Cov Ntsuas Hluav Taws Xob Nrig Cuam Tshuam

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Hypophosphatemia hauv Kab miv

Qhov tsis txaus ntawm phosphorus hauv cov ntshav cov ntshav tuaj yeem tshwm sim los ntawm kev hloov pauv ntawm phosphorus los ntawm cov kua dej ntxiv (cov kua dej sab nraud ntawm lub hlwb) mus rau hauv lub hlwb lub cev, txo cov hnyuv nqus ntawm phosphorus, lossis txo lub raum (lub raum) phosphorus reabsorption.

Hauv cov neeg mob uas tau kho insulin rau ntshav qab zib ketoacidosis (ib qho mob uas lub cev hlawv cov roj fatty acids thiab ua rau lub cev ketone acidic nyob rau hauv teb rau insulin muaj tsis txaus, lossis ua raws kev saib xyuas nrog glycolysis (synthesized glucose) rau kev kho mob ntawm kev tshaib plab, ua rau muaj kev cuam tshuam sai sai kev tsim khoom ntawm adenosine triphosphate (ATP, nucleotide uas thauj cov zog hauv lub hlwb) tuaj yeem ua rau hloov chaw ntawm phosphorus mus rau hauv lub hlwb. Yog tias tsis kuaj, nws tuaj yeem ua rau mob ntxiv ntawm cov ntshav hypophosphatemia (kev cuam tshuam ntawm electrolyte).

Vim hais tias phosphorus yog ib qho tseem ceeb ntawm ATP, tsis tshua muaj cov ntsev phosphorus tsawg tuaj yeem ua rau ATP depletion thiab cuam tshuam rau cov hlwb muaj ATP-lub zog xav tau, xws li cov ntshav liab, cov leeg pob txha, pob txha hlwb thiab lub hlwb. Ib lub xeev ntawm hypophosphatemia tseem tuaj yeem ua rau txo qis hauv erythrocyte 2, 3-DPG, uas ua rau cov pa oxygen xa mus rau cov ntaub so ntswg ntau dua.

Cov tsos mob

Cov tsos mob feem ntau yog ua nrog cov thawj tus kab mob uas yog lub luag hauj lwm rau hypophosphatemia, ntau dua li ib qho uas yuav cuam tshuam nrog phosphate concentration nws tus kheej.

• Hemolytic anemia (rhuav tshem cov ntshav liab) theem nrab mus rau lub cev ntshav qaij hypophosphatemia
• Cov zis liab lossis tsaus xim vim hemoglobinuria (protein hemoglobin yog pom nyob hauv qhov ntau ntawm cov zis hauv ntshav) los ntawm hemolysis (tawg qhib cov ntshav liab)
• Tachypnea (ua pa ceev), mob ua pa (ua tsis taus pa), thiab ntxhov siab txog theem ob mus rau hypoxia (tsis muaj pa oxygen hauv lub cev)
• Nqaij tsis muaj zog
• Kev nyuaj siab
• Cov pa ceev heev, vim yog ua pa tsis ua haujlwm ntawm cov leeg ua haujlwm tsis zoo

Ua rau

• Maldistribution - txhawb kev noj haus (hlab hauv qhov ntswg) lossis tag nrho cov khoom noj muaj dej khov
• Kev kho mob ntshav qab zib mellitus
• Kev nqa khoom noj cov muaj cov roj av nrog cov tshuaj insulin
• Kev ua pa alkalosis (txo qis hydrogen ion concentration ntawm cov ntshav plasma)
• Txo kev nqus plab hnyuv ntawm phosphorus - phosphorus-kev noj zaub mov tsis zoo
• Vitamin D tsis txaus
• Phosphate-khi tus neeg sawv cev
• Malabsorption syndromes - cov xwm txheej uas tiv thaiv kev nqus ntawm cov as-ham
• Yuav txo qis raum (raum) phosphate reabsorption
• Tsis kuaj lossis tsis tswj tus mob ntshav qab zib mellitus zoo heev
• Kev siv sijhawm ua haujlwm ntev, ua tshaib plab, lossis khoom noj tsis txaus
• Phosphate-cov zaub mov tsis zoo los yog cov kua cev daws teeb meem

Kev kuaj mob

Tus kws kho tsiaj yuav ua ib qho kev kuaj mob thoob plaws koj tus miv, suav txog keeb kwm yav dhau los ntawm cov tsos mob uas koj tau muab, thiab cov xwm txheej uas yuav ua rau muaj tus mob no. Vim tias muaj ntau yam tshwm sim rau tus mob no, koj tus kws kho tsiaj yuav siv ntau txoj kev kuaj mob los txiav txim siab ua ntej rau kev kho. Tus txheej txheem no tau taw qhia los ntawm kev soj ntsuam ntxaum dua ntawm cov tsos mob pom pom sab nraud, txiav txim tawm ntawm txhua qhov kev mob tshwm sim ntxiv kom txog thaum qhov kev daws teeb meem raug daws tau thiab tuaj yeem kho tau kom zoo. Daim ntawv qhia cov ntshav ua tiav, suav nrog cov ntshav qhia siv tshuaj, ua kom tiav cov ntshav, thiab tso zis cia.

Kev Kho Mob

Yog tias koj tus miv raug kev mob hypophosphatemia loj, koj tus kws kho tsiaj yuav tsum tau pw hauv tsev kho mob miv kom tau txais kev kho mob tam sim ntawd. Yog tias qhov xwm txheej yog los ntawm kev kho mob los ntawm insulin los yog tshuaj rau hauv lub cev thiab cov vitamins, cov kev kho mob no yuav raug ncua kom txog thaum muaj cov tshuaj phosphate ntxiv rau ob peb teev. Yog tias muaj mob ntawm ntshav liab, yuav tsum muaj ntshav hloov tshiab. Hloov siab, yog tias koj tus miv tsuas yog raug kev txom nyem los ntawm kev mob hypophosphatemia, nws tuaj yeem kho rau sab nraud ib ntus ntev npaum li tus miv tus mob tseem ruaj khov.

Nyob thiab Tswj

Tus kws kho tsiaj yuav tsum tau ntsuas koj tus miv cov phosphorus theem txhua 6-12 teev kom txog rau thaum cov xaum ntawm phosphorous nyob ruaj khov nyob rau hauv ib txwm muaj. Yog tias hyperphosphatemia rov ua haujlwm, tag nrho cov tshuaj ntxiv yuav nres thiab koj tus miv yuav muab kua dej kom txog thaum muaj cov phosphorus rov qab mus rau qhov qub. Kev saib xyuas rov qab yuav suav nrog saib xyuas koj tus miv li cas rau mob raum (sai thiab loj) lub raum tsis ua haujlwm, ib qho mob uas qee tus neeg mob hyperphosphatemic haj yam yooj yim, thiab saib xyuas cov tshuaj potassium ntau ntau txhua hnub txog thaum lawv, dhau mus, yuav nyob ruaj khov.