Hypercalcemia imatanthauzidwa ngati calcium yokwanira kwambiri m'magazi. Izi nthawi zambiri zimakhala chifukwa cha kuwonongeka kwa impso, chotupa choipa kapena matenda ena oyambitsa.

Hypercalcemia imadziwika ndi calcium yambiri m'magazi. Amatanthauzidwa kuti amapitilira 2.60 mmol ya calcium pa lita imodzi yamagazi (calcium> 2.60 mmol / L).

Hypercalcemia iyenera kudziwika, kupezeka ndi kuchiritsidwa mwachangu kuti muchepetse zovuta zomwe zingachitike. Kuphatikiza apo, vutoli limalumikizidwa ndi kulephera kwa chiwalo kapena chotupa choopsa (chitha kukhala khansa).

Munthu aliyense akhoza kuthandizidwa ndi hypercalcemia. Komabe, anthu omwe ali ndi matenda a impso, omwe amamwa mankhwala okhala ndi vitamini D, kapena odwala omwe ali ndi chotupa chowopsa, amakhala pachiwopsezo cha hypercalcemia.

Kusiyanasiyana kwa kufunika kwa hypercalcemia kuyenera kusiyanitsidwa:

• pakati pa 2.60 ndi 3.00 mmol / L, zadzidzidzi zamankhwala sizotsata mwatsatanetsatane
• pakati pa 3.00 ndi 3.50 mmol / L, thandizo lachipatala lingakhale lofunikira
• pamwamba pa 3.50 mmol / L, hypercalcemia iyenera kuchitidwa mwachangu.

Chifukwa chake, mulingo wa hypercalcemia ndiwokhudzana mwachindunji kufunikira kwa zizindikilo zomwe zimakhudzana.

Chifukwa chachikulu cha hypercalcemia ndi kupezeka kwa matenda a impso.

Zoyambira zina zimatha kulumikizidwa ndi izi:

• hyperparathyroidism (kupanga modabwitsa mahomoni a parathyroid)
• mankhwala ena okhala ndi vitamini D
• kupezeka kwa chotupa choopsa
• hyperthyroidism

Kusintha ndi zovuta za matendawa ndizofanana ndi zovuta zina zofunika kwambiri m'mphuno.

Kuphatikiza apo, hypercalcemia imatha kukhala chifukwa chakupezeka kwa chotupa choyipa. Kuzindikira koyambirira kwa chizindikirochi kungachepetse chiopsezo chokhala ndi khansa.

Hypercalcemia yochepera 3.50 mmol / L ndiyofala. Ichi ndi chikhalidwe chaching'ono kapena ayi.

Pazifukwa zazikulu kwambiri, zizindikilo zoyipa ndi izi:

• chofunikira kwambiri kukodza (polyuria)
• ludzu lalikulu (polydypsia)
• kunyoza ndi kusanza
• kudzimbidwa
• kufooka kwakukulu kwa thupi
• Zizindikiro zakhumudwitsa
• Kusinza ndi kusokonezeka
• kupweteka kwa mafupa
• impso miyala (mawonekedwe a kristalo oteteza impso)

Zowopsa zomwe zimakhudzana ndi hypercalcemia ndi izi: kupezeka kwa matenda a impso, chotupa choyipa kapena matenda ena.

Kutenga mankhwala ena, makamaka ma NSAID, kumatha kubweretsa zoopsa zina. Vitamini D poizoni kukhala wina.

Mankhwala osokoneza bongo amapezeka poyang'anira hypercalcemia.

Diphosphonate, kudzera mu jakisoni wamitsempha (IV) imagwira ntchito makamaka ngati chithandizo chamankhwala chakuchipatala ndikuthandizira moyo wa odwala.

Potengera zizindikilo zina zamankhwala: kuwonongeka kwamitsempha, kuchepa kwa madzi m'thupi, ndi zina. Chithandizo chofunikira chitha kuthandizidwa ndi mineralocorticoids, kapena IV.