo, m'malo mwake calcium, monga calcium gluconate kapena calcium chloride, imafunika kudzera mumitsempha, mpaka zizindikilozo zitatsitsidwa.

Pakakhala hypocalcemia wofatsa, calcium calcium supplements komanso kuchuluka kwa chakudya ndi calcium kumatha kuwonetsedwa. Onani mndandanda wazakudya zokhala ndi calcium yambiri.

Ndikofunikanso kufufuza zomwe zimayambitsa ndikuzikonza, zomwe zingaphatikizepo magnesium m'malo mwake, vitamini D, komanso chithandizo cha matenda a impso kapena parathyroid, ngati ali chifukwa cha hypocalcemia.