Syndrome giperkaltsiemi uye chirwere chinokonzerwa nemasikirwo , umo kuwedzerwa kwema calcium concentration inowanikwa muropa remvura. Inowanzowanikwa mukati mekugadziriswa kwehupenyu hwehupenyu.
Zvinokonzera hypercalcemia
Hypercalcemia inopesana nehutano hwezvirwere zvakasiyana-siyana kana hutachiona hutano mumuviri. Kazhinji kacho chirwere chakadaro chinoratidzika semigumisiro yezvionda zvezvinyorwa zvepathyroid. Zvinokonzera hypercalcemia ndezvi:
- pseudo-hyperparathyroidism;
- bone metastases;
- lymphoma;
- leukemia;
- myeloma;
- lymphogranulomatosis .
Mune plasma yeropa, kuwedzera kwekasiki kunowedzera nekushaya simba kwechirwere uye zvirwere zve endocrine (acromegaly, thyrotoxicosis uye chronic adrenal insufficiency). Hypercalcemia inowanikwa muhutu husina kunaka, panguva yekushandiswa kwemimwe mishonga uye mushure mekuvhunika kwemapfupa.
Zviratidzo zve hypercalcemia
Kazhinji kazhinji ne hypercalcemia, hapana zviratidzo. Asi mune dzimwe nguva, kune kliniki zviratidzo. Izvi zvinosanganisira:
- kurwadziwa mukati memukaka nzvimbo;
- kuzvidzora;
- kushungurudza uye kurutsa;
- kuwedzerwa ropa;
- kusava nenzara uye, sechikonzero, anorexia;
- kubviswa kwemukati .
Kuwedzera kwe serum calcium inopfuura 12 mg% kunogona kufambidzana nehutano hwepfungwa, psychosis, kuvhiringidzika, kuburitsa uye kugadzirisa. Murwere ane dambudziko rakakomba remanzwiro, remrium, kushaya simba uye kukanganisa.
Nenyota nguva dzose uye kuora mvura kunogonawo kuva zviratidzo zvehupachikemia. Izvi zvinokonzerwa nekuti iyo yakawandisa yakawanda yecalcium muropa inoita kuti itsvo dzomurwere dzishande zvakanyanya. Somugumisiro, vanobudisa huwandu hwakawanda hwemuti, uye mutumbi pahuwandu hunokurumidza hurasikirwa nemvura.
Ne hypercalcemia yakasimba, mwoyo rhythm inodedera, somuenzaniso, nguva yeKT pane ECG inoderedza. Iro serum calcium level inopfuura 18 mg%? Izvi zvinogona kukonzera kushaya mafungiro, kukanganisa kwakakomba kwehuropi basa uye kunyange coma. Mumatambudziko akaoma, kunyange mugumisiro unouraya unogoneka.
Muchirwere chisingaverengeki, murwere anogona kuva nematombo kana kristori-ane-chere muinso dzinokonzera kusakanganiswa kwechimiro chisingaverengeki.
Kuongororwa kwe hypercalcemia
Kuongororwa kwe hypercalcemia kunogona kusimbiswa pamusana pekuona kwepamusoro ye calcium muropa serum pasati katatu. Mushure meizvi, murwere anofanira kuwedzera zvidzidzo zvingabatsira kusimbisa zvinokonzera kukura kwechirwere ichi:
- excretion calcium mumuginhi pazuva;
- tsananguro yeinorganic phosphate;
- chiyero chemu serum basa re enzyme alkaline phosphatase.
Mune zvimwe zviitiko, ne idiopathic hypercalcemia, radiographs yemapfupa, intravenous pyelography uye kuverengwa kwemafuro ezvinyorwa zvechipfuva uye nhengo dzepvo zvinofanira kuitwa.
Kurapa kwe hypercalcemia
Kurapa kwe hypercalcemia kunoitwa nekubatsirwa kwezvinodhaka zvinodzivirira kusunungurwa kwemapfupa e-calcium. Uyewo, murwere anonzi diuretics uye zvinodhaka zvinoderedza basa reansteoclasts. Kana murwere achitora vitamini D, rega kunwa doro pakarepo. Mumatambudziko akakura ne hypocalciuric hypercalcaemia, opera inofanira kuitwa kuitira kubvisa chirwere chepathyroid kana kuputika kwetsvo.
Mushure mokunge wapedza kurapwa, zvakakosha kudzora kudyiwa kwezvokudya zvakakosha mu calcium, uye edza kusatora mishonga inenge yakawanda yemashikium uye vitamini D.