Hypercalcemia: Chii Chinoitika Kana Iwe Uine Akawandisa calcium?
Zvemukati
- Ndezvipi zviratidzo zvehypercalcemia?
- General
- Itsvo
- Dumbu
- Mwoyo
- Tsandanyama
- Skeletal system
- Neurological zviratidzo
- Chii chinokonzera hypercalcemia?
- Hyperparathyroidism
- Zvirwere zvemapapu nekenza
- Mishonga mhedzisiro
- Dhayeti inowedzera uye nepamusoro-e-iyo mishonga
- Kupera mvura mumuviri
- Hypercalcemia inoonekwa sei?
- Ndedzipi nzira dzekurapa kwehypercalcemia?
- Makesi akapfava
- Moderate kune zvakakomba kesi
- Chikuru hyperparathyroidism
- Gomarara
- Ndeapi matambudziko anosangana ne hypercalcemia?
- Ndeupi mutarisiro wenguva refu?
- Mubvunzo:
- A:
Chii chinonzi hypercalcemia?
Hypercalcemia mamiriro umo iwe uine yakanyanya kukwirira kwecalcium muropa rako. Calcium yakakosha pabasa rinowanzoitika renhengo, maseru, mhasuru, uye tsinga. Izvo zvakakoshawo mukugwamba kweropa uye hutano hwemabhonzo.
Nekudaro, yakawandisa yacho inogona kukonzera matambudziko. Hypercalcemia inoita kuti zviomere muviri kuita ayo akajairika mabasa. Zvikuru mwero wecalcium inogona kutyisidzira hupenyu.
Ndezvipi zviratidzo zvehypercalcemia?
Iwe unogona kunge usine chero anoonekwa zviratidzo kana iwe uine hunyoro hypercalcemia. Kana iwe uine kesi yakakomba, iwe unowanzo kuve nezviratidzo nezviratidzo zvinokanganisa zvikamu zvakasiyana zvemuviri wako.
General
- kutemwa nemusoro
- kuneta
Itsvo
Zviratidzo zvine hukama neitsvo zvinosanganisira:
- nyota yakanyanyisa
- kunyanyisa kuita weti
- kurwadziwa pakati pemusana wako nechekumusoro mudumbu kune rimwe divi nekuda kweitsvo matombo
Dumbu
Zviratidzo zvine hukama nemudumbu zvinosanganisira:
- kusvotwa
- marwadzo emudumbu
- kuderera kwechido
- kuvimbiswa
- kurutsa
Mwoyo
Yakakwira calcium inogona kukanganisa iyo yemagetsi system yemoyo, ichikonzera isina kujairika moyo mutinhimira.
Tsandanyama
Matanho eCalcium anogona kukanganisa tsandanyama dzako, zvichikonzera kushanduka, kupwanya, uye kushaya simba.
Skeletal system
Yakakwira calcium mazinga anogona kukanganisa mapfupa, zvichitungamira ku:
- kurwadziwa kwepfupa
- osteoporosis
- kutsemuka kubva kuchirwere
Neurological zviratidzo
Hypercalcemia inogona zvakare kukonzera zviratidzo zvetsinga, senge kushushikana, kurasikirwa mundangariro, uye kusagadzikana. Mhosva dzakakomba dzinogona kukonzeresa nekukoma.
Kana iwe uine kenza uye uchiona chero zviratidzo zvehypercalcemia, danaidza chiremba wako nekukasira. Hazvisi zvisingazivikanwi kuti kenza inokonzera kukwirira kwecalcium mazinga. Kana izvi zvikaitika inyaya yekurapa.
Chii chinokonzera hypercalcemia?
Muviri wako unoshandisa kudyidzana pakati pecalcium, vhitamini D, uye parathyroid hormone (PTH) kudzora huwandu hwecalcium.
PTH inobatsira muviri kudzora kuti yakawanda sei calcium inouya muropa kuyerera kubva mumatumbu, itsvo, uye mapfupa. Kazhinji, PTH inowedzera apo calcium muyero muropa rako inodonha uye inoderera kana yako calcium nhanho ikwira.
Mumuviri wako unogona zvakare kugadzira calcitonin kubva kune yegland gland kana yako calcium level yakakwira zvakanyanya. Paunenge uine hypercalcemia, kune calcium yakawandisa muropa rako uye muviri wako haugone kudzora yako calcium level zvakajairika.
Pane zvikonzero zvinoverengeka zvinogona kukonzera mamiriro aya:
Hyperparathyroidism
Izvo zvipenga zveparathyroid zvidiki zvidiki zvidiki zviri kuseri kwetachiona gland mumutsipa. Ivo vanodzora kugadzirwa kweiyo parathyroid hormone, iyo inogadzirisa calcium muropa.
Hyperparathyroidism inoitika kana imwe kana yakawanda yemaronda ako eparathyroid achinyanya kushanda uye achiburitsa yakawandisa PTH. Izvi zvinogadzira kusaenzana kwecalcium iyo muviri usingakwanise kuzvigadzirisa wega. Ichi ndicho chikonzero chinotungamira chehypercalcemia, kunyanya mumadzimai anopfuura makore makumi mashanu ekuberekwa.
Zvirwere zvemapapu nekenza
Zvirwere zveGranulomatous, senge tibhii uye sarcoidosis, hosha dzemapapu dzinogona kukonzeresa huwandu hwako hwevitamin D. Izvi zvinokonzeresa kuwedzerwa kwekasiamu, izvo zvinowedzera mwero wecalcium muropa rako.
Mimwe kanzira, kunyanya kenza yemapapu, kenza yemazamu, uye kenza yeropa, inogona kukwidza njodzi yako yehypercalcemia.
Mishonga mhedzisiro
Mimwe mishonga, kunyanya diuretics, inogona kuburitsa hypercalcemia. Ivo vanoita izvi nekukonzeresa zvakanyanya fluid diuresis, iko kurasikirwa kwemvura yemuviri, uye kusarudzika kwecalcium. Izvi zvinotungamira mukuwedzera kwecalcium muropa.
Mimwe mishonga, senge lithiamu, inokonzeresa kuti PTH iburitswe.
Dhayeti inowedzera uye nepamusoro-e-iyo mishonga
Kutora yakawandisa vhitamini D kana calcium muchimiro chekuwedzera kunogona kusimudza yako calcium level. Kunyanya kushandiswa kwecalcium carbonate, kunowanikwa mune zvakajairika antacids seTum neRolaids, kunogona zvakare kutungamira kune yakakwira calcium mazinga.
Mahombekombe epamusoro eaya anopfuura-the-counter zvigadzirwa ndezve hypercalcemia muUnited States.
Kupera mvura mumuviri
Izvi zvinowanzo kutungamira kune akapfava zviitiko zvehypercalcemia. Kushaya mvura mumuviri kunokonzera kuti calcium level yako isimuke nekuda kwehuwandu hwemvura iri muropa rako. Nekudaro, kuomarara kwacho kunoenderana nebasa reitsvo yako.
Mune vanhu vane chirwere chisingaperi cheitsvo, mhedzisiro yekushayiwa mvura yakawanda.
Hypercalcemia inoonekwa sei?
Chiremba wako anogona kushandisa bvunzo dzeropa kuti aongorore calcium level muropa rako. Urine bvunzo dzinoyera calcium, protein, uye zvimwe zvinhu zvinogona zvakare kubatsira.
Kana chiremba wako awana huwandu hwecalcium, vanozoraira mimwe bvunzo kuti vazive chinokonzera mamiriro ako. Ropa uye weti bvunzo zvinogona kubatsira chiremba wako kuongorora hyperparathyroidism uye mamwe mamiriro.
Miedzo inogona kubvumidza chiremba wako kuti atarise humbowo hwecancer kana zvimwe zvirwere zvinogona kukonzera hypercalcemia inosanganisira:
- chest X-rays, iyo inogona kuburitsa cancer yemapapu
- mammograms, ayo anobatsira kuongorora gomarara repazamu
- CT inoongorora, iyo inoumba yakadzama mufananidzo wemuviri wako
- MRI inoongorora, iyo inoburitsa yakadzama mifananidzo yenhengo dzemuviri wako uye zvimwe zvimiro
- DEXA bone mineral density test, inoongorora simba repfupa
Ndedzipi nzira dzekurapa kwehypercalcemia?
Kurapa sarudzo ye hypercalcemia kunoenderana nekuomarara kwemamiriro acho uye chikonzero chiri kukonzera.
Makesi akapfava
Iwe unogona haudi kurapwa nekukurumidza kana iwe uine nyoro kesi ye hypercalcemia, zvichienderana nechikonzero. Nekudaro, iwe unozofanirwa kuongorora kufambira mberi kwayo. Kutsvaga chakakonzera chikonzero kwakakosha.
Mhedzisiro iyo yakasimudza calcium mazinga ane mumuviri wako haingoratidzi kwete chete padanho recalcium iripo, asi kuti inokurumidza sei kumuka. Naizvozvo, zvakakosha kunamatira kurudziro dzachiremba wako yekutevera.
Kunyangwe zvinyoro nyoro zviyero zvecalcium zvinogona kutungamira kune itsvo matombo uye itsvo kukuvara nekufamba kwenguva.
Moderate kune zvakakomba kesi
Iwe ungangoda kurapwa kuchipatara kana iwe uine ine mwero kune yakaoma kesi. Chinangwa chekurapa ndechekudzosera yako calcium level kune yakajairwa. Kurapa kunovavarirawo kudzivirira kukuvara mumapfupa ako neitsvo. Kazhinji nzira dzekurapa dzinosanganisira zvinotevera:
- Calcitonin ihormone inogadzirwa mune yegland gland. Inodzora kurasikirwa kwepfupa.
- Intravenous fluids inokudiridza uye inoderedza calcium mazinga muropa.
- Corticosteroids inorwisa-kupisa mishonga. Ivo anobatsira pakurapa yakawandisa vhitamini D.
- Loop diuretic mishonga inogona kubatsira itsvo dzako kufambisa fluid uye kubvisa yakawedzera calcium, kunyanya kana iwe uine moyo kutadza.
- Intravenous bisphosphonates yakaderera ropa calcium calcium nekugadzirisa bone calcium.
- Dialysis inogona kuitwa kubvisa ropa rako reakawedzera calcium uye marara kana iwe wakanganisa itsvo. Izvi zvinowanzoitwa kana dzimwe nzira dzekurapa dzisiri kushanda.
Chikuru hyperparathyroidism
Zvichienderana nezera rako, itsvo mashandiro, uye mapfupa mhedzisiro, ungangoda kuvhiyiwa kuti ubvise zvisizvo zvisina kujairika zviputi. Maitiro aya anoporesa akawanda kesi ye hypercalcemia inokonzerwa ne hyperparathyroidism.
Kana kuvhiya isiri sarudzo kwauri, chiremba wako anogona kukurudzira mushonga unonzi cinacalcet (Sensipar). Izvi zvinoderedza yako calcium mwero nekuderedza kugadzirwa kwePTH. Kana iwe uine osteoporosis, chiremba wako anogona kunge iwe uchitora bisphosphonates kudzikisa njodzi yako yekutyoka.
Gomarara
Kana uine kenza, chiremba wako achakurukura nezvekurapa nzira newe kuti akubatsire kuona nzira dzakanakisa dzekurapa hypercalcemia.
Iwe unogona kukwanisa kuwana zororo kubva kuzviratidzo kuburikidza nemidziyo yemvura uye mishonga senge bisphosphonates. Izvi zvinogona kuita kuti zvive nyore kwauri kuti ubate nekenza yako yekurapa.
Iyo mishonga cinacalcet inogona zvakare kushandiswa kurapa yakakwira calcium mazinga nekuda kwekenza yeparathyroid. inoratidza kuti inogona zvakare kuve nebasa rekurapa kwehypercalcemia nekuda kwemamwe kanzira futi.
Ndeapi matambudziko anosangana ne hypercalcemia?
Hypercalcemia inogona kukonzera matambudziko eitsvo, senge itsvo matombo uye itsvo kutadza. Zvimwe zvinonetsa zvinosanganisira zvisina kujairika kurova kwemoyo uye osteoporosis.
Hypercalcemia inogona zvakare kukonzera kuvhiringidzika kana kuora moyo sezvo calcium inobatsira kuti tsinga dzako dzishande nemazvo. Zviitiko zvakakomba zvinogona kutungamira kune inogona kutyisidzira hupenyu kufa.
Ndeupi mutarisiro wenguva refu?
Maonero ako kwenguva refu anoenderana nechakakonzera uye nemamiriro ako kuti akanyanya sei. Chiremba wako anogona kuona iwe kurapwa kwakanyanya kwauri.
Taura nachiremba wako nguva dzose kuti ugare uine ruzivo uye ubvunze mibvunzo. Ive neshuwa yekuenderana nechero inokurudzirwa yekutevera-bvunzo uye kusarudzwa.
Iwe unogona kuita chikamu chako kubatsira kudzivirira itsvo dzako nemapfupa kubva mukukuvara nekuda kwehypercalcemia nekuita sarudzo dzakanaka dzehupenyu. Ita shuwa kuti unonwa mvura yakawanda. Izvi zvinokuchengeta iwe uine hydrated, chengetedza huwandu hweropa recalcium pasi, uye nekuderedza njodzi yako yekuvandudza itsvo matombo.
Sezvo kusvuta kuchigona kukurumidza kurasikirwa nefupa, zvakakosha kuti urege nekukurumidza. Kusvuta kunokonzeresa zvimwe zvakawanda zvehutano. Kurega kusvuta kunogona chete kubatsira hutano hwako.
Iko kusanganiswa kwekurovedza muviri uye kudzidziswa kwesimba kunogona kuchengetedza mapfupa ako akasimba uye akasimba. Taura nachiremba wako kutanga kuti uone kuti ndedzipi mhando dzekurovedza muviri dzakachengeteka kwauri. Izvi zvinonyanya kukosha kana uine kenza inobata mapfupa ako.
Ita shuwa yekutevera nhungamiro yemadhosi eanopfuura-the-counter ekuwedzera uye nemishonga yekudzora njodzi yekuwedzeredza vhitamini D uye calcium kudya.
Mubvunzo:
Ndeapi matanho andinofanira kutora kana ndichifunga kuti ndinogona kunge ndiri mungozi yehypercalcemia?
A:
Pane matanho akati wandei aunotora. Iwe unofanirwa kugara zvakakwana uine mvura nekunwa huwandu hwakafanira hwemvura, kusanganisira mvura. Iwe unofanirwa zvakare kushandisa iwo huwandu hwunyu mune yako dhayeti, iyo ingangoita zviuru zviviri zvemamirigiramu esodium pazuva kune akajairwa munhu mukuru. Chekupedzisira, taura nachiremba wako kuti uone kana paine mushonga wako wazvino kana wepamusoro-the-counter mishonga inogona kunge ichisimudza njodzi yako yekukudziridza hypercalcemia.
Steve Kim, MDAmhinduro vanomiririra iwo mafungiro evanyanzvi vedu vezvekurapa. Zvese zvirimo ndezvechokwadi zvine ruzivo uye hazvifanire kutorwa sezano rekurapa.