He nui te taumata phosphate i roto i tō tinana? Me kōrero tātou mō te hyperphosphatemia!

Kua whakaaro koe he aha ētahi mea o roto i ō tātou tinana i ētahi wā he teitei ake i te mea e tika ana? Tērā pea kua kī atu tētahi tākuta ki a koe he nui rawa te phosphate i roto i ō toto. Kua rongo rānei koe i tētahi wāhi mō tēnei mea. Koinei te mea e kīia nei e tātou ko te hyperphosphatemia. Ahakoa he ahua rerekē te ingoa, ki te mārama tika tātou, kāore he mea e manukanuka ai.

He aha tonu te hyperphosphatemia?

Ki te whakarapopoto, ko te hyperphosphatemia te wā e nui rawa ai te kohuke e kiia nei ko te phosphate i roto i tō toto. He matūkai nui te phosphate mō ō tātou tinana. Ka āwhina i te pupuri i te kaha o ō tātou wheua me ō tātou niho, ka whakarato i te pūngao mō ō tātou pūtau, ā, ka āwhina i te hanga i ngā kiriuhi pūtau.

Whakaarohia pēnei, he rite te phosphate ki tētahi pākahiko iti i roto i tō tātou tinana. Kia pai ai te mahi a ēnei mea, me whai hiko. Ko te phosphate tētahi o ngā electrolyte . Ko ngā electrolyte he kohuke ka taea te tango i tētahi hiko pai (+) kino (-) rānei ina rewa ki te wai, ki tētahi wai rānei pērā i tō tātou toto. Nō reira, he mea nui te pupuri i tēnei taumata phosphate kia taurite mō ngā mahi maha i roto i te tinana. Kei te mārama koe?

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ina hoki, ka taea e te tangata katoa te pāngia e tēnei mate e kiia nei ko te hyperphosphatemia. Heoi, he nui ake te kitea i roto i te hunga he mate tākihi tōna. Ina koa, ko te hunga he mate tākihi mau tonu (CKD) , inā koa ko te hunga kua pāngia e te mate kua roa, ko te hunga rānei he ngoikore te tākihi, ka nui ake te tūponotanga ka pāngia e tēnei mate.

Inaianei, kei reira ētahi āhuatanga ka whai wāhi ki te mate tākihi. Mena kei a koe tētahi, neke atu rānei o ēnei e whai ake nei, he iti noa te tūponotanga ka pāngia koe e te mate tākihi, ā, nā tēnei ka pāngia koe e te hyperphosphatemia:

• Mena he mate huka tōu (Diabetes Mellitus) .
• Mena he toto toto tiketike tōu (hypertension) .
• Mena he mate ngakau tōu .
• Mena kua pāngia tētahi o tō whānau e te mate tākihi (ko te tikanga he mate tuku iho pea).
• Mena he rerekē te hanganga o ō whatukuhu.
• Mena nō te iwi Āwherika-Amerika koe, nō te iwi Pāniora, nō te iwi Āhia, nō te iwi Taketake rānei (he nui ake te tūponotanga ka pāngia te hunga o ēnei iwi e te mate tākihi).
• Mena kua neke atu i te 60 tau tō pakeke .
• Mena kua roa koe e whakamahi ana i ngā rongoā whakamamae mamae , inā koa ko ngā rongoā anti-inflammatory kore-steroidal (NSAID), ka taea te hoko mai i te toa rongoā.

He pēhea te noa o tēnei āhuatanga?

Ki te tirohia te nuinga o te tangata o te ao, he tino onge te hyperphosphatemia anake. Ko te tikanga he pikinga noa iho o te phosphate i roto i te toto. Engari, e ai ki taku kōrero i mua, ki te mea he mate tākihi mau tonu tōu, inā koa he kino rawa, he tino noa tēnei āhuatanga. I te nuinga o te wā, tata ki te 70% o te hunga he mate tākihi mau tonu kino kua kitea he hyperphosphatemia.

He aha ngā mea ka pā ki te tinana ina piki ake ngā taumata o te phosphate?

I kōrero tātou i mua ake nei mō te āwhina a te phosphate ki te whakapakari i ō tātou wheua me ō tātou niho, te whakarato pūngao mō ngā pūtau, me te āwhina ki te hanga kiriuhi pūtau. He pono tēnā. Engari, pērā i ngā mea katoa, ka raru pea te nui rawa o taua mea.

Whakaarohia, ki te nui rawa te taumata o te phosphate i roto i tō toto, ka tīmata te tango i te konupūmā mai i ō wheua. Ka ahatia i muri mai? Ka ngoikore, ka pakarukaru ngā wheua.

Ehara i te mea koinā anake, engari ka taea e tēnei taikaha nui te whakaputa i ngā putunga konupūmā ki roto i ō kanohi, i ō pukahukahu, i tō ngākau, me ō uaua toto. He ahua morearea tēnei. Nā te mea i roto i te wā, ka piki ake te tūponotanga o ngā mate manawa, ngā whiu , tae noa ki te mate.

He aha ngā tohu o te Hyperphosphatemia?

I te nuinga o te wā, ina he hyperphosphatemia anake tōu, kāore koe e kite i tētahi tohu nui. Ko te tikanga, kāore pea koe e mōhio i te tīmatanga he nui rawa te phosphate i roto i tō tinana. Heoi, e ai ki tā tātou i kōrero ai, ina piki ake tēnei phosphate, ka ngaro pea te konupūmā i roto i ō wheua me ō toto. Ka kiia tēnei ko te hypocalcemia . Ko te tikanga he hekenga o te taumata o te konupūmā i roto i te toto.

Nō reira, i te nuinga o te wā, he rite tonu ngā tohu o te hyperphosphatemia ki ērā i puta mai i te hypocalcemia. Tirohia mēnā e mōhio ana koe ki ēnei:

• Ngā mamae o te uaua.
• Ngā whao pakarukaru.
• Kiri maroke.
• He makawe matotoru ake i ō makawe noa.
• Ngā raruraru mahara .
• Te riri.
• Te wiriwiri i ngā ngutu, i te arero, i ngā matimati, me/ranei i ngā waewae.
• I ētahi wā ka puta mai he rite ki te mate haurangi.
• Ngā āhuatanga rerekē o te ngakau, arā, te arrhythmia.

He aha te take e puta ai te hyperphosphatemia?

Tērā pea he maha ngā take mō tēnei. Ko ngā take matua ko:

• Te mate tākihi mau tonu kua horapa. Koinei te tino take. Ina kore e mahi tika ngā tākihi, kāore e taea e rātou te whakaputa i te nui o te phosphate mai i te tinana.
• Te Hypoparathyroidism. He āhuatanga tēnei e iti rawa ai te homoni parathyroid e whakaputaina ana e ngā repe parathyroid, e whakahaere ana i ngā taumata konupūmā me te phosphate o te tinana.
• He iti iho te pH o tō toto i te mea noa (arā, he waikawa ake tō toto). Tērā pea nā te mea kāore e taea e ō pūkahukahu te tango i te hauhā waro katoa e hangaia ana i roto i tō tinana. Ka kiia tēnei ko te waikawa manawa .
• He hekenga o te pH toto nā ētahi atu take ( metabolic acidosis ).

Haunga ēnei, ahakoa kāore i te tino kitea, ka puta anō hoki te hyperphosphatemia nā ēnei take e whai ake nei:

• Te ketoacidosis e pā ana ki te mate huka.
• Te pakaru o te uaua ( rhabdomyolysis ).
• Mate pāwera nui ( sepsis ).
• Whara kuru (ngā whara i puta mai i te takanga o tētahi mea taumaha ki te tinana, i te pēhi rānei o tētahi mea ki te tinana mō te wā roa).
• Kāore tō tinana e aro tika ana ki te homoni parathyroid ( pseudohypoparathyroidism ).
• Te nui rawa o te phosphate e uru ana ki roto i tō tinana, mai i te kai e kainga ana e koe, mai i te enema rānei.

He aha te tino take?

E ai ki taku kōrero i mua, ko te tino take o te hyperphosphatemia ko te mate tākihi mau tonu.

He mate hopuhopu tēnei?

Kāo, ehara te hyperphosphatemia i te mate hopuhopu. Kāore e taea te hora atu ki ētahi atu. Heoi, he tino onge, ka taea te hora i roto i ngā whānau nā ngā take ira.

Me pēhea te kite a ngā tākuta i tēnei?

Ka taea e te tākuta te kī mēnā he hyperphosphatemia tōu. Ka tangohia e ia tō hītori hauora , ka tirotirohia tō tinana , ka pātai atu mō ō tohumate, tō kai, me ngā rongoā katoa e tangohia ana e koe. Hei kimi i te nui o ō taumata phosphate, me whakamātau toto koe.

I te wā e whakamātautau toto ana, ka tangohia e te tākuta, e te nēhi rānei he iti noa te toto mai i te uaua i roto i tō ringa mā te whakamahi i tētahi ngira iti (21 te ine, he iti ake i te pito o tētahi whakakai taringa noa). Ka tukuna tēnei tauira toto ki tētahi taiwhanga hei tirotiro i te nui o te phosphate i roto i ō toto. Mena he nui ake tō taumata phosphate i te 4.5 milligrams ia deciliter (4.5 mg/dL) o te toto,, ko te tikanga he hyperphosphatemia tōu.

Mena ka kitea tēnei mate kei a koe, ka tono pea tō tākuta i ētahi atu whakamātautau hei tirotiro i te āhua o ō whatukuhu. Kei roto pea i ēnei:

• Ngā whakamātautau toto tāpiri.
• He whakamātautau hei tirotiro mō te pūmua i roto i te mimi.
• He matawai ultrasound .
• He matawai MRI .
• Matawai CT .
• Ko te koiora whatukuhu ( te tango i tētahi wahi iti o te kiko whatukuhu hei tirotiro).

He aha ngā maimoatanga mō tēnei?

Ko te maimoatanga mō te hyperphosphatemia e whakawhirinaki ana ki te take o te hanga phosphate i roto i tō toto. Ka taea hoki e ētahi kai me ngā rongoā te whakanui ake i ngā taumata phosphate. Mena ka puta tēnei, me whakawhāiti, me mutu rānei te kai i ētahi kai, rongoā rānei. Me huri rānei koe ki tētahi atu rongoā he iti ake ngā taumata phosphate.

Ko te mea nui ko te whai i ngā tohutohu a te tākuta kia tino tika.

Tērā pea ka tohua e tō tākuta he rongoā hei whakaiti i te nui o te phosphate e mimitihia ana e tō tinana. Ko te tikanga tēnei ka nui ake te phosphate ka puta i roto i tō mimi (mi). Kei roto i ēnei rongoā:

• Sevelamer (Sevelamer - RenaGel®)
• Rānamu (Rānamu - Fosrenol®)
• Konupūmā āseta (Konupūmā āseta - Calphron®)

Mena he nui ō taumata phosphate nā te ngoikore o ō whatukuhu, ka tīmata pea tō tākuta ki te dialysis . Ka mahi te dialysis i tā ō whatukuhu e tika ana kia mahia. Arā, ka tangohia e ia te wai nui me ngā hua para, tae atu ki te phosphate, mai i ō toto.

He aha ngā kai he nui te phosphorus?

He maha ngā kai me ngā inu he nui te phosphorus – te huānga e hangaia ai te phosphate. He mea nui kia mōhio koe ki ēnei, inā koa mēnā he hyperphosphatemia tōu.

• Ngā hua miraka me ngā hua miraka, pērā i te miraka, te tiihi tukatuka, me te miraka kawa.
• Ētahi inu warowaihā (inu houra/inu huka).
• Ngā mīti tukatuka ( pērā i te hōtiti me te pēkana).
• Kai tere.
• Ngā kai mātotoru ( ngā kai kua takaihia pērā i te parai paraoa, ngā pihikete).
• Ngā nati.
• Ngā witi katoa , tae atu ki te witi, te ōti, me te raihi (ina koa ko ērā he parani).
• Pīni.
• Ngā pīni.

Kua kōrero pea tō tākuta ki a koeKa tukuna koe ki tētahi tohunga kai whatukuhu . Ko ēnei te hunga e tohunga ana ki te whakahaere i tō kai hei tautoko i te hauora o te whatukuhu. Mā rātou koe e āwhina ki te waihanga i tētahi mahere kai motuhake (kai whatukuhu) e whakawhāiti ana i te nui o te phosphate i roto i tō tinana.

He ara anō hei mawhiti atu i tēnei āhuatanga?

Ko te huarahi pai hei ārai i te hyperphosphatemia ko te tiaki i te hauora o tō whatukuhu , me te mōhio ki te nui o te phosphate me te konupūmā e kainga ana e koe. Ki te whakaaro koe kei te mōrearea koe ki tēnei mate, kōrero ki tō tākuta. Tērā pea ka tukuna koe e ia ki tētahi tohunga whatukuhu . He tākuta tohunga whatukuhu e tohunga ana ki ngā mate e pā ana ki ngā whatukuhu.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Ki te mōhio koe kei te pāngia koe e te hyperphosphatemia, ā, ka puta ngā tohu o te mate tākihi, te ngoikore rānei o te tākihi, me toro atu ki te tākuta tonu. Kaua e whakaroa.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ina haere koe ki te tākuta, he mea tino nui kia pātai koe i ēnei pātai:

• Me pēhea koe e mōhio ai mēnā he hyperphosphatemia tōku?
• Mena kāore tēnei mate i roto i ahau, he aha atu ngā mate hauora ka pā mai ki ahau?
• He aha te taumata phosphate toto hauora?
• He aha ngā rongoā e taunaki ana koe māku?
• Me whai whakahaunga tāu hei tiki i taua rongoā, ka taea rānei te hoko noa mai i te whare rongoā?
• He aha ngā kai me ngā inu kāore e tika kia kainga e au?
• Kia pehea te nui o te whākōkī me kai e au i ia rā?
• Ka taea e koe te tuku mai i ahau ki tētahi tohunga kai whatukuhu?
• Me toro atu ahau ki tētahi tohunga roro, ki tētahi atu tohunga rānei?

He aha te rerekētanga i waenga i te Hyperphosphatemia me te Hypocalcemia?

He āhua pōhēhē pea ēnei e rua, nō reira me whakamārama tātou.

Ko te hyperphosphatemia te wā e teitei rawa ai te taumata phosphate i roto i tō toto.

Ko te hypocalcemia te wā e iti rawa ai te taumata konupūmā i roto i tō toto.

I te nuinga o te wā, ka puta tēnei āhuatanga e kiia nei ko te hypocalcemia hei pānga taha o tētahi atu āhuatanga hauora. Ko te Hyperphosphatemia tētahi o ngā tino take o te hypocalcemia.

Karere Whakamutunga mō te Tango ki te Kāinga

Āe, kua maha ā tātou kōrero mō te hyperphosphatemia. He kupu ngāwari noa iho, he pikinga ake tēnei o te taumata o te phosphate i roto i tō toto. Ahakoa kāore i te tino kitea i roto i te nuinga o te tangata o te ao, ka tino kitea pea i roto i te hunga e mate ana i te mate tākihi mau tonu , i te ngoikore rānei o te tākihi .

He maha ngā wā, kāore he tohu motuhake i te tīmatanga. Nō reira, he tokomaha te hunga ka mōhio kei a rātou te mate i muri i te putanga mai o ētahi atu tohu, pērā i te hypocalcemia.

Ina kitea e koe he hyperphosphatemia tōu, ina koa ka kīia atu ki a koe me hiahia koe ki te dialysis, he mea noa te manukanuka me te mataku. Kāore he he o te whai i aua kare ā-roto. Kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei. Ka whakautua e rātou ō pātai, ka hoatu te tautoko e hiahiatia ana e koe, ā, ka hoatu he tohutohu ki a koe mō te huarahi pai ki te whakatau i tēnei mate. Kia maumahara, ehara i te mea ko koe anake!

` Hyperphosphatemia, Phosphate, Mate Tākihi, Mate Tākihi Mau tonu, Hypocalcemia, Dialysis