Hypercalcemia: izimpawu, izimbangela kanye nokwelashwa isifo

Hypercalcemia kwezokwelapha ngokuthi isamba ngokweqile-calcium egazini. Kuka kuthathwa amagugu olukhulu kunalolu 2.5 mmol / l.

Njengoba isifo zivela?

Ukuze uqale, ake baqonde iqiniso kungani kukhona kuphakama ukuhlukumeza ezifana hypercalcemia. zingase zihluke kakhulu izizathu, futhi manje sizobheka ezinye zazo:

1. Kwemizwelo kohlelo endocrine. Isimo obujwayelekile ukungasebenzi nezindlala parathyroid, zikhiqiza imali ngokweqile kwama-hormone. Okweqile calcium nobuntu nezinye izifo hormone: i-hyperthyroidism, acromegaly, njll ...

2. Izifo lamathambo. Ngokuvamile, lapho kubhujiswa ithambo kwenzeka hypercalcemia. Izimpawu ngamandla kwalesi sifo liphinyiselwe in iziguli kwamathambo, iziguli ezinemishini kwezinso ezithile zenani elikhulu eziyifa kanye nesifo Paget sika. Ukuwohloka kwamathambo calcium kwenzeka endabeni ukuhamba enwetshiwe kuphazamiseka womuntu (isb, ukuhlukumezeka noma ukukhubazeka).

3. komdlavuza. Inani izimila (isb, iphaphu, izinso, esibelethweni), kukhicita hormone, ezifana nalezo okuyinto ukukhiqiza nezindlala parathyroid. overabundance yakhe iholela izinkinga calcium umzimba. Thuthukisa syndrome paraneoplastic, okuyinto cishe uhlale ehamba hypercalcemia. Izimpawu zingase zenzeke ngoba esinye isizathu: kukhona izinhlobo zomdlavuza ukuthi wavumela metastasized ethanjeni, futhi ngaleyo ndlela avuse Ukukhetha calcium kakhulu egazini.

4. imithi ethile futhi kungadala isimo esifanayo. Of basengozini enkulu ngokukhethekile kubabangele izindlela ukuwuthatha isilungulela noma nezinye izifo esiswini umsebenzi. Inkinga kungadala futhi overabundance vitamin D, okuyinto kungani sithuthukiswe calcium ukumuncwa e pheshana emathunjini.

Izimpawu main

Manje sekuyisikhathi sokuba ukukhuluma kanjani sibonakalise hypercalcemia. Izimpawu kungabonwa hhayi kanye, futhi kwezinye izimo, lesi sifo ngokuvamile kwenzeka ngaphandle izimpawu.

Ngakho iziphi izimpawu angabhekwa ezivamile?

• ubuthakathaka jikelele;

• ukucanuzela kwenhliziyo, ukuhlanza engakafiki;

• umfutho wegazi ophakeme;

• nobuhlungu obukhulu kwemisipha esiswini;

• ukunyamalala esesuthi;

• ukukhathala ;

• Ukungazinzi ngokomzwelo;

• ukuchama kaningi;

• ukoma.

Kwakuyokwenzekani uma isikhathi akusho ukuqaphela lezi zimpawu? Hypercalcemia iqhubeka, futhi ezimweni ezimbi kakhulu kunazo, kuholele kwezinso e kwenhliziyo ubuchopho umsebenzi, kukhona isiyaluyalu, kuze delirium. Isiguli angase awele equlekile. ngokweqile Okungalapheki-calcium kuholela ukubukeka ezinso.

Indlela esiphatha ngayo hypercalcemia?

Uma isiguli kuthatha uvithamini D, yokwamukela kufanele simiswe ngokushesha. Ezimweni ezingavamile, idinga ukuhlinzwa: ukususwa okukodwa noma ngaphezulu nezindlala parathyroid, izinso ukufakelwa.

Udokotela ukuba khona sinquma izidakamizwa ekhuthaza excretion-calcium kusukela amathambo. Ngokuvamile kunesidingo yokunika isisu (isib izidakamizwa "Furosemide") ezinsweni usule ngokushesha esuka calcium ngokweqile.

Ezimweni lapho zonke ezinye izinyathelo ayizwakali, isebenzisa umshini wezinso kwenziwa.

Kubalulekile ukwazi ukuthi kungani kukhona hypercalcemia. Izimpawu, eyabonakala ngenxa ezinye izifo, kungase ashona okwesikhashana, kodwa uma ungenayo imbangela impande, ngokuhamba kwesikhathi, inkinga futhi uzokwenza ngokwayo wazizwa.