Icala likaSulkovich. Isiboniso, inqubo yokuqhuba

Izindlela zezobuchwepheshe zokucwaninga kwezokwelapha zivumela ukuba ubone ukutholakala kwezinqubo zokuvuvukala emzimbeni noma ukukhomba izifo ezithile (isibonelo, ukukhubazeka kwesimiso segazi, ukwehluleka kwezinso zezinso, ukungabi namagciwane okugaya, isifo sikashukela). Ngezinye izikhathi ngenxa yokuhlaziywa kungenzeka ukuqonda imbangela yokuphulwa (i-viral noma i-microbial agent).

Kunezindlela eziningi zokuhlola ukubunjwa kokulinganisa nokulinganisa komchamo. Lokhu kuhlanganisa okulandelayo: ukuhlaziywa jikelele, ukuhlolwa kukaSulkovich, Nechiporenko, Zimnitsky, Addis-Kakovski, Amburge, njll. Ngayinye yalezi zindlela kusiza ukusola isifo esithile se-urogenital, kanye nokutholakala kwezinye izifo.

Uhlolo lukaSulkovich - lusetshenziselwa ukuthini?

Isampula yomchamo ye-Sulkovich yakhelwe ukunquma okuqukethwe kwe-calcium kuyo. Le ndlela isetshenziselwa ukukhishwa okusobala. Lesi sifo sihlobene nokubunjwa okungalungile kwamathambo ngenxa yokuntuleka kwe-calcium emzimbeni. Lesi sifo sisakazeka phakathi kwezinsana ezingenayo i-prophylactic dose ka vithamini D noma engenakho ukukhanya kwelanga. Ukuhlolwa kukaSulkovich kulokhu kuhloswe, hhayi okuphelele, ngakho-ke ukuxilongwa kwe-rickets kuphela ngosizo lwakhe akulungile. Ngokuvamile lokhu kuhlaziywa kusetshenziselwa ukulawula umthamo we-vitamin D futhi kugweme ukudlula ngokweqile, okuboniswa yi-hypercalcemia.

Yini eyingozi ku-hypercalcemia?

Isimo lapho umzimba ukhona ngaphezu kokuqukethwe kwe-calcium kuyingozi kakhulu. Zihambisana nezifo eziningi, isibonelo, hypervitaminosis, ukuphazamiseka kwe-hormonal, i-sarcoidosis, izicubu, njll. I-calcium eyengeziwe ibangela ukulimala kuzo zonke izitho nezinhlelo, kodwa amathambo, isimiso sezinzwa eziphakathi, amathumbu kanye nezitsha zihlupheka kakhulu. Isimo somzimba sibonakala ngokuphulwa komqondo (kuze kufike ku-coma), ubuthakathaka bomzimba noma ukucindezeleka, ukucindezeleka komzimba, ukwehla kwesimo senhliziyo, ukubonakala kwezinso zezinso nokulahlekelwa ukuhlunga kwe-glomerular. Njengoba i-calcium igxila emkhakheni wezinsi, ukukhuphuka kwezinga layo kuholela ekuphazamiseni kokugaya, kuhlanganise ne-nausea, ukuhlanza, ukuqotshwa. Esikhathini samathambo, izicubu ziba denser, ezihambisana nokunyakaza okukhubazekile nokukhathazeka.

Icala likaSulkovich. Incazelo yemiphumela

Ukuze ugweme izimo ezinzima njenge-hyper- ne-hypocalcemia, icala likaSulkovich lenziwa. Indlela yokwenza lokhu ihlanganisa ukungenisa emcimbini wesiguli umuthi okhethekile oqukethe i- oxalic acid. Lapho kutholakala i-calcium ekuhlaziyweni, i-reagent ye-Sulkovich ihlangana nayo, ekhonjiswe ukushisa kwe-turbid precipitate. Isampula ihlolwa ngesistimu emihlanu (kusukela ku-0 kuya ku-4). Kulesi simo, ukulinganisa okujwayelekile kubhekwa njengokujwayelekile. Njengokwenyuka, nangokuqukethwe okuphansi kwe-calcium emzimbeni, umphumela uzobonisa isilingo se-Sulkovich. Incazelo:

1. Ukuphela kokuntuleka kokuphendula (ukubonakala komchamo) kukuvumela ukuba ufake amaphuzu angu-0. Lo mphumela ubonisa i-hypocalcemia, kuleli cala icala likaSulkovich alibi.

2. I-degree encane ye-turbidity ibonisa amaphuzu angu-1-2. Lona umphumela ovamile, okungukuthi, inani le-calcium emzimbeni lanele.

3. Ngomchamo omkhulu we- turbid uvezwe u-3 no-4 degree. Lokhu kubonisa hypercalcemia.

Isiboniso sesampula

Ukuhlolwa kweSulkovich kuyindlela evamile yokuxilonga, esetshenziselwa ukukhomba izinhlobo ezihlukahlukene ze-pathologies. Yenza lokhu kuhlaziywa kubachwepheshe abaningi, ngokuvamile abaphethwe yi-nephrologists, i-endocrinologists, i-oncologists, i-gastroenterologists, i-neuropathologists. Inombolo enjalo yezobuchwepheshe ingenxa yokuthi izimpawu zokweqa ngokweqile noma ukuntuleka kwe-calcium ziboniswa ekunqothulweni kwazo zonke izinhlelo, ngakho-ke kuyadingeka ukuba kutholakale ukuhlonza okuhlukile kokufanisa. Izinkomba zilandelayo: ukusola nge-hyper- noma hypothyroidism, i-sarcoidosis, ukwandiswa kwamavithamini D no-A. Ku-oncology, lokhu kuhlolwa kusetshenziselwa ukuthola izicubu ezikhiqiza i-calcium ezingatholakala kunoma yiluphi uhlobo, ngokuvamile emgodini wegciwane. Ukuhlolwa kukaSulkovich ezinganeni kuyadingeka ukulawula ukusetshenziswa kwevithamini D, esetshenziselwa kakhulu ekusebenzeni komntwana ekuvimbeleni izidakamizwa.

Ikhono lokuqoqa ukuhlaziywa

Lapho enikeza lolu cwaningo lwama-laboratory, abazali banemibuzo mayelana nokuthi yikuphi ukuhlolwa kwe-Sulkovich, ukuthi ungathatha kanjani ukuhlaziywa, ukuthi kungani kuyadingeka, njll. Izitsha zomchamo kufanele zome futhi zihlanzeke, ngoba lesi sici singathinta imiphumela engalungile. Ngaphambi kokuqoqa ukuhlaziywa, kufanele ugeze ngokucophelela izitho zakho zofuzo ngesepha. Bese ukhulula i-jet encane yomchamo wamanzi endlini yendlu yangasese, bonke abanye - ezitsheni. Ngaphambi kokuba uthathe uhlolo, udinga ukuzikhawulela ekuphuzeni amanzi amaminerali, imikhiqizo yobisi, imifino, iziphuzo ezidakayo kanye nekhofi. Ukuhlukumeza kwalo mthetho kuholela ekutheni icala likaSulkovich lingamanga. Ukuncishiswa kwemikhiqizo equkethe inani elikhulu le-calcium kunconywa izinsuku ezingu-3 ngaphambi kokuhlolwa.

Izimiso zokwelapha i-hyper- ne-hypocalcemia

Ngesimo sokuhlola esihle noma esibi Sulkovich, ukulungiswa kwezidakamizwa ezifanele kuyadingeka. Nge-hypercalcemia, kubalulekile kuqala ukuthola imbangela yalesi sifo. Uma iphutha liwukusetshenziswa kwe-vitamin D, kufanele likhanseliwe. Ngesampula engalungile kubonisa imikhiqizo yobisi omuncu, ukudla kwamaprotheni, ama-eggshell emhlabathini. Amalungiselelo e-calcium kufanele alawulwe ngaphansi kokulawulwa okuqinile ukuze izimpawu ezihlukile zingenzi.