Une phosphate yakawanda mumuviri wako here? Ngatitaurei nezve hyperphosphatemia!

Wakambozvibvunza here kuti sei dzimwe nguva zvimwe zvinhu mumiviri yedu zviri pamusoro pezvazvinofanira kuva? Pamwe chiremba akakuudza kuti une phosphate yakawandisa muropa rako. Kana kuti pamwe wakambozvinzwa kune imwe nzvimbo. Izvi ndizvo zvatinodaidza kuti hyperphosphatemia. Kunyangwe zita racho ringanzwika serisinganzwisisike, kana tikarinzwisisa nemazvo, harisi rekuti tizvinetse.

Chii chinonzi hyperphosphatemia?

Zvichitaurwa zviri nyore, hyperphosphatemia inguva apo ropa rako rine mineral yakawandisa inonzi phosphate. Phosphate chinhu chakakosha mumuviri wedu. Inobatsira kuchengetedza mapfupa nemazino edu akasimba, inopa simba kumasero edu, uye inobatsira kugadzira membrane yemasero.

Funga nezvazvo nenzira iyi, phosphate yakaita sebhatiri diki mumuviri wedu. Kuti izvi zvishande zvakanaka, zvinoda kuva nechaji yemagetsi. Phosphate imwe yeelectrolyte yakadaro. Electrolytes zvicherwa zvinogona kutora chaji yemagetsi yakanaka (+) kana yakaipa (-) kana yanyungudutswa mumvura kana mvura yakaita seropa redu. Saka, kuchengetedza mazinga aya ephosphate akaenzana kwakakosha pamabasa mazhinji mumuviri. Unonzwisisa here?

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Kutaura zvazviri, chero munhu anogona kuva nechirwere ichi chinonzi hyperphosphatemia. Zvisinei, chinowanzoitika kuvanhu vane matambudziko eitsvo. Kunyanya, vanhu vane chirwere cheitsvo chisingaperi (CKD) , kunyanya avo vane chirwere chakanyanya kukura, kana avo vane kutadza kushanda kweitsvo, vane mukana wekuwana chirwere ichi.

Zvino, pane zvinhu zvinogona kukonzera chirwere cheitsvo. Kana uine chimwe kana zvimwe zvezvinotevera, uri panjodzi yekubatwa nechirwere cheitsvo uye, kuburikidza nacho, hyperphosphatemia:

• Kana uine chirwere cheshuga (Diabetes Mellitus) .
• Kana uine BP yakakwira (BP) .
• Kana uine chirwere chemwoyo .
• Kana mumwe munhu mumhuri mako akamborwara neitsvo (zvinoreva kuti zvinogona kunge zviri zvenhaka).
• Kana paine kusarongeka kwechimiro cheitsvo dzako.
• Kana uri werudzi rweAfrican American, Hispanic, Asian, kana Native American (vanhu vari mumapoka aya vane mukana mukuru wekuva nechirwere cheitsvo).
• Kana une makore anopfuura makumi matanhatu .
• Kana wagara uchishandisa mishonga inoderedza marwadzo kwenguva yakareba , kunyanya mishonga isingarwisi kuzvimba (NSAIDs), iyo inogona kutengwa pachitoro chemishonga.

Dambudziko iri rakajairika zvakadii?

Kana ukatarisa vanhu vazhinji pasi rose, hazviwanzoitiki kuva ne hyperphosphatemia chete. Izvi zvinoreva kuwedzera kwe phosphate muropa. Asi, sezvandambotaura, kana uine chirwere cheitsvo chisingaperi , kunyanya kana chakakomba, chirwere ichi chinowanzoitika. Kutaura zvazviri, vanhu vanosvika 70% vane chirwere cheitsvo chisingaperi vakaonekwa kuti vane hyperphosphatemia.

Chii chinoitika kumuviri kana huwandu hwephosphate hukawedzera?

Tambotaura kare nezvekuti phosphate inobatsira sei kusimbisa mapfupa nemazino edu, kupa simba kumasero, uye kubatsira kuvaka membrane yemasero. Izvozvo ndezvechokwadi. Asi, sezvimwe zvinhu, kuwanda kwayo kunogona kukonzera matambudziko.

Fungidzira, kana huwandu hwephosphate muropa rako hukakwira zvakanyanya, hunotanga kubvisa calcium kubva mumapfupa ako. Chii chinoitika ipapo? Mapfupa anoshaya simba uye anotsemuka.

Kwete izvozvo chete, asi huwandu uhwu hwephosphate hunogona kukonzera kuti calcium iungane mumaziso ako, mumapapu, mumoyo, uye mutsinga dzeropa. Izvi zvine njodzi. Nekuti nekufamba kwenguva, huwandu uhwu hunowedzera njodzi yako yekubatwa nechirwere chemwoyo, sitiroko , uye kunyange kufa.

Ndezvipi zviratidzo zveHyperphosphatemia?

Kazhinji, kana uine hyperphosphatemia chete, hauoni zviratidzo zvikuru. Izvi zvinoreva kuti ungasaziva pakutanga kuti une phosphate yakawandisa mumuviri wako. Zvisinei, sezvatakurukura, kana phosphate iyi ikawedzera, inogona kukonzera kuti calcium irasikirwe nemapfupa ako neropa. Izvozvo zvinonzi hypocalcemia . Izvi zvinoreva kudzikira kwehuwandu hwecalcium muropa.

Saka, kazhinji, zviratidzo zve hyperphosphatemia zvakafanana nezvinokonzerwa ne hypocalcemia. Ona kana izvi zvichinzwika sekunge zvakajairika kwauri:

• Kurwadziwa kwetsandanyama.
• Nzara dzakapfava.
• Ganda rakaoma.
• Vhudzi rakakora kupfuura bvudzi rako remazuva ese.
• Matambudziko ekurangarira .
• Kutsamwa.
• Kurira kwemiromo, rurimi, minwe, uye/kana tsoka.
• Dzimwe nguva zvinouya sekunge munhu abatwa nepfungwa dzakaipa (pfari).
• Kusarongeka kwemoyo, kureva kuti, arrhythmia.

Sei paine hyperphosphatemia?

Panogona kunge paine zvikonzero zvakawanda zveizvi. Zvikuru ndeizvi:

• Chirwere cheitsvo chisingaperi chakanyanya kukura. Ichi ndicho chikonzero chinowanzoitika. Kana itsvo dzisiri kushanda zvakanaka, hadzikwanise kuburitsa phosphate yakawandisa mumuviri.
• Hypoparathyroidism. Ichi chirwere apo magland eparathyroid anogadzira hormone shoma yeparathyroid, iyo inodzora huwandu hwecalcium nephosphate mumuviri.
• pH yeropa rako yakaderera pane zvakajairwa (zvichireva kuti ropa rako rine acid yakawanda). Izvi zvinogona kunge zvichikonzerwa nekuti mapapu ako haakwanise kubvisa kabhoni dhayokisaidhi yese inogadzirwa mumuviri wako. Izvi zvinonzi respiratory acidosis .
• Kuderera kwepH muropa nekuda kwezvimwe zvikonzero ( metabolic acidosis ).

Kuwedzera kune izvi, kunyange zvisingawanzoitiki, hyperphosphatemia inogonawo kuitika nekuda kwezvikonzero zvinotevera:

• Ketoacidosis inokonzerwa nechirwere cheshuga.
• Kukuvara kwetsandanyama ( rhabdomyolysis ).
• Kutapukirwa kwakanyanya ( sepsis ).
• Kukuvara kwekupwanyika (kukuvara kunokonzerwa nechinhu chinorema chinowira pamuviri kana kuti nechimwe chinhu chinodzvanya muviri kwenguva yakareba).
• Muviri wako haupinduri zvakanaka kuhomoni yeparathyroid ( pseudohypoparathyroidism ).
• Kupinza phosphate yakawandisa mumuviri wako, kungave kubva muchikafu chaunodya kana kuburikidza ne enema .

Chii chinonyanya kukonzera izvi?

Sezvandambotaura, chikonzero chikuru uye chinowanzo kukonzera hyperphosphatemia chirwere cheitsvo chisingaperi.

Ichi chirwere chinotapukira here?

Kwete, hyperphosphatemia haisi chirwere chinotapuriranwa. Haugone kuiparadzira kune vamwe. Asi, kashoma, inogona kuitika mumhuri nekuda kwezvikonzero zvemajini.

Vanachiremba vanoona sei izvi?

Chiremba anogona kuziva kana uine hyperphosphatemia. Achakutora nhoroondo yako yehutano , okuongorora muviri , uye obvunza nezvezviratidzo zvako, kudya kwako, uye chero mishonga yaunotora. Kuti uzive chaizvo kuti phosphate yako yakawanda sei, uchafanirwa kuongororwa ropa .

Panguva yekuongororwa ropa, chiremba kana nesi achatora ropa shoma kubva mutsinga iri muruoko rwako achishandisa tsono diki (21 gauge, diki zvishoma pane muromo wemhete yenguva dzose). Sample yeropa iyi inotumirwa kurabhoritari kuti ione kuti phosphate yakawanda sei iri muropa rako. Kana huwandu hwephosphate yako huri pamusoro pe4.5 milligrams pa deciliter (4.5 mg/dL) yeropa,zvinoreva kuti une hyperphosphatemia.

Kana ukaonekwa uine chirwere ichi, chiremba wako anogona kuraira mimwe miedzo yekutarisa mamiriro eitsvo dzako. Izvi zvinogona kusanganisira:

• Kuongororwa kweropa kwakawedzerwa.
• Kuongororwa kwekuongorora mapuroteni ari muweti.
• Kuongororwa kwe ultrasound .
• Kuongororwa kweMRI .
• Kuongororwa kweCT .
• Kuongororwa kweitsvo ( kutora chidimbu chidiki chenyama yeitsvo kuti chiongororwe).

Ndezvipi zvinorapwa izvi?

Kurapa hyperphosphatemia kunoenderana nezviri kukonzera kuunganidzwa kwephosphate muropa rako. Zvimwe zvekudya nemishonga zvinogonawo kukonzera kuwanda kwephosphate muropa. Kana izvi zvikaitika, ungangoda kuderedza kana kurega kudya zvimwe zvekudya kana mishonga zvachose. Kana, ungangoda kuchinja kune imwe mishonga ine phosphate yakaderera.

Chinhu chinonyanya kukosha ndechekutevedzera mirairo yachiremba nemazvo.

Chiremba wako anogona kukupa mishonga inoderedza huwandu hwephosphate inotorwa nemuviri wako. Izvi zvinoreva kuti phosphate yakawanda inobuda muweti yako (weti). Mishonga iyi inosanganisira:

• Sevelamer (Sevelamer - RenaGel®)
• Lanthanum (Lanthanum - Fosrenol®)
• Calcium acetate (Calcium acetate - Calphron®)

Kana huwandu hwe phosphate mumuviri wako hwakakwira nekuda kwekutadza kushanda kweitsvo, chiremba wako anogona kutanga kukuisa pa dialysis . Dialysis inoita zvinofanirwa kuitwa neitsvo dzako. Kureva kuti, inobvisa mvura yakawandisa uye tsvina, kusanganisira phosphate, muropa rako.

Ndezvipi zvekudya zvine phosphorus yakawanda?

Kune zvikafu nezvinwiwa zvakawanda zvine phosphorus yakawanda - chinhu chinobva ku phosphate. Zvakakosha kuziva izvi, kunyanya kana uine hyperphosphatemia.

• Zvigadzirwa zvemukaka nemukaka, zvakaita semukaka , chizi dzakagadzirwa, uye yogati.
• Zvimwe zvinwiwa zvine carbonated (soda pop/fizzy drinks).
• Nyama dzakagadzirwa ( senge masoseji nebhekoni).
• Chikafu chekutenga.
• Zvekudya zvemazuva ano ( zvinhu zvakaputirwa zvakaita semachipisi, mabhisikiti).
• Nzungu.
• Zviyo zvese , zvinosanganisira gorosi, oats, nemupunga (kunyanya izvo zvine bran).
• Bhinzi.
• Nyemba.

Chiremba wako angangodaro akakuudzaUchatumirwa kunyanzvi yezvekudya zveitsvo . Ava vanhu vane hunyanzvi mukutarisira kudya kwako kuti vatsigire hutano hweitsvo. Vachakubatsira kugadzira chirongwa chekudya chakakosha (renal diet) chinodzikamisa huwandu hwephosphate mumuviri wako.

Pane nzira yekutiza mamiriro ezvinhu aya here?

Nzira yakanakisisa yekudzivirira hyperphosphatemia ndeyekutarisira hutano hweitsvo dzako uye kuziva huwandu hwephosphate necalcium yauri kudya. Kana uchifunga kuti ungangove uri panjodzi yechirwere ichi, taura nachiremba wako. Anogona kukutumira kuna chiremba wezvemapfupa . Nyanzvi yezvemapfupa chiremba anonyanya kugadzirisa zvirwere zvinokanganisa itsvo.

Ndeipi nguva dzakanakisa dzekuona chiremba?

Kana uchiziva kuti une hyperphosphatemia, uye ukatanga zviratidzo zvechirwere cheitsvo kana kuti itsvo dzakatadza kushanda zvakanaka, enda kuna chiremba nekukasika. Usanonoka.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Paunoenda kunoona chiremba, zvakakosha kubvunza mibvunzo iyi:

• Unoziva sei kuti ndine hyperphosphatemia?
• Kana ndisina chirwere ichi, ndedzipi dzimwe zvirwere zvandingasangana nazvo?
• Chii chinonzi phosphate yeropa ine hutano?
• Mishonga ipi yamunokurudzira kwandiri?
• Unoda here gwaro remishonga kuti uwane mushonga iwoyo, kana kuti unogona kungoutenga ku pharmacy?
• Ndezvipi zvekudya nezvinwiwa zvandisingafaniri kudya?
• Ndinofanira kudya phosphorus yakawanda sei pazuva?
• Munganditumirewo kuna chiremba wezvekudya zveitsvo here?
• Ndinofanira kuona chiremba wepfungwa kana mumwe nyanzvi here?

Ndeupi musiyano uripo pakati peHyperphosphatemia neHypocalcemia?

Izvi zviviri zvinogona kuvhiringa zvishoma, saka ngatitsanangure.

Hyperphosphatemia inguva iyo huwandu hwephosphate muropa rako hwakanyanya kukwira .

Hypocalcemia inguva iyo huwandu hwecalcium muropa rako hunoderera zvakanyanya .

Kazhinji, chirwere ichi chinonzi hypocalcemia chinoitika semhedzisiro yechimwe chirwere. Hyperphosphatemia chimwe chezvikonzero zvakadaro zve hypocalcemia.

Mharidzo Yekupedzisira Yekuenda Kumba

Zvakanaka, saka tataura zvakawanda nezve hyperphosphatemia. Zvichitaurwa zviri nyore, kuwedzera kwehuwandu hwe phosphate muropa rako. Kunyange zvazvo zvisiri zvakanyanya kuwanda muvanhu vazhinji pasi rose, zvinogona kuwanda muvanhu vane chirwere cheitsvo chisingaperi kana kuti itsvo dzakatadza kushanda zvakanaka .

Kazhinji, hapana zviratidzo chaizvo zvinoonekwa pakutanga. Nokudaro, vanhu vazhinji vanongoziva kuti vane chirwere ichi mushure mekunge zvimwe zviratidzo zvaonekwa, zvichida sekushaya calcium mumuviri.

Kana ukaona kuti une hyperphosphatemia, kunyanya kana ukaudzwa kuti unoda dialysis, zvakajairika kuti unzwe kunetseka uye kutya. Hapana chakaipa nekuva nemanzwiro iwayo. Taura nachiremba wako nezvemibvunzo kana zvinokunetsa. Vachapindura mibvunzo yako, vachakupa rutsigiro rwaunoda, uye vachakupa mazano ekuti ungagadzirisa sei dambudziko iri. Yeuka, hausi wega!

` Hyperphosphatemia, Phosphate, Chirwere cheItsvo, Chirwere Chisingaperi cheItsvo, Hypocalcemia, Dialysis