Nyocha ọkwa ọkwa phosphorus

Nyocha ọkwa ọkwa phosphorus

Nkọwa nke phosphorus

Le site bụ a ịnweta mkpa iji ọtụtụ mmeghachi omume cellular, karịsịa maka usoro ume nke mkpụrụ ndụ akwara. Phosphorus na-ekerekwa òkè na ya mineralization nke ọkpụkpụ anụ ahụ, dị ka nke ahụ calcium.

Ihe dị ka 85% nke phosphorus na-etinye n'ime ọkpụkpụ. Ọbara phosphorus, nke a na-ahụ n'ụdị monosodium ma ọ bụ disodium phosphate, karịsịa, na-anọchi anya naanị 1% nke mkpokọta phosphorus.

Ọtụtụ ihe na-etinye aka na nhazi ọkwa nke phosphorus n'ime ọbara (phosphoremie), nke:

  • Ọkwa vitamin D (na-abawanye absorption digestive)
  • hormone parathyroid (na-abawanye absorption digestive na excretion nke akụrụ);
  • hormone ibu (na-abawanye absorption digestive)
  • corticosteroids (na-abawanye excretion)

 

Kedu ihe kpatara eji anwale ọbara phosphorus?

A na-egosi dose nke phosphorus n'ọbara ma ọ bụrụ na ọ dị nsogbu ọkpụkpụ ma ọ bụ ndị nọ n'ụlọ ọgwụ, bụ ndị ọrịa phosphoreemia na-adịkarị.

Usoro a nke phosphorus na-ejikọta ya na nke calcium (mgbe niile).calcemia) na ụfọdụ creatinine dị creatinine (ihe dị ka serum).

N'ezie, mkpebi siri ike nke ọkwa calcium ga-ekwe ka dọkịta chọpụta a hyperparathyrodi (nke na-ebutekwa mmụba nke calcium serum).

 

Kedu nsonaazụ anyị nwere ike ịtụ anya site na nyocha nke phosphorus?

Le usoro ogwu A na-enweta phosphorus site na nlele ọbara, site na a venipuncture na-emekarị na crease nke ikiaka.

Usoro ọgwụgwọ mmamịrị (phosphaturie) nwekwara ike: na nke a, a ga-anakọta mmamịrị niile karịa awa 24. Enwere ike ịchọrọ usoro onunu ogwu a ma ọ bụrụ na ọrịa akụrụ, ọrịa a na-enyo enyo nke gland parathyroid na n'ezie ọgba aghara ọkpụkpụ.

A na-egosipụtakarị ya mgbe nsonaazụ nke nyocha ọbara na-egosi obere phosphoremia, iji mee ka nchọpụta ahụ dịkwuo mma.

 

Kedu nsonaazụ anyị nwere ike ịtụ anya site na nyocha nke ọkwa phosphorus?

Dị ka ntuziaka, mkpokọta phosphorus nkịtị n'ọbara dị n'etiti 0,8 na 1,5 mmol / L ma ọ bụ 25 na 45 mg / L. N'ime ụmụaka, ha dị n'etiti 1,5 na 2 mmol / L.

A na-akpọ mbelata ọkwa nke phosphorus n'ime ọbara hypophosphatemia ; a na -akpọ mmụba hyperphosphoremie.

Mgbe ọbara na mmamịrị phosphorus dị ala (phosphaturia na-erughị 10 mmol / 24 h), hypophosphatemia na-ejikọkarị ya na nsogbu mgbaze: malabsorption, ịṅụ ọgwụ antacids, aṅụrụma na-adịghị ala ala.

Mgbe, n'ụzọ megidere nke ahụ, phosphaturia dị elu, ọ ga-ekwe omume na onye ahụ na-arịa ọrịa shuga ma ọ bụ phosphate (mfu nke phosphorus na mmamịrị). Nyocha ọzọ ga-adị mkpa.

Hypophosphatemia bụ ihe a na-ahụkarị na ndị ọrịa nọ n'ụlọ ọgwụ (1 ruo 3%) yana ọkachasị ndị nọ na nlekọta ahụike (30 ruo 40%).

Hyperphosphatemia, n'aka nke ọzọ, nwere ike ime mgbagwoju anya nke ọdịda akụrụ na-adịghị ala ala. Ebe ọ bụ na ihe na-adịghị mma na ọkwa phosphorus dị n'ọbara nwere ike ibute nsogbu dị iche iche nke obi, iku ume ma ọ bụ akwara, ọ dị mkpa ịchọpụta na ịgwọ ha ngwa ngwa.

Gụọ kwa: 

Nsogbu thyroid gị

Akwụkwọ akụkọ anyị gbasara calcium

 

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