Hypocalcemia: Nā Hōʻailona, ​​Nā Kumu a me nā Hana

Anter

• He aha nā kumu
• Pehea e hōʻoia ai
• Nā hōʻailona nui o Hypocalcemia
• Pehea e hana ai i ka lāʻau

ʻO ka hypocalcemia kahi hōʻemi o nā pae calcium o ke koko, ma ka hapanui o nā hihia, ʻaʻole ia he kumu a ʻike ʻia i nā hopena hoʻokolohua koko. Eia nō naʻe, ke haʻahaʻa loa ka nui o ka calcium, hiki i nā ʻōuli koʻikoʻi e like me ka spasms muscle, hilahila ka noʻonoʻo a me ka hopu ʻana.

Kū pinepine ka Hypocalcemia ke hiki ʻole i ke kino ke mālama i nā pae kahe o ke kalipona manuahi, e like me ka hypoparathyroidism a i ʻole ka nele o ka huaola D, no ka laʻana, a hana ʻia ka lapaʻau e like me ke kumu, e noʻonoʻo ana i ka paʻakikī o ke ʻano. A inā paha ʻaʻole he mau ʻōuli, e koi ana i ka ʻaila calcium.

ʻO ka puna he mea waiwai nui ia no ke olakino iwi a me ka metabolism o ke kino, a mālama ʻia kona pae i ke koko e ka parathyroid gland a me ka wikamina D, ka mea kaulike i ka lawe ʻana o ka calcium i ka meaʻai, ka hāʻawi ʻana i nā iwi a me ke kino a i ʻole ko lākou hoʻopau ʻia e nā puʻupaʻa. E nānā i nā mea hou aʻe e pili ana i nā hana a me ka pono o ka calcium no ke kino.

He aha nā kumu

ʻO nā kumu nui o ka hypocalcemia:

• ʻO ka hypoparathyroidism, ke loaʻa a hōʻeha a wehe ʻia paha o nā gland parathyroid, hiki ke hana ʻia ma o ka ʻāʻī ʻana o ka ʻāʻī, e like me ka wā o ka hemo ʻana o ka thyroid, a i ʻole ka irradiation i ka wā o ka mālama ʻana i ka maʻi ʻaʻa.
• ʻO Pseudo-hypoparathyroidism, ke nalowale ke kino a ʻaʻole hiki ke pane i nā pae o ka PTH, ʻo ia ka hōmona o nā gland parathyroid;
• Nā hemahema i ka hoʻomohala ʻana i nā ʻōpū parathyroid, e like me DiGeorge syndrome, e pili ana i nā pēpē;
• Deficiamina D;
• Loaʻa ka ʻai kalima haʻahaʻa a malabsorption paha;
• Nā maʻi puʻupaʻa, ka mea e keʻakeʻa i ka hoʻoulu ʻana o ka wikamina D a hiki ke hana i ka excretion o ka calcium i loko o ka mimi;
• Ka hopena ʻaoʻao o kekahi mau lāʻau, e like me Asparaginase, Cisplatin, Rifampicin, Ketoconazole, anticonvulsants a i ʻole bisphosphonates, no ka laʻana;
• Hoʻololi i nā pae o nā minelala ʻē aʻe e hoʻopilikia i nā pae calcium, e like me ka nui o ka phosphate a i ʻole ka nele o ka magnesium;
• ʻAhaʻona lama.

Hoʻohui ʻia, hiki i ka hypocalcemia ke lilo i mea paʻakikī o ka pancreatitis koʻikoʻi, ʻoiai ʻo nā momona momona i hoʻokuʻu ʻia e ka pancreas i hoʻonāuki ʻia e hiki ke hoʻopilikia i ka nui o ka puna.

Pehea e hōʻoia ai

Hoʻomaopopo ʻia ʻo Hypocalcemia e ke ana ʻana i ka kalipona manuahi i loko o ke koko, i kapa ʻia he ionic calcium, aia ma lalo o nā pae maʻamau, aia ma waena o 4 a 5 mg / dl a ʻo ka huina o nā helu calcium e hōʻike ana ua nalowale ia ma lalo o 8, 5 mg / dl. Eia nō naʻe, ʻokoʻa paha kēia mau waiwai ma muli o ke keʻena hoʻokolohua e hana ai i ka hoʻokolokolo. E nānā pū i ka mea e hana ke nui ka calcium i loko o kou koko.

Eia nō naʻe, pono paha ke kauka e hana i nā hoʻokolohua ma nā puʻupaʻa, nā homone a me nā pae o nā mea ʻē aʻe i loko o ke koko, e like me PTH, wikamina D, phosphorus a me nā pae magnesium, no ka laʻana, e ʻike i ke kumu o ka pilikia.

Nā hōʻailona nui o Hypocalcemia

ʻOiai ʻaʻole hōʻike ka hypocalcemia i nā ʻōuli ma nā hihia haʻahaʻa loa, ke haʻahaʻa a heleleʻi ʻole nā ​​pae o ka calcium, nā hōʻailona e like me:

• Pākuʻi kaʻiʻo a me nā spasms;
• Tingling i ka waha, nā lima a me nā wāwae;
• Huikau;
• Hoʻoulu;
• Nusea a me ka luaʻi;
• Pākuʻi ʻōpū;
• Hoʻouka Asthma.

Ke hoʻomau a hypocalcemia a hele mālie, e like me ka hypoparathyroidism, hiki ke ʻike ʻia ka ʻili maloʻo, nā kui kuʻi, ka nalowale ʻana o ka lauoho a me ka holoi ʻana o ka niho, a me ka hopohopo, ka hopohopo, ka pīhoihoi o ka noʻonoʻo, ka loli hoʻomanaʻo a me nā haʻalulu. E aʻo e pili ana i nā ʻōuli maʻamau o kēia pilikia.

Pehea e hana ai i ka lāʻau

Pili ka mālama ʻana i ka hypocalcemia i ke kumu, ka paʻakikī o ke ʻano a me ke alo a i ʻole ka loaʻa ʻole o nā ʻōuli. Ke loaʻa ka hypocalcemia koʻikoʻi a me nā ʻōuli, ʻo ke kāwili ʻana i ka calcium, e like me ka calcium gluconate a i ʻole ka calcium chloride, pono ia ma o ke aa, a hiki i ka hoʻomaha ʻia ʻana o nā ʻōuli.

I nā hihia o ka hypocalcemia mālie, hōʻike ʻia nā mea hoʻopiha calcium a hoʻonui i ka lawe ʻana i ka meaʻai me ka puna. E ʻike i kahi papa inoa o nā meaʻai momona i ka puna.

Pono pono e nānā i ke kumu a hoʻonā iā ia, i hiki ke hoʻopili ʻia me ka magnesium, ka wikamina D, a me ka mālama ʻana i nā maʻi pūpū a i ʻole parathyroid, inā ʻo ia ke kumu no ka hypocalcemia.