Èkpɔ asixɔxɔ aɖe si woyɔna be ‘Calcium’ ne èle ʋu ŋuti nyatakaka aɖe kpɔma? Mí katã míenya alesi calcium nyo na ƒuwo kple aɖuwoe. Gake ɣeaɖewoɣi la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔ tɔxɛ aɖe si woyɔna be "Ionized Calcium" ɖe calcium dodokpɔ si wowɔna edziedzi teƒe. Emegbe míesusuna be, "Nukae nye ema? Ðe menye calcium ma kee nye ema oa?" Le nyateƒe me la, vovototo sue aɖe le eve siawo dome, gake le vevie ŋutɔ. Egbea, mina míaƒo nu tso kalẽtɔ vevi sia ŋutɔ le míaƒe ŋutilã me si woyɔna be "ionized calcium" ŋu.
Nukae Nye Ionized Calcium?
Kpuie ko la, esiae nye calcium "si le ablɔɖe me" alo "dɔwɔwɔ" si le míaƒe ʋu me. Bu eŋu kpɔ, calcium si katã le míaƒe ŋutilã me ƒe 99% le míaƒe ƒuwo kple aɖuwo me. Ele abe ga si le gadzraɖoƒe ene. 1% susɔea ƒoa xlã ʋua.
Fifia, le calcium 1% sia si le ʋu me dome la, eƒe ɖe bla ɖe proteinwo ŋu (vevietɔ albumin), alo "alloyed." Míeyɔa esia be "calcium si wobla." Akpa sia mewɔa dɔ o, abe amesi bɔbɔ nɔ zikpui dzi le bɔsɖoƒe ene. Ðeko wòle afima, menye naneke wɔm o.
Akpa bubue nye akpa si zɔna le ʋua me "fablɔ" evɔ mebla ɖe protein aɖeke ŋu o. Akpa sia si le ablɔɖe me, si le dɔ wɔm lae nye nusi míeyɔna be ionized calcium alo "free calcium." Calcium sia si woɖena faa lae wɔa dɔa ŋutɔŋutɔ le ŋutilãa me, eye wòwɔa akpa aɖe le nu vevitɔwo kekeake me. Akpa sia nye calcium bliboa ƒe 50% lɔƒo.
Ema fia be, calcium sia si me ion le ye wɔa dɔ vevi siwo le míaƒe ŋutilã me, abe lãmekawo ƒe gbedasiwo ɖoɖoɖa, lãmekawo ƒe tete, kple dzia ƒoƒo ene.
Nukatae calcium si me ion le le vevie na míaƒe ŋutilã alea gbegbe ɖo?
Togbɔ be calcium si le ablɔɖe me ƒe agbɔsɔsɔ le sue hã la, eƒe dɔwɔwɔ meɖi naneke o. Ele vevie be míaƒe ŋutilã ƒe ɖoɖo gã geɖe nawɔ dɔ nyuie.
- Lãmetsiwo: Lãmetsiwo tsɔa gbedasiwo tso míaƒe ahɔhɔ̃ me yia ŋutilã ƒe akpa mamlɛa. Abe alesi elektrikŋusẽ zɔna to ka dzi ene. Calcium si me ion le le vevie hafi gbedasi siawo nate ŋu azɔ mɔ nyuie.
- Lãmetsiwo: Míezãa míaƒe lãmekawo tsɔ ʋãa míaƒe abɔwo kple afɔwo, zɔna, eye míekɔa nuwo ɖe dzi. Lãmetsi siawo katã hiã calcium sia si woɖena faa be woate ŋu aƒo wo ɖokui ahaɖe dzi ɖi. Dzi hã nye lãmeka tɔxɛ aɖe. Esia le vevie ŋutɔ be wòaƒoe le agbɔsɔsɔ nyuitɔ me.
- Dzi: Esia kpena ɖe ame ŋu wòléa dzi ƒe tsotso kple eƒe ʋuʋu nyuie me ɖe asi.
- Ʋu ƒe sisi:Ne abi le mía ŋu le afi aɖe eye ʋu le dodom le mía ŋu la, nuwɔna sesẽ aɖe dzɔna be woatɔ te ʋua. Afɔɖeɖe vevi aɖe ŋutɔ le ɖoɖo ma mee nye calcium sia si me ion le.
Nukatae nèbiaa esia ɖe calcium dodokpɔ si wowɔna edziedzi teƒe?
Nyabiase nyui aɖe ŋutɔe nye esia. Calcium dodokpɔ si wozãna ɖaa dzidzea calcium ƒe agbɔsɔsɔ bliboa le ʋua me. Eyae nye be, akpa "bla" kple "ablɔɖe" siaa ƒe ƒuƒoƒo.
Gake nɔnɔme aɖewo li siwo me protein (albumin) si le ame ƒe ʋu me medea ame dzi o. Le kpɔɖeŋu me, protein ƒe agbɔsɔsɔ si le ame aɖe si le dɔ lém vevie, ayikudɔ le eŋu, alo aklãdɔ le eŋu. Emegbe, calcium si bla ɖe protein la ŋu hã dzi ɖena kpɔtɔna. Eyata ne èlé ŋku ɖe woƒe "Total Calcium" ƒe agbɔsɔsɔ ŋu la, ateŋu aɖe asixɔxɔ sue aɖe afia.
Gake calcium "free" (ionized calcium) ƒe agbɔsɔsɔ si le dɔ wɔm ŋutɔŋutɔ le eƒe ŋutilã me ate ŋu anye nusi sɔ. Emegbe ne ènɔ te ɖe calcium bliboa ƒe nyatakaka ɖeɖeko dzi tso nya me la, ate ŋu anye be mesɔ o. Le nɔnɔme mawo me la, ɖɔktawo biaa be woado calcium si me ion le kpɔ be woanya calcium si le dɔ wɔm ƒe agbɔsɔsɔ si tututu le ŋutilãa me.
Nɔnɔme vevi siwo me ɖɔkta ate ŋu abia be woawɔ dodokpɔ sia le la dometɔ aɖewoe nye esi:
- Ne protein (vevietɔ albumin) ƒe agbɔsɔsɔ le ʋua me mesɔ o.
- Le amesi le dɔ lém vevie eye wòle saline (IV fluids) si wodona ɖe ʋuka me zãm gome.
- Na amesi le dzadzram ɖo ɖe amekoko gã aɖe ŋu.
- Le amesi wodoa ʋu na enuenu gome.
- Lé ŋku ɖe vidada funɔwo kple vidzĩ yeyewo ƒe nɔnɔme ŋu.
- Ne wosusu be dɔgbo ƒe dɔléle sesẽ aɖe le eŋu.
- Ne ɖikeke aɖe li be dɔléle aɖe le parathyroid glands ŋu.
Aleke woawɔ adzra ɖo ɖe dodokpɔa ŋu?
Zi geɖe la, wobiana tso asiwò be nàtsi nu adɔ abe gaƒoƒo 6 ene hafi dodokpɔa nadze egɔme. Menyo be nàno tsi vi aɖe o. Ele vevie hã be nàgblɔ atike, vitamin, kple kpeɖeŋutɔ siwo katã nèzãna na wò ɖɔkta. Atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔ sia me tsonu dzi, eyata wò ɖɔkta ate ŋu abia tso asiwò be nàdzudzɔ wo nono ŋkeke si do ŋgɔ na dodokpɔa. Gake ɖo ŋku edzi be mègadzudzɔ atike aɖeke nono wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
Nukae nye ionized calcium ƒe agbɔsɔsɔ si sɔ?
Asixɔxɔ siawo ate ŋu ato vovo vie le dodokpɔxɔ si wɔa dodokpɔa nu. Tsɔ wò asixɔxɔ sɔ kple "Normal Range" si le wò nyatakakaa dzi ɣesiaɣi.
| Ƒe ƒe hatsotso | Afisi wòle be wòanɔ (mg/dL) . | Nusiwo le dzɔdzɔme nu (mmol/L) . |
|---|---|---|
| Vidzĩ siwo wodzi yeyee | 4.8 – 5.3 mg/dL ƒe agbɔsɔsɔme | 1.20 – 1.32 mmol/L ƒe kpekpeme |
| Ɖeviwo | 4.8 – 5.5 mg/dL ƒe agbɔsɔsɔme | 1.20 – 1.38 mmol/L ƒe kpekpeme |
| Ame tsitsiwo | 4.6 – 5.3 mg/dL ƒe agbɔsɔsɔme | 1.15 – 1.32 mmol/L ƒe kpekpeme |
Ne ionized calcium ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ (Hypocalcemia) .
Calcium si wɔa dɔ ƒe agbɔsɔsɔ si le ʋua me (si woyɔna le atikewɔwɔ me be hypocalcemia) ƒe ɖiɖi ate ŋu atso atikewɔwɔ me nɔnɔme vovovowo gbɔ.
- Hypoparathyroidism: Nɔnɔme si me parathyroid gland siwo le kɔ me mewɔa lãmetsiŋusẽ (PTH) si kpɔa calcium dzi le ŋutilãa me wòdea edeƒe o.
- Dɔdzẽ: Dɔdzẽ si le dɔgboa me.
- Vitamin D ƒe anyimanɔmanɔ: Vitamin D le vevie be ŋutilãa nate ŋu axɔ calcium le nuɖuɖu me.
- Ayiku ƒe dɔmawɔmawɔ nyuie.
- Nuɖuɖu ƒe nu maxɔmaxɔ nyuie.
- Rickets dɔléle le ɖeviwo ŋu.
Dzesi siwo fia be nuɖuɖua vɔ le lãme na ame
Ne calcium ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, dzesi vovovowo ate ŋu ado mo ɖa.
| Nɔnɔme ƒe ƒomevi | Dzesi siwo woɖe fia |
|---|---|
| Lãmetsi kple lãmeka siwo do ƒome kple wo nɔewo | Lãmetsiwo ƒe ʋuʋu, abɔ kple afɔwo kple nu ƒo xlãe ƒe ʋuʋu, ʋuʋudedi. |
| Susu kple ahɔhɔ̃ si do ƒome kplii | Ŋkuɖodzinu ƒe bu, tɔtɔ, blanuiléle. |
| Nɔnɔme bubuwo | Aɖabɛ siwo gbɔdzɔ kple esiwo gbãna bɔbɔe, ŋutigbalẽ si ƒuna. |
Nukae nèwɔna ne edzi ɖe kpɔtɔ?
Wò ɖɔkta akpɔ nusi gbɔ wò calcium ƒe agbɔsɔsɔ si bɔbɔ la tso gbã. Emegbe ne wole nusi gbɔ wòtso ƒe atike wɔm la, woadze atikewɔwɔ gɔme be wò calcium ƒe agbɔsɔsɔ nagaɖo eƒe nɔnɔme nyuitɔ me.
- Calcium ƒe kpeɖeŋutɔ
- Vitamin D ƒe kpeɖeŋutɔ
- Ɣeaɖewoɣi la, wodoa calcium gluconate ɖe ʋuka aɖe me
- Parathyroid hormone (PTH) ɖɔliɖɔli
Nu vevitɔe nye be wò ɖɔkta atso nya me le atikewɔwɔ sia ŋu. Agblɔ nusi nyo na wò kple ɣeyiɣi didi si wòle be nàxɔe na wò. Mègayi atikedzraƒe aɖaƒle calcium-tikewo le wò ŋutɔ wò didi nu gbeɖe o.
Ne ionized calcium ƒe agbɔsɔsɔ dzi ɖe edzi (Hypercalcemia) .
Calcium si le dɔ wɔm ƒe agbɔsɔsɔ si le ʋua me ƒe dzidziɖedzi (si woyɔna le atikewɔwɔ me be hypercalcemia) hã nye nɔnɔme si ŋu wòle be woalé ŋku ɖo.
- Hyperparathyroidism: Lãmetsiŋusẽ ƒe dɔwɔwɔ fũu akpa si parathyroid lãkusiwo wɔna.
- Hyperthyroidism: Lãmetsiŋusẽ ƒe dɔwɔwɔ fũ akpa.
- Kansa aɖewo: Le kpɔɖeŋu me, multiple myeloma, si nye ʋumenugbagbeviɣidɔ.
- Paget ƒe ƒu ƒe dɔléle.
- Vitamin D ƒe agbɔsɔsɔ fũ le ŋutilã me.
Dzidziɖedzi ƒe dzesiwo
Ne calcium ƒe agbɔsɔsɔ dzi ɖe edzi gɔ̃ hã la, dzesi geɖe ate ŋu ado mo ɖa.
| Nɔnɔme ƒe ƒomevi | Dzesi siwo woɖe fia |
|---|---|
| Ŋutilã ƒe nɔnɔme siwo bɔ | Ðeɖiteameŋu si gbɔ eme, taɖuame, ʋuʋudedi kple ʋuʋudedi, nuɖuɖu ƒe dzodzro. |
| Nuɖuɖumeŋusẽ ƒe dɔwɔwɔ | Dɔmeɖui, dɔgbo ƒe vevesese. |
| Ku ɖe ayiku ŋu | Aɖuɖɔɖɔɖɔ enuenu, tsikɔwuame si gbɔ eme. |
| Ƒuwo kple lãmekawo | Ƒu ƒe vevesese, lãmekawo ƒe vevesese alo gbɔdzɔgbɔdzɔ. |
| Le susume | Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie, blanuiléle. |
Nukae woawɔ ne edzi ɖe edzi?
Ne èle calcium ƒe agbɔsɔsɔ gbogbo aɖe dam la, ele vevie be nàde dzesi nusi gbɔ wòtso gbã. Atikewɔwɔ ƒe mɔnuwo toa vovo le nusi gbɔ wòtso nu.
- Atike siwo kpɔa parathyroid glands ƒe dɔwɔwɔ dzi (Calcimimetics).
- Atike siwo doa ŋusẽ ƒuwo eye woɖea calcium si le ʋu me dzi kpɔtɔna (Bisphosphonates).
- Ne vitamin D ƒe agbɔsɔsɔ fũ gbɔe nɔnɔme sia tso la, woate ŋu aŋlɔ atikewo abe prednisone ene na ame.
- Ne nɔnɔmea nu sẽ la, ate ŋu ahiã be woaxɔ ame ɖe kɔdzi eye woatsɔ saline (IV-tsi) ade ʋuka me.
- Ne nane abe parathyroid gland tumor gbɔe wòtso la, woate ŋu aɖee to amekoko (parathyroidectomy) me.
Wokpɔa atikewɔwɔ sia hã to nusi gbɔ calcium ƒe dzidziɖedzi tso didi me. Mègawɔ naneke wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. Ɣeaɖewoɣi la, esia ate ŋu anye atikewɔwɔ kpata.
Gbedasi si Wotsɔ Yi Aƒeme
- Ionized Calcium nye calcium ƒe akpa si "vo" eye "dɔwɔwɔ" le míaƒe ʋu me. Ele vevie na míaƒe ŋutilã ƒe dɔ vevitɔwo dometɔ geɖe.
- Togbɔ be calcium dodokpɔ edziedzi ɖea calcium ƒe agbɔsɔsɔ bliboa fiana hã la, calcium dodokpɔ si me ion le nana wokpɔa calcium agbɔsɔsɔme si le dɔ wɔm ŋutɔŋutɔ le ŋutilãa me la nyuie wu.
- Dodokpɔ sia le vevie ŋutɔ le atikewɔwɔ ƒe nɔnɔme sesẽwo, ayikudɔléle, kple hafi woawɔ dɔ na ame me.
- Calcium ƒe agbɔsɔsɔ sia si bɔbɔ alo sɔ gbɔ ate ŋu anye atikewɔwɔ me nɔnɔme aɖe si gbɔ wòtso ƒe dzesi.
- Dzro wò dodokpɔ me tsonu kple atikewɔwɔ ɖesiaɖe me kple wò ɖɔkta ɣesiaɣi. Mègada atike na ɖokuiwò alo adzudzɔ atikewo nono gbeɖe o.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment