Calcium hi taksa tan a pawimawh zia kan hre vek a, a bik takin kan ruh tan a pawimawh hle. Kan naupan lai atang tawh khan kan nu te hian "Bawnghnute in hian ruh a tichak" tiin min hrilh thin. Mahse, he calcium tha an tih hi kan thisenah a pung lutuk a nih chuan eng nge thleng ang tih i ngaihtuah ngai em? Chu chu damdawi lama hypercalcemia kan tih chu a ni. Vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
Hypercalcemia hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hypercalcemia chu i thisenah a pangngai aia tam calcium i neih hian a ni. Hei hi rei lo te chhunga tihpunna tlemte a ni thei a, a nih loh leh dam chhung zawnga natna rei tak a ni thei bawk.
Tunah chuan i ruh chhunga calcium awm chu i thisena a luh chuan eng nge thleng thin tih i ngaihtuah mai thei. Dik tak chuan i taksaa calcium tam zawk hi i ruh chhungah a awm a ni. Mahse hrisel taka hnathawh tur chuan i thisenah calcium engemaw zat i neih a ngai bawk.
Hengte hi thisen a calcium hian kan taksa a tihchhiat dante chu a ni.
- Nervous system hnathawh dan dik: Hei hian kan ngaihtuahna, kan hriat leh thupek zawng zawngah a pui thin.
- Muscle contraction: Thisena awm calcium hian taksa peng hrang hrangte chu a tichak a, a kal a, eng chetna pawh a ti thei bawk.
- Thisen zam: Hliam a awm chuan thisen chhuah tihtawp a pui thin.
- Thinlung hnathawh dan dik: Hei hi thinlung thawk rhythm dik tak vawng reng turin a pawimawh hle.
Kan taksa hian he calcium level hi mak tak maiin a tidanglam thin. Hemi atan hian hormone pahnih hian a pui a ni. Pakhat chu parathyroid hormone a ni a, pakhat chu calcitonin a ni. Hetah hian Vitamin D hian hmun pawimawh tak a chang bawk a, a chhan chu vitamin D hian taksain kan ei leh in atanga calcium a lakluh theih nan a pui a ni.
Mahse, natna thenkhat, damdawi leh thil dang vangin he control system hi a buai thei a, thisenah calcium level a sang thei bawk. Hei hi hypercalcemia a lo awm hun a ni.
Hypercalcemia leh hypocalcemia inthlauhna
Hêng thumal pahnih hi ri inang mah se, a awmzia chu a inang lo tak zet a ni.
- Hyper: Mizo tawng "Hyper" tih awmzia chu "a tam lutuk" tihna a ni. Chumi awmzia chu hypercalcemia chu thisena calcium tihpunna a ni tihna a ni.
- Hypo: "Hypo" tih thumal hi "low" tihna a ni. Chumi awmzia chu hypocalcemia chu thisenah calcium a tlem tihna a ni.
He natna hi tuin nge vei tam ber?
Hypercalcemia hi kum eng pawhah, tu pawhah a lo awm thei. Mahse hmeichhia kum 50 chunglam ah a tam zawk.Hetiang dinhmun hi a tam zawk a, a bik takin menopause hnuah a ni. Hei hi a chhan ber chu parathyroid gland overactive vang a ni.
Mipui zahawm tak zinga 1% leh 2% inkar velin he natna hi an vei nia chhut a ni. Mahse, heng zinga 90% hi a hmaa kan sawi tawh ang khan parathyroid glands (primary hyperparathyroidism) emaw cancer emaw avanga harsatna awm vang a ni.
A tam zawkah chuan he dinhmun hi chutiang chuan a na lo. Mi tam tak chu chhan dang vangin thisen test pangngai an tih laiin accident-in an vei tih hmuhchhuah a ni. Chuvangin lungkham a ngai lo.
Mahse, thisenah calcium level a sang hle a nih chuan harsatna lian tham a thlen thei a ni.
- Kidney tha lo a awm
- Lungphung pangngai lo (Arrhythmia) .
- Hriatrengna leh hriatna lama harsatna (Confusion) .
- Coma-ah a lut ta
Hypercalcemia natna lan chhuahna chu engte nge ni?
He natna hi a hmaa man a nih fo avangin mi tam tak chuan engmah an nei lo. Mahse, calcium level a san deuh chuan emaw, he natna hi rei tak a awm tawh chuan a hnuaia symptoms te hi a lo lang thei a ni.
| Taksa kalphung | Symptoms awm thei te |
|---|---|
| Kidney leh urinary system te a ni | Zun tam leh tuihal lutuk. |
| Chaw ei dan (digestive system) a ni | Nausea leh luak chhuak, chaw ei kham, chaw ei chak lohna. |
| Thluak leh rilru dinhmun | Theihnghilh, lungngaihna, thinrim fo. |
| Ruh leh taksa peng hrang hrang | Ruh na, thau na, taksa na, thau na. |
| Thiltih dan tlangpui | Chauhna leh lu na reng reng. |
Engvangin nge thisena calcium hi hetiang hian a pung?
Hypercalcemia thlen thei natna chi hrang hrang 25 chuang a awm a. Damdawi thenkhat leh tui tlakchhamna hian a thlen thei bawk. Mahse kan sawi tawh ang khan a chhan ber pahnih chu hyperparathyroidism leh cancer te hi an ni .
1. Parathyroid gland lama harsatna (Primary Hyperparathyroidism) .
Kan kawngah hian gland te tak te pali a awm a, thyroid gland hnung lamah hian a awm a. Chungte chu parathyroid glands an ti a. Chungte chuan parathyroid hormone (PTH) an siam chhuak thin. He hormone hi thisen a calcium level control tu ber a ni.
Ngaihtuah teh, kan thisena calcium level a tlahniam chuan heng glands te hian hormone PTH an tichhuak thin. Chu hormone chu a kal a, ruh atanga calcium engemaw zat thisenah a chhuah tir a, kal (kidney)-in calcium a chhuah loh nan a titawp a, intestines-in calcium a lakluh theih nan a pui bawk. Chutiang chuan calcium level chu a pangngaiin a awm leh thin.
Mahse, heng gland pali zinga pakhat emaw a aia tam emaw hi overactive a nih chuan , thisen calcium level chu a pangngaiah a lo kir leh a nih pawhin PTH hormone chu a chhuak tawh lo vang. Tichuan ruh atanga calcium chu thisenah a tel chhunzawm zel ang a, chu chuan thisen calcium level a tisang ang.
2. Cancer natna vei te
Cancer zinga 2% vel chu hypercalcemia nen a inzawm a ni. Hypercalcemia of malignancy hi a thleng rang fo a, a na hle thei bawk. Hei hi a chhan chu cancer cell thenkhat chuan protein (PTHrP) an siam chhuak a, chu chu hormone PTH angin a thawk emaw, ruh tichhein calcium a chhuah tir emaw a ni.
Hetiang dinhmun thlen thei cancer chi hrang hrang:
- Lung cancer a ni
- Hnute cancer a ni
- Multiple myeloma (thisen var cancer a awm) .
- Renal cell cancer natna a ni
- Thisen cancer (Leukemia) .
- Lymphoma (lymphatic system-a cancer natna) 1.1.
3. Damdawi thenkhat
Damdawi leh vitamin thenkhat kan ei hian hetiang hi a thlen thei bawk.
- Thiazide diuretics (thisen sang damdawi), hydrochlorothiazide .
- Lithium ( rilru lam natna thenkhat enkawlna atana hman thin damdawi).
- Vitamin D, vitamin A, a nih loh leh calcium supplement ei tam lutuk .
Mi thenkhat chuan gastritis tan hian calcium carbonate tablet, Tums® ang chi hi an ei fo thin. Hengte hi ei tam lutuk hian thisenah calcium level chu rei lo te chhung atan a tisang thei a ni.
4. Chhan dang
Hei bakah hian chhan dang engemaw zat hmuh tur awm lo tak tak a awm bawk:
- Lung natna hrang hrang sarcoidosis leh tuberculosis te.
- Kidney tha lo a awm.
- Thyrotoxicosis natna (Thyrotoxicosis) natna (Hyperthyroidism) a awm.
- Immobilization tih a ni.
- Ruh natna ang chi Paget’s disease of the bone.
Engtin nge he dinhmun hi kan hriat theih ang?
Hei hi thisen test awlsam tak hmanga hriat theih a ni fo. I doctor chuan i calcium level chu basic metabolic panel (BMP) emaw comprehensive metabolic panel (CMP) emaw thisen test-naah a teh ang.
He natna nasat dan hi thisen a calcium awm zat a zirin an thliar hrang thin.
| Nihna | Thisen a calcium awm zat (mg/dL) 1.1. |
|---|---|
| Hypercalcemia na lo tak a awm | 10.5 atanga 11.9 mg/dL thleng a ni |
| Hypercalcemia hniam lam (moderate hypercalcemia) a awm | 12.0 atanga 13.9 mg/dL thleng a ni |
| Thil awm dan na tak/emergency (Hypercalcemic crisis) 1.1. | 14.0 atanga 16.0 mg/dL thleng a ni |
I doctor-in i thisen calcium level a sang tih a hriat chuan i damdawi ei dan te, chhungkaw medical history te leh thil dang te a zawt ang che. Tichuan, a chhan zawng turin test tlemte an order leh ang.
- Thisen test, parathyroid hormone (PTH) level enfiahna a ni.
- Vitamin D level enfiah nan thisen test a ni.
- Zun atanga calcium chhuak zat tehna test.
A chhan chu parathyroid glands-a harsatna a nih rinhlelhna a awm chuan ultrasound scan emaw CT scan emaw hmanga glands-a tumor emaw swelling emaw enfiah turin tih theih a ni.
Hypercalcemia enkawlna tur engte nge ni?
Enkawlna chu a natna chhan leh a nasat danah a innghat a ni.
Mild case tan chuan
I calcium level a sang deuh a nih chuan i doctor chuan hetiang hian a fuih thei ang che:
- Tui tam in rawh: Hei hian calcium tam lutuk thenkhat chu kal kaltlangin a paih chhuak thei a ni.
- Damdawi thlak danglam: Thisen sang damdawi thiazide chi i ei a nih chuan thlak turin an ti mai thei.
- Supplement ei kha bansan rawh: Calcium pill, vitamin D, gastritis pill i ei a nih chuan ei kha titawp la, i doctor-in a tih angin a zat tihtlem rawh
Parathyroid gland-a harsatna a awm chuan
A chhan chu parathyroid gland overactive a nih chuan enkawlna tha ber chu overactive gland emaw glands surgery hmanga lakchhuah hi a ni fo thin.
He natna hi cancer vang a nih chuan
Hetih lai hian cancer enkawl lai hian calcium level control nan damdawi bik pek thin a ni.
- Bisphosphonates: Hengte hian ruh atanga calcium chhuah a ti tlem.
- Denosumab: He damdawi hi bisphosphonates dawng lote tan pek thin a ni.
Case na tak tak tan chuan
Calcium level a sang hle a, symptom na tak tak a awm chuan damlo chu damdawi inah enkawl nghal tur a ni. Hei hian taksa atanga calcium tam lutuk chu rang taka paih chhuah nan saline intravenous (IV fluids) pek a huam a ni.
Hetiang dinhmun hian hun rei tak chhunga nghawng a neihte chu engte nge ni?
Hypercalcemia hi a hmaa hriatchhuah leh enkawl a nih loh chuan hun rei tak chhung harsatna a thlen thei a ni.
- Kidney lung a awm .
- Kidney-a calcium awm vangin kal (kidney failure ) a awm thin.
- Thisen sang (Hypertension) .
- Osteoporosis leh ruh tliak hlauhawmna a sang.
- Ruh cyst a awm.
- Lungngaihna.
Hetiang dinhmun hi ven theih a ni em?
Hypercalcemia hi a chhan zawng zawng atanga ven theih a ni lo. Mahse, damdawi lam thurawn tel lovin calcium supplement tam lutuk leh calcium awmna antacid ei loh chuan i hlauhawmna chu eng emaw chen chu i tihziaawm thei a ni
I chhungte zingah tu pawhin thisen calcium sang, kal lung, parathyroid natna nei tawh an awm chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Hypercalcemia tih awmzia chu thisenah calcium awm zat chu a pangngai aia tam a ni tihna mai a ni.
- A tam zawkah chuan mild case-ah chuan symptoms a lang lo. Random blood test hmanga hmuhchhuah a ni.
- Hei hi a chhan ber pahnih chu parathyroid glands hyperactivity leh cancer chi hrang hrang a ni.
- Enkawl dan tur chu a natna chhan leh a nasat danah a innghat a, chuvangin dik taka hriat chian a pawimawh hle.
- He thuziak-a kan sawi tawh ang chi symptoms i neih chuan emaw, i chhungkuaa mi tu emaw chuan he natna hi a lo vei tawh a nih chuan, i doctor hnenah thurawn dil ngei ngei tur a ni.
- Damdawi lam thurawn tel lo chuan calcium emaw vitamin supplement dang emaw hmang ngai suh.
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