Ukuntuleka kwe-calcium kuyathinta umsebenzi womzimba. Le-macrocell ithatha ingxenye eqondile ekuqinisekiseni ukusebenza okulungile cishe kuzo zonke izitho nezinhlelo. Uma igazi lakhe lingaphansi kwesamba esidingekayo, i-hypocalcemia iyatholakala.
Iyini i-hypocalcemia kubantu?
Lesi simo se-pathological, esenzeka ngenxa yokuphulwa emisebenzini ye-electrophysiological yomzimba. Ukuntuleka kwe-calcium emzimbeni kungaba nzima noma okungapheli. Ku-hypocalcemia ayengenayo imiphumela engathandeki, engosongela impilo, imbangela yokwehla kwesilinganiso se-macronutrient egazini, kufanele uzame ukubona ngokushesha ngangokunokwenzeka. Inkinga ingahlakulela kubameleli bezocansi ezahlukene kanye nezigaba ezahlukene zeminyaka.
I-calcium esele egazini - evamile
Ukuze uqonde ukuthi kunokuntuleka kwe-calcium, udinga ukwazi ukuthi isakhi esingakanani kufanele sibe khona emzimbeni ngendlela evamile. Ekuhlaziyweni komuntu onempilo le nto, njengombuso, ivela ku-2.2 kuya ku-2.5 mmol / l. I-hypocalcemia itholakala uma i-calcium yenani egazini ihlaselwa ku-1.87 mmol / l. Inkinga ingabangelwa nokuntuleka kwe-vitamin D. Ukuze kutholakale imbangela eqondile yalesi sifo, ukuhlolwa okuningiliziwe kufanele kwenziwe.
Yini ebangela ukungabi ne-calcium?
Ukuntuleka kokuhlungwa kungaba nemiphumela emibi kakhulu. Umthwalo wokulawula inqubo ye-calcium metabolism ingama-glands we-parathyroid. Emzimbeni ngamunye kukhona ezine zazo. Zincane futhi zitholakala eduze kwegciwane le-thyroid. Ngokushesha nje lapho izitho zithola ulwazi lokuthi kukhona usongo lwe-hypocalcemia, inqubo yokuthuthukisa ukuvuselela amathambo iqala. Kulula nje, ukungabi nalutho kwe-calcium kuzosithinta isimo samathambo - into edingekayo izogeza kancane kancane kubo. Lokhu kungaholela ekusungulweni kwe-osteoporosis.
I-hypocalcemia eyingozi kakhulu ezinganeni. Ukuntuleka kwe-calcium emvelweni okhulayo kuholela ekuphazamiseni ukwakheka kwezakhiwo zamathambo. Ezimweni ezinzima kakhulu, inkinga i-multiple sclerosis. Phakathi kwezinye izinto, i-hypocalcemia ingaba nezinkinga ezilandelayo:
- ukuxubha ;
- ukuphazamiseka kwesifo;
- ukuzwakalisa ukwesaba;
- izinguquko ku-lens iso;
- ukugcoba kwegazi okubi.
Hypocalcemia - Izimbangela
Ukuntuleka kwe-calcium ezikhathini eziningi kuvela emlandweni we-hypoparathyroidism. I-ischemia eqhubekayo yezingqungquthela ze-parathyroid noma ukukhishwa kwayo kuholela ekunciphiseni okukhulu kwe-hormone ephathekayo, into ebangela ukugcina inani elivamile lama-calcium ions egazini. Ngenxa yalokhu, izinso zisusa izakhi eziningi kunesidingo. Ukunciphisa ukukhululwa kwe-calcium kanye namathambo amathambo. Ezinye iziguli zakha i-hypocalcemia ngemuva kokususwa kwengubo ye-thyroid. Ukuze ugweme lokhu, iziguli emva kokusebenza cishe ziqokwa njalo i-vitamin-mineral complexes.
I-syndrome ye-hypocalcemia iqala ngezinye izizathu:
- I-Hypovitaminosis D. Ukuntula i-vithamini kubangelwa ukwephulwa kwe-calcium emathunjini.
- I-Acholia. Ngenkinga, inani le-bile emathunjini amancane liyeke ukuba lanele ngokwanele kokutholakala kwe-vitamin D.
- Ezinye izifo zamathumbu. I-Malabsorption syndrome , i- enteritis - nezinye, lapho inqubo ye-calcium eyithandwa yizindonga zomzimba iphazamiseka.
- I-hypocalcemia ye-Postpartum. Ikhula ngokumelene nengemuva kokuguqulwa okukhulu kwesibalo emsebenzini womzimba.
- Hypoalbuminemia. Njengoba kunamaprotheni ancishisiwe egazini, izinga lokuhlunga kwezinga le-serum calcium liyehla.
- I-alkalosis engavumelekile. Le nkinga ikhuthaza ukubopha okusebenzayo kwamaprotheni kanye ne-calcium ions.
- Ukushaqeka okweshukela.
- Ukwamukela imithi ethile.
Ukungabi nezimpawu ze-calcium
Sekuyisikhathi eside ukungabi khona kwe-calcium egazini kungabonakali. Isici esingaphansi sigcinwa emzimbeni, lapho kubonakala khona izimpawu. I-hypocalcemia elula futhi engapheli inezimpawu ezifanayo zezimpawu. Ngenxa yokuthi ukutholakala kwe-calcium ngokuvamile kuhambisana nokuntuleka kwe-potassium, inkinga ingabonakala ngokunyuka kwama-muscle nama-cell cells. Ukugula okulula kulula ukuhambisana ne-tetany esivamile.
Ngokuvamile, i-hypocalcemia ibangela ukugwinya okukhulu. Zingathinta cishe wonke amaqembu omzimba atholakalayo: ukuqala ngalabo abasemagunyeni, ukuphela kokulinganisa nokugcoba. Ukuthuthukiswa kwe-syndromes emangcwabeni noma e-hypocoagulation kuchazwa ukwanda komfutho wezindonga zegazi. Ezinye izimpawu zifaka:
- amaphutha amazinyo;
- i-bronchospasm;
- i-tachycardia;
- ukukhubazeka kwememori;
- isiyezi;
- ubuhlungu emathanjeni;
- ukulala;
- i-paresis yemikhawulo.
I-hypocalcemia enhle
Njengomthetho, ukubonakaliswa kwaleli fomu lesifo kuhlale kuhlukile kakhulu. Izimpawu ezinamandla ze-hypocalcemia kanje:
- iziphazamiso ze-tetanic (kufaka phakathi i-laryngospasm);
- i-spasm ye-carpopedic;
- i-hypotension;
- i-arrhythmia;
- i-bradycardia;
- ukuhluleka kwenhliziyo ngokukhululekile;
- uphawu lwe Khvostek (ukunciphisa imisipha yemigi);
- uphawu lweTricso;
- ukucindezeleka okugxile / okujwayelekile;
- ukuvuvukala kwe-nertic optic.
I-hypocalcemia engapheliyo
Esinye sezibonakaliso ezivame kakhulu zenkinga yi-tetany. Esikhathini sokuqala, izimpande ze-muscle zingase zizwakale njengokungqubuzana kancane emlonyeni noma eminwebeni. Ezimweni eziphambili kakhulu, i-paresthesia isakaze yonke ubuso nobunzima futhi ibuye ibe yi-twitchings yemisipha. Izinkathazo kunazo zonke ziqubuzana emisipha ye-intercostal ne-diaphragm. Ziholela ekuphukeni kokuphefumula, i-dyspnea, ukuzwakala kwamagama.
Ezinye izimpawu ze-hypocalcemia:
- i-cataract;
- i-wheezing;
- i-dysphagia ;
- ukukhathala okusheshayo;
- izinkinga zokuvuthwa;
- ukucasula;
- imizwa ecindezelekile;
- i-arrhythmia;
- ukuvinjwa kwenhliziyo;
- isikhumba sibheke;
- ukulahlekelwa kwezinwele;
- izipikili ezinamahloni.
ECG - izimpawu ze-hypocalcemia
Ukuncipha okubaluleke kakhulu ekubanjweni kwe-macroelement kuthinta isigaba sokunciphisa ukuphumula, ngakho-ke, i-hypocalcemia ye-ECG ingahlukaniswa yi-ST ehlanganisiwe, isikhathi esengeziwe se-QT, nesinye isikhathi esicacile se-TT. Izinguquko eziphambene ngokuphelele zibonisa hypercalcemia.
Ungayenza kanjani ukuntuleka kwe-calcium emzimbeni?
Ukuntuleka kwe-calcium kuyisizathu esibucayi sokucabangela futhi ushintshe indlela yakho yokuphila ngokushesha. Ukwelashwa kwe-hypocalcemia kuhilela ukwenqaba ukubhema nokuphuza utshwala. Kuyinto efiselekayo kubathandi bekhofi abaqotho ukunciphisa ukusetshenziswa kwalesi siphuzo kuze kube sezingeni eliphansi. Ngenzuzo ukuthi umzimba ohamba njalo emoyeni omusha uzohamba - i-ultraviolet ikhuthaza ukumunwa kwe-macronutrient. Ngaphezu kwalokho, amalungiselelo e-calcium kumaphilisi azosiza ukubuyisela ibhalansi.
Hypocalcemia - ukwelashwa, izidakamizwa
Umgomo oyinhloko wokwelashwa ukuqeda imbangela ebangela i-calcium leaching emzimbeni. Ukuqokwa kwezidakamizwa ze-hypocalcemia kufanele kube ngumbono, ngokusekelwe emiphumeleni yocwaningo. Esimweni esinzima sesifo, kuvame ukuphakanyiswa ukuthi imithi equkethe i-macronutrient engekho iphathwe ngendlela engaphakathi. Njengoba i-hypocalcemia engapheli, iziguli kumele zibekwe i-vitamin complexes.
Amalungiselelo e-calcium ethandwa kakhulu nge-vitamin D3 - uhlu lwabo - abukeka kanje:
- I-Rockaltrol;
- I-Alfadol-Ca;
- I-Oxidevit;
- Ethalph;
- I-osteogenon;
- I-Vitrum Calcium;
- I-calcium-Sandoz forte;
- I-Calcemin;
- I-osteoka;
- Ukulinganisa;
- Vitacalsin;
- I-Natekal D3;
- Sana-sol;
- Elevit.
Ukudla kwe-hypocalcemia
Siza ngokuphumelelayo ukukhokhela ukuntuleka kokudla kwe-macronutrient. Nansi indlela yokugcwalisa ukungabi khona kwe-calcium emzimbeni kungaba:
- ubisi;
- imikhiqizo yobisi omuncu;
- ubhontshisi;
- izithelo ezomile;
- okusanhlamvu;
- i-sardine;
- i-oyster;
- imifino;
- i-salmon.
Kukhona nemikhiqizo enjalo, okuyilapho ukwelashwa kwe-hypocalcemia kungcono ukwenqaba - bayaphazanyisa umzimba ukuthi uthathe i-calcium:
- Ushukela ocolile namaswidi;
- utamatisi;
- isitshalo seqanda;
- amazambane;
- usawoti;
- izitsha ngokuqukethwe okuphezulu kwe-phosphorus.