Mukaka-alkali chirwere

Mukaka-alkali syndrome mamiriro umo mune huwandu hwecalcium mumuviri (hypercalcemia). Izvi zvinokonzeresa kuchinja kwemuviri weacid / base balance kune alkaline (metabolic alkalosis). Nekuda kweizvozvo, panogona kuve nekurasikirwa kweitsvo basa.

Mukaka-alkali syndrome inowanzo kuve inokonzerwa nekutora yakawandisa macalcium ekuwedzera, kazhinji muchimiro checalcium carbonate. Calcium carbonate yakajairwa calcium supplement. Inowanzo kutorwa kudzivirira kana kubata kurasikirwa kwepfupa (osteoporosis). Calcium carbonate zvakare chinhu chinowanikwa muantacid (seTum).

Iyo yakakwira vhitamini D mumuviri, senge kubva mukutora zvinowedzera, zvinogona kukuvadza mukaka-alkali syndrome.

Karusiyamu inoiswa muitsvo uye mune mamwe maturusi anogona kuitika mumukaka-alkali syndrome.

Pakutanga, mamiriro acho kazhinji haana zviratidzo (asymptomatic). Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Kudzoka, pakati pemuviri, uye kurwadziwa kwepashure munzvimbo yeitsvo (inoenderana nematombo eitsvo)
• Kuvhiringidzika, hunhu hunoshamisa
• Kuzvimbirwa
• Kushungurudzika
• Kunyanyisa kuita weti
• Kuneta
• Kusajairika kurova kwemoyo (arrhythmia)
• Kusvotwa kana kurutsa
• Mamwe matambudziko anogona kukonzerwa neitsvo kutadza

Calcium inochengetwa mukati memaviri etsvo (nephrocalcinosis) inogona kuoneka pa:

• X-ray
• CT scan
• Ultrasound

Mimwe bvunzo inoshandiswa kuita kuongororwa inogona kusanganisira:

• Masero eElectrolyte kuti aongorore mamineral maminera mumuviri
• Electrocardiogram (ECG) kutarisa mashandiro emagetsi emoyo
• Electroencephalogram (EEG) kuyera mashandiro emagetsi europi
• Glomerular filtration rate (GFR) kutarisa kuti itsvo dziri kushanda zvakadii
• Ropa calcium level

Muzviitiko zvakakomba, kurapwa kunosanganisira kupa mvura kuburikidza nemutsinga (ne IV). Zvikasadaro, kurapwa kunosanganisira kunwa zvinwiwa pamwe nekuderedza kana kumisa calcium zvinowedzera uye maantacid ane calcium. Vitamin D zvinowedzera zvinodawo kudzikiswa kana kumiswa.

Aya mamiriro anowanzo reversed kana itsvo inoshanda ikaramba yakajairika. Makesi akareba akareba anogona kutungamira kukundikana kweitsvo kunoda dialysis.

Zvinetso zvakajairika zvinosanganisira:

• Calcium inoisa mumatukisi (calcinosis)
• Itsvo kutadza
• Itsvo matombo

Bata wako mupi wezvehutano kana:

• Iwe unotora macalcium akawanda ekuwedzera kana iwe unowanzo shandisa maantacid ane calcium, senge Tums. Iwe ungangoda kuongororwa kuti une mukaka-alkali syndrome.
• Iwe une chero zviratidzo zvinogona kuratidza matambudziko eitsvo.

Kana iwe ukashandisa calcium-ine antacids kazhinji, udza wako mupi nezvematambudziko ekugaya. Kana iwe uri kuyedza kudzivirira osteoporosis, usatore anopfuura 1.2 magiramu (1200 milligrams) ecalcium pazuva kana kunze kwekurairwa nemupi wako.

Calcium-alkali chirwere; Cope chirwere; Burnett chirwere; Hypercalcemia; Calcium metabolism kusagadzikana

Anounza FR, Demay MB, Kronenberg HM. Mahormone uye kusagadzikana kwemaminerari metabolism. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 29.

DuBose TD. Metabolic alkalosis. Mune: Gilbert SJ, Weiner DE, eds. National Kidney Foundation Primer pane itsvo Zvirwere. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 14.