Ọrịa Milk-alkali

Ọrịa Milk-alkali bụ ọnọdụ nke nwere nnukwu calcium na ahụ (hypercalcemia). Nke a na - ebute ngbanwe nke mmiri acid / isi na alkaline (metabolic alkalosis). N'ihi ya, enwere ike ịnwe ọnwụ nke akụrụ.

A na-enwekarị ọrịa Milk-alkali mgbe niile site na ị manyụ ọtụtụ mgbakwunye calcium, na-abụkarị n'ụdị calcium carbonate. Calcium carbonate bụ ihe mgbakwunye calcium nkịtị. A na-ewerekarị ya iji gbochie ma ọ bụ mesoo ọkpụkpụ ọkpụkpụ (osteoporosis). Calcium carbonate bụkwa ihe dị na antacids (dị ka Tums).

Nnukwu vitamin D n'ime ahụ, dị ka ịnara ihe mgbakwunye, nwere ike ịkawanye ọrịa mmiri ara ehi-alkali.

Calcium na-edebe akụrụ na anụ ahụ ndị ọzọ nwere ike ịpụta na mmiri ara ehi-alkali syndrome.

Na mbido, ọnọdụ ahụ anaghị enwekarị mgbaàmà (asymptomatic). Mgbe mgbaàmà na-eme, ha nwere ike ịgụnye:

• Azu, etiti ahu, na obere ihe mgbu na mpaghara akụrụ (metụtara nkume akụrụ)
• Mgbagha, omume iju
• Afọ ntachi
• Nsogbu
• Urinmacha mamịrị
• Ike ọgwụgwụ
• Oge ufodu obi (arrhythmia)
• Nausea ma ọ bụ vomiting
• Nsogbu ndị ọzọ nwere ike ibute akụrụ akụrụ

A na - ahụ ka a na - edochi kalshi n’ime anụ ahụ akụrụ (nephrocalcinosis) na:

• X-ụzarị
• Nyocha CT
• Ultrasound

Nyocha ndị ọzọ ejiri mee nchọpụta nwere ike ịgụnye:

• Electrolyte ọkwa iji chọpụta ọkwa ịnweta n'ime ahụ
• Electrocardiogram (ECG) iji nyochaa ọrụ eletriki nke obi
• Electroencephalogram (EEG) iji tụọ ọrụ eletriki nke ụbụrụ
• Glomerular filtration rate (GFR) iji chọpụta etu akụrụ si arụ ọrụ nke ọma
• Ọkwa calcium n'ọbara

N'okwu ndị siri ike, ọgwụgwọ gụnyere inye mmiri mmiri site na akwara (site na IV). Ma ọ bụghị ya, ọgwụgwọ gụnyere ị drinkingụ mmiri mmiri yana ibelata ma ọ bụ ịkwụsị mgbakwunye calcium na antacids nwere calcium. Ihe mgbakwunye Vitamin D kwesịkwara ibelata ma ọ bụ kwụsị.

Ọnọdụ a na-agbanwe agbanwe ma ọ bụrụ na ọrụ akụrụ na-adịgide. Nnukwu okwu ikpe dị ogologo nwere ike ibute ọdịda akụrụ na-adịgide adịgide chọrọ dialysis.

Nsogbu ndị kachasị emetụta gụnyere:

• Calcium na-edebe na anụ ahụ (calcinosis)
• Akụrụ ọdịda
• Nkume akụrụ

Kpọtụrụ onye nlekọta ahụike gị ma ọ bụrụ:

• Na-ewere ọtụtụ ihe mgbakwunye calcium ma ọ bụ na ị na-ejikarị antacids nwere calcium, dị ka Tums. Nwere ike nyochaa maka mmiri ara ehi-alkali syndrome.
• Have nwere mgbaàmà ọ bụla nke nwere ike ịpụta na nsogbu akụrụ.

Ọ bụrụ na ị na-eji ọgwụ antacids nwere calcium mgbe niile, gwa onye na-enye gị nsogbu gbasara nri. Ọ bụrụ na ị na-anwa igbochi osteoporosis, anarala ihe karịrị 1.2 gram (1200 milligrams) nke calcium kwa ụbọchị belụsọ na ndị nyere gị nyere gị ndụmọdụ.

Ọrịa Calcium-alkali; Ọrịa Cope; Ọrịa Burnett; Hypercalcemia; Nsogbu metabolism nke calcium

Bringhurst FR, Demay MB, Kronenberg HM. Hormon na nsogbu nke ịnweta metabolism. Na: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 29.

DuBose TD. Metabol alkalosis. N'ime: Gilbert SJ, Weiner DE, eds. Nchịkọta National Kidney Foundation na Ọrịa Akụrụ. Nke 7. Philadelphia, PA: Elsevier; 2018: isi 14.