Kodi muli ndi phosphate yambiri m'thupi lanu? Tiyeni tikambirane za hyperphosphatemia!

Kodi munayamba mwadzifunsapo chifukwa chake nthawi zina zinthu zina m'thupi mwathu zimakhala zapamwamba kuposa momwe ziyenera kukhalira? Mwina dokotala wakuuzani kuti muli ndi phosphate yochuluka m'magazi mwanu. Kapena mwina munamvapo za izi kwinakwake. Ichi ndi chomwe timachitcha hyperphosphatemia. Ngakhale kuti dzinali lingamveke lachilendo pang'ono, ngati tikulimvetsa bwino, palibe chodetsa nkhawa nacho.

Kodi hyperphosphatemia kwenikweni ndi chiyani?

Mwachidule, hyperphosphatemia imachitika pamene magazi anu ali ndi mchere wochuluka wotchedwa phosphate. Phosphate ndi michere yofunika kwambiri m'thupi lathu. Imathandiza kuti mafupa ndi mano athu akhale olimba, imapatsa mphamvu maselo athu, komanso imathandiza kupanga nembanemba ya maselo.

Taganizirani izi, phosphate ili ngati batire yaying'ono m'thupi lathu. Kuti izi zigwire ntchito bwino, ziyenera kukhala ndi mphamvu yamagetsi. Phosphate ndi imodzi mwa electrolyte zotere. Ma electrolyte ndi mchere womwe ungatenge mphamvu yamagetsi yabwino (+) kapena yoyipa (-) ikasungunuka m'madzi kapena madzi ngati magazi athu. Chifukwa chake, kusunga mulingo wa phosphate uwu moyenera ndikofunikira pa ntchito zambiri m'thupi. Kodi mukumvetsa?

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Kwenikweni, aliyense akhoza kudwala matenda otchedwa hyperphosphatemia. Komabe, amapezeka kwambiri kwa anthu omwe ali ndi vuto la impso. Makamaka, anthu omwe ali ndi matenda osatha a impso (CKD) , makamaka omwe ali ndi matenda opitirira muyeso, kapena omwe ali ndi vuto la impso, ali ndi mwayi waukulu wodwala matendawa.

Tsopano, pali zinthu zomwe zingayambitse matenda a impso. Ngati muli ndi chimodzi kapena zingapo mwa izi, muli pachiwopsezo chochepa chodwala matenda a impso ndipo, kudzera mu izi, hyperphosphatemia:

• Ngati muli ndi matenda a shuga (Diabetes Mellitus) .
• Ngati muli ndi kuthamanga kwa magazi (kuthamanga kwa magazi) .
• Ngati muli ndi matenda a mtima .
• Ngati wina m'banja mwanu wakhala ndi matenda a impso (zomwe zikutanthauza kuti akhoza kukhala obadwa nawo).
• Ngati pali vuto lililonse mu kapangidwe ka impso zanu.
• Ngati ndinu wa ku Africa-America, Hispanic, Asia, kapena Native American (anthu a m'magulu awa ali ndi mwayi waukulu wodwala matenda a impso).
• Ngati muli ndi zaka zoposa 60 .
• Ngati mwakhala mukugwiritsa ntchito mankhwala ochepetsa ululu kwa nthawi yayitali , makamaka mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), omwe mungagule pa sitolo ya mankhwala.

Kodi vutoli ndi lofala bwanji?

Mukayang'ana anthu ambiri padziko lonse lapansi, n'zosowa kwambiri kukhala ndi hyperphosphatemia yokha. Izi zikutanthauza kuti kuchuluka kwa phosphate m'magazi kumawonjezeka. Koma, monga ndanenera kale, ngati muli ndi matenda a impso osatha , makamaka ngati ndi aakulu, vutoli ndi lofala kwambiri. Ponena za izi, pafupifupi 70% ya anthu omwe ali ndi matenda aakulu a impso apezeka kuti ali ndi hyperphosphatemia.

Kodi chimachitika ndi chiyani m'thupi pamene kuchuluka kwa phosphate kumawonjezeka?

Tinakambirana kale za momwe phosphate imathandizira kulimbitsa mafupa ndi mano athu, kupatsa mphamvu maselo, komanso kumathandiza kupanga nembanemba za maselo. Ndi zoona. Koma, monga china chilichonse, kuchuluka kwake kungayambitse mavuto.

Tangoganizirani, ngati kuchuluka kwa phosphate m'magazi anu kwakwera kwambiri, kumayamba kutulutsa calcium m'mafupa anu. Ndiye chimachitika ndi chiyani? Mafupawo amafooka komanso amafooka.

Si zokhazo, komanso kuchuluka kwa phosphate kumeneku kungayambitse kuchuluka kwa calcium m'maso, m'mapapo, mumtima, ndi m'mitsempha yamagazi. Izi ndi zoopsa pang'ono. Chifukwa pakapita nthawi, kuchuluka kwa calcium kumeneku kumawonjezera chiopsezo cha matenda a mtima, sitiroko , komanso imfa.

Kodi zizindikiro za Hyperphosphatemia ndi ziti?

Nthawi zambiri, mukakhala ndi hyperphosphatemia yokha, simuona zizindikiro zazikulu. Izi zikutanthauza kuti poyamba simungazindikire kuti muli ndi phosphate yambiri m'thupi lanu. Komabe, monga tafotokozera, phosphate iyi ikachuluka, ingayambitse kutayika kwa calcium m'mafupa ndi m'magazi anu. Izi zimatchedwa hypocalcemia . Izi zikutanthauza kuchepa kwa calcium m'magazi.

Choncho, nthawi zambiri, zizindikiro za hyperphosphatemia zimakhala zofanana ndi zomwe zimachitika chifukwa cha hypocalcemia. Onani ngati izi zikumveka zachilendo kwa inu:

• Kupweteka kwa minofu.
• Misomali yofooka.
• Khungu louma.
• Tsitsi lolimba kuposa tsitsi lanu lachizolowezi.
• Mavuto okumbukira .
• Kukwiya.
• Kulira m'milomo, lilime, m'zala, ndi/kapena m'mapazi.
• Nthawi zina zimakhala ngati kukomoka (kukomoka).
• Kusakhazikika kwa mtima, ndiko kuti, arrhythmia.

Chifukwa chiyani hyperphosphatemia imachitika?

Pakhoza kukhala zifukwa zingapo za izi. Zifukwa zazikulu ndi izi:

• Matenda a impso osatha omwe akukula kwambiri. Ichi ndiye chifukwa chofala kwambiri. Impso zikalephera kugwira ntchito bwino, sizingathe kutulutsa phosphate yochuluka m'thupi.
• Hypoparathyroidism. Imeneyi ndi vuto lomwe ma glands a parathyroid amapanga mahomoni ochepa kwambiri a parathyroid, omwe amalamulira kuchuluka kwa calcium ndi phosphate m'thupi.
• pH ya magazi anu ndi yotsika kuposa yachibadwa (kutanthauza kuti magazi anu ndi acidic kwambiri). Izi zitha kukhala chifukwa mapapo anu sangathe kuchotsa mpweya wonse wa carbon dioxide womwe umapangidwa m'thupi lanu. Izi zimatchedwa respiratory acidosis .
• Kutsika kwa pH m'magazi chifukwa cha zifukwa zina ( metabolic acidosis ).

Kuwonjezera pa izi, ngakhale sizichitika kawirikawiri, hyperphosphatemia ingathenso kuchitika chifukwa cha zifukwa zotsatirazi:

• Ketoacidosis yokhudzana ndi matenda a shuga.
• Kuwonongeka kwa minofu ( rhabdomyolysis ).
• Matenda oopsa ( sepsis ).
• Kuvulala koopsa (kuvulala komwe kumachitika chifukwa cha kugwa kwa chinthu cholemera pa thupi kapena chifukwa cha kukanikiza thupi kwa nthawi yayitali).
• Thupi lanu siliyankha bwino ku hormone ya parathyroid ( pseudohypoparathyroidism ).
• Kulowetsa phosphate yambiri m'thupi lanu, kaya kuchokera ku chakudya chomwe mumadya kapena kudzera mu enema .

Kodi chifukwa chofala kwambiri ndi chiyani?

Monga ndanenera kale, chifukwa chachikulu komanso chofala kwambiri cha hyperphosphatemia ndi matenda aakulu a impso.

Kodi iyi ndi matenda opatsirana?

Ayi, hyperphosphatemia si matenda opatsirana. Simungathe kufalitsa kwa ena. Komabe, nthawi zambiri, imatha kuchitika m'mabanja chifukwa cha majini.

Kodi madokotala amazindikira bwanji izi?

Dokotala angadziwe ngati muli ndi hyperphosphatemia. Iye adzakudziwitsani mbiri yanu yachipatala , adzakuyesani thupi , ndikufunsani za zizindikiro zanu, zakudya zanu, ndi mankhwala aliwonse omwe mumamwa. Kuti mudziwe kuchuluka kwa phosphate m'magazi anu, muyenera kuyezetsa magazi .

Pa nthawi yoyezetsa magazi, dokotala kapena namwino adzatenga magazi ochepa kuchokera mumtsempha womwe uli m'dzanja lanu pogwiritsa ntchito singano yaying'ono (21 gauge, yaying'ono pang'ono kuposa nsonga ya ndolo wamba). Chitsanzo cha magazichi chimatumizidwa ku labu kuti akawone kuchuluka kwa phosphate m'magazi anu. Ngati kuchuluka kwa phosphate m'magazi anu kuli koposa 4.5 milligrams pa deciliter (4.5 mg/dL),, zikutanthauza kuti muli ndi hyperphosphatemia.

Ngati mwapezeka ndi vutoli, dokotala wanu angakupatseni mayeso ena kuti aone momwe impso zanu zilili. Izi zingaphatikizepo:

• Mayeso ena a magazi.
• Kuyesa koyesa mapuloteni mu mkodzo.
• Kujambula kwa ultrasound .
• Kujambula kwa MRI .
• Kujambula kwa CT .
• Kufufuza za impso ( kutenga chidutswa chaching'ono cha minofu ya impso kuti chikayesedwe).

Kodi mankhwala ochizira izi ndi otani?

Chithandizo cha hyperphosphatemia chimadalira chomwe chikuyambitsa kusonkhanitsa kwa phosphate m'magazi mwanu. Zakudya ndi mankhwala ena angayambitsenso kuchuluka kwa phosphate m'magazi. Ngati izi zitachitika, mungafunike kuchepetsa kapena kusiya kudya zakudya zina kapena mankhwala. Kapena, mungafunike kusintha mankhwala ena omwe ali ndi phosphate yochepa.

Chofunika kwambiri ndikutsatira malangizo a dokotala molondola.

Dokotala wanu angakupatseni mankhwala omwe amachepetsa kuchuluka kwa phosphate yomwe thupi lanu limayamwa. Izi zikutanthauza kuti phosphate yambiri imatuluka mu mkodzo wanu (mkodzo). Mankhwalawa ndi awa:

• Sevelamer (Sevelamer - RenaGel®)
• Lanthanum (Lanthanum - Fosrenol®)
• Calcium acetate (Calcium acetate - Calphron®)

Ngati phosphate yanu ili yokwera chifukwa cha kulephera kwa impso, dokotala wanu angakuyambeni ndi dialysis . Dialysis imachita zomwe impso zanu ziyenera kuchita. Izi zikutanthauza kuti, imachotsa madzi ochulukirapo ndi zinyalala, kuphatikizapo phosphate, m'magazi anu.

Kodi zakudya zokhala ndi phosphorous yambiri ndi ziti?

Pali zakudya ndi zakumwa zingapo zomwe zili ndi phosphorous yambiri - chinthu chomwe chimachokera ku phosphate. Ndikofunikira kudziwa izi, makamaka ngati muli ndi hyperphosphatemia.

• Zakudya za mkaka ndi mkaka, monga mkaka, tchizi chokonzedwa, ndi yogati.
• Zakumwa zina zokhala ndi carbonated (zakumwa za soda/fizzy).
• Nyama yokonzedwa ( monga soseji ndi bacon).
• Zakudya zachangu.
• Zakudya zokhwasula-khwasula ( zinthu zopakidwa m'matumba monga tchipisi, mabisiketi).
• Mtedza.
• Mbewu zonse , zomwe zikuphatikizapo tirigu, oats, ndi mpunga (makamaka zomwe zili ndi chimanga).
• Nyemba.
• Nyemba.

Dokotala wanu mwina anakuuzaniMudzatumizidwa kwa katswiri wa zakudya za impso . Awa ndi anthu omwe ali akatswiri pa momwe mungasamalire zakudya zanu kuti zithandize impso kukhala ndi thanzi labwino. Adzakuthandizani kupanga dongosolo lapadera la zakudya (renal diet) lomwe limachepetsa kuchuluka kwa phosphate m'thupi lanu.

Kodi pali njira yothawira vutoli?

Njira yabwino yopewera hyperphosphatemia ndikusamalira thanzi la impso zanu ndikuzindikira kuchuluka kwa phosphate ndi calcium komwe mukudya. Ngati mukuganiza kuti mungakhale pachiwopsezo cha vutoli, lankhulani ndi dokotala wanu. Angakutumizireni kwa katswiri wa matenda a impso . Dokotala wa matenda a impso ndi dokotala yemwe ndi katswiri wa matenda omwe amakhudza impso.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati mukudziwa kuti muli ndi hyperphosphatemia, ndipo mukuyamba kukhala ndi zizindikiro za matenda a impso kapena kulephera kwa impso, pitani kwa dokotala nthawi yomweyo. Musazengereze.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, ndikofunikira kwambiri kufunsa mafunso awa:

• Kodi mungadziwe bwanji ngati ndili ndi hyperphosphatemia?
• Ngati ndilibe vutoli, ndi matenda ena ati omwe ndingakhale nawo?
• Kodi kuchuluka kwa phosphate m'magazi ndi kotani?
• Ndi mankhwala ati omwe mukundipangira?
• Kodi mukufunika kalata yolembedwa ndi dokotala kuti mupeze mankhwalawo, kapena mungangogula ku pharmacy?
• Ndi zakudya ndi zakumwa ziti zomwe sindiyenera kudya?
• Kodi ndiyenera kudya phosphorous yochuluka bwanji patsiku?
• Kodi munganditumize kwa katswiri wa zakudya za impso?
• Kodi ndiyenera kupita kwa dokotala wa matenda amisala kapena katswiri wina?

Kodi pali kusiyana kotani pakati pa Hypocalcemia ndi Hyperphosphatemia?

Izi ziwiri zingakhale zosokoneza pang'ono, choncho tiyeni tifotokoze bwino.

Hyperphosphatemia ndi pamene kuchuluka kwa phosphate m'magazi anu kuli kokwera kwambiri .

Hypocalcemia ndi pamene calcium m'magazi mwanu imakhala yotsika kwambiri .

Nthawi zambiri, vuto limeneli lotchedwa hypocalcemia limachitika chifukwa cha matenda ena. Hyperphosphatemia ndi chimodzi mwa zifukwa zomwe zimayambitsa hypocalcemia.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, takambirana zambiri za hyperphosphatemia. Mwachidule, ndi kuwonjezeka kwa kuchuluka kwa phosphate m'magazi mwanu. Ngakhale sikofala kwambiri kwa anthu ambiri padziko lapansi, koma nthawi zambiri imapezeka kwa anthu omwe ali ndi matenda aakulu a impso kapena kulephera kwa impso .

Kawirikawiri, poyamba sipamakhala zizindikiro zenizeni. Chifukwa chake, anthu ambiri amadziwa kuti ali ndi vutoli zizindikiro zina zikaonekera, mwina monga hypocalcemia.

Mukazindikira kuti muli ndi hyperphosphatemia, makamaka mukauzidwa kuti mukufuna dialysis, ndi zachilendo kukhala ndi nkhawa komanso mantha. Palibe cholakwika ndi kukhala ndi malingaliro amenewo. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo. Adzayankha mafunso anu, kukupatsani chithandizo chomwe mukufuna, ndikukupatsani upangiri wamomwe mungathanirane ndi vutoli. Kumbukirani, simuli nokha!

Hyperphosphatemia , Phosphate, Matenda a Impso, Matenda a Impso Osatha, Hypocalcemia, Dialysis