Kushayikwa kwe calcium kunobata basa remuviri. Izvi zvinotora chikamu chakanaka pakuvona kushanda kwakanaka kwenhengo dzose nenheyo. Apo ropa rake risina kudarika chikamu chinodiwa, hypocalcemia inowanikwa.
Chii chinonzi hypocalcemia muvanhu?
Izvi zvinoratidzika, izvo zvinoitika nekuda kwekuputsa mu electrophysiological nzira dzomuviri. Kusava nekakisi mumumuviri kunogona kuva kwakanyanya kana kusingaperi. Ku hypocondcemia yakanga isingakanganisi, mungozi inotyisa, iyo chikonzero chekuderera kwehuwandu hwehutachiona muropa, iwe unofanira kuedza kuzivisa nokukurumidza. Dambudziko rinogona kukura mune vamiririri vezvepabonde zvakasiyana uye zvizvarwa zvakasiyana.
Kamwe calcium muropa - inowanzo
Kuti unzwisise kuti pane kushayikwa kwe calcium, unofanirwa kuziva kuti chikamu chei chinhu chinofanira kunge chiripo mumuviri mune zvigadzirwa. Mukutsvaga munhu ane hutano ichi chinhu, sekutonga, chinobva kubva ku 2.2 kusvika 2.5 mmol / l. Hypocalcemia inotaridzwa kana total calcium muropa inodonha kusvika 1.87 mmol / l. Dambudziko racho rinogona kukonzerwa nekushayikwa kwevitamine D Kuti uise chikonzero chaiicho chechirwere, kuongorora kwakakwana kunofanira kuitwa.
Chii chinokonzera kusava kwe calcium?
Kushaikwa kwekusarudzwa kunogona kuva nemigumisiro yakaipisisa. Mutoro wekutonga chirongwa che calcium metabolism iri pamaronda eparathyroid. Mune mhuka imwe neimwe mune zvina. Izvo zviduku uye zviri pedyo neyroid yeglandisi. Pakarepo nhengo dzichiwana ruzivo rwekuti kune dambudziko rekunyengedzera kwepakisi, chirongwa chekusimudzira kuputika kwefupa kunotanga. Zvichinyatsojeka, kushayikwa kwe calcium kunoshandura mamiriro emapfupa-chinhu chinodiwa chinozochenesa zvishoma nezvishoma. Izvi zvinogona kutungamirira kukurudzirwa kweasteoporosis.
Inotyisa zvikuru hypocalcemia muvana. Kushayikwa kwe calcium muhupenyu huri kusimukira kunokonzera kukanganiswa kwekuumbwa kwemapfupa emapfupa. Mune zviitiko zvakanyanya zvakaoma, dambudziko ndiro multiple sclerosis. Pakati pezvinhu, hypocalcemia inogona kuva nezvinetso zvinotevera:
- kunetseka ;
- kushungurudzika kwekutya;
- kunetseka kwekutya;
- kushanduka mumutambo weziso;
- ropa risina kuvhara.
Hypocalcemia - Zvinokonzera
Kushayikwa kwe calcium muzviitiko zvakawanda kunopesana nechemberi ye hypoparathyroidism. Ischemia yakareba yezvinyorwa zvepathyroid kana kubviswa kwadzo kunotungamirira kukuderera kwakakosha mune hormone yepathyroid, iyo inokonzera kuchengetedza huwandu hwakawanda hwekisikioni ions muropa. Nemhaka yeizvi, itsvo dzinobvisa zvimwe zvinhu kupfuura zvinodiwa. Kunonoka kusunungurwa kwe calcium uye bone tissue. Vamwe varwere vanokura hypocalcemia mushure mekubviswa kwetachiona gland. Kuti udzivise izvi, varwere mushure mokuvhiyiwa vanowanzotarirwa mavitamini-mineral complexes.
Iyo syndrome of hypocalcemia inowedzera zvimwe zvikonzero:
- Hypovitaminosis D. Kusakwana kwevhitamini kunokonzera kuputsa kwekuwedzera kwe calcium mumukumbo.
- Acholia. Nechinetso ichi, chiyero cheB bile mumatumbo maduku hachigoni kuve chakakwana chemaitiro emagetsi e vitamin D.
- Zvimwe zvirwere zvemukati. Malabsorption syndrome , enteritis - uye vamwe, iyo inogadziriswa nekasikium pamasvingo omumuviri inopesana.
- Postpartum hypocalcemia. Inokurudzirwa nechekare kwekuchinja kukuru kwebasa remuviri.
- Hypoalbuminemia. Neproteiniti yakaderera muropa, kuwanda kwemazana ese serum calcium level inoderera.
- Uncompensed chronic alkalosis. Dambudziko iri rinokurudzira kushanda kwakasimba kweproteines uye calcium ions.
- Kushungurudzika kunotyisa.
- Kubvuma mamwe mishonga.
Kusava nekisikiti zviratidzo
Kwenguva yakareba, kusashaikwa kwe calcium muropa kunogona kuenda kusingaoneki. Chinhu chiduku chakachengetwa mumuviri, kunyanya kunzi zviratidzo zvinowanikwa. Hypocalcemia acute uye isingaperi ine zviratidzo zvakafanana. Pamusana pekuti kushaya kalisium kunowanzosangana nekushaikwa kwe potassium, dambudziko rinogona kuonekwa nekuwedzera kunakidza kwemasisita nemasero emasero. Chirwere chakareruka chirwere chinogona kuendeswa ne latent tetany.
Kazhinji, hypocalcemia inokonzera kuparara kwakanyanya. Zvinogona kukanganisa zvinenge zvese zviripo mapoka emasumbu: kutanga nevaya vari mumakumbo, kupedzisa nekuenzanisa uye mumvura. Kuburikidza kwehumorrhagic kana hypocoagulation syndromes inotsanangurwa nekuwedzera kwekukwanisa kwemasvingo emidziyo yeropa. Zvimwe zviratidzo zvinosanganisira:
- kukanganisa kwemeno;
- bronchospasm;
- tachycardia;
- kukanganwa kwepfungwa;
- chizoro;
- kurwadziwa mumapfupa;
- kugona;
- paresis yemagumo.
Zvakanaka hypocalcemia
Sezvo mutemo, zviratidzo zvechimiro chechirwere ichi nguva dzose zvakasiyana. Zviratidzo zvakajeka zvehupenzi zvinotevera:
- zvipembenene zveetanic (kusanganisira laryngospasm);
- carpopedic spasm;
- hypotension;
- arrhythmia;
- bradycardia;
- congestive heart failure;
- chiratidzo cheKhsstek (kuderedzwa kwezvinyamudumbu zvemhando);
- chiratidzo cheTricso;
- focal / generalized convulsions;
- kunyunyisa kwebote re optic.
Chronic hypocalcemia
Chimwe chezviratidziro zvakajairika zvechinetso ndicho tetany. Mumatangiro ekutanga, mitsipa yemisumbu inogona kunzwika sokunge zvishoma zvichinyungurudza mumuromo kana pamuromo. Mune mamwe maitiro akakwirira, paresthesia inopararira pasi rose uye zvigunwe uye inova mumasumbu twitchings. Izvo zvinotyisa zvinoputika mumasanganisi e-intercostal uye diaphragm. Zvinotungamirira mukuputsa kwekupemha, dyspnea, inzwi rinoputika.
Zvimwe zviratidzo zve hypo hypocemia:
- cataract;
- wheezing;
- dysphagia ;
- kuneta zvakaneta;
- matambudziko nekumhanya;
- kutsamwa;
- kugara uchiora mwoyo;
- arrhythmia;
- cardiac blockade;
- ganda rinotarisa;
- kurasikirwa kwebvudzi;
- brittle misumari.
ECG - zviratidzo zve hypo hypocemia
Kupera kwakakosha kwehuwandu hwehuwandu hunoita kuti purogiramu inopedzisira iwedzere kupera, saka, yeEECG hypocalcemia inogona kusiyaniswa nechikamu cheS ST chakanyanya, kuwedzera kweHT nguva, uye imwe nzvimbo yakananga yakareba T wave. Kunyatsopesana nemishanduko inoratidza hutachiona.
Nzira yekuita sei pakushaya kamuki mumuviri?
Kushayikwa kweCalcium chikonzero chakakomba chekufungisisa nekuchinja mararamiro ako nekukurumidza. Kurapa kwe hypocalcemia kunosanganisira kuramba kusvuta uye kunwa doro. Izvo zvinodikanwa nokuda kwevadikani vomufivha vanoda kupedza kushandiswa kwezvinwiwa izvi kusvika padiki. Pamusoro pechimwe chimiro chinogara chichifamba pamhepo itsva ichaenda-iyo ultraviolet inokurudzira kunyanya kwe macronutrient. Mukuwedzera, kamuki yekugadzirira mu mahwendefa achabatsira kudzorera kukwana.
Hypocalcemia - kurapa, zvinodhaka
Chinangwa chikuru chekurapa ndechokubvisa chikonzero chinokonzera calcium leaching kubva mumuviri. Kusarudzwa kwezvinodhaka zve hypocondcemia kunofanira kuva nyanzvi, zvichienderana nemigumisiro yeongororo. Mune chimiro chakakomba chechirwere, inowanzokurudzirwa kuti mishonga ine zvisiripo macronutrient inotarisirwa intravenously. Neine chinyengeri hypocalcemia, varwere vanofanira kunyoreswa mavitamini complexes.
Iyo inonyanyozivikanwa kanamisiki yakagadzirira ne vitamin D3 - rwandu rwavo - inoita seyiyi:
- Rockaltrol;
- Alfadol-Ca;
- Oxidevit;
- Ethalph;
- Osteogenon;
- Vitrum Calcium;
- Calcium-Sandoz forte;
- Calcemin;
- Osteoka;
- Scalaight;
- Vitacalsin;
- Natekal D3;
- Sana-sol;
- Elevit.
Kudya kwe hypocondcemia
Batsira zvinobudirira kugadzirisa kusakosha kwekudya kwema macronutrient. Heino nzira yekuzadza kusakwana kwe calcium mumuviri unogona:
- mukaka;
- misi yakasvi-mukaka;
- nyemba;
- michero yakaomeswa;
- zviyo;
- sardines;
- oysters;
- miriwo;
- saumoni.
Kunewo zvimwe zvinhu zvakadai, kubva panguva yekurapa kwe hypocolcemia zviri nani kuramba - zvinopindira nemuviri kuti inotora calcium:
- Tsvina yakanatswa nemasipi;
- tomato;
- eggplant;
- mbatata;
- munyu;
- kudya nepamusoro ye phosphorus.