Ingabe unamazinga aphezulu e-phosphate emzimbeni wakho? Ake sixoxe nge-hyperphosphatemia!

Wake wazibuza ukuthi kungani ngezinye izikhathi izinto ezithile emizimbeni yethu ziphakeme kunalokho okufanele zibe yikho? Mhlawumbe udokotela ukutshelile ukuthi une-phosphate eningi egazini lakho. Noma mhlawumbe uke wezwa ngayo ndawana thize. Yilokhu esikubiza ngokuthi i-hyperphosphatemia. Nakuba igama lingase lizwakale lingavamile, uma siliqonda kahle, akusikho okufanele sikhathazeke ngakho.

Kuyini ngempela i-hyperphosphatemia?

Kalula nje, i-hyperphosphatemia iyenzeka lapho igazi lakho lineminerali eningi kakhulu ebizwa ngokuthi i-phosphate. I-phosphate iyisakhi esibalulekile emizimbeni yethu. Isiza ekugcineni amathambo namazinyo ethu eqinile, inikeza amandla amangqamuzana ethu, futhi isiza ekwakheni ulwelwesi lwamaseli.

Cabanga ngale ndlela, i-phosphate ifana nebhethri elincane emzimbeni wethu. Ukuze lezi zisebenze kahle, kudingeka zibe nokushaja kagesi. I-Phosphate ingenye ye-electrolyte enjalo. Ama-electrolyte amaminerali angathatha ukushaja kagesi okuhle (+) noma okubi (-) uma kuncibilikiswa emanzini noma uketshezi olufana negazi lethu. Ngakho-ke, ukugcina leli zinga le-phosphate lilinganisela kubalulekile emisebenzini eminingi emzimbeni. Uyaqonda?

Ubani onamathuba amaningi okuthola lesi simo?

Empeleni, noma ubani angaba nalesi simo esibizwa ngokuthi i-hyperphosphatemia. Kodwa-ke, sivame kakhulu kubantu abanezinkinga zezinso. Ngokukhethekile, abantu abanesifo sezinso esingamahlalakhona (CKD) , ikakhulukazi labo abanesifo esithuthukile, noma labo abanenkinga yezinso, banamathuba amaningi okuthola lesi simo.

Manje, kunezici ezingaba nomthelela esifweni sezinso. Uma unesinye noma ngaphezulu kwalokhu okulandelayo, usengozini encane yokuthola isifo sezinso, futhi ngenxa yaso, i-hyperphosphatemia:

• Uma unesifo sikashukela (i-Diabetes Mellitus) .
• Uma unomfutho wegazi ophakeme (umfutho wegazi ophakeme) .
• Uma unesifo senhliziyo .
• Uma othile emndenini wakho eke waba nesifo sezinso (okusho ukuthi singaba yisifo sofuzo).
• Uma kukhona ukungahambi kahle ekwakhiweni kwezinso zakho.
• Uma ungowokudabuka e-Afrika-America, e-Hispanic, e-Asia, noma e-Native American (abantu abakula maqembu ezinhlanga banamathuba amaningi okuthola isifo sezinso).
• Uma uneminyaka engaphezu kwengu -60 ubudala .
• Uma ususebenzise njalo imithi yokunciphisa ubuhlungu isikhathi eside , ikakhulukazi imithi engeyona eye-steroidal anti-inflammatory (NSAIDs), engathengwa ekhemisi.

Sivame kangakanani lesi simo?

Uma ubheka iningi labantu emhlabeni, akuvamile ukuba ne-hyperphosphatemia yodwa. Lokho kusho ukwanda kwe-phosphate egazini. Kodwa, njengoba ngishilo ngaphambili, uma unesifo sezinso esingamahlalakhona , ikakhulukazi uma sibi kakhulu, lesi simo sivame kakhulu. Uma sikhuluma nje, cishe abantu abangama-70% abanesifo sezinso esingamahlalakhona esibi kakhulu batholakale benesifo se-hyperphosphatemia.

Kwenzekani emzimbeni uma amazinga e-phosphate ekhuphuka?

Sikhulume ngaphambilini ngendlela i-phosphate esiza ngayo ukuqinisa amathambo namazinyo ethu, ihlinzeka ngamandla kumaseli, futhi isiza ekwakheni ulwelwesi lwamaseli. Kuyiqiniso lokho. Kodwa, njenganoma yini, okuningi kakhulu kungabangela izinkinga.

Cabanga nje, uma izinga le-phosphate egazini lakho likhuphuka kakhulu, liqala ukukhipha i-calcium emathanjeni akho. Kwenzekani-ke? Amathambo aba buthakathaka futhi aqhekeke.

Akukhona lokho kuphela, kodwa le phosphate eningi ingabangela ukwakheka kwama-calcium deposits emehlweni akho, emaphashini, enhliziyweni, nasemithanjeni yegazi. Lokhu kuyingozi kancane. Ngoba ngokuhamba kwesikhathi, la ma-deposits andisa ingozi yakho yokuhlaselwa yinhliziyo, isifo sohlangothi , ngisho nokufa.

Ziyini izimpawu ze-Hyperphosphatemia?

Esikhathini esiningi, uma une-hyperphosphatemia kuphela, awuboni zimpawu ezinkulu. Lokho kusho ukuthi ungase ungaqapheli ekuqaleni ukuthi une-phosphate eningi emzimbeni wakho. Kodwa-ke, njengoba sesixoxile, lapho le phosphate ikhula, ingabangela ukuba i-calcium ilahleke emathanjeni nasegazini lakho. Lokho kubizwa ngokuthi i-hypocalcemia . Lokho kusho ukwehla kwezinga le-calcium egazini.

Ngakho-ke, isikhathi esiningi, izimpawu ze-hyperphosphatemia ziyafana nalezo ezibangelwa yi-hypocalcemia. Bona ukuthi lezi zizwakala zijwayelekile yini kuwe:

• Ukuqaqamba kwemisipha.
• Izinzipho ezithambile.
• Isikhumba esomile.
• Izinwele eziqinile kunezinwele zakho ezivamile.
• Izinkinga zememori .
• Ukucasuka.
• Ukuqaqamba kwezindebe, ulimi, iminwe, kanye/noma izinyawo.
• Ngezinye izikhathi kuza njengokuxhuzula (ukuxhuzula).
• Ukuphazamiseka kwenhliziyo, okungukuthi, i-arrhythmia.

Kungani kwenzeka i-hyperphosphatemia?

Kungaba nezizathu eziningana zalokhu. Eziyinhloko yilezi:

• Isifo sezinso esingamahlalakhona esithuthukile. Lesi yisona sizathu esivame kakhulu. Uma izinso zingasebenzi kahle, azikwazi ukukhipha i-phosphate eningi emzimbeni.
• I-Hypoparathyroidism. Lesi yisimo lapho izindlala ze-parathyroid zikhiqiza khona i-hormone ye-parathyroid encane kakhulu, elawula amazinga e-calcium ne-phosphate emzimbeni.
• I-pH yegazi lakho iphansi kunejwayelekile (okusho ukuthi igazi lakho line-asidi eningi). Lokhu kungenzeka ukuthi amaphaphu akho awakwazi ukukhipha yonke i-carbon dioxide ekhiqizwa emzimbeni wakho. Lokhu kubizwa ngokuthi i-respiratory acidosis .
• Ukwehla kwe-pH yegazi ngenxa yezinye izimbangela ( i-metabolic acidosis ).

Ngaphezu kwalokhu, nakuba kungavamile, i-hyperphosphatemia ingavela ngenxa yezimbangela ezilandelayo:

• I-ketoacidosis ehlobene nesifo sikashukela.
• Ukulimala kwemisipha ( i-rhabdomyolysis ).
• Ukutheleleka okukhulu ( i-sepsis ).
• Ukulimala kokuchotshozwa (ukulimala okubangelwa ukuthi into enzima iwele emzimbeni noma ukuthi into ethile icindezela umzimba isikhathi eside).
• Umzimba wakho awusabeli kahle ku-hormone ye-parathyroid ( i-pseudohypoparathyroidism ).
• Ukufaka i-phosphate eningi emzimbeni wakho, kungaba ngokudla okudlayo noma nge- enema .

Iyini imbangela evame kakhulu?

Njengoba ngishilo ngaphambili, imbangela eyinhloko nevame kakhulu ye-hyperphosphatemia yisifo sezinso esingamahlalakhona esiqhubekela phambili.

Ingabe lesi yisifo esithathelwanayo?

Cha, i-hyperphosphatemia ayisona isifo esithelelanayo. Awukwazi ukusidlulisela kwabanye. Kodwa-ke, akuvamile kakhulu, ukuthi singangena emindenini ngenxa yezizathu zofuzo.

Odokotela bakuthola kanjani lokhu?

Udokotela angabona ukuthi une-hyperphosphatemia. Uzothatha umlando wakho wezokwelapha , ahlole umzimba , futhi akubuze ngezimpawu zakho, ukudla kwakho, kanye nanoma yimiphi imithi oyithathayo. Ukuze uthole ukuthi amazinga akho e-phosphate angakanani ngempela, kuzodingeka uhlolwe igazi .

Ngesikhathi sokuhlolwa kwegazi, udokotela noma umhlengikazi uzothatha inani elincane legazi emthanjeni osengalweni yakho esebenzisa inaliti encane (21 gauge, encane kancane kunesihloko se-earring evamile). Leli sampula legazi lithunyelwa elabhorethri ukuze kuhlolwe ukuthi ingakanani i-phosphate egazini lakho. Uma izinga lakho le-phosphate lingaphezu kwama-milligram angu-4.5 nge-deciliter (4.5 mg/dL) yegazi,, lokho kusho ukuthi une-hyperphosphatemia.

Uma kutholakala ukuthi unalesi simo, udokotela wakho angase akucele ukuthi kwenziwe ukuhlolwa okwengeziwe ukuze kuhlolwe isimo sezinso zakho. Lokhu kungafaka:

• Ukuhlolwa kwegazi okwengeziwe.
• Ukuhlolwa kokuhlola amaprotheni emchameni.
• Ukuskena kwe -ultrasound .
• Ukuskena kwe -MRI .
• I-CT scan.
• i-biopsy yezinso ( ukuthatha ingxenye encane yezicubu zezinso ukuze ihlolwe).

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwe-hyperphosphatemia kuncike ekutheni yini ebangela ukunqwabelana kwe-phosphate egazini lakho. Okunye ukudla nemithi nakho kungabangela amazinga aphezulu e-phosphate. Uma lokhu kwenzeka, kungadingeka ukuthi unciphise noma uyeke ukudla ukudla noma imithi ethile ngokuphelele. Noma, kungadingeka ukuthi ushintshele komunye umuthi onamazinga aphansi e-phosphate.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.

Udokotela wakho angase akunike imithi enciphisa inani le-phosphate elimuncwa ngumzimba wakho. Lokhu kusho ukuthi i-phosphate eningi ikhishwa emchameni wakho (umchamo). Le mithi ihlanganisa:

• I-Sevelamer (Sevelamer - RenaGel®)
• I-Lanthanum (i-Lanthanum - i-Fosrenol®)
• I-calcium acetate (i-calcium acetate - i-Calphron®)

Uma amazinga akho e-phosphate ephezulu ngenxa yokwehluleka kwezinso, udokotela wakho angase akuqalise ku-dialysis . I-Dialysis yenza lokho okufanele kwenziwe yizinso zakho. Okusho ukuthi, isusa uketshezi oluningi kanye nemikhiqizo engcolile, okuhlanganisa ne-phosphate, egazini lakho.

Yiziphi ukudla okune-phosphorus eningi?

Kunezinhlobo eziningana zokudla neziphuzo eziqukethe i-phosphorus eningi – into ekwakhiwe ngayo i-phosphate. Kubalulekile ukuqaphela lokhu, ikakhulukazi uma une-hyperphosphatemia.

• Imikhiqizo yobisi kanye nobisi, njengobisi , ushizi ocutshunguliwe, kanye neyogathi.
• Ezinye iziphuzo ezine-carbonated (iziphuzo ze-soda pop/ezine-fizzy).
• Inyama ecutshunguliwe ( njengesoseji nebhekoni).
• Ukudla okusheshayo.
• Ukudla okulula ( izinto ezipakishiwe njengama-chips, amabhisikidi).
• Amantongomane.
• Okusanhlamvu okuphelele , okuhlanganisa ukolweni, i-oats, nelayisi (ikakhulukazi lezo ezine-bran).
• Ubhontshisi.
• Amalentili.

Udokotela wakho kungenzeka ukuthi ukutshelileUzothunyelwa kudokotela wezokudla kwezinso . Laba ngabantu abangochwepheshe ekuphatheni ukudla kwakho ukuze basekele impilo yezinso. Bazokusiza ukuthi wakhe uhlelo lokudla olukhethekile (ukudla kwezinso) olunciphisa inani le-phosphate emzimbeni wakho.

Ingabe ikhona indlela yokuphunyuka kulesi simo?

Indlela engcono kakhulu yokuvimbela i-hyperphosphatemia ukunakekela impilo yezinso zakho nokuqaphela inani le-phosphate ne-calcium olidlayo. Uma ucabanga ukuthi ungase ube sengozini yalesi simo, khuluma nodokotela wakho. Angakudlulisela kudokotela wezinso . Udokotela wezinso ungudokotela ogxile ezimweni ezithinta izinso.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma wazi ukuthi une-hyperphosphatemia, futhi uba nezimpawu zesifo sezinso noma ukwehluleka kwezinso, bona udokotela ngokushesha. Ungalibali.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kubaluleke kakhulu ukubuza le mibuzo:

• Wazi kanjani ukuthi nginesiqiniseko sokuthi ngine-hyperphosphatemia?
• Uma ngingenaso lesi simo, yiziphi ezinye izimo zezokwelapha engingaba nazo?
• Liyini izinga le-phosphate egazini elinempilo?
• Yimiphi imithi ongincomayo?
• Udinga incwadi kadokotela ukuze uthole lowo muthi, noma ungawuthenga nje ekhemisi?
• Yikuphi ukudla neziphuzo okungafanele ngikudle noma ngikuphuze?
• Ingakanani i-phosphorus okufanele ngiyidle ngosuku?
• Ungangithumela kudokotela wezokudla wezinso?
• Ingabe kufanele ngibone udokotela wezinzwa noma omunye uchwepheshe?

Uyini umehluko phakathi kwe-Hyperphosphatemia ne-Hypocalcemia?

Lokhu okubili kungaba yinto edidayo kancane, ngakho ake sicacise.

I-Hyperphosphatemia yilapho izinga le-phosphate egazini lakho liphezulu kakhulu .

I-Hypocalcemia yilapho izinga le-calcium egazini lakho liba phansi kakhulu .

Esikhathini esiningi, lesi simo esibizwa ngokuthi i-hypocalcemia senzeka njengomphumela ongemuhle wesinye isimo sezokwelapha. I-Hyperphosphatemia ingenye yezimbangela ezinjalo ze-hypocalcemia.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke sesikhulume kakhulu nge-hyperphosphatemia. Kalula nje, ukwanda kwezinga le-phosphate egazini lakho. Nakuba kungavamile kakhulu kubantu abaningi emhlabeni, kungaba yinto evamile kakhulu kubantu abanesifo sezinso esingamahlalakhona noma ukwehluleka kwezinso .

Ngokuvamile, azikho izimpawu ezithile ekuqaleni. Ngakho-ke, abantu abaningi baqaphela kuphela ukuthi banalesi simo ngemva kokuvela kwezinye izimpawu, mhlawumbe njenge-hypocalcemia.

Uma uthola ukuthi une-hyperphosphatemia, ikakhulukazi uma utshelwa ukuthi udinga i-dialysis, kuvamile ukuzizwa ukhathazekile futhi wesaba. Akukho okubi ngokuba naleyo mizwa. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Bazophendula imibuzo yakho, bakunike ukwesekwa okudingayo, futhi bakunike iseluleko sendlela yokubhekana kangcono nalesi simo. Khumbula, awuwedwa!

I- Hyperphosphatemia, i-Phosphate, Isifo Sezinso, Isifo Sezinso Esingapheli, i-Hypocalcemia, i-Dialysis