Ðe calcium ƒe agbɔsɔsɔ le wò ʋu me sɔ gbɔa? Mina míaƒo nu tso Hypercalcemia ŋu le nya bɔbɔewo me!

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣi, ɖe wò ŋutilã le veve sem, alo tsikɔ ​​wua wò ɣesiaɣia? Ðewohĩ àsusu be nusiawo nye nusiwo sɔ. Gake esiawo ate ŋu anye dzesi siwo fia be calcium sɔ gbɔ ɖe wò ʋu me hã. Emae nye nusi míeyɔna be hypercalcemia le atikewɔwɔ me. Mègatsi dzi o, zi geɖe la, esia menyea kuxi sesẽ o. Mina míaƒo nu tso nusianu ŋu le mɔ bɔbɔe si me kɔ nu.

Kpuie ko la, nukae nye Hypercalcemia?

Hypercalcemia nye ne calcium sɔ gbɔ ɖe wò ʋu me wu alesi wòle dzɔdzɔmee. Ɣeaɖewoɣi la, ate ŋu akɔ vie ko, ɣebubuɣiwo la, ate ŋu akɔ wu sã. Azɔ hã, le ame aɖewo gome la, enɔa anyi ɣeyiɣi kpui aɖe ko eye wòdzona, evɔ le ame bubuwo gome la, ate ŋu anɔ anyi le woƒe agbemeŋkekewo katã me.

Fifia ɖewohĩ ànɔ eŋu bum be, calcium nyo na ƒuwo, eyata nukae dzɔna ne calcium si le ʋua me dzi ɖe edzi? Nyateƒee, calcium si le míaƒe ŋutilã me ƒe akpa gãtɔ le míaƒe ƒuwo me. Gake, ele be calcium aɖe nanɔ ʋua hã me. Ènya nusitae?

• Le míaƒe lãmekawo ƒe dɔwɔwɔ ta: Calcium le vevie ŋutɔ na gbedasiwo ɖoɖo ɖa to lãmekawo dzi.
• Lãmetsiwo ƒe dɔwɔwɔ: Calcium kpena ɖe míaƒe lãmekawo ŋu wotsia wo nɔewo heɖea dzi ɖi, si fia be míeʋãna.
• Ʋu ƒe sisi: Ne abi aɖe le afi aɖe eye ʋu le sisim la, calcium hiã na ʋu ƒe sisi be ʋua natɔ te.
• Dzi ƒe dɔwɔwɔ: Calcium wɔa akpa vevi aɖe ŋutɔ le míaƒe dzi ƒe ƒoƒo nyuie me.

Esi wòwɔa nu vevi geɖe ta la, míaƒe ŋutilã kpɔa calcium ƒe agbɔsɔsɔ si le míaƒe ʋu me dzi nyuie. Lãmetsiŋusẽ eve kpena ɖe esia ŋu. Woawoe nye lãmetsi si woyɔna be parathyroid hormone kple calcitonin . Tsɔ kpe ɖe eŋu la, vitamin D hã hiã vevie be ŋutilãa naxɔ calcium tso nuɖuɖu siwo míeɖuna me.

Vovototo kae le Hypercalcemia kple Hypocalcemia dome?

Nya eve siawo ɖi wo nɔewo vie, alo? Gake gɔmesese vovovowoe le wo ŋu kura. Le atikewɔwɔ me la, nya "Hyper" gɔmee nye "nu geɖe akpa." "Hypo" gɔmee nye "nu sue aɖe akpa." Eyata vovototo si le wo ame evea dome la le bɔbɔe ŋutɔ.

Amekae ate ŋu axɔ nɔnɔme sia wu?

Hypercalcemia ate ŋu adzɔ le ƒe ɖesiaɖe me, le ame sia ame me. Gake ebɔ ɖe nyɔnu siwo xɔ wu ƒe 50 , vevietɔ le dzinukpɔkpɔ megbe. Zi geɖe la, parathyroid gland si wɔa dɔ fũ akpa, si ŋu míeƒo nu tsoe va yi la gbɔe wòtsona.

Wobu akɔnta be dɔléle sia le amewo katã ƒe 1% va ɖo 2% dome. Wogblɔ be le esiawo dome la, 90% nye hypercalcemia si tso kuxi aɖe si le parathyroid glands (primary hyperparathyroidism) alo kansa ƒe nɔnɔme aɖe gbɔ.

Ðe hypercalcemia ate ŋu ade ame ƒe agbe afɔku mea?

Gake ne calcium ƒe agbɔsɔsɔ va sɔ gbɔ ŋutɔ (calcemia si gbɔ eme sesẽ) la, ate ŋu ahe kuxi sesẽwo vɛ. Le nɔnɔme sia tɔgbe me la, ehiã be woakpɔ atikewɔƒe enumake. Le nɔnɔme sesẽ sia tɔgbe me la, nusiwo gbɔna ate ŋu adzɔ:

• Ayiku ƒe dɔmawɔmawɔ nyuie
• Dzi ƒe tsotso si mesɔ o (Arrhythmia) .
• Tɔtɔ
• Coma

Eyata togbɔ be zi geɖe la, esia menyea nu vevi o hã la, menye nɔnɔme si woabu nu tsɛe o.

Nukae nye Hypercalcemia ƒe dzesiwo?

Abe alesi míegblɔe va yi ene la, ɖewohĩ ame geɖe makpɔ dzesi aɖeke o, vevietɔ ne woƒe calcium ƒe agbɔsɔsɔ dzi ɖe edzi vie ko. Gake ne calcium ƒe agbɔsɔsɔ dzi ɖe edzi ŋutɔ alo ne nɔnɔmea gakpɔtɔ li ɣeyiɣi didi aɖe la, dzesi siwo gbɔna ate ŋu ado mo ɖa.

Nukatae calcium si le ʋua me dzina ɖe edzi alea? Nukawoe gbɔ wòtsona?

Nu geɖe li siwo gbɔ calcemia si gbɔ eme tsona. Dɔléle aɖewo, atikewo, kple tsikuɖiɖi katã ate ŋu awɔ akpa aɖe le eŋu. Gake nu vevi eve siwo gbɔ wòtsonae nye parathyroid gland siwo wɔa dɔ fũ akpa kple kansa.

1. Parathyroid gland ƒe kuxi (Primary Hyperparathyroidism) .

Tsɔe be dɔdzikpɔla sue ene le míaƒe ŋutilã me siwo kpɔa calcium ƒe agbɔsɔsɔ dzi. Parathyroid gland ene siawo le míaƒe kɔ me, le thyroid gland megbe. Woƒe dɔ vevitɔe nye be woawɔ lãmetsi si woyɔna be parathyroid hormone (PTH), si kpɔa calcium ƒe agbɔsɔsɔ si le ʋua me dzi. Ne lãkusi siawo dometɔ ɖeka alo esi wu nenema dze dɔwɔwɔ gɔme akpa le susu aɖe ta la, calcium sɔ gbɔ akpa ƒoa ƒu ɖe ʋua me. Esiae nye nu vevitɔ si gbɔ calcemia si gbɔ eme tsona.

2. Kansawo

Kansa ƒomevi aɖewo hã ate ŋu ana calcium nasɔ gbɔ ɖe ʋu me. Woyɔa esia be hypercalcemia of malignancy. Zi geɖe la, ʋumenugbagbeviɣidɔ si kansa hena vɛ la dzɔna kabakaba eye ate ŋu asẽ ŋutɔ. Kansa ƒomevi aɖewo siwo ate ŋu ahe esia vɛ enye:

• Aklã me dɔdzẽ
• No me dɔdzẽ
• Multiple myeloma, si nye ʋumenugbagbevi ɣiwo ƒe kansa
• Ayiku me lãmenugbagbeviwo ƒe dɔdzẽ
• Ʋumenugbagbeviɣidɔ kple Ʋumenugbagbeviɣidɔ
• Rhabdomyosarcoma ƒe dɔléle

3. Atike aɖewo

Atike kple vitamin aɖewo siwo míenona hã ate ŋu ahe nɔnɔme sia vɛ.

• Thiazide diuretics: Aɖuɖɔtoemetike aɖewo (e.g., Hydrochlorothiazide) siwo wozãna tsɔ daa ʋusɔgbɔdɔ kple tsi ƒe sisi.
• Lithium: Atike si wozãna tsɔ daa tagbɔdɔléle aɖewo.
• Vitamin kple calcium: Vitamin D, vitamin A, alo calcium kpeɖeŋutɔ nono fũ.
• Atike siwo tsia acid nu: Calcium carbonate ƒe atikekui (abe Tums® alo Rolaids® ene) siwo míenona zi geɖe na dzimeve la nono fũ ate ŋu ana calcium ƒe agbɔsɔsɔ nadzi ɖe edzi hena ɣeyiɣi aɖe.

4. Susu bubuwo tae

Tsɔ kpe ɖe esia ŋu la, susu bubu geɖe siwo mebɔ o hã li.

• Aklãdɔlélewo abe sarcoidosis kple yɔmekpe ene.
• Ayiku ƒe dɔmawɔmawɔ nyuie.
• Lãmetsiŋusẽ ƒe dɔléle (Thyrotoxicosis).
• Be woatsi aba dzi ɣeyiɣi didi aɖe.
• Dɔléle siwo do ƒome kple ƒu abe Paget ƒe ƒu ƒe dɔléle ene.

Aleke woawɔ ade dzesi nɔnɔme sia?

Zi geɖe la, wokpɔnɛ le ʋudodokpɔ si wowɔna edziedzi si nèwɔna le susu bubu aɖe ta me. Dodokpɔwo abe Comprehensive Metabolic Panel (CMP) alo Basic Metabolic Panel (BMP) hã dzidzea calcium ƒe agbɔsɔsɔ le ʋua me. Esia ate ŋu akpe ɖe ŋuwò nàde dzesii hafi dzesiawo nadze.

Wò ɖɔkta anɔ te ɖe calcium si le wò ʋu me dzi anya alesi dɔlélea nu sẽe.

Ne calcium sɔ gbɔ ɖe wò ʋu me la, wò ɖɔkta ado wò kpɔ, abia wò atikewo kple ƒomea ƒe atikewɔwɔ ŋutinya. Ne womete ŋu ke ɖe nusi gbɔ wòtso si me kɔ o ŋu la, woate ŋu aɖo wò ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ.

Ate ŋu adzɔ be woate ŋu awɔ dodokpɔ geɖe wu be woake ɖe nusi tututu gbɔ wòtso ŋu.

• Ʋudodokpɔ si léa ŋku ɖe parathyroid hormone (PTH) ƒe agbɔsɔsɔ ŋu.
• Ʋudodokpɔ be woatsɔ akpɔ vitamin D ƒe agbɔsɔsɔ.
• Dodokpɔ si me woléa ŋku ɖe calcium ƒe agbɔsɔsɔ si le aɖuɖɔ me ŋu.
• Ultrasound alo CT scan be woatsɔ akpɔe ɖa be dɔdzẽ alo vuvu aɖe le parathyroid glands me hã.

Aleke wowɔa atike nɛ?

Atikewɔwɔ na hypercalcemia nɔ te ɖe nusi gbɔ nɔnɔmea tso kple eƒe sesẽ dzi.

Le nɔnɔme siwo me fa miamiamia ta

Ne wò calcium ƒe agbɔsɔsɔ dzi ɖe edzi vie la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be:

• No tsi geɖe: Esia ɖea tsi ƒe vɔvɔ le ŋutilãa me dzi kpɔtɔna eye wòkpena ɖe ame ŋu be calcium si sɔ gbɔ ɖe lãme na ame la ɖa to aɖuɖɔ me.
• Atikewo tɔtrɔ: Ne èle atike siwo nye thiazide ƒomevi zãm na ʋusɔgbɔdɔ la, woate ŋu abia tso asiwò be nàtrɔ ɖe atike bubu ŋu boŋ.
• Dzudzɔ kpeɖeŋutɔ nana: Dzudzɔ calcium alo vitamin D kpeɖeŋutɔ nono, antacid atikekui siwo me calcium le, alo ɖe agbɔsɔsɔa dzi kpɔtɔ.

Atikewɔwɔ le nusi gbɔ wòtso nu

• Ne kuxi aɖe le parathyroid lãkusiwo ŋu: Zi geɖe la, atikewɔwɔ nyuitɔe nye be woawɔ dɔ atsɔ aɖe lãkusi alo lãkusi siwo wɔa dɔ fũu akpa la ɖa.
• Ne kansa gbɔe nɔnɔmea tso: Woate ŋu ana atikewo abe bisphosphonates alo denosumab ene.

Le nɔnɔme sesẽwo ta

Gake ne wò calcium sɔ gbɔ ŋutɔ eye wò dzesiwo nu sẽ la, wò ɖɔkta ate ŋu atso nya me be yeaxɔ wò ɖe kɔdzi eye yeana tsi si wodona ɖe ʋuka me (IV tsiwo) kple atike bubuwo wò. Esia ate ŋu akpe ɖe ŋuwò nàɖe wò calcium ƒe agbɔsɔsɔ dzi akpɔtɔ kaba eye wòaxe mɔ ɖe kuxiwo nu.

Kuxi kawoe ate ŋu ado mo ɖa le nɔnɔme sia ta?

Kuxi siwo nɔa anyi didi mebɔ o elabena zi geɖe la, wokpɔa nɔnɔme sia kaba. Gake ne womewɔ atike nɛ ɣeyiɣi didi o la, kuxi siwo gbɔna ate ŋu ado mo ɖa:

• Calcium ƒe gege ɖe ayiku me (Nephrocalcinosis) kple ayiku ƒe dɔwɔwɔ ƒe gbegblẽ.
• Ayiku me kpewo.
• Ʋusɔgbɔdɔ (Hypertension).
• Teteɖeanyi.
• Ƒumeŋuɖui kple ƒu ƒe gbagbã bɔbɔe.

Ðe woate ŋu axe mɔ ɖe enua? Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Menye calcemia si gbɔ eme ƒe dɔlélewo katãe woate ŋu axe mɔ na o. Gake ne mèɖo aɖaŋu na wò ɖɔkta o la, .Nunya le eme be míaƒo asa na calcium-tikewo, vitaminwo, kple antacium-tike siwo me calcium le nono madzemadzee.

Ɣeyiɣi si wòle be nàkpɔ ɖɔkta:

• Ne calcium sɔ gbɔ ɖe wò ƒomea me, parathyroid dɔléle, alo ayiku me kpewo le eŋu kpɔ la, ƒo nu tso eŋu na wò ɖɔkta.
• Ne dzesi siwo ŋu míeƒo nu tsoe le nyati sia me dometɔ aɖe le ŋuwò (abe tsikɔwuame si gbɔ eme, aɖuɖɔɖɔɖɔ enuenu, ŋutilã ƒe veve, lãmetutudɔ) la, yi ɖɔkta gbɔ enumake.

Enye nusi sɔ be vɔvɔ̃ kple dzimaɖitsitsi ne wokpɔ dɔléle aɖe le ŋuwò yeyee. Gake ɖo ŋku edzi be hypercalcemia nye dɔléle si woate ŋu ada. Ne calcium ƒe agbɔsɔsɔ si le wò lãme trɔ gbɔ ko la, wò dzesiawo nu ayi. Mègavɔ̃ be yeabia nya aɖeke wò ɖɔkta tso esia ŋu o.