Ukushoda kweCalcium

Izigidigidi zabantu emhlabeni wonke zinenkinga yokuntuleka kwe-calcium ngenxa yokungadli kahle. Le nkinga yezempilo ayibonakali kuze kube yilapho ikhula ibe yinto engathi sína. Umzimba uqala ukuthumela izimpawu eziyisixwayiso ezidinga ukunakwa lapho amazinga e-calcium egazini ewela ngaphansi kuka-8.8 mg/dL.

Abantu abanokuntuleka kwe-calcium baba nezimpawu kusukela ekuphathekeni kabi kuya ezinkingeni ezinzima. Umzimba ubonisa izimpawu eziyisixwayiso zangaphambi kwesikhathi njengamajaqamba emisipha, ukuzwa ukushoshozela emaphethelweni nezinzipho eziphukayo ezibonisa isidingo sale minerali ebalulekile. Lesi simo singadlulela ku-osteoporosis, okwenza amathambo abe ntekenteke futhi athambekele ekuphukeni. Abesifazane bangemva kokuya esikhathini badinga u-1000-1200 mg we-calcium nsuku zonke futhi babhekana nengozi enkulu yalezi zinkinga.

Amazinga e-calcium aphansi enza okungaphezu kokulimaza impilo yamathambo. Izinkinga zamazinyo, ukucindezeleka futhi izimo zesikhumba zonke zingaba ngenxa yalokhu kuntuleka. Izimo ezinzima ze-hypocalcemia zingaholela ezinkingeni ezisongela ukuphila njengokuquleka nokuhluleka kwenhliziyo. Ukutholwa kusenesikhathi kwalezi zimpawu eziyisixwayiso kudlala indima enkulu ekwelashweni okuyimpumelelo.

Izimpawu zokushoda kweCalcium (Hypocalcemia)

Umzimba ugcina i-calcium yegazi ngokuyikhipha emathanjeni, okusho ukuthi izimpawu ze-calcium ephansi ingase zingabonakali ngaso leso sikhathi. Abantu baqala ukuzwa amajaqamba emisipha emhlane nasemilenzeni njengoba isimo siba sibi. Isikhumba sabo siyoma futhi sibe namaxolo, izinzipho ziba bushelelezi, nezinwele ziba maholoholo. Ukushoda kuvame ukuvela njengokundikindiki kanye nokuluma ezandleni, ezinyaweni, nasemlonyeni.

Izimpawu ezibucayi ze-calcium ephansi zikhula ngaphandle kokwelashwa:

• Izinkinga zenkumbulo nokudideka
• Ukucindezeleka, ukukhathazeka, nokucasuka
• Ukuqina kwemisipha emphinjeni okuthinta ukuphefumula
• Ukudlikiza kanye nesigqi senhliziyo esingavamile ezimweni ezimbi kakhulu

Izimbangela Zokuntuleka KweCalcium

Umzimba ulahlekelwa i-calcium eningi ngomchamo, noma amathambo awakhiphi i-calcium eyanele egazini, okuholela ku-hypocalcemia. I-hormone ye-parathyroid ephansi (hypoparathyroidism) iphazamisa ukulawulwa kwe-calcium ngemva kokuhlinzwa kwegilo noma ngenxa yezimo zokuzivikela komzimba. Ukushoda kwe-Vitamin D kuvimbela ukumuncwa okufanele kwe-calcium. Izinkinga zezinso kuthinta kokubili ukusebenza kwe-vitamin D nokugcinwa kwe-calcium.

Izingozi Zezingozi

Amaqembu amaningana anezingozi eziphezulu zokuntuleka kwe-calcium:

• Abesifazane be-post-menopausal
• Abantu abagwema imikhiqizo yobisi
• Labo abanokungabekezelelani kwe-lactose
• Imifino kanye nemifino
• Izingane ezineminyaka engu-9-13, amantombazane asanda kweva eshumini nambili, abesifazane abangaphezu kweminyaka engama-51, kanye nabantu abadala abaneminyaka engaphezu kuka-70 nabo bakuthola kunzima ukuthola i-calcium eyanele.

Izinkinga Zokungabi NeCalcium

Izinkinga zempilo ezingathi sína zivela ngenxa yokuntuleka kwe-calcium isikhathi eside. Ukuminyana kwamathambo kunciphisa (i-osteopenia) futhi kudlulele ku-osteoporosis, okwenza amathambo aphuke kalula. Umzimba ukhipha i-calcium emazinyweni, ibangele ukubola, amazinyo aphukayo nezinsini ezibuhlungu. Ukucindezeleka kungakhula, futhi izimo ezinzima zingase ziholele yokumelwa yinhliziyo, izinkinga eziyingozi zesigqi senhliziyo, nokuquleka. Lezi zinkinga zingabulala ngaphandle kokwelashwa okufanele.

Sifo

Odokotela basebenzisa ukuhlolwa okuningiliziwe kwe-serum calcium ukuze babone ukuntula kwe-calcium. Inqubo ingase idinge ezinye izivivinyo eziningi ukuhlola amazinga e-magnesium ne-phosphorus njengoba la maminerali asebenza ndawonye ne-calcium. 

Amazinga e-calcium aphansi angabonisa izinguquko ezithile kuma-electrocardiograms. Odokotela bahlola izimpawu ze-Chvostek phakathi nokuhlolwa ngokomzimba ngokuthepha imizwa yobuso—ukunyakaziswa kwemisipha yobuso kubonisa izimpawu eziphansi ze-calcium.

Ukwelapha Ukuntula I-Calcium

Ubunzima kanye nesizathu kunquma izindlela zokwelapha. Izithako ze-calcium ngomlomo ezifana ne-calcium carbonate noma i-calcium citrate zisebenza ezimweni ezithambile. 

Iziguli ezine-hypocalcemia emaphakathi kuya kokuqina zingase zidinge i-calcium gluconate emthanjeni, ikakhulukazi lapho zinezimo eziphuthumayo. 

Ukwelashwa kufanele kuqondise izindlela ezibhekene nokuncipha kwamazinga e-Calcium-iziguli ezinezinkinga ze-parathyroid zingase zidinge ukwelashwa kokubuyisela ama-hormone.

Uzoyibona Nini Udokotela

Amazinga e-calcium ayingozi angabangela ukugogeka okukhulu kwemisipha, ubunzima bokuphefumula, noma ukuquleka okudinga ukunakekelwa kwezokwelapha ngokushesha. Kufanele ubone udokotela wakho uma ubona ukuba ndikindiki okuqhubekayo emlonyeni wakho, amajaqamba emisipha njalo, noma ukukhathala okungajwayelekile. Ukuhlolwa njalo kuba semqoka uma unezinkinga zokugaya ukudla okungapheli noma uthatha imithi ethinta ukumuncwa kwe-calcium.

Ukudla KweCalcium Ephansi

Khulisa ukudla kwe-calcium ngokusebenzisa:

• Imikhiqizo yobisi (ubisi, ushizi, iyogathi)
• Imifino enamaqabunga (i-kale, i-collard greens)
• Inhlanzi enamathambo adliwayo (sardines, salmon)
• Ukudla okuqinisiwe (ubisi lwezitshalo, okusanhlamvu kwasekuseni)

Umzimba wakho umunca kangcono i-calcium uma ubhangqwe nemithombo kavithamini D.

Prevention

Ukudla okugcwele i-calcium impilo yonke kusiza ekuvimbeleni ukuntula. Ukugadwa kwezokwelapha kufanele kuqondise umthamo womuthi ukuze kugwenywe izinkinga. 

Amazinga akho kavithamini D ahlala enempilo ngokuchayeka elangeni nokwengezwa okufanele. Yehlisa ukudla kwakho izinto eziqeda i-calcium njenge-caffeine, usawoti, neziphuzo ezine-carbonated. 

Amaqembu asengozini enkulu njengabesifazane abangemva kokuya esikhathini noma abantu abanenkinga yokugaya ukudla badinga ukuhlolwa njalo kwezempilo.

Isiphetho

I-calcium ibalulekile empilweni yethu iyonke, kodwa abantu abaningi abacabangi ngakho kuze kube yilapho kuvela izinkinga. Umzimba wakho uthumela izixwayiso ezicacile lapho amazinga e-calcium ehla. Amajaqamba emisipha, ukushotshozela, nezinzipho eziphukayo kuyizimpawu okungafanele uzishaye indiva. Lezi zexwayiso ziyindlela enhle yokudlulela phambili odabeni ngaphambi kokuba kuvele izinkinga ezinkulu.

Ukuvimbela isimo sokuntuleka kwe-calcium kulula kunokwelapha izigaba zayo ezithuthukile. Ukudla okunomsoco nenani eliphelele lobisi, imifino eluhlaza, nenhlanzi enamathambo adliwayo kudala umugqa wakho wokuqala wokuzivikela. Umzimba wakho udinga ukukhanya kwelanga ukuze uhlanganise uvithamini D, osiza ukumunca kangcono i-calcium.

Abesifazane ngemva kokunqamuka kokuya esikhathini, ama-vegans, kanye nabantu abanezinkinga zokugaya ukudla babhekana nezingozi ezinkulu futhi badinga ukubhekisisa ukudla kwabo kwe-calcium. Ukuhlola njalo kungabona izinkinga kusenesikhathi, ikakhulukazi uma ubona noma yiziphi izimpawu eziyisixwayiso esixoxile ngazo.

Yiqiniso, khuluma nodokotela wakho ngaphambi kokuqala noma yiziphi izithasiselo. Bazonquma umthamo ofanele ngokusekelwe ezidingweni zakho futhi basize ukugwema izinkinga ezivela ku-calcium eningi.

Amathambo akho ayazuza namuhla ku-calcium oyinikezayo. Izinguquko ezilula zokudla manje zingavimbela izinkinga ezinkulu zezempilo kamuva. Lokhu kugcina uhlaka lwamathambo akho luqinile futhi umzimba wakho usebenza kahle iminyaka eminingi ezayo.

Imibuzo Evame Ukubuzwa

1. Uyandisa kanjani i-calcium emzimbeni?

Ukudla kwakho kunikeza indlela engcono kakhulu yokuthuthukisa amazinga e-calcium. Nakhu okufanele ukudle:

• Imikhiqizo yobisi njengobisi, iyogathi, noshizi
• Imifino eluhlaza njenge-kale ne-broccoli (isipinashi ngeke kusize kakhulu njengoba umzimba wakho awukwazi ukumunca kahle i-calcium)
• Izinhlanzi ezinamathambo adliwayo (ama-sardine, i-salmon ekheniwe)
• Ukudla okufakwe i-calcium njengobisi lwezitshalo kanye nezinhlamvu zasekuseni

2. Ingabe i-calcium ephansi ibangela ukukhathazeka?

Ososayensi bathole izixhumanisi phakathi kwezinkinga zokuntuleka kwe-calcium nokuphazamiseka kokukhathazeka. Ucwaningo lubonisa ukuthi ukudla ukudla okucebile nge-calcium kusiza ukunciphisa izimpawu zokukhathazeka futhi kuthuthukisa izinga lokulala. Ubuchopho bakho budinga i-calcium ukwenza i-melatonin nge-tryptophan, okungase ichaze ukuthi kungani ithinta isimo sakho sengqondo. Ingxoxo nodokotela wakho inengqondo uma ucabanga ukuthi i-calcium ephansi ibangela ukukhathazeka kwakho.

3. Singawaphuza amaphilisi e-calcium nsuku zonke?

Udinga i-700-1,200 mg ye-calcium usuku ngalunye. Ukudla kufanele kube umthombo wakho oyinhloko, kodwa izithako zingasiza ekugcwaliseni izikhala. Ukuthatha ngaphezu kuka-1,500 mg ngosuku akulungile - kungaholela ebuhlungu besisu kanye nesifo sohudo. Khuluma nodokotela wakho ngaphambi kokuqala noma iyiphi i-supplement course, ikakhulukazi uma uthatha eminye imithi.

4. Isiphi isithelo esinothe nge-calcium?

Lezi zithelo zipakisha i-calcium punch enhle:

• Amakhiwane omisiwe 
• Ama-oranges 
• ikiwi 
• Amabhilikosi omisiwe 
• Ama-Blackcurrants 

5. Ingabe ingilazi yobisi ngosuku i-calcium eyanele?

Ingilazi yobisi ikunikeza cishe u-240 mg we-calcium, cishe ingxenye eyodwa kwezintathu yabantu abadala abangama-700 mg abayidingayo nsuku zonke. Cishe uzothola i-calcium eningi kokunye ukudla usuku lonke. Umthombo owodwa awanele, ngakho-ke zama ukufaka ukudla okuhlukile okune-calcium ekudleni kwakho.

UDkt. KL Prajapati

I-MBBS, MD
Izibhedlela ze-CARE CHL, e-Indore

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