Kalipuna - ionized

ʻO ka kalipona ionized ka calcium i loko o kou koko i pili ʻole i nā protein. Kāhea ʻia ia he kalipona manuahi.

Pono nā hunaola āpau i ka punaewele i mea e holo pono ai. Kōkua ka kalipuna i nā iwi ikaika a me nā niho. He mea nui ia no ka hana puʻuwai. Kōkua pū ia me ka hōʻemi ʻana o nā mākala, nā hōʻailona nerve, a me ke kāpili ʻana o ke koko.

Kūkākūkā kēia ʻatikala i ka hoʻokolohua i hoʻohana ʻia e ana i ka nui o nā kalona ionized i ke koko.

Pono kahi laʻana koko. ʻO ka hapanui o ka manawa e huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.

ʻAʻole ʻoe e ʻai a inu paha ma kahi o 6 mau hola ma mua o ka hoʻāʻo.

Hiki i nā lāʻau he nui ke hoʻopilikia i nā hopena hōʻike koko.

• E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka loaʻa ʻana o kēia hōʻike.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa nā hōʻailona o ka iwi, ka hakuʻala, ka ate a me ka maʻi parathyroid.Hana ʻia paha ka hōʻike e nānā i ka holomua a me ka mālama ʻana i kēia mau maʻi.

ʻO ka hapa nui o nā manawa, nā ana i ke koko e ana i kāu pae pae calcium. Nānā kēia i nā calcium ʻono a ʻono hoʻi i hoʻopili ʻia i nā protein. Pono paha ʻoe e hana i kahi hoʻāʻo calcium i hoʻokaʻawale ʻia inā he mau kumu kāu e hoʻonui ai a hoʻemi paha i ka nui o nā pae calcium. Pākuʻi paha kēia i nā pae koko ʻino o albumin a i ʻole immunoglobulins.

Hāʻule nā ​​hopena i kēia mau pae:

• Nā keiki: 4.8 a 5.3 milligrams per deciliter (mg / dL) a i ʻole 1.20 a i 1.32 millimoles i kēlā me kēia lita (millimol / L)
• Nā mākua: 4.8 a 5.6 mg / dL a i ʻole 1.20 a i 1.40 millimol / L

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike nā hiʻohiʻona ma luna i nā ana maʻamau no nā hopena no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.

ʻO nā pae kiʻekiʻe ma mua o ka maʻamau o ka calcium i hoʻohui ʻia ma muli o:

• Hoemi i nā pae o ka puna i ka mimi mai kahi kumu ʻike ʻole ʻia
• Hyperparathyroidism
• Hyperthyroidism
• Syndrome Milk-alkali
• Myeloma lehulehu
• Maʻi Paget
• ʻO Sarcoidosis
• ʻO Thiazide diuretics
• Thrombositosis (helu platelet kiʻekiʻe)
• Nā Tumors
• Wikamina A keu aku
• ʻO ka Vitamina D ʻoi aku

ʻO nā pae haʻahaʻa ma mua o ka maʻamau ma muli o:

• Hypoparathyroidism
• Malabsorption
• ʻO Osteomalacia
• ʻO Pancreatitis
• Hoka kōpaʻa
• Rikeke
• Ka nele o ka wikamina D

Kalipuna manuahi; Pālolo kalipona

• Hōʻaʻo koko

Bringhurst FR, Demay MB, Kronenberg HM. Hormones a me nā maʻi o ka mineral metabolism. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 28.

Klemm KM, Klein MJ. Nā māka biomimika o ka metabolism iwi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 15.

ʻO Thakker RV. ʻO nā gland parathyroid, hypercalcemia, a me hypocalcemia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 245.