Amazinga aphezulu e-Calcium kubantu abane-Cancer
I-Hypercalcemia - okungukuthi, nezinga eliphakeme le-calcium egazini - liyinkimbinkimbi evamile futhi eyinkimbinkimbi, ethinta amaphesenti angu-10 kuya kwangu-15 abantu abanomdlavuza ophakeme. Ziyini izimpawu, izimbangela, kanye nokwelashwa, futhi lokhu kusho ukuthini kuwe?
Sibutsetelo
I-hypercalcemia ichazwa njengemali ephakanyisiwe ye-calcium ejikeleza egazini. Kutholakala nge-test elula yegazi futhi ihlolwe njalo kubantu abaphila nomdlavuza.
Izinga le-calcium eliphakeme livame kakhulu kubantu abanomdlavuza wamaphaphu noma umdlavuza webele kodwa kungase kwenzeke nganoma yiluphi uhlobo lomdlavuza, ikakhulukazi umdlavuza we- lymphomas kanye ne- myeloma eminingi .
Ngomdlavuza wamaphaphu ngokuvamile uyenzeka njengengxenye yalokho okuthiwa yi- paraneoplastic syndrome .
Izimpawu
Ukuqaphela izimpawu ze-calcium ephakeme kungakusiza uthintane nodokotela wakho ngaphambi kokuba kube yinkinga enkulu. Izimpawu eziningi azicacile futhi zingaba khona ngezimo ezinye ngaphandle kwe-hypercalcemia, ikakhulukazi ezinye zokwelapha umdlavuza, ngakho-ke kubalulekile ukuba wazi. Ezinye zazo zihlanganisa:
- I-nausea
- Ukuvota
- Ukulahlekelwa kwesifiso
- Ubuhlungu besisu
- Ukoma okwengeziwe
- Ukunciphisa ukuchama
- Ukungabi namandla
- Ukuqokwa
- Ubuhlungu besisu nobuhlangene
- Amatshe ezinso
- Ukudideka, ukuguqulwa, noma izinguquko zobuntu
- Isilinganiso senhliziyo esingavamile
- Lapho kunzima, i-coma nokufa
Izimbangela
Kunezimbangela eziningana zezinga eliphezulu le-calcium kubantu abanomdlavuza.
Ezinye zazo zihlanganisa:
- Ukukhululwa kwe-calcium emdlalweni okhula emathanjeni (njengama-myeloma amaningi) noma ukusakazeka komdlavuza emathanjeni
- Ukuvikeleka kwemithi efana ne-hormone ngamangqamuzana omdlavuza okwandisa izinga le-calcium (nge-paraneoplastic syndrome njengesibonelo.) Lezi zinto zenza njenge-hormone ye-parathyroid (i-hormone efihliwe yizigulane ezithandanayo ezihlala ngemuva kwegciwane le-thyroid) futhi zishukumise ukukhululwa kwe-calcium kusuka amathambo
- Ukungasebenzi kwezinso lapho izinso zingasusi i-calcium egazini njengoba zihloselwe ukuzenza
- Ukwehla kwamanzi
Ukwelapha
Ukwelashwa kwe-hypercalcemia kuyahlukahluka kuye ngokuthi i-calcium yakho ephakeme kangakanani, kanye nesizathu. Ngaphandle kokwelapha isisu (esingase sinciphise izinga) ezinye izifo zihlanganisa:
- UV fluids
- I-Steroids
- Imithi yokunciphisa izinga le-calcium njenge-bisphosphonates. I-Calcitonin, i-gallium nitrate, noma i-mithramycin ngezinye izikhathi ingasetshenziswa. Izindlela ezintsha zokwelashwa ziyacutshungulwa (njenge-denosumab) ezibonakala zithembisa ukwelashwa esikhathini esizayo
- I-Dialysis uma i-hypercalcemia inzima kakhulu
Isibikezelo
I-hypercalcemia ingaba yinkimbinkimbi enkulu yomdlavuza (umdlavuza ophakeme kakhulu) kodwa ingaba nokwelashwa kakhulu uma ubanjwa ngokushesha. Ngokuvamile, i-hypercalcemia ihlotshaniswa nokuhlaselwa okubi kakhulu komuntu ophila nomdlavuza, futhi ngokuqondile, kuye kwafunyanwa ukuthi kuhlotshaniswa nokuphila okufishane okuphila kubantu abane nomdlavuza wamaphaphu.
Ukuvimbela
Ukuvimbela i-hypercalcemia yindlela yokwelashwa engcono kakhulu, futhi kukhona izinto ezimbalwa ongazenza ukuze usize ugcine izinga elivamile le-calcium. Ezinye zazo zihlanganisa:
- Hlala kahle kahle, bese ubiza udokotela wakho uma unesihlungulu futhi ungakwazi ukugcina amanzi
- Yenza umsebenzi womzimba ovamile
- Thola okwanele usawoti ekudleni kwakho
Nakuba ukuhlala kahle kahle kungasiza, ukunciphisa inani le-calcium ekudleni okudlayo, njengokugwema imikhiqizo yobisi, akusizi ukuvimbela izinga eliphakeme le-calcium.
Ukuzinakekela
I-hypercalcemia ingenye yezinkinga ezingase zenzeke nomdlavuza . Ukuthatha isikhashana ukufunda ngezibonakaliso eziyisixwayiso esikhathini esithile kungase kube nokukhathazeka okuncane ngezinye izikhathi lapho ubhekene nalezi zimpawu. Hlola ezinye zezimo eziphuthumayo ezingenzeka ngomdlavuza , futhi nini ukubiza 911.
Imithombo
Li, X., Bie, Z., Zhang, Z. et al. Ukuhlaziywa komtholampilo kweziguli ezingu-64 ezine-hypercalcemia ehlobene ne-lung-cancer. Journal of Research Cancer and Therapeutics . 2015. 11 Ukusekela: C275-9.
Lumachi, F. et al. Hypercalcemia ekhishwa umdlavuza. Ucwaningo lwe-Anticancer . 2009. 29 (5): 1551-5.
Maier, M., noS S. Levin. I-hypercalcemia e-Unit Intensive Care: Ukubukezwa Kwe-Pathophysiology, Ukuxilongwa Nokwelashwa Kwamanje. Umbhalo Wezokwelapha Okunakekelwa Okujulile . 2013 Oct 15. (Epub ngaphambi kokuphrinta).
Reagan, P., Rani, A., noMnuz Rosner. Indlela Yokuthola Ukuxilongwa Nokunakekelwa Kwe-Hypercalcemia Esigulini Nge-Malignancy. Umagazini waseMelika wezifo zezinso . 2013 Sep 7. (Epub ngaphambi kokuphrinta).