Hypocalcemia: iimpawu, izinto, unyango

Hypocalcemia - isifo apho kukho inqanaba elisezantsi engaqhelekanga of serum calcium. Le ngezifo sidla ekhatshwa ngesithintelo kweenkqubo electrophysiological. Oko kunokuthi kwenzeke iphetshana oyingozi okanye engapheliyo.

Hypocalcemia. Yintoni na?

Hypocalcemia - a leengxaki apho egazini inqanaba icalcium ngezantsi 2.2 mmol / l. Le izinto emzimbeni yenzelwe ubukhulu becala kwi ithambo (malunga 99%) kunye plasma yegazi (malunga ne-1%). Nge calcium ukunqongophala kwi plasma iqala zinomgutyulo yalo amathambo. Ngoko ke imali eyimfuneko igcinwa.

Kubaluleke kakhulu ukuba ukuchonga kwamsinyane unobangela izifo kwaye uqale unyango olufanelekileyo. Kungenjalo, ukunqongophala calcium kunganeziphumo kuchaphazela ukusebenza umzimba uphela, kwi imeko yoluntu. ingqalelo eyodwa kwesi sifo kufuneka kwizigulana abaselula.

Hypocalcemia: Oonobangela

• Hypoparathyroidism. Kwimeko ischemia elide kwamadlala parathyroid okanye hypoplasia zabo egazini ukuhla elibukhali hormone parathyroid, nto leyo efunekayo ukuze ukugcina imigangatho physiologically eqhelekileyo ion calcium. Ngenxa yoko, le nto salawo yi izintso ngezixa kwemfuneko.
• isifo wamathumbu apho ukufunxeka iphazamisekile isifo yethumbu encinane calcium.
• Ahola - ukumisa inyongo ngokungenisa emathunjini amancinane, nto leyo efunekayo ukuze kwisisu yokwetyisa.
• Hypovitaminosis D okanye ukuxhathisa wesenzo.
• Enetyhefu syndrome - oku esinye isizathu.
• calcium egazini ayikwazi kubuzwa ngenxa ekutshatyalalisweni pancreas. Ukudumba negalelo isimemezelo chu neetyuwa ze iyeza kwiindawo necrosis ngamanqatha.
• Ukudlulela yamathumba ezinkulu.
• Ukwamkela amanye amaqela amayeza (womchamo, anticonvulsants, antibiotics).
• ngezifo Pediatric ikhula ngenxa ukondla ubisi lwenkomo okanye imixube ezinomthamo eliphezulu phosphorus.

picture clinical

calcium Low egazini ixesha elide ukuze kwenza imiqondiso eqhelekileyo ukubonisa. Emva kwexesha elithile kukhokelela ngezifo ukuphazamiseka umsebenzi ingqondo ibangele iimpawu luvo: ukudakumba, ukulahlekelwa yinkumbulo, nemibono, ukudideka. Ukuba kunokwenzeka ukuba ngokukhawuleza ukubuyisela imeko, ezi mpawu ingathityazwa.

ingqondo ngokugqithiseleyo aphantsi icalcium egazini kungabangela intlungu yezihlunu, ukuntlontlozela semilonyeni nolwimi. Kwiimeko kuyingozi kakhulu, ogulayo unditsho, aqaqambayo ye kwingqula, tetany.

Yiyiphi enye indlela ebonakalisa hypocalcemia? Iimpawu kungabandakanya:

1. Sophele / hypocoagulation syndrome. Le meko ihamba ngokuloqa iintsini ukopha ngenxa ekunqandeni igazi. Calcium okubangelwa kwandisa permeability beendonga isitya.
2. yenguqu inyama Dystrophic. Bona zibonakale kwindlela anda ngayo ubu iinwele kunye nezikhonkwane, iindidi iziphene amazinyo, uphuhliso kwamehlo.
3. nokuphazamiseka Heart isingqisho.

Eyona eziphambili ze zokugula

Ukwahlula iintlobo ezimbini sifo: hypocalcemia okungapheliyo kunye bukhali. Iimpawu luphawulwa imbonakalo yokugqibela enkulu cytolysis syndrome. Kulo mzekelo, i-calcium insimbi liyasuswa egazini ngokukhawuleza. Pathology yohlukile ngokukhawuleza phambili xa cytolysis kwakhona sikhatshwe yi insufficiency kwezintso.

Kukho nenye Ukuhlelwa esi sifo. Hypocalcemia ngu:

1. Ezisebenzayo (zaphuhliswa ngenxa yokuba ukuphazamiseka kweenkqubo omzimba lwangaphakathi).
2. Toxigenic (akhiwa ngokusebenzisa amaqela athile iziyobisi, ifuthe izinto eziyityhefu).
3. Ukophulwa ezingummiselo eqhelekileyo kunaniselwano ikhalsiyam-phosphorus-wemagniziyam.

Iimpawu hypocalcemia ebantwaneni

Le ngezifo ke olufunyanwa ngabantwana na ubudala. Engxakini calcium phosphorous unciphe, ivithamin D - esona sizathu eqhelekileyo leyo echaza imbonakalo izifo ezifana hypocalcemia. Iimpawu zesi sifo kugqame kakhulu ukuba xa umntwana iyiphucule stress ngokwasemzimbeni nangokwasengqondweni. Lubonakala yi le miqondiso ilandelayo lwezonyango:

• tetany Nedlac, esizibonakalisa ubuqhitala bokoyiswa xa uhambisa.
• Cramping kwemisipha ithole.
• utyatyazo Ukuphikelela.
• Ukwanda uxinzelelo intracranial.
• Laryngospasm.

Hypocalcemia kubantwana - olu ngezifo enzulu kakhulu ukuba kufuna unyango ngoko nangoko. Inattention kwimpilo umntwana kungakhokelela kubunzima ezingalindelekanga.

Hypocalcemia emva kokuzalwa

Emva kokuzalwa komntwana sisifo kwabasetyhini banesifo kunqabile kakhulu. Senzeka ifomu etsolo kwaye lukhatshwa ukushwabana umqala, ulwimi, isisu. Kwiimeko kakhulu, ibhinqa isiqaqa. Kwasemva hypocalcemia, izizathu ezo ezingafanelekanga ziqondwa, ibhekisela zezifo ezidalwe indalo.

amanyathelo zokuxilonga

Ngokuqhelekileyo, esi sifo ivunyiwe ithuba ngexesha kuhlolwa. calcium Low egazini ibhaqwe emva uvavanyo lwegazi. Kungenxa yoko le nto yokuqala pathology ngoxilongo kunye neempawu isici kamva. Ukuze ubone isizathu, apho wakhonza kwawo, ugqirha banakho kumisela inani iinkqubo zokuxilonga (iimvavanyo zegazi kwemichiza, MRI ngamalungu angaphakathi, ithambo X-ray, ECG).

Yintoni unyango efunekayo?

Kule sifo kubaluleke kakhulu nje ukuba abuyise yokunqongophala ikhalsiyam, kodwa ukuphelisa izinto zayo kunokwenzeka.

Xa kulawula ukuba izigulane hypoparathyroidism endaweni unyango kunye arhente hormone. Kule meko kubalulekile njengoko sifo engundoqo ingasetyenziswa ukuphelisa ukuthintela hypercalcemia (imeko apho kukho calcium yegazi eyonyukileyo). Ukuba isigulana na kungekho ngxaki kancane kweziyobisi emathunjini amancinci, unyango olunjalo kwixesha elifutshane ixesha kunokubangela iziphumo ezihle, kuquka uhlobo kakhulu kwesi sifo.

Kuhlaselwa tetany butofelwe ilawulwa izisombululo ngecalcium chloride. Khumbula ukuba la machiza ezisicaphukisayo iindonga yegazi. Ngoko ke kungcono ukwenza inaliti ngokusebenzisa catheter esembindini okanye emthanjeni enkulu.

Ekunyangeni izifo kwisigaba izigulane ezingapheliyo emiselweyo ivithamin D (umzekelo, "Calcitriol", "ergocalciferol"), kwakunye calcium amalungiselelo azipilisi. Esithathwa lwamayeza ezikhethiweyo qho ngamnye, ngokuxhomekeke iimpawu zesi sifo ngokuba "hypocalcemia".

Unyango ikwaquka kugcinwe ukutya okhethekileyo. Yokudla kufuneka ityetyiswe ukutya ezinomthamo eliphezulu magnesium kunye ivithamin D (ubisi, iziqhamo ezomisiweyo, imifuno, iisiriyeli ezahlukeneyo). Kuba ixesha lonke unyango kucetyiswa ukuba silahle ngokugqithiseleyo ezinamanqatha ukutya, etshaya, impahla wazosa izonkana kunye pickles. Nutrition kufuneka iqhezu. Oku kuthetha ukuba adle njalo kodwa iinxalenye ezincinane. Loo umxhesho kunempembelelo entle wokugaya, iphucula kakhulu iinkqubo metabolic.

iingxaki kunokwenzeka

Ukwehla okanye ukwanda icalcium egazini nefuthe elibi ofanayo yonke eziphilayo. Xa iimpawu hypocalcemia kuyimfuneko ngaphandle kokulibazisa ukuya kufuna uncedo kugqirha kwaye ukulandela ikhondo abawacebisayo unyango. Kungenjalo, kuba kwande amathuba yokuphuhlisa kunokuba yingozi kubunzima zempilo. Ezi ziquka cataract, neuritis, nokudumba le-luvo optic. Ngaphezu koko, kukho amatyala sisifo sentliziyo kunye ukubonakala deformation ozimiseleyo amathambo.

amanyathelo othintelo

njani ukuthintela izifo ezifana hypocalcemia? Iimpawu zesi sifo ngoko imoshe kakhulu umgangatho wobomi ukuba izigulane ezininzi abakwazi ukunceda ngokubuza lo mbuzo.

Okokuqala leengcali zonke Siyaleza ngamandla ukuhlaziya ekudleni kwakho yonke imihla. Kulungile ukususa naziphi iimveliso eziyingozi, yongeza ukutya okunempilo kakhulu kwaye efanelekileyo. Njengoko ekuthinteleni izifo, oogqirha bayacetyiswa ukuba balandele imigaqo lwesondlo elungileyo; iyabiliswa okanye okuphekiweyo eziko, atye kancinci, atye rhoqo. Kubalulekile ukuba asebenzise iimveliso lokudla ezinomthamo eliphezulu magnesium kunye novithamini D.

Kucetyiswa ukunciphisa ukusetyenziswa laxatives. Ukuba uneengxaki kwesisu motility, kuyimfuneko ukuba icebo yincutshe. Uya kukunceda uqonde nje owona nobangela wezo ukuqhina, kodwa kwakhona ukukhetha uthomalaliso kakhulu ngempumelelo.

Indlela enye into endinokuyenza ukuthintela isifo? Izinto ezibangela le sifo zidla obufihlwe ukungasebenzi le phecana zesisu. Noko ke, unyango kwangoko kwezifo ye gastro-wamathumbu iphecana ukuphepha iingxaki ukuhluleka calcium egazini.

Siyathemba ukuba yonke ingcaciso enikwe kweli nqaku malunga nesifo kwande namhlanje uya kuba ukuba sibe luncedo. Hlala uphilile!