Nnyocha ọbara site na ọbara: otu esi eme ya na ụkpụrụ ụkpụrụ
Ndinaya
Nyocha phosphorus na ọbara na-ejikarị usoro nke calcium, parathormone ma ọ bụ vitamin D na-eme iji nyere aka nyocha ma nyere aka na nlekota nke ọrịa metụtara akụrụ ma ọ bụ akụkụ eriri afọ.
Site bụ ihe ịnweta nke enwere ike inweta site na nri ma na-enyere aka na ịmebe ezé na ọkpụkpụ, na arụ ọrụ nke akwara na akwara na inye ike. Uzo zuru ezu nke phosphorus n'ọbara ndị toro eto dị n'agbata 2.5 na 4.5 mg / dL, ụkpụrụ dị elu ma ọ bụ n'okpuru kwesịrị nyocha na ihe kpatara dọkịta ahụ.
Kedu ka esi eme
A na-enyocha phosphorus n’ime ọbara site na ịnakọta obere ọbara na akwara na ogwe aka. Achịkọta ahụ ga-eme na onye na-ebu ọnụ ọ dịkarịa ala awa 4. Na mgbakwunye, ọ dị mkpa ịkọwa iji ọgwụ, dị ka ọgwụ mgbochi, ọgwụ mgbochi, dị ka isoniazid, ma ọ bụ antihistamines, dịka promethazine, dịka ọmụmaatụ, n'ihi na ha nwere ike igbochi nsonaazụ nnwale ahụ.
A na-eziga ọbara ahụ anakọtara na laabu, ebe a ga-eme usoro ọgwụ site na ọbara. Ọtụtụ mgbe, dọkịta na-enye iwu nyocha ọbara site na ọgwụ nke calcium, vitamin D na PTH, n'ihi na ihe ndị a bụ ihe na-egbochi ịta ahụhụ site na ọbara. Mụtakwuo banyere ule PTH.
A na-atụkarị nyocha ọbara site na ọbara mgbe enwere mgbanwe nke calcium n'ime ọbara, mgbe a na-enyo enyo na nsogbu na eriri afọ ma ọ bụ akụrụ akụrụ, ma ọ bụ mgbe onye ahụ nwere mgbaàmà nke hypocalcaemia, dịka nkwụsị, ọsụsọ, adịghị ike na ịmị ọnụ, aka na ụkwụ. Ghọta ihe hypocalcemia bụ na ihe ọ nwere ike ibute.
Ihe njirimara
Referencekpụrụ ntụpọ nke phosphorus n'ime ọbara dịgasị iche dị ka afọ na ụlọ nyocha nke emere nyocha ahụ, nke nwere ike ịbụ:
Afọ | Ntụnye uru |
0 - 28 ụbọchị | 4.2 - 9.0 mg / dL |
Daysbọchị 28 ruo afọ 2 | 3.8 - 6.2 mg / dL |
2 ruo afọ 16 | 3.5 - 5.9 mg / dL |
Site na afọ iri na isii | 2.5 - 4.5 mg / dL |
Kedu ihe phosphorus dị elu pụtara
Akwa site n'ọbara, a na-akpọkwa ya hyperphosphatemia, nwere ike ịbụ n'ihi:
- Hypoparathyroidism, dị ka a na-ahụ PTH na obere ihe, ọkwa nke calcium na site na ọbara adịghị edozi nke ọma, ebe ọ bụ na PTH bụ ọrụ maka iwu a;
- Ral ezughi oke, ebe ọ bụ na akụrụ na-ahụ maka iwepụ phosphorus dị ukwuu na mmamịrị, si otú ahụ na-agbakọta n'ime ọbara;
- Iji ihe mgbakwunye ma ọ bụ ọgwụ nwere phosphate;
- Ogba menopa.
Nchịkọta nke site na ọbara nwere ike ibute mmerụ ahụ na akụkụ dị iche iche site na ịkọwapụta ma si otú ahụ nwee nsogbu obi, dịka ọmụmaatụ.
Kedu ihe ala dị ala pụtara
A na-eme ka ihe dị na ọbara dị ala, a na-akpọkwa ya hypophosphatemia, nwere ike ime n'ihi:
- Vitamin D erughi, dị ka vitamin a na-enyere eriri afọ na akụrụ aka ịmịkọ phosphorus;
- Malabsorption;
- Obere nri nri phosphorus;
- Hypothyroidism na-agwọ ọrịa;
- Hypokalemia, nke bụ obere ịta nke potassium n’ime ọbara;
- Hypocalcemia, nke bụ obere ịta nke calcium n'ime ọbara.
Mmiri dị ala nke ukwuu na ọbara nke ụmụaka nwere ike igbochi uto nke ọkpụkpụ, yabụ ọ dị mkpa na nwatakịrị ahụ nwere nri kwesịrị ekwesị nke gụnyere ị ofụ nri ndị jupụtara na site na phosphorus, dịka sardines, ugu mkpụrụ na almọnd, dịka ọmụmaatụ. Hụ nri ndị ọzọ juputara na phosphorus.