Tun hnaia thisen test i neih a, i doctor-in i "calcium level a sang deuh" tih a sawi a nih chuan, tlem tal ngaihtuahna i neih chu thil awmdan a ni. Khawngaihin hlauthawng suh. Damdawi lam hawi chuan he natna hi Hypercalcemia tia hriat a ni. A awlsam zawngin i thisenah i taksa mamawh aia tam calcium a awm tihna a ni. Vawiin hian hemi chungchanga hriat tur zawng zawng hi awlsam leh hriatthiam awlsam takin i then ang.
Hypercalcemia hi eng nge ni tak tak?
Calcium hi kan taksa tan a pawimawh hle a, a bik takin ruh leh ha chakna vawng reng turin a pawimawh hle. Kan nervous system leh muscle te pawh a thawk tha thei tih a tichiang bawk. Mahse, thil tam zawk ang bawkin i system-ah calcium tam lutuk a kal kual hi a hrisel lo.
I calcium level a sang tlem chauh a nih chuan symptom engmah i hmu lo mai thei. Mahse, a level a san chuan i taksa chuan i zun kaltlangin calcium tam lutuk chu paih chhuah a tum a, chu chuan hetiang hian i tawng thei a ni:
- A zun chhuah a ngai fo thin.
- A tlangpui aia tuihal nasa zawka inhria.
Calcium level a sang hle a nih chuan i nervous system a nghawng thei a, buaina a thlen thei a, hriatrengna a hloh thei a, a then phei chuan i rilru a buai thei bawk.
Hriat tur pawimawh ber chu, he natna hi enkawl loh chuan a tawpah chuan ruh hloh, kal lung, kal chak lohna, leh thinlung lama harsatna te ang chi thil lian tak tak a thlen thei a ni. Chuvangin, hriat reng a pawimawh hle a, i doctor nen i hmabak tur chungchang sawiho a pawimawh hle.
A chhan bulpui berte chu engte nge ni?
Thisen calcium sang chhan awm thei 25 chuang a awm laiin, 90% chu thil pawimawh pahnih avanga lo awm a ni.
1. Parathyroid Glands chak lutuk
Hei hi Hypercalcemia thlentu ber a ni. I parathyroid glands hi gland te tak te pali a ni a, i thyroid gland hnung lamah i kawr chhungah a awm a. Thermostat angin an thawk a, chu chuan i calcium level a tidanglam thin.
Thisena calcium level a tlahniam chuan heng gland te hian parathyroid hormone ( PTH ) an siam chhuak thin. He hormone hian i ruhte chu thisenah calcium chhuah tir turin signal a pe a, i kalte chu zun atanga calcium paih chhuah tihtlem nan leh i intestines te chu ei tur atanga calcium tam zawk lakluh turin signal a pe bawk.
Mahse, heng gland pakhat emaw a aia tam emaw a overactive chuan PTH an siam tam lutuk a, thisenah calcium level chu a tul lovah a tisang a ni. Hei hi glands lian tham emaw, cancer ni lo tumor lo awm vang emaw a ni fo thin.
I Hypercalcemia hi hei vang hian a awm a nih chuan:
- Lungngaihna
- Hriatrengna hloh
- Lungchhung natna
- Mut harsatna a awm
- Ruh leh thau natna
- Chauhna awm reng
Enkawlna atan chuan i doctor chuan harsatna nei gland(s) chu paih chhuah nan operation neih a rawt thei ang. Chu natna chu a na lo a nih chuan i calcium level, thisen sang, leh i kal hriselna chu an enfiah reng mai thei.
2. Cancer natna a ni
Hypercalcemia hi cancer vei zinga 10%-30% ah a awm thei. Hei hi a chhan chu cancer thenkhatin:
- Ruh tissue te ti chhe la, thisenah calcium chhuah tir rawh.
- PTH ang chi thil siam chhuakin, ruhte chu calcium tam zawk chhuah tir turin signal pe thin.
- Kidney function a nghawng a, taksa atanga calcium filter chhuah zat a tihtlem phah.
Hypercalcemia nena inzawm cancer tam ber chu:
- Lung cancer a ni
- Kidney cancer a ni
- Hnute cancer a ni
- Multiple myeloma (ruh chhunga plasma cell awmte cancer) a ni.
Cancer vanga Hypercalcemia awm hi enkawl dan hi a buaithlak thei hle. A ngaih pawimawh ber chu cancer hnuaia awm enkawl hi a ni. Tin, i doctor chuan i ruh atanga calcium a chhuah loh nan Bisphosphonates emaw Denosumab ang chi damdawi, IV emaw injection emaw hmanga pek a pe thei bawk.
Vitamins leh Supplements te chanvo
A châng chuan, vitamin emaw supplement emaw i ei hian he natna hi a thlen thei a ni.
| Supplement / Vitamin tih a ni | Engtin nge a nghawng che |
|---|---|
| Calcium Supplements & Antacids te pawh a awm bawk | Anticid thenkhat (gastritis tan) emaw calcium tablet emaw hman tam lutuk hian thisen calcium a tisang thei a, hei hi Milk-alkali syndrome tia hriat a ni a, chu chuan i kal a tichhe thei bawk. |
| Vitamin D a ni | Vitamin D hian i taksain calcium a lakluh theih nan a pui thin. Mahse, thla tam tak chhung (eg, nitin IU 60,000) ei tam lutuk hian calcium level chu hlauhawm takah a hruai thei a ni. Chaw pangngai emaw, ni ênga awm emaw hian hetiang hi a thlen dawn lo. |
| Vitamin A hi a awm a | Vitamin A ei tam lutuk hian i ruh atanga calcium thisenah a chhuah tir thei a ni. |
Hriat reng tur: vitamin emaw supplement emaw i ei a nih chuan i doctor hnenah hriattir ngei ang che. Damdawi engmah hi anmahni rawn hmasa lovin tan emaw tihtawp emaw loh tur a ni.
A chhan dang leh Emergency
A thawhhlawk dangte pawh
- Damdawi: Thisen sang damdawi thenkhat (thiazide diuretics ang chi) leh lithium (mood disorder atana hman) te hian calcium level a tisang thei a ni.
- Genetics: A tlem berah chuan thlahtu natna, Familial Hypocalciuric Hypercalcemia (FHH) tia hriat chu a chhan a ni thei.
- Underlying Hrisel Conditions: Lung nena inzawm natna Tuberculosis emaw thyroid overactive emaw te hian a tichhuak thei a ni.
- Inactivity: Paralysis emaw, natna khirh tak emaw avanga hun rei tak khumah mut thinte chu an hlauhawm hle a, ruhte hian rit an phur loh avangin thisenah calcium a luang lut thin.
- Severe Dehydration: I taksain tui a tlakchham chuan kal (kidney) hian calcium tam lutuk chu paih chhuah tumin a bei nasa hle.
Engtikah nge hei hi emergency a nih?
Puitling thisena calcium level pangngai chu 8.5 atanga 10.3 mg/dL inkar a ni tlangpui. I level a sang chho hle a nih chuan damdawi lam pan vat a ngai a ni.
I rilru a buai nghal vat a, nasa takin i rilru a buai a, i rilru a hah a, i luak chhuak a, i pum na i tuar thei lo a nih chuan hengte hi Hypercalcemia hlauhawm tak chhinchhiahna a ni thei. Chutiang hunah chuan emergency department hnai ber pan nghal la, chutah chuan medical staff-te chuan IV fluid leh damdawi hmangin i calcium level chu him takin an enkawl thei ang.
Take-Home Thuchah a ni
- Hypercalcemia chu thisen calcium tamna dinhmun mai a ni a, thisen hnathawh dan pangngai hmanga accident-a hmuhchhuah a ni fo thin.
- A chhan tam ber chu parathyroid issue emaw, cancer ang chi damdawi lam dinhmun hnuaia awm emaw a ni. A chhan hriatchhuah hi a pawimawh hle.
- I calcium level a sang tih an hrilh che chuan hlau suh; i doctor nen result chungchang sawiho la, enkawlna tur ruahmanna siam rawh.
- Doctor phalna la hmasa lovin calcium supplement, vitamin dose sang tak emaw, supplement dang emaw ei ngai suh.
- I rilru buai lutuk emaw, rilru hahna emaw ang chi natna khirh tak tak i neih chuan emergency medical care zawng nghal rawh.
Hypercalcemia, calcium, thisen calcium sang, hypercalcemia guide, parathyroid, PTH, kal lung, tuihal lutuk, hormone, cancer, Vitamin D, calcium supplement
