He aha te Hypercalcemia? Tohutohu, Take, me te Maimoatanga

Ko te Hypercalcemia te tikanga he nui rawa te konupūmā i roto i tōu toto. Ahakoa he mea nui te konupūmā mō ngā wheua kaha me te mahi tika o ngā uaua, ki te nui rawa te taumata, ka pā tera ki te mahi o tō tinana.

Ka whakahaere tika tō tinana i ngā taumata konupūmā mā ngā homoni me ō whatukuhu. Ki te pakaru tēnei toenga, ka taea e te konupūmā te hanga i roto i tō toto. Ko te rongo pai, ka taea te whakaora i te hypercalcemia ina kitea e ngā tākuta te take.

He aha ngā tohu o te hypercalcemia?

He tokomaha ngā tāngata e whai hypercalcemia ngawari ana, kāore e kite i tetahi tohu i te tīmatanga. Ka taea e tō tinana te whakakāo i ngā taumata konupūmā iti ake teitei me te kore e puta he raruraru marama.

Ina puta mai ngā tohu, ka tupu haeretia ana, ka rite ki ētahi atu take hauora noa. Ko ēnei ngā tohu ka whakaatu pea tō tinana ina nui rawa te taumata konupūmā:

• Te ngenge rānei te ngoikore i te rā katoa
• Te ruaki rānei te ruaki kāore e kitea he take marama
• Te ngaro o te hiahia kai rānei te ngawari te makona ina kai
• Te nui o te matewai me te maha atu o te mimi i te noa
• Te koretake e uaua ake te whakahaere i te noa
• Te pohehe, te uaua ki te aro turuki, ki te ngaro rānei o te hinengaro
• Te ngoikore o ngā uaua, te mamae rānei
• Ngā mamae o te mahunga e rerekē ana i ō mamae noa

I roto i ngā take nui ake, ka pāngia pea koe e te pouri, ngā raruraru mahara, ahakoa ngā kōhatu whatukuhu. Ka puta ēnei tohu nā te nui o te konupūmā e pā ana ki tō pūnaha io, ngā whatukuhu, me te pūnaha kai.

He aha ngā take o te hypercalcemia?

E rua ngā take nui e hua ai te nuinga o ngā take o te hypercalcemia. Ko te mārama ki ēnei ka āhei te awhina i a koe me tō tākuta ki te kimi i te mea kei te puta i roto i tō āhuatanga motuhake.

Ko te take tino noa ko ngā whekau parathyroid nui rawa atu, e kiia ana ko te hyperparathyroidism. Ko ēnei whekau iti i tō kaki e whakahaere ana i ngā taumata konupūmā, ā, ina nui rawa te mahi, ka tukuna e rātou te nui o te konupūmā mai i ō wheua ki tō toto.

Ko te mate pukupuku te tuarua o te take tino noa, inā koa ka horapa ki ngā wheua, ki te whakaputa rānei i ngā mea rite ki te homoni. Ka taea e ētahi mate pukupuku penei i te mate pukupuku ngāwari, te mate pukupuku u, te mate pukupuku whatukuhu rānei te whakaoho i tēnei tukanga.

Ko ētahi atu take ka kitea iti ake e ngā tākuta ko:

• Te tango i te nui o te huaora D, te tāpiri rānei konupūmā
• Ētahi rongoā penei i ngā diuretics thiazide, te lithium rānei
• Te takoto roa, te kore rānei e neke
• Ngā āhuatanga mumura penei i te sarcoidosis
• Te whekau thyroid nui rawa atu
• Te mate miraka-alkali mai i te kai nui o te konupūmā me te alkali e taea te whakauru

Ko ngā take onge ko ngā āhuatanga ira, ētahi mate, me ngā mate granulomatous. Ka mahi tahi tō tākuta i ēnei wāhi kia kitea tō whakaoho motuhake.

Nōhea koe me haere ki te tākuta mō te hypercalcemia?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te whai koe i ngā tohu maha kāore e pai ake mā te okioki, mā te tiaki whānau rānei. Kia aro nui ki te kite koe i te nui o te matewai, te maha o te mimi, me te ngenge tonu e puta tahi ana.

Rapua te awhina hauora tonu ki te whanake koe i te pohehe nui, te ngoikore nui o ngā uaua, te uaua rānei ki te whakaaro mārama. Ka taea e ēnei te tohu i ngā taumata konupūmā tino teitei e hiahia ana ki te maimoatanga tere.

Ki te whai koe i te hītori o te mate pukupuku, ngā raruraru whatukuhu, te tango rānei i ngā rongoā e pā ana ki ngā taumata konupūmā, whakahua i ngā tohu hou ki tō tākuta i mua atu i muri mai. Ko te kite wawe ka tino whai hua te maimoatanga.

He aha ngā take morearea mō te hypercalcemia?

Ka taea e ētahi take te whakapiki i ō tūmanako ki te whanake i ngā taumata konupūmā teitei. Ko te mōhio ki ēnei ka āhei te awhina i a koe ki te pupuri i te mataara ki ngā tohu me te kōrero i ngā awangawanga ki tō rōpū hauora.

He mahi te tau, i te mea ka noho te hyperparathyroidism hei mea noa i muri i te 50 tau te pakeke, inā koa i ngā wāhine i muri i te menopause. Ka taea e ngā huringa homoni i tēnei wā te pā ki te mahi o ō whekau parathyroid.

Ko te whai mate pukupuku, inā koa ngā momo e horapa noa ana ki ngā wheua, ka whakapiki nui i tō morearea. Ka tirotiro pea tō rōpū oncology i ō taumata konupūmā ki te whai koe i ētahi mate pukupuku.

Ko ētahi atu take morearea ko:

• Te tango i ngā rāpoi nui o te huaora D, te tāpiri rānei konupūmā
• Te whakamahi i ngā rongoā penei i te lithium, ngā diuretics thiazide rānei mo te wā roa
• Te whai i ngā āhuatanga mumura penei i te sarcoidosis
• Te hītori whānau o ngā raruraru parathyroid
• Te rongoā radiation o mua ki tō rohe kaki
• Te kore e neke mō te wā roa mai i te mate, te whara rānei

Ahakoa he take morearea koe, kāore te tikanga ka whanake koe i te hypercalcemia. Ko ēnei noa ngā āhuatanga ka hiahia pea tō tākuta ki te tirotiro i ō taumata konupūmā kia maha atu.

He aha ngā raruraru pea o te hypercalcemia?

Ina teitei tonu ngā taumata konupūmā mō ngā wā roa, ka tīmata pea ngā whekau o tō tinana ki te whawhai. Ko ngā pānga tino awangawanga e pā ana ki ō whatukuhu, wheua, me te ngakau.

Ka mahi nui ō whatukuhu ki te tātaritanga i te nui o te konupūmā, ka taea te arahi ki ngā kōhatu whatukuhu, ki te pakaru rānei o ngā whatukuhu ki te kore e whakahaerea. Ka kite pea koe i ngā huringa i te maha o ō mimi, te mamae rānei i tō tua, i ō taha rānei.

Ka taea hoki e ngā taumata konupūmā teitei te whakawai i ō wheua i te wā roa, te hanga i te whakapae ka nui rawa te konupūmā i roto i tō toto ka tino ngoikore ō wheua, ka ngāwari te pakaru.

Ko ētahi atu raruraru ka taea te whanake ko:

• Ngā āhuatanga o te auau o te ngakau e puta ana i te EKG
• Te maroke nui mai i te nui o te mimi
• Ngā mate peptic i roto i tō puku
• Te pohehe nui, te huringa hinengaro rānei
• Te toto teitei e uaua ana ki te whakahaere

I roto i ngā take onge, nui, ka taea e ngā taumata konupūmā teitei te arahi ki te coma, ki ngā raruraru ngakau morearea rānei. Koia te take i nui ai te whiwhi i te maimoatanga i mua i te whanake o ngā raruraru mō tō hauora roa.

Me pēhea te whakatau i te hypercalcemia?

Ko te whakatau i te hypercalcemia ka tīmata mā te whakamātau toto ngāwari e ine ana i ō taumata konupūmā. Ka tono pea tō tākuta i tēnei whakamātau ki te whai koe i ngā tohu, hei wāhanga rānei o te tirotiro noa ki te whai koe i ngā take morearea.

Ko tetahi panui konupūmā teitei kāore e tikanga kei a koe te hypercalcemia. Ka whakahokia pea e tō tākuta te whakamātau kia whakau i ngā hua, i te mea ka rereke ngā taumata konupūmā i runga i ngā take maha.

Ina whakau te hypercalcemia, ka whakahaere tō rōpū hauora i ngā whakamātau atu kia kitea te take. Ka uru pea ēnei ki te ine i ngā taumata homoni parathyroid, ngā taumata huaora D, me ētahi atu tohu toto.

Ka tūtohu pea tō tākuta i ngā rangahau whakaahua penei i ngā X-rays, ngā scans wheua, ngā ultrasounds rānei ki te tirotiro i te mate pukupuku, ngā kōhatu whatukuhu, ngā raruraru whekau parathyroid rānei. Ko ngā whakamātau motuhake e whakawhirinaki ana ki ō tohu me tō hītori hauora.

He aha te maimoatanga mō te hypercalcemia?

Ko te maimoatanga mō te hypercalcemia e aro ana ki ngā whāinga e rua: te whakaiti i ō taumata konupūmā me te whakatika i te mea kei te puta i te raruraru. Ko te huarahi e whiriwhiri ai tō tākuta e whakawhirinaki ana ki te teitei o ō taumata me te mea kei te whakaoho i a rātou.

Mō ngā take ngawari, ka tīmata pea tō tākuta mā te whakapiki i tō inu wai me te whakarite i ngā rongoā e taea ana te whakauru ki te raruraru. I etahi wā, ka taea e ēnei mahi ngāwari te kawe mai i ngā taumata konupūmā ki te noa.

Ko ngā teitei nui ake te nuinga e hiahia ana ki ngā rongoā e āhei ana te awhina i tō tinana ki te whakakore i te nui o te konupūmā, ki te aukati rānei i ō wheua mai i te tuku nui o te konupūmā ki tō toto.

Ko ngā whiringa maimoatanga ka whakaaro pea tō tākuta ko:

• Ngā wai IV hei awhina i ō whatukuhu ki te horoi i te nui o te konupūmā
• Ngā rongoā bisphosphonate e whakaiti ana i te tuku konupūmā mai i ngā wheua
• Ngā werohanga Calcitonin e whakaiti tere ana i ngā taumata konupūmā
• Ngā diuretics e āhei ana te awhina i ō whatukuhu ki te whakakore i te konupūmā
• Ngā steroids mō ētahi take mumura
• Te pokanga hei tango i ngā whekau parathyroid nui rawa atu
• Te maimoatanga mate pukupuku ki te mea koia te take

Ka tirotiro tata tō rōpū hauora i ō taumata konupūmā i te wā o te maimoatanga kia whakarite kia heke haere haumaru. Ko te nuinga o ngā tāngata ka tīmata te pai ake i roto i ngā rā torutoru ina tīmata te noa o ngā taumata.

Me pēhea te whakahaere i te hypercalcemia i te kāinga?

Ahakoa he mea nui te maimoatanga hauora mō te hypercalcemia, he mahi tautoko ka taea e koe te mahi i te kāinga hei awhina i tō tinana ki te ora. Ka pai te mahi o ēnei mahi me te mahere maimoatanga i whakaritea e tō tākuta.

Ko te noho pai te wai tetahi o ngā mea tino nui ka taea e koe te mahi. Ko te inu nui o te wai ka awhina i ō whatukuhu ki te horoi i te nui o te konupūmā me te aukati i te maroke mai i te nui o te mimi.

Ka tūtohu pea tō tākuta ki te whakaiti i te wa poto i te kai konupūmā me te huaora D i te wā e noa ana ō taumata. Kāore tēnei e tikanga kia kaua e karo i ēnei kai mō ake tonu atu, engari kia hoatu ki tō tinana te wā ki te whakataurite.

Ko ētahi atu rautaki whai hua ko:

• Te whiwhi i te whakakori ngawari kia āhei ai te pupuri i te kaha o ngā wheua
• Te karo i te takoto roa ki te kore e hiahiatia hauora
• Te tango i ngā rongoā i whakaritea kia rite ki te aratohu
• Te tirotiro i ō tohu me te whakahōunga i ngā huringa ki tō tākuta
• Te whai ake me ngā whakamātau toto kia rite ki te tūtohu

Kaua e mutu te tango i ngā rongoā i whakaritea, te hanga rānei i ngā huringa kai nui me te kore e kōrero ki tō kaiwhakarato hauora i mua. Ko te mea e mahi ana i te wā o te maimoatanga pea ka hiahia ki te whakarite ina noa ō taumata konupūmā.

Me pēhea te whakarite mō tō hui tākuta?

Ko te haere ki te whakarite ki tō hui ka āhei te awhina i tō tākuta ki te mārama pai ake i tō āhuatanga me te whakawhanake i te mahere maimoatanga tino whai hua. Tīmata mā te tuhituhi i ō tohu katoa, ahakoa ngā mea e kore e rite.

Hangaia he rārangi katoa o ngā rongoā, ngā tāpiri, me ngā huaora katoa e tangohia ana e koe, tae atu ki ngā rāpoi tika. He mea nui tēnei mōhiohio i te mea ka taea e ētahi o ēnei te whakauru ki ō taumata konupūmā.

Kawe mai i ngā hua whakamātau hou, ngā rēkōti hauora rānei mai i ētahi atu tākuta, inā koa ki te whai koe i te mate pukupuku, ngā raruraru whatukuhu, ētahi atu āhuatanga roa rānei. Ka āhei tēnei papamuri ki te kite a tō tākuta i te pikitia nui.

Whakaarohia te whakarite i ēnei pātai mō tō hui:

• He aha te take o ō taumata konupūmā teitei?
• E hira te kino o toku āhuatanga?
• He aha ngā whiringa maimoatanga e tūtohu ana koe?
• E hira te roa ka noho noa ō taumata?
• He aha ngā tohu e whakaoho ai au ki te karanga atu ki a koe?
• Me huri ke taku kai, ngā rongoā rānei?
• E hira te maha ka hiahia au ki te whakamātau whai ake?

Kaua e whakaroa ki te tono mō te whakamārama ki te kore e mārama tetahi mea. E hiahia ana tō tākuta kia mārama koe ki tō āhuatanga me te whakapono ki tō mahere maimoatanga.

He aha te mea nui mō te hypercalcemia?

Ko te hypercalcemia he āhuatanga e taea te whakahaere ina whakatau tika me te maimoatanga. Ahakoa te ahua o te nui o te konupūmā i roto i tō toto, ka pai te whakautu o te nuinga o ngā tāngata ki te maimoatanga ina kitea e ngā tākuta me te whakatika i te take.

Ko te matua ko te kite i ngā tohu i te tīmatanga me te mahi tahi me tō rōpū hauora ki te kimi i te huarahi maimoatanga tika. Ahakoa ko tō hypercalcemia mai i ngā raruraru parathyroid, ngā pānga rongoā, ētahi atu take rānei, he maimoatanga whai hua kei te wātea.

Kia mahara pea kaore ngā hypercalcemia ngawari e puta he tohu marama, koia te take i nui ai ngā tirotiro hauora noa ki te whai koe i ngā take morearea. Ko te kite wawe ka ngāwari ake, ka whai hua ake te maimoatanga.

Me te tiaki hauora tika me te aro ki ngā tohu a tō tinana, ka taea e koe te whakahaere i te hypercalcemia me te pupuri i tō hauora whānui me tō oranga pai.

Ngā pātai e ui pinepinetia ana mō te hypercalcemia

Ka taea te ngaro ake te hypercalcemia?

Ka taea pea te whakakore i te hypercalcemia ngawari ki te puta mai i ngā take wa poto penei i ngā whakaritenga rongoā, te ora rānei mai i te mate. Heoi, ko te nuinga o ngā take e hiahia ana ki te maimoatanga hauora hei whakatika i te take me te aukati i ngā raruraru.

He mea nui tonu te hypercalcemia?

Kāore pea. Ko ngā teitei ngawari pea kāore e puta he tohu, he raruraru tonu rānei, engari ka taea e te hypercalcemia tūturu ki te nui te pā ki tō ngakau, whatukuhu, me tō pūnaha io. Me aromatawai e te kaiwhakarato hauora tetahi teitei kua whakau.

He aha ngā kai me karo e au me te hypercalcemia?

Ka tūtohu pea tō tākuta ki te whakaiti i te wa poto i ngā kai konupūmā teitei penei i ngā hua miraka, ngā rau kakariki, me ngā kai kua whakakāhua i te wā e noa ana ō taumata. Heoi, kaua e hanga i ngā huringa kai mō ake tonu atu me te kore he aratohu hauora, i te mea he mea nui tonu te konupūmā mō tō hauora.

E hira te tere ka taea te maimoatanga o te hypercalcemia?

Ko ngā taumata konupūmā te nuinga ka tīmata te heke i roto i ngā haora ki ngā rā o te tīmatanga o te maimoatanga, e whakawhirinaki ana ki te kino me te take. Heoi, ko te whakatika i te take matua pea ka roa ake, inā koa ki te hiahiatia te pokanga, te maimoatanga mate pukupuku rānei.

Ka hiahia au ki te tirotiro roa i muri i te maimoatanga?

Ko te nuinga o ngā tāngata e hiahia ana ki ngā whakamātau toto i te wā kia whakarite kia noho pumau ngā taumata konupūmā, inā koa ki te whai rātou i ngā take morearea tonu. Ka whakatau tō tākuta i te mahinga tirotiro tika i runga i te take i puta ai tō hypercalcemia me tō hauora whānui.