Esemokwu nke ọrịa shuga phosphate adịghị emetụta mmebi nke pancreas na mmụba nke glucose ọbara.
Ọrịa a, dị ka ọrịa shuga, nwere mgbochi ọrịa. Ngosipụta ya bu n’ihi eziokwu ahụ bụ na anaghị etinye phosphorus n'ime ọbara na akwara renal.
N'ime ọbara ahụ, itinye uche ya na-agbada, ihe mebiri emebi anụ ahụ bụ nke na-eduga n'ịme ntụpọ na akwara nke ahụ.
Ihe na-akpata Ọrịa shuga Phosphate
Dabere na ihe kpatara phosphate, ọrịa shuga nwere ike ikpebi site n’ọmụmụ ma bufee ya n’aka ndị nne na nna na-arịa ọrịa ma ọ bụ bụrụ ngosipụta nke etuto ahụ (oncogenic rickets).
Hypophosphatemic rickets na-adị na mbelata phosphorus site na mmamịrị izizi ya, yana nsị nke calcium na phosphat na-emetụta site na eriri afọ, mbelata na njikọ nke vitamin D yana mmeju na imeju. Mbelata na ọrụ nke mkpụrụ ndụ na - akpụpụta akwara ọkpụkpụ (osteoblasts) na - eduga n'eziokwu ahụ na ọkpụkpụ nwere nhazi.
Aremụaka na-arịa ọrịa ma ọ bụrụ na ndị mụrụ ha nwere otu ọrịa. Enweghị ụzọ a kapịrị ọnụ maka igbochi ọrịa ahụ. Ọ bụrụ na nna ahụ na-arịa ọrịa, ọ na-enyefe nwa ya nwanyị ọrịa phosphate, ụmụ nwoke na ụmụ ndị nwanyị nwere ụdị mmepe ahụ nwere ike ịmụ nne site na nne na-arịa ọrịa. A na-ejikọ ihe ọmụmụ sitere na ọrụ nke osteoblasts na ọdịnaya phosphorus n'ime ọbara na chromosome X.
Nke kachasị njọ, ụmụ nwoke na-ata ahụhụ site na hypophosphatemic rickets. N’oge agadi, ọrịa ahụ nwere ike jikọta ya na akpụ n’ime ọkpụkpụ ma ọ bụ anụ ahụ dị nro.
Na ọrịa shuga phosphate, nsogbu ndị dị otú ahụ malitere:
- Ọkpụkpụ
- Ikwu dị nro
- Mgbanwe nke nkwonkwo ụkwụ na ikpere
- Ọkpụkpụ mkpụkpụ ụkwụ.
Ihe ịrịba ama nke ọrịa shuga phosphate dị na nwata
Hypophosphatemic rickets nwere ike ịmalite mgbe ọ bụ nwata, ọ na-abụkarị mgbe nwa ahụ bidoro ije ije n'adabereghị. Tupu nke a, ọnọdụ izugbe nwere ike ịnọgide na-adị ọfụma ma ghara ibute ndị dọkịta na-enyo enyo.
Ihe ịrịba ama nke mbụ bụ obere nwatakịrị, mgbe ahụ ịta ahụ na ọkpụkpụ mgbe ị na-eje ije. Maymụaka nwere ike jụ ịgagharị na-enweghị enyemaka. Nke a ga - esochi ikpere ụkwụ ma mee ka ikpere na nkwonkwo ụkwụ wee na-ama jijiji, ọkpụkpụ dịkwa n’akụkụ mbọ aka.
Ihe ngosi ndị dị otú a jikọtara ya bụ mmebi nke iguzosi ike n'ezi ihe nke enamel nha nzụlite na otutu nke nnabata, oke ọkpụkpụ na ọkpụkpụ pelvic.
Ihe ozo bu njiri mara nke ọrịa mamiri Fofat bu:
- Uda olu adalatala.
- Spasmophilia.
- Ọkpụkpụ n’ụdị n’ụkwụ.
- Ọkpụkpụ na-emebi emebi na nrụrụ ọkpụkpụ.
- Ọkpụkpụ mkpụmkpụ, na-adabaghị
Nchoputa nke oria
Nnyocha X-ray kpughere diaphisation buru ibu (akụkụ nke ọkpụkpụ tubular), njupụta nke ọkpụkpụ, osteoporosis, ịkpụkpụ ọkpụkpụ, ọkpụkpụ nwere oke ọdịnaya nke calcium.
Otu njiri mara ọrịa a na-achọpụta bụ enweghị nzaghachi na ịsesụ ọgwụ vitamin D, n'adịghị ka ọrịa rickets, yana ọrịa phosphate, ojiji a anaghị ebelata ihe mgbaàmà nke ọrịa.
Ọzọkwa, mgbe ị na-eme nchọpụta, nchọpụta nke phosphates na mmamịrị dị ọtụtụ oge karịa ụkpụrụ nkịtị.
Nyocha ọbara na-ekpughe ihe ndị dị n’ime phosphorus dị ala. Iji wepu ọrịa nke ọrịa parathyroid gland, a na-enyocha ọkwa nke homonụ parathyroid. Site na ọrịa shuga phosphate, ọ na-adị elu ma ọ bụ na-enweghị oke. Ihe nlere ya na ntinye nke homonụ parathyroid na-egosiputa mbelata nke akwara gbasara akụrụ.
Na mgbakwunye, na ndị ọrịa, enwere ike ịchọpụta ọrụ alkaline phosphatase mgbe ụfọdụ na ọkwa dị ala nke ọbara na ọbara ma ọ bụrụ na enyere ọgwụ nke phosphorus dị elu.
Ọrịa shuga Phosphate
A na-eji salts phosphoric acid nke calcium na sodium na-agwọ ọrịa shuga na ụmụaka na kilogram 10 nke phosphate kwa 1 n'arọ nke ahụ́ nwatakịrị ahụ ugboro anọ kwa ụbọchị. A na-ewere ọgwụ ọjọọ n'ụdị edozi ma ọ bụ mbadamba.
Edere Vitamin D maka igbochi nsogbu nke sọlfọ nke metabolism A na-eji ya wee malite site na usoro nke 0.005 μg ma na-abawanye 0.03 μg kwa 1 kilogram nke ahụ. N'otu oge ahụ, ọkwa nke phosphorus n'ime ọbara na-ebili, ọrụ nke alkaline phosphatase na-ebelata.
Iji gbochie itinye salts nnu n'ụdị okwute, akwara a na-achịkwa ọkwa dị na sel na mmamịrị. Site na iji ụkpụrụ nkịtị, ị nwere ike jiri nwayọ mee ka ọnụọgụ vitamin D dịkwuo elu.
Ọzọkwa, a na-egosi ndị ọrịa dị otú ahụ nhọpụta nke nhazi calcium. Iji melite ntopute nke salts nke site na calcium si na eriri afọ lumen ha na-agwakọta na citric acid. Tinye Calcium Gluconate, Phytin, Calcium Glycerophosphate, Sodium Citrate. A na-eme ọgwụgwọ ahụ ogologo oge - ruo ọnwa isii.
Na mgbakwunye, usoro ọgwụgwọ ndị a ka enyere ndị ọrịa:
- Ọgwụ Vitamin na tocopherol (vitamin E) na vitamin A.
- Nhọrọ nke ogwugwu nke akwara orthopedic maka idozi curvature nke spain.
- Na ngwụsị nke uto, a pụrụ ịmalite ime ọgwụgwọ nke ọkpụkpụ na-eme ka ọkpụkpụ ọgwụgwọ dị ukwuu.
- Site na ọrịa shuga oncogenic foseti, a na-ewepụ etuto ahụ.
N'ime usoro ọrịa a nwere oke mgbu na ọkpụkpụ, spain na nkwonkwo, a na-enye ndị ọrịa ọgwụ ezumike. Ọ na-abụkarị ụbọchị iri na ise. A na-atụ aro iji ọgwụ ndị na-egbu mgbu na ọgwụ mgbochi mbufụt.
Mgbe ọrịa ahụ gaferela nkwụsi ike nke ụlọ ọgwụ na mgbatị ahụ, a na-enye ndị ọrịa iwu ka ọ na -emega ahụ, yana mmachi nke ime egwuregwu na imega ahụ ike.
A na-atụ aro ka ọ na-eduzi usoro ịhịa aka n'ahụ, ịsa ahụ nnu na-agagharị na mmiri ikuku, ọgwụgwọ na ọnọdụ sanatorium.
Ihe na nsonaazụ ya
A na - amata ụdị ọrịa anọ dabere n'ụdị nsogbu metabolic. Abụọ na ọdịiche abụọ nke ọrịa ahụ dị mma (gbasara ịkọ ogologo oge). Nhọrọ nke mbu bidoro n’afọ mbụ nke ndụ, obere nrụrụ ọkpụkpụ, a na-anabata vitamin D nke ọma. E jikọtara ya na mkpịsị nke phosphorus na calcium yana mmamịrị na feces.
N’ime mgbanwe nke abụọ, ọrịa ahụ bidoro n’afọ nke abụọ nke ndụ, akpọpụtara mgbanwe ngbanwe nke ọkpụkpụ, a na-ebelata phosphorus n’ime mmamịrị. Vitamin D na-egosi nguzogide. A na-enwekarị ọgwụ phosphorus ebe ọ bụ na mmebi akụrụ mere na ọrịa mellitus. A na-ebelata uto nke ụmụaka, ahụrụ ahụ siri ike. Ihe ngosi X-ray nke rickets, nro n’ọkpụkpụ.
Nhọrọ nke atọ na-amalite mgbe ọ dị afọ ise, ọkpụkpụ na-emebi emebi nke ukwuu, a na-ebelata kalsel dị n’ọbara, a na-etinyekwa calcium na phosphates n’ime eriri afọ. Vitamin D gosipụtara nguzogide.
Aremụaka na-echefu echefu, ezé nwere ntụpọ na enamel, na-enwekarị nsogbu. A na-agbadata ọkwa nke kalsel dị n'ọbara, a na-ahụkarị amino acid na mmamịrị. E nwere ihe iriba ama nke hyperfunction nke abụọ nke gall parathyroid. Nyocha x-ray na-ekpughe mgbanwe n’akụkụ uto ọkpụkpụ, osteoporosis.
Ejiri nhọrọ nke anọ mara nsiwanye ike na vitamin D na ebumnuche nke hypervitaminosis, ọbụlagodi mgbe e jiri ya mee obere ọgwụ. Site na mgbe nwata bụ, etinyere mbọ ụkwụ, isi nkwọcha na mmebi ezé.
Ihe ojoo nke oria phosphate gụnyere:
- Mmebi nke postcho na deformation nke ala nsọtụ.
- Nkịtị ma ọ bụ oge mgbagha echiche.
- Ọkpụkpụ na ezé etolite etolite.
- Calcium na akụrụ.
- Ihe isi ike na nnyefe (a chọrọ ngalaba caesarean).
Mgbochi oria a na-eme na nyocha nke mkpụrụ ndụ ihe dị na nhazi nke ịtụrụ ime, ọkachasị ma ọ bụrụ na enwere ụdị ikpe ahụ dịka agbụrụ dị n’ime ezinaụlọ ma ọ bụ ndị ikwu. Ebe a na - enye ndị mmadụ ọrịa mkpụrụ ndụ ihe nketa nwere ike ibute nsogbu nke ọrịa shuga phosphate.
Ọ bụrụ na nwatakịrị ahụ nọ n'ihe ize ndụ, mgbe ahụ, a na-enyocha ya site na ịmụ nwa, na-enyocha ọkwa nke phosphorus na calcium n'ọbara na mmamịrị, ma na-enyocha usoro nke ọkpụkpụ, na-agbaso ụkpụrụ nke afọ, nyochaa mmeghachi omume na profilactic nke vitamin D. Na ọnụnọ nke ihe ịrịba ama mbụ nke ọrịa ahụ, a na-enye ụmụaka iwu. ọgwụ vitamin. Ndị nne na nna kwesịkwara itinye akwụkwọ maka uru maka nwatakịrị nwere ọrịa mellitus ma nata ọgwụ na njem n'efu na ebe nlekọta ahụike.
Na vidiyo dị n'isiokwu a, Dr. Komarovsky na-ekwu maka ụkọ vitamin D.
