A châng chuan i chau em, i taksa na i nei em, a nih loh leh i tuihal reng em? Hengte hi thil pangngaiah i ngai mai thei. Mahse hengte hi i thisena calcium level sang tak chhinchhiahna a ni thei bawk. Chu chu damdawi lama hypercalcemia kan tih chu a ni. Lungngai suh, hei hi a tlangpuiin harsatna lian tham a ni lo. Engkim hi awlsam leh chiang takin sawi ila.
A awlsam zawngin Hypercalcemia chu eng nge ni?
Hypercalcemia chu i thisenah a pangngai aia tam calcium i neih chuan a ni. A chang chuan a sang deuh mai thei a, a chang chuan a sang zawk hle thei bawk. Tin, mi thenkhat tan chuan hun rei lote atan a ni a, a bo vek a, thenkhat tan chuan dam chhung atan a ni thei bawk.
Tunah chuan i ngaihtuah mai thei, calcium hi ruh tan a tha a, chuti a nih chuan thisena calcium a pun chuan eng nge thleng thin? Dik tak chuan kan taksaa calcium tam zawk hi kan ruh chhungah a awm a ni. Mahse, thisenah pawh hian calcium engemaw zat a awm ngei ang. A chhan i hria em?
- Kan nervous system hnathawh nan: Calcium hi nerve hmanga thuchah thawn chhuahna atan a pawimawh hle.
- Muscle function: Calcium hian kan muscle te chu a contract leh relax tir a, chu chu kan che tihna a ni.
- Thisen zam: Khawi emaw laiah hliam a awm a, thisen a luang chhuak a nih chuan thisen zam (blood clotting process) atan calcium a mamawh a, chu chuan thisen chhuah a titawp thei a ni.
- Heart function: Calcium hian kan thinlung a thawk tha thei tur khawpin hmun pawimawh tak a chang a.
Thil pawimawh tam tak a tih avangin kan taksa hian kan thisena calcium awm zat hi uluk takin a control a. Hei hi hormone pahnih hian a pui a ni. Anni chu parathyroid hormone leh calcitonin te an ni . Tin, vitamin D hi taksain kan ei leh in atanga calcium a lakluh theih nan a pawimawh bawk.
Hypercalcemia leh Hypocalcemia hi eng nge an danglamna?
Heng thumal pahnih hi a ri a inang deuh a ni lawm ni? Mahse awmzia a inang lo tak zet a ni. Damdawi lamah chuan "Hyper" tih thumal hi "a tam lutuk" tihna a ni. "Hypo" tih awmzia chu "tlem lutuk" tihna a ni. Chuvangin an pahnih inthlauhna hi a awlsam hle.
| Nihna | Awmzia |
|---|---|
| Hypercalcemia natna (hypercalcemia) a awm | Thisenah calcium level pangngai aia sang a ni. |
| Hypocalcemia a awm lo | Thisenah calcium level pangngai aia hniam zawk . |
He natna hi tuin nge vei tam ber?
Hypercalcemia hi kum eng pawhah, tu pawhah a awm thei. Mahse, hmeichhia kum 50 chunglam ah a tam zawk a, a bik takin menopause hnuah a tam zawk. Vawi tam tak chu parathyroid gland overactive vang a ni a, chu chu a hmain kan sawi tawh a ni.
Mipui zahawm tak zinga 1% leh 2% inkar velin he natna hi an vei nia chhut a ni. Chung zinga 90% chu parathyroid glands-a harsatna (primary hyperparathyroidism) emaw cancer natna emaw avanga hypercalcemia an nih thu an sawi.
Hypercalcemia hian nunna a tichhe thei em?
A tam zawkah chuan hypercalcemia hi ngaihtuah tur a awm lo. Mi tam tak chuan symptom pawh an nei lo. Thisen test laiin accident-a hmuhchhuah a ni tlangpui.
Amaherawhchu, calcium level a sang hle (severe hypercalcemia) chuan harsatna lian tak a thlen thei a ni. Chutiang hunah chuan damdawi lam pan vat a ngai a ni. Chutiang natna khirh takah chuan a hnuaia mi hi a thleng thei a ni:
- Kidney tha lo a awm
- Thinlung thawk mumal lo (Arrhythmia) .
- Rilru tibuai
- Coma ah a awm
Chuvangin, hei hi a tlangpuiin thil pawi tak a nih loh laiin, ngaihthah tur dinhmun a ni lo.
Hypercalcemia natna lan chhuahna chu engte nge ni?
Kan sawi tawh ang khan mi tam tak chuan natna lanchhuahna engmah an nei lo mai thei a, a bik takin an calcium level a sanna tlem chauh a nih chuan. Mahse, calcium level nasa taka a san emaw, rei tak a awm reng emaw chuan a hnuaia symptoms te hi a awm thei a ni.
| Symptom category hrang hrang a awm | Hrilhfiahna |
|---|---|
| Taksa a inthlak danglamna tlangpui | Zun tam leh tuihal lutuk, hah reng, chak lohna hriatna. |
| Digestive system lama harsatna awm thei | Nausea leh luak chhuak, chaw ei kham, chaw ei chak lohna. |
| Rilru leh nervous system lama harsatna nei | Theihnghilh, lungngaihna, thinrim, lu na. |
| Ruh leh thau lam harsatna a awm | Ruh na, taksa ruh na, chak lohna, leh taksa ruh na. |
Engvangin nge thisena calcium hi hetiang hian a pung? A chhante chu engte nge ni?
Hypercalcemia hi a chhan tam tak a awm a. Natna thenkhat, damdawi leh tui tlakchhamna te hian a thlen thei vek a ni. Mahse a chhan ber pahnih chu parathyroid glands overactive leh cancer te hi a ni.
1. Parathyroid gland lama harsatna (Primary Hyperparathyroidism) .
Kan taksaah hian calcium level control tu manager tenau pali awmin han ngaihtuah teh. Heng parathyroid gland palite hi kan kawr chhungah, thyroid gland hnung lamah an awm a. An hna ber chu parathyroid hormone (PTH) siam a ni a, chu chuan thisenah calcium level a control a ni. Heng gland pakhat emaw a aia tam emaw hian eng emaw chhan vanga hna an thawh tam lutuk chuan thisenah calcium tam lutuk a awm khawm thin. Hei hi hypercalcemia thlentu ber a ni.
2. Cancer natna vei te
Cancer chi thenkhat chuan thisenah calcium level sang tak a thlen thei bawk. Hei hi hypercalcemia of malignancy an ti a. Cancer vanga hypercalcemia hi a lo thleng thuai tlangpui a, a na hle thei bawk. Hetianga thlen thei cancer chi thenkhat chu:
- Lung cancer a ni
- Hnute cancer a ni
- Multiple myeloma, thisen var cancer a ni
- Renal cell cancer natna a ni
- Leukemia leh Lymphoma natna te a ni
- Rhabdomyosarcoma natna a ni
3. Damdawi thenkhat
Hetiang dinhmun hi damdawi leh vitamin thenkhat kan ei vang pawh a ni thei.
- Thiazide diuretics: Thisen sang leh tui tlakchhamna enkawlna atana hman thin diuretics thenkhat (e.g., Hydrochlorothiazide).
- Lithium: Rilru natna thenkhat enkawlna atana hman thin damdawi a ni.
- Vitamin leh calcium: Vitamin D, vitamin A, emaw calcium supplement ei tam lutuk.
- Antacids: Lung natna atana kan ei fo thin calcium carbonate tablet (Tums® emaw Rolaids® ang chi) ei tam lutuk hian hun engemaw chen chu calcium level 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.
- Hun rei tak khumah inkhung tlat.
- Ruh kaihhnawih natna hrang hrang Paget’s disease of the bone.
Engtin nge he dinhmun hi kan hriat theih ang?
Thisen test pangngai, chhan dang avanga i neih laiin hmuhchhuah a ni fo thin. Comprehensive Metabolic Panel (CMP) emaw Basic Metabolic Panel (BMP) ang chi test hian thisenah calcium level a teh bawk. Hei hian symptoms a lan hmain a hriat theih nan a pui thei a ni.
I doctor chuan i thisena calcium awm zat a zirin i natna nasat dan a hre ang.
| Quality level a ni | Thisen a calcium awm zat (mg/dL) 1.1. |
|---|---|
| Hypercalcemia natna nei lo (mild Hypercalcemia) a awm | 10.5 atanga 11.9 mg/dL thleng a ni |
| Hypercalcemia (Hypercalcemia) a awm lo | 12.0 atanga 13.9 mg/dL thleng a ni |
| Severe (Hypercalcemic crisis) - damdawi lam thila emergency a ni | 14.0 atanga 16.0 mg/dL emaw a aia tam emaw a ni |
I thisen calcium level a san chuan i doctor chuan a enfiah ang che a, i damdawi ei dan leh chhungkaw medical history te a zawt ang che. A chhan chiang tak hmuh theih a nih loh chuan endocrinologist hnenah hruai theih i ni.
A chhan dik tak hriat tumin test eng emaw zat tih belh a ni thei bawk.
- Thisen test, parathyroid hormone (PTH) level enfiahna a ni.
- Vitamin D level enfiah nan thisen test a ni.
- Zun chhunga calcium awm zat enfiahna test.
- Ultrasound emaw CT scan hmanga parathyroid glands-a tumor emaw swelling emaw a awm leh awm loh enfiah thin.
Engtin nge enkawl a nih?
Hypercalcemia enkawlna chu a natna chhan leh a nasat danah a innghat a ni.
Mild condition tan chuan
I calcium level a sang deuh a nih chuan i doctor chuan hetiang hian a fuih thei ang che:
- Tui in tam: Hei hian taksaa tui tlakchhamna a tiziaawm a, zun hmanga calcium tam lutuk tihbo nan a pui bawk.
- Damdawi thlak danglam: Thisen sang tan thiazide-type damdawi i ei a nih chuan, chu ai chuan damdawi dang hmang turin an ti mai thei.
- Supplements ei khap: Calcium emaw vitamin D supplement emaw, calcium awmna antacid tablet emaw ei kha bansan la, a zat pawh tihtlem rawh.
A chhan ang zela enkawl
- Parathyroid glands-a harsatna a awm chuan: A tam zawkah chuan enkawlna tha ber chu overactive gland emaw glands emaw tihbo nan operation tih hi a ni.
- He natna hi cancer vang a nih chuan: Damdawi bisphosphonates emaw denosumab emaw pek theih a ni.
Condition na tak tak tan chuan
Mahse, i calcium level a sang hle a, i natna lan chhuah dan a nasat chuan i doctor chuan damdawi inah dah che a, intravenous fluids (IV fluids) leh enkawlna dang pek che a tum mai thei. Hei hian i calcium level a tihhniam thuai thei a, harsatna pawh a veng thei bawk.
Hetiang dinhmun avang hian eng harsatna nge awm thei?
Hun rei tak chhunga harsatna awm hi a tlem hle a, a chhan chu he natna hi hriat hmasak a nih tlangpui vang a ni. Mahse, rei tak enkawl loh chuan a hnuaia harsatnate hi a lo awm thei a ni.
- Kal chhunga calcium awm (Nephrocalcinosis) leh kal hnathawh that lohna.
- Kidney-ah lung a awm.
- Thisen sang (Hypertension).
- Lungngaihna.
- Osteoporosis leh ruh tliak awlsam.
A veng thei ang em? Engtikah nge Doctor ka hmuh ang?
Hypercalcemia vei zawng zawng hi ven theih a ni lo. Mahse, i doctor thurawn tel lo chuan, .Calcium pill, vitamin leh antacid calcium awmna a tul lova ei loh hi a finthlak hle.
Doctor i hmuh hun tur chu:
- I chhungkuaa tu pawhin calcium level sang tak, parathyroid natna emaw, kal (kidney stone) nei tawh an awm chuan i doctor nen sawiho rawh.
- He thuziaka kan sawi tawh ang chi (symptoms) (tuihal lutuk, zun tam lutuk, taksa na, luak chhuak) i neih chuan doctor pan nghal rawh.
Condition i vei tih hmuhchhuah thar hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse, hypercalcemia hi enkawl theih a ni tih hre reng ang che. I calcium level a normal leh chuan i symptoms te chu a reh tawh ang. Hemi chungchanga zawhna i neih apiang chu i doctor zawt hreh suh.
Take-Home Thuchah a ni
- Hypercalcemia hi thisen a calcium level chu a pangngai aia sang a nih chuan a ni. Thisen test laiin accident-a hmuhchhuah a ni fo.
- Hei hi a chhan ber chu parathyroid glands hyperactivity leh cancer natna thenkhat a ni.
- Calcium level sang lo deuh hian natna lanchhuahna a thlen lo thei a, mahse a sang lutuk chuan hriselna lama harsatna lian tak a thlen thei a ni.
- Enkawl dan tur chu natna thlentu leh natna nasat danah a innghat a ni.
- Symptoms te hi ngaihthah suh. Doctor rawn hmasa phawt ang che. Damdawi lam thurawn tel lo chuan calcium emaw vitamin supplement ei loh tur a ni.
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