Hypocalcemia: Cutar cututtuka, Dalilin da Magani

Wadatacce

• Menene sababi
• Yadda za'a tabbatar
• Babban alamun cututtukan Hypocalcemia
• Yadda ake yin maganin

Hypocalcemia shine raguwar matakan alli na jini wanda, a mafi yawan lokuta, baya haifar da wani alamu kuma yawanci ana gano shi a sakamakon gwajin jini. Koyaya, lokacin da adadin alli ya yi ƙasa kaɗan, alamun cututtuka masu tsanani irin su ciwon tsoka, rikicewar hankali da kamawa na iya faruwa.

Hypocalcemia yawanci yakan taso ne yayin da jiki ya kasa daukar matakan yada kwayar cutar na yau da kullun, kamar yadda yake a cikin hypoparathyroidism ko rashin bitamin D, alal misali, kuma ana yin magani ne gwargwadon dalilin, la'akari da tsananin yanayin. ba akwai alamun bayyanar ba, yana buƙatar ƙarin alli.

Calcium wani mahimmin ma'adinai ne don lafiyar ƙashi da kumburin jiki, kuma matakan sa a cikin jini ana daidaita su ne ta hanyar glandon parathyroid da bitamin D, waɗanda ke daidaita shan alli a cikin abinci, rarrabawa cikin ƙasusuwa da jiki ko kuma kawar da su da kodan. Duba ƙarin game da ayyuka da fa'idodin alli ga jiki.

Menene sababi

Babban dalilan hypocalcemia sun hada da:

• Hypoparathyroidism, musamman idan akwai rauni ko cirewar cututtukan parathyroid, wanda zai iya faruwa ta hanyar tiyatar wuya, kamar lokacin cirewar maganin ka, ko saka iska a yayin maganin cutar kansa, misali;
• Pseudo-hypoparathyroidism, lokacin da jiki ya rasa hankali kuma ba zai iya amsawa zuwa matakan PTH ba, wanda shine kwayar cututtukan parathyroid;
• Karancin ci gaban gland na parathyroid, kamar su DiGeorge syndrome, wanda ke shafar jarirai;
• Rashin Vitamin D;
• Intakearancin alli ko malabsorption;
• Cututtukan koda, wanda ke hana kunna bitamin D kuma zai iya haifar da fitowar ƙwayar alli cikin fitsari;
• Sakamakon sakamako na wasu magunguna, kamar Asparaginase, Cisplatin, Rifampicin, Ketoconazole, anticonvulsants ko bisphosphonates, misali;
• Canje-canje a cikin matakan wasu ma'adanai waɗanda ke tsoma baki tare da matakan alli, kamar ƙoshin ƙoshin ƙwayar cuta ko ƙarancin magnesium;
• Shaye-shaye na kullum.

Bugu da kari, hypocalcemia na iya zama wata matsala ta cutar sankara mai saurin gaske, saboda sinadarai masu kiba da kitsen da ke kumbura ya saki zai iya tsoma baki tare da yawan sinadarin calcium.

Yadda za'a tabbatar

Hypocalcemia ana bincikar shi ta hanyar auna alli kyauta a cikin jini, wanda ake kira ionic calcium, wanda yake kasa da matakan al'ada, wanda ya kamata ya kasance tsakanin 4 zuwa 5 mg / dl kuma jimlar alli yana nuna cewa ya bata lokacin da yake kasa da 8, 5 mg / dl. Koyaya, waɗannan ƙimar na iya bambanta dangane da ɗakin binciken da ke yin gwajin. Hakanan bincika abin da ke faruwa yayin da ƙwaya mai yawa a cikin jininku.

Koyaya, har yanzu likita na iya buƙatar yin gwaje-gwaje a kan kodan, hormones da matakan sauran abubuwan da ke cikin jini, kamar su PTH, bitamin D, phosphorus da matakan magnesium, alal misali, don gano mene ne dalilin matsalar.

Babban alamun cututtukan Hypocalcemia

Kodayake hypocalcemia baya nuna alamun bayyanar a cikin mafi sauƙin yanayi, lokacin da matakan calcium sun yi ƙasa kaɗan ko sauka kwatsam, alamu kamar:

• Ciwon tsoka da spasms;
• Ingunƙwasa a cikin baki, hannaye da ƙafa;
• Raɗaɗɗu;
• Gumi;
• Tashin zuciya da amai;
• Ciwon ciki;
• Ciwan asma.

Lokacin da hypocalcemia ya kasance na yau da kullun kuma ya bayyana a hankali, kamar yadda yake a cikin hypoparathyroidism, ana iya lura da busassun fata, ƙusoshin ƙusa, asarar gashi da yashwar haƙori, da kuma fargaba, damuwa, rikicewar hankali, canjin ƙwaƙwalwar ajiya da rawar jiki. Koyi game da sauran alamun alamun wannan matsalar.

Yadda ake yin maganin

Maganin hypocalcemia ya dogara da dalilin, tsananin yanayin da kasancewar ko rashin bayyanar cututtuka. Lokacin da akwai tsananin hypocalcemia da alamomi, maye gurbin alli, kamar su calcium gluconate ko calcium chloride, ya zama dole ta jijiya, har sai an sami saukin alamun.

A cikin yanayin ƙananan hypocalcemia, ana iya nuna ƙwayoyin alli da ƙara yawan abinci tare da alli. Duba jerin abincin da ke cike da alli.

Hakanan ya zama dole a binciki musababbin kuma a warware shi, wanda zai iya hada da maye gurbin magnesium, bitamin D, da kuma maganin cututtukan koda ko na parathyroid, idan su ne dalilin hypocalcemia.