Ese ufite phosphate nyinshi mu mubiri wawe? Reka tuvuge kuri hyperphosphatemia!

Ese wigeze wibaza impamvu rimwe na rimwe ibintu bimwe na bimwe mu mibiri yacu biba biri hejuru cyane kuruta uko bikwiye? Ahari umuganga yakubwiye ko ufite fosifate nyinshi mu maraso yawe. Cyangwa wenda hari aho wabyumvise. Ibi nibyo twita hyperphosphatemia. Nubwo izina rishobora kumvikana nk'iry'ibidasanzwe, niba turyumvise neza, nta mpungenge dufite.

Hyperphosphatemia ni iki mu by'ukuri?

Muri make, hyperphosphatemia ni igihe amaraso yawe afite imyunyungugu myinshi yitwa fosfeti. Fosfeti ni intungamubiri y'ingenzi ku mibiri yacu. Ifasha amagufwa n'amenyo yacu gukomera, igatanga ingufu ku turemangingo twacu, kandi igafasha gukora uturemangingo tw'uturemangingo.

Tekereza muri ubu buryo, fosifate ni nk'agakoresho gato mu mubiri wacu. Kugira ngo ibi bikore neza, bigomba kugira umuriro w'amashanyarazi. Fosifate ni imwe muri izo electrolyte . Electrolyte ni imyunyungugu ishobora gufata umuriro w'amashanyarazi mwiza (+) cyangwa mubi (-) iyo ishongeshejwe mu mazi cyangwa mu mazi nk'amaraso yacu. Rero, kugira ngo urwego rw'umunyu wa fosifate rube ingenzi ku mirimo myinshi mu mubiri. Urabyumva?

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Mu by’ukuri, umuntu uwo ari we wese ashobora kurwara iyi ndwara yitwa hyperphosphatemia. Ariko, ikunze kugaragara cyane ku bantu bafite ibibazo by’impyiko. By’umwihariko, abantu bafite indwara zidakira z’impyiko (CKD) , cyane cyane abafite indwara zikomeye, cyangwa abafite ikibazo cy’impyiko, ni bo bafite amahirwe menshi yo kurwara iyi ndwara.

Ubu, hari ibintu bishobora gutera indwara y'impyiko. Niba ufite kimwe cyangwa byinshi muri ibi bikurikira, uba ufite ibyago bike byo kurwara indwara y'impyiko, kandi binyuze muri byo, ushobora no kurwara hyperphosphatemia:

• Niba urwaye diyabete (Diabetes Mellitus) .
• Niba ufite umuvuduko ukabije w'amaraso (hypertension) .
• Niba ufite indwara y'umutima .
• Niba hari umuntu wo mu muryango wawe warwaye impyiko (bivuze ko zishobora kuba ari umurage).
• Niba hari ikibazo mu miterere y'impyiko zawe.
• Niba ufite inkomoko muri Afurika, Abanya-Hisipaniya, Abanyaziya, cyangwa Abanyamerika kavukire (abantu bo muri ayo moko bashobora kurwara indwara z'impyiko).
• Niba ufite imyaka irenga 60 .
• Niba umaze igihe kinini ukoresha imiti igabanya ububabare , cyane cyane imiti igabanya ububabare itari iya steroide (NSAIDs), ushobora kuyigura ku iduka rya farumasi.

Iyi ndwara ikunze kugaragara gute?

Iyo urebye abantu benshi ku isi, ni gake cyane kugira hyperphosphatemia gusa. Ibyo bivuze ko phosphate yiyongera mu maraso. Ariko, nk'uko nabivuze mbere, niba ufite indwara idakira y'impyiko , cyane cyane iyo ikomeye, iyi ndwara ikunze kugaragara cyane. Mu by'ukuri, abantu bagera kuri 70% barwaye indwara idakira y'impyiko basanze bafite hyperphosphatemia.

Ni iki kibaho ku mubiri iyo urugero rwa fosifate rwiyongereye?

Twaganiriye mbere ku buryo fosifate ifasha mu gukomeza amagufwa n'amenyo yacu, igatanga ingufu ku turemangingo, kandi igafasha mu kubaka uturemangingo. Ibyo ni ukuri. Ariko, kimwe n'ibindi byose, irenze urugero ishobora guteza ibibazo.

Tekereza, iyo urugero rwa fosifate mu maraso yawe rubaye rwinshi cyane, rutangira kuvamo kalisiyumu mu magufwa yawe. Hanyuma se bigenda bite? Amagufwa acika intege kandi agacika intege.

Si ibyo gusa, kandi iyi fosifate irenze urugero ishobora gutuma calcium yiyongera mu maso, mu bihaha, mu mutima no mu mitsi y'amaraso. Ibi ni akaga gato. Kuko uko igihe kigenda gihita, iyi calcium yongera ibyago byo kurwara indwara z'umutima, indwara zo gucika imitsi , ndetse n'urupfu.

Ni ibihe bimenyetso bya Hyperphosphatemia?

Akenshi, iyo ufite hyperphosphatemia gusa, ntubona ibimenyetso bikomeye. Ibyo bivuze ko ushobora kutamenya mbere na mbere ko ufite fosifate nyinshi mu mubiri wawe. Ariko, nk'uko twabiganiriyeho, iyo iyi fosifate yiyongera, ishobora gutuma kalisiyumu ibura mu magufwa no mu maraso. Ibyo byitwa hypocalcemia . Ibyo bivuze kugabanuka k'urugero rwa kalisiyumu mu maraso.

Rero, akenshi, ibimenyetso bya hyperphosphatemia ni bimwe n'ibiterwa na hypocalcemia. Reba niba ibi bisa n'ibisanzwe kuri wewe:

• Kubabara imitsi.
• Inzara zigoye.
• Uruhu rwumye.
• Umusatsi mwinshi kurusha umusatsi usanzwe.
• Ibibazo byo kwibuka .
• Kurakara.
• Kuryamirana mu minwa, ku rurimi, ku ntoki, no/cyangwa ku birenge.
• Hari igihe biza nk'aho umuntu arwaye indwara yo kubura igitsina (deizures).
• Utumenyero duto mu gutera k'umutima, ni ukuvuga arrhythmia.

Kuki habaho hyperphosphatemia?

Hari impamvu nyinshi zishobora gutuma ibi bibaho. Impamvu nyamukuru ni izi:

• Indwara y'impyiko idakira ikomeje kwiyongera. Iyi ni yo mpamvu ikunze kugaragara. Iyo impyiko zidakora neza, ntizishobora gusohora fosifeti nyinshi mu mubiri.
• Hypoparathyroidism. Iyi ni indwara aho uturemangingo twa parathyroid dukora imisemburo mike cyane ya parathyroid, igenzura urugero rwa kalisiyumu na fosifate mu mubiri.
• pH y'amaraso yawe iri hasi ugereranyije n'ibisanzwe (bivuze ko amaraso yawe afite aside nyinshi). Ibi bishobora guterwa n'uko ibihaha byawe bidashobora gukuramo dioxyde de carbone yose ikorerwa mu mubiri wawe. Ibi byitwa aside de respiratory .
• Kugabanuka kwa pH mu maraso bitewe n'izindi mpamvu ( acidosis ya metabolike ).

Uretse ibi, nubwo bidakunze kugaragara, hyperphosphatemia ishobora no guterwa n'impamvu zikurikira:

• Ketoacidosis iterwa na diyabete.
• Kwangirika kw'imitsi ( rhabdomyolysis ).
• Kwandura cyane ( sepsis ).
• Gukomereka mu mubiri (ibikomere biterwa n'ikintu gikomeye cyaguye ku mubiri cyangwa ikintu cyakandagiye ku mubiri igihe kirekire).
• Umubiri wawe ntukira neza imisemburo ya parathyroid ( pseudohypoparathyroidism ).
• Kwinjiza fosifeti nyinshi mu mubiri wawe, byaba mu byo urya cyangwa binyuze mu gufatirwa imiti .

Ni iyihe mpamvu ikunze kugaragara cyane?

Nkuko nabivuze mbere, impamvu nyamukuru kandi ikunze gutera hyperphosphatemia ni indwara idakira y’impyiko.

Ese iyi ni indwara yandura?

Oya, hyperphosphatemia si indwara yandura. Ntushobora kuyikwirakwiza mu bandi. Ariko, ni gake cyane, ishobora kugaragara mu miryango bitewe n'impamvu z'uturemangingo.

Abaganga babibona bate?

Muganga ashobora kumenya niba ufite hyperphosphatemia. Azagufata amateka y'ubuzima bwawe, agukorere isuzuma ry'umubiri , kandi akubaze ibimenyetso byawe, imirire yawe, n'imiti iyo ari yo yose ufata. Kugira ngo umenye neza urugero rwa fosifore mu mubiri wawe, uzakenera gupimwa amaraso .

Mu gihe cyo gupima amaraso, umuganga cyangwa umuforomo azafata amaraso make mu mutsi uri mu kuboko kwawe akoresheje urushinge ruto (21 gauge, rungana gato n'agasongero k'impeta isanzwe). Aya maraso yoherezwa muri laboratwari kugira ngo barebe ingano ya fosifate iri mu maraso yawe. Niba urugero rwa fosifate yawe ruri hejuru ya miligarama 4.5 kuri desilita imwe (4.5 mg/dL) y'amaraso,, bivuze ko ufite hyperphosphatemia.

Iyo ufashwe n'iyi ndwara, muganga wawe ashobora gusaba ko ukorerwa ibindi bipimo kugira ngo arebe uko impyiko zawe zimeze. Ibi bishobora kuba birimo:

• Isuzuma ry'amaraso ryinyongera.
• Ikizamini cyo gusuzuma poroteyine mu nkari.
• Gupima hakoreshejwe ultrasound .
• Isuzuma rya MRI .
• Isuzuma rya CT .
• Biopsy y'impyiko ( gufata agace gato k'inyama z'impyiko kugira ngo kasuzumwe).

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura hyperphosphatemia buterwa n'ikintu gitera phosphate kwibumbira mu maraso yawe. Hari ibiryo n'imiti bishobora gutera phosphate nyinshi. Ibi nibibaho, ushobora kugabanya cyangwa guhagarika kurya ibiryo cyangwa imiti imwe n'imwe burundu. Cyangwa, ushobora gukenera guhindura undi muti ufite phosphate nkeya.

Igikuru ni ugukurikiza amabwiriza ya muganga neza.

Muganga wawe ashobora kukwandikira imiti igabanya ingano ya fosiforeti umubiri wawe winjiza. Ibi bivuze ko fosiforeti nyinshi zisohoka mu nkari zawe (inkari). Iyi miti ikubiyemo:

• Sevelamer (Sevelamer - RenaGel®)
• Lanthanum (Lanthanum - Fosrenol®)
• Acetate ya kalisiyumu (acetate ya kalisiyumu - Calphron®)

Niba urugero rwa fosiforeti (phosphate) ruri hejuru bitewe n’impyiko zinaniwe gukora neza, muganga wawe ashobora kugutangira dialyse . Dialyse ikora ibyo impyiko zawe zigomba gukora. Ni ukuvuga ko ikuraho amazi n’imyanda irenze urugero, harimo na fosiforeti, mu maraso yawe.

Ni ibihe biribwa birimo fosifore nyinshi?

Hari ibiribwa n'ibinyobwa byinshi birimo fosifore nyinshi - ikintu gikomokamo fosifore. Ni ngombwa kubyitondera, cyane cyane niba ufite hyperphosphatemia.

• Amata n'ibikomoka ku mata, nk'amata, foromaje yatunganyijwe, na yawurute.
• Ibinyobwa bimwe na bimwe birimo karubone (ibinyobwa bya soda/ibinyobwa biryoshye).
• Inyama zatunganyijwe ( nk'isosiso na bacon).
• Ibiryo byihuse.
• Ibyokurya byo kurya ( ibintu bipfunyitse nk'ibirayi, ibisuguti).
• Ubunyobwa.
• Ibinyampeke byuzuye , birimo ingano, ingano, n'umuceri (cyane cyane ibifite ibinyampeke).
• Ibishyimbo.
• Ibishyimbo.

Muganga wawe ashobora kuba yarakubwiyeUzoherezwa kwa muganga w’inzobere mu mirire y’impyiko . Aba ni abantu b’inzobere mu gucunga indyo yawe kugira ngo bafashe impyiko ku buzima bwazo. Bazagufasha gukora gahunda yihariye y’imirire (indyo y’impyiko) igabanya ingano ya fosifate mu mubiri wawe.

Ese hari uburyo bwo guhunga iki kibazo?

Uburyo bwiza bwo kwirinda hyperphosphatemia ni ukwita ku buzima bw'impyiko zawe no kumenya ingano ya fosfeti na kalisiyumu urimo kurya. Niba ubona ko ushobora kuba uri mu kaga ko kugira iyi ndwara, vugana na muganga wawe. Ashobora kukwohereza kwa muganga w'indwara z'imitsi . Umuganga w'indwara z'imitsi ni umuganga w'inzobere mu ndwara zigira ingaruka ku mpyiko.

Ni ibihe bihe byiza byo kujya kwa muganga?

Niba uzi ko ufite hyperphosphatemia, kandi ukagaragaza ibimenyetso by'indwara z'impyiko cyangwa impyiko zinanirwa gukora neza, hita ubonana na muganga. Ntutinde.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ni ngombwa cyane kwibaza ibi bibazo:

• Wamenya ute neza ko mfite hyperphosphatemia?
• Niba ntafite iyi ndwara, ni izihe ndwara zindi narwara?
• Igipimo cyiza cya fosifate mu maraso ni ikihe?
• Ni iyihe miti munsaba?
• Ese ukeneye urupapuro rwa muganga kugira ngo ubone uwo muti, cyangwa ushobora kuwugura muri farumasi?
• Ni ibihe biribwa n'ibinyobwa ntagomba kurya?
• Ni fosifore ingana iki ngomba kurya ku munsi?
• Ushobora kunyandikira inzobere mu mirire y'impyiko?
• Ese nkwiye kujya kwa muganga w’indwara z’imitsi cyangwa undi muganga w’inzobere?

Ni irihe tandukaniro riri hagati ya Hyperphosphatemia na Hypocalcemia?

Ibi bibiri bishobora gutera urujijo, reka tubisobanure neza.

Hyperphosphatemia ni igihe urugero rwa fosifate mu maraso yawe ruri hejuru cyane .

Hypocalcemia ni igihe urugero rwa kalisiyumu mu maraso yawe rugabanuka cyane .

Akenshi, iyi ndwara yitwa hypocalcemia ibaho nk'ingaruka mbi z'indi ndwara. Hyperphosphatemia ni imwe mu mpamvu zitera hypocalcemia.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Yego, twavuze byinshi kuri hyperphosphatemia. Muri make, ni ukwiyongera k'urugero rwa fosifate mu maraso yawe. Nubwo bidakunze kugaragara ku bantu benshi ku isi, bishobora kugaragara cyane ku bantu bafite indwara zidakira z'impyiko cyangwa impyiko zidakora neza .

Akenshi, nta bimenyetso byihariye bitangira. Kubwibyo, abantu benshi bamenya ko bafite iyi ndwara nyuma y'ibindi bimenyetso bigaragaye, wenda nka hypocalcemia.

Iyo umenye ko ufite hyperphosphatemia, cyane cyane iyo bagusabye dialyse, ni ibisanzwe kumva uhangayitse kandi ufite ubwoba. Nta kibi kiri mu kugira ibyo byiyumvo. Vugana na muganga wawe ku bibazo cyangwa impungenge ufite. Azagusubiza ibibazo byawe, aguhe ubufasha ukeneye, kandi aguhe inama z'uburyo bwiza bwo guhangana n'iki kibazo. Wibuke ko utari wenyine!

` Hyperphosphatemia, Fosfate, Indwara y'Impyiko, Indwara y'Impyiko idakira, Hypocalcemia, Dialysis