Amanqanaba aphezulu eCalcium kubantu abaneCarcer
I-hypercalcemia - oko kukuthi, kunye nezinga eliphezulu le-calcium egazini-luyinkxalabo eqhelekileyo kunye neyingozi, echaphazela i- 10 ukuya kwe-15 ekhulwini labantu abanomdlavuza ophezulu. Ziziphi iimpawu, izizathu, kunye nonyango, kwaye oku kuthetha ntoni kuwe?
Sibanzi
I-hypercalcemia ichazwa njengexabiso eliphakamileyo le-calcium ejikelezayo egazini. Kufumanisa ukuba uvavanyo olulula lwegazi kwaye luhlolwe rhoqo kubantu abaphila nomhlaza.
Inqanaba eliphezulu le-calcium liqhelekileyo kubantu abanomdlavuza wamaphaphu okanye umdlavuza wesifuba kodwa unokwenzeka nanoma yiluphi uhlobo lomhlaza, ngakumbi i-cancer efana ne- lymphomas kunye ne-myeloma .
Ngomdlavuza wamaphaphu udlalwa njengenxalenye yento ebizwa ngokuba yi- paraneoplastic syndrome .
Iimpawu
Ukuqwashisa ngeempawu ze calcium ephakamileyo kunokukunceda uqhagamshelane nogqirha wakho ngaphambi kokuba kube yingxaki enkulu. Uninzi lweempawu alubonakali kwaye lunokuba neemeko ngaphandle kwe-hypercalcemia, ingakumbi imithi yonyango, ngoko kubalulekile ukuba uyazi. Ezinye zezi ziquka:
- I sizathu
- Ukuvutha
- Ukuphelelwa kwesidlo
- Intlungu zesisu
- Ukomeleza ukoma
- Ukunciphisa umchamo
- Ubuthathaka
- Ukutyunjwa
- Intlungu kunye kunye
- Amatye eentso
- Ukudideka, ukuguqulwa, okanye utshintsho lomuntu
- Iqondo lentliziyo engavumelekanga
- Xa kunzima, i-coma kunye nokufa
Izizathu
Kukho izimbangela ezininzi zezinga eliphezulu le-calcium kubantu abanomdlavuza.
Ezinye zezi ziquka:
- Ukukhululwa kwe-calcium kumdlavuza okhulayo amathambo (njengama-myeloma amaninzi) okanye ukusasazeka komhlaza kumathambo
- Ukugcinwa kwezinto ezinjenge-hormone ezinomdlavuza okhulayo okwandisa i-calcium level (kwi-paraneoplastic syndrome umzekelo.) Lezi zinto zenza njenge-hormone ye-parathyroid (i-hormone efihliweyo ngeengqungqungquthela eziphathekayo ezihlala emva kwe-thyroid gland) kwaye zikhuthaza ukukhululwa kwe-calcium amathambo
- Iintsholongwane ezingasebenzi apho izintso zingasususi i-calcium egazini njengoko zenzelwe ukwenza
- Ukuditywa kwamanzi
Unyango
Unyango lwe hypercalcemia luyahlukahluka ngokuxhomekeka kwindlela i-calcium yakho ephakamileyo ngayo, kunye nesizathu. Ukongeza ekuphatheni i-tumor (enokunciphisa izinga) ezinye iindlela zonyango zibandakanya:
- IV fluids
- Steroids
- Amachiza ukunciphisa i-calcium level ezifana ne-bisphosphonates. I-Calcitonin, i-gallium nitrate, okanye i-mithramycin ngamanye amaxesha ingasetyenziswa. Uphando olutsha luqhutyelwa (njenge denosumab) olubonakala luthembisa ukunyanga kwikamva
- I-dialysis ukuba i-hypercalcemia ikhulu kakhulu
Prognosis
I-Hypercalcemia ingaba yinkxalabo enzulu kakhulu yomhlaza (umhlaza wesifo esiphezulu) kodwa ingaba unyango xa uphathwa ngokukhawuleza. Ngokuqhelekileyo, i-hypercalcemia idibaniswa nomntu oswelekileyo ngokugqithiseleyo kumntu ophila nomhlaza, kwaye ngokukodwa, kuye kwafunyanwa kudibaniswa nokulinda kwexesha elifutshane kubantu abanomdlavuza wamaphaphu.
Thintelo
Ukuthintela i-hypercalcemia yonyango olungcono, kwaye kukho izinto ezimbalwa ongayenza ukuze uncede ukugcina izinga eliqhelekileyo le-calcium. Ezinye zezi ziquka:
- Hlala kakuhle, uze ubize ugqirha wakho ukuba unesiqhwala kwaye unako ukugcina umbane
- Yenza umsebenzi oqhelekileyo wokusebenza
- Fumana okwaneleyo ityuwa ekudleni kwakho
Nangona ukuhlala kakuhle amanzi kunokunceda, ukunciphisa inani le-calcium kwizidlo ozidlayo, njengokuphepha iimveliso zobisi, akuncedi ukukhusela izinga eliphezulu le-calcium.
Ukunyamekela
I-Hypercalcemia enye yeengxaki ezinokuthi zenzeke ngomhlaza . Ukuthatha isikhashana ukufunda malunga neempawu zokulumkisa kwangaphambi kwexesha ngamanye amaxesha kunokubangela uxhalaba xa ujongene nale mpawu. Khangela ezinye zezoxakeka eziqhelekileyo ezinokuthi zenzeke ngumhlaza , kwaye nini ukubiza 911.
Imithombo
Li, X., Bie, Z., Zhang, Z. et al. Uhlalutyo lwezonyango lwezilwanyana ezingama-64 ezine-hypercalcemia echaphazeleka ngumhlaza. Umbhalo woPhando lweCancer kunye neZonyango . 2015. Isibonelelo se-11: C275-9.
Lumachi, F. et al. I-Hypercalcemia. Uphando lweMveli . 2009. 29 (5): 1551-5.
Maier, M., noS S. Levin. I-hypercalcemia kwiCandelo loLondolozo oluPhezulu: Ukuphononongwa kwe-Pathophysiology, i-Diagnosis, kunye noTyhulwa lwangoku. Umbhalo weMicrosoft Care Care . 2013 Oct 15. (Epub ngaphambi kokuprinta).
Reagan, P., Rani, A., noMnu Rosner. Indlela yokuHlola kunye nokuPhathwa kwe-Hypercalcemia kwisiGulane kunye noBulala. I-American Journal yeZifo Zengqondo . 2013 Sep 7. (Epub ngaphambi kokuprinta).