Hypocalcemia: zviratidzo, zvinokonzera, kurapwa

Hypocalcemia - chirwere iyo pane zvisinganzwisisiki yakaderera pamwero serum karusiyamu. The zvokurwara Kazhinji aine vanotaura pamusoro electrophysiological kwendangariro. Zvinogona kuitika mune chakasimba kana chirwere chimiro.

Hypocalcemia. Chii?

Hypocalcemia - mumwe zvokurwara umo ropa karusiyamu pamwero pazasi 2,2 mmol / l. Izvi zvinhu mu muviri vemunyika runonyanya mu pfupa (anenge 99%) uye plasma ropa (vangasvika 1%). With karusiyamu kushayiwa mu plasma anotanga excretion wayo kubva mapfupa. Saka zvakakodzera nepakati anodzokororwa.

Zvakakosha chaizvo kuti kukurumidza chakonzera chirwere uye kutanga kurapwa. Zvikasadaro, kushaya karusiyamu kunogona kukanganisa kushanda muviri wose, pamusoro evanhu. Special nzeve chirwere ichi kunoda muvarwere vaduku.

Hypocalcemia: Zvinokonzera

• Hypoparathyroidism. Kana kwenguva refu ischemia of parathyroid mumasero kana dzavo hypoplasia muropa riri rakapinza kuderera parathyroid kemikari, izvo zvinodiwa kuramba physiologically chakaipa nhanho calcium ions. Somugumisiro, fuma iri yabudiswa ne itsvo rakawandisa zvizhinji.
• Bowel chirwere uyo Absorção de Água iri kwakakanganiswa mucosa duku ura calcium.
• Ahola - kumira bile kupinda ura duku, izvo zvinodiwa zvomudumbu mhango.
• Hypovitaminosis D kana nemishonga wayo chiito.
• Hunokachidza kuvhunduka chirwere - ichi ndicho chimwe chikonzero.
• karusiyamu muropa haagoni uchashayikwa nokuda kuparadzwa rwatata. Kuzvimba chinowedzera zvishoma nezvishoma deposition pakati munyu pamusoro fuma munzvimbo mafuta necrosis.
• Metastasis anomera makuru.
• Kubvuma mamwe mapoka mishonga (diuretics, anticonvulsants, mishonga inorwisa mabhakitiriya).
• Chiremba zvokurwara kukura somugumisiro zvokudya mukaka kana wemisanganiswa rurefu zviri phosphorus.

zvekuchipatara mufananidzo

Low karusiyamu muropa kwenguva refu murege kuratidza zvemo zviratidzo. Pashure imwe nguva kunotungamirira zvokurwara kuti kusagadzikana pfungwa nerevane kukonzera chetsinga zviratidzo: mwoyo, kurasikirwa ndangariro, aone zvinhu zvisipo, kuvhiringidzika. Kana zvichibvira kuti nokukurumidza normalize mamiriro, zviratidzo izvi reversible.

Zvakanyanyisa yakaderera wevasungwa calcium muropa kunogona kukonzera marwadzo tsandanyama, tingling nemiromo uye rurimi. In kunyanya zvakakomba Muzviitiko, murwere ane kugwinha, kwetsandanyama ari dokeriro, tetany.

Sei munhu akaratidza hypocalcemia? Zviratidzo zvacho zvingasanganisira:

1. Hemorrhagic / hypocoagulation syndrome. Ichi chirwere kunoperekedzwa nokutaurisa ropa matadza nokuda kweropa. Karusiyamu kushaikwa kunowedzera permeability ari mudziyo masvingo.
2. Dystrophic tishu kushanduka. Vanoratidza pachavo muchimiro yakawedzera fragility bvudzi uye zvipikiri, akasiyana-siyana urema nemazino, pave tsanga.
3. Mwoyo mutinhimira vachivavhiringidza.

The Mhando chikuru zvokurwara

Kusiyanisa kaviri chirwere: chisingaperi uye rikwanise hypocalcemia. Zviratidzo dzinoratidzwa kubudikidza pakuonekwa wokupedzisira hombe cytolysis syndrome. Panyaya iyi, iyo ionized karusiyamu rinobviswa ropa nokukurumidza. Zvokurwara kwakasiyana nokukurumidza kunoita kana cytolysis chiri pamwe renal insufficiency.

Pane imwe kupatsanura pakati chirwere. Hypocalcemia ndiko:

1. Functional (dzakabudirira somugumisiro Kuvhiringidza yomunyika nenhengo dzawo).
2. Toxigenic (akaumba nokushandisa zvimwe mapoka zvinodhaka, migumisiro zvine chepfu).
3. Kutyora yenguva dzose mitemo calcium-phosphorus-magnesium exchange.

Zvinoumba hypocalcemia muvana

zvokurwara Izvi zvinogona chirwere mune vana vemazera. Zvakaipira calcium phosphorous zvokudya, vhitamini D - ndicho chikonzero rakajairika rinotsanangura chimiro zvirwere zvakadai hypocalcemia. Zviratidzo chirwere ichi vari kupfuura kutaurwa nyaya kana mwana kwakavandudza kwomuviri nepfungwa mupfungwa. It kunoratidzwa zvinotevera zvekuchipatara zviratidzo:

• Atypical tetany, izvo kunooneka pacharo mune kusagadzikana kana uchifamba.
• Cramping dzemhuru netsandanyama.
• Persistent manyoka.
• Yakawedzera intracranial kumanikidzwa.
• Laryngospasm.

Hypocalcemia muvana - ichi chinhu chakakomba zvikuru zvokurwara kuti kunoda kurapwa pakarepo. Inattention kuti pautano hwemwana kungaita kuti asingatarisirwi matambudziko.

Hypocalcemia pashure pokuberekwa

Pashure pakaberekwa mwana ane chirwere vakadzi kunokwanisa kuonekwa chaizvo kashoma. It unowanikwa rikwanise chimiro uye aine kuoma huro, rurimi, dumbu. In Muzviitiko zvakaipisisa, mukadzi ari pakoma. Postpartum hypocalcemia, zvinokonzera zvisina kunzwisiswa zvakazara, anoreva zvirwere kwemakemikari anobudiswa hunhu.

chirwere matanho

Kazhinji, chirwere kunozivikanwa mukana panguva purogiramu vaongo-. Low karusiyamu muropa dzakaonekwa pashure bvunzo ropa. Ndokusaka wokutanga chirwere uye zvokurwara noruzhinji zviratidzo akazotevera. Kuziva chikonzero, waimira sezvo ayo kukura, chiremba anogona zvakare kugadza zvinoverengeka chirwere kurapa (nemiedzo nokukanganisika ropa, MRI kuti nhengo dzomukati, mapfupa X-ray, ECG).

Chii kurapwa kunodiwa?

In chirwere ichi zviri zvikuru kwete chete kuti nokuda kushaya calcium, asiwo kubvisa ayo zvichibvira zvinokonzera.

Kana raitongwa varwere hypoparathyroidism kuzvitsinhanisa kurapa pamwe hormone nevamiririri. Muchiitiko ichi zvakakosha sezvo runotikurudzira chirwere chinogona kushandiswa kubvisa uye kudzivirira hypercalcemia (chirwere pane zvakawanda ropa karusiyamu). Kana murwere asina nezvinetso zvinodhaka Absorção de Água ari ura duku, kurapa kwakadaro pfupi nguva kungaita yakanaka, kusanganisira chakakomba chimiro chirwere.

In kurwiswa tetany nomutsinga raitongwa zvinogadzirisa calcium chloride. Yeuka kuti zvinodhaka izvi tsamwisa madziro mutsinga. Naizvozvo zviri nani kuti jekiseni kuburikidza musimboti anobudisa mushonga zvishoma nezvishoma kana mugomba guru tsinga.

Chokubata nezvirwere chirwere chokutambudzika varwere ushandiswe vhitamini D (somuenzaniso, "Calcitriol", "ergocalciferol"), uyewo karusiyamu kugadzirira zviri piritsi fomu. The chipimo chemushonga mishonga vakasarudzwa nomunhu, zvichienderana zvechadenga chirwere rinonzi "hypocalcemia".

Treatment kunosanganisirawo kuchengetwa chinokosha kudya. Zvokudya zvinofanira kuvandudza zvokudya rurefu zviri magnesium uye vhitamini D (mukaka, michero yakaomeswa, miriwo, zviyo siyana). Nokuti nguva yose kurapa Zvinokurudzirwa kusiya akanyanyisa mafuta zvokudya, aisvuta, zvakabikwa zvinhu uye mufushwa. Nutrition inofanira hacho. Izvi zvinoreva kuti iwe unogona kudya kazhinji asi zvikamu zviduku. Kudya kwakadaro kunobatsirawo pamusoro zvomudumbu turakiti, yekudyidzana anovandudza metabolic kwendangariro.

zvinogoneka yematambudziko

Yadzikira kana yakawedzera karusiyamu muropa chete kunambwa yose muviri. Kana zviratidzo hypocalcemia chinodiwa pasina kunonoka kutsvaka rubatsiro kubva chiremba uye achindireverera rakarumbidza yawapiwa. Zvikasadaro, zviri kuwedzera mukana wokuti pakuva panzvimbo ngozi dzoutano matambudziko. Izvi zvinosanganisira tsanga, neuritis, edema pamusoro optic etsinga. Uyezve, pane nyaya mwoyo nokukundikana uye chitarisiko chakakura deformation of marangwanda.

matanho

Tingaita sei zvirwere zvakadai hypocalcemia? Zviratidzo chirwere ichi vari saka kanganisa mararamiro zvikuru kuti varwere vazhinji havagoni kubatsira kubvunza mubvunzo uyu.

Chekutanga nyanzvi dzinokurudzira zvakasimba kuti adzokorore yenyu mazuva ose zvokudya. Zviri nani kubvisa chero zvigadzirwa hunokuvadza, wedzera mamwe utano uye kudya zvinovaka muviri. Sezvo kudzivirira chirwere, vanachiremba vari zano kuomerera nenhungamiro yakanaka kunovaka muviri, steamed kana chakabikwa muchoto, vanodya diki, kakawanda zvokudya. Zvakakosha kuti siyana zvokudya zvinogadzirwa rurefu zviri magnesium uye vhitamini D.

Zvinokurudzirwa kuti kushomeka kushandisa laxatives. Kana uine matambudziko bowel motility, zvakakodzera kubvunza kuti nyanzvi. Achakubatsira kunzwisisa kwete chete runotikurudzira kukonzera kupatirwa asiwo kusarudza inonyatsobudirira mishonga.

Sei zvimwe ndinogona kudzivisa chirwere? The zvinokonzera chirwere ichi dzinowanzoratidzwa akavanzwa atadze kushanda zvakanaka pamusoro nemudumbu. Zvisinei, mangwanani kurapwa kwezvirwere ari gastro-intestinal turakiti kudzivisa matambudziko kushayiwa muropa karusiyamu.

Tinovimba kuti vose mashoko munyaya ino pamusoro chirwere zvakapararira nhasi uchava kuti chaizvoizvo kubatsira. Stay utano!