Hypercalcemia: He aha ka hopena inā loaʻa iā ʻoe ka nui o ka calcium?

Anter

• He aha nā hōʻailona o hypercalcemia?
• Generala
• Nā hakuʻala
• Kapu
• Puʻuwai
• Nā mākala
• ʻŌnaehana iwi
• Nā hōʻailona Neurological
• He aha ke kumu o ka hypercalcemia?
• Hyperparathyroidism
• Nā maʻi maʻi a me nā maʻi ʻaʻai
• Nā hopena ʻaoʻao o ka lāʻau
• Nā mea hoʻopihapihaʻai a me nā lāʻau
• Make wai
• Pehea e ʻike ʻia ai ka hypercalcemia?
• He aha nā koho lapaʻau no ka hypercalcemia?
• Nā hihia liʻiliʻi
• Kahi kūpono i nā hihia koʻikoʻi
• ʻO ka hyperparathyroidism kumu
• Kanesa
• He aha nā pilikia e pili ana i ka hypercalcemia?
• He aha ka manaʻo lōʻihi?
• Q:
• A:

He aha ka hypercalcemia?

ʻO ke ʻano hypercalcemia kahi i kiʻekiʻe loa ai ka hoʻonui ʻana o ka calcium i kou koko. Pono pono ka calcium no ka hana maʻamau o nā ʻōpū, nā hunaola, nā mākala, a me nā ʻalolo. He mea nui nō hoʻi ia i ke kāpili ʻana i ke koko a me ka olakino iwi.

Eia nō naʻe, hiki i ka nui loa o ia mea ke hoʻopilikia i nā pilikia. Hana paʻakikī ʻo Hypercalcemia i ke kino e hoʻokō i kāna hana maʻamau. Hiki ke hoʻoweliweli i ke kiʻekiʻe kiʻekiʻe o ka calcium.

He aha nā hōʻailona o hypercalcemia?

ʻAʻole paha ʻoe i ʻike ʻia i kekahi mau hōʻailona inā loaʻa iā ʻoe kahi hypercalcemia haʻahaʻa. Inā loaʻa iā ʻoe kahi hihia koʻikoʻi hou aʻe, loaʻa iā ʻoe nā hōʻailona a me nā hōʻailona e pili ana i nā ʻāpana o kou kino.

Generala

• ʻeha poʻo
• luhi

Nā hakuʻala

Nā ʻōuli e pili ana i nā puʻupaʻa:

• make wai nui loa
• urination nui loa
• ʻeha ma waena o kou kua a me luna ʻōpū ma kekahi ʻaoʻao ma muli o nā pōhaku hakuʻala

Kapu

ʻO nā ʻōuli e pili ana i ka ʻōpū:

• nausea
• abdominal eha
• hoʻēmi ʻai
• kōpaʻa
• ka luaʻi

Puʻuwai

Hiki i ka pāluna kiʻekiʻe ke hoʻopili i ka ʻōnaehana uila o ka puʻuwai, e hana ana i nā puʻuwai puʻuwai abnormal.

Nā mākala

Hiki i nā pae pālani ke hoʻopili i kou mau mākala, e hoʻoulu ana i nā twitches, cramp, a me nāwaliwali.

ʻŌnaehana iwi

Hiki i nā pae kalipuna kiʻekiʻe ke hoʻopili i nā iwi, a hiki i:

• ʻeha iwi
• ʻosteoporosis
• haki mai ka maʻi

Nā hōʻailona Neurological

Hiki i ka Hypercalcemia ke kumu i nā hōʻailona neurological, e like me ke kaumaha, ka hoʻomanaʻo ʻana o ka hoʻomanaʻo, a me ka huhū. Hiki i nā hihia koʻikoʻi ke hoʻonāukiuki a me ke koma.

Inā loaʻa ʻoe i ka maʻi ʻaʻai a ʻike i nā ʻōuli o hypercalcemia, e kāhea koke i kāu kauka. ʻAʻole ia he mea maʻamau no ke kanesa e hoʻokumu i nā pae calcium kiʻekiʻe. Ke kū kēia kahi pilikia olakino.

He aha ke kumu o ka hypercalcemia?

Hoʻohana kou kino i ka pilina ma waena o ka puna, ka wikamina D, a me ka parathyroid hormone (PTH) e hoʻoponopono ai i nā pae calcium.

Kōkua ʻo PTH i ke kino e kaohi i ka nui o ka puna i loko o ke kahe o ke koko mai nā ʻōpū, nā puʻupaʻa, a me nā iwi. ʻO ka maʻamau, hoʻonui ka PTH ke hāʻule ka pae o ka calcium i loko o kou koko a emi i ka wā e piʻi ai kāu pae calcium.

Hiki i kou kino ke hana i ka kalonaona mai ka thyroid gland ke kiʻekiʻe loa kāu pae calcium. Ke loaʻa ʻoe i ka hypercalcemia, aia ka nui o ka calcium i loko o kou kahawai a ʻaʻole hiki i kou kino ke hoʻoponopono maʻamau i kāu pae calcium.

Aia kekahi mau kumu kūpono o kēia ʻano:

Hyperparathyroidism

ʻO nā glands parathyroid he ʻehā mau gland liʻiliʻi aia ma hope o ka gland thyroid i ka ʻāʻī. Mālama lākou i ka hana o ka hormone parathyroid, ka mea e hoʻoponopono i ka calcium i loko o ke koko.

Hana ʻia ʻo Hyperparathyroidism ke lilo a hoʻokahi a ʻoi paha o kāu gathy parathyroid i ka hana nui a hoʻokuʻu i ka nui o PTH. Hana kēia i kahi kaulike calcium i hiki ʻole i ke kino ke hoʻoponopono iā ia iho. ʻO kēia ke kumu nui o hypercalcemia, keu hoʻi i nā wahine ma mua o 50 mau makahiki.

Nā maʻi maʻi a me nā maʻi ʻaʻai

ʻO nā maʻi Granulomatous, e like me ka tuberculosis a me sarcoidosis, he mau maʻi māmā e hiki ai ke piʻi aʻe kāu mau huaora D. ʻO kēia ke kumu o ka nui o ka lawe ʻana o ka calcium, kahi e hoʻonui ai i ka pae o ka puna i kou koko.

ʻO kekahi mau maʻi ʻaʻai, ʻo ia hoʻi ka maʻi ʻaʻaʻa, ka maʻi ʻaʻai umauma, a me nā maʻi ʻaʻa koko, hiki ke hāpai i kou makaʻi no ka hypercalcemia.

Nā hopena ʻaoʻao o ka lāʻau

Hiki i kekahi mau lāʻau, ke diuretics, ke hana i ka hypercalcemia. Hana lākou i kēia ma ke kumu ʻana i nā diuresis wai nui, kahi lilo o ka wai o ke kino, a me ka underexcretion o ka puna. ʻO kēia ke alakaʻi i kahi nui o ka calcium i loko o ke koko.

ʻO nā lāʻau ʻē aʻe, e like me ka lithium, ke kumu e hoʻokuʻu hou ʻia ai ʻo PTH.

Nā mea hoʻopihapihaʻai a me nā lāʻau

ʻO ka lawe nui ʻana i ka wikamina D a i ʻole ke kalima i ke ʻano o nā mea hoʻopihapiha hiki ke hāpai i kāu pae calcium. ʻO ka nui o ka hoʻohana ʻana o ka calcium carbonate, i loaʻa i nā antacids maʻamau e like me Tums a me Rolaids, hiki ke alakaʻi i nā pae calcium kiʻekiʻe.

ʻO nā kiʻekiʻena o kēia mau huahana over-the-counter nā hypercalcemia i United States.

Make wai

Ke alakaʻi maʻamau nei kēia i nā hihia akahai o hypercalcemia. Piʻi ka make wai i kāu pae calcium ma muli o ka haʻahaʻa o ka wai i loaʻa i kou koko. Eia nō naʻe, pili ka nui i kāu hana ʻōpū.

I ka poʻe me nā maʻi puʻuwai mau, ʻoi aku ka hopena o ka make wai.

Pehea e ʻike ʻia ai ka hypercalcemia?

Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua koko e nānā i ka pae calcium i kāu koko. Hiki ke kōkua i nā hoʻokolohua mimi e ana i ka calcium, protein, a me nā mea ʻē aʻe.

Inā loaʻa i kāu kauka kahi pae calcium kiʻekiʻe, e kauoha lākou i nā hoʻokolohua hou aku e ʻike i ke kumu o kou ʻano. Hiki i nā hōʻoia koko a me ka mimi ke kōkua i kāu kauka e hōʻoia i ka hyperparathyroidism a me nā kūlana ʻē aʻe.

Hiki i nā hoʻokolohua ke ʻae i kāu kauka e nānā no nā hōʻike o ka maʻi ʻaʻai a i ʻole nā ​​maʻi ʻē aʻe i hiki ke hoʻokumu i ka hypercalcemia.

• nā umauma X-kukuna, kahi e hōʻike ai i ka maʻi ʻaʻai māmā
• mammograms, i kōkua i ke kuhi ʻana i ka maʻi ʻaʻai o ka umauma
• CT scans, kahi e hana ai i kahi kiʻi kikoʻī o kou kino
• MRI scans, nāna e hoʻopuka i nā kiʻi kikoʻī o nā kino o kou kino a me nā hanana ʻē aʻe
• ʻO nā DEXA iwi mineral density test, kahi e loiloi ai i ka ikaika o ka iwi

He aha nā koho lapaʻau no ka hypercalcemia?

ʻO nā koho lapaʻau no ka hypercalcemia kaukaʻi ʻia i ke koʻikoʻi o ke ʻano a me ke kumu o ke kumu.

Nā hihia liʻiliʻi

ʻAʻole paha ʻoe e pono e mālama koke inā loaʻa ʻoe i kahi hihia akahai o hypercalcemia, kaukaʻi ʻia i ke kumu. Eia naʻe, pono ʻoe e nānā i kona holomua. ʻO ka loaʻa ʻana o ke kumu kumu he mea nui.

ʻO ka hopena i hoʻonui ʻia i nā pae calcium i pili i kou kino ʻaʻole pili wale i ka pae o ka calcium i kēia manawa, akā i ka wikiwiki o kona ala ʻana. No laila, he mea nui e pili i nā ʻōlelo a ke kauka no ka ukali ʻana.

ʻOiai ʻo nā kiʻekiʻe kiʻekiʻe o ka calcium e hiki ke alakaʻi i nā pōhaku hakuʻala a me nā hōʻino puʻupaʻa i ka manawa.

Kahi kūpono i nā hihia koʻikoʻi

Pono paha ʻoe e mālama i ka haukapila inā he ʻano kaulike a koʻikoʻi paha ʻoe. ʻO ka pahuhopu o ka mālama ʻana e hoʻihoʻi i kāu pae calcium i ka maʻamau. Hoʻopaʻa pū ka mālama ʻana i mea e pale aku ai i ka hōʻino ʻana i kou mau iwi a me nā puʻupaʻa. ʻO nā koho maʻamau maʻamau e like me kēia:

• ʻO Calcitonin kahi homone i hana ʻia i loko o ka gland thyroid. Hoʻohiohi ia i ka nalowale iwi.
• Hoʻopulu nā wai hoʻoipoipo iā ʻoe a hoʻohaʻahaʻa i nā pae o ka calcium i loko o ke koko.
• ʻO Corticosteroids nā lāʻau anti-inflammatory. He mea pono lākou i ka mālama ʻana i ka lāʻau D.
• Hiki i nā lāʻau diuretic Loop ke kōkua i kāu mau puʻupaʻa e neʻe i ka wai a hoʻopau i ka nui o ka calcium, ʻoiaʻiʻo inā he naʻau ʻole kou.
• Hoʻokomo nā bisphosphonates Intravenous i nā pae calcium i lalo i ka regulating iwi calcium.
• Hiki ke hana i ka Dialysis e kāpae i kou koko i ke kalepona keu a me nā ʻōpala ke hōʻino ʻoe i nā puʻupaʻa. Hana pinepine ʻia kēia inā ʻaʻole holo nā ʻano hana ʻē aʻe.

ʻO ka hyperparathyroidism kumu

Kaukaʻi ʻia i kou makahiki, ka hakuʻala, a me nā hopena o ka iwi, pono paha ʻoe i ke ʻoki e wehe i nā gland parathyroid abnormal. Hoʻola kēia hana i ka hapanui o nā hihia o hypercalcemia i hoʻokumu ʻia e hyperparathyroidism.

Inā ʻaʻole kahi ʻoki ke koho iā ʻoe, hiki i kāu kauka ke koi aku i kahi lāʻau i kapa ʻia ʻo cinacalcet (Sensipar). Hoʻoiho kēia i kāu pae calcium ma ka hoʻemi ʻana i ka hana PTH. Inā loaʻa iā ʻoe ka osteoporosis, e lawe paha kāu kauka iā ʻoe e lawe i nā bisphosphonates e hoʻohaʻahaʻa ai i kou maka o ka haki.

Kanesa

Inā loaʻa ʻoe i ka maʻi ʻaʻai, e kūkākūkā kāu kauka me nā koho lapaʻau me ʻoe e kōkua iā ʻoe e hoʻoholo i nā ala maikaʻi e mālama ai i ka hypercalcemia.

Hiki paha iā ʻoe ke hōʻoluʻolu mai nā hōʻailona ma o nā wai a me nā lāʻau like e like me bisphosphonates. E maʻalahi paha kēia iā ʻoe e hana me kāu mālama maʻi maʻi maʻi.

Hiki ke hoʻohana ʻia i ka lāʻau cinacalcet e mālama i nā kiʻekiʻe o ka calcium ma muli o ka maʻi ʻaʻai parathyroid. manaʻo ia he kuleana paha i ka mālama ʻana i ka hypercalcemia ma muli o nā maʻi ʻē aʻe pū kekahi.

He aha nā pilikia e pili ana i ka hypercalcemia?

Hiki i ka Hypercalcemia ke hoʻopilikia i nā pilikia o ka puʻupaʻa, e like me nā pōhaku hakuʻala a me nā kōpaʻa ʻole. ʻO nā pilikia ʻē aʻe e pili ana i nā puʻuwai puʻuwai kūlike ʻole a me ka osteoporosis.

Hiki i ka Hypercalcemia ke kumu i ka huikau a i ʻole dementia ʻoiai ka calcium e kōkua ai i ka mālama pono ʻana i kāu ʻōnaehana. Hiki i nā hihia koʻikoʻi ke alakaʻi i kahi koma weliweli ola.

He aha ka manaʻo lōʻihi?

E hilinaʻi kou kuana wā lōʻihi i ke kumu a me ka nui o kou ʻano. Hiki i kāu kauka ke hoʻoholo i ka lāʻau maikaʻi loa nāu.

E kamaʻilio pinepine i kāu kauka e noho ʻike a nīnau i nā nīnau. E mālama pono i nā hoʻokolohua ukali a me nā koho.

Hiki iā ʻoe ke hana i kāu ʻāpana e kōkua ai i ka pale ʻana i kou puʻupaʻa a me nā iwi mai ka hōʻino ma muli o ka hypercalcemia e ke koho ʻana i ke ʻano nohona olakino. E nānā pono inu nui i ka wai. Mālama kēia iā ʻoe i ka hydrated, mālama i nā pae o ka calcium i lalo, a hoʻemi i kou makaʻu i ka hoʻomohala ʻana i nā pōhaku hakuʻala.

Ma muli o ka puhihihi ʻana e hiki ai ke hoʻolalelale i ka nalo ʻana o ka iwi, pono e haʻalele i ka wā hiki wawe. Hoʻokumu pū ka puhipaka i nā pilikia olakino ʻē aʻe. Hiki ke kōkua i ka haʻalele ʻana i ka puhipaka ʻana i kou olakino.

Hiki i ka hui pū ʻana o nā hoʻoikaika kino a me ka hoʻomaʻamaʻa ikaika i kou mau iwi ikaika a olakino hoʻi. E kamaʻilio mua i kāu kauka e ʻike i ke ʻano o nā ʻano hoʻoikaika i palekana iā ʻoe. He mea nui loa kēia inā loaʻa ʻoe i ka maʻi ʻaʻai e pili i kou iwi.

E nānā pono i nā ʻōkuhi no nā mahele lāʻau o nā mea hoʻopuka over-the-counter a me nā lāʻau e hōʻemi ai i ka makaʻala o ka wikamina nui a me ka lawe ʻana o ka calcium.

Q:

He aha nā mea e pono ai e mālama inā manaʻo wau e makaʻu paha wau no ka hypercalcemia?

A:

Nui a keu nā kaʻina hana i hiki iā ʻoe ke lawe. Pono ʻoe e noho pono i ka hydrated e ka inu ʻana i ka nui kūpono o nā wai, me ka wai. E hoʻopau pū ʻoe i ka nui o ka paʻakai i kāu papaʻai, ma kahi o 2,000 milligrams o ka sodium i kēlā lā i kēia lā no ke kanaka makua maʻamau. ʻO ka mea hope loa, e kamaʻilio me kāu kauka e ʻike inā paha e hāpai ana kekahi o kāu lāʻau i kēia manawa a i ʻole nā ​​lāʻau lapaʻau over-the-counter i kou makaʻu i ka hoʻomohala ʻana i ka hypercalcemia.