Teko ea mali ea calcium

Teko ea mali ea calcium e metha boemo ba calcium maling.

Sengoliloeng sena se tšohla tlhahlobo ea ho lekanya khalsiamo e felletseng maling a hau. Hoo e ka bang halofo ea khalsiamo e maling e hoketsoe liprotheine, haholo-holo albumin.

Ka linako tse ling ho etsoa teko e arohaneng e lekanyang calcium e sa hokelletsoeng liprotheine tse maling a hao. K'halsiamo e joalo e bitsoa calcium ea mahala kapa ea ionized.

Calcium le eona e ka lekanyetsoa ka morong.

Ho hlokahala sampole ea mali.

Mofani oa hao oa tlhokomelo ea bophelo a ka u joetsa hore u khaotse ho noa meriana e itseng e ka amang tlhahlobo. Meriana ena e ka kenyelletsa:

• Letsoai la calcium (le ka fumanoa liholong tsa phepo e nepahetseng kapa li-antacids)
• Lithium
• Thiazide diuretics (lipilisi tsa metsi)
• Thyroxine
• Vithamine D.

Ho noa lebese le leholo haholo (lilithara tse 2 kapa ho feta kapa lilithara tse 2 ka letsatsi kapa lihlahisoa tse ngata tsa lebese) kapa ho noa vithamine D e ngata e le tlatsetso ea lijo le hona ho ka eketsa maemo a calcium ea mali.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba ikutloa feela ho hlaba kapa ho hlaba. Kamora moo, ho kanna ha ba le ho longoa kapa ho longoa hanyenyane. Haufinyane sena sea fela.

Lisele tsohle li hloka calcium ho sebetsa. Calcium e thusa ho haha ​​masapo le meno a matla. E bohlokoa tšebetsong ea pelo, mme e thusa ka ho honyela ha mesifa, ho supa methapo le ho koala mali.

Ngaka ea hau e ka laela tlhahlobo ena haeba u na le matšoao a:

• Maloetse a itseng a masapo
• Mefuta e meng ea mofetše, e kang multiple myeloma, kapa mofetše oa sefuba, matšoafo, molala le liphio
• Lefu le sa foleng la liphio
• Boloetse bo sa foleng ba sebete
• Mathata a litšoelesa tsa parathyroid (hormone e entsoeng ke litšoelesa tsena e laola calcium le vithamine D maling)
• Mathata a amang tsela eo mala a hao a monang limatlafatsi ka eona
• Tekanyo e phahameng ea vithamine D
• Ho tšoaroa ke qoqotho e feteletseng (hyperthyroidism) kapa ho noa moriana o mongata haholo oa lihormone

Ngaka ea hau e kanna ea laela tlhahlobo ena haeba u qetile nako e telele u phomotse betheng.

Litekanyetso tse tloaelehileng li tloha ho 8.5 ho isa ho 10.2 mg / dL (2.13 ho isa ho 2.55 millimol / L).

Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Li laboratori tse ling li sebelisa litekanyo tse fapaneng kapa li ka leka mefuta e fapaneng. Bua le ngaka ea hau ka se boleloang ke sephetho sa hau sa liteko.

Boemo bo phahameng ho feta bo tloaelehileng bo ka bakoa ke maemo a 'maloa a bophelo bo botle. Lisosa tse tloaelehileng li kenyelletsa:

• Ho phomola betheng nako e telele.
• Ho ja calcium kapa vithamine D. e ngata
• Hyperparathyroidism (litšoelesa tsa parathyroid li etsa lihormone tse ngata haholo; hangata li amahanngoa le boemo bo tlase ba vithamine D).
• Matšoao a bakang li-granuloma tse kang lefuba le mafu a itseng a fungal le mycobacterial.
• Multiple myeloma, T cell lymphoma le mefuta e meng ea mofets'e.
• Metastatic bone tumor (kankere ea masapo e hasaneng).
• Tšoelesa ea qoqotho e feteletseng (hyperthyroidism) kapa meriana e mengata ea qoqotho ea qoqotho.
• Lefu la paget. Tšenyo e sa tloaelehang ea masapo le ho hlaha hape, ho baka ho holofala ha masapo a amehileng.
• Sarcoidosis. Lymph nodes, matšoafo, sebete, mahlo, letlalo kapa lisele tse ling lia ruruha kapa lia ruruha.
• Lihlahala tse hlahisang ntho e kang parathyroid e kang ntho.
• Tšebeliso ea meriana e meng e kang lithium, tamoxifen le thiazides.

Maemo a tlase ho feta a tloaelehileng a ka bakoa ke:

• Mathata a amang ho monya limatlafatsi tse tsoang mala
• Hypoparathyroidism (litšoelesa tsa parathyroid ha li etse hormone ea tsona e lekaneng)
• Ho hloleha ha liphio
• Lebelo le tlaase la mali a albumin
• Lefu la sebete
• Khaello ea Magnesium
• Pancreatitis
• Khaello ea Vitamin D

Ho na le kotsi e nyane haholo e amehang ha ho nkuoa mali a hau. Methapo le methapo li fapana ka boholo ho tloha ho motho e mong ho ea ho o mong le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho nka mali ho batho ba bang ho ka ba thata ho feta ho ba bang.

Likotsi tse ling tse amanang le ho huloa mali li nyane empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Hematoma (mali a bokellanang ka tlasa letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)
• Li-punctures tse ngata ho fumana methapo

Ca + 2; K'halsiamo ea seramu; Ca ++; Hyperparathyroidism - boemo ba calcium; Osteoporosis - boemo ba calcium; Hypercalcemia - khalsiamo; Hypocalcemia - boemo ba khalsiamo

• Teko ea mali

Klemm KM, Klein MJ. Likarolo tsa biochemical tsa metabolism ea masapo. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 15.

Mogorzewski MJ, Stubbs JR, Yu ASL. Mathata a calcium, magnesium le phosphate balance. Ka: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, li-eds. Brenner le Rector ea Liphio. 10th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 19.