Thaum koj mus kuaj ntshav, puas yog tus kws kho mob hais rau koj tias "koj cov calcium hauv cov ntshav siab me ntsis"? Nws yog ib qho ib txwm muaj uas koj yuav ntshai me ntsis thaum koj hnov qhov ntawd. Tab sis tsis txhob txhawj. Qhov mob no yog qhov peb hu ua hypercalcemia . Hauv kev hais yooj yim, nws txhais tau tias koj muaj calcium ntau dua hauv koj cov ntshav dua li nws yuav tsum yog. Cia peb tham txog qhov no yooj yim thiab hauv txoj kev phooj ywg hnub no.
Hypercalcemia yog dab tsi tiag?
Calcium yog qhov tseem ceeb rau peb lub cev, tshwj xeeb tshaj yog rau lub zog ntawm peb cov pob txha thiab cov hniav. Nws kuj tseem xav tau rau peb lub paj hlwb thiab cov leeg kom ua haujlwm tau zoo. Txawm li cas los xij, zoo li lwm yam, calcium ntau dhau hauv lub cev tsis zoo.
Yog tias koj cov calcium hauv cov ntshav siab me ntsis xwb, tej zaum koj yuav tsis pom muaj tsos mob dab tsi li. Tab sis thaum cov calcium ntau zuj zus, peb lub cev sim tshem tawm cov calcium ntxiv no hauv cov zis. Yog li koj yuav muaj tej yam xws li:
- Qhov yuav tsum tau tso zis ntau zaus.
- Hnov nqhis dej ntau dua li niaj zaus.
Yog tias cov calcium ntau dhau, nws tuaj yeem cuam tshuam rau peb lub paj hlwb, ua rau tsis meej pem, tsis nco qab, thiab qee zaum txawm tias tsaus muag .
Qhov tseem ceeb tshaj plaws yog tias yog tias qhov mob no tsis kho, nws tuaj yeem ua rau muaj mob hnyav xws li pob txha poob, pob zeb hauv lub raum, mob raum tsis ua haujlwm, thiab kab mob plawv . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no, nrog koj tus kws kho mob tham, thiab ua cov kauj ruam tsim nyog.
Cov laj thawj tseem ceeb rau qhov no yog dab tsi?
Txawm hais tias muaj ntau tshaj 25 yam ua rau muaj calcium ntau hauv cov ntshav, 90% ntawm lawv tshwm sim vim ob qho laj thawj tseem ceeb.
1. Cov Qog Parathyroid Ua Haujlwm Ntau Dhau
Qhov no yog qhov ua rau muaj hypercalcemia feem ntau. Cov qog parathyroid yog plaub lub qog me me nyob hauv peb lub caj dab, tom qab lub qog thyroid . Lawv ua haujlwm zoo li lub thermostat uas tswj cov calcium.
Thaum cov calcium hauv cov ntshav txo qis, cov qog no tso tawm cov tshuaj parathyroid hormone (PTH).PTH raug tsim tawm. Cov tshuaj hormone no qhia peb cov pob txha kom "tso cov calcium ntau dua rau hauv cov ntshav," peb lub raum kom "txo cov calcium uas tawm hauv cov zis," thiab peb cov hnyuv kom "nqus cov calcium ntau dua los ntawm cov khoom noj."
Txawm li cas los xij, yog tias ib lossis ntau lub qog no ua haujlwm ntau dhau, lawv tsim cov PTH ntau dua li qhov tsim nyog. Qhov no tuaj yeem ua rau cov calcium hauv cov ntshav nce siab tsis tsim nyog. Qhov no tuaj yeem yog vim cov qog loj hlob lossis kev tsim cov qog tsis yog mob qog noj ntshav.
Yog tias koj muaj Hypercalcemia vim li no, koj kuj tseem yuav muaj cov tsos mob xws li:
- Kev Nyuaj Siab
- Kev tsis nco qab
- Mob plab
- Teeb meem pw tsaug zog
- Mob hauv cov pob txha thiab cov leeg
- qaug zog tas li
Ua ib qho kev kho mob, koj tus kws kho mob feem ntau yuav pom zoo kom phais tshem tawm cov qog uas raug mob. Yog tias qhov mob tsis loj heev, koj tuaj yeem saib xyuas koj tus mob los ntawm kev kuaj xyuas koj cov calcium, ntshav siab, thiab kev noj qab haus huv ntawm lub raum tsis tu ncua.
2. Mob qog noj ntshav
Cov neeg mob qog noj ntshav uas muaj calcium ntau dhau yuav muaj li ntawm 10% -30%. Qhov no yog vim qee cov qog noj ntshav:
- Cov pob txha tuaj yeem raug rhuav tshem, tso cov calcium rau hauv cov ntshav.
- Nws tuaj yeem tsim cov tshuaj uas ua haujlwm zoo li PTH hormone thiab qhia txog kev tso calcium tawm ntawm cov pob txha.
- Nws tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub raum thiab txo cov calcium uas tawm hauv cov zis.
Cov hom mob qog noj ntshav uas feem ntau cuam tshuam nrog hypercalcemia yog:
- Mob qog nqaij hlav ntsws
- Mob qog nqaij hlav
- Mob qog noj ntshav hauv lub mis
- Multiple myeloma - Ib hom mob qog ntshav uas pib hauv cov pob txha.
Kev muaj calcium ntau dhau los ntawm mob qog noj ntshav yuav nyuaj rau tswj. Qhov tseem ceeb tshaj plaws yog kho mob qog noj ntshav. Txawm li cas los xij, koj tus kws kho mob yuav muab cov tshuaj rau koj xws li "Bisphosphonates" lossis "Denosumab" ua cov tshuaj txhaj rau hauv cov hlab ntsha (IV) lossis txhaj tshuaj kom tswj tau qhov tso calcium tawm ntawm cov pob txha.
Yuav ua li cas cov vitamins thiab cov tshuaj ntxiv cuam tshuam
Qee zaum cov vitamins thiab cov tshuaj ntxiv uas peb siv kuj tuaj yeem ua rau qhov no.
| Cov Tshuaj Ntxiv / Vitamin | Nws cuam tshuam li cas |
|---|---|
| Cov Tshuaj Calcium thiab Antacids | Siv cov tshuaj antacids thiab cov tshuaj calcium uas siv rau mob gastritis ntau dhau thiab siv ntev dhau yuav ua rau muaj calcium ntau ntxiv hauv cov ntshav. Qhov mob no hu ua (Milk-alkali syndrome) . Qhov no kuj tseem tuaj yeem ua rau lub raum puas tsuaj. |
| Vitamin D | Vitamin D pab peb lub cev nqus tau calcium. Txawm li cas los xij, yog tias koj noj cov tshuaj vitamin D ntau heev rau ob peb lub hlis (piv txwv li, 60,000 IU ib hnub), koj cov calcium tuaj yeem siab heev. Koj tsis tau txais vitamin D ntau npaum li no los ntawm cov khoom noj ib txwm lossis tshav ntuj. |
| Vitamin A | Kev noj vitamin A ntau dhau tuaj yeem ua rau cov calcium ntau dhau los ntawm cov pob txha thiab khaws cia rau hauv cov ntshav. |
Nco ntsoov, yog tias koj noj cov vitamins lossis cov tshuaj ntxiv, nco ntsoov qhia rau koj tus kws kho mob txog lawv. Tsis txhob pib lossis tsum noj dab tsi yam tsis tau nrog lawv tham ua ntej.
Lwm yam laj thawj thiab xwm txheej ceev
Lwm yam uas yuav cuam tshuam
- Lwm cov tshuaj: Qee cov tshuaj rau ntshav siab (piv txwv li, thiazide diuretics) thiab cov tshuaj rau kev mob hlwb, xws li lithium, kuj tuaj yeem ua rau cov calcium ntau ntxiv.
- Cov noob caj noob ces: Tsis tshua muaj, qhov no kuj tuaj yeem tshwm sim los ntawm ib qho mob caj noob ces hu ua Familial Hypocalciuric Hypercalcemia (FHH).
- Cov teeb meem kev noj qab haus huv: Cov kab mob ntsws xws li mob ntsws ntsws, cov mob xws li thyroid ua haujlwm ntau dhau.
- Kev tsis ua ub ua no: Tus mob no kuj tuaj yeem tshwm sim rau cov neeg uas pw hauv txaj ntev vim muaj mob xws li tuag tes tuag taw lossis lwm yam mob. Qhov laj thawj rau qhov no yog tias thaum cov pob txha tsis hnov qhov hnyav ntawm lub cev, calcium raug tso tawm ntawm cov pob txha.
- Lub Cev Qhuav Hnyav: Thaum tsis muaj dej txaus hauv lub cev, lub raum tsis tuaj yeem tso cov calcium ntau dhau.
Thaum twg qhov no yog xwm txheej ceev?
Cov calcium hauv cov ntshav ib txwm rau ib tus neeg laus yuav tsum nyob nruab nrab ntawm 8.5 - 10.3 mg/dL. Yog tias qib no siab dhau, nws yog ib qho mob uas yuav tsum tau kho mob ceev.
Yog tias koj tam sim ntawd muaj kev tsis meej pem hnyav, mob taub hau me ntsis, ntuav, lossis mob plab hnyav , nws yuav yog ib qho cim qhia txog tus mob hnyav hu ua hypercalcemia. Yog tias qhov no tshwm sim, koj yuav tsum mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd . Nyob ntawd, koj tuaj yeem tau txais cov kua dej IV thiab cov tshuaj kom tswj tau koj cov calcium sai sai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypercalcemia yog ib qho kev nce ntxiv ntawm cov calcium hauv cov ntshav. Feem ntau pom muaj qhov no thaum lub sijhawm kuaj ntshav vim lwm yam laj thawj.
- Qhov ua rau muaj qhov no feem ntau yog teeb meem nrog cov qog parathyroid lossis mob qog noj ntshav, yog li nws tseem ceeb heev uas yuav tsum nrhiav qhov ua rau tseeb.
- Tsis txhob ntshai yog tias koj pom tias koj cov calcium hauv cov ntshav siab. Tham nrog koj tus kws kho mob, nrhiav seb yog vim li cas, thiab pib kho kom zoo.
- Tsis txhob siv cov vitamins, tshuaj calcium, lossis lwm yam tshuaj ntxiv yam tsis tau sab laj nrog koj tus kws kho mob.
- Yog koj muaj cov tsos mob hnyav xws li tsis meej pem lossis tsis nco qab, qhov no yog xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus