Hypocalcemia (Calcium Kushaiwa Denda)

Zvemukati

• Chii chinokonzera hypocalcemia?
• Ndezvipi zviratidzo zvehypocalcemia?
• Chirwere checalcium chinoshomeka sei?
• Neonatal hypocalcemia
• Hypocalcemia inorapwa sei?
• Ndeapi matambudziko angangoitika e hypocalcemia?
• Hypocalcemia inogona kudzivirirwa sei?
• Vhitamini D
• Mararamiro anochinja

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Chii chinonzi calcium kukwana chirwere?

Calcium yakakosha zvicherwa. Muviri wako unoishandisa kuvaka mapfupa akasimba nemeno. Calcium inodiwa zvakare kuti moyo wako uye dzimwe mhasuru dzishande nemazvo. Kana iwe ukasawana calcium yakakwana, iwe unowedzera njodzi yako yekukura kusagadzikana senge:

• osteoporosis
• osteopenia
• calcium kushomeka chirwere (hypocalcemia)

Vana vasina kuwana calcium yakakwana vanogona kusakura kusvika pakukwana kwavo kuzere kugona sevanhu vakuru.

Iwe unofanirwa kutora huwandu hwakakurudzirwa hwecalcium pazuva kuburikidza nechikafu chaunodya, zvinowedzera, kana mavitamini.

Chii chinokonzera hypocalcemia?

Vanhu vazhinji vari panjodzi yakakura yekushomeka kwecalcium sezvavanokwegura. Uku kushomeka kunogona kunge kuri nekuda kwezvakasiyana zvinhu, zvinosanganisira:

• yakashata calcium kudya kwenguva yakareba, kunyanya muhudiki
• mishonga inogona kudzikisa calcium
• kusagadzikana kwekudya kuzvikafu zvine calcium
• Hormone shanduko, kunyanya mumadzimai
• mamwe majini

Izvo zvakakosha kuti uve nechokwadi chakakodzera checalcium kudya pazera rese.

Kune vana nevechiri kuyaruka, zvinokurudzirwa zvemazuva ese zvecalcium zvakafanana kune vese varume kana vakadzi. Zvinoenderana neNational Institutes of Health (NIH), mvumo yezuva nezuva ndeiyi:

Zvinoenderana nehurumende yeUS, zvinoda calcium kuvanhu vakuru ndezvi:

Vakadzi vanofanirwa kuwedzera yavo calcium kudya pakutanga muhupenyu kupfuura varume, kutanga mune yepakati zera. Kusangana nezvinodiwa zvecalcium zvinonyanya kukosha sezvo mukadzi achisvika kumwedzi.

Munguva yekuguma kuenda kumwedzi, vakadzi vanofanirwa kuwedzera kudya kwavo kwecalcium kuti vaderedze njodzi ye osteoporosis uye chirwere checalcium. Kuderera kwehomoni estrogen panguva yekuenda kumwedzi kunokonzera mapfupa emukadzi kutetepa nekukurumidza.

Iyo hormone chirwere hypoparathyroidism inogona zvakare kukonzera calcium kushomeka chirwere. Vanhu vane chirwere ichi havaunze zvakakwana parathyroid hormone, iyo inodzora calcium mazinga muropa.

Zvimwe zvikonzero zve hypocalcemia zvinosanganisira kushaya chikafu zvinovaka muviri uye malabsorption. Kushaya zvinovaka muviri ndipo paunenge usiri kuwana zvinovaka muviri zvakakwana, nepo malabsorption iri apo muviri wako usingakwanise kupinza mavitamini nemamineral aunoda kubva pane chikafu chaunodya. Zvimwe zvikonzero zvinosanganisira:

• yakaderera mazinga evitamini D, izvo zvinoita kuti zvive zvakaoma kutora calcium
• mishonga, yakadai phenytoin, phenobarbital, rifampin, corticosteroids, uye zvinodhaka zvinoshandiswa kurapa yakakwira calcium mazinga
• chirwatata
• hypermagnesemia uye hypomagnesemia
• hyperphosphatemia
• septic kuvhunduka
• kuwedzerwa ropa kukuru
• itsvo kutadza
• mamwe mishonga yemakemikari
• "Hungry bone syndrome," inogona kuitika mushure mekuvhiyiwa kwe hyperparathyroidism
• kubviswa kweparathyroid gland tishu sechikamu chekuvhiya kubvisa gland yegland

Kana iwe ukarasikirwa neyako yezuva nezuva muyero wecalcium, hauzove unove wakashomeka calcium husiku. Asi zvichiri kukosha kuedza kuita calcium yakakwana zuva rega rega, sezvo muviri unoishandisa nekukurumidza. Vegans vanowanzoita calcium yakashomeka nekukasira nekuti havadye zvigadzirwa zvemukaka zvine calcium.

Kushayikwa kweCalcium hakuzobudise zviratidzo zvenguva pfupi nekuti muviri unochengetedza huwandu hwecalcium nekuitora yakananga kubva kumapfupa. Asi kwenguva refu yakaderera masosi ecalcium anogona kuve nematambudziko akakomba.

Ndezvipi zviratidzo zvehypocalcemia?

Yekutanga nhanho kushomeka kwecalcium kunogona kusakonzera chero zviratidzo. Zvisinei, zviratidzo zvinokura sezvo mamiriro achienderera.

Zviratidzo zvakakomba zve hypocalcemia zvinosanganisira:

• kuvhiringidzika kana kurasikirwa mundangariro
• mhasuru
• chiveve uye kurira mumaoko, tsoka uye kumeso
• kuora mwoyo
• kuona zvisipo
• tsandanyama
• zvipikiri zvisina simba uye zvinopwanyika
• kutsemuka kuri nyore kwemapfupa

Kukwana kwecalcium kunogona kukanganisa mativi ese emuviri, zvichikonzera nzara dzisina kusimba, kukura kwebvudzi zvishoma, uye kusimba, ganda rakatetepa.

Calcium inoitawo basa rakakosha mukuburitswa kweiyo neurotransmitter uye contractions yemhasuru. Nekudaro, kushomeka kwecalcium kunogona kuunza pakubatwa mune vamwe vanhu vane hutano.

Kana iwe ukatanga kuona zviratidzo zvetsinga sekurasikirwa kwendangariro, chiveve nekurumwa, kuona zvisipo, kana kugwinha, ita musangano kuti uone chiremba wako nekukurumidza sezvazvinogona.

Chirwere checalcium chinoshomeka sei?

Bata chiremba wako kana iwe uine zviratidzo zvecalcium kushomeka kwechirwere. Vanozoongorora nhoroondo yako yekurapa uye ndokubvunza iwe nezve nhoroondo yemhuri yekushomeka kwecalcium uye osteoporosis.

Kana chiremba wako achifungidzira kushomeka kwecalcium, ivo vachatora muyero weropa kuti vatarise ropa rako re calcium calcium. Chiremba wako anozoyera yako yakazara calcium level, yako albin level, uye yako ionized kana "yemahara" calcium level. Albumin ipuroteni inosunga calcium uye inoitakura kuburikidza neropa. Yakasimudzirwa yakaderera calcium mazinga muropa rako anogona kusimbisa kuongororwa kwecalcium kushomeka kwechirwere.

Kazhinji calcium mazinga evakuru anogona kubva pamamirigiramu 8.8 kusvika 10.4 pa decilita (mg / dL), sekureva kweMerck Manual. Iwe unogona kuve panjodzi yekushomeka kwecalcium chirwere kana yako calcium nhanho iri pazasi pe8.8 mg / dL. Vana nevechiri kuyaruka kazhinji vane yakakwira ropa calcium calcium kupfuura vanhu vakuru.

Neonatal hypocalcemia

Neonatal hypocalcemia inoitika muvacheche vachangoberekwa. Mazhinji kesi eanaonatal hypocalcemia anoitika mukati memazuva maviri ekutanga mushure mekuzvarwa. Asi kunonoka kutanga hypocalcemia kunogona kuitika mazuva matatu mushure mekuzvarwa, kana gare gare.

Njodzi dzinokanganisa vacheche dzinosanganisira kuve diki kune zera ravo uye chirwere cheshuga chemamai. Kunonoka kutanga hypocalcemia kunowanzo kukonzerwa nekumwa mukaka wemombe kana fomula ine yakawandisa phosphate.

Zviratidzo zveeonatal hypocalcemia zvinosanganisira:

• jitteriness
• kudyisa kudya
• pfari
• kufema, kana kunonoka kufema
• tachycardia, kana kukurumidza kupfuura kurova kwemoyo kwakajairika

Kuongororwa kunoitwa nekuyedza ropa remucheche kune yakazara calcium level kana ionized calcium level. Chikamu cheglucose chemucheche chichaongororwawo kuti chibudise hypoglycemia.

Kurapa kazhinji kunosanganisira kupa intravenous calcium gluconate inoteverwa nemazuva akati wandei emumuromo calcium zvinowedzera.

Hypocalcemia inorapwa sei?

Calcium kushomeka kunowanzo kuve nyore kurapa. Izvo zvinowanzo sanganisira kuwedzera imwe calcium kune chako chikafu.

Usazviriritire nekutora yakawanda macalcium ekuwedzera. Kutora zvinopfuura chiyero chakakurudzirwa pasina kubvumidzwa nachiremba wako kunogona kutungamira kunyaya dzakakomba senge itsvo matombo.

Kazhinji zvinokurudzirwa calcium zvinowedzera zvinosanganisira:

• calcium carbonate, inova isingadhuri uye ine yakanyanya elemental calcium
• calcium citrate, inova ndiyo inonyanya kubatwa
• calcium phosphate, iyo inobatwawo zviri nyore uye haikonzere kupatira

MaCalcium ekuwedzera anowanikwa mune emvura, piritsi, uye maficha anotsemuka.

Tenga macalcium ekuwedzera.

Izvo zvakakosha kuti uzive kuti mimwe mishonga inogona kupindirana zvisirizvo nema calcium zvinowedzera. Iyi mishonga inosanganisira:

• kuwedzera kweropa beta-blockers senge atenolol, iyo inogona kudzikisira calcium kutora kana ikatorwa mukati maawa maviri ekutora calcium zvinowedzera
• maantacid ane aluminium, ayo anogona kuwedzera huwandu hweropa realuminium
• cholesterol-ichideredza bile acid sequestrants senge colestipol, iyo inogona kudzikisa calcium kutora uye kuwedzera kurasikirwa kwecalcium mune weti
• estrogen mishonga, iyo inogona kubatsira mukuwedzera kwecalcium ropa mazinga
• digoxin, sezvo yakakwira calcium mazinga inogona kuwedzera digoxin chepfu
• diuretics, iyo inogona kuwedzera calcium mazinga (hydrochlorothiazide) kana kudzikisa huwandu hwecalcium muropa (furosemide)
• mamwe maantibhakitiriya akadai sefluoroquinolones uye tetracyclines, iyo yekumwa kwayo inogona kudzikiswa ne calcium zvinowedzera

Dzimwe nguva kudya kunochinja uye zvinowedzerwa hazvina kukwana kurapa kushomeka kwecalcium. Mune ino kesi, chiremba wako angangoda kudzora ako calcium mazinga nekukupa iwe yakajairwa calcium majekiseni.

Iwe unogona kutarisira kuona mhedzisiro mukati memavhiki ekutanga ekurapwa. Zviitiko zvakakomba zvecalcium kushomeka kwechirwere zvinozotariswa pamwedzi kusvika kumwedzi mitatu.

Ndeapi matambudziko angangoitika e hypocalcemia?

Matambudziko kubva kucalcium kushomeka kwechirwere anosanganisira kukuvara kwemaziso, kurova kwemoyo zvisina kujairika, uye osteoporosis.

Matambudziko kubva ku osteoporosis anosanganisira:

• kuremara
• musana kutsemuka kana mamwe mapfupa akatsemuka
• kunetseka kufamba

Kana ikasiiwa isingarapwe, chirwere checalcium chinogona kupedzisira chauraya.

Hypocalcemia inogona kudzivirirwa sei?

Unogona kudzivirira calcium kushomeka kwechirwere nekusanganisa calcium mukudya kwako mazuva ese.

Ziva kuti chikafu chine calcium yakawanda, senge zvigadzirwa zvemukaka, zvinogona zvakare kuve zvakakora mumafuta akazara uye mafuta anotapira. Sarudza yakaderera-mafuta kana isina-mafuta sarudzo dzekudzora njodzi yako yekukura yakakwira cholesterol uye chirwere chemwoyo.

Iwe unogona kuwana 1/4 kusvika 1/3 yeRDA yako yecalcium mune imwechete yekushandira yemamwe mamonya nema yogurts. Sekureva kweiyo, zvimwe zvekudya zvine calcium zvine hupfumi zvinosanganisira:

Paunenge uchisangana neyako calcium chinodiwa zvakanyanya, iwe zvakare unoda kuve nechokwadi kuti hausi kuwana zvakawandisa. Sekureva kweMayo Clinic, miganhu yepamusoro yekudyiwa kwecalcium mumamiligiramu (mg) yevakuru ndeiyi:

• 2,000 mg pazuva uye varume nevakadzi vane makore makumi mashanu nemashanu zvichikwira
• 2,500 mg pazuva nevarume nevakadzi vane makore 19 kusvika makumi mashanu ekuberekwa

Iwe ungangoda kuwedzera chikafu chako nekutora multivitamin. Kana chiremba wako anogona kukurudzira zvinowedzera kana iwe uri panjodzi yakakura yekuvandudza kushomeka kwecalcium.

Multivitamini inogona kunge isina iyo yese calcium yaunoda, saka ive shuwa yekudya chikafu chakakomberedzwa. Kana iwe uri nepamuviri, tora prenatal vhitamini.

Vhitamini D

Vitamin D yakakosha nekuti inowedzera chiyero calcium inopinzwa muropa rako. Kumbira chiremba wako kuti yakawanda sei vitamini D yaunoda.

Kuti uwedzere calcium yako yaunodya, iwe unogona kuwedzera chikafu chakafuma muvhitamini D pane chako chikafu. Izvi zvinosanganisira:

• hove dzakakora salmon uye tuna
• yakasimbiswa jisi reranjisi
• mukaka wakakomberedzwa
• portobello howa
• mazai

Sezvakaita nemidziyo yemukaka ine calcium yakawanda-yakawanda, zvimwe zvinogadzirwa nemukaka zvine mavitamini D zvinogonawo kuva nemafuta akazara.

Chiedza chezuva chinokonzeresa muviri wako kugadzira vhitamini D, saka kugara uchionekwa nezuva kunogona kubatsirawo kuwedzera yako vhitamini D mazinga.

Mararamiro anochinja

Pamusoro pekuchengetedza hutano hwakanaka hwecalcium uye vhitamini D, pane mamwe mararamire shanduko aungaite kusimudzira hutano hwepfupa. Izvi zvinosanganisira:

• kuchengetedza huremu hwemuviri hwakanaka
• kurovedza muviri nguva dzose
• kurambidza kushandiswa kwefodya uye kunwa doro