Patinofunga nezve calcium, tinofunga nezvemapfupa akasimba uye mazino ane hutano, handiti? Calcium chinhu chakakosha mumuviri wedu. Asi waizviziva here kuti, semamwe marudzi ese, calcium yakawandisa muropa redu inogonawo kukonzera matambudziko akawanda ehutano? Kazhinji, chirwere ichi chinogona kuvapo pasina zviratidzo pakutanga. Nhasi, tichataura nezvekuwedzera kwe calcium muropa, kana kuti sekudanwa kwazvinoitwa nenyanzvi dzezvehutano, hypercalcemia.
Sei calcium muropa ichiwanda seizvi?
Kazhinji, miviri yedu inokwanisa kudzora huwandu hwecalcium muropa redu. Mahormone akati wandei anobatsira neizvi. Zvisinei, kune zvikonzero zvinopfuura makumi maviri nezvishanu, zvakaita sezvirwere zvakasiyana, mishonga, matambudziko eitsvo, kana kushaya mvura mumuviri, zvinogona kukonzera kurasikirwa nekudzora uku uye kuwedzera kwecalcium muropa redu. Ngatitarisei zvimwe zvezvikonzero zvikuru.
Kuwedzera kwebasa remagland eparathyroid (Hyperparathyroidism)
Ichi ndicho
chikonzero chikuru uye chinonyanya kukosha chekuwanda kwecalcium muropa. Kutaura zvazviri, ichi ndicho chikonzero cheinenge 90% yezviitiko zve `Hypercalcemia`. Seri kwegland re thyroid mumutsipa medu kune gland ina diki, dzakaita semapfupa, dzatinodaidza kuti parathyroid glands. Idzi dzinoburitsa parathyroid hormone `(Parathyroid Hormone - PTH).` Iyi hormone inobatsira kudzora huwandu hwecalcium muropa. Mu `Hyperparathyroidism`, rimwe kana akawanda emagland aya anova nesimba rakawandisa uye anoramba achigadzira hormone `PTH` pasina kutarisa kuti calcium yakawanda sei muropa. Zvadaro huwandu hwecalcium muropa hunowedzera zvisina kujairika. Dambudziko iri rinonyanya kuitika pakati pevakadzi vasvika panguva yekumenopa.
Mimwe mishonga yaunotora
Mimwe mishonga nezvimwe zvinovaka muviri zvaunotora zvinogona kukonzerawo kuwedzera kwecalcium muropa rako.
| Rudzi rweMushonga/Rudzi rweZvimwe | Tsananguro |
|---|
| Hydrochlorothiazide | Piritsi rinobvisa mvura mumuviri rinoshandiswa pakurapa BP yakakwira uye kuzvimba mumuviri. |
| Lithium | Mushonga unoshandiswa kurapa zvimwe zvirwere zvepfungwa. |
| Vhitamini A neVhitamini D | Kutora zvinhu izvi zvakawandisa (Hypervitaminosis D) kunogona kuwedzera calcium. |
| Mishonga yecalcium uye mishonga inorwisa acids | Kunwa mapiritsi ecalcium zvakanyanya uye mimwe mishonga inoshandiswa pakurapa gastritis (yakadai seTums, Rolaids). |
Kenza
Mamwe marudzi ekenza yemapapu, yemazamu, kana yeropa anogonawo kukonzera huwandu hwakawanda hwecalcium muropa. Izvi zvinogona kukonzerwa nekupararira kwemasero ekenza kumapfupa (bone metastases) kana kuti mahormone anogadzirwa nemamwe marudzi ekenza.
Zvimwe zvikonzero zvisingawanzoitiki
Ndezvipi zviratidzo zveizvi?
Kana uine hypercalcemia isina kunyanya kuipa, ungasava nezviratidzo. Asi kana chirwere chacho chikanyanya kuipa, chinogona kukanganisa nhengo dzakawanda dzemuviri wako. Ngwarira zviratidzo izvi.
- Kuita weti kakawanda
- Kunzwa nyota isina kujairika
- Kuneta uye kushaya simba mumuviri
- Kurwadziwa kwemapfupa
- Musoro
- Kusvotwa nekurutsa
- Kuzvimba
- Kuda kudya
- Kurwadziwa kwetsandanyama, kuomarara, kana kugwinha
- Kukanganwa uye kuvhiringidzika kwepfungwa
- Kuora mwoyo uye kusuruvara
Kana ukaramba uine chimwe chezviratidzo izvi kana kupfuura, iva nechokwadi chekuudza chiremba wako nezvazvo.
Ndezvipi zvinetso zvinokonzerwa nekuwedzera kwecalcium mumuviri?
Kuwanda kwenguva refu kwecalcium muropa kunogona kukonzera matambudziko akawanda ehutano.
- Osteoporosis: Muzvirwere zvakaita se hyperparathyroidism, calcium yakawanda inoburitswa kubva mumapfupa ichipinda muropa. Izvi zvinoita kuti mapfupa aonde, asashande zvakanaka, uye aputsike nyore nyore. Izvi zvinonzi osteoporosis.
- Matombo eitsvo: Kana huwandu hwecalcium muweti hukawedzera, hunogona kuunganidza nekuumba matombo madiki mukati meitsvo. Matombo aya anogona kukonzera kurwadziwa kwakanyanya paanofamba munzira yeweti.
- Kutadza kushanda kweitsvo: Kuwanda kwecalcium mumuviri kunokanganisa mashandiro eitsvo. Izvi zvinogona kuderedza kugona kwadzo kuchenesa ropa nekubvisa tsvina, uye zvinogona kutokonzera kutadza kushanda kweitsvo.
- Mhedzisiro pakushanda kwehuropi: Kuwedzera kwecalcium muropa kunogona kukanganisa sisitimu yetsinga, uye kunofungidzirwa kuti kunokanganisa ndangariro. Izvi zvinogona kukonzera matambudziko akadai sekuvhiringidzika, dementia, uye muzviitiko zvakakomba, kunyange coma.
- Chirwere chemwoyo: Kuwanda kwecalcium mumuviri kunogona kukanganisa mashandiro emagetsi emoyo, zvichikonzera kurova kwemoyo zvisina kurongeka (arrhythmia).
Chiremba anowana sei izvi?
Nekuti kazhinji hapana zviratidzo zviri pachena, chirwere ichi chinowanikwa netsaona panguva yekuongororwa ropa kwaunenge uchiita nekuda kwechimwe chikonzero. Kana chiremba wako achifungidzira zviratidzo izvi, acharaira kuti uongororwe ropa kuti uone huwandu hwecalcium mumuviri wako. Kuongororwa kweropa uku kunogonawo kutarisa huwandu hweparathyroid hormone (PTH) yako. Izvi zvinogona kubatsira nyore nyore kuona hyperparathyroidism. Pamusoro pezvo, bvunzo dzinotevera dzinogona kuitwa kuti uwane chikonzero:
- Kuongororwa ropa kuti uone mazinga evhitamini D
- Kuyedzwa kwekuwanda kwemapfupa
- Kuongororwa kwe ultrasound kuti uone kana paine matombo muitsvo
- Muenzaniso weweti unogona kuongororwa kuti uone kuti calcium yakawanda sei inobuda muweti uye kuti itsvo dziri kushanda zvakanaka sei.
Kana paine chimwe chikonzero, chakadai sekenza, chinofungidzirwa, chiremba anogona zvakare kuraira bvunzo dzemifananidzo dzakadai seX-ray, MRI, kana CT scan.
Inorapwa sei?
Chirongwa chekurapa chinoenderana nekuoma kwe hypercalcemia yako uye chikonzero chayo.
Kana chirwere chacho chiri chishoma (Mild Hypercalcemia): Chiremba wako angasarudza kusakurapa, asi kutarisa huwandu hwe calcium yako nguva dzose. Anogonawo kukurudzira zvinotevera:
- Inwa mvura yakawanda.
- Rega kana kuchinja mimwe mishonga yauri kutora, yakadai sediuretics.
- Rega kutora mapiritsi ekurwisa asidhi ane calcium.
- Rega kutora mishonga yekuwedzera calcium.
Kana chirwere chacho chakanyanya (Severe Hypercalcemia): Muchiitiko ichi, ungangoda kushandisa mishonga kana kuvhiyiwa.
- Mishonga: Chiremba wako anogona kukupa mishonga yakaita se'Cinacalcet (Sensipar),' hormone inonzi 'Calcitonin' inowanikwa kubva kusalmon, masteroids akadai se'Prednisone' ezvirwere zvinokonzerwa nekuwedzera kwevhitamini D, uye 'Bisphosphonates' uye 'Denosumab (Prolia, Xgeva)' ekushaya simba kwemapfupa kunokonzerwa nekenza.
- Kuvhiyiwa: Kana hypercalcemia yako ichikonzerwa nemagland eparathyroid anonyanya kushanda, chiremba wako anogona kukurudzira kubviswa kwegland kana gland yakakanganiswa.
Zvimwe zvinhu zvishoma zvaunofanira kuziva
Hutano hwako panyaya ye `Hypercalcemia` hunoenderana nekuoma kwechirwere uye chikonzero chayo. Kana chirwere chacho chiri chidiki, panogona kunge pasina mamwe matambudziko. Unogona kudzora huwandu hwecalcium mumuviri wako nekutevera mirairo yachiremba wako. Zvisinei, kana chirwere chacho chakanyanya, chirongwa chekurapa chichagadzirwa zvichienderana nechikonzero chacho. Kana chikonzero chiri kenza, ungangoda kuendeswa kuchipatara kuti uwane mvura yemutsinga (IV fluids) nedzimwe nzira dzekurapa. Kunyange zvazvo `Hypercalcemia`, iyo inokonzerwa nedzimwe zvirwere zvakaita sekenza, isingadzivirirwe, pane zvinhu zvakawanda zvaunogona kuita kudzora huwandu hwecalcium muropa rako.
- Kana mumwe munhu mumhuri yako aine nhoroondo ye hyperparathyroidism, matombo eitsvo, kana calcium yakawanda, zivisa chiremba wako nezvazvo.
- Usambofa watora mishonga yekuwedzera calcium kana mishonga yekuderedza acids ine calcium yakawanda usina kubvunza chiremba .
- Gara uchibvunza chiremba usati watora mavhitamini, maminerari, kana zvimwe zvinowedzera.
Mharidzo Yekuenda Nayo Kumba
- Hypercalcemia ihuwandu hwakawanda hwecalcium muropa. Kazhinji, hapana zviratidzo zvinoonekwa pakutanga.
- Chikonzero chikuru cheizvi ihyperparathyroidism, asi inogonawo kukonzerwa nemimwe mishonga nezvimwe zvirwere zvakaita sekenza.
- Kana ukaona zviratidzo zvakaita senyota inogara ichiitika, kuita weti nguva nenguva, kushaya simba, uye kurwadziwa kwemapfupa, enda kuna chiremba nekukasika.
- Usambofa watora mishonga yekuwedzera calcium kana vhitamini D usina kupiwa mazano nachiremba.
- Nzira yekurapa inoenderana nekuoma kwechirwere uye chirwere chiri kukonzera chirwere chacho.
Hypercalcemia, calcium, calcium yakawanda, calcium muropa, parathyroid, matombo eitsvo, kurwadziwa kwemapfupa
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