Iyo upimwe amaraso , ese muganga akubwira ko "urugero rwa kalisiyumu mu maraso yawe ruri hejuru gato"? Ni ibisanzwe kumva ugize ubwoba gato iyo ubyumvise. Ariko ntugahangayike. Iyi ndwara ni yo twita hypercalcemia mu buvuzi. Mu magambo make, bivuze ko ufite kalisiyumu nyinshi mu maraso yawe kuruta uko bikwiye. Reka tubiganireho mu buryo bworoshye kandi bw'inshuti uyu munsi.
Hypercalcemia ni iki mu by'ukuri?
Kalisiyumu ni ingenzi ku mibiri yacu, cyane cyane kugira ngo amagufwa n'amenyo bikomere. Irakenewe kandi kugira ngo uturemangingo tw'imitsi n'imitsi bikore neza. Ariko, kimwe n'ibindi byose, kalisiyumu nyinshi mu mubiri si nziza.
Niba urugero rwa kalisiyumu mu maraso yawe ruri hejuru gato, ushobora kutabona ibimenyetso. Ariko uko urugero rugenda rwiyongera, umubiri wacu ugerageza gukuramo iyi kalisiyumu yiyongereye mu nkari. Bityo ushobora guhura n'ibintu nk'ibi:
- Gukenera kunyara kenshi.
- Kumva ufite inyota kurusha uko bisanzwe.
Iyo urugero rwa kalisiyumu rubaye rwinshi cyane, bishobora kugira ingaruka ku mikorere y'imitsi yacu, bigatera urujijo, kwibagirwa, ndetse rimwe na rimwe no gucika intege .
Igikuru ni uko iyo iyi ndwara itavuwe, ishobora gutera indwara zikomeye nko gutakaza amagufwa, amabuye mu mpyiko, impyiko zinanirwa gukora neza, ndetse n'indwara z'umutima . Kubwibyo, ni ngombwa cyane kubimenya, ukavugana na muganga wawe, ugafata ingamba zikenewe.
Impamvu nyamukuru zibitera ni izihe?
Nubwo hari impamvu zirenga 25 zitera calcium nyinshi mu maraso, 90% muri zo ziterwa n'impamvu ebyiri z'ingenzi.
1. Ingirabuzimafatizo za Parathyroid zikora cyane
Iyi ni yo mpamvu ikunze gutera hypercalcemia. Udukoko twa parathyroid ni uturemangingo tune duto tuba mu ijosi ryacu, inyuma ya tiroyide . Dukora nk'icyuma kigenzura kalisiyumu.
Iyo urugero rwa kalisiyumu mu maraso rugabanutse, izi ngirabuzimafatizo zirekura imisemburo ya parathyroid (PTH).PTH irakorwa. Iyi misemburo imenyesha amagufwa yacu "kurekura kalisiyumu nyinshi mu maraso," impyiko zacu "zigabanye isohoka rya kalisiyumu mu nkari," n'amara yacu "akinjira kalisiyumu nyinshi mu biribwa."
Ariko, iyo imwe cyangwa nyinshi muri izi gland zikoze cyane, zikora PTH nyinshi kuruta uko bikenewe. Ibi bishobora gutuma urugero rwa kalisiyumu mu maraso rwiyongera bitari ngombwa. Ibi bishobora guterwa no kwiyongera kw'igland cyangwa kurema ikibyimba kitari kanseri.
Niba ufite Hypercalcemia kubera iyi mpamvu, ushobora no kugira ibimenyetso nk'ibi:
- Ihungabana
- Gutakaza kwibuka
- Kuribwa mu gituza
- Ibibazo byo gusinzira
- Ububabare mu magufwa no mu mitsi
- Umunaniro uhoraho
Mu rwego rwo kuvura, muganga wawe akunze kukugira inama yo kubaga imyumbati cyangwa imyakura yangiritse. Iyo indwara idakabije cyane, ushobora gukurikirana ikibazo cyawe ugenzura buri gihe urugero rwa kalisiyumu mu mubiri wawe, umuvuduko w'amaraso, n'ubuzima bw'impyiko.
2. Kanseri
Hypercalcemia ishobora kugaragara kuri 10%-30% by'abarwayi ba kanseri. Ibi biterwa n'uko kanseri zimwe na zimwe:
- Amagufwa ashobora kuvunika, akarekura kalisiyumu mu maraso.
- Ishobora gukora ikintu gikora nk'umusemburo wa PTH kandi kikagaragaza ko kalisiyumu iva mu magufwa.
- Bishobora kugira ingaruka ku mikorere y'impyiko no kugabanya ingano ya kalisiyumu isohoka mu nkari.
Ubwoko bwa kanseri bukunze kugaragaramo hypercalcemia ni:
- Kanseri y'ibihaha
- Kanseri y'impyiko
- Kanseri y'ibere
- Myeloma nyinshi - Ubwoko bwa kanseri y'amaraso itangirira mu musemburo w'amagufwa.
Kuvura kanseri iterwa na hypercalcemia bishobora kugorana. Ikintu cy'ingenzi ni ukuvura kanseri. Ariko, muganga wawe ashobora kuguha imiti nka "Bisphosphonates" cyangwa "Denosumab" nk'imitsi (IV) cyangwa inshinge zo kugenzura irekurwa rya kalisiyumu mu magufwa.
Uburyo vitamine n'inyongeramusaruro bigira ingaruka ku buzima
Hari igihe vitamine n'inyongeramusaruro dukoresha nabyo bishobora kuba impamvu y'ibi.
| Inyongeramusaruro / Vitamine | Uburyo bigira ingaruka |
|---|---|
| Inyongeramusaruro za Kalisiyumu n'imiti igabanya aside | Gukoresha cyane kandi igihe kirekire imiti igabanya aside n'ibinini bya kalisiyumu bikoreshwa mu kuvura indwara ya gastritis bishobora gutuma kalisiyumu yiyongera mu maraso. Iyi ndwara yitwa (Milk-alkali syndrome) . Ibi bishobora no kwangiza impyiko. |
| Vitamine D | Vitamine D ifasha imibiri yacu kwinjiza kalisiyumu. Ariko, iyo ufashe doze nyinshi cyane za vitamine D mu gihe cy'amezi menshi (urugero, 60.000 IU ku munsi), urugero rwa kalisiyumu mu mubiri wawe rushobora kwiyongera cyane. Ntabwo ubona vitamine D nyinshi mu biryo bisanzwe cyangwa ku zuba. |
| Vitamine A | Gufata vitamine A nyinshi bishobora gutuma kalisiyumu nyinshi iva mu magufwa ikayirunda mu maraso. |
Wibuke ko niba ufata vitamine cyangwa inyongeramusaruro, banza ubwire muganga wawe ibyazo. Ntugatangire cyangwa ngo uhagarike ikintu icyo ari cyo cyose utabanje kuvugana na we.
Izindi mpamvu n'ibibazo byihutirwa
Ibindi bintu bishobora kugira ingaruka
- Indi miti: Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso (urugero: imiti igabanya ubukana bwa thiazide) n'imiti ivura indwara zo mu mutwe, nka lithium, na byo bishobora kongera urugero rwa kalisiyumu.
- Genetike: Ni gake cyane, ibi bishobora guterwa n'indwara y'uturemangingo yitwa Familyal Hypocalciuric Hypercalcemia (FHH).
- Indwara z'ubuzima: Indwara z'ibihaha nka igituntu, indwara nka tiroyide ikora cyane.
- Kudakora imyitozo ngororamubiri: Iyi ndwara ishobora no kugaragara ku bantu bamara igihe kinini baryamye mu buriri bitewe n’indwara nka paralysis cyangwa indi ndwara. Impamvu ni uko iyo amagufwa atumvise uburemere bw’umubiri, kalisiyumu irasohoka mu magufwa.
- Kubura amazi mu mubiri cyane: Iyo nta mazi ahagije mu mubiri, impyiko ntizishobora gusohora kalisiyumu nyinshi.
Ni ryari ibi biba byihutirwa?
Igipimo gisanzwe cya kalisiyumu mu maraso ku muntu mukuru kigomba kuba kiri hagati ya 8.5 na 10.3 mg/dL. Iyo iki gipimo kirenze urugero, ni indwara isaba ubuvuzi bwihutirwa.
Niba ugize urujijo rukabije, ukagira isereri, uruka, cyangwa ubabara cyane mu nda , bishobora kuba ikimenyetso cy'indwara ikomeye yitwa hypercalcemia. Ibi nibibaho, ugomba kujya mu cyumba cy'ubutabazi bw'ibanze (ETU) byihutirwa . Aho ngaho, ushobora guhabwa amazi yo mu miyoboro y'amaraso n'imiti yo kugenzura vuba urugero rwa kalisiyumu mu mubiri wawe.
Ubutumwa bwo kujyana mu rugo
- Hypercalcemia ni urugero rwinshi rwa kalisiyumu mu maraso. Ikunze kuboneka mu buryo bw’impanuka mu gihe cyo gupima amaraso ku yindi mpamvu.
- Impamvu ikunze gutera ibi ni ikibazo cy’udukoko twa parathyroid cyangwa kanseri, bityo rero ni ngombwa cyane kumenya impamvu nyayo.
- Ntugatinye niba usanze kalisiyumu mu maraso yawe iri hejuru. Vugana na muganga wawe, umenye impamvu, hanyuma utangire kuvura neza.
- Ntugakoreshe vitamine, ibinini bya kalisiyumu, cyangwa izindi nyongeramusaruro utabanje kugisha inama muganga wawe.
- Iyo ugaragaje ibimenyetso bikomeye nko kwitiranya ibintu cyangwa guta ubwenge, ni ikibazo cyihutirwa. Jya ku bitaro byita ku barwayi ba ETU byihutirwa.
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