Le pākuʻi he mea pōhaku pono i nui nā hopena pūnaewele, i kikoʻī i nā ʻano hana ikehu o nā hunaola mākala. Pāʻani pū kekahi ʻo Phosphor i mineralization o ka iwi iwi, e like me ka ka pōhaku.

Ma kahi o 85% o ka phosphore i hoʻokomo ʻia i loko o nā iwi. ʻO ke kōpōpō koko, i loaʻa ma ke ʻano o ka monosodium a i ʻole disodium phosphate, ma kahi kikoʻī, e hōʻike wale ana he 1% wale nō o ka nui o ka phosphorus.

Pili kekahi mau kumu i ka hoʻoponopono ʻana o nā pae phosphor i ke koko (phosphorémie), o ka mea :

• wikamina D pae (hoʻonui i ka digestive absorption)
• parathyroid hōmona (hoʻonui i ka digestive absorption a me ka renal excretion)
• ulu hōmona (hoʻonui i ka digestive omo)
• corticosteroids (hoʻonui hoʻonui)

Hōʻike ʻia ke ana o ka phosphorous koko i ka hihia o maʻi maʻi iwi aiʻole i ka poʻe i loaʻa i ka haukapila, kahi pinepine nā maʻi phosphoremia.

Pili mau kēia mea o ka phosphore me kēlā o ka calcium (kalememia) a me kekahi hakuʻala (serum creatinine).

ʻOiaʻiʻo, ʻo ka hoʻoholo ʻana o ka pae calcium e ʻae ka kauka iā a hyperparathyroidism (ʻo ia kekahi e hoʻonui ai i ka calcium o ke serum).

Le ʻike loaʻa ka phosphor i kahi hāpana koko, e a ʻōiwi maʻamau i ka lipine o ka kuʻe lima.

Mīkini hoʻopiliphosphaturie) hiki pū kekahi: i kēia hihia, pono e hōʻiliʻili i ka mimi ma 24 mau hola. Koi ʻia kēia mahele lāʻau inā loaʻa nā maʻi maʻi ʻōpala, nā maʻi i manaʻo ʻia o nā ʻōpū parathyroid a me nā ʻano iwi o ka iwi.

Hōʻike pinepine ʻia ia ke hōʻike nā hopena o ke kaukā koko i ka phosphoremia haʻahaʻa, e hoʻomaʻemaʻe i ke kuhi.

Ma ke ʻano he alakaʻi, ma waena o 0,8 a me 1,5 mmol / L a i ʻole 25 a me 45 mg / L. ma waena o nā keiki, aia lākou ma waena o 1,5 a me 2 mmol / L.

Kāhea ʻia kahi hōʻemi o ka pae o ka phosphore i loko o ke koko hypophosphatemia ; kapa ʻia kahi hoʻonui hyperphosphorémie.

Ke hoʻohaʻahaʻa ke koko a me ka mūhū phosphore (phosphaturia ma lalo o 10 mmoL / 24 h), pili pinepine ka hypophosphatemia i kahi pilikia digestive: malabsorption, lawe i nā antacids, ʻona mau.

Ke, i ka ʻaoʻao ʻē aʻe, kiʻekiʻe ka phosphaturia, hiki paha i ka mea ʻehaʻeha i ka phosphorus a i ʻole ka phosphate diabetes (ka nalowale o ka phosphore i ka mimi). A laila pono nā loiloi hou.

ʻO ka Hypophosphatemia ka mea maʻamau i nā maʻi maʻi (1 a 3%) a me nā mea mālama nui (30 a 40%).

ʻO Hyperphosphatemia, ma ka ʻaoʻao ʻē aʻe, he pilikia kūpono ia o ka hōʻino ʻole o ke kōpaʻa mau. Ma muli o nā mea kūpono ʻole i ke kiʻekiʻe o ke kōpōpō koko e hiki ai ke alakaʻi i nā pilikia o ka naʻau, ka hanu ʻana a i ʻole nā ​​mākala, he mea nui e ʻike a mālama koke iā lākou.