Kodi Tetany Ndi Chiyani?

Zamkati

• Kodi tetany amawoneka bwanji?
• Nchiyani chimayambitsa tetany?
• Kodi tetany amathandizidwa bwanji?
• Kutenga

Chidule

Pali zovuta zambiri zamankhwala zomwe mwina simungathe kuzizindikira zikakuchitikirani. Kutenga chimfine ndikowonekeratu, monganso momwe zimakhalira m'mimba mutadya pang'ono. Koma china chake ngati tetany chitha kuponya anthu omwe sakumva bwino - ndipo nthawi zina madotolo awo - kwa kuzungulira. Mwambiri, tetany imakhudza kwambiri chidwi cha ma neuromuscular activity.

Tetany ndi chizindikiro. Monga zizindikilo zambiri, zimatha kubweretsedwa ndimikhalidwe yosiyanasiyana. Izi zikutanthauza kuti nthawi zina zimakhala zovuta kupeza chomwe chikuyambitsa chizindikirochi. Ngakhale pali mankhwala othandiza a vutoli, kupewa nthawi zambiri kumatengera kunena zomwe zidayambitsa matendawa.

Kodi tetany amawoneka bwanji?

Mitsempha yolimbikitsidwa kwambiri imayambitsa kukokana kwamagulu mosafunikira, nthawi zambiri mmanja ndi m'mapazi. Koma kutuluka kumeneku kumatha kufalikira m'thupi lonse, ngakhale m'mphako, kapena mawu, kumayambitsa mavuto kupuma.

Ndime zazikulu zitha kubweretsa:

• kusanza
• kusokonezeka
• kupweteka kwambiri
• kugwidwa
• Kulephera kwa mtima

Nchiyani chimayambitsa tetany?

Tetany itha kukhala chifukwa chakusalinganika kwa ma electrolyte. Nthawi zambiri, ndi calcium yotsika modabwitsa, yomwe imadziwikanso kuti hypocalcemia. Tetany amathanso kuyambitsidwa ndi kuchepa kwa magnesium kapena potaziyamu wochepa kwambiri. Kukhala ndi asidi wambiri (acidosis) kapena alkali wambiri (alkalosis) mthupi kumathanso kubweretsa tetany. Zomwe zimabweretsa kusamvana kumeneku ndi nkhani ina yonse.

Mwachitsanzo, hypoparathyroidism ndimkhalidwe womwe thupi silimapanga mahomoni okwanira a parathyroid. Izi zitha kupangitsa kuti calcium ikhale yotsika kwambiri, yomwe imatha kuyambitsa tetany.

Nthawi zina kulephera kwa impso kapena vuto la kapamba kumatha kusokoneza calcium mu thupi. Zikatero, ndikulephera kwa ziwalo komwe kumatsogolera ku tetany ndi hypocalcemia. Kuchepa kwa mapuloteni am'magazi, mantha am'magazi, komanso kuthiridwa magazi kumathanso kusokoneza calcium m'magazi.

Nthawi zina poizoni amatha kuyambitsa tetany. Chitsanzo chimodzi ndi poizoni wa botulinum yemwe amapezeka mu zakudya zowonongeka kapena mabakiteriya m'nthaka omwe amalowa mthupi kudzera pakucheka kapena kuvulala.

Kodi tetany amathandizidwa bwanji?

Momwemo, dokotala wanu adziwa chomwe chinayambitsa tetany, kuwathandiza kuchiza matendawa komwe amachokera.

Posakhalitsa, zolinga zamankhwala ndikuwongolera kusakhazikika. Izi zitha kuphatikizira kuwonjezera ndi calcium kapena magnesium, mwachitsanzo. Kubaya jekeseni wa calcium m'magazi ndiyo njira yofala kwambiri. Komabe, kutenga calcium pakamwa (limodzi ndi vitamini D, kuyamwa) kungafunikire kuti muteteze kuti zisadzachitikenso.

Dokotala akangodziwa chomwe chinali muzu wa tetany, amatha kulingalira za mankhwala owopsa. Mwachitsanzo, ngati ali ndi vuto pa zotupa za parathyroid, amatha kuchotsedwa opaleshoni.

Nthawi zina, monga kulephera kwa impso, chithandizo chamankhwala chothandizira ma calcium chingafunike kuthana ndi vuto lomwe lidayambitsa matendawa.

Kutenga

Monga momwe zimakhalira ndi zovuta kwambiri, kuzindikira koyambirira ndi chithandizo kumapangitsa kusiyana kwakukulu pamalingaliro anu okhudza tetany. Kuthetsa kuchepa kwa mchere koyambirira kumatha kuletsa kuyambika kwa zizindikilo zazikulu monga khunyu ndi mavuto amtima.

Kutenga chowonjezera cha calcium sikungakhale kokwanira ngati mukukumana kale ndi tetany. Kulankhula ndi dokotala nthawi yomweyo ndi njira yabwino kwambiri.