Mí katã míese tso míaƒe ɖevime be calcium le vevie na ƒu sesẽwo (aɖuwo hã le eme). Nyateƒee. Gake ènya be míaƒe ŋutilã hã hiã calcium agbɔsɔsɔme aɖe be ʋukawo, lãmekawo, kple lãmekawo nanɔ lãmesẽ mea? Ðewohĩ wò ʋudodokpɔ nyitsɔ laa ɖee fia be wò calcium sɔ gbɔ akpa alo ɖiɖi akpa. Ne nenemae la, ke wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgado ʋu tɔxɛ aɖe kpɔ. Ema nye dodokpɔ si me wodzidzea lãmetsi si woyɔna be parathyroid hormone (PTH) ƒe agbɔsɔsɔ.
Nukatae ɖɔkta le biabiam tso asiwò be nàwɔ PTH dodokpɔ sia?
Kpuie ko la, lãmetsi sia si woyɔna be PTH nye nu vevi aɖe si kpɔa calcium ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzi. Lãmenugbagbevi sue ene ŋutɔ siwo le míaƒe kɔ me ye wɔa lãmetsi sia. Míeyɔa esia be parathyroid glands. Bu eŋu be ‘nulénu’ sue ene le míaƒe kɔ me siwo kpɔa calcium ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzi. Esiawo wɔa dɔ ale:
- Ne calcium ƒe agbɔsɔsɔ le wò ʋu me ɖiɖi la , lãkusi siawo ɖea lãmetsi si nye PTH ɖea wò ʋu me. Lãmetsi sia si nye PTH yia ƒuwo kple ayikuwo me eye wògatsɔa calcium dea wò ʋu me, si wɔnɛ be calcium ƒe agbɔsɔsɔ gaɖoa wò ʋu me.
- Ne wò ʋu me calcium dzi ɖe edzi , lãkusi siawo dzudzɔa PTH lãmetsi si nana calcium ƒe ƒoƒo ɖe ʋua me madzemadzee la dodo.
Fifia èse egɔme, alo? Ne kuxi aɖe le wò calcium ƒe agbɔsɔsɔ ŋu la, ɖɔktaa le PTH dodokpɔ sia wɔm be yeanya nenye be nusi gbɔ wòtso la nye kuxi si le parathyroid glands ƒe dɔwɔwɔ ŋu alo nenye be susu bubu aɖe li hã.
Nukawoe nye calcium ƒe dzidziɖedzi kple edzi ɖeɖe kpɔtɔ ƒe dzesiwo?
Ne wò calcium ƒe agbɔsɔsɔ mesɔ o, si fia be esɔ gbɔ akpa (Hypercalcemia) alo bɔbɔ akpa (Hypocalcemia) la, àte ŋu akpɔ dzesi aɖewo. Tabla si le ete la akpe ɖe ŋuwò nàse esia gɔme nyuie wu.
| Calcium si sɔ gbɔ ɖe ʋu me ƒe dzesiwo (Hypercalcemia) . | Calcium ƒe agbɔsɔsɔ si mede ʋu me o ƒe dzesiwo (Hypocalcemia) . |
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| - Blanuiléle kple seselelãme ƒe tɔtrɔ
- Lãmetsiwo ƒe ʋuʋu
- Asiwo, afɔwo, alo nu ƒo xlãe ƒe ʋuʋu
- Dzi ƒe tsotso ƒe masɔmasɔ
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Nu vevitɔe nye be nàyi ɖɔkta gbɔ enumake eye nàdi aɖaŋuɖoɖo evɔ màdze agbagba be ye ŋutɔ yeade dzesii ne dzesi siawo le ŋuwò o.
Viɖe kple afɔku kawoe le dodokpɔ sia me?
Le nyateƒe me la, PTH ʋudodokpɔ sia le bɔbɔe ŋutɔ.
Susu aɖeke meli si ta wòle be míavɔ̃ o. Abe alesi wòle le ʋudodokpɔ ɖesiaɖe gome ene la, afɔku sue aɖewo li.
- Àte ŋu ase veve vie le afisi wotsɔ aŋea de.
- Teƒea ate ŋu aƒo vie alo abi le dodokpɔa megbe.
- Ƒã ŋutɔ hafi dɔlékui aɖe ate ŋu axɔ wò alo àte ŋu ase le ɖokuiwò me be yegbɔdzɔ ne woɖe yeƒe ʋu vɔ.
Gake ne wotsɔe sɔ kple afɔku sue siawo la,
dodokpɔ sia ƒe viɖewo lolo ŋutɔ . Elabena dodokpɔ sia ate ŋu ana wò ɖɔkta nanya nenye be wò ŋutilã le PTH lãmetsiŋusẽ si sɔ gbɔ akpa alo esi mesɔ gbɔ o wɔm. Ate ŋu akpe ɖe ŋuwò hã be woaɖo kpe edzi be menye parathyroid lãkusiwo ŋue kuxia le o eye nàdi nu bubu siwo gbɔ calcium ƒe agbɔsɔsɔ si mesɔ o tsona.
Aleke nèdzrana ɖo hafi doa dodokpɔa?
Wò ɖɔkta ate ŋu abia tso asiwò be nàdzudzɔ atike alo kpeɖeŋutɔ aɖewo, abe vitamin kple calcium ene, nono hena ɣeyiɣi aɖe do ŋgɔ na dodokpɔa. Gake
mègadzudzɔ atike aɖeke nono gbeɖe ne mèbia wò ɖɔkta gbã o. Ele be nàgblɔe na wò ɖɔkta godoo, vevietɔ ne èle atike nom na dɔléle bubuwo.
Aleke míase emetsonuwo gɔmee?
Ne woɖo ʋua ɖe dodokpɔxɔa vɔ la, ate ŋu axɔ ŋkeke ʋɛ aɖewo hafi ʋua me tsonuawo nagatrɔ ava. Ɣeyiɣi sia ate ŋu ato vovo le dodokpɔxɔa kple wò ɖɔkta ƒe nuhiahiãwo nu. Zi geɖe la, wodzidzea PTH ƒe agbɔsɔsɔ le picograms me le mililita ɖeka me (pg/mL). Nusiwo woate ŋu awɔ le dzɔdzɔme nu ate ŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ. Zi geɖe la, ame si le lãmesẽ me ƒe PTH ƒe agbɔsɔsɔme nɔa 10-65 pg/mL dome. Gake
mèganɔ te ɖe xexlẽdzesi siwo le wò dodokpɔa me tsonu dzi aƒo nya ta o.Wò ɖɔkta koe ate ŋu atsɔ dzidzenu mawo asɔ kple wò calcium ƒe agbɔsɔsɔ eye wòaɖe nusi tututu wofia me. Tabla si le ete la na míekpɔ nusiwo gbɔ PTH ƒe agbɔsɔsɔ si sɔ gbɔ alo esi bɔbɔ tsona zi geɖe dometɔ aɖewo.
| Nᴐnᴐme | Nusiwo Ate Ŋu Atsoe |
|---|
| PTH ƒe agbɔsɔsɔ si dzi ɖe edzi | |
| PTH ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ | - Hypoparathyroid ƒe dɔléle si nye Hypoparathyroidism
- Thyroid ƒe amekoko
- Kekeli ƒe atikewɔwɔ
- Gayibɔ ƒe agba si gbɔ eme
- Dɔlélenutsiŋutete ƒe dɔlélewo
- Magnesium ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi
|
Ðe dodokpɔ bubuwo gali woawɔ emegbea?
Ẽ, le PTH dodokpɔa me tsonu nu la, ahiã be nàgawɔ dodokpɔ geɖe wu. Ele abe ʋɔnudrɔ̃la aɖe si le kpeɖodzinya ɖeka yome tim ene.
- Le kpɔɖeŋu me, ne wò PTH ƒe agbɔsɔsɔ sɔ gbɔ gake wò calcium ƒe agbɔsɔsɔ le sue , efia be wò parathyroid lãkusiwo le dɔ wɔm, gake le susu bubu aɖe ta la, wò calcium ƒe agbɔsɔsɔ mele dzi yim o. Emegbe wò ɖɔkta ate ŋu akpɔ wò vitamin D, phosphorus, kple magnesium ƒe agbɔsɔsɔ.
- Le go bubu me la, ne wò calcium ƒe agbɔsɔsɔ sɔ gbɔ eye wò PTH ƒe agbɔsɔsɔ sɔ gbɔ , la, àte ŋu axɔ hyperparathyroidism. Emegbe wò ɖɔkta awɔ X-ray alo nɔnɔmetata bubu dodokpɔ aɖe atsɔ alé ŋku ɖe wò parathyroid glands ŋu. Woate ŋu adi abi alo dɔdzẽ hã.
Dɔléle sia dadae nye amekoko be woaɖe lãkusia ɖa. Gake ne nɔnɔmea mesẽ o, alo ne dzesi vevi aɖeke mele eŋu abe ayiku ƒe gbegblẽ alo ƒu ƒe gbɔdzɔgbɔdzɔ ene o la, wò ɖɔkta ate ŋu aŋlɔ atike (abe Cinacalcet (Sensipar) ene) na wò eye wòana nàlé ŋku ɖe wò calcium kple PTH ƒe agbɔsɔsɔ ŋu
edziedzi .
Gbedasi si Wotsɔ Yi Aƒeme
- PTH ʋudodokpɔ nye dodokpɔ vevi aɖe ŋutɔ be nàdi nusi gbɔ calcium ƒe agbɔsɔsɔ si mesɔ o tsona le wò ʋu me.
- Esia nye ʋudodokpɔ bɔbɔe ŋutɔ, si me afɔku mele o, eyata mègavɔ̃e madzemadzee o.
- Hafi nàdoe kpɔ la, gblɔ atike alo kpeɖeŋutɔ ɖesiaɖe si nèzãna na wò ɖɔkta. Mègadzudzɔ atike aɖeke nono atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Ne ènya xɔ wò dodokpɔa me tsonu ko la, ƒo nu kple wò ɖɔkta tso gɔmesese si le dzidzenu mawo ŋu kple afɔɖeɖe siwo kplɔe ɖo ŋu.
PTH, Parathyroid Hormone, Calcium, Ʋudodokpɔ, Hypercalcemia, Hypocalcemia, Parathyroid, Lãmetsiŋusẽ, Ayikudɔ
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