Sɛ yɛdwene calcium ho a, yɛdwen nnompe a ɛyɛ den ne sẽ a ɛte apɔw ho, ɛnte saa? Calcium yɛ aduannuru a ɛho hia ma yɛn nipadua ankasa. Nanso so wunim sɛ, te sɛ biribiara a ɛdɔɔso dodo no, calcium a ɛdɔɔso dodo wɔ yɛn mogya mu nso betumi de akwahosan ho haw ahorow bi aba? Mpɛn pii no, tebea yi betumi aba a enni sɛnkyerɛnne biara wɔ ne mfiase. Ɛnnɛ, yɛbɛka calcium a ɛkɔ soro yi wɔ mogya mu, anaa sɛnea wɔfrɛ no wɔ aduruyɛ mu no, hypercalcemia ho asɛm.
Dɛn nti na calcium a ɛwɔ mogya no mu no kɔ soro saa?
Mpɛn pii no, yɛn nipadua no tumi di calcium dodow a ɛwɔ yɛn mogya mu no so yiye. Hormone ahorow pii boa wɔ eyi mu. Nanso, nneɛma bɛboro 25 na ɛwɔ hɔ, te sɛ nyarewa bi, nnuru, asaabo mu haw, anaa nsu a ɛho nhia, a ebetumi ama saa tumidi yi ayera na yɛn mogya mu calcium dodow akɔ soro. Ma yɛnhwɛ nneɛma atitiriw bi a enti ɛte saa.
Parathyroid ntini no dwumadi a ɛkɔ soro (Hyperparathyroidism) .
Eyi
ne ade titiriw a ɛtaa ma mogya mu calcium dɔɔso. Nokwarem no, eyi na ɛde bɛyɛ 90% ba `Hypercalcemia`. Ntini nketewa anan a ɛte sɛ nnompe a yɛfrɛ no parathyroid ntini wɔ yɛn kɔn mu no akyi. Eyinom na ɛma parathyroid hormone `(Parathyroid Hormone - PTH).` Saa hormone yi boa ma wɔhwɛ calcium dodow a ɛwɔ mogya no mu so. Wɔ `Hyperparathyroidism` mu no, saa ntini yi mu biako anaa nea ɛboro saa yɛ adwuma boro so na ɛkɔ so yɛ `PTH` hormone a ɛnhwɛ sɛnea calcium dodow wɔ mogya no mu. Afei calcium dodow a ɛwɔ mogya no mu no kɔ soro wɔ ɔkwan a ɛnteɛ so. Saa tebea yi abu so titiriw wɔ mmea a wɔagyae brayɛ akyi.
Nnuru bi a wonom
Nnuru ne aduannuru bi a wonom nso betumi ama calcium dodow a ɛwɔ wo mogya mu no akɔ soro.
| Nnuru/Nnuru a Wɔde Ka Ho Ahorow | Nkyerɛmu |
|---|
| Hydrochlorothiazide a wɔde yɛ aduru | Aduru a ɛma mogya tu a wɔde sa mogya mmoroso ne nipadua no a ɛho ahonhon. |
| Lithium a wɔde yɛ nneɛma | Aduru a wɔde sa adwenemyare bi. |
| Vitamin A ne Vitamin D a ɛwɔ nipadua no mu | Sɛ obi nom eyinom pii (Hypervitaminosis D) a, ebetumi ama calcium dodow akɔ soro. |
| Calcium a wɔde ma ne nnuru a ekum asikre | Calcium aduru ne nnuru bi a wɔde sa yafunu mu yare (te sɛ Tums, Rolaids) a wɔnom boro so. |
Kokoram
Ahurututu, nufu, anaa mogya mu kokoram ahorow bi nso betumi ama calcium a ɛwɔ mogya mu akɔ soro. Eyi betumi afi kokoram nkwammoaa a ɛtrɛw kɔ nnompe mu (bone metastases) anaasɛ nkwaadɔm a kokoram ahorow bi de ba no.
Nneɛma afoforo a ɛnyɛ nea ɛde ba
Dɛn ne eyi ho sɛnkyerɛnne?
Sɛ wowɔ hypercalcemia a ɛnyɛ den a, ebia worennya yare no ho sɛnkyerɛnne biara. Nanso sɛ tebea no mu yɛ den a, ebetumi aka wo nipadua no afã horow pii. Hwɛ yiye wɔ saa sɛnkyerɛnne ahorow yi ho.
- Nsu a wɔtaa tow
- Sukɔm a wɔtee nka wɔ ɔkwan soronko so
- Ɔbrɛ ne mmerɛwyɛ wɔ nipadua no mu
- Nnompe mu yaw
- Tipaeɛ
- Akisikuru ne ɔfe
- Ayamtim
- Akɔnnɔ
- Ntini mu yaw, ɛyɛ den, anaasɛ ɛtwetwe
- Wo werɛ fi ne adwene mu basaayɛ
- Adwenemhaw ne crankiness
Sɛ wokɔ so nya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
Dɛn ne nsɛnnennen a calcium a ɛkɔ soro de ba?
Calcium a ɛdɔɔso wɔ mogya mu bere tenten no betumi de akwahosan ho haw ahorow pii a emu yɛ den aba.
- Nnompe mu yare: Wɔ tebea horow te sɛ hyperparathyroidism mu no, calcium pii fi nnompe no mu kɔ mogya no mu. Eyi ma nnompe no yɛ teateaa, ɛyɛ mmerɛw, na ɛnyɛ den sɛ ebebubu. Wɔfrɛ eyi nnompe mu yare.
- Asaabo mu abo: Sɛ calcium dodow a ɛwɔ nsu mu no kɔ soro a, ebetumi aboaboa ano na ayɛ abo nketenkete wɔ asaabo no mu. Saa abo yi betumi ama obi ate yaw kɛse bere a ɛnam nsu a ɛkɔ nsu mu no so no.
- Asaabo a entumi nyɛ adwuma yiye: Calcium dodow a ɛkɔ soro no ka asaabo no dwumadi tẽẽ. Eyi betumi atew tumi a wotumi tew mogya no ho na woyi nwura fi hɔ no so, na ebetumi ama asaabo mpo ayɛ adwuma yiye.
- Nkɛntɛnso a enya wɔ amemene no dwumadi so: Calcium a ɛkɔ soro wɔ mogya mu no betumi aka ntini ahorow no, na wosusuw sɛ ebetumi aka nkae. Ebetumi de tebea horow te sɛ adwene a ɛyɛ basaa, adwenemhaw, ne sɛ emu yɛ den mpo a, obi bɛda komayam.
- Komayare: Calcium dodow a ɛkɔ soro wɔ ɔkwan a ɛnteɛ so no betumi asɛe koma no anyinam ahoɔden nsɛnkyerɛnne, na ama koma no bɔ a ɛnteɛ (arrhythmia).
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Esiane sɛ mpɛn pii no, sɛnkyerɛnne biara nni hɔ a ɛda adi pefee nti, wohu tebea yi wɔ akwanhyia mu bere a wɔreyɛ wo mogya mu nhwehwɛmu a ntease foforo nti na woreyɛ no. Sɛ wo duruyɛfo susuw sɛ yare no ho sɛnkyerɛnne no wɔ hɔ a, ɔbɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mfa nhwɛ sɛnea calcium dɔɔso wɔ wo mu. Saa mogya mu nhwehwɛmu yi nso betumi ahwɛ sɛnea wo parathyroid hormone (PTH) dodow te. Ɛnyɛ den sɛ eyi betumi aboa ma wɔahu hyperparathyroidism. Nea ɛka ho no, wobetumi ayɛ sɔhwɛ ahorow a edidi so yi de ahu nea ɛde ba:
- Mogya mu nhwehwɛmu de hwɛ vitamin D dodow
- Nnompe mu duru ho sɔhwɛ
- Ultrasound scan a wɔde hwɛ sɛ asaabo mu abo wɔ hɔ anaa
- Wobetumi asɔ nsu a wɔde yɛ nhwehwɛmu ahwɛ de ahu calcium dodow a ɛkɔ nsu no mu ne sɛnea asaabo no reyɛ adwuma yiye.
Sɛ wosusuw sɛ ade foforo bi te sɛ kokoram de ba a, oduruyɛfo no nso betumi ahyɛ sɛ wɔnyɛ mfonini mu nhwehwɛmu te sɛ X-ray, MRI, anaa CT scan.
Ɔkwan bɛn so na wɔsa?
Ayaresa nhyehyɛe no begyina sɛnea wo hypercalcemia no mu yɛ den ne nea ɛde ba no so.
Sɛ tebea no nyɛ den (Mild Hypercalcemia): Ebia wo duruyɛfo besi gyinae sɛ ɔrensa wo yare, na mmom ɔbɛhwɛ wo calcium dodow so daa. Obetumi nso akamfo nea edidi so yi akyerɛ:
- Nom nsu pii.
- Gyae anaa sesa nnuru bi a wonom, te sɛ nnuru a ɛma wo ho yɛ hyew.
- Gyae nnuru a ekum asikre a calcium wom nom.
- Gyae nnuru a wɔde ma calcium a wobɛnom.
Sɛ tebea no mu yɛ den (Severe Hypercalcemia): Wɔ eyi mu no, ebia ebehia sɛ wode wo ho to nnuru anaa oprehyɛn so.
- Nnuru: Wo duruyɛfo betumi akyerɛw nnuru te sɛ `Cinacalcet (Sensipar),` hormone `Calcitonin` a wonya fi salmon mu, steroids te sɛ `Prednisone` ma tebea horow a vitamin D a ɛkɔ soro de ba, ne `Bisphosphonates` ne `Denosumab (Prolia, Xgeva)` ama nnompe mu mmerɛwyɛ a kokoram de ba.
- Oprehyɛn: Sɛ parathyroid ntini a ɛyɛ adwuma boro so na ɛde wo hypercalcemia ba a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi ntini anaa ntini a ɛka wo no.
Nneɛma kakraa bi bio a ɛsɛ sɛ wuhu
W'akwahosan tebea wɔ `Hypercalcemia` ho no gyina sɛnea yare no mu yɛ den ne nea ɛde ba no so. Sɛ tebea no mu nyɛ den a, ebia nsɛnnennen foforo biara remma. Wubetumi ahwɛ wo calcium dodow so denam wo duruyɛfo akwankyerɛ a wubedi akyi no so. Nanso, sɛ tebea no mu yɛ den a, wobegyina nea ɛde ba no so ayɛ ayaresa ho nhyehyɛe. Sɛ nea ɛde ba ne kokoram a, ebia ebehia sɛ wɔde wo kɔ ayaresabea ma wɔde nsu a wɔde fa ntini mu (IV nsu) ne ayaresa afoforo. Bere a wontumi nsiw `Hypercalcemia` a aduruyɛ mu tebea afoforo te sɛ kokoram de ba no ano no, nneɛma pii wɔ hɔ a wubetumi ayɛ de ahyɛ calcium dodow a ɛwɔ wo mogya mu no so.
- Sɛ obi wɔ w’abusua mu wɔ abakɔsɛm a ɛkyerɛ sɛ ɔwɔ hyperparathyroidism, asaabo mu abo, anaa calcium dodow a ɛkɔ soro a, ka ho asɛm kyerɛ wo duruyɛfo.
- Mfa nnuru a ɛma calcium anaa nnuru a ekum asikre a calcium wom da a wonkɔ oduruyɛfo nkyɛn .
- Bere nyinaa kɔ oduruyɛfo nkyɛn ansa na woanom vitamin, mineral, anaa nnuru foforo biara a wɔde ka aduan ho.
Nkrasɛm a Wɔde Kɔ Fie
- Hypercalcemia yɛ calcium dodow a ɛkɔ soro wɔ mogya no mu. Mpɛn pii no, sɛnkyerɛnne biara nni hɔ a ɛda adi pefee wɔ mfiase no mu.
- Nea ɛde eyi ba titiriw ne hyperparathyroidism, nanso ebetumi afi nnuru ne tebea horow bi te sɛ kokoram nso mu aba.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ sukɔm a wotaa de wo, wotaa tow wo ho, mmerɛwyɛ, ne nnompe mu yaw a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Mfa calcium anaa vitamin D a wɔde ma da a wunni aduruyɛfo afotu.
- Ɔkwan a wɔfa so sa yare no gyina sɛnea yare no mu yɛ den ne aduruyɛ tebea a ɛde ba no so.
Hypercalcemia, calcium, calcium a ɛdɔɔso, calcium a ɛwɔ mogya mu, parathyroid, asaabo mu abo, nnompe mu yaw
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