Musoro weCalcium Levels muvanhu vane kenza
Hypercalcemia - iyo ndiyo, uye yakakwirira yekasiamu muropa - inowanzobatana uye yakakomba, inobata 10 kusvika ku15 muzana yevanhu vane kenza yakanyanya. Ndezvipi zviratidzo, zvinokonzera, uye marapirwo, uye izvi zvinorevei kwauri?
Overview
Hypercalcemia inotsanangurwa sehuwandu hwepamusoro ye calcium inopinda muropa. Iyo inorwara neyo nyore kuongororwa kweropa uye inongororwa kakawanda kune vanhu vanorarama nekenza.
Ipamusoro yekasiki yepamusoro inowanzoonekwa nevanhu vane chirwere chemapapu kana kenza yemvere asi inogona kuitika nemhando ipi neipi yekenza, kunyanya kanzira dzakadai se lymphomas uye multiple myeloma .
Nekenza yemapapu inowanzoitika sechikamu chechinhu chinonzi separaneoplastic syndrome .
Zviratidzo
Kuziva zviratidzo zve calcium yakakwirira kunogona kukubatsira kuti utaure nechiremba wako isati yava dambudziko guru. Zvakawanda zvezviratidzo izvi hazvina kujeka uye zvinogona kunge zviripo kune mamwe maitiro kunze kwehutachiona, zvikurukuru mamwe marapirwo emishonga, naizvozvo zvakakosha kuti uzvive. Zvimwe zvezvi zvinosanganisira:
- Nausea
- Kudzora
- Kufirwa kwechido
- Marwadzo emudumbu
- Nyota yakawedzera
- Yakaderedza urination
- Kushaya simba
- Constipation
- Uturu uye hutano huri pamwe
- Kidney stones
- Kuvhiringidzika, kukanganisa, kana hupenyu hunochinja
- Izvo zvisina kufara mwoyo yezinga
- Apo chakakomba, ruvara uye rufu
Zvinokonzera
Kune zvikonzero zvakasiyana-siyana zvepamusoro we calcium level kuvanhu vane kenza.
Zvimwe zvezvi zvinosanganisira:
- Kusunungurwa kwe calcium kubva mukenza iri kukura mumapfupa (zvakadai seingi myeloma) kana kupararira kwekenza kumapfupa
- Kuchengetedza kwehomoni-semamwe zvinhu nekenza masero anowedzera calcium level (mu paraneoplastic syndrome somuenzaniso.) Izvo zvinhu zvinoshanda sehomathyone hormone (hormone yakavanzwa nemaronda anonzi parathyroid anogara mushure meganda rekroid) uye anoita kuti kusunungurwa kwe calcium kubva mafupa
- Kushaya kwepi kweiyo iyo itsvo dzisingabvise calcium kubva muropa sezvazvinenge zvichifanirwa kuita
- Kuderedza mvura
Mishonga
Mushonga we hypercalcemia uchasiyana zvichienderana nekukwirira kwako calcium, uyewo chikonzero. Mukuwedzera pakurapa tumarara (iyo inogona kuderedza muzinga) mamwe mishonga inosanganisira:
- IV mvura
- Steroids
- Mishonga kuderedza calcium level yakadai se bisphosphonates. Calcitonin, gallium nitrate, kana mithramycin dzimwe nguva ingashandiswa. Mishonga mitsva iri kudzidziswa (zvakadai se denosumab) inoita seinovimbisa kurapa munguva yemberi
- Dialysis kana hypercalcemia yakaoma zvikuru
Prognosis
Hypercalcemia inogona kuva dambudziko rakaoma kwazvo rekenza (kunyanya kufanana nekenza) asi inogona kurapwa zvikuru kana yakabatwa kare. Kazhinji, hypercalcemia inobatanidza nehuwandu hwehurombo hwakanyanya kune mumwe munhu anorwara nekenza, uye kunyanya, akawanikwa achibatanidzwa nehutariro hwehupenyu hupfupi kuvanhu vane kenza yemapapu.
Kudzivirira
Kudzivirira hypercalcemia ndiyo yakanakisisa kurapwa, uye pane zvinhu zvishomanana zvaungaita kuti ubatsire kuchengetedza kazhinji kaccium level. Zvimwe zvezvi zvinosanganisira:
- Gara wakachengetwa zvakanaka, uye danaidza chiremba wako kana iwe uri neuseous uye usingagoni kuchengetedza mvura pasi
- Ita basa rinowanzoitwa mumuviri
- Wana zvakakwana munyu mukudya kwako
Nekugara wakachengetwa zvakanaka kunogona kubatsira, kuderedza kuwandisa kwe calcium muzvokudya zvaunodya, zvakadai sekudzivirira mairi emishonga, hazvibatsiri kudzivirira imwe yakakwirira ye calcium.
Kuzvitarisira
Hypercalcemia ndeimwe yezvinetso zvinogona kuitika nekenza . Kutora nguva yekudzidza pamusoro pezviratidzo zvekunyevera mberi kwe nguva dzimwe nguva zvisingatauri kushushikana kana iwe uri kutarisana nezviratidzo izvi. Tarisa zvimwe zvezvinhu zvinowanzoitika zvinogona kuitika nekenza , uye nguva yekudana 911.
Sources
Li, X., Bie, Z., Zhang, Z. et al. Kuongorora kwechipatara kwevanhu 64 vane chirwere chepapu-inonzi hypercalcemia. Nhoroondo yeCancer Research uye Therapeutics . 2015. 11 Kubatsira: C275-9.
Lumachi, F. et al. Kanzera-inokonzerwa Hypercalcemia. Anticancer Research . 2009. 29 (5): 1551-5.
Maier, M., uye S. Levin. Hypercalcemia muIntensive Care Unit: A Review of Pathophysiology, Kuongorora, uye Modern Therapy. Zvinyorwa zveKuchengeta Kuchengetedza Mishonga . 2013 Oct 15. (Epub mberi kwekudhinda).
Reagan, P., Rani, A., naMer. Rosner. Nzira yekuziva nekurapa kweHypercalcemia mune Murwere neMarignancy. American Journal of Kidney Disease . 2013 Sep 7. (Epub mberi kwekudhinda).