Thisen test i neih hian doctor chuan "i thisen calcium level a sang deuh" a ti em? Chutiang thu i hriat chuan hlauhna tlem a awm chu thil pangngai a ni. Mahse, lungngai suh. He natna hi damdawi lam chuan hypercalcemia kan tih hi a ni . A awlsam zawngin i thisenah calcium a awm tur aia tam i nei tihna a ni. Hemi chungchang hi vawiin hian awlsam tak leh hlim takin i sawi dawn nia.
Hypercalcemia hi eng nge ni tak tak?
Calcium hi kan taksa tan a pawimawh hle a, a bik takin kan ruh leh ha chakna atan a pawimawh hle. Kan nervous system leh muscle te hnathawh that nan a mamawh bawk. Mahse, thil dang ang bawkin taksaa calcium tam lutuk hi a tha lo.
I thisen calcium level a sang deuh chauh a nih chuan symptoms i hmu lo mai thei. Mahse a level a san chuan kan taksa hian he extra calcium hi zun atanga paih chhuah tumin a bei thin. Chuvângin, hetiang hi i tawng mai thei:
- Zun tam a tulna.
- A hma aia tuihal zawka inhria.
Calcium level a san lutuk chuan kan nervous system a nghawng thei a, kan buai thei a, hriatrengna a tichhe thei a, a châng chuan kan rilru a buai thei bawk .
A pawimawh ber chu he natna hi enkawl loh a nih chuan a tawpah chuan ruh hloh, kal lung, kal chak lohna, leh thinlung natna te ang chi natna khirh tak tak a thlen thei a ni Chuvang chuan hei hi hriat chian a pawimawh hle a, doctor nen inbia a, a tul anga hma lak a pawimawh hle.
Hei hi a chhan berte chu engte nge ni?
Thisen calcium sang chhan hi 25 aia tam awm mah se, 90% chu chhan lian pahnih vang a ni.
1. Parathyroid Glands chak lutuk
Hei hi hypercalcemia thlentu ber a ni. Parathyroid glands hi kan kawr chhunga awm, thyroid gland hnung lama awm gland te tak te pali a ni . Calcium control thei thermostat angin an thawk a ni.
Thisen a calcium level a tlahniam chuan heng gland te hian parathyroid hormone (PTH) an tichhuak thin.PTH siam chhuah a ni. He hormone hian kan ruhte chu "thisenah calcium tam zawk chhuah tir turin," kan kalte chu "zun atanga calcium paih chhuah tihtlem" turin signal a pe a, kan 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 a tul aia tam PTH an siam chhuak thin. Hei hian thisen a calcium level chu a tul lovah a tisang thei a ni. Hei hi glands lian lutuk vang emaw, cancer ni lo tumor lo awm vang emaw pawh a ni thei.
Hemi avang hian Hypercalcemia i vei a nih chuan hetiang hian symptoms i nei thei bawk:
- Lungngaihna
- Hriatrengna hloh
- Lungchhung natna
- Mut harsatna a awm
- Ruh leh ruh natna
- Chauhna awm reng
Enkawlna atan i doctor chuan a natna gland emaw gland emaw chu operation hmanga lakchhuah a rawt fo ang. He natna hi a na lutuk lo a nih chuan i calcium level, thisen sang leh kal hriselna te enfiah fovin i dinhmun hi i enfiah thei ang.
2. Cancer natna a ni
Hypercalcemia hi cancer vei zinga 10%-30% ah a awm thei. Hei hi a chhan chu cancer thenkhat:
- Ruhte chu a chhe thei a, thisenah calcium a chhuak thei a ni.
- PTH hormone ang maia hnathawk thei thil a siam thei a, ruh atanga calcium chhuahna signal a siam thei bawk.
- Kidney function a nghawng thei a, zun atanga calcium chhuak zat a ti tlem thei bawk.
Hypercalcemia nena inzawm cancer chi hrang hrangte chu:
- Lung cancer a ni
- Kidney cancer a ni
- Hnute cancer a ni
- Multiple myeloma - Thisen cancer chi khat, ruhro atanga intan.
Cancer vanga hypercalcemia awm hi enkawl a harsa thei hle. A bulpui ber chu cancer enkawl hi a ni. Mahse, i doctor chuan ruh atanga calcium chhuak tur control nan intravenous (IV) emaw injection emaw angin damdawi ``Bisphosphonates'' emaw ``Denosumab'' emaw a pe thei che a ni.
Vitamin leh supplement hian nghawng a neih dan
A chang chuan vitamin leh supplement kan hman te pawh hi a chhan a ni thei.
| Supplement / Vitamin tih a ni | Engtin nge a nghawng |
|---|---|
| Calcium Supplements leh Antacids te a awm bawk | Gastritis atana hman tur antacid thenkhat leh calcium tablet thenkhat hman tam lutuk leh rei tak hman hian thisenah calcium a tipung thei a ni. Hetiang dinhmun hi (Milk-alkali syndrome) an ti a. Hei hian kal (kidney) a tichhe thei bawk. |
| Vitamin D a ni | Vitamin D hian kan taksain calcium a hip lut thei a. Mahse, vitamin D hi thla engemaw zat (entir nan, ni khatah 60,000 IU) i ei chuan i calcium level chu hlauhawm takin a sang thei a ni. Chaw ei pangngai emaw, ni eng emaw atang hian hetiang zat vitamin D hi i hmu lo. |
| Vitamin A hi a awm a | Vitamin A ei tam lutuk hian ruh a\angin calcium tam lutuk a chhuak thei a, thisenah a khawlkhawm thei a ni. |
Vitamin emaw supplement emaw i ei a nih chuan i doctor hnenah hrilh ngei ngei tur a ni tih hre reng ang che. Anmahni biak hmasa lovin eng thil pawh tan tir suh, titawp suh.
Chhan dang leh emergency dang
Thil dang nghawng thei
- Damdawi dang: Thisen sang damdawi thenkhat (e.g., thiazide diuretics) leh rilru lam natna damdawi, lithium ang chi te hian calcium level a tisang thei bawk.
- Genetics: A tlem hle a, hei hi Family Hypocalciuric Hypercalcemia (FHH) tih hming pu genetic condition vang pawh a ni thei.
- Hriselna lam: Lung natna, TB ang chi, overactive thyroid ang chi dinhmun.
- Taksa tihchak loh: Hetiang dinhmun hi paralysis emaw natna dang emaw avanga hun rei tak khumah mutthlengnaah pawh a awm thei bawk. A chhan chu ruhte hian taksa rihna an hriat loh chuan ruh a\angin calcium a chhuak \hin.
- Severe Dehydration: Taksaah tui a tlem chuan kal (kidney) hian calcium tam lutuk a paih chhuak thei lo.
Engtikah nge hei hi emergency a nih?
Puitling tan chuan thisen calcium level pangngai chu 8.5 - 10.3 mg/dL inkar a ni tur a ni. He level hi a sang lutuk a nih chuan emergency medical attention mamawhna condition a ni.
I rilru na tak, lu hlim, luak chhuak, a nih loh leh pum na nasa tak i neih thut chuan , chu chu hypercalcemia tih hming pu natna khirh tak chhinchhiahna a ni thei. Chutiang a nih chuan damdawi in emergency room (ETU) ah i kal nghal tur a ni . Chutah chuan IV fluid leh damdawi te pek i ni a, chu chuan i calcium level chu rang takin a control thei a ni.
Take-Home Thuchah a ni
- Hypercalcemia hi thisen a calcium level sang tak a ni. Chhan dang avanga thisen test an tih laiin accident-a hmuhchhuah a ni fo.
- Hei hi a chhan langsar ber chu parathyroid glands emaw cancer emaw avanga harsatna a nih avangin a chhan dik tak zawn chhuah a pawimawh hle.
- I thisen calcium a sang tih i hriat chuan hlauthawng suh. I doctor nen inbia la, a chhan zawng la, a enkawlna dik tak chu tan rawh.
- Doctor rawn hmasa lovin vitamin emaw, calcium pill emaw, supplement dang emaw hmang suh.
- I rilru buai emaw, hriatna hloh emaw ang chi symptom na tak tak i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
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