Ọrịa ọrịa giperkaltsiemi bụ ọrịa na-emepụta mkpụrụ ndụ, bụ nke na-arịwanye elu na nchịkwa calcium na plasma ọbara. A na-ahụkarị ya mgbe ọ na-emepụta ihe ndị dị na ya.
Ihe kpatara hypercalcemia
Hypercalcemia na-ebute ọrịa dị iche iche ma ọ bụ usoro nchọpụta ọrịa na ahụ. Ọtụtụ mgbe ụdị nsogbu ahụ na - apụta n'ihi ọnya nke parathyroid glands. Ihe kpatara hypercalcemia bụ:
- nchịkwa-hyperparathyroidism;
- ọkpụkpụ metastases;
- lymphoma;
- arịa ọrịa kansa ọbara;
- myeloma;
- lymphogranulomatosis .
N'ime plasma ọbara, nchịkọta nke calcium na-abawanye site n'adịghị ike ọgwụgwụ na ọrịa endocrine (acromegaly, thyrotoxicosis na adrenal insufficiency). Hypercalcemia na-eme na nhụjuanya neoplasms, mgbe a na-eji ọgwụ ụfọdụ eme ihe na mgbe ọkpụkpụ nke ọkpụkpụ.
Mgbaàmà nke hypercalcemia
Ọtụtụ mgbe na hypercalcemia, enweghi ihe mgbaàmà. Ma n'ọnọdụ ụfọdụ, e nwere ngosipụta nke ahụike. Ndị a gụnyere:
- ihe mgbu na mpaghara eriri afọ;
- njigide;
- nausea na vomiting;
- mmụba ọbara ka njọ;
- enweghị agụụ na, n'ihi ya, enweghi ụkọ;
- mmechi nke eriri afọ .
A na-enwe mmụba na calcium nke ọbara na pasent 12 mg% nwere ike ijikọta ya na uche nke uche, psychosis, mgbagwoju anya, delirium na copulation. Onye ọrịa ahụ nwere nsogbu nke mmetụta uche siri ike, obi ụtọ, adịghị ike na mmekorita.
Mmiri na akpịrị ịkpọ nkụ mgbe nile na-enwekwa ike ịbụ ihe ịrịba ama nke hypercalcemia. Nke a bụ n'ihi n'eziokwu na ọnụ ọgụgụ nke calcium n'ime ọbara na-eme ka akụrụ onye ọrịa ahụ na-arụ ọrụ karia. N'ihi ya, ha na-emepụta mmamịnụ nke oke urine, ahụ na-arịwanye elu na-efunahụ mmiri.
Site na hypercalcemia siri ike, ụda obi na-akpata ọgba aghara, dịka ọmụmaatụ, oge QT na ECG na-ebelata. Na ọbara calcium larịị karịa 18 mg%? Nke a nwere ike iduga okpu akụrụ, oké njọ nke ụbụrụ na ọbụna coma. N'ọnọdụ ndị siri ike, ọbụna ihe na-egbu egbu ga-ekwe omume.
Na ọrịa hypercalcaemia na-adịghị ala ala, onye ọrịa nwere ike ịnwe nkume ma ọ bụ kristal nwere calcium n'ime akụrụ na-eme ka mmebi ahụ ghara imebi.
Nchoputa nke hypercalcemia
Achọpụta nchoputa nke hypercalcemia na-adabere na eziokwu nke ịchọpụta ọkwa dị elu nke calcium na ọbara ọbara dịkarịa ala ugboro atọ. Mgbe nke a gasịrị, onye ọrịa ahụ kwesịrị inwetakwu ihe ọmụmụ nke ga - enyere aka mee ka ihe kpatara nsogbu nke ọrịa ahụ:
- excretion nke calcium na urine kwa ụbọchị;
- nyocha maka phosphate inorganic;
- ihe nchoputa maka usoro ihe omimi nke enzyme alkaline phosphatase.
N'ọnọdụ ụfọdụ, na hypercalcemia na-eme ihe ike, redio nke ọkpụkpụ, pyelography nke na-emetụ n'ahụ na nchọpụta e tinyere n'akwụkwọ na akpa akụrụ kwesịrị ime.
Ọgwụgwọ hypercalcemia
A na-eme ọgwụgwọ hypercalcemia na enyemaka nke ọgwụ ndị na-egbochi ịhapụ ọkpụkpụ calcium. Nakwa, onye ọrịa ahụ bụ ọgwụ diuretics na ọgwụ ndị na-egbochi ọrụ nke osteoclasts. Ọ bụrụ na onye ahụ na-aṅụ vitamin D, kwụsị ịṅụ mmanya ozugbo. N'ọnọdụ ndị dị oké njọ na hypercalcaemia hypocalciuric, a ghaghị ịrụ ọrụ iji wepụ ihe ọkpụkpụ parathyroid ma ọ bụ akuku akụrụ.
Mgbe emechara ọgwụgwọ, ọ dị mkpa ịchịkwa oriri nke ihe oriri ndị bara ụba na calcium, ma gbalịa ịṅụ ọgwụ ndị nwere nnukwu calcium na vitamin D.