Mipingo ya Calcium yapamwamba mwa Anthu omwe ali ndi khansa
Matenda a hypercalcemia - omwe ali ndi chiwerengero cha calcium m'magazi - ndizovuta komanso zovuta, zimakhudza anthu 10 mpaka 15 peresenti ya anthu omwe ali ndi khansa yapamwamba. Kodi zizindikiro, zifukwa ndi chithandizo ndi chiyani, ndipo izi zikutanthauza chiyani kwa inu?
Mwachidule
Mankhwala a hypercalcemia amatchulidwa ngati kashiamu yowonjezereka ikuyenda m'magazi. Amapezeka ndi njira yosavuta ya magazi ndipo amawunika kawirikawiri mwa anthu omwe ali ndi khansa.
Mbali ya kashiamu yowonjezereka ikufala kwambiri kwa anthu omwe ali ndi khansara yamapapu kapena khansara ya m'mawere koma akhoza kuchitika ndi mtundu uliwonse wa khansara, makamaka khansa ngati lymphomas ndi multipleeloma .
Ndi khansara yamapapu nthawi zambiri imapezeka ngati mbali ya chinachake chomwe chimatchedwa syndrome .
Zizindikiro
Kudziwa zizindikiro za calcium yakwezeka kukuthandizani kuti mukumane ndi dokotala musanakhale vuto lalikulu. Zambiri mwazizindikirozi ndizosavuta ndipo zingathe kukhalapo pokhapokha ngati zoopsa zina, osati matenda ophera khansa, choncho ndizofunika kuzizindikira. Ena mwa awa ndi awa:
- Nausea
- Kuthamanga
- Kutaya njala
- Kupweteka m'mimba
- Ludzu lowonjezeka
- Kuchepetsa kukodza
- Kufooka
- Kutsekedwa
- Kupweteka kwa minofu ndi kuphatikiza
- Impso miyala
- Kusokonezeka, kusintha maganizo, kapena kusintha kwa umunthu
- Kusambira kwa mtima kosasintha
- Pamene kuli koopsa, koma ndi imfa
Zimayambitsa
Pali zifukwa zingapo zomwe zimayambitsa khungu la kashiamu kwa anthu omwe ali ndi khansa.
Ena mwa awa ndi awa:
- Kutulutsidwa kwa kashiamu kuchokera ku khansa yomwe imakula m'mapfupa (monga multipleeloma angapo) kapena kufalikira kwa khansa ku mafupa
- Kutsekemera kwa zinthu ngati mahomoni ndi maselo a khansa omwe amachititsa chiwerengero cha calcium (mwa matenda a paraneoplastic syndrome Mwachitsanzo). Zinthu izi zimachita ngati hormone ya parathyroid (hormone yosungidwa ndi zilonda za parathyroid zomwe zimakhala kumbuyo kwa chithokomiro) ndipo zimatulutsa kashiamu kuchoka ku mafupa
- Kulephera kwa impso kumene impso sizichotsa kashiamu ku magazi monga momwe akufunira kuchita
- Kutaya madzi m'thupi
Kuchiza
Chithandizo cha hypercalcemia chidzasintha malinga ndi momwe kashiamu yanu yakwera, komanso chifukwa chake. Kuwonjezera pa kuchiza chotupacho (chomwe chingachepetse mlingo) mankhwala ena ndi awa:
- IV
- Steroids
- Mankhwala amachepetsa mlingo wa calcium monga bisphosphonates. Nthawi zina amagwiritsa ntchito calcitonin, gallium nitrate, kapena mithramycin. Mankhwala atsopano akuphunziridwa (monga denosumab) omwe amawoneka akulonjeza kuti adzachiritsidwe m'tsogolo
- Dialysis ngati hypercalcemia ndi yaikulu kwambiri
Kuthamangitsani
Mankhwala a hypercalcemia angakhale vuto lalikulu kwambiri la khansara (makamaka khansara yamakono) koma akhoza kuchiritsidwa kwambiri akagwidwa mofulumira. Kawirikawiri, hypercalcemia imagwirizanitsa ndi matenda osauka kwambiri kwa munthu yemwe ali ndi khansara, makamaka mwachindunji, wapezeka kuti akukhudzana ndi kuyembekezera mwachidule moyo wa anthu omwe ali ndi khansara yamapapu.
Kupewa
Kupewa hypercalcemia ndi mankhwala abwino kwambiri, ndipo pali zinthu zingapo zomwe mungachite kuti muthe kukhala ndi kalisiyamu yeniyeni. Ena mwa awa ndi awa:
- Sungani bwino kwambiri, ndipo dokotala wanu ngati muli wamwano ndipo simungathe kusunga madzi
- Yesetsani kuchita masewera olimbitsa thupi nthawi zonse
- Pezani mchere wokwanira mu zakudya zanu
Pamene kusungunuka bwino kumathandiza, kuchepetsa kuchuluka kwa kashiamu mu zakudya zomwe mumadya, monga kupewa mkaka, sikuthandiza kupewa kashiamu yakwezeka.
Kudzisamalira Nokha
Hypercalcemia ndi chimodzi mwa mavuto omwe angachitike ndi khansa . Kupeza mphindi kuti muphunzire za zizindikiro zowonongeka nthawi zina nthawi zina nthawi zina simungakhale ndi nkhawa pamene muli ndi zizindikiro izi. Onani zina mwazidzidzidzi zomwe zingatheke ndi khansa , ndi nthawi yoti muitanitse 911.
Zotsatira
Li, X., Bie, Z., Zhang, Z. et al. Kusanthula kuchipatala kwa odwala 64 omwe ali ndi hypercalcemia yogwirizana ndi khansa. Journal of Research Cancer and Therapeutics . 2015. 11 Suppl: C275-9.
Lumachi, F. et al. Matenda a Hypercalcemia. Kafukufuku wa Anticancer . 2009. 29 (5): 1551-5.
Maier, M., ndi S. Levin. Hypercalcemia mu Unit Care Care: Review of Pathophysiology, Kuzindikira, ndi Zamakono Zamakono. Journal of Great Care Care . 2013 Oct 15. (Epub patsogolo pa kusindikiza).
Reagan, P., Rani, A., ndi M. Rosner. Njira Yodziwiratu ndi Chithandizo cha Hypercalcemia kwa Odwala ndi Malignancy. Magazini Achimereka a Matenda a Impso . 2013 Sep 7. (Epub patsogolo pa kusindikiza).