Uma usanda kuhlolwa igazi futhi udokotela wakho wathi "amazinga akho e-calcium aphezulu kancane," kungokwemvelo ukuzizwa ukhathazekile kancane. Sicela ungesabi. Ngokwezokwelapha, lesi simo saziwa ngokuthi i-Hypercalcemia . Kalula nje, kusho ukuthi kune-calcium eningi egazini lakho kunaleyo umzimba wakho oyidingayo. Namuhla, ake sihlaziye konke okudingeka ukwazi ngalokhu ngendlela elula neqondakala kalula.
Kuyini ngempela i-Hypercalcemia?
I-calcium ibalulekile emizimbeni yethu, ikakhulukazi ekugcineni amathambo namazinyo aqinile. Iphinde iqinisekise ukuthi isimiso sethu sezinzwa nemisipha sisebenza kahle. Kodwa-ke, njengakwezinye izinto eziningi, ukuba ne-calcium eningi kakhulu emzimbeni wakho akunampilo.
Uma izinga lakho le-calcium liphakeme kancane, ungase ungaboni nhlobo izimpawu. Kodwa-ke, njengoba amazinga ekhuphuka, umzimba wakho uzama ukukhipha i-calcium eningi ngomchamo wakho, okungase kubangele ukuthi uzizwe kanje:
- Isidingo somchamo njalo.
- Ukuzizwa womile kakhulu kunokujwayelekile.
Uma amazinga e-calcium eba phezulu kakhulu, angathinta uhlelo lwakho lwezinzwa, okuholela ekudidekeni, ekulahlekelweni yinkumbulo, futhi kwezinye izimo, ekuphelelweni yithemba.
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi uma ingelashwa, lesi simo singagcina siholele ezinkingeni ezinkulu njengokulahlekelwa amathambo, amatshe ezinso, ukwehluleka kwezinso, kanye nezinkinga zenhliziyo. Ngakho-ke, kubalulekile ukuhlala unolwazi futhi uxoxe ngezinyathelo zakho ezilandelayo nodokotela wakho.
Yiziphi izimbangela eziyinhloko?
Nakuba kunezizathu ezingaphezu kuka-25 ezingaba khona zokwanda kwe-calcium egazini, ama-90% amacala abangelwa yizici ezimbili eziyinhloko.
1. Izindlala ze-Parathyroid ezisebenza ngokweqile
Lena imbangela evame kakhulu ye-Hypercalcemia. Izindlala zakho ze-parathyroid ziyizindlala ezine ezincane ezitholakala ngemuva kwendlala yakho ye-thyroid entanyeni. Zisebenza njenge-thermostat elawula amazinga akho e-calcium.
Uma amazinga e-calcium egazini ehla, la ma-gland akhiqiza i-parathyroid hormone ( PTH ). Le hormone itshela amathambo akho ukuthi akhiphe i-calcium egazini, izinso zakho zinciphise ukuphuma kwe-calcium emchameni, kanye namathumbu akho ukuthi amunce i-calcium eningi ekudleni.
Kodwa-ke, uma eyodwa noma ngaphezulu yalezi zindlala zisebenza ngokweqile, zikhiqiza i-PTH eningi kakhulu, okubangela ukuba amazinga e-calcium egazini akhuphuke ngokungadingekile. Lokhu kuvame ukubangelwa ukuthi izindlala ziyakhula noma ukukhula kwesimila esingesona umdlavuza.
Uma i-Hypercalcemia yakho ibangelwa yilokhu, ungase ubhekane nalokhu:
- Ukucindezeleka
- Ukulahlekelwa yinkumbulo
- Isilungulela
- Ukuphazamiseka kokulala
- Ubuhlungu bamathambo nemisipha
- Ukukhathala okuqhubekayo
Njengokwelashwa, udokotela wakho angase ancome ukuhlinzwa ukuze kususwe indlala enenkinga. Uma isimo sincane, bangase baqaphe amazinga akho e-calcium, umfutho wegazi, kanye nempilo yezinso njalo.
2. Umdlavuza
I-Hypercalcemia ingenzeka ku-10%-30% weziguli ezinomdlavuza. Lokhu kwenzeka ngoba eminye imidlavuza ingenza okulandelayo:
- Hlukanisa izicubu zamathambo, ukhiphe i-calcium egazini.
- Khiqiza izinto ezilingisa i-PTH, ezibonisa amathambo ukuthi akhiphe i-calcium eningi.
- Kuthinta ukusebenza kwezinso, kunciphisa inani le-calcium elihlungiwe emzimbeni.
Umdlavuza ovame ukuhlotshaniswa ne-Hypercalcemia uhlanganisa:
- Umdlavuza wamaphaphu
- Umdlavuza wezinso
- Umdlavuza webele
- I-multiple myeloma (umdlavuza wamaseli e-plasma emnkantsheni wamathambo).
Ukuphatha i-Hypercalcemia ebangelwa umdlavuza kungaba nzima. Ukugxila okuyinhloko ukwelapha umdlavuza oyisisekelo. Ngaphezu kwalokho, udokotela wakho angakunikeza imithi efana ne-Bisphosphonates noma i-Denosumab, enikezwa nge-IV noma ngomjovo, ukuvimba i-calcium ekuphumeni emathanjeni akho.
Indima Yamavithamini Nezithasiselo
Ngezinye izikhathi, amavithamini noma izithasiselo ozithathayo zingaba nomthelela kulesi simo.
| Isengezo/Ivithamini | Indlela okukuthinta ngayo |
|---|---|
| Izithasiselo zeCalcium kanye nama-Antacid | Ukusebenzisa ngokweqile isikhathi eside imithi ethile elwa ne-asidi (ye-gastritis) noma amaphilisi e-calcium kungaholela ekukhuleni kwe-calcium egazini, isimo esaziwa ngokuthi i-Milk-alkali syndrome, esingalimaza nezinso zakho. |
| I-Vitamin D | I-Vitamin D isiza umzimba wakho ukuthi umunce i-calcium. Kodwa-ke, ukuthatha imithamo ephezulu kakhulu izinyanga (isb., ama-IU angu-60,000 nsuku zonke) kungaholela amazinga e-calcium ezingeni eliphezulu eliyingozi. Ukudla okuvamile noma ukukhanya kwelanga ngeke kubangele lokhu. |
| I-Vitamin A | Ukuthatha iVithamini A ngokweqile kungabangela ukukhishwa kwe-calcium emathanjeni akho iye egazini. |
Khumbula njalo: uma uthatha noma yimaphi amavithamini noma izithasiselo, qiniseka ukuthi wazisa udokotela wakho. Ungaqali noma uyeke noma yimuphi umuthi ngaphandle kokubonisana naye kuqala.
Ezinye izimbangela kanye nezimo eziphuthumayo
Ezinye izinto ezibangela lokhu
- Imithi: Eminye imithi yokucindezeleka kwegazi (njenge-thiazide diuretics) kanye ne-lithium (esetshenziselwa ukuphazamiseka kwemizwelo) ingakhuphula amazinga e-calcium.
- Izakhi zofuzo: Ezimweni ezingavamile, isimo sofuzo esaziwa ngokuthi i-Familial Hypocalciuric Hypercalcemia (FHH) singaba yimbangela.
- Izimo Zempilo Eziyisisekelo: Izifo ezihlobene namaphaphu njengesifo sofuba noma i-thyroid esebenza ngokweqile zingayibangela.
- Ukungasebenzi: Labo abahlala embhedeni isikhathi eside ngenxa yokukhubazeka noma ukugula okukhulu basengozini, njengoba amathambo engathwali isisindo, okubangela ukuba i-calcium ivuze egazini.
- Ukuphelelwa amanzi emzimbeni Okukhulu: Uma umzimba wakho untula uketshezi olwanele, izinso ziyahluleka ukukhipha i-calcium eningi.
Kunini lapho lokhu kuyisimo esiphuthumayo?
Izinga le-calcium egazini lomuntu omdala elijwayelekile livame ukuba phakathi kuka-8.5 no-10.3 mg/dL. Uma amazinga akho ekhuphuka kakhulu, kudinga ukunakekelwa kwezokwelapha okusheshayo.
Uma uzwa ukudideka okungazelelwe, okukhulu, ukucobeka, ukuhlanza, noma ubuhlungu besisu obungabekezeleleki, lokhu kungaba izimpawu ze-Hypercalcemia eyingozi. Ezimweni ezinjalo, iya emnyangweni wezimo eziphuthumayo oseduze ngokushesha, lapho abasebenzi bezokwelapha bengalawula khona amazinga akho e-calcium ngokuphephile besebenzisa uketshezi lwe-IV kanye nemithi.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypercalcemia imane nje isimo sokuba ne-calcium ephezulu egazini, evame ukutholakala ngengozi ngokusebenzisa ukuhlolwa kwegazi okuvamile.
- Izimbangela ezivame kakhulu izinkinga ze-parathyroid noma izimo zezokwelapha eziyisisekelo njengomdlavuza. Ukuthola imbangela kubalulekile.
- Ungesabi uma utshelwa ukuthi amazinga akho e-calcium aphezulu; xoxa ngemiphumela nodokotela wakho ukuze wakhe uhlelo lokwelashwa.
- Ungalokothi uthathe izithasiselo ze-calcium, amavithamini anesilinganiso esiphezulu, noma ezinye izithasiselo ngaphandle kwemvume kadokotela wakho.
- Uma uhlangabezana nezimpawu ezinzima njengokudideka okukhulu noma ukudinwa, funa usizo lwezokwelapha oluphuthumayo ngokushesha.
I-Hypercalcemia, i-calcium, i-calcium ephezulu egazini, umhlahlandlela we-hypercalcemia, i-parathyroid, i-PTH, amatshe ezinso, ukoma ngokweqile, ama-hormone, umdlavuza, i-Vitamin D, izithasiselo ze-calcium
