Tsis Muaj Ntshav Calcium Ntau Ntxiv Nyob Hauv Cov Dev

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

Hypocalcemia hauv dev

Yog tias koj tus dev muaj qis dua cov calcium uas nyob hauv nws cov ntshav, nws muaj kev txom nyem los ntawm kev kho mob uas hu ua hypocalcemia. Cov tshuaj calcium muaj lub luag haujlwm tseem ceeb hauv kev ua haujlwm ntawm lub cev xws li kev tsim cov pob txha thiab cov hniav, ua kom ntshav khov, tsim mis, cov nqaij ntshiv, lub plawv dhia, lub zeem muag, thiab hauv cov metabolism hauv cov tshuaj hormones thiab enzymes. Yog li no, calcium calcium yog qhov mob hnyav uas yuav tsum tau kho tam sim.

Cov tsos mob thiab Hom

Cov tsos mob txawv raws lub hauv paus ua rau thiab qhov mob loj ntawm qhov teeb meem. Txawm li cas los xij, qee qhov ntawm cov tsos mob tshwm sim feem ntau suav nrog:

• Nqaij npag thiab ua haujlwm co
• Cov tsis muaj qhov muag lossis tawv ncauj
• Rau nkawv
• Ntsej muag txhuam qhov khoom tawm tsam
• Ntuav
• Tsis qab los noj mov
• Ua npaws
• Neeg tsis muaj zog

Muaj qee tus mob me, tsis muaj ib qho tsos mob tshwm sim txog thaum tag nrho cov calcium qib poob qis dua qhov qub (6.7 mg / dL).

Ua rau

Albumin yog ib qho protein nyob hauv cov ntshav thiab cov feem tseem ceeb ntawm calcium tseem nyob rau cov kab mob albumin nrog rau cov calcium dawb hauv cov ntshav. Yog tias theem ntawm albumin ntog (hypoalbuminemia) vim qee yam teeb meem lossis kab mob, nws kuj cuam tshuam rau tag nrho cov qib calcium. Txawm hais tias nws ua rau ntau dua 50 feem pua ntawm cov neeg mob hypocalcemia, cov calcium uas tsis txaus nyob nrog hypoalbuminemia tsis feem ntau cuam tshuam nrog ib qho tsos mob dab tsi.

Mob Hypocalcemia kuj yog vim:

• Raum tsis ua haujlwm (mob los yog mob ntev)
• Tsis zoo calcium uas nyob rau hauv lub plab
• Alkalosis (mob uas lub cev hauv lub cev muaj kua ntau dhau alkali)
• Hypoparathyroidism (kev tsis tso pa txaus ntawm parathyroid hormone ua rau muaj qhov tsis zoo ntawm cov calcium hauv cov ntshav)
• Hypoparathyroidism theem nrab rau kev phais mob tshem tawm cov qog thyroid (thyroidectomy)
• Kev noj haus hyperparathyroidism
• Oxalate toxicity (piv txwv, Lily, philodendron, thiab lwm yam)
• Hypomagnesaemia (qib qis ntawm magnesium nyob rau hauv cov ntshav)
• Mob ncauj paug (mob caj pas)
• Rickets (kab mob thaum ntxov hnub nyoog tshwm sim los ntawm tsis txaus cov vitamin D thiab hnub ci cuam tshuam nrog cov metabolism tsis hnov lus ntawm calcium thiab phosphorus)
• Puerperal tetany (Clinical neurological syndrome uas muaj cov leeg kev tsis sib haum thiab cramps thiab qaug dab peg; txuam nrog calcium tsis txaus [hypoparathyroidism] lossis vitamin D deficiency lossis alkalosis)
• Phosphate-muaj cov tshuaj hnyuv ntxig tau siv rau hauv cov neeg mob cem quav
• Citrate toxicity hauv cov neeg mob uas muaj ntau cov ntshav tau ua rau qee yam teebmeem kev noj qab haus huv

Kev kuaj mob

Muaj qee lub sijhawm uas qhov kev sim ntsuas qhov tsis zoo yog qhov suav tias yog hypocalcemia thaum qhov tseeb koj tus dev tseem zoo. Txhawm rau kom paub tseeb, nws yog qhov tseem ceeb koj yuav tsum qhia qhov tseeb ntawm koj tus dev noj qab haus huv, qhov pib thiab qhov tshwm sim ntawm cov tsos mob, thiab kev muaj xwm txheej uas yuav ua rau muaj qhov mob sai sai. Koj tus kws kho tsiaj tseem yuav ua ib qho kev soj ntsuam mob lub cev kom ntsuam xyuas txhua yam ntawm lub cev kom ntsuas xyuas kev noj qab haus huv ntawm koj tus dev tag nrho. Cov kev ntsuam xyuas ib txwm muaj xws li ua kom tiav cov ntshav suav, biochemistry profile, thiab urinalysis yuav muab cov ntaub ntawv tseem ceeb txog cov ntshav cov calcium calcium thiab cov ntaub ntawv hais txog qhov ua rau muaj kev cuam tshuam cov (cov) ntshav ntawm hypocalcemia hauv koj tus dev.

Yog tias lub raum tsis ua haujlwm yog qhov ua rau muaj ntshav siab vim ntshav qab zib, kev ua tiav cov ntshav yuav pom tias muaj ntshav khov rau cov dev nrog lub raum tsis ua haujlwm. Kev mob ntshav tsis txaus kuj tuaj yeem tshwm sim hauv cov neeg mob uas muaj zaub mov noj qab haus huv ntsig txog hyperparathyroidism lossis lub plab tsis zoo ntawm kev nqus cov calcium hauv lub plab.

Yog tias kis lossis ua mob rau kis (zoo li txiav pancreatitis), cov qe ntshav dawb yuav pom muaj qhov tsis zoo. Hauv qee cov dev nrog cov pancreatitis, amylase thiab lipase enzymes kuj tseem pom tias nce qib siab. Hauv cov dev uas tsis muaj cov kab mob albumin (hypoalbuminemia) muaj cov ncauj lus biochemistry, cov kab mob biochemistry yuav qhia txog qib albumin thiab cuam tshuam hauv calcium ntau ntau. Lub sijhawm no, yog hais tias alkalosis yog qhov ua rau hypocalcemia, cov roj ntshav tsom yuav qhia cov theem siab ntawm cov pa roj carbon dioxide nyob rau hauv cov ntshav ntawm koj tus dev.

Cov dev nrog lub raum tsis ua hauj lwm ethylene, glycol toxicity, lossis oxalate toxicity tuaj yeem tso ntshav ntau ntau dhau ntawm Ntshav Urea Nitrogen (BUN) thiab creatinine. Kev kho phosphorous kuj tseem muaj rau cov xwm txheej ua rau cov neeg muaj calcium tsawg thiab ua rau cov neeg mob raum muaj teeb meem, ethylene glycol toxicity, oxalate toxicity, thiab hypoparathyroidism, biochemistry profile yuav qhia tau ntau theem ntawm phosphorous. Cov phosphorous theem siab thiab cov tshuaj hypocalcemia kuj tseem yuav pom nyob hauv cov ntshav yog tias enemas muaj phosphorous tau siv rau hauv cov neeg mob uas xav tau enema; cem quav, piv txwv. Urinalysis yuav qhia cov ntshav tsis zoo nyob rau hauv cov neeg mob raum lossis ethylene lossis oxalate toxicity.

Txhawm rau txiav txim siab tias cov calcium uas qib qis yog lub luag haujlwm rau cov tsos mob tshwm sim, koj tus kws kho tsiaj tuaj yeem yuav kuaj ntxiv kom pom cov concentration ntawm ionized feem ntawm calcium, uas yog daim ntawv nquag ntawm calcium nyob hauv cov ntshav. Thaum hais txog kev ua haujlwm ntawm ethylene glycol toxicity, kev sim ethylene glycol yuav ua kom paub meej tias muaj tshuaj lom. Tus kws kho tsiaj yuav kos ib cov ntshav los ntawm txoj hlab ntshav ntawm koj tus dev thiab yuav xa nws mus rau qhov chaw kuaj ntshav sim txiav cov qib ethylene glycol hauv cov ntshav. Nquag, theem ntawm ethylene glycol hauv cov ntshav yuav tsum xoom. Yog tias xav tias hypoparathyroidism xav paub ntau ntxiv los soj ntsuam lub luag haujlwm ntawm cov parathyroid caj pas yuav ua.

Kev xoo hluav taws xob hauv lub plab yuav qhia me dua li lub raum lub cev hauv cov dev nrog lub raum tsis ua haujlwm thiab lub raum loj hauv cov tsiaj nrog ethylene glycol toxicity, oxalate toxicity, lossis mob lub raum tsis ua haujlwm. Cov dev nrog cov khoom noj muaj txiaj ntsig ntsig txog hypoparathyroidism, lub sijhawm no, yuav ua rau pom pob txha tsawg ntawm cov pob txha hluav taws xob X-rays.

Kev Kho Mob

Feem ntau, hypocalcemia raug kho los ntawm kev txhim kho calcium ntxiv los ntawm kev saib xyuas ze, thiaj li tiv thaiv kev phiv los cuam tshuam txog cov calcium overload. Koj tus kws kho tsiaj tseem yuav saib xyuas cov ntaub ntawv electrocardiogram (EKG) vim tias calcium muaj cov nyhuv ncaj qha rau lub siab thiab muaj kev hloov calcium ntau ntau ua rau EKG tshawb pom tsis meej.

Tom qab tso ntshav muaj txoj kev kho calcium, koj tus kws kho tsiaj yuav xav tau txuas ntxiv calcium kom ntev mus tiv thaiv kom rov huam mob. Ib qho ntxiv, cov xwm txheej hnyav ntawm hypocalcemia xav tau nyob hauv tsev kho mob ncua ntev.

Nyob thiab Tswj

Nyob rau hauv cov xwm txheej uas muaj kab mob transocal hypocalcemia, thawj zaug kev kho mob calcium feem ntau yuav daws tau qhov teeb meem no. Txawm li cas los xij, yog hais tias hypocalcemia yog vim muaj teeb meem kev noj qab haus huv loj, nws yuav tsum tau kho ntxiv kom tiv thaiv ntu mob yav tom ntej. Hypocalcemia vim yog khoom noj khoom haus thiab parturition (txoj cai ntawm kev yug menyuam) kuj tseem xav tau kev nqis tes ua mus ntxiv.

Yog tias koj tus dev lub hypocalcemia cuam tshuam txog khoom noj khoom haus, piv txwv li, tus kws kho tsiaj ua kom muaj kev noj zaub mov zoo. Thaum cov bitches uas nyuam qhuav tau yug menyuam yuav raug cais los ntawm lawv cov menyuam dev. Hauv cov rooj plaub no, tus menyuam dev tuaj yeem tau noj niam mis ntawm tes kom txog thaum tus dev lub hypocalcemia tau daws tau zoo.