Hypercalcemia: Kodi Chimachitika Ndi Chiyani Ngati Muli Ndi calcium Yambiri?

Zamkati

• Kodi zizindikiro za hypercalcemia ndi ziti?
• Zonse
• Impso
• Mimba
• Mtima
• Minofu
• Mafupa dongosolo
• Zizindikiro zamitsempha
• Kodi chimayambitsa hypercalcemia ndi chiyani?
• Hyperparathyroidism
• Matenda a m'mapapo ndi khansa
• Zotsatira zamankhwala
• Zakudya zowonjezera komanso mankhwala owonjezera
• Kutaya madzi m'thupi
• Kodi matenda a hypercalcemia amapezeka bwanji?
• Kodi njira zamankhwala zothandizira hypercalcemia ndi ziti?
• Milandu yofatsa
• Milandu yayikulu mpaka yayikulu
• Pulayimale hyperparathyroidism
• Khansa
• Kodi zovuta zomwe zimakhudzana ndi hypercalcemia ndi ziti?
• Kodi chiyembekezo chanthawi yayitali ndichotani?
• Funso:
• Yankho:

Kodi hypercalcemia ndi chiyani?

Hypercalcemia ndimkhalidwe womwe mumakhala ndi calcium yambiri m'magazi anu. Calcium ndiyofunikira pakugwira bwino ntchito kwa ziwalo, maselo, minofu, ndi mitsempha. Ndikofunikanso pakumanga magazi komanso thanzi lamafupa.

Komabe, zambiri zingayambitse mavuto. Hypercalcemia imapangitsa kuti zikhale zovuta kuti thupi lizigwira bwino ntchito. Kashiamu wochuluka kwambiri amatha kuopseza moyo.

Kodi zizindikiro za hypercalcemia ndi ziti?

Simungakhale ndi zizindikilo zowoneka ngati muli ndi hypercalcemia yofatsa. Ngati muli ndi vuto lalikulu, mumakhala ndi zizindikilo zomwe zimakhudza ziwalo zosiyanasiyana za thupi lanu.

Zonse

• kupweteka mutu
• kutopa

Impso

Zizindikiro zokhudzana ndi impso ndizo:

• ludzu lokwanira
• kukodza kwambiri
• kupweteka pakati pa msana ndi kumtunda kwa mbali imodzi chifukwa cha miyala ya impso

Mimba

Zizindikiro zokhudzana ndi mimba ndizo:

• nseru
• kupweteka m'mimba
• kuchepa kudya
• kudzimbidwa
• kusanza

Mtima

Kashiamu wam'mwamba amatha kukhudza magetsi pamtima, ndikupangitsa kugunda kwamtima kosazolowereka.

Minofu

Magulu a calcium amatha kukhudza minofu yanu, kuyambitsa kugundana, kukokana, ndi kufooka.

Mafupa dongosolo

Mulingo wambiri wa calcium umatha kukhudza mafupa, ndikupangitsa kuti:

• kupweteka kwa mafupa
• kufooka kwa mafupa
• fractures matenda

Zizindikiro zamitsempha

Hypercalcemia amathanso kuyambitsa matenda amitsempha, monga kukhumudwa, kukumbukira kukumbukira, komanso kukwiya. Milandu yayikulu imatha kusokoneza komanso kukomoka.

Ngati muli ndi khansa ndipo mukudwala matenda a hypercalcemia, pitani kuchipatala nthawi yomweyo. Si zachilendo kuti khansa imayambitsa calcium yambiri. Izi zikachitika ndizadzidzidzi zamankhwala.

Kodi chimayambitsa hypercalcemia ndi chiyani?

Thupi lanu limagwiritsa ntchito kulumikizana pakati pa calcium, vitamini D, ndi parathyroid hormone (PTH) kuwongolera calcium.

PTH imathandiza thupi kuwongolera kuchuluka kwa calcium yomwe imalowa mumtsinje wamagazi kuchokera m'matumbo, impso, ndi mafupa. Kawirikawiri, PTH imakula pamene kashiamu m'magazi mwanu amagwa ndikucheperachepera calcium yanu ikakwera.

Thupi lanu limatha kupanga calcitonin kuchokera kumtundu wa chithokomiro kashiamu wanu akamakwera kwambiri. Mukakhala ndi hypercalcemia, pali calcium yochulukirapo m'magazi anu ndipo thupi lanu silingathe kuyendetsa calcium yanu bwino.

Pali zifukwa zingapo zomwe zingayambitse vutoli:

Hyperparathyroidism

Matenda a parathyroid ndi tiziwalo ting'onoting'ono tating'ono tomwe timakhala kuseli kwa chithokomiro m'khosi. Amayang'anira kupanga mahomoni otchedwa parathyroid, omwe amawongolera calcium m'magazi.

Hyperparathyroidism imachitika pamene m'modzi kapena angapo am'matumbo anu am'mimba amayamba kugwira ntchito kwambiri ndikumatulutsa PTH yambiri. Izi zimayambitsa kusalinganika kwa calcium komwe thupi silingathe kukonza palokha. Ichi ndi chomwe chimayambitsa matenda a hypercalcemia, makamaka azimayi azaka zopitilira 50.

Matenda a m'mapapo ndi khansa

Matenda a Granulomatous, monga chifuwa chachikulu ndi sarcoidosis, ndi matenda am'mapapo omwe angayambitse kuchuluka kwanu kwa vitamini D. Izi zimayambitsa kuyamwa kwa calcium, komwe kumawonjezera kashiamu m'magazi anu.

Khansa ina, makamaka khansa yamapapu, khansa ya m'mawere, ndi khansa yamagazi, imatha kubweretsa chiopsezo cha hypercalcemia.

Zotsatira zamankhwala

Mankhwala ena, makamaka okodzetsa, amatha kupanga hypercalcemia. Amachita izi poyambitsa matenda amadzimadzi otchedwa diuresis, omwe amatayika madzi amthupi, komanso calcium. Izi zimabweretsa kuchuluka kwa calcium m'magazi.

Mankhwala ena, monga lithiamu, amachititsa kuti PTH yambiri imasulidwe.

Zakudya zowonjezera komanso mankhwala owonjezera

Kutenga vitamini D wambiri kapena calcium mu mawonekedwe a zowonjezera kumatha kukweza kashiamu wanu. Kugwiritsa ntchito calcium carbonate mopitilira muyeso, komwe kumapezeka mu maantacid wamba monga Tums ndi Rolaids, kumathandizanso kuti calcium izikhala yambiri.

Mlingo waukulu wa mankhwalawa ndi a hypercalcemia ku United States.

Kutaya madzi m'thupi

Izi nthawi zambiri zimayambitsa matenda ochepa a hypercalcemia. Kuchepa kwa madzi m'thupi kumapangitsa kuti calcium yanu ikwere chifukwa chakuchepa kwamadzimadzi omwe mumakhala nawo m'magazi anu. Komabe, kuuma kwake kumadalira kwambiri ntchito yanu ya impso.

Mwa anthu omwe ali ndi matenda a impso osatha, zovuta zakusowa madzi m'thupi zimakula kwambiri.

Kodi matenda a hypercalcemia amapezeka bwanji?

Dokotala wanu amatha kugwiritsa ntchito kuyesa magazi kuti aone kuchuluka kwa calcium m'magazi anu. Kuyezetsa mkodzo komwe kumayeza calcium, protein, ndi zinthu zina kungathandizenso.

Ngati dokotala wanu atapeza kashiamu wambiri, adzakonza mayesero ambiri kuti adziwe chomwe chimayambitsa matenda anu. Mayeso amwazi ndi mkodzo atha kuthandiza dokotala kuti azindikire hyperparathyroidism ndi zina.

Mayesero omwe angalole dokotala wanu kuti aone ngati ali ndi khansa kapena matenda ena omwe angayambitse hypercalcemia ndi awa:

• X-ray pachifuwa, yomwe imatha kuwulula khansa yamapapo
• mammograms, omwe amathandiza kuzindikira khansa ya m'mawere
• Makina a CT, omwe amapanga chithunzi chatsatanetsatane cha thupi lanu
• Kujambula kwa MRI, komwe kumatulutsa zithunzi mwatsatanetsatane za ziwalo za thupi lanu ndi ziwalo zina
• Kuyesedwa kwa mafupa a DEXA, omwe amawunika mphamvu ya mafupa

Kodi njira zamankhwala zothandizira hypercalcemia ndi ziti?

Chithandizo cha hypercalcemia chimadalira kuopsa kwa vutoli komanso chomwe chimayambitsa.

Milandu yofatsa

Simungafunike chithandizo chamwadzidzidzi ngati muli ndi vuto lochepa la hypercalcemia, kutengera chifukwa. Komabe, muyenera kuwunika momwe ikuyendera. Kupeza chomwe chikuyambitsa ndikofunikira.

Mphamvu yomwe calcium imakulira mthupi lanu imangokhudzana osati kashiamu kokha, koma imatulukira mwachangu. Chifukwa chake, ndikofunikira kutsatira malangizo a dokotala kuti mutsatire.

Ngakhale calcium yocheperako pang'ono imatha kubweretsa impso ndi kuwonongeka kwa impso pakapita nthawi.

Milandu yayikulu mpaka yayikulu

Muyenera kuti mudzalandire chithandizo chamankhwala ngati muli ndi vuto lalikulu. Cholinga cha chithandizo ndikubwezera mulingo wa calcium kukhala wabwinobwino. Chithandizochi chimathandizanso kupewa kuwonongeka kwa mafupa ndi impso zanu. Njira zochiritsira zomwe mungapeze ndi izi:

• Calcitonin ndi timadzi tomwe timapangidwa mu chithokomiro. Imachedwetsa kutaya mafupa.
• Madzi olowa mumadzimadzi amathiramo madzi ndikuchepetsa calcium m'magazi.
• Corticosteroids ndi mankhwala odana ndi zotupa. Zimathandiza pochiza vitamini D. wambiri
• Mankhwala otsekemera a Loop amatha kuthandizira impso zanu kusunthira madzimadzi ndikuchotsa calcium yowonjezera, makamaka ngati muli ndi vuto la mtima.
• Mitsempha yama bisphosphonates yochepetsetsa m'magazi a calcium poyendetsa calcium yamfupa.
• Dialysis itha kuchitidwa kuchotsa magazi anu mu calcium yowonjezera ndi zinyalala mukawononga impso. Izi zimachitika nthawi zambiri ngati njira zina zamankhwala sizikugwira ntchito.

Pulayimale hyperparathyroidism

Kutengera msinkhu wanu, ntchito ya impso, ndi mafupa, mungafunike kuchitidwa opaleshoni kuti muchotse tiziwalo tomwe timakhala tomwe timayambitsa matendawa. Njirayi imachiritsa matenda ambiri a hypercalcemia omwe amayamba chifukwa cha hyperparathyroidism.

Ngati opaleshoni siyotheka kwa inu, adokotala angavomereze mankhwala otchedwa cinacalcet (Sensipar). Izi zimachepetsa calcium yanu pochepetsa kupanga PTH. Ngati muli ndi kufooka kwa mafupa, dokotala wanu atha kukutengani ma bisphosphonates kuti muchepetse ziwopsezo.

Khansa

Ngati muli ndi khansa, dokotala wanu akukambirana nanu njira zokuthandizani kuti akuthandizeni kudziwa njira zabwino zochiritsira hypercalcemia.

Mutha kupezako mpumulo ku zizindikilo kudzera m'madzi am'mitsempha komanso mankhwala monga bisphosphonates. Izi zitha kukupangitsani kukhala kosavuta kuti muthane ndi matenda anu a khansa.

Mankhwala a cinacalcet atha kugwiritsidwanso ntchito kuthana ndi calcium yambiri chifukwa cha khansa ya parathyroid. akuwonetsanso kuti itha kuthandizanso pochiza hypercalcemia chifukwa cha khansa zina.

Kodi zovuta zomwe zimakhudzana ndi hypercalcemia ndi ziti?

Hypercalcemia imatha kuyambitsa mavuto a impso, monga miyala ya impso ndi kulephera kwa impso. Zovuta zina zimaphatikizapo kugunda kwamtima kosafunikira komanso kufooka kwa mafupa.

Hypercalcemia itha kuchititsanso chisokonezo kapena matenda amisala chifukwa calcium imathandizira kuti dongosolo lanu lamanjenje lizigwira ntchito bwino. Milandu yayikulu imatha kubweretsa chikomokere chowopsa.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Kuwona kwanu kwakanthawi kumadalira pazomwe zimayambitsa komanso momwe matenda anu aliri. Dokotala wanu amatha kudziwa chithandizo chabwino kwambiri kwa inu.

Lankhulani ndi dokotala wanu pafupipafupi kuti mudziwe zambiri ndikufunsani mafunso. Onetsetsani kuti mukuyeseza mayeso ndi maimidwe aliwonse omwe mungakonde kutsatira.

Mutha kuchita gawo lanu kuti muteteze impso ndi mafupa anu kuti zisawonongeke chifukwa cha hypercalcemia posankha moyo wabwino. Onetsetsani kuti mumamwa madzi ambiri. Izi zimakupangitsani kukhala ndi hydrated, kuchepa kwa calcium m'magazi, ndikuchepetsa chiopsezo chanu chokhala ndi miyala ya impso.

Popeza kusuta kumatha kufulumizitsa kutaya mafupa, ndikofunikira kusiya msanga. Kusuta kumayambitsanso mavuto ena ambiri azaumoyo. Kusiya kusuta kumangothandiza thanzi lanu.

Kuphatikiza masewera olimbitsa thupi komanso kulimbitsa mphamvu kumatha kupangitsa mafupa anu kukhala olimba komanso athanzi. Lankhulani ndi dokotala wanu poyamba kuti mudziwe mitundu yanji ya masewera olimbitsa thupi omwe ndi abwino kwa inu. Izi ndizofunikira makamaka ngati muli ndi khansa yomwe imakhudza mafupa anu.

Onetsetsani kuti mukutsata malangizo amomwe mungagwiritsire ntchito mankhwala owonjezera pa mankhwala ndi mankhwala ochepetsa chiopsezo cha kudya kwambiri vitamini D ndi calcium.

Funso:

Kodi ndiyenera kudziteteza bwanji ngati ndikuganiza kuti ndikhoza kukhala pachiwopsezo cha hypercalcemia?

Yankho:

Pali zinthu zingapo zomwe mungachite. Muyenera kukhala ndi madzi okwanira ndikumwa madzi okwanira, kuphatikiza madzi. Muyeneranso kudya mchere wokwanira mu zakudya zanu, womwe ndi pafupifupi mamiligalamu 2,000 a sodium patsiku kwa munthu wamkulu. Pomaliza, lankhulani ndi dokotala wanu kuti muwone ngati mankhwala omwe muli nawo pakadali pano kapena owonjezera pa intaneti atha kukhala pachiwopsezo chokhala ndi hypercalcemia.