High hypercalcemia - Cov neeg mob nrog tag nrho albumin kho calcium >14 mg/dL (3.5 mmol/L) xav tau kev kho mob hnyav dua. Raws li tau piav qhia saum toj no, cov neeg mob uas muaj qhov hnyav nce hauv cov ntshav calcium mus rau ntau theem nruab nrab uas muaj kev hloov pauv hauv cov sensorium (xws li, lethargy, stupor) kuj xav tau kev kho mob hnyav.
qib calcium twg suav tias yog hypercalcemia hnyav?
Hypercalcemic ntsoog yog ib qho tshwm sim tsis tshua muaj tshwm sim thiab yog tus cwj pwm los ntawm qib calcium siab tshaj 15 mg / dL thiab cov tsos mob hnyav, tshwj xeeb tshaj yog lub hauv paus paj hlwb tsis ua haujlwm. Mob plab, mob pancreatitis, kab mob peptic ulcer, xeev siab, thiab ntuav yog tshwm sim hauv cov neeg mob no.
Hypercalcemia yog dab tsi?
Hypercalcemia yog ib yam mob uas cov calcium hauv koj cov ntshav siab dua li qub. Calcium ntau dhau hauv koj cov ntshav tuaj yeem ua rau koj cov pob txha tsis muaj zog, tsim pob zeb rau lub raum, thiab cuam tshuam koj lub plawv thiab lub hlwb ua haujlwm li cas. Hypercalcemia feem ntau yog tshwm sim los ntawm cov qog nqaij hlav parathyroid overactive.
Cov tsos mob ntawm hypercalcemia yog dab tsi?
Cov tsos mob ntawm hypercalcemia yog dab tsi?
- tso zis ntau zaus thiab nqhis dej.
- Nyob, mob pob txha, mob taub hau.
- xeev siab, ntuav, cem quav, txo qis hauv qab los.
- Tsis nco qab.
- Kev qaug zog, kev nyuaj siab, nco tsis tau lossis chim siab.
- Cov leeg nqaij, tsis muaj zog, cramping thiab / lossis twitches.
yog dab tsitxaus ntshai heev npaum li cas calcium?
Koj cov ntshav calcium yuav suav tias siab yog tias nws dhau qhov kev txwv sab saud ntawm qhov ib txwm muaj, txhais tau tias nws yog ntau dua 10.3 mg / dl.
24 cov lus nug ntsig txog pom
Kuv yuav tsum txhawj yog tias kuv cov calcium siab?
Yog tias koj cov calcium ntau ntau, koj tuaj yeem tau teeb meem hauv paj hlwb, suav nrog kev tsis meej pem thiab thaum kawg tsis nco qab. Feem ntau koj yuav pom tias koj muaj hypercalcemia los ntawm kev kuaj ntshav.
Kuv yuav ua li cas thiaj txo tau kuv cov calcium ntau?
Cov no suav nrog:
- Haus dej kom ntau. Nyob twj ywm yuav txo cov calcium hauv cov ntshav, thiab nws tuaj yeem pab tiv thaiv lub raum pob zeb.
- Kev txiav luam yeeb. Kev haus luam yeeb tuaj yeem ua rau pob txha poob. …
- Kev tawm dag zog thiab kev cob qhia lub zog. Qhov no txhawb nqa pob txha muaj zog thiab noj qab haus huv.
- Ua raws li cov lus qhia rau tshuaj thiab tshuaj ntxiv.
Tus neeg tuaj yeem nyob nrog hypercalcemia ntev npaum li cas?
Hmoov tsis zoo, mob qog noj ntshav hypercalcemia muaj qhov tsis zoo, vim nws feem ntau cuam tshuam nrog cov kab mob sib kis. Yim caum feem pua ntawm cov neeg mob yuav tuag nyob rau hauv ib xyoos, thiab muaj nruab nrab ciaj sia taus ntawm 3 mus rau 4 lub hlis.
Koj kho hypercalcemia li cas?
Kev kho mob
- Calcitonin (Miacalcin). Cov tshuaj hormone no los ntawm salmon tswj cov qib calcium hauv cov ntshav. …
- Calcimimetics. Hom tshuaj no tuaj yeem pab tswj cov qog ua haujlwm parathyroid ntau dhau. …
- Bisphosphonates. …
- Denosumab (Prolia, Xgeva). …
- Prednisone. …
- IV kuathiab diuretics.
Yuav ua li cas yaj calcium deposits hauv lub cev?
laser kho, kev siv lub teeb lub zog kom yaj cov calcium deposits. iontophoresis, kev siv cov hluav taws xob qis qis kom yaj cov calcium deposits los ntawm kev xa cov tshuaj - xws li cortisone - ncaj qha mus rau thaj chaw cuam tshuam. phais kom tshem tawm cov calcium deposits.
Dab tsi yog thawj kab kev kho mob rau hypercalcemia?
Intravenous bisphosphonates yog kev kho mob ntawm thawj qhov kev xaiv rau thawj zaug kev tswj hwm ntawm hypercalcemia, ua raws li qhov ncauj txuas ntxiv, lossis rov tso cov tshuaj bisphosphonates los tiv thaiv kev rov qab los.
Vitamin D puas ua rau muaj calcium ntau?
Nrog rau cov laj thawj hais saum toj no, noj vitamin D ntxiv rau lub sijhawm ntev tuaj yeemua rau cov ntshav calcium nce. Yog tias calcium hauv cov ntshav siab tshaj qhov qub, hypercalcemia tuaj yeem tsim.
Yuav ua li cas yog tias calcium siab tsis kho?
Tab laug tsis kho, qib calcium siab tuaj yeem ua rau muaj teeb meem loj, xws li raum tsis ua haujlwm, thiab nws tuaj yeem ua rau muaj kev phom sij rau lub neej. Kev kho mob rau cov kev mob tshwm sim yog ib feem tseem ceeb ntawm kev kho mob qog noj ntshav. Hom kev kho no hu ua kev pab txhawb nqa lossis palliative care.
Nws yuav siv sijhawm ntev npaum li cas kom rov zoo los ntawm hypercalcemia?
(Saib "Hypercalcemia nyob rau hauv cov kab mob granulomatous".) Hypercalcemia vim noj calcitriol raws li kev kho mob rau hypoparathyroidism, los yog rau cov hypocalcemia thiab hyperparathyroidism ntawm lub raum tsis ua hauj lwm, feem ntau kav tsuas yog ib mus rau ob hnub vim qhov luv luv biologic ib nrab-lub neej ntawm calcitriol.
Puas calcium ntau dhau rau koj lub siab?
Tom qab soj ntsuam 10 xyoo ntawm kev kuaj mob rau ntau dua 2, 700 tus neeg hauv tsoomfwv nyiaj txiag txoj kev tshawb fawb kab mob plawv, cov kws tshawb fawb ntawm Johns Hopkins Medicine thiab lwm qhov xaus lus tias noj calcium hauv cov tshuaj ntxiv yuav nce Kev pheej hmoo ntawm cov quav hniav hauv cov hlab ntsha thiab lub plawv puas, txawm tias noj zaub mov muaj calcium- …
Yuav noj dab tsi yog tias koj muaj hypercalcemia?
Txhob rov qab rau cov khoom noj uas muaj calcium ntau. Txwv tsis pub ntau los yog txwv tsis pub koj noj mis nyuj, cheese, tsev cheese, yogurt, paj npleg, thiab ice cream.
Puas yog hypercalcemia xwm ceev?
Hypercalcemic ntsoog yog qhov xwm txheej kub ntxhov rau lub neej. Kev nqhis dej hauv cov hlab ntsha yog qhov tseem ceeb ntawm kev tswj hwm hauv hypercalcemia hnyav, thiab cov tshuaj tiv thaiv kab mob, xws li calcitonin thiab bisphosphonates, feem ntau tuaj yeem txo cov kev mob tshwm sim ntawm hypercalcemic ntshawv siab..
Yuav ua li cas cov tshuaj hormone txo calcium hauv cov ntshav?
Calcitonin koom nrog hauv kev pab tswj cov calcium thiab phosphate hauv cov ntshav, tawm tsam qhov kev ua ntawm parathyroid hormone. Qhov no txhais tau tias nws ua kom txo cov calcium hauv cov ntshav.
Puas muaj calcium ntau ua rau tuag tau?
Sudden-pib thiab hnyav hypercalcemia yuav ua rau cov tsos mob tshwm sim, feem ntau suav nrog kev tsis meej pem thiab qaug zog, tej zaum yuav ua rau tuag sai. Cov tshuaj calcium ntau ntau dua li ntawm 15 mg / dL feem ntau suav hais tias yog akho mob xwm txheej ceev thiab yuav tsum tau kho mob hnyav.
Yuav ua li cas hypercalcemia ua rau tuag?
Lo lus "hypercalcemic ntsoog", feem ntau siv rau tus mob, hais txog nws qhov kev pom tias muaj kev phom sij rau lub neej. Lub hauv paus rau qhov kev ceeb toom no yog tias qhov hnyav hypercalcemia yog supposedly txuam nrog kev pheej hmoo siab ntawm plawv arrhythmia thiab ua rau lub plawv nres, nrog rau CNS cov teebmeem uas ua rau coma.
Hypercalcemia ntawm malignancy kho li cas?
Yog li, cov neeg mob hypercalcemia feem ntau yuav tsum tau tswj xyuas qhov ceev, thiab hypercalcemia ntawm malignancy nyob rau hauv ntau qhov xwm txheej sawv cev rau kev kub ntxhov oncologic. Cov kev kho mob rau hypercalcemia suav nrog IV hydration, calcitonin, bisphosphonates, denosumab, gallium nitrate, prednisone, thiab hemodialysis.
Txiv tsawb puas muaj calcium ntau?
Txiv tsawb tej zaum yuav tsis muaj calcium ntau dhau, tab sis lawv tseem pab ua kom cov pob txha muaj zog. Raws li tsab xov xwm xyoo 2009 hauv Phau Ntawv Xov Xwm ntawm Physiology thiab Biochemistry, txiv tsawb muaj ntau ntawm fructooligosaccharides.
Kev ntxhov siab tuaj yeem ua rau muaj calcium ntau?
Thaum peb ntxhov siab, peb lub cev tso tawm "cov tshuaj hormones kev ntxhov siab" hu ua cortisol, uas ua rau muaj kev puas tsuaj rau peb lub cev. Txhawm rau pab coj peb lub cev rov qab los sib npaug, peb lub cev tso tawm calcium los ntawm peb cov pob txha thiab cov hniav - zoo ib yam li cov tshuaj antacids neutralize plab acid.
Puas muaj vitamin D tsawg ua rau muaj calcium ntau?
NO TSIS TAU. Kev ntsuas cov qib vitamin D tsis muaj dab tsi ua nrog kev kuaj mob ntawm hyperparathyroidism. Low Vit D qib yuav TSIS TXHOB ua kom muaj calcium ntau.
