Paunoongororwa ropa, chiremba anokuudza here kuti "calcium yakawanda muropa rako"? Zvakajairika kuti utye zvishoma paunonzwa izvozvo. Asi usazvidya mwoyo. Chirwere ichi ndicho chatinodaidza kuti hypercalcemia . Zvichitaurwa zviri nyore, zvinoreva kuti une calcium yakawanda muropa rako kupfuura zvaunofanira kuva. Ngatitaurei nezvazvo nenzira iri nyore uye ine hushamwari nhasi.
Chii chinonzi hypercalcemia?
Calcium inokosha kumiviri yedu, kunyanya pakusimba kwemapfupa nemazino edu. Inodiwawo kuti sisitimu yedu yetsinga netsandanyama zvishande zvakanaka. Zvisinei, sezvimwe zvese, calcium yakawandisa mumuviri haina kunaka.
Kana huwandu hwecalcium muropa rako hwakakwira zvishoma, ungasaona zviratidzo. Asi sezvo huwandu hwacho huchiwedzera, muviri wedu unoedza kubvisa iyi calcium yakawandisa muweti. Saka unogona kusangana nezvinhu zvakaita se:
- Kuda kuita weti nguva nenguva.
- Kunzwa nyota kupfuura zvakajairika.
Kana calcium yakawanda zvakanyanya, inogona kukanganisa tsinga dzedu, zvichikonzera kuvhiringidzika, kurasikirwa nendangariro, uye dzimwe nguva kutopera simba .
Chinhu chinonyanya kukosha ndechekuti kana chirwere ichi chikasarapwa, chinogona kutungamira kuzvirwere zvakakomba zvakaita sekurasikirwa nemapfupa, matombo eitsvo, kutadza kushanda kweitsvo, uye chirwere chemwoyo . Saka, zvakakosha kuziva izvi, kutaura nachiremba wako, uye kutora matanho anodiwa.
Ndezvipi zvikonzero zvikuru zveizvi?
Kunyangwe paine zvikonzero zvinopfuura makumi maviri nezvishanu zvinokonzera calcium yakawanda muropa, 90% yazvo inokonzerwa nezvikonzero zviviri zvikuru.
1. Matumbu eParathyroid Anoshanda Zvakawandisa
Ichi ndicho chinonyanya kukonzera hypercalcemia. Matumbu eparathyroid matumbu mana madiki ari mumutsipa wedu, kuseri kwetumbu rethyroid . Anoshanda se thermostat inodzora calcium.
Kana huwandu hwecalcium muropa hukadzikira, magland aya anoburitsa parathyroid hormone (PTH).PTH inogadzirwa. Hormone iyi inozivisa mapfupa edu kuti "abudise calcium yakawanda muropa," itsvo dzedu kuti "dzideredze kubuda kwecalcium muweti," uye ura hwedu kuti "hutore calcium yakawanda kubva muchikafu."
Zvisinei, kana rimwe kana akawanda emagland aya akanyanya kushanda, anoburitsa PTH yakawanda kupfuura zvinodiwa. Izvi zvinogona kukonzera kuti calcium muropa ikwire zvisina kufanira. Izvi zvinogona kukonzerwa nekukura kwemagland kana kuumbwa kwebundu risiri rekenza.
Kana uine hypercalcemia nekuda kweizvi, unogona zvakare kuona zviratidzo zvakaita se:
- Kuora mwoyo
- Kurasikirwa nendangariro
- Chirungurira
- Matambudziko ekurara
- Kurwadziwa mumapfupa netsandanyama
- Kuneta nguva dzose
Sekurapa, chiremba wako anowanzo kurudzira kubviswa kwegland kana gland yakakanganiswa. Kana chirwere chisina kunyanya kuipa, unogona kutarisa mamiriro ako nekutarisa calcium yako nguva nenguva, BP, uye hutano hweitsvo.
2. Gomarara
Hypercalcemia inogona kuitika mu10%-30% yevarwere vegomarara. Izvi zvinokonzerwa nemamwe magomarara:
- Mapfupa anogona kuputsika, zvichiburitsa calcium muropa.
- Inogona kugadzira chinhu chinoshanda sePTH hormone uye chinoratidza kuburitswa kwecalcium kubva mumapfupa.
- Zvinogona kukanganisa mashandiro eitsvo uye kuderedza huwandu hwecalcium inobuda muweti.
Mhando dzekenza dzinowanzobatanidzwa ne hypercalcemia ndedzinotevera:
- Kenza yemapapu
- Kenza yeitsvo
- Kenza yemazamu
- Multiple myeloma - Rudzi rwekenza yeropa inotangira mumongo wemapfupa.
Kurwara nekenza kwakanyanya kunogona kuoma. Chinhu chikuru ndechekurapa kenza. Zvisinei, chiremba wako anogona kukupa mishonga yakaita se "Bisphosphonates" kana "Denosumab" semushonga wemutsinga (IV) kana jekiseni rekudzora kuburitswa kwecalcium mumapfupa.
Mavhitamini nezvimwe zvinovaka muviri zvinokanganisa sei
Dzimwe nguva mavhitamini nezvimwe zvinovaka muviri zvatinoshandisa zvinogonawo kukonzera izvi.
| Zvekuwedzera / Vhitamini | Zvinokanganisa sei |
|---|---|
| Mishonga Inosimudzira Calcium uye Mishonga Inoderedza Asidhi | Kushandisa mapiritsi emushonga unorwisa asidhi necalcium zvakanyanya uye kwenguva refu zvinoshandiswa pakurapa gastritis kunogona kukonzera kuwedzera kwecalcium muropa. Dambudziko iri rinonzi (Milk-alkali syndrome) . Izvi zvinogonawo kukuvadza itsvo. |
| Vhitamini D | Vhitamini D inobatsira miviri yedu kunwa calcium. Zvisinei, kana ukatora vhitamini D yakawanda kwemwedzi yakati wandei (semuenzaniso, 60,000 IU pazuva), huwandu hwecalcium mumuviri wako hunogona kuwedzera zvine njodzi. Hauwani vhitamini D yakawanda kudaro kubva mukudya kwakajairika kana chiedza chezuva. |
| Vhitamini A | Kutora vhitamini A yakawandisa kunogona kukonzera kuti calcium yakawandisa ibude mumapfupa uye iungane muropa. |
Yeuka, kana uri kutora mavhitamini kana zvimwe zvinovaka muviri, iva nechokwadi chekuudza chiremba wako nezvazvo. Usatange kana kumisa chero chinhu usina kutaura naye kutanga.
Zvimwe zvikonzero uye njodzi
Zvimwe zvinhu zvinogona kukanganisa
- Mimwe mishonga: Mimwe mishonga yeBP yakakwira (semuenzaniso, thiazide diuretics) uye mishonga yezvirwere zvepfungwa, senge lithium, inogonawo kuwedzera calcium.
- Majini: Kashoma, izvi zvinogonawo kukonzerwa nechirwere chemajini chinonzi Familyal Hypocalciuric Hypercalcemia (FHH).
- Matambudziko ehutano: Zvirwere zvemapapu zvakaita seTB, zvirwere zvakaita sethyroid inoshanda zvakanyanya.
- Kusaita maekisesaizi: Dambudziko iri rinogonawo kuitika kuvanhu vanogara vakarara kwenguva yakareba nekuda kwechirwere chakadai sekuoma mitezo kana chimwe chirwere. Chikonzero cheizvi ndechekuti kana mapfupa asinganzwi huremu hwemuviri, calcium inoburitswa mumapfupa.
- Kushaya mvura mumuviri zvakanyanya: Kana pasina mvura yakakwana mumuviri, itsvo hadzigoni kuburitsa calcium yakawandisa.
Izvi zvinoitika rini kana zvadai?
Karusiyamu yeropa yakajairika kumunhu mukuru inofanira kuva pakati pe8.5 - 10.3 mg/dL. Kana huwandu uhwu hwakanyanya kukwira, chirwere chinoda kurapwa nekukurumidza.
Kana ukangoerekana wavhiringidzika zvakanyanya, kusviba musoro, kurutsa, kana kurwadziwa mudumbu zvakanyanya , zvinogona kuva chiratidzo chechirwere chakakomba chinonzi hypercalcemia. Kana izvi zvikaitika, unofanira kuenda kuchipatara nekukurumidza . Ikoko, unogona kupihwa mvura yemutsinga nemutsinga kuti udzore huwandu hwecalcium mumuviri wako.
Mharidzo Yekuenda Nayo Kumba
- Hypercalcemia ihuwandu hwakawanda hwecalcium muropa. Inowanzoonekwa netsaona panguva yekuongororwa kweropa kunoitwa nechimwe chikonzero.
- Chikonzero chikuru cheizvi idambudziko rine parathyroid glands kana kenza, saka zvakakosha zvikuru kuwana chikonzero chaicho.
- Usatya kana ukaona kuti calcium muropa rako yakakwira. Taura nachiremba wako, tsvaga chikonzero chacho, uye tanga kurapwa kwakakodzera.
- Usashandise mavhitamini, mapiritsi ecalcium, kana zvimwe zvinowedzera muviri usina kubvunza chiremba wako.
- Kana ukaona zviratidzo zvakakomba zvakaita sekuvhiringidzika kana kurasikirwa nepfungwa, idambudziko rekukurumidza. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
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