Hypercalcemia: zviratidzo, zvinokonzera uye kurapa kwechirwere

Hypercalcemia in mishonga inonzi inodhura yakawandisa ye calcium muropa romunhu. Kukanganisa kwema2,5 mmol / l kunogona kuonekwa.

Chirwere ichi chinoratidzika sei?

Kutanga, regai titarise kuti nei kune kukanganisa kwakadaro se hypercalcemia. Zvikonzero zvinogona kunge zvakasiyana kwazvo, uye zvino tichakurukura zvimwe zvacho:

1. Kushungurudzika kwegadziriro ye endocrine. Mamiriro akajairika ndeokuti kukanganiswa kwezvinyorwa zvepathyroid pazvinokonzera zvakawanda zvehomoni. Kuwedzerwa kwekasiki kunowanikwawo kune zvimwe zvirwere zvehomoni: hyperthyroidism, acromegaly, nezvimwewo.

2. Zvirwere zvemapfupa. Kakawanda, kuparadzwa kwemapfupa emapfupa kunokonzerwa ne hypercalcemia. Zviratidzo zvechirwere ichi zvinotaurwa kune varwere vane osteoporosis, varwere vane humwe hutano hwakanaka uye chirwere chePaget. Kurasikirwa kwe calcium nemapfupa emapfupa kunoitika munyaya yekuvhiringidzika kwenguva refu kwekufamba kwevanhu (somuenzaniso, mukutambudzika kana kupora).

3. Maitiro akaipa. Zvimwe zvinyorwa zvemaoplasms (somuenzaniso, mumapapu, impso, mavhesi), anokwanisa kubudisa hormone yakafanana neyo yakabudiswa nemaronda eparathyroid. Kuwandisa kwayo kunotungamirira kumatambudziko ne calcium metabolism. Paraneoplastic syndrome inokura , iyo inogara ichienda ne hypercalcemia. Zviratidzo zvinogonawo kuonekwa nokuda kwechimwe chikonzero: kune marudzi ehutu anouraya anokanda mastases mumapfupa, uye nokudaro anokonzera kusunungurwa kwemazana akawanda echicium muropa.

4. Mamwe mishonga inogona kukonzera chirwere ichi. Especial ngozi inovanza pachayo nzira, yakagamuchirwa pamwoyo kana zvimwe zvinetso zvebasa remuviri. Dambudziko racho rinogona kukonzerwa nehuwandu hwevhitamini D, iyo inowedzera kubatwa kwe calcium mumugwagwa wekudya.

Icho chiratidzo chikuru chekuita

Iye zvino inguva yekutaura pamusoro pekuti hutachiona hunoratidza sei. Zviratidzo zvayo zvinogona kuonekwa kwete kamwechete, uye pane dzimwe nguva chirwere chacho chinowanzobuda pasina zviratidzo.

Saka, ndezvipi zviratidzo zvinowanzoonekwa?

• General kushaya simba;

• Nausea, iyo inosvika pamucheto wekurutsira;

• Kuwedzera kwezvinetso;

• Uturu hwakanyanya mumasumbu uye mumimba;

• Kutadza kwekudya;

• Kutsamwa kwakasimba ;

• Kusagadzikana mupfungwa;

• Kuramba uchikurudzira kurinate;

• Thirst.

Chii chinoitika kana iwe usingaoni zviratidzo izvi nenguva? Hypercalcemia inofambira mberi, uye mumatambudziko akaoma kune kukanganisa kwemwoyo rhythm uye uropi hunoita basa, pane kuvhiringidzika, kudarika kudarika. Murwere anogona kuwira mu coma. Kunyanya kudarika calcium kunotungamirira pakuonekwa kweeiyo matombo.

Ko hypercalcemia inobatwa sei?

Kana murwere achitora vitamini D, mishonga inofanira kumira pakarepo. Muzviitiko zvisingawanzoitiki, kupindira kwekuvhiya kunodiwa: kubviswa kweimwe kana zvinopfuura glands zvinokanganisa, kupora kwepere.

Chiremba anoenda kunorayira zvinodhaka zvinokurudzira excretion ye calcium kubva kumapfupa. Kazhinji kune chido chekupa diuretic (somuenzaniso, chirwere "Furosemide"), kuitira kuti itsvo dzikurumidze kubviswa kanyanyisa calcium.

Mumamiriro ezvinhu apo mamwe maitiro ose haana maturo, dialysis inoitwa.

Zvakakosha kuziva kuti nei hypercalcemia yakamuka. Zviratidzo izvo zvakasimuka nekuda kweimwe zvirwere zvinogona kupera kwenguva pfupi, asi kana chikonzero chepakutanga chisina kubviswa, dambudziko richadzokidzwa zvakare munguva.