Hypercalcemia: zizindikiro zimayambitsa ndi mankhwala a matenda

Hypercalcemia mankhwala kutchedwa yambiri kashiamu m'magazi. Kuchimwa kukhulupirira mfundo zazikulu kuposa 2.5 mmol / l.

Monga matenda anadza kuchokera?

Kuyamba, tiyeni kumvetsa mfundo chifukwa auka kuphwanya monga hypercalcemia. Zifukwa mosiyana kwambiri, ndipo tsopano tiona zina mwa iwo:

1. Matenda a dongosolo endocrine. The vuto ambiri ndi wonongeka wa zopangitsa za parathyroid, iwo amapanga yambiri mahomoni. Owonjezera kashiamu khalidwe la matenda ena m'thupi: hyperthyroidism, acromegaly, etc ...

2. Matenda a mafupa. Kawirikawiri, kuwonongedwa kwa fupa amapezeka hypercalcemia. Zizindikiro za matenda kutchulidwa odwala ndi kufooka kwa mafupa, odwala ena kuvutika cholowa ndiponso matenda Paget a. Kuchepa kwa fupa kashiamu amapezeka mu nkhani ya sayenda yaitali matenda anthu (mwachitsanzo, zoopsa kapena ziwalo).

3. malignancies. zingapo zotupa (mwachitsanzo, mu mapapo, impso, n'kuwasanganiza), amatha kutulutsa timadzi, ofanana ndi amene kubala ndi zopangitsa parathyroid. overabundance wake kumayambitsa mavuto ndi kagayidwe calcium. Mukhale paraneoplastic matenda, zomwe nthawi zambiri zimathera hypercalcemia. Zizindikiro kumachitika chifukwa china: pali mitundu ya khansa kuti walola metastasized kuti fupa, ndipo potero imfayo kusankha kashiamu kwambiri m'magazi.

4. Ena mankhwala komanso zingachititse chikhalidwe ofanana. Ngozi makamaka zinadzala ndi njira kutenga kutentha kapena matenda ena chapamimba ntchito. vuto angayambitse ndi overabundance wa vitamini D, amene chifukwa kumatheka kashiamu mayamwidwe kapepala kakuti m'mimba.

Zizindikiro zazikulu

Tsopano ndi nthawi yolankhula za kusonyeza hypercalcemia. Zizindikiro za izo Tingaone osati kamodzi, ndi zina, matenda zambiri amapezeka popanda zizindikiro zilizonse.

Chotero kodi zizindikiro tinganene kuti ambiri?

• ambiri kufooka;

• nseru, kusanza asanafike;

• kuthamanga magazi;

• kupweteka kwambiri minofu ndi pamimba;

• mofulumira kudya;

• kutopa ;

• maganizo Kusakhazikika;

• pafupipafupi pokodza;

• ludzu.

Kodi chingachitike n'chiyani ngati nthawi si zindikirani zizindikiro zimenezi? Hypercalcemia m'kati, ndi Zikavuta kwambiri, kuyambitsa kuvutika mu kugunda kwa mtima ndi ubongo, pali chisokonezo, mpaka kuona zilubwelubwe. Wodwala akhoza kugwa mu chikomokere. Matenda owonjezera kashiamu kumabweretsa maonekedwe a miyala impso.

Kodi kuchitira hypercalcemia?

Ngati wodwala kutenga vitamini D, phwando ayenera kusiyidwa yomweyo. Nthawi zina, pamafunika opaleshoni: kuchotsa chimodzi kapena zingapo zopangitsa za parathyroid, impso kupatsidwa zina.

Dokotala kupezeka n'kukulemberani mankhwala omwe amalimbikitsa excretion kashiamu kwa mafupa. Nthawi zambiri pali kufunika perekani ndi diuretic (mwachitsanzo, mankhwala "Furosemide") impso mofulumira anachotsa kashiamu owonjezera.

Pa nthawi imene njila zina zonse ndi osamveka, dialysis zichitike.

Nkofunika kudziwa chifukwa chake pali hypercalcemia. Zizindikiro, amene anaonekera chifukwa ena matenda ena, mwina mongoyembekezera abwerere, koma ngati mulibe kuthetsa muzu, pa nthawi vuto kachiwiri ati zokha anamvera.