Koj puas muaj cov phosphate ntau hauv koj lub cev? Cia peb tham txog hyperphosphatemia!

Koj puas tau xav tias vim li cas qee zaum qee yam hauv peb lub cev siab dua li qhov lawv yuav tsum yog? Tej zaum tus kws kho mob tau hais rau koj tias koj muaj phosphate ntau dhau hauv koj cov ntshav. Los yog tej zaum koj tau hnov ​​​​txog nws qhov twg. Qhov no yog qhov peb hu ua hyperphosphatemia. Txawm hais tias lub npe yuav suab txawv me ntsis, yog tias peb nkag siab nws kom raug, nws tsis muaj dab tsi yuav tsum txhawj txog.

Hyperphosphatemia yog dab tsi tiag?

Hais yooj yim xwb, qhov muaj phosphate ntau dhau yog thaum koj cov ntshav muaj cov minerals hu ua phosphate ntau dhau. Phosphate yog ib yam khoom noj tseem ceeb rau peb lub cev. Nws pab kom peb cov pob txha thiab cov hniav muaj zog, muab zog rau peb cov cell, thiab pab ua cov cell membranes.

Xav txog nws li no, phosphate zoo li lub roj teeb me me hauv peb lub cev. Yuav kom cov no ua haujlwm tau zoo, lawv yuav tsum muaj lub zog hluav taws xob. Phosphate yog ib qho electrolyte zoo li no. Electrolytes yog cov zaub mov uas tuaj yeem nqa lub zog hluav taws xob zoo (+) lossis tsis zoo (-) thaum yaj hauv dej lossis kua zoo li peb cov ntshav. Yog li, kev tswj hwm qib phosphate no kom sib npaug yog qhov tseem ceeb rau ntau yam haujlwm hauv lub cev. Koj puas nkag siab?

Leej twg yuav muaj tus mob no ntau dua?

Tseeb tiag, txhua tus neeg yeej muaj tus mob no hu ua hyperphosphatemia. Txawm li cas los xij, nws feem ntau tshwm sim rau cov neeg uas muaj teeb meem raum. Tshwj xeeb, cov neeg uas muaj tus kab mob raum ntev (CKD) , tshwj xeeb tshaj yog cov neeg uas muaj tus kab mob hnyav, lossis cov neeg uas muaj tus kab mob raum tsis ua haujlwm, feem ntau yuav muaj tus mob no.

Tam sim no, muaj tej yam uas ua rau mob raum. Yog tias koj muaj ib lossis ntau yam hauv qab no, koj muaj feem yuav mob raum me ntsis thiab, los ntawm qhov ntawd, hyperphosphatemia:

• Yog koj muaj mob ntshav qab zib (Diabetes Mellitus) .
• Yog koj muaj ntshav siab (hypertension) .
• Yog koj muaj kab mob plawv .
• Yog tias ib tug neeg hauv koj tsev neeg muaj kab mob raum (txhais tau tias nws yuav yog los ntawm noob caj ces).
• Yog tias muaj qhov tsis zoo ntawm cov qauv ntawm koj lub raum.
• Yog koj yog neeg Asmeskas Dub, Hispanic, Es Xias, lossis Neeg Amelikas Ib Txwm (cov neeg hauv cov pab pawg neeg no feem ntau yuav muaj kab mob raum).
• Yog tias koj muaj hnub nyoog tshaj 60 xyoo .
• Yog tias koj tau siv cov tshuaj loog mob ntev heev lawm , tshwj xeeb yog cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs), uas koj yuav tau ntawm lub txee muag tshuaj.

Tus mob no feem ntau tshwm sim li cas?

Yog koj saib feem coob ntawm cov neeg hauv ntiaj teb no, nws tsis tshua muaj mob hyperphosphatemia xwb. Qhov ntawd txhais tau tias tsuas yog muaj phosphate ntau ntxiv hauv cov ntshav xwb. Tab sis, zoo li kuv tau hais ua ntej, yog tias koj muaj kab mob raum ntev , tshwj xeeb tshaj yog tias nws hnyav, qhov mob no yog ib qho uas tshwm sim ntau heev. Kwv yees li ntawm 70% ntawm cov neeg uas muaj kab mob raum ntev hnyav tau pom tias muaj mob hyperphosphatemia.

Thaum cov phosphate nce ntxiv, yuav muaj li cas rau lub cev?

Peb tau tham ua ntej lawm txog seb phosphate pab kom peb cov pob txha thiab cov hniav muaj zog li cas, muab zog rau cov cell, thiab pab tsim cov cell membranes. Qhov ntawd yog qhov tseeb. Tab sis, zoo li txhua yam, ntau dhau ntawm nws tuaj yeem ua rau muaj teeb meem.

Xav txog seb, yog tias cov phosphate hauv koj cov ntshav siab dhau, nws pib nqus calcium ntawm koj cov pob txha. Tom qab ntawd yuav ua li cas? Cov pob txha yuav qaug zog thiab tawg yooj yim.

Tsis yog li ntawd xwb, tab sis cov phosphate ntau dhau no tuaj yeem ua rau cov calcium tso rau hauv koj lub qhov muag, lub ntsws, lub plawv, thiab cov hlab ntsha. Qhov no txaus ntshai me ntsis. Vim tias dhau sijhawm, cov khoom no ua rau koj muaj feem yuav mob plawv, mob hlwb , thiab tuag taus.

Cov tsos mob ntawm Hyperphosphatemia yog dab tsi?

Feem ntau, thaum koj tsuas muaj hyperphosphatemia xwb, koj tsis pom muaj cov tsos mob loj. Qhov ntawd txhais tau tias koj yuav tsis paub thaum xub thawj tias koj muaj phosphate ntau dhau hauv koj lub cev. Txawm li cas los xij, raws li peb tau tham txog, thaum cov phosphate no nce ntxiv, nws tuaj yeem ua rau calcium ploj ntawm koj cov pob txha thiab cov ntshav. Qhov ntawd hu ua hypocalcemia . Qhov ntawd txhais tau tias cov calcium hauv cov ntshav qis dua.

Yog li, feem ntau, cov tsos mob ntawm hyperphosphatemia zoo ib yam li cov uas tshwm sim los ntawm hypocalcemia. Saib seb cov no puas zoo li koj paub:

• Mob nqaij ntshiv.
• Cov rau tes tawg.
• Daim tawv nqaij qhuav.
• Cov plaub hau ntxhib dua li koj cov plaub hau ib txwm.
• Teeb meem nco qab .
• Kev chim siab.
• Mob loog ntawm daim di ncauj, tus nplaig, cov ntiv tes, thiab/lossis ko taw.
• Qee zaum nws zoo li mob taub hau (mob qaug dab peg).
• Kev txawv txav ntawm lub plawv dhia, uas yog, arrhythmia.

Vim li cas thiaj muaj hyperphosphatemia?

Tej zaum yuav muaj ntau yam ua rau qhov no. Cov laj thawj tseem ceeb yog:

• Kab mob raum ntev heev. Qhov no yog qhov ua rau feem ntau tshwm sim. Thaum lub raum tsis ua haujlwm zoo, lawv yuav tsis muaj peev xwm tso cov phosphate ntau dhau ntawm lub cev.
• Hypoparathyroidism. Qhov no yog ib qho mob uas cov qog parathyroid tsim cov tshuaj parathyroid tsawg dhau, uas tswj cov calcium thiab phosphate hauv lub cev.
• Koj cov ntshav pH qis dua li qub (txhais tau tias koj cov ntshav muaj kua qaub ntau dua). Qhov no tej zaum yog vim koj lub ntsws tsis muaj peev xwm tshem tawm tag nrho cov pa roj carbon dioxide uas tsim tawm hauv koj lub cev. Qhov no hu ua respiratory acidosis .
• Kev txo qis hauv cov ntshav pH vim lwm yam ua rau ( metabolic acidosis ).

Ntxiv rau cov no, txawm hais tias tsis tshua muaj, hyperphosphatemia kuj tseem tuaj yeem tshwm sim vim yog cov hauv qab no:

• ketoacidosis uas cuam tshuam nrog ntshav qab zib.
• Kev puas tsuaj rau cov leeg nqaij ( rhabdomyolysis ).
• Kev kis kab mob hnyav ( sepsis ).
• Kev raug mob los ntawm kev sib tsoo (kev raug mob los ntawm ib yam dab tsi hnyav poob rau ntawm lub cev lossis los ntawm ib yam dab tsi nias rau ntawm lub cev ntev).
• Koj lub cev tsis teb zoo rau cov tshuaj parathyroid ( pseudohypoparathyroidism ).
• Tau txais phosphate ntau dhau rau hauv koj lub cev, los ntawm cov khoom noj uas koj noj lossis los ntawm kev siv tshuaj enema .

Qhov ua rau feem ntau yog dab tsi?

Zoo li kuv tau hais ua ntej lawm, qhov ua rau muaj hyperphosphatemia yog kab mob raum ntev heev.

Qhov no puas yog ib yam kab mob sib kis tau?

Tsis yog, hyperphosphatemia tsis yog ib yam kab mob sib kis tau. Koj tsis tuaj yeem kis rau lwm tus. Txawm li cas los xij, tsis tshua muaj, nws tuaj yeem tshwm sim hauv tsev neeg vim yog cov laj thawj caj ces.

Cov kws kho mob nrhiav tau qhov no li cas?

Tus kws kho mob tuaj yeem qhia tau yog tias koj muaj hyperphosphatemia. Nws yuav coj koj cov keeb kwm kho mob , kuaj lub cev , thiab nug txog koj cov tsos mob, koj cov zaub mov noj, thiab cov tshuaj uas koj noj. Yuav kom paub tseeb tias koj cov phosphate yog dab tsi, koj yuav tsum tau kuaj ntshav .

Thaum lub sijhawm kuaj ntshav, tus kws kho mob lossis tus nais maum yuav siv ib rab koob me me (21 gauge, me dua li lub hau ntawm lub pob ntseg ib txwm me ntsis). Cov ntshav no raug xa mus rau chav kuaj ntshav kom paub seb muaj phosphate ntau npaum li cas hauv koj cov ntshav. Yog tias koj cov phosphate ntau dua 4.5 milligrams ib deciliter (4.5 mg/dL) ntawm cov ntshav,, qhov ntawd txhais tau tias koj muaj hyperphosphatemia.

Yog tias koj raug kuaj pom tias muaj tus mob no, koj tus kws kho mob yuav hais kom koj kuaj ntxiv kom paub seb koj lub raum zoo li cas. Cov no suav nrog:

• Kev kuaj ntshav ntxiv.
• Kev kuaj mob los xyuas seb puas muaj protein nyob hauv cov zis.
• Kev kuaj mob ultrasound .
• Ib daim duab MRI .
• Kev luam theej duab CT .
• Kev kuaj mob raum ( siv ib daim nqaij me me ntawm lub raum los kuaj).

Cov kev kho mob rau qhov no yog dab tsi?

Kev kho mob rau hyperphosphatemia nyob ntawm seb dab tsi ua rau muaj phosphate ntau hauv koj cov ntshav. Qee yam khoom noj thiab tshuaj kuj tuaj yeem ua rau muaj phosphate ntau. Yog tias qhov no tshwm sim, koj yuav tsum txwv lossis tsum tsis txhob noj qee yam khoom noj lossis tshuaj tag nrho. Lossis, koj yuav tsum hloov mus rau lwm yam tshuaj uas muaj phosphate qis dua.

Qhov tseem ceeb tshaj plaws yog ua raws li tus kws kho mob cov lus qhia kom meej.

Koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj uas txo cov phosphate uas koj lub cev nqus tau. Qhov no txhais tau tias yuav muaj ntau cov phosphate raug tso tawm hauv koj cov zis (tee). Cov tshuaj no suav nrog:

• Sevelamer (Sevelamer - RenaGel®)
• Lanthanum (Lanthanum - Fosrenol®)
• Calcium acetate (Calcium acetate - Calphron®)

Yog tias koj cov phosphate siab vim yog lub raum tsis ua haujlwm, koj tus kws kho mob yuav pib koj ntxuav dialysis . Dialysis ua qhov koj lub raum yuav tsum ua. Ntawd yog, nws tshem tawm cov kua dej ntau dhau thiab cov khoom pov tseg, suav nrog phosphate, ntawm koj cov ntshav.

Cov khoom noj twg muaj phosphorus ntau?

Muaj ntau yam khoom noj thiab dej haus uas muaj phosphorus ntau - cov khoom uas phosphate yog los ntawm. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no, tshwj xeeb tshaj yog tias koj muaj hyperphosphatemia.

• Cov khoom noj mis nyuj thiab cov khoom noj mis nyuj, xws li mis nyuj, cov cheese ua tiav, thiab yogurt.
• Qee cov dej haus uas muaj roj carbonated (xws li dej qab zib/dej qab zib).
• Cov nqaij ua tiav lawm ( xws li cov hnyuv ntxwm thiab nqaij npuas kib).
• Khoom noj ceev ceev.
• Cov khoom noj txom ncauj ( cov khoom ntim xws li cov chips, biscuits).
• Cov txiv ntoo.
• Cov nplej tag nrho , uas suav nrog cov nplej, oats, thiab mov (tshwj xeeb tshaj yog cov uas muaj bran).
• Taum pauv.
• Cov taum pauv.

Tej zaum koj tus kws kho mob tau hais rau koj lawmKoj yuav raug xa mus rau tus kws kho mob noj haus raum . Cov no yog cov neeg uas tshwj xeeb hauv kev tswj koj cov zaub mov kom txhawb kev noj qab haus huv ntawm lub raum. Lawv yuav pab koj tsim ib txoj kev npaj zaub mov tshwj xeeb (kev noj haus raum) uas txwv cov phosphate hauv koj lub cev.

Puas muaj ib txoj kev kom dim ntawm qhov xwm txheej no?

Txoj kev zoo tshaj plaws los tiv thaiv kom tsis txhob muaj hyperphosphatemia yog saib xyuas koj lub raum kom noj qab haus huv thiab paub txog qhov ntau ntawm phosphate thiab calcium uas koj noj. Yog tias koj xav tias koj yuav muaj feem yuav mob no, nrog koj tus kws kho mob tham. Nws yuav xa koj mus rau tus kws kho mob nephrologist . Tus kws kho mob nephrologist yog tus kws kho mob uas tshwj xeeb hauv cov mob uas cuam tshuam rau lub raum.

Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?

Yog koj paub tias koj muaj mob hyperphosphatemia, thiab koj muaj cov tsos mob ntawm tus kab mob raum lossis lub raum tsis ua haujlwm, mus ntsib kws kho mob tam sim ntawd. Tsis txhob ncua sijhawm.

Koj yuav tsum nug kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws tseem ceeb heev uas yuav tsum nug cov lus nug no:

• Koj yuav paub tseeb li cas yog tias kuv muaj hyperphosphatemia?
• Yog tias kuv tsis muaj tus mob no, kuv yuav muaj lwm yam mob dab tsi ntxiv?
• Qib phosphate hauv cov ntshav uas noj qab nyob zoo yog dab tsi?
• Koj pom zoo kom kuv noj cov tshuaj twg?
• Koj puas xav tau daim ntawv yuav tshuaj kom tau cov tshuaj ntawd, los yog koj tsuas yuav tau ntawm lub tsev muag tshuaj xwb?
• Cov khoom noj thiab dej haus twg kuv yuav tsum tsis txhob noj lossis haus?
• Kuv yuav tsum noj phosphorus ntau npaum li cas ib hnub?
• Koj puas xa kuv mus ntsib kws kho mob txog kev noj haus raum?
• Kuv puas yuav tsum mus ntsib kws kho mob nephrologist lossis lwm tus kws tshwj xeeb?

Qhov txawv ntawm Hyperphosphatemia thiab Hypocalcemia yog dab tsi?

Ob tug no yuav ua rau me ntsis tsis meej pem, yog li cia peb piav qhia meej.

Hyperphosphatemia yog thaum cov phosphate hauv koj cov ntshav siab dhau .

Hypocalcemia yog thaum cov calcium hauv koj cov ntshav qis dhau .

Feem ntau, qhov mob no hu ua hypocalcemia tshwm sim los ntawm lwm yam mob. Hyperphosphatemia yog ib qho ua rau hypocalcemia.

Cov Lus Xaus Kawg coj mus tsev

Zoo, yog li peb tau tham ntau txog hyperphosphatemia. Hais yooj yim xwb, nws yog kev nce ntxiv ntawm cov phosphate hauv koj cov ntshav. Txawm hais tias nws tsis tshua muaj ntau rau feem ntau ntawm cov neeg hauv ntiaj teb, nws tuaj yeem tshwm sim ntau rau cov neeg uas muaj kab mob raum lossis lub raum tsis ua haujlwm .

Feem ntau, tsis muaj cov tsos mob tshwj xeeb thaum xub thawj. Yog li ntawd, ntau tus neeg tsuas paub tias lawv muaj tus mob tom qab muaj lwm cov tsos mob tshwm sim, tej zaum zoo li hypocalcemia.

Thaum koj pom tias koj muaj hyperphosphatemia, tshwj xeeb tshaj yog thaum lawv qhia koj tias koj xav tau kev ntxuav ntshav, nws yog ib qho ib txwm muaj uas koj yuav ntxhov siab thiab ntshai. Tsis muaj dab tsi tsis zoo nrog kev muaj cov kev xav ntawd. Tham nrog koj tus kws kho mob txog txhua lo lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yuav teb koj cov lus nug, muab kev txhawb nqa uas koj xav tau, thiab muab cov lus qhia rau koj txog yuav ua li cas thiaj daws tau qhov teeb meem no zoo tshaj plaws. Nco ntsoov, koj tsis yog tib leeg xwb!

` Kev muaj phosphate ntau dhau, Phosphate, Kab mob raum, Kab mob raum ntev ntev, Hypocalcemia, Dialysis