Vim li cas thiaj muaj hypocalcemia hauv pancreatitis?
Vim li cas thiaj muaj hypocalcemia hauv pancreatitis?

Video: Vim li cas thiaj muaj hypocalcemia hauv pancreatitis?

Video: Vim li cas thiaj muaj hypocalcemia hauv pancreatitis?
Video: Vim Li Cas Thiaj Muaj Qauv Tsev Tshiab? 2024, Lub Xya hli ntuj
Anonim

Kab mob pancreatitis tuaj yeem txuam nrog tetany thiab hypocalcemia . Nws yog tshwm sim los ntawm nag lossis daus ntawm calcium soaps nyob rau hauv lub plab kab noj hniav, tab sis glucagon-stimulated calcitonin tso tawm thiab txo PTH secretion yuav ua lub luag hauj lwm.

Ntxiv mus, yuav ua li cas rau calcium hauv pancreatitis?

Cov calcium concentration hauv txiav kua txiv yog qis dua hauv plasma. Nws txo qis nrog cov nqi ntws ntau thiab nce asymptotically rau cov ntshav ntshav nrog tus nqi qis. Nyob rau hauv mob pancreatitis calcium concentration tau nce hauv cov kua txiv secretin-stimulated.

Ib qho ntxiv, puas yog kab mob pancreatitis ua rau hypercalcemia? Common etiological yam ntawm mob mob pancreatitis yog cawv, kab mob gallstone, tshuaj yeeb, raug mob, kis kab mob thiab hyperlipidemia. Hypercalcemia as a ua ntawm mob pancreatitis tsis tshua muaj tshwm sim. Hypercalcemia feem ntau yog qhov tshwm sim ntawm hyperparathyroidism (HPT) thiab feem ntau tshwm sim ua HPT yog parathyroid adenoma.

Tib neeg kuj nug, yuav kho tus mob pancreatitis hypocalcemia li cas?

Nce hauv qib calcium hauv cov ntshav tom qab koob tshuaj bolus yog ib ntus thiab qib pib poob tom qab 30 feeb. Yog li, ib koob tshuaj bolus yuav tsum tau ua raws li kev txhaj tshuaj ntawm 0.5-1.5 mg ntawm calcium elemental / kg / h kom txog thaum cov tsos mob rov zoo. [26] Cov lus teb rau cov tshuaj calcium tuaj yeem sib txawv ntawm tus neeg mob mus rau tus neeg mob.

Vim li cas thiaj muaj hypocalcemia hauv lub raum tsis ua haujlwm?

Hypocalcemia nyob rau hauv mob lub raum tsis ua hauj lwm yog vim ob qhov laj thawj - nce cov ntshav phosphorus thiab poob qis lub raum kev tsim tawm ntawm 1, 25 (OH) 2 vitamin D. Cov vim yav tas los hypocalcemia los ntawm complexing nrog serum calcium thiab depositing nws rau hauv cov pob txha thiab lwm yam ntaub so ntswg.

Pom zoo: