Yɛn nyinaa nim sɛ calcium ho hia ma nnompe ne sẽ a ɛyɛ den. Nanso so wunim sɛ calcium a ɛwɔ yɛn nnompe mu akyi no, calcium a ɛwɔ yɛn mogya mu no nso ho hia yiye ma yɛn nipadua no dwumadi pii? Sɛ calcium dodow a ɛwɔ mogya yi mu no sua sen sɛnea ɛte daa a, yɛfrɛ no hypocalcemia. Eyi betumi de ɔhaw ahorow a wonhwɛ kwan aba. Enti momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne hypocalcemia?
Hypocalcemia yɛ bere a wo mogya mu calcium dodow sua dodo. Ɛnyɛ yɛn nnompe ne yɛn sẽ nko na calcium ho hia, na mmom ɛho hia nso ma mogya ntini no twetwe na ɛtrɛw, ntini mu nkate a ɛkɔ nipadua no mu, mogya a ɛtwetwe, ne ntini ahorow no yɛ adwuma. Mpɛn pii no, yɛn nipadua no hwɛ calcium dodow yi so yiye. Nnuru atitiriw abiɛsa boa wɔ eyi mu: parathyroid hormone (PTH), calcitonin, ne vitamin D. Mpɛn pii no, ɛsɛ sɛ ɔpanyin mogya mu calcium dodow yɛ 8.5 kosi 10.2 mg/dL (milligrams/deciliter). Nanso, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu. Wɔ mmofra ne mmerante ne mmabaa a wɔadu mpanyin afe so mu no, saa bo yi korɔn kakra. Sɛ calcium dodow a ɛwɔ wo mogya mu amanneɛbɔ mu no sua sen dodow a ɛfata yi a, ɛno ne hypocalcemia.
Dɛn nti na eyi ba? Dɛn ne nneɛma a ɛde hypocalcemia ba?
Saa tebea yi taa ba bere a wo nipadua no hwere calcium pii wɔ wo nsu mu anaasɛ bere a wo nnompe ntumi nyi calcium a ɛdɔɔso nkɔ wo mogya mu no. Momma yɛnhwɛ nneɛma atitiriw a ɛde ba.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|
| Hypoparathyroidism a ɛma mogya tu | Parathyroid ntini no yɛ ntini nketewa anan a ɛwɔ thyroid ntini no akyi wɔ yɛn kɔn mu. Eyinom na ɛma wonya hormone PTH a ɛhwɛ calcium so no. Sɛ saa ntini ahorow yi sɛe bere a wɔreyɛ biribi te sɛ thyroid oprehyɛn a, PTH dodow so tew na calcium dodow a ɛwɔ mogya no mu no so tew. |
| Vitamin D a enni nipadua mu | Vitamin D te sɛ adamfo a ɔboa nipadua no ma ɛtwe calcium. Sɛ wunnya vitamin D a ɛdɔɔso mfi owia hann, aduan, anaa nnuru mu a, calcium a ɛtwetwe no so tew na calcium dodow a ɛwɔ mogya mu no so tew. |
| Asaabo mu yare a enni sabea | Sɛ asaabo no ntumi nyɛ adwuma yiye a, ɛbɛyɛ den ama nipadua no sɛ ɛde vitamin D bedi dwuma. Afei nso, mineral bi a wɔfrɛ no phosphorus boaboa ano wɔ mogya no mu. Saa ɔhaw ahorow yi betumi ama calcium dodow akɔ fam. |
| Nneɛma afoforo nti | - Magnesium dodow a ɛnteɛ: Magnesium dodow anaa kakraa bi betumi aka calcium dodow.
- Pancreatitis : Saa tebea yi betumi afi nsa a wɔnom boro so anaasɛ akisikuru mu abo na ebetumi ama calcium dodow akɔ fam.
- Nnuru bi: Ebetumi nso afi nnuru a wɔde sa akisikuru, nnuru bi a ekum ɔyare mmoawa , ne nnuru a wɔde sa nnompe mu kokoram.
- Nyinsɛn: Ɛtɔ mmere bi a, aduannuru a enni nipadua mu anaasɛ ɔfe a ɛboro so betumi afi tebea yi mu aba .
- Nyarewa a emu yɛ den: Calcium dodow betumi akɔ fam wɔ nyarewa a emu yɛ den a ɛtrɛw wɔ nipadua no mu nyinaa te sɛ sepsis .
|
Dɛn ne hypocalcemia ho sɛnkyerɛnne ahorow?
Ɛtɔ da bi a, ebia worennya yareɛ no ho sɛnkyerɛnne biara, nanso ɛtɔ da bi a, saa tebea yi tumi yɛ den paa na ɛde wo nkwa to asiane mu.
Nsɛnkyerɛnne a emu nyɛ den
- Ntini a ɛyɛ mmerɛw wɔ akyi ne nan mu
- Wora a ɛyɛ nwunu na ɛyɛ mmerɛw
- Nwi a ɛreyɛ kɛse sen sɛnea ɛtaa yɛ
- Nnadewa bubu ntɛmntɛm
Nsɛnkyerɛnne a ebetumi aba bere a tebea no mu yɛ den no
- Anofafa , tɛkrɛma, nsateaa ano, anaa anan a ɛyɛ mmerɛw
- Ntini a ɛtwetwe a ɛyɛ yaw a wontumi nnyina ano
- Ɔhome a ɛyɛ den esiane menewa mu ntini a ɛyɛ mmerɛw nti
- Akisikuru a ɛma obi ho kyere no
- Koma a ɛbɔ denneennen (Arrhythmia) ne koma a entumi nyɛ adwuma yiye
- Adwene mu nsakrae te sɛ nkae a ɛyera, adwenemhaw, abufuw, ne nsusuwii hunu
Dɛn ne tetany? Tetany yɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a efi hypocalcemia mu ba . Nea ɛda nsow ne abufuw ne ntini a ɛtwetwe a ɛnyɛ ne pɛ . Nsɛnkyerɛnne no bi ne akwaa a ɛyɛ yaw, ɛyɛ mmerɛw, na ɛyɛ den sɛ ɔbɛhome. Sɛ wɔansa tetany ntɛm a, ebetumi akɔ so akɔ tebea a emu yɛ den a wɔfrɛ no rhabdomyolysis mu, na ebetumi ama ntini no asɛe na asaabo no asɛe.
Ɔkwan bɛn so na wobehu tebea yi?
Ɔkwan titiriw a wɔfa so hu eyi ne mogya mu nhwehwɛmu. Ebia wo duruyɛfo bɛhwɛ calcium nyinaa ne calcium a ionized nyinaa. Bio nso, wo duruyɛfo no bɛhwehwɛ nsɛnkyerɛnne pɔtee abien bere a ɔreyɛ wo nhwehwɛmu no: 1.
Chvostek sɛnkyerɛnne: Fa no sɛ oduruyɛfo no de ne nsateaa rebɔ ntini bi a ɛwɔ wo hwene mu. Sɛ wote nka sɛ wo ho ayɛ wo yaw wɔ w’anim nkyɛn a, ɛno betumi ayɛ sɛnkyerɛnne no. 2.
Trousseau sɛnkyerɛnne: Sɛ wɔde mogya mmoroso cuff to wo nsa so na wokura mu bɛyɛ simma 3 a, ntini a ɛwɔ wo nsa ne wo nsateaa mu no twetwe yaw. Eyi yɛ sɔhwɛ a ɛho hia yiye a wɔde hwɛ sɛ hypocalcemia wɔ nipadua no mu anaa. Ebia ɛho behia sɛ woyɛ nhwehwɛmu pii na ama woahu nea ɛde tebea yi ba.
- Mogya mu nhwehwɛmu de hwɛ magnesium, phosphorus, PTH hormone, ne vitamin D dodow
- Nsu mu nhwehwɛmu de hwɛ asaabo akwahosan
- Ultrasound scan de hwɛ sɛ asaabo mu abo wɔ hɔ anaa
- EKG (Electrocardiogram) nhwehwɛmu de hwɛ sɛ koma no mu nnyigyei a ɛnteɛ anaa
- Nnompe mu nhwehwɛmu a wɔde hwɛ sɛnea nnompe no te
Ɔkwan bɛn so na wɔsa?
Ayaresa a wo nsa bɛka no begyina nea ɛde yare no ba ne sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so.
- Sɛ wopɛ yare no ho sɛnkyerɛnne a emu nyɛ den a: Ebia wɔbɛkyerɛw wo calcium ne vitamin D aduru a wobɛnom da biara da. Ɛho hia yiye sɛ wobɛnom dodow pɔtee a wo duruyɛfo akyerɛw ama wo no.
- Sɛ wowɔ sɛnkyerɛnne a emu yɛ den a: Sɛ wo sɛnkyerɛnne no mu yɛ den, sɛ wowɔ koma a ɛyɛ den ho haw, anaasɛ tebea no ba mpofirim a, ebia ɛho behia sɛ wɔde wo kɔ ayaresabea na wɔma wo calcium fa ntini bi mu (intravenous - IV). Wɔtaa de ma wɔ ɔkwan bi so a wɔfrɛ no calcium gluconate. Sɛ wɔde IV sa yare wie a, ebia ebehia sɛ wonom calcium aduru kakra.
- Nea ɛde ba no a wɔbɛsa:Sɛ wo magnesium dodow sua a, ebia ebehia sɛ wosa, a asaabo mu yare a wobɛsa ka ho.
Nea ɛho hia sen biara ne sɛ, w’ankasa nnom calcium nnuru da. Bere nyinaa kɔ wo duruyɛfo nkyɛn na fa dodow a ɔkyerɛw ma wo no nkutoo.
Nsɛnnennen a ebetumi aba sɛ wɔansa a
Mpɛn pii no, yare no ho sɛnkyerɛnne no fi hɔ bere a wɔsa yare no, nanso sɛ wɔansa a, nsɛnnennen a asiane wom kɛse betumi aba.
- Koma a entumi nyɛ adwuma yiye
- Akisikuru a ɛma obi ho kyere no
- Koma mu nnyigyei a ɛde ne nkwa to asiane mu
Afei nso, sɛ obi nom calcium ne vitamin D pii bere tenten a, ebetumi de ɔhaw ahorow te sɛ asaabo mu abo aba. Enti, ɛho hia paa sɛ bere nyinaa wofa ayaresa wɔ oduruyɛfo hwɛ ase.
Nkrasɛm a Wɔde Kɔ Fie
- Hypocalcemia yɛ tebea a ɛma calcium dodow a ɛwɔ mogya no mu no sua. Ɛnyɛ nnompe nko na eyi ka, na mmom nipadua no nyinaa nso.
- Mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ akisikuru anaa akisikuru so. Ebetumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne ntɛm.
- Esiane sɛ nneɛma pii na ɛde tebea yi ba nti, ɛho hia sɛ wohu nea ɛde ba no na wosa ne yare no ho sɛnkyerɛnne nso.
- Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Di n’akwankyerɛ akyi wɔ nhwehwɛmu ne ayaresa a ɛho hia no ho.
Hypocalcemia, calcium a enni nipadua mu, calcium a enni nipadua mu, ntini a ɛtwetwe, akisikuru, vitamin D, parathyroid
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho