Ukuba kutshanje uye wavavanywa igazi waza ugqirha wakho wathi "amanqanaba akho e-calcium aphezulu kancinci," kuyinto eqhelekileyo ukuba uzive ukhathazekile kancinci. Nceda ungoyiki. Ngokwezonyango, le meko yaziwa ngokuba yi -Hypercalcemia . Ngamafutshane, kuthetha ukuba kukho i-calcium engaphezulu egazini lakho kunokuba umzimba wakho uyidinga. Namhlanje, makhe sihlalutye yonke into ekufuneka uyazi ngale nto ngendlela elula neqondakala lula.
Yintoni kanye kanye iHypercalcemia?
I-calcium ibalulekile emizimbeni yethu, ingakumbi ekugcineni amathambo namazinyo omelele. Ikwaqinisekisa ukuba inkqubo yethu yemithambo-luvo kunye nezihlunu zisebenza ngokuchanekileyo. Nangona kunjalo, njengakwizinto ezininzi, ukuba ne-calcium eninzi ejikeleza emzimbeni wakho akulunganga.
Ukuba inqanaba lakho le-calcium liphezulu kancinci, usenokungaziboni iimpawu konke konke. Nangona kunjalo, njengoko amanqanaba enyuka, umzimba wakho uzama ukukhupha i-calcium egqithisileyo ngomchamo wakho, nto leyo enokubangela ukuba ube namava alandelayo:
- Ukufuna ukuchama rhoqo.
- Ukuziva unxaniwe kakhulu kunesiqhelo.
Ukuba amanqanaba e-calcium aphezulu kakhulu, anokuchaphazela inkqubo yakho yemithambo-luvo, nto leyo ekhokelela ekudidekeni, ekulahlekelweni yinkumbulo, kwaye kwezinye iimeko, ekuphelelweni yingqondo.
Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ukuba ayinyangwa, le meko inokukhokelela kwiingxaki ezinkulu ezifana nokulahlekelwa ngamathambo, amatye ezintso, ukungasebenzi kakuhle kwezintso, kunye neengxaki zentliziyo. Ke ngoko, kubalulekile ukuhlala unolwazi kwaye uxoxe ngamanyathelo akho alandelayo nogqirha wakho.
Ziziphi izizathu eziphambili?
Nangona kukho izizathu ezingaphezu kwama-25 ezinokubangela i-calcium ephezulu egazini, ama-90% amatyala abangelwa zizinto ezimbini eziphambili.
1. Ii-Parathyroid Glands ezisebenza kakhulu
Le yeyona nto ixhaphakileyo ebangela iHypercalcemia. Ii-parathyroid glands zakho zii-glands ezine ezincinci ezikwi -thyroid gland yakho entanyeni. Zisebenza njenge-thermostat elawula amanqanaba e-calcium yakho.
Xa amanqanaba e-calcium egazini ehla, la madlala avelisa i-parathyroid hormone ( PTH ). Le hormone inika imiqondiso emathanjeni akho ukuba akhuphe i-calcium egazini, izintso zakho zinciphise ukukhutshwa kwe-calcium emchameni, kwaye amathumbu akho afunxe i-calcium engakumbi ekutyeni.
Nangona kunjalo, ukuba elinye okanye ngaphezulu kwezi gland lisebenza kakhulu, livelisa i-PTH eninzi, nto leyo ebangela ukuba amanqanaba e-calcium egazini anyuke ngokungeyomfuneko. Oku kudla ngokubangelwa kukwanda kwamagland okanye ukuphuhliswa kwethumba elingelona umhlaza.
Ukuba i-Hypercalcemia yakho ibangelwa koku, unokufumana oku kulandelayo:
- Uxinzelelo
- Ukulahleka kwememori
- Isitshiso sentliziyo
- Ukuphazamiseka kokulala
- Intlungu yamathambo nemisipha
- Ukudinwa okungapheliyo
Njengonyango, ugqirha wakho unokucebisa utyando lokususa i-gland(s) enengxaki. Ukuba imeko incinci, banokujonga nje amanqanaba e-calcium yakho, uxinzelelo lwegazi, kunye nempilo yezintso rhoqo.
2. Umhlaza
I-Hypercalcemia inokwenzeka kwi-10%-30% yezigulana ezinomhlaza. Oku kwenzeka kuba ezinye iintlobo zomhlaza zinokwenza oku kulandelayo:
- Yahlula izicubu zethambo, ukhuphe ikhalsiyam egazini.
- Velisa izinto ezilinganisa i-PTH, ezibonisa amathambo ukuba akhuphe i-calcium engaphezulu.
- Ichaphazela ukusebenza kwezintso, inciphisa ubungakanani bekhalsiyam ehluziweyo emzimbeni.
IiCancer ezidla ngokunxulunyaniswa neHypercalcemia ziquka:
- Umhlaza wemiphunga
- Umhlaza wezintso
- Umhlaza webele
- I-multiple myeloma (umhlaza weeseli ze-plasma kumongo wethambo).
Ukulawula i-Hypercalcemia ebangelwa ngumhlaza kunokuba nzima. Eyona nto iphambili kunyango lomhlaza osisiseko. Ukongeza, ugqirha wakho unokubonelela ngamayeza anjengeBisphosphonates okanye iDenosumab, anikwa nge-IV okanye ngenaliti, ukuthintela i-calcium ekuphumeni emathanjeni akho.
Indima yeeVithamini kunye nezongezo
Ngamanye amaxesha, iivithamini okanye izongezo ozithathayo zinokuba negalelo kule meko.
| Isongezelelo / iVithamin | Indlela ekukuchaphazela ngayo |
|---|---|
| Izongezo zeCalcium kunye neeAntacids | Ukusetyenziswa ngokugqithisileyo nangokude kwee-antacids ezithile (ze-gastritis) okanye iipilisi ze-calcium kunokukhokelela kwi-calcium ephezulu egazini, imeko eyaziwa ngokuba yi-Milk-alkali syndrome, enokwenzakalisa nezintso zakho. |
| IVithamin D | IVithamin D inceda umzimba wakho ukuba ufunxe icalcium. Nangona kunjalo, ukuthatha iidosi eziphezulu kakhulu kangangeenyanga (umz., i-60,000 IU yonke imihla) kunokubangela ukuba amanqanaba ecalcium abe phezulu kakhulu. Ukutya okuqhelekileyo okanye ukukhanya kwelanga akuyi kubangela oku. |
| Ivithamini A | Ukusela iVithamin A egqithisileyo kunokubangela ukukhululwa kwecalcium emathanjeni akho iye egazini. |
Khumbula rhoqo: ukuba uthatha naziphi na iivithamini okanye izongezo, qiniseka ukuba wazise ugqirha wakho. Musa ukuqala okanye ukuyeka naluphi na unyango ngaphandle kokubonisana naye kuqala.
Ezinye izizathu kunye neengxamiseko
Ezinye izinto ezinegalelo
- Amayeza: Amanye amayeza oxinzelelo lwegazi (afana ne-thiazide diuretics) kunye ne-lithium (esetyenziselwa ukuphazamiseka kweemvakalelo) anokunyusa amanqanaba e-calcium.
- I-Genetics: Kwiimeko ezingaqhelekanga, imeko yelifa eyaziwa ngokuba yi-Familial Hypocalciuric Hypercalcemia (FHH) isenokuba yimbangela.
- Iimeko Zempilo Ezisisiseko: Izifo ezinxulumene nemiphunga ezifana nesifo sephepha okanye i-thyroid esebenza kakhulu zinokubangela oko.
- Ukungayenzi into ethile: Abo bahlala ebhedini ixesha elide ngenxa yokukhubazeka okanye ukugula kakhulu basengozini, kuba amathambo awathwali ubunzima, nto leyo ebangela ukuba i-calcium ivuze egazini.
- Ukuphelelwa ngamanzi emzimbeni kakhulu: Xa umzimba wakho ungenalo ulwelo olwaneleyo, izintso ziyasokola ukukhupha i-calcium egqithisileyo.
Kuxa kutheni xa oku kungxamisekile?
Inqanaba eliqhelekileyo le-calcium egazini lomntu omdala lidla ngokuba phakathi kwe-8.5 ukuya kwi-10.3 mg/dL. Ukuba amanqanaba akho enyuka kakhulu, kufuneka uncedo lwezonyango ngokukhawuleza.
Ukuba ufumana ukudideka okukhawulezileyo, okunzulu, ukudinwa, ukuhlanza, okanye iintlungu zesisu ezinganyamezelekiyo, ezi zinokuba ziimpawu zeHypercalcemia eyingozi. Kwiimeko ezinjalo, yiya kwicandelo elikufutshane lezonyango ngokukhawuleza, apho abasebenzi bezonyango banokulawula amanqanaba akho e-calcium ngokukhuselekileyo besebenzisa ulwelo lwe-IV kunye namayeza.
Umyalezo oya nawo ekhaya
- I-Hypercalcemia yimeko yokuba ne-calcium ephezulu egazini, edla ngokufunyanwa ngengozi ngokwenza umsebenzi wegazi rhoqo.
- Ezona zinto zixhaphakileyo ziingxaki ze-parathyroid okanye iimeko zonyango ezifihlakeleyo ezifana nomhlaza. Ukuchonga unobangela kubalulekile.
- Musa ukoyika ukuba uxelelwe ukuba amanqanaba akho e-calcium aphezulu; xoxa ngeziphumo nogqirha wakho ukuze wenze isicwangciso sonyango.
- Ungaze uthathe izongezo zekhalsiyam, iivithamini ezinomlinganiselo ophezulu, okanye ezinye izongezo ngaphandle kwemvume kagqirha wakho.
- Ukuba ufumana iimpawu ezinzima ezifana nokudideka okukhulu okanye ukudinwa, funa unyango olungxamisekileyo ngoko nangoko.
I-Hypercalcemia, i-calcium, i-calcium ephezulu egazini, isikhokelo se-hypercalcemia, i-parathyroid, i-PTH, amatye ezintso, ukoma okugqithisileyo, iihomoni, umhlaza, iVithamin D, izongezo ze-calcium
