Syndrome Milk-alkali

ʻO ka maʻi Milk-alkali maʻi kahi ma kahi o kahi kiʻekiʻe o ka calcium i loko o ke kino (hypercalcemia). ʻO kēia ke kumu o ka neʻe ʻana o ke koena o ke kino a me ke kumu i ke alkaline (alkabosis metabolic). ʻO kahi hopena, hiki ke lilo i ka lilo o ka hana hakuʻala.

ʻO ka maʻi Milk-alkali e aneane pinepine ʻia e ka lawe ʻana i nā mea hoʻopili kalima he nui, ma ke ʻano o ka calcium carbonate. ʻO ke kalepona kalepona kahi mea hoʻohui kalima maʻamau. Lawe pinepine ʻia ia e pale a mālama paha i ka nalo ʻana o ka iwi (osteoporosis). ʻO ke kalepona kalapona kekahi mea i loaʻa i nā antacids (e like me Tums).

ʻO kahi kiʻekiʻe o ka wikamina D i loko o ke kino, e like me ka lawe ʻana i nā mea hoʻopiha, hiki ke hoʻonui i ka maʻi waiū-alkali maʻi.

Hiki i nā waihona kalsiuma i loko o nā puʻupaʻa a i nā ʻano ʻē aʻe ke kū i ka maʻi waiū-alkali.

I ka hoʻomaka, ʻaʻohe hōʻailona o ke ʻano (asymptomatic). Ke hiki mai nā hōʻailona, ​​hiki iā lākou ke hoʻopili:

• Back, waena o ke kino, a me ka ʻehaʻeha o ke kua i nā wahi hakuʻala (e pili ana i nā pōhaku hakuʻala)
• Huikau, ʻano ʻē
• Konipōpō
• Kaumaha
• Urination nui loa
• Ka luhi
• Kuʻi naʻau kaulike (arrhythmia)
• Nausea a i ʻole ka luaʻi
• ʻO nā pilikia ʻē aʻe i hiki ke hopena mai ka hōʻeha ʻana o ka hakuʻala

Hiki ke ʻike ʻia nā waihona kalima ma loko o ka aʻa o ke kola (nephrocalcinosis) ma:

• Nā kukuna X
• CT scan
• Kukuna ultrasound

Hoʻohui ʻia nā hoʻokolohua ʻē aʻe e hana i kahi kuhi:

• Nā pae uila e nānā i nā pae mineral i ke kino
• Electrocardiogram (ECG) e nānā i ka hana uila o ka puʻuwai
• Electroencephalogram (EEG) e ana i ka hana uila o ka lolo
• ʻO ka helu kānana Glomerular (GFR) e nānā i ke ʻano o ka hana o nā puʻupaʻa
• Pae ʻaukā koko

I nā hihia koʻikoʻi, pili ka mālama ʻana i ka hāʻawi ʻana i nā wai ma o ke aa koko (e IV). Inā ʻole, pili ka mālama ʻana i ka inu ʻana i nā wai me ka hoʻoliʻiliʻi a i ʻole ka hōʻoki ʻana i nā mea hoʻopiha calcium a me nā antacids i loaʻa i ka calcium. Pono e hōʻemi a kū ʻia paha nā mea hoʻohui Vitamin D.

Hiki ke hoʻohuli pinepine ʻia kēia ʻano inā hoʻomau ka hana maʻamau. ʻO nā hihia hoʻolōʻihi lōʻihi hiki ke alakaʻi i ka ʻole paʻa kīnā ʻole e koi ana i ka dialysis.

ʻO nā pilikia maʻamau ka:

• Nā waihona kalsiuma i nāʻaʻaʻa (calcinosis)
• Hewa ʻole nā ​​hakuʻala
• Pohaku hakuʻala

Kāhea aku i kāu kahu mālama ola inā:

• Lawe ʻoe i ka nui o nā mea hoʻopiha calcium a hoʻohana pinepine paha ʻoe i nā antacids i loaʻa ka calcium, e like me Tums. Pono ʻoe e kaha ʻia no ka maʻi maʻi waiū-alkali.
• Loaʻa iā ʻoe nā ʻōuli e kuhi paha i nā pilikia ʻōpū.

Inā ʻoe e hoʻohana pinepine i nā lāʻau antacids, e haʻi i kāu mea hoʻolako e pili ana i nā pilikia digestive. Inā ʻoe e hoʻāʻo nei e pale aku i ka osteoporosis, mai lawe ma mua o 1.2 gram (1200 milligrams) o ka calcium i kēlā me kēia lā ke ʻole i kauoha ʻia e kāu mea hāʻawi.

ʻO ka maʻi maʻi calcium-alkali; Cope maʻi pale; Burnett maʻi; Hypercalcemia; ʻO ka maʻi maʻi calcium

Bringhurst FR, Demay MB, Kronenberg HM. Hormones a me nā maʻi o ka mineral metabolism. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 29.

DuBose TD. Alkalosis Metabolic. I: Gilbert SJ, Weiner DE, eds. ʻO ka National Kidney Foundation Primer ma nā maʻi maʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 14.