Hypocalcemia (Ka maʻi maʻi pau ʻole)

Anter

• He aha ke kumu o ka hypocalcemia?
• He aha nā hōʻailona o ka hypocalcemia?
• Pehea ka maʻi maʻi calcium?
• ʻO ka hypocalcemia neonatal
• Pehea e mālama ai i ka hypocalcemia?
• He aha nā pilikia kūpono o ka hypocalcemia?
• Pehea e pale ai i ka hypocalcemia?
• Wikamina D
• Hoʻololi ka nohona

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka maʻi deficit calcium?

ʻO ka puna he mineral nui loa. Hoʻohana kou kino iā ia e kūkulu i nā iwi ikaika a me nā niho. Pono ʻia ka calcium no kou puʻuwai a me nā mākala ʻē aʻe e hana pono. Ke lawa ʻole kāu puna, hoʻonui ʻoe i kou makaʻu i ka hoʻomohala ʻana i nā maʻi e like me:

• ʻosteoporosis
• osteopenia
• maʻi maʻi calcium (hypocalcemia)

ʻO nā keiki i loaʻa ʻole ka lawa o ka calcium ʻaʻole e ulu a hiki i ko lākou kiʻekiʻe kiʻekiʻe ma ke ʻano he mākua.

Pono ʻoe e ʻai i ka nui o ka calcium i koi ʻia i kēlā lā i kēia lā ma o ka meaʻai āu e ʻai ai, nā mea hoʻohui, a i ʻole nā ​​huaora.

He aha ke kumu o ka hypocalcemia?

Hoʻonui ka nui o ka poʻe i ka hemahema o ka calcium i ko lākou mau makahiki. ʻO kēia hemahema ma muli o nā ʻano like ʻole, e like me:

• ʻai ʻaikiwī maikaʻi ʻole ma kahi o ka manawa lōʻihi, keu hoʻi i ka wā kamaliʻi
• nā lāʻau e hōʻemi ai i ka lawe ʻana o ka calcium
• ka hoʻomanawanui ʻole i nā meaʻai i ka momona
• nā loli hormonal, keu hoʻi i nā wahine
• kekahi mau kumu kūlohelohe

He mea nui e hōʻoia i ka lawe pono ʻana o ka calcium i nā makahiki āpau.

No nā keiki a me nā ʻōpio, ʻo ka mea i koi ʻia i nā lā āpau no ka calcium he mea like ia no nā kāne ʻelua. Wahi a ka National Institutes of Health (NIH), ʻo nā haʻawina o kēlā me kēia lā:

Wahi a ke aupuni ʻAmelika Hui Pū ʻIa, ʻo nā koina calcium no nā mākua:

Pono nā wahine e hoʻonui i kā lākou lawe ʻana i ka calcium ma mua o ke ola ma mua o nā kāne, e hoʻomaka ana i ka makahiki waena. ʻO ka hui ʻana i ka pono o ke kōpaʻa pono ka mea nui i ka wā e hoʻokokoke ai ka wahine i ka menopause.

I ka wā o ka menopause, pono i nā wahine e hoʻonui i kā lākou lawe ʻana i ka calcium e hoʻoliʻiliʻi i ka makaʻi o ka osteoporosis a me ka maʻi maʻi calcium. ʻO ka emi ʻana o ka hormone estrogen i ka wā o ka menopause ka wikiwiki o ka iwi o ka wahine.

Hiki i ka maʻi hormone hypoparathyroidism ke kumu i ka maʻi deficit calcium. ʻAʻole hiki i ka poʻe me kēia ʻano ke hana i ka nui o ka hormone parathyroid, ka mea e kaohi i nā pae o ka calcium i loko o ke koko.

ʻO nā kumu ʻē aʻe o ka hypocalcemia e komo pū me ka malnutrisi a me malabsorption. ʻO ka malnutration ke ʻaʻole ʻoe lawa ka momona, ʻoiai ʻo ka malabsorption ke hiki ʻole i kou kino ke omo i nā huaora a me nā minelala āu e pono ai mai ka ʻai āu e ʻai ai. Nā kumu hou aʻe:

• nā pae haʻahaʻa o ka wikamina D, i mea e paʻakikī ai ke omo i ka puna
• nā lāʻau, kēlā phenytoin, phenobarbital, rifampin, corticosteroids, a me nā lāʻau e hoʻohana ai e mālama i nā kiʻekiʻe o ka calcium
• pancreatitis
• hypermagnesemia a me hypomagnesemia
• hyperphosphatemia
• haʻalulu septic
• hoʻoheʻe koko
• kōpaʻa kōpaʻa
• kekahi mau lāʻau chemotherapy
• "Pōloli iwi iwi kuamoʻo," i hiki mai ma hope o ʻoki kino no hyperparathyroidism
• ka hoʻoneʻe ʻana i nā kiko o ka parathyroid i ʻāpana o ke ʻoki e wehe i ka gland thyroid

Inā ʻoe e nalo i kāu mahele lāʻau o ka calcium i kēlā me kēia lā, ʻaʻole ʻoe e nele i ka calcium i ka pō hoʻokahi. Akā he mea nui ia e hoʻoikaika i ka loaʻa ʻana o ka calcium i kēlā me kēia lā, ʻoiai hoʻohana koke ke kino iā ia. ʻOi aku ka maʻalahi o ka lilo ʻana o nā mea Vegan i ka calcium no ka mea ʻaʻole lākou e ʻai i nā huahana waiū momona momona.

ʻAʻole hiki i ka lawa ʻole o ka calcium ke hana i nā ʻōuli pōkole no ka mea mālama ke kino i nā pae o ka calcium ma ka lawe pololei ʻana mai nā iwi. Akā hiki i nā pae haʻahaʻa lōʻihi lōʻihi ke loaʻa nā hopena koʻikoʻi.

He aha nā hōʻailona o ka hypocalcemia?

ʻAʻole hiki i ka hemahema kalima ke kumu i kekahi ʻōuli. Eia nō naʻe, e ulu ana nā ʻōuli i ka holo ʻana o ke kūlana.

ʻO nā ʻōuli koʻikoʻi o ka hypocalcemia pū me:

• huikau a i ʻole me ka nalo ʻana o ka hoʻomanaʻo
• ʻūpē mākala
• numbness a me ke kani ʻana i nā lima, nā wāwae, a me ke alo
• kaumaha
• nā ʻōlelo hoʻohiwahiwa
• ʻūpē mākala
• nā kui nāwaliwali a palupalu
• ka haki maʻalahi o nā iwi

Hiki i nā hemahema o ka kalipuna ke hoʻopili i nā ʻāpana āpau o ke kino, e hopena ai i nā kui nāwaliwali, ka ulu ʻana o ka lauoho a me ka ʻili palupalu.

Mālama pū kekahi i ka calcium i ka nui o ka hoʻokuʻu ʻana o ka neurotransmitter a me nā huikau o nā mākala. No laila, hiki i nā hemahema calcium ke lawe i ka hopu ʻana i nā kānaka olakino ʻē aʻe.

Inā hoʻomaka ʻoe e ʻike i nā hōʻailona neurological e like me ka nalo ʻana o ka hoʻomanaʻo, numbness a me ke kaniʻuhū ʻana, nā hallucination, a me nā hopu ʻana, e hoʻopaʻa i kahi manawa e ʻike ai i kāu kauka ke hiki koke.

Pehea ka maʻi maʻi calcium?

Kāhea aku i kāu kauka inā loaʻa iā ʻoe nā ʻōuli o ka maʻi deficit calcium. E nānā lākou i kāu mōʻaukala olakino a nīnau iā ʻoe e pili ana i ka mōʻaukala o ka nele o ka calcium a me ka osteoporosis.

Inā kānalua kāu kauka i ka lawa ʻole o ka calcium, e lawe lākou i kahi laʻana koko e nānā i ke kiʻekiʻe o ka calcium i loko o kou koko. E ana ana kāu kauka i kāu pae kalipona āpau, kāu pae albumin, a me kāu pae kalona i hoʻopili ʻia a i ʻole "manuahi". ʻO Albumin kahi protein e hoʻopaʻa i ka calcium a lawe iā ia ma o ke koko. Mālama ʻia nā pae pāluna haʻahaʻa i loko o kou koko e hōʻoia i kahi kuhi o ka maʻi deficit calcium.

Hiki i nā pae calcium maʻamau no nā mākua ke kū mai ka 8.8 a i ka 10.4 milligrams no ka deciliter (mg / dL), e like me ka Merck Manual. Hiki paha iā ʻoe ke makaʻu no ka maʻi maʻi kalika inā aia kāu pae calcium ma lalo o 8.8 mg / dL. ʻOi aku ka kiʻekiʻe o nā pae o ke kōkika o nā keiki a me nā ʻōpio ma mua o nā mākua.

ʻO ka hypocalcemia neonatal

Loaʻa ka hypocalcemia neonatal i nā pēpē ma hope koke o ka hānau ʻana. ʻO ka hapa nui o nā hihia neonatal hypocalcemia e hana ʻia i loko o nā lā ʻelua ma hope o ka hānau ʻana. Akā hiki ke hoʻomaka i ka hypocalcemia lohi i ʻekolu mau lā ma hope o ka hānau ʻana, a ma hope paha.

ʻO nā mea pilikia no nā pēpē ke hoʻopili i ka liʻiliʻi no ko lākou mau makahiki a me ka maʻi diabetes. Hoʻokumu pinepine ʻia ka hypocalcemia Late ma muli o ka inu ʻana i ka waiū o ka bipi a i ʻole ka haʻilula me ka nui o ka phosphate.

ʻO nā ʻōuli o neonatal hypocalcemia pū kekahi:

• ʻalalā
• hānai hune ʻana
• ka hopu ʻana
• apnea, a i ʻole hanu lohi
• tachycardia, a i ʻole ʻoi aku ka wikiwiki ma mua o ka naʻau o ka naʻau maʻamau

Hana ʻia ka diagnostical ma ke hoʻāʻo ʻana i ke koko o kahi pēpē no ka pae calcium āpau a i ʻole pae pae calcium i hoʻohui ʻia. E ho'āʻo ʻia hoʻi ka pae glucose o ke pēpē e kāpae aku i ka hypoglycemia.

Hoʻopili maʻamau ka hoʻomaʻamaʻa ʻana i ka hāʻawi ʻana i ka gluconate calcium intravenous a ukali ʻia e kekahi mau lā o ka hoʻopiha pāʻina calcium.

Pehea e mālama ai i ka hypocalcemia?

Maʻalahi maʻalahi ka mālama ʻana i ka pōhaku. Hoʻohui pinepine ia i ka hoʻonui ʻana i ka calcium i kāu papaʻai.

Mai mālama iā ʻoe iho ma ka lawe ʻana i ka nui o nā mea hoʻopili kalima. ʻO ka lawe ʻana ma mua o ka lāʻau i koi ʻia me ka ʻole o ka ʻāpono a kāu kauka hiki ke alakaʻi i nā pilikia koʻikoʻi e like me nā pōhaku hakuʻala.

Hoʻohui ʻia nā mea hoʻopiha calcium i ʻōlelo pinepine ʻia:

• kalipuna kalapona, ʻo ia ka mea liʻiliʻi loa a ʻoi aku ka nui o nā kumu kōmele
• calcium citrate, ʻo ia ka mea maʻalahi hiki ke komo
• kalipuna phosphate, a maʻalahi hoʻi e komo a ʻaʻole kumu o ka paʻa paʻa

Loaʻa nā mea hoʻowali ʻaukā i loko o ka wai, papa, a me nā ʻano nāhenahe.

Kūʻai no nā mea hoʻopiha calcium.

He mea nui e hoʻomaopopo he hiki i kekahi mau lāʻau lapaʻau ke hana kūleʻa ʻole me nā mea hoʻopiha calcium. Hoʻopili kēia mau lāʻau:

• ke kahe o ke koko beta-blockers e like me atenolol, kahi e hoʻemi ai i ka lawe ʻana o ka calcium inā lawe ʻia i loko o ʻelua mau hola o ka lawe ʻana i nā mea hoʻohui calcium
• nā antacids me ka aluminika, kahi e hoʻonui ai i ke kiʻekiʻe o ke kō o ke alumini
• ʻo ka hoʻoliʻiliʻi kolesterol e hoʻohaʻahaʻa ana i nā kolamu acid e like me colestipol, kahi e hoʻemi ai i ka lawe ʻana o ka calcium a hoʻonui i ka nalo ʻana o ka calcium i ka mimi.
• nā lāʻau estrogen, hiki ke kōkua i ka hoʻonui ʻana i nā kiʻekiʻe o ke koko
• digoxin, e like me ke kiʻekiʻe o ka puna e hiki ke hoʻonui i ka toxin digoxin
• diuretics, hiki ke hoʻonui i nā pae o ka calcium (hydrochlorothiazide) a i ʻole e hoʻemi i nā pae calcium i ke koko (furosemide)
• kekahi mau antibiotic e like me fluoroquinolones a me tetracyclines, ka mea hiki ke hoʻoliʻiliʻi i ka lawe ʻia ʻana e nā mea hoʻoliʻiliʻi calcium

I kekahi manawa ʻaʻole lawa nā loliʻai a me nā mea hoʻopiha e mālama ai i ka hemahema o ka calcium. I kēia hihia, makemake paha kāu kauka e hoʻoponopono i kāu mau pae calcium ma ka hāʻawi ʻana iā ʻoe i nā injection calcium.

Hiki iā ʻoe ke manaʻo e ʻike i nā hopena i loko o nā pule mua o ka mālama ʻana. E nānā ʻia nā hihia koʻikoʻi o ka maʻi deficit calcium i hoʻokahi a i ʻekolu mau mahina.

He aha nā pilikia kūpono o ka hypocalcemia?

ʻO nā pilikia mai ka maʻi maʻi kalikimaka me nā maka o ka maka, kahi puʻuwai kīnā ʻole, a me ka osteoporosis.

Nā pilikia mai ka osteoporosis:

• kīnā ʻole
• haki iwi a i ʻole nā ​​haʻi iwi
• paʻakikī i ka hele wāwae

Inā haʻalele ʻole ʻia, hiki i ka maʻi deficit calcium ke make ma hope.

Pehea e pale ai i ka hypocalcemia?

Hiki iā ʻoe ke pale i ka maʻi deficit calcium ma o ka hoʻokomo ʻana i ka calcium i kāu papaʻai i kēlā me kēia lā.

E makaʻala i nā meaʻai kiʻekiʻe i ka calcium, e like me nā huahana waiū, hiki ke kiʻekiʻe i ka momona momona a me ka momona trans. Koho i nā koho momona a momona ʻole e hōʻemi i kou makaʻu i ka hoʻomohala ʻana i ke kolesterol kiʻekiʻe a me nā maʻi puʻuwai.

Hiki iā ʻoe ke kiʻi i ka 1/4 a i ka 1/3 o kāu RDA o ka calcium ma kahi lawelawe hoʻokahi o kekahi mau waiū a me nā yogurts. Wahi a ka, ʻo nā meaʻai momona waiwai ʻē aʻe i loko o:

ʻOiai ke hālāwai nei i kāu koi calcium he mea nui loa ia, makemake pū ʻoe e hōʻoia ʻaʻole ʻoe e nui loa. Wahi a ka Mayo Clinic, ʻo nā palena kiʻekiʻe o ka lawe ʻana i ka calcium i milligrams (mg) no nā mākua:

• 2,000 mg i kēlā me kēia lā no nā kāne a me nā wahine 51 makahiki a ʻoi paha
• 2,500 mg i kēlā me kēia lā no nā kāne a me nā wahine 19 a 50 mau makahiki

Makemake paha ʻoe e hoʻohui i kāu papaʻai ma ka lawe ʻana i multivitamin. A i ʻole hiki i kāu kauka ke koi aku i nā mea hoʻopihapiha inā nui kou makaʻala no ka hoʻomohala ʻana i kahi calcium.

ʻAʻole paha i loko o Multivitamins ka nui o ka puna e pono ai, no laila e ʻike pono e ʻai i ka papaʻai maikaʻi. Inā hāpai ʻoe, e lawe i kahi wikamina prenatal.

Wikamina D

He mea nui ka Vitamin D no ka mea hoʻonui ia i ka helu o ke kalima i loko o kou koko. E noi i kāu kauka i ka nui o ka lāʻau D e pono ai.

I mea e hoʻonui ai i kāu lawe ʻana i ka calcium, hiki iā ʻoe ke hoʻohui i ka meaʻai momona i ka wikamina D i kāu papaʻai. Pākuʻi ʻia kēia mau mea:

• iʻa momona e like me ka salemona a me ke tuna
• wai ʻalani i paʻa i ka paʻa
• waiū paʻa
• hālau portobello
• huamoa

E like me nā huahana waiū waiu momona, hiki i kekahi huaora D-waiwai i ka waiū waiū ke kiʻekiʻe i ka momona momona.

Hoʻopuka ka lā i kou kino e hana i ka wikamina D, no laila ke kiʻi pinepine ʻana i ka lā hiki ke kōkua i ka hoʻonui ʻana i kāu pae vitamin D.

Hoʻololi ka nohona

Ma waho o ka mālama ʻana i nā pae calcium a me nā huaola D olakino, aia kekahi mau ʻano nohona hiki ke hoʻololi i ke olakino iwi. Pākuʻi ʻia kēia mau mea:

• ka mālama ʻana i ke kaumaha o ke kino olakino
• hoʻoikaika kino mau
• kaohi ʻana i ka paka a me ka lawe ʻana i ka waiʻona