Niba uherutse gupimwa amaraso maze muganga akakubwira ko "igipimo cya kalisiyumu kiri hejuru gato," ni ibisanzwe kumva ufite impungenge gato. Nyamuneka ntugatinye. Mu buvuzi, iyi ndwara izwi nka Hypercalcemia . Mu magambo make, bivuze ko mu maraso yawe harimo kalisiyumu nyinshi kurusha iyo umubiri wawe ukeneye. Uyu munsi, reka dusesengure byose ukeneye kumenya kuri ibi mu buryo bworoshye kandi bworoshye kumva.
Hypercalcemia ni iki mu by'ukuri?
Kalisiyumu ni ingenzi ku mibiri yacu, cyane cyane kugira ngo amagufwa n'amenyo bikomeze gukomera. Inatuma uturemangingo tw'imitsi n'imitsi dukora neza. Ariko, kimwe n'ibindi bintu byinshi, kugira kalisiyumu nyinshi mu mubiri wawe ntabwo ari byiza.
Niba urugero rwa kalisiyumu mu mubiri wawe ruri hejuru gato, ushobora kutabona ibimenyetso na gato. Ariko, uko urugero rugenda rwiyongera, umubiri wawe ugerageza gusohora kalisiyumu irenze mu nkari zawe, bishobora gutuma ugira ibibazo bikurikira:
- Gukenera kunyara kenshi.
- Kumva ufite inyota nyinshi kurusha uko bisanzwe.
Iyo urugero rwa kalisiyumu ruri hejuru cyane, bishobora kugira ingaruka ku mitsi yawe, bigatera urujijo, kwibagirwa, ndetse rimwe na rimwe no gucika intege.
Ikintu cy'ingenzi cyo kwibuka ni uko iyo itavuwe, iyi ndwara ishobora gutera ibibazo bikomeye nko gutakaza amagufwa, amabuye y'impyiko, impyiko zinanirwa gukora neza, ndetse n'ibibazo by'umutima. Kubwibyo, ni ngombwa gukomeza kumenya amakuru no kuganira na muganga wawe ku ntambwe zikurikiraho.
Ni izihe mpamvu z'ingenzi?
Nubwo hari impamvu zirenga 25 zishobora gutuma habaho kwiyongera kwa kalisiyumu mu maraso, 90% by'abandura baterwa n'ibintu bibiri by'ingenzi.
1. Ingirabuzimafatizo za Parathyroid zikora cyane
Iyi ni yo mpamvu ikunze gutera Hypercalcemia. Uturemangingo twa parathyroid ni uturemangingo tune duto tuba inyuma y’uturemangingo twa tiroyide mu ijosi. Dukora nk'icyuma gipima urugero rwa kalisiyumu mu mubiri wawe.
Iyo urugero rwa kalisiyumu mu maraso rugabanutse, izi ngirabuzimafatizo zikora imisemburo ya parathyroid ( PTH ). Iyi misemburo imenyesha amagufwa yawe ko agomba kurekura kalisiyumu mu maraso, impyiko zikagabanya isohoka rya kalisiyumu mu nkari, ndetse n'amara yawe akabona kalisiyumu nyinshi mu biribwa.
Ariko, iyo imwe cyangwa nyinshi muri izi gland zikoze cyane, zikora PTH nyinshi, bigatuma urugero rwa kalisiyumu mu maraso rwiyongera bitari ngombwa. Ibi akenshi biterwa n'uko gland zigenda ziyongera cyangwa ikibyimba kitari kanseri.
Niba Hypercalcemia yawe iterwa n'ibi, ushobora no guhura n'ibi bikurikira:
- Ihungabana
- Gutakaza kwibuka
- Kuribwa mu gituza
- Ibibazo byo gusinzira
- Ububabare bw'amagufwa n'imitsi
- Umunaniro uhoraho
Mu kuvura, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo akureho ikibazo cy’inguni. Iyo ikibazo ari gito, bashobora gukurikirana urugero rwa kalisiyumu mu mubiri wawe, umuvuduko w’amaraso, n’ubuzima bw’impyiko buri gihe.
2. Kanseri
Hypercalcemia ishobora kugaragara kuri 10%-30% by'abarwayi ba kanseri. Ibi bibaho kubera ko kanseri zimwe na zimwe zishobora:
- Menyagura ingirabuzimafatizo z'amagufwa, utange kalisiyumu mu maraso.
- Gukora ibintu bisa na PTH, bitanga ikimenyetso ku magufwa kugira ngo arekure kalisiyumu nyinshi.
- Bigira ingaruka ku mikorere y'impyiko, bigabanya ingano ya kalisiyumu iva mu mubiri.
Kanseri zikunze kugaragara mu ndwara ya Hypercalcemia zirimo:
- Kanseri y'ibihaha
- Kanseri y'impyiko
- Kanseri y'ibere
- Myeloma nyinshi (kanseri y'uturemangingo twa plasma mu musokoro w'amagufwa).
Kuvura Hypercalcemia iterwa na kanseri bishobora kugorana. Icyibandwaho cy'ibanze ni ukuvura kanseri y'ibanze. Byongeye kandi, muganga wawe ashobora kuguha imiti nka Bisphosphonates cyangwa Denosumab, itangwa binyuze mu miyoboro ya IV cyangwa inshinge, kugira ngo calcium idasohoka mu magufwa yawe.
Uruhare rwa Vitamine n'inyongeramusaruro
Hari igihe, vitamine cyangwa inyongeramusaruro ufata bishobora gutera iyi ndwara.
| Inyongeramusaruro / Vitamine | Uburyo bikugiraho ingaruka |
|---|---|
| Inyongeramusaruro za Kalisiyumu n'Imiti Irwanya Aside | Gukoresha ibinini bimwe na bimwe birwanya aside (ku ndwara ya gastritis) cyangwa kalisiyumu mu gihe kirekire bishobora gutuma kalisiyumu mu maraso iba nyinshi, indwara izwi nka Milk-alkali syndrome, ishobora no kwangiza impyiko zawe. |
| Vitamine D | Vitamine D ifasha umubiri wawe kwinjiza kalisiyumu. Ariko, gufata doze nyinshi cyane mu gihe cy'amezi menshi (urugero, 60.000 IU ku munsi) bishobora gutuma urugero rwa kalisiyumu rugera ku rugero rwo hejuru. Kurya ibiryo bisanzwe cyangwa ku zuba ntabwo bizatera ibi. |
| Vitamine A | Gufata Vitamine A irenze urugero bishobora gutuma kalisiyumu iva mu magufwa yawe ijya mu maraso. |
Buri gihe ibuka: niba ufata vitamine cyangwa inyunganiramirire iyo ari yo yose, menya neza ko ubimenyesheje muganga wawe. Ntugatangire cyangwa ngo uhagarike imiti iyo ari yo yose utabanje kugisha inama.
Izindi mpamvu n'ibibazo byihutirwa
Izindi mpamvu zitera
- Imiti: Imiti imwe n'imwe y'umuvuduko w'amaraso (nka thiazide diuretics) na lithium (ikoreshwa mu kuvura indwara zo mu mutwe) ishobora kongera urugero rwa kalisiyumu.
- Inkomoko y'uturemangingo: Mu bihe bidasanzwe, indwara y'uruhererekane izwi nka Familyal Hypocalciuric Hypercalcemia (FHH) ishobora kuba ari yo itera.
- Ingorane z'ubuzima: Indwara ziterwa n'ibihaha nka Igituntu cyangwa tiroyide ikora cyane zishobora kuyitera.
- Kudakora: Abamara igihe kirekire mu buriri kubera ubumuga cyangwa indwara zikomeye bari mu kaga, kuko amagufwa adakora ibiro, bigatuma kalisiyumu iva mu maraso.
- Kubura amazi mu mubiri cyane: Iyo umubiri wawe ubuze amazi ahagije, impyiko zirwana no gusohora kalisiyumu nyinshi.
Ni ryari ibi biba byihutirwa?
Igipimo cya kalisiyumu mu maraso y'umuntu mukuru gikunze kuba hagati ya 8.5 na 10.3 mg / dL. Iyo igipimo cyawe kizamutse cyane, bisaba ubuvuzi bwihuse.
Niba uhuye n'urujijo rutunguranye, gucika intege, kuruka, cyangwa ububabare bwo mu nda bukabije, ibi bishobora kuba ibimenyetso bya Hypercalcemia iteje akaga. Muri ibyo bihe, jya mu biro byita ku butabazi bwihuse biri hafi yawe, aho abakozi bo kwa muganga bashobora kugenzura urugero rwa kalisiyumu mu buryo bwizewe bakoresheje imiti n'ibinyobwa byo mu miyoboro y'amaraso.
Ubutumwa bwo kujyana mu rugo
- Hypercalcemia ni ukuba ufite kalisiyumu nyinshi mu maraso, akenshi iboneka ku buryo butunguranye binyuze mu gukora isuzuma risanzwe ry'amaraso.
- Impamvu zikunze kugaragara ni ibibazo bya parathyroid cyangwa indwara zisanzwe nka kanseri. Kumenya impamvu ni ingenzi.
- Ntugatinye niba bakubwira ko urugero rwa kalisiyumu ruri hejuru; ganira na muganga wawe ku bisubizo kugira ngo bakore gahunda yo kuvura.
- Ntukigere ufata inyunganiramirire ya kalisiyumu, vitamine nyinshi, cyangwa izindi nyongeramusaruro udafite uruhushya rwa muganga.
- Niba ugize ibimenyetso bikomeye nko mu rujijo cyangwa gucika intege, shaka ubufasha bwihutirwa bwihuse.
Hypercalcemia, kalisiyumu, kalisiyumu nyinshi mu maraso, hypercalcemia guide, parathyroid, PTH, amabuye y'impyiko, inyota ikabije, imisemburo, kanseri, Vitamine D, inyongeramusaruro za kalisiyumu
