Ciwon Milk-alkali

Ciwan Milk-alkali wani yanayi ne wanda a cikin sa akwai babban matakin alli a jiki (hypercalcemia). Wannan yana haifar da jujjuyawar sinadarin acid / tushe na jiki zuwa alkaline (alkalos na rayuwa). A sakamakon haka, ana iya samun asarar aikin koda.

Ciwan madara-alkali kusan ana haifar da shi ne ta hanyar shan ƙwayoyin alli da yawa, yawanci a cikin irin alli. Calcium carbonate shine ƙarin alli na yau da kullun. Ana shan shi sau da yawa don hana ko magance zubar kashi (osteoporosis). Calcium carbonate shima wani sinadari ne wanda ake samu a cikin maganin kashe kwayoyin cuta (kamar su Tums).

Babban matakin bitamin D a cikin jiki, kamar daga shan ƙarin, na iya ƙara ciwo na madara-alkali.

Adadin ƙwayoyin calcium a cikin kodan da cikin sauran kyallen takarda na iya faruwa a cikin ciwo na madara-alkali.

A farkon, yanayin yawanci bashi da alamun bayyanar cututtuka (asymptomatic). Lokacin da bayyanar cututtuka ta faru, zasu iya haɗawa da:

• Baya, tsakiyar jiki, da ƙananan ciwon baya a yankin koda (mai alaƙa da duwatsun koda)
• Rikicewa, bakon hali
• Maƙarƙashiya
• Bacin rai
• Yawan fitsari
• Gajiya
• Bugun zuciya ba daidai ba (arrhythmia)
• Tashin zuciya ko amai
• Sauran matsalolin da kan iya haifar da gazawar koda

Ana iya ganin alamun kalsiyam a cikin ƙwayar koda (nephrocalcinosis) akan:

• X-haskoki
• CT dubawa
• Duban dan tayi

Sauran gwaje-gwajen da aka yi amfani da su don gano asali na iya haɗawa da:

• Matakan lantarki don bincika matakan ma'adinai a jiki
• Electrocardiogram (ECG) don bincika aikin lantarki na zuciya
• Electroencephalogram (EEG) don auna aikin lantarki na kwakwalwa
• Adadin tacewar Glomerular (GFR) dan a duba yadda kodan suke aiki sosai
• Matakan alli na jini

A cikin mummunan yanayi, magani ya haɗa da bayar da ruwa ta cikin jijiya (ta hanyar IV). In ba haka ba, magani ya haɗa da shan ruwan sha tare da ragewa ko dakatar da ƙarin ƙwayoyin alli da maganin kashe kumburi wanda ke ɗauke da alli. Ana kuma bukatar a rage ko a dakatar da kari na Vitamin D.

Wannan yanayin sau da yawa ana iya juyawa idan aikin koda ya kasance na al'ada. Aukaka tsawan lokuta na iya haifar da gazawar koda na dindindin da ke buƙatar dialysis.

Mafi yawan rikice-rikice sun haɗa da:

• Adadin alli a cikin kyallen takarda (calcinosis)
• Rashin koda
• Dutse na koda

Tuntuɓi mai ba da kiwon lafiya idan:

• Kuna shan yawancin abubuwan amfani na alli ko kuma sau da yawa kuna amfani da antacids wanda ke dauke da alli, kamar Tums. Kuna iya buƙatar bincika ku don cutar madara-alkali.
• Kuna da kowane alamun da zai iya ba da shawarar matsalolin koda.

Idan kayi amfani da antacids mai dauke da alli sau da yawa, gaya wa mai baka game da matsalolin narkewar abinci. Idan kuna ƙoƙarin hana cutar sanyin ƙashi, kar a sha fiye da gram 1.2 (milligrams 1200) na kalsiyama a kowace rana sai dai in mai bayarwa ya umurce ku.

Calcium-alkali ciwo; Ciwon rashin lafiya; Rashin ciwo na Burnett; Hypercalcemia; Rashin ƙwayar ƙwayar ƙwayar ƙwayar cuta

Bringhurst FR, Demay MB, Kronenberg HM. Hormones da rikicewar rikicewar ma'adinai. A cikin: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 29.

DuBose TD. Alkalosis na rayuwa. A cikin: Gilbert SJ, Weiner DE, eds. Gidauniyar Gidauniyar Koda ta Farko a kan Cututtukan Koda. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 14.