Momma yɛnhwehwɛ ‘calcium a wontua hwee’ a ɛwɔ wo mogya mu ho asɛm? (Calcium a Wɔde Ion ayɛ) .

Dɛn na wunim fa calcium a ɛwɔ wo nipadua mu no ho? Yɛn nyinaa nim sɛ nnompe ne sẽ hia calcium. Nanso so wunim sɛ calcium bi wɔ mogya no mu a ɛyɛ soronko kakra. Ɛnnɛ yɛrebɛka saa ɔkwan a wɔfrɛ no 'ionized calcium ' no ho asɛm . Eyi di dwuma titiriw wɔ yɛn nipadua mu. Ma yɛnhwɛ nea ɛyɛ, nea enti a ɛho hia, ne nea ɛba sɛ ɛba fam dodo anaasɛ ɛdɔɔso dodo a.

Dɛn ne ‘calcium a wɔde ion ayɛ’?

Sɛ yɛbɛka no tiawa a, calcium a ɛwɔ wo mogya mu no bi rehuruhuruw a ɛnkyekyere protein biara . Saa calcium a enni mu na ɛyɛ adwuma no ne nea yɛfrɛ no ‘ionized calcium’ anaa ‘calcium a enni mu.’ Fa no sɛ, eyi ne calcium a ‘ɛyɛ adwuma’ a ɛyɛ adwuma ankasa wɔ yɛn nipadua mu. Calcium a ɛwɔ wo mogya mu nyinaa mu bɛyɛ fã, anaa bɛyɛ 50% yɛ ionized calcium.

Dɛn na ɛto calcium no fã foforo no? Ɛkyekyere protein ahorow a ɛwɔ mogya no mu, titiriw protein bi a wɔfrɛ no ‘ Albumin ’ . Yɛfrɛ no ‘calcium a wɔakyekyere’ . Saa calcium a wɔakyekyere yi nyɛ adwuma pii, ɛyɛ ‘inactive’ kɛkɛ, a ɛkyerɛ sɛ ɛnyɛ adwuma. Ɛno nti na ɛyɛ calcium a enni mu a ionized a wɔde di dwuma tẽẽ ma yɛn nipadua no dwumadi ahorow no.

Afei hwɛ, calcium a ɛwɔ yɛn nipadua mu nyinaa mu 99% wɔ yɛn nnompe ne yɛn sẽ mu . Yɛn nyinaa nim saa. 1% a aka no redi akɔneaba wɔ mogya no mu . Enti, saa ionized calcium (free calcium) a yɛreka ho asɛm yi yɛ kakraa bi ankasa, bɛyɛ 0.5% wɔ calcium a ɛwɔ nipadua no mu nyinaa mu. Ebia wubesusuw sɛ, ‘Wow, ɛno yɛ sika ketewaa bi saa.’ Nanso, te sɛ chili pepper , saa calcium a wɔde ion ayɛ yi ho hia ma yɛn akwahosan nyinaa. Wunim dɛn?

Saa calcium a wɔde ion ayɛ yi ne yɛn:

• Ɛboa ma ntini ahorow no yɛ adwuma yiye. Eyi ho hia yiye ma nkrasɛm a wɔde bɛkɔ akɔkyinkyin.
• Ɛboa ma ntini no twetwe, a ɛkyerɛ sɛ ɛtwetwe na ɛware, na ɛyɛ adwuma yiye.
• Ɛboa koma no dwumadi a ɛfata ne koma no nnyigyei a ɛyɛ den .
• Mogya a ɛtwetweƐho hia nso ma adeyɛ no. Eyi ho hia na ama mogya atɔ bere a kuru bi wɔ hɔ no.

Susuw sɛnea nneɛma yi ho hia no ho. Enti sɛ ionized calcium dodow a ɛwɔ mogya no mu dɔɔso dodo anaasɛ ɛba fam dodo a, ebetumi akyerɛ sɛ akwahosan ho haw bi wɔ nipadua no mu. Ɛno nti na ɛho hia sɛ wohu eyi no.

Dɛn nti na wɔyɛ saa ‘Ionized Calcium’ sɔhwɛ yi?

Mpɛn pii no, sɛ yɛhwɛ calcium a ɛwɔ mogya no mu a, nnuruyɛfo hwɛ calcium nyinaa, a ɛyɛ calcium a wɔakyekyere ne calcium a enni mu nyinaa dodow. Nanso ɛtɔ mmere bi a, wopɛ sɛ wuhu calcium a enni mu na ɛyɛ adwuma dodow pɔtee a wowɔ. Ɛno ne bere a wɔyɛ saa ‘ionized calcium’ sɔhwɛ yi . Ɛsusuw calcium a enni mu na ɛyɛ adwuma dodow nkutoo.

Sɛ wɔbɛyɛ nhwehwɛmu yi a, wobegye mogya ketewaa bi afi wo nsam. Ɛno ne no.

Afei ma yɛnhwɛ tebea horow a oduruyɛfo betumi abisa sɛ wɔnyɛ ionized calcium nhwehwɛmu wɔ mu:

• Sɛ wo mogya mu protein dodow (titiriw albumin) nyɛ nea ɛfata a . Efisɛ sɛ albumin kɔ soro anaasɛ ɛso tew a, calcium dodow a ɛwɔ mu nyinaa betumi asesa, nanso calcium dodow a ionized no nkutoo ne ɔkwan a yɛbɛfa so ate tebea ankasa no ase.
• Sɛ woyare kɛse na ɛsɛ sɛ wɔma wo nsu a wɔde fa IV mu (nsu te sɛ nkyene a wɔde gu abasa mu) a . Eyi ho hia na ama wɔahwɛ sɛnea nipadua no kari pɛ wɔ yare a emu yɛ den mu.
• If you are going to undergo major surgery , ɛho hia sɛ wohwɛ saa dodow yi so ansa na wɔayɛ wo oprehyɛn ne bere a woayɛ no oprehyɛn akyi.
• Sɛ wɔama wo mogya a , nneɛma bi a ɛwɔ mogya a wɔde ama no mu betumi ama nsakrae aba calcium dodow mu.
• Sɛ wonyinsɛn na wuhia sɛ wɔhwɛ mmofra a wɔawo wo foforo so a .
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wowɔ dwensɔtwaa mu yare a emu yɛ den a . Calcium dodow nya dwensɔtwaa mu haw ahorow so nkɛntɛnso.
• Sɛ wususuw sɛ wowɔ parathyroid yare bi a , saa ntini ahorow yi yɛ nkwaadɔm a ɛhwɛ calcium so.

Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no?

Ahosiesie kakra wɔ hɔ a ɛsɛ sɛ woyɛ ansa na woakɔ saa ionized calcium sɔhwɛ yi.

• Wɔtaa ka kyerɛ wo sɛ nnidi anaa nnom biribiara bɛyɛ nnɔnhwerew asia (6) ansa na wɔayɛ sɔhwɛ no . Ɛnyɛ hwee sɛ wobɛnom nsu kakra. Nea enti a ɛte saa ne sɛ nneɛma dodow a ɛwɔ mogya no mu betumi asesa kakra a egyina aduan a yedi so, na ɛma ɛyɛ den sɛ yebenya akenkan a edi mu.
• Afei nso, ɛsɛ sɛ woka nnuru, vitamin, ne nnuru a wɔde ka ho a worenom nyinaa kyerɛ wo duruyɛfo . Nnuru bi betumi aka nea efi sɔhwɛ yi mu ba no. Sɛ saa a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.Nanso kae sɛ, nnyae w’aduru nom da a wunnya wo duruyɛfo afotu.

Dɛn na calcium dodow a ionized no kyerɛ?

Sɛ wo duruyɛfo hwɛ wo calcium dodow a ionized wom a, obetumi ate w’akwahosan ho nsɛm pii ase. Sɛ nhwɛso no, ebetumi aboa ma wɔahu aduruyɛ mu tebea horow te sɛ dwensɔtwaa mu yare, asaabo mu yare, ne parathyroid ntini mu yare .

Sɛ wo ionized calcium dodow wɔ baabi a ɛfata a, ɛkyerɛ sɛ wo nipadua no dwumadi ahorow a ɛfa calcium ho no reyɛ adwuma yiye.

Ɛha na ionized calcium dodow a ɛfata ni (saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu, enti hwɛ dodow a ɛfata wɔ w’amanneɛbɔ no so):

• Abofra a wɔawo no foforo: 4.8 – 5.5 mg/dL (miligram wɔ desilita biara mu) .
• Wɔ mmofra fam no: 4.8 – 5.3 mg/dL
• Mpanyimfo: 4.6 – 5.3 mg/dL

Sɛ ionized calcium so tew a, dɛn na ɛba? (Hypocalcemia) .

Sɛ wo mogya mu ionized calcium dodow sua a, yɛfrɛ no wɔ aduruyɛ mu sɛ ‘hypocalcemia’ . Eyi betumi akyerɛ sɛ wowɔ akwahosan ho haw bi.

Dɛn ne nea enti a ɛso tew?

Nneɛma atitiriw pii nti na ebia calcium a ionized dodow so bɛtew:

• Hypoparathyroidism: Eyi kyerɛ sɛ wo parathyroid ntini no ntumi nyɛ parathyroid hormone (PTH) a ɛdɔɔso, hormone a ɛhwɛ calcium dodow a ɛwɔ mogya no mu so.
• Pancreatitis: Ɔfre a ɛyɛ yaw wɔ dwensɔtwaa mu.
• Malabsorption: Nipadua no nnye calcium mfi nnuan a wudi mu yiye.
• Rickets: Yare a mmofra nnompe yɛ mmerɛw, na vitamin D a wonni titiriw na ɛde ba.
• Asaabo a entumi nyɛ adwuma yiye: Sɛ asaabo no gyae adwumayɛ yiye a, calcium nhyehyɛe no sɛe.
• Vitamin D a enni nipadua no mu: Vitamin D ho hia na nipadua no atumi atwe calcium. Sɛ wunni nea ɛdɔɔso a, ebia wo calcium dodow so bɛtew.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ calcium dodow sua?

Sɛ ionized calcium dodow sua (Hypocalcemia) a, sɛnkyerɛnne ahorow betumi aba. Ɛnyɛ obiara na obenya saa sɛnkyerɛnne ahorow yi nyinaa, na ebia nnipa binom benya biako anaa abien.

• Ntini a ɛtwetwe anaa ɛtwetwe (Muscle cramps).
• Kesereneeyɛ.
• Nkae a ɛyera.
• Nnadewa a ɛyɛ mmerɛw na ɛyɛ mmerɛw.
• Akwaa a ɛyɛ mmerɛw na ɛyɛ mmerɛw wɔ akwaa no mu.
• Hahaahayɔ.

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Ɔkwan bɛn so na wɔsa tebea yi?

Sɛ wo ionized calcium dodow sua a, wo duruyɛfo bɛkyerɛ nea ɛde ba na wakyerɛw ayaresa ama wo sɛnea ɛfata. Ayaresa ahorow bi a wɔtaa yɛ ni:

• Calcium a wɔde ka ho: Wɔde calcium ma wɔ aduru anaa nsu mu.
• Vitamin D a wɔde ma: Boa nipadua no ma ɛtwe calcium.
• Calcium gluconate a wɔde twitwiw nipadua no mu: Sɛ calcium dodow sua koraa a, wɔde saa aduru yi ma na ama akɔ soro ntɛmntɛm.
• Parathyroid hormone (PTH) a wɔde besi ananmu: Sɛ wowɔ hypoparathyroidism a, wobetumi de saa ayaresa yi ama.

Nea ɛka saa ayaresa yi ho no, ɛho hia sɛ wɔsa aduruyɛ mu tebea a ɛda adi a ɛde calcium a enni nipadua no mu bae no.

Sɛ ionized calcium kɔ soro a, dɛn na ɛba? (Hypercalcemia) .

Sɛ ionized calcium dodow a ɛwɔ mogya no mu no kɔ soro dodo a, yɛfrɛ no ‘hypercalcemia.’ Eyi nso yɛ tebea a akwahosan ho haw ahorow bi betumi de aba.

Dɛn ne nneɛma a ɛde nkɔanim no aba?

Nneɛma pii nti na calcium a wɔde ion ayɛ no tumi kɔ soro:

• Hyperthyroidism: Thyroid ntini a ɛyɛ adwuma boro so.
• Hyperparathyroidism: Parathyroid hormone (PTH) a parathyroid ntini ahorow no yɛ dodo. Eyi ne ade titiriw a ɛde hypercalcemia ba.
• Paget’s disease of the bone: Yare a ɛma nnompe mu ntini bubu na ɛsan nyin dodo.
• Thrombocytosis: Ntini a ɛma mogya mu nkwammoaa a ɛwɔ mogya mu no dodow kɔ soro.
• Sarcoidosis: Tebea a ɛma akuru nketenkete a wɔfrɛ no granulomas ba nipadua no afã horow .
• Multiple Myeloma: Mogya mu kokoram a ɛntaa nsi.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ calcium dɔɔso?

Sɛ ionized calcium dodow kɔ soro (Hypercalcemia) a, sɛnkyerɛnne ahorow betumi aba:

• Nsu a wɔtaa tow.
• Ntini mu yaw anaasɛ ɛyɛ mmerɛw.
• Akisikuru ne ɔfe.
• Ti a ɛyɛ yaw.
• Ɔbrɛ.
• Nnompe mu yaw.
• Ayamtim.
• Nkae a ɛyera.
• Hahaahayɔ.
• Aduan ho akɔnnɔ a ɛyera.

Nea ɛho hia: Ɛtɔ mmere bi a calcium dodow a ɛkɔ soro yiye betumi ayɛ aduruyɛ mu asɛm a egye ntɛmpɛ, enti hwɛ saa sɛnkyerɛnne ahorow yi yiye.

Ɔkwan bɛn so na wobetumi asiesie eyi?

Ayaresa a wɔde sa calcium a ionized a ɛkɔ soro no gyina nea ɛde ba no so. Ayaresa ahorow pii wɔ hɔ a wobetumi apaw:

• Calcimimetics: Saa nnuru yi boa ma wodi parathyroid ntini a ɛyɛ adwuma boro so no so.
• Calcitonin a wɔde ma: Ɛboa ma wɔhwɛ calcium dodow a ɛwɔ mogya no mu so.
• Bisphosphonates: Eyinom yɛ nnuru a wɔde sa nnompe mu yare (nnompe a ɛyɛ teateaa). Wɔde di dwuma nso de tew hypercalcemia a kokoram de ba no so.
• Denosumab: Wɔde eyi di dwuma ma nnipa a wɔnyɛ bisphosphonates ho adwuma.
• Prednisone: Sɛ vitamin D dodow a ɛkɔ soro na ɛde hypercalcemia ba a, wɔde saa steroid yi ma.
• Nsu a wɔde fa IV mu (nkyene a wɔde fa ntini mu): Wɔde saa ayaresa yi ma wɔ tebea a egye ntɛmpɛ mu sɛ hypercalcemia no mu yɛ den a.
• Parathyroidectomy: Oprehyɛn a wɔde yi ntini a asɛe no fi parathyroid ntini no mu.

Nea ɛka ho no, oduruyɛfo no bɛkyerɛw yare a ɛda adi a ɛde wo tebea no bae no nso.

Awiei koraa no, nea ɛsɛ sɛ wuhu

Ebia woate sɛnea saa calcium a wɔde ion ayɛ yi ho hia ma yɛn akwahosan no ase mprempren. Sɛ́ ɛdɔɔso dodo anaasɛ ɛsua dodo wɔ mogya no mu no, yɛn nipadua no ntumi nyɛ adwuma yiye.

Ionized calcium nhwehwɛmu nkutoo ntumi nkyerɛ wo yare a wowɔ no pɛpɛɛpɛ. Nanso, ɛma wo duruyɛfo nya w’akwahosan ho nsɛm a ɛsom bo pii. Sɛ ɔde saa nsɛm no di dwuma a, obetumi ama woahu yare no pɛpɛɛpɛ na wafi ayaresa a ɛho hia ase.

Enti, sɛ wowɔ nsɛmmisa anaasɛ w’adwene mu yɛ wo naa wɔ eyi ho a, nfɛre na wo ne wo duruyɛfo nkasa . Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo. Kɔ so nya apɔwmuden!

` Ionized calcium, calcium, mogya mu nhwehwɛmu, hypocalcemia, hypercalcemia, akwahosan, sɛnkyerɛnne