Kaalshiyam - ionized

Kalsiyumka la cabiray waa kaalshiyam ku jira dhiiggaaga oo aan ku xirnayn borotiinnada. Waxaa sidoo kale loo yaqaanaa kaalshiyam bilaash ah.

Unugyada oo dhan waxay u baahan yihiin kaalshiyam si ay u shaqeeyaan. Kaalshiyamku wuxuu caawiyaa dhisida lafaha iyo ilkaha oo xoog badan. Waxay muhiim u tahay shaqada wadnaha. Waxay kaloo ka caawisaa muruq jabka, calaamadaha neerfaha, iyo xinjirowga dhiigga.

Maqaalkani wuxuu ka hadlayaa baaritaanka loo isticmaalay in lagu cabiro qadarka kaalshiyam-ka ionized ee dhiiga ku jira.

Sambal dhiig ayaa loo baahan yahay. Inta badan dhiigga waxaa laga soo qaataa xididka ku yaal gudaha xusulka ama dhabarka gacanta.

Waa inaanad wax cunin ama cabin ugu yaraan 6 saacadood baaritaanka ka hor.

Daawooyin badan ayaa faragelin kara natiijooyinka baaritaanka dhiigga.

• Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona haddii aad u baahan tahay inaad joojiso qaadashada wax daawo ah ka hor baaritaankaan.
• HA JOOJIN ama ha beddelin dawooyinkaaga adiga oo aan marka hore la hadlin takhtarkaaga.

Bixiyahaaga ayaa laga yaabaa inuu dalbado baaritaankaan haddii aad isku aragto astaamo lafaha, kilyaha, beerka ama cudurka parathyroid.Baaritaanka waxaa sidoo kale loo samayn karaa si loola socdo horumarka iyo daaweynta cuduradan.

Inta badan, tijaabooyinka dhiigga waxay cabiraan wadarta heerka kaalshiyamkaaga. Tani waxay eegaysaa kalsiyumka ionized iyo kaalshiyamka kuxiran borotiinka. Waxaa laga yaabaa inaad u baahato in lagaa qaado baaritaanka kalsiyum ee gaarka ah haddii aad leedahay arrimo kordhinaya ama yareynaya wadarta heerarka kaalshiyamka. Kuwaas waxaa ka mid noqon kara heerarka dhiigga ee aan caadiga ahayn ee albumin ama immunoglobulins.

Natiijooyinka guud ahaan waxay ku dhacaan noocyadan:

• Carruurta: 4.8 ilaa 5.3 milligram per deciliter (mg / dL) or 1.20 to 1.32 millimoles per liter (millimol / L)
• Dadka qaangaarka ah: 4.8 ilaa 5.6 mg / dL ama 1.20 ilaa 1.40 millimol / L

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Tusaalooyinka kor ku xusan waxay muujinayaan cabirka guud ee natiijooyinka imtixaanadan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan.

Heerarka ka-caadiga caadiga ah ee kaalshiyam-ka ionized waxaa laga yaabaa inay ugu wacan tahay:

• Heerarka kalsiyum ee kaadida oo yaraaday sabab aan la garanayn
• Hyperparathyroidism
• Hyperthyroidism
• Caano-alkali syndrome
• Myeloma badan
• Cudurka Paget
• Sarcoidosis
• Daawooyinka loo yaqaan 'Thiazide diuretics'
• Thrombocytosis (tirada platelet-ka badan)
• Burooyinka
• Fiitamiin A xad dhaaf ah
• Fiitamiin D xad dhaaf ah

Heerarka ka hooseeya caadiga ayaa laga yaabaa inay ugu wacan tahay:

• Hypoparathyroidism
• Malabsorption
• Osteomalacia
• Qanjirada
• Guuldarada kililka
• Rickets
• Faytamiin D yaraanta

Kaalshiyam bilaash ah; Kaalshiyamka ionized

• Baaritaanka dhiigga

Bringhurst FR, Demay MB, Kronenberg HM. Hormoonnada iyo ciladaha dheef-shiid kiimikaadka. Gudaha: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Buugga Buugga Endocrinology. 13aad. Philadelphia, PA: Elsevier; 2016: cutubka 28.

Klemm KM, Klein MJ. Calaamadaha kiimikada ee dheef-shiid kiimikaadka. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 15.

Thakker RV. Qanjirka 'parathyroid', 'hypercalcemia', iyo hypocalcemia. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 245.