Hōʻike Kele Kino

Anter

• Nā hoʻohana hoʻāʻo a me ke kumu
• Hoʻomākaukau hoʻāʻo
• Nā hana hoʻāʻo
• Nā hopena hōʻike
• He aha ka manaʻo o kahi pae kiʻekiʻe?
• He aha ka manaʻo o kahi pae haʻahaʻa?
• ʻO ka lawe lawe ʻana

Hōʻike Overview

Hoʻohana ʻia ka huina nui o ke kōpaʻa calcium e ana i ka nui o ka calcium i loko o kou koko. ʻO ka calcium kekahi o nā minela nui i kou kino. Mālama ʻia ka hapa nui o ka puna o kou kino i kou mau iwi.

Pono kou kino i ka puna e mālama i nā iwi a me nā niho olakino. Pono pū ia no ka mālama pono ʻana i nā ʻalolo, puʻuwai, a me nā mākala. ʻOiai he mea nui ka calcium no nā hana he nui o kou kino, pono kona pae i waena o kahi pae paʻa.

ʻO ka lua o ke kaukā koko, ua kapa ʻia ʻo ka ionized calcium blood test, ana i ka nui o ka "calcium" calcium i loko o kou koko. "Kalikū manuahi" e pili ana i ka calcium i hoʻopaʻa ʻole ʻia i nā protein āpau a hui pū ʻole ʻia me ka anion i loko o kou koko.

Ma waho aʻe o kēia mau hoʻāʻo koko ʻāʻī, hiki ke ana ʻia ka pae o ka puna i kāu mimi.

Nā hoʻohana hoʻāʻo a me ke kumu

E kauoha maʻamau kāu kauka i ka huina nui o ke kaomi o ke koko ma ke ʻano he ʻāpana o kahi panela metabolic maʻamau i ka wā o ka hoʻokolokolo kino.

Inā loaʻa iā ʻoe nā ʻōuli o ke kiʻekiʻe a me ka haʻahaʻa o ka pae calcium, hiki i ke kauka ke kauoha i kahi hōʻike koko calcium.

Hiki paha i kāu kauka ke kauoha i kahi hoʻokolohua koko calcium inā manaʻo lākou he maʻi kōpona kāu, maʻi parathyroid, maʻi ʻaʻai, a i ʻole ʻai pono ʻole.

Hoʻomākaukau hoʻāʻo

E noi paha kāu kauka iā ʻoe e hoʻokē ʻai a oki paha i ka lawe ʻana i kekahi mau lāʻau a i ʻole nā ​​mea hoʻopihapiha ma mua o ka hoʻāʻo. Hiki i kēia mau lāʻau ke komo pū:

• likiuma
• thiazide diuretics
• nā antacids i loko o ka puna
• pākuʻi wikamina D
• pākuʻi kalipuna

E ʻike pono kāu kauka i nā lāʻau a me nā mea hoʻopihapiha āu e lawe nei i hiki iā lākou ke hāʻawi iā ʻoe i nā alakaʻi kūpono ma mua o kāu hoʻokolohua.

Hoʻohui ʻia, ʻo ka ʻai ʻana i ka nui o nā meaʻai a mea inu paha i loko o ka calcium hiki ke hoʻonui i nā pae o ka puna i loko o kou koko a hoʻopili i nā hopena hōʻike.

Nā hana hoʻāʻo

E hana i ka hoʻokolohua, e huki kāu mea mālama ola i kahi laʻana koko mai kou lima aku.

E hoʻokomo ʻia kahi nila i loko o kahi aa i kou lima, a e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi paipu. Pono ke kahakaha koko ma lalo o ʻelima mau minuke. ʻIke paha ʻoe i kahi ʻūlū iki ke komo ka nila i kou lima.

Nā hopena hōʻike

ʻO ka ʻōlelo maʻamau, kahi pae kūmole maʻamau no ka hoʻāʻo calcium i ka nui o nā koko ma waena o 8.6 a me 10.2 milligrams per deciliter (mg / dL). Hiki ke hoʻololi i kēia pae mai kahi lab a lab.

I mea e wehewehe ai i kāu mau hopena hōʻike pilikino, pono ʻoe e hoʻohana mau i nā pae kuhikuhi i hāʻawi ʻia me ka hōʻike o kāu hopena hōʻike.

He aha ka manaʻo o kahi pae kiʻekiʻe?

ʻO nā kumukūʻai hopena e hāʻule ma luna o ka pae kuhikuhi i manaʻo ʻia he kiʻekiʻe. ʻO ka loaʻa ʻana o kahi pae o ke kōkō kiʻekiʻe ma mua o ka maʻamau i kapa ʻia ʻo hypercalcemia.

Hiki i nā ʻōuli o ke kiʻekiʻe o ka calcium ke hoʻokomo i:

• nāwaliwali a nāwaliwali paha
• nausea a luaʻi paha
• ʻiʻo haʻahaʻa
• ʻeha o ka ʻōpū
• me ka mimi pinepine hou aku
• kaohi paʻa ʻana
• make wai nui loa
• ʻeha iwi

Nā maʻi a i ʻole nā ​​kumu i hiki ke kumu i ka hypercalcemia hiki ke hoʻopili ʻia:

• ke kumu hyperparathyroidism (kahi papa hana nui o nā gland parathyroid) a i ʻole kekahi ʻano o ka maʻi ʻaʻai (pū, ʻo kēia mau helu no 80 a 90 pakeneka o nā hihia hypercalcemic)
• hyperthyroidism (kahi thyroid gland overactive)
• hakuʻala a adrenal gland hoʻokō ʻole
• sarcoidosis, kahi maʻi hōʻeha e kumu i nā ulu i kapa ʻia he granulomas e ulu a puni kou kino
• e moe ana a i ʻole immobilized no kahi lōʻihi o ka manawa
• nā lāʻau e like me lithium a me thiazide diuretics
• lawe i ka nui o ka puna a i ʻole ka wikamina D ma o ka supplementation

Inā loaʻa iā ʻoe ka hypercalcemia, e manaʻo kāu kauka e hoʻomaopopo a mālama i ke ʻano e kū nei i nā kiʻekiʻe o ka calcium.

He aha ka manaʻo o kahi pae haʻahaʻa?

Ke hāʻule kāu mau hopena hopena ma lalo o ka pae kuhikuhi, manaʻo ʻia lākou he haʻahaʻa. ʻO ka loaʻa ʻana o kahi pae kalamuna koko haʻahaʻa i kapa ʻia ʻo hypocalcemia.

ʻO ka maʻamau, loaʻa ka hypocalcemia ke nalowale ka nui o ka calcium ma o kou mimi a i ʻole ke neʻe ʻole o ka calcium mai kou mau iwi i loko o kou koko.

ʻO nā ʻōuli o ka pae pae kalama haʻahaʻa:

• cramp i kou ʻōpū a i ʻole nā ​​mākala
• kahi kani kani i kou mau manamana lima
• kuʻi naʻau kaulike ʻole

ʻO kekahi o nā kumu kūpono o ka hypocalcemia pū me:

• hypoparathyroidism (kahi gland parathyroid underactive)
• hakuʻala ʻole
• pancreatitis (li nui o ka pancreas)
• nā pilikia me ka omo ʻana o ka puna
• kekahi mau lāʻau lapaʻau, e like me nā corticosteroids, anticonvulsants, a me rifampin (kahi antibiotic)
• ka lawa ʻole o ka calcium a me ka wikamina D i kāu papaʻai
• nā pae haʻahaʻa o ka albumin i loko o ke koko, ma muli paha o ke olakino a me nā maʻi ate, kahi e hōʻike ai ka pae calcium āpau i kahi kūlana hypocalcemic maoli.

Hiki i kāu kauka ke mālama i ka hypocalcemia ma o ka hoʻohana ʻana i nā mea kalima a me kekahi manawa i nā huaora D. Inā aia kekahi maʻi ma lalo a i ʻole ke ʻano e hoʻokumu ana i kāu hypocalcemia, e hana lākou e ʻike a mālama pū i kēlā.

ʻO ka lawe lawe ʻana

ʻO ka nui o nā hōʻoia o ke kōpona calcium e ana i ka nui o ka calcium i loko o kou koko.

E kauoha kāu kauka i kēia hoʻokolohua ma ke ʻano he ʻāpana o kahi panel metabolic maʻamau a i ʻole inā ʻike ʻoe i kekahi mau hōʻailona. E ʻike pono i kāu kauka inā loaʻa iā ʻoe nā ʻōuli o ka haʻahaʻa a kiʻekiʻe o ka puna.

I nā manawa he nui, loaʻa i nā hopena kiʻekiʻe a haʻahaʻa paha nā kumu e mālama maʻalahi ʻia. I nā hihia ʻē aʻe, pono paha ʻoe i kahi hoʻolālā lapaʻau e ʻoi aku ka paʻakikī e hoʻoponopono i ke ʻano o ke ʻano. E kamaʻilio me kāu kauka e pili ana i kāu koho. E hana lākou e ʻike a mālama i ka maʻi a i ʻole ke ʻano e hoʻopili ana i kāu pae calcium.