Kev kuaj ntshav calcium

Kev kuaj ntshav calcium ntsuas cov qib calcium uas nyob hauv cov ntshav.

Kab lus no tham txog qhov kev ntsuas kom ntsuas seb koj cov calcium ntau npaum li cas hauv koj cov ntshav. Li ib nrab ntawm cov calcium nyob rau hauv cov ntshav txuas rau cov protein, feem ntau yog albumin.

Qee qhov kev sim cais uas ntsuas cov calcium uas tsis txuas nrog cov protein nyob hauv koj cov ntshav qee zaum kuj ua tau. Cov calcium no hu ua dawb calcium lossis ionized calcium.

Cov tshuaj calcium tseem tuaj yeem ntsuas hauv cov zis.

Xav tau cov ntshav ntxiv.

Koj tus kws kho mob yuav hais rau koj kom tsum tsis txhob noj qee yam tshuaj uas tuaj yeem cuam tshuam kev kuaj mob. Cov tshuaj no suav nrog:

• Cov tshuaj ntsev calcium (tej zaum yuav pom hauv cov khoom noj khoom haus zoo lossis tshuaj tiv thaiv kab mob)
• Lithium
• Thiazide diuretics (dej tshuaj)
• Thyroxine
• Vitamin D

Haus cov mis ntau dhau (2 lossis ntau dua quarts lossis 2 litres ib hnub lossis ntau dua lwm cov khoom siv mis nyuj) lossis noj cov vitamin D ntau dhau vim tias kev noj zaub mov zoo tuaj yeem ua rau muaj ntshav calcium ntau ntxiv.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov duav lossis pob me me. Tsis ntev no ploj mus.

Txhua lub hlwb xav tau calcium txhawm rau ua haujlwm tau. Cov tshuaj calcium pab ua kom cov pob txha thiab cov hniav muaj zog. Nws yog qhov tseem ceeb rau kev ua haujlwm hauv lub plawv, thiab pab rau cov leeg ua kom tsis muaj zog, ua kom cov hlab ntshav txhaws, thiab ntshav txhaws.

Koj tus kws kho mob yuav xaj kom kuaj mob no yog tias koj muaj cov cim lossis cov tsos mob ntawm:

• Qee cov kab mob pob txha
• Qee hom qog nqaij hlav, xws li ntau yam mob myeloma, lossis mob qog noj ntshav mis, mob ntsws, caj dab, thiab raum
• Mob raum
• Kab mob siab
• Kev cuam tshuam ntawm cov qog parathyroid (cov tshuaj hormones ua los ntawm cov qog tswj calcium thiab vitamin D ntau ntau hauv cov ntshav)
• Kev cuam tshuam uas cuam tshuam li cas koj txoj hnyuv nqus cov as-ham
• Theem muaj vitamin D ntau
• Kev hlaus cov thyroid caj pas (hyperthyroidism) lossis noj tshuaj thyroid hormone ntau dhau lawm

Koj tus kws khomob yuav tuaj yeem xaj rau qhov kev ntsuas no yog tias koj pw saum txaj ntev ntev.

Cov txiaj ntsig ib txwm muaj li ntawm 8.5 txog 10.2 mg / dL (2.13 txog 2.55 millimol / L).

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee lub chaw soj nstuam siv cov kev ntsuas sib txawv los yog sim cov qauv sib txawv. Tham nrog koj tus kws kho mob hais txog lub ntsiab lus ntawm koj cov kev sim tshwj xeeb.

Ib qho siab dua li qib qub yuav yog vim qee yam kev mob. Cov teeb meem tshwm sim muaj xws li:

• Ua tau rau lub txaj so ntev.
• Noj ntau dhau calcium lossis vitamin D.
• Hyperparathyroidism (cov qog ntshav parathyroid ua ntau dhau ntawm lawv lub cev; feem ntau cuam tshuam nrog cov qib vitamin D tsawg).
• Cov kab mob uas ua rau mob granulomas xws li tuberculosis thiab qee yam fungal thiab mycobacterial.
• Ntau yam mob myeloma, T cell lymphoma thiab lwm yam qog nqaij hlav.
• Cov pob txha mob pob txha (mob pob txha mob uas tau kis tawm).
• Kev hlaus cov thyroid caj pas (hyperthyroidism) lossis ntau dhau los cov thyroid hormone hloov tshuaj.
• Tus kab mob Paget. Kev puas tsuaj rau cov pob txha tsis zoo thiab rov ua dua tshiab, ua rau lub cev pob zeb deformity.
• Sarcoidosis. Cov qog ntshav, ntsws, siab, lub qhov muag, tawv nqaij, lossis lwm yam nqaij o tuaj yeem o lossis o tuaj.
• Cov qog tsim tawm parathyroid cov tshuaj hormones zoo li.
• Siv qee yam tshuaj xws li lithium, tamoxifen, thiab thiazides.

Qhov qis dua li theem yuav yog vim:

• Kev tsis sib haum xeeb uas cuam tshuam rau kev nqus cov khoom noj los ntawm cov hnyuv
• Hypoparathyroidism (cov roj ntsha parathyroid tsis ua kom txaus rau lawv lub cev)
• Raum tsis ua haujlwm
• Qis ntshav theem ntawm albumin
• Mob siab
• Magnesium tsis muaj zog
• Kev mob caj dab
• Vitamin D tsis txaus

Qhov feem ntau yuav muaj feem tsawg nrog qhov kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)
• Ntau cov punctures los nrhiav cov leeg ntshav

Ca + 2; Ntshav calcium; Ca ++; Hyperparathyroidism - qib calcium; Cov txha o - calcium qib; Hypercalcemia - qib calcium; Hypocalcemia - qib calcium

• Kuaj ntshav

Klemm KM, Klein MJ. Cov cim xyoob ntoo ntawm cov pob txha metabolism. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. Philadelphia, PA: Elsevier; 2017: chap 15.

Smogorzewski MJ, Stubbs JR, Yu ASL. Kev tsis sib haum ntawm cov calcium, magnesium, thiab ntsev tshuav. Hauv: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner thiab Rector's RaumCov. 10 tus ed. Philadelphia, PA: Elsevier; 2016: chap 19.