Ngati mwangoyezetsa magazi posachedwapa ndipo dokotala wanu wanena kuti "calcium yanu yakwera pang'ono," ndikwachibadwa kukhala ndi nkhawa pang'ono. Chonde musachite mantha. M'mawu azachipatala, vutoli limadziwika kuti Hypercalcemia . Mwachidule, zikutanthauza kuti m'magazi mwanu muli calcium yambiri kuposa momwe thupi lanu limafunira. Lero, tiyeni tikambirane zonse zomwe muyenera kudziwa za izi m'njira yosavuta komanso yosavuta kumva.
Kodi Hypercalcemia ndi chiyani kwenikweni?
Calcium ndi yofunika kwambiri m'thupi lathu, makamaka kuti mafupa ndi mano akhale olimba. Imathandizanso kuti mitsempha ndi minofu yathu zizigwira ntchito bwino. Komabe, monga momwe zilili ndi zinthu zambiri, kukhala ndi calcium yambiri m'thupi lanu sikoyenera.
Ngati mulingo wa calcium m'thupi lanu wakwera pang'ono, simungazindikire zizindikiro zilizonse. Komabe, pamene kuchuluka kwa calcium m'thupi lanu kumakwera, thupi lanu limayesa kutulutsa calcium yochulukirapo kudzera mu mkodzo wanu, zomwe zingakupangitseni kumva izi:
- Kufuna kukodza pafupipafupi.
- Kumva ludzu kwambiri kuposa masiku onse.
Ngati calcium yambiri ikwera kwambiri, ingakhudze mitsempha yanu, zomwe zingakupangitseni kusokonezeka, kuiwala, komanso nthawi zina, kukomoka.
Chofunika kwambiri kukumbukira ndichakuti ngati sichichiritsidwa, vutoli lingayambitse mavuto aakulu monga kutayika kwa mafupa, miyala ya impso, kulephera kwa impso, ndi mavuto a mtima. Chifukwa chake, ndikofunikira kukhala ndi chidziwitso ndikukambirana ndi dokotala wanu za zomwe mungachite.
Kodi zifukwa zazikulu ndi ziti?
Ngakhale pali zifukwa zoposa 25 zomwe zingayambitse kuchuluka kwa calcium m'magazi, 90% ya milandu imayamba chifukwa cha zinthu ziwiri zazikulu.
1. Ma Parathyroid Glands Ogwira Ntchito Kwambiri
Ichi ndiye chifukwa chofala kwambiri cha Hypercalcemia. Ma gland anu a parathyroid ndi tinthu tinayi tating'ono tomwe timapezeka kumbuyo kwa gland yanu ya thyroid m'khosi. Timagwira ntchito ngati thermostat yomwe imayang'anira kuchuluka kwa calcium m'thupi lanu.
Pamene calcium m'magazi imatsika, tinthu timeneti timatulutsa parathyroid hormone ( PTH ). Homoni iyi imauza mafupa anu kuti atulutse calcium m'magazi, impso zanu kuti zichepetse kutuluka kwa calcium mumkodzo, komanso matumbo anu kuti atenge calcium yambiri kuchokera ku chakudya.
Komabe, ngati gland imodzi kapena zingapo izi zikugwira ntchito mopitirira muyeso, zimapanga PTH yochuluka, zomwe zimapangitsa kuti calcium m'magazi ikwere mosafunikira. Izi nthawi zambiri zimachitika chifukwa cha gland kukula kapena kukula kwa chotupa chosakhala khansa.
Ngati hypercalcemia yanu imayamba chifukwa cha izi, mutha kukhala ndi zotsatirazi:
- Kuvutika maganizo
- Kutaya kukumbukira
- kutentha pamtima
- Kusokonezeka kwa tulo
- Kupweteka kwa mafupa ndi minofu
- Kutopa kosalekeza
Monga chithandizo, dokotala wanu angakulangizeni opaleshoni kuti muchotse gland/ma gland omwe ali ndi vuto. Ngati vutoli ndi lochepa, angayang'ane kuchuluka kwa calcium m'magazi anu, kuthamanga kwa magazi, ndi thanzi la impso nthawi zonse.
2. Khansa
Kuchuluka kwa calcium m'magazi kungachitike mwa 10%-30% ya odwala khansa. Izi zimachitika chifukwa chakuti khansa zina zimatha:
- Kuswa minofu ya mafupa, kutulutsa calcium m'magazi.
- Pangani zinthu zomwe zimatsanzira PTH, zomwe zimawonetsa mafupa kuti atulutse calcium yambiri.
- Zimakhudza ntchito ya impso, kuchepetsa kuchuluka kwa calcium yomwe imasefedwa m'thupi.
Khansa zomwe zimagwirizanitsidwa kwambiri ndi Hypercalcemia ndi izi:
- Khansa ya m'mapapo
- Khansa ya impso
- Khansa ya m'mawere
- Myeloma yambiri (khansa ya maselo a plasma m'mafupa).
Kuthana ndi Hypercalcemia yoyambitsidwa ndi khansa kungakhale kovuta. Cholinga chachikulu ndikuchiza khansa yomwe imayambitsa khansa. Kuphatikiza apo, dokotala wanu angapereke mankhwala monga Bisphosphonates kapena Denosumab, omwe amaperekedwa kudzera mu IV kapena jakisoni, kuti aletse calcium kutuluka m'mafupa anu.
Udindo wa Mavitamini ndi Zowonjezera
Nthawi zina, mavitamini kapena zowonjezera zomwe mumamwa zingayambitse vutoli.
| Zowonjezera / Vitamini | Momwe zimakukhudzirani |
|---|---|
| Zakudya Zowonjezera za Calcium ndi Mankhwala Oletsa Kuchuluka kwa Ma asidi | Kugwiritsa ntchito mankhwala enaake oletsa asidi (omwe ali ndi gastritis) kapena mapiritsi a calcium mopitirira muyeso komanso kwa nthawi yayitali kungayambitse kuchuluka kwa calcium m'magazi, matenda otchedwa Milk-alkali syndrome, omwe angawonongenso impso zanu. |
| Vitamini D | Vitamini D imathandiza thupi lanu kuyamwa calcium. Komabe, kumwa milingo yambiri kwa miyezi ingapo (monga 60,000 IU patsiku) kungapangitse calcium kukhala yoopsa kwambiri. Kudya chakudya kapena kuwala kwa dzuwa sikungayambitse izi. |
| Vitamini A | Kumwa Vitamini A wambiri kungayambitse kutuluka kwa calcium m'mafupa anu kupita m'magazi. |
Kumbukirani nthawi zonse: ngati mukumwa mavitamini kapena zowonjezera zina, onetsetsani kuti mwadziwitsa dokotala wanu. Musayambe kapena kusiya kumwa mankhwala aliwonse popanda kuwafunsa kaye.
Zifukwa Zina ndi Zadzidzidzi
Zinthu zina zomwe zimayambitsa
- Mankhwala: Mankhwala ena othamanga magazi (monga thiazide diuretics) ndi lithiamu (yogwiritsidwa ntchito pa matenda a maganizo) amatha kuwonjezera calcium m'thupi.
- Genetics: Nthawi zina, vuto lobadwa nalo lotchedwa Familyal Hypocalciuric Hypercalcemia (FHH) lingakhale chifukwa chake.
- Matenda Omwe Amayambitsa Matenda: Matenda okhudzana ndi mapapo monga chifuwa chachikulu kapena chithokomiro chogwira ntchito mopitirira muyeso angayambitse vutoli.
- Kusachitapo kanthu: Anthu amene amakhala pabedi kwa nthawi yayitali chifukwa cha kufooka kwa thupi kapena matenda aakulu ali pachiwopsezo, chifukwa mafupa salemera, zomwe zimapangitsa kuti calcium ituluke m'magazi.
- Kusowa Madzi M'thupi Kwambiri: Thupi lanu likasowa madzi okwanira, impso zimavutika kutulutsa calcium yochuluka.
Kodi izi zimachitika mwadzidzidzi liti?
Mlingo wabwinobwino wa calcium m'magazi a munthu wamkulu nthawi zambiri umakhala pakati pa 8.5 ndi 10.3 mg/dL. Ngati kuchuluka kwa calcium m'magazi anu kukukwera kwambiri, muyenera kupita kuchipatala nthawi yomweyo.
Ngati mukumva kusokonezeka mwadzidzidzi, kutopa, kusanza, kapena kupweteka m'mimba kosapiririka, izi zitha kukhala zizindikiro za Hypercalcemia yoopsa. Zikatero, pitani ku dipatimenti yadzidzidzi yapafupi nthawi yomweyo, komwe ogwira ntchito zachipatala angathe kuchepetsa kuchuluka kwa calcium m'thupi lanu pogwiritsa ntchito madzi a m'mitsempha ndi mankhwala.
Uthenga Wopita Nawo Kunyumba
- Hypercalcemia ndi mkhalidwe wokhala ndi calcium yambiri m'magazi, yomwe nthawi zambiri imapezeka mwangozi kudzera mu ntchito yamagazi yachizolowezi.
- Zomwe zimayambitsa matendawa nthawi zambiri ndi matenda a parathyroid kapena matenda ena monga khansa. Kudziwa chomwe chimayambitsa matendawa n'kofunika kwambiri.
- Musachite mantha ngati mwauzidwa kuti muli ndi calcium yambiri; kambiranani ndi dokotala wanu za zotsatira zake kuti mupange dongosolo la chithandizo.
- Musamwe mankhwala owonjezera a calcium, mavitamini ambiri, kapena mankhwala ena owonjezera popanda chilolezo cha dokotala.
- Ngati mukukumana ndi zizindikiro zoopsa monga kusokonezeka maganizo kapena kutopa, funani thandizo lachipatala mwamsanga.
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