Ðe wò abɔwo kple afɔwo vuvua? Ðe wò ʋukawo sena le wo ɖokui me abe ɖe wole ƒoƒom enea? Ate ŋu anye Tetany.

Ɣeaɖewoɣi la, ɖewohĩ èse le ɖokuiwò me, alo? Ðeko wò asibidɛwo kple afɔbidɛwo tsia dzodzodzoe, wò nu nɔa ʋuʋum, alo wò lãmekawo me sẽna abe ɖe ʋuka aɖe le gbagbãm ene. Zi geɖe la, míebua nusiawo be wonye nusiwo sɔ, gake ɣeaɖewoɣi la, esia ate ŋu anye nɔnɔme aɖe si hiã beléle vie ƒe dzesi. Emae nye nusi ŋu míele nu ƒom tsoe egbea, si woyɔna be ‘Tetany.’ Esia menye dɔléle o, ke boŋ enye dzesi. Ne míagblɔe tututu la, míaƒe ŋutilã ƒe lãmekawo ʋãna akpa, si wɔnɛ be lãmekawo tena ɖe wo ɖokui si.

Eyata nukawoe nye Tetany ƒe dzesiwo?

Tetany ate ŋu aɖe eɖokui afia le mɔ vovovo geɖe nu. Dzesi aɖewo mesẽna kura o, gake bubuwo ya ate ŋu anye esiwo nu sẽ ŋutɔ. Mina míama wo ɖe woawo ŋutɔ ƒe hatsotso vovovowo me.

Zi geɖe la, tetany medea ame ƒe agbe afɔku me o, gake le dɔléle sesẽwo me la, ate ŋu ade ame ƒe agbe afɔku me. Lãmetsiwo ƒe ʋuʋu sesẽ ateŋu ahe lãmekawo ƒe gbagbã vɛ, eye wòahe nɔnɔme si me afɔku le si woyɔna be `Rhabdomyolysis` gɔ̃ hã vɛ.

Ðe tetany nye alɔ̃madɔmadɔa?

Ao, ame eve siawo nye eve. Gake ele bɔbɔe be nàtɔtɔ. Tetany sesẽ ate ŋu ana ame naxɔ alɔ̃.

Kpuie ko la, alɔ̃madɔmadɔ nye elektrikŋusẽ ƒe dɔwɔwɔ le ahɔhɔ̃a me ɣeyiɣi kpui aɖe si dzi womeɖu o. Gake menye kuxi aɖe si le ahɔhɔ̃a me gbɔe tetany tsona o, ke boŋ lãmekawo kple lãmekawo ƒe dɔwɔwɔ fũ akpa le elektrikŋusẽ ƒe masɔmasɔ si le míaƒe ŋutilã me ta.

Nukatae tetany dzɔna? Nukawo koŋ gbɔe wòtsona?

Nusi koŋ gbɔ tetany tsonae nye elektrikŋusẽ ƒe masɔmasɔ le ŋutilãa me. Nukae nye elektrikŋusẽnamɔ̃wo? Esiawo nye nusiwo tsɔa elektrikŋusẽ ne wofa ɖe míaƒe ŋutilã me. Tsɔe be míaƒe ŋutilã ƒe 60% nye tsi. Eyata elektrikŋusẽnamɔ̃wo le lãmenugbagbevi ɖesiaɖe kloe kple tsi ɖesiaɖe me. Elektrikŋusẽ siawo le vevie na nu geɖe siwo le míaƒe ŋutilã me, abe atikewo ƒe dɔwɔwɔ, lãmekawo ƒe kaka, kple lãmekawo ƒe tete ene.

Ne elektrikŋusẽnamɔ̃ siawo meda sɔ o la, tetany ƒe dzesiwo ate ŋu ado mo ɖa. Na míalé ŋku ɖe nu vevi siwo gbɔ wòtso ŋu.

• Calcium si mebɔ o le ʋu me (Hypocalcemia): Esiae nye nusi gbɔ tetany tsona wu . Calcium si le míaƒe ʋu me ye kpena ɖe lãmekawo ƒe dɔwɔwɔ, lãmekawo ƒe tete, ʋu ƒe sisi, kple dzi ƒe dɔwɔwɔ nyuie ŋu. Calcium ƒe agbɔsɔsɔ ate ŋu aɖiɖi le susu vovovowo ta, abe parathyroid hormone (Hypoparathyroidism) si mebɔ o alo vitamin D ƒe anyimanɔmanɔ ene.

• Magnesium si mebɔ o le ʋu me (Hypomagnesemia): Magnesium nye elektrikŋusẽ si le vevie na dɔ geɖe wɔwɔ le míaƒe ŋutilã me. Magnesium ƒe anyimanɔmanɔ ate ŋu atso dɔléle siwo nɔa anyi didi, ahanono fũu akpa, nuɖuɖumeŋusẽ ƒe dɔlélewo, kple ayikudɔlélewo gbɔ.

• Potassium si mebɔ o le ʋu me (Hypokalemia): Potassium hiã vevie be lãmekawo kple lãmekawo ƒe lãmenugbagbeviwo nawɔ dɔ nyuie, vevietɔ dzitodzito me lãmeka. Aɖuɖɔtoemetike aɖewo, aɖuɖɔtoe alo aɖuɖɔtoe si nɔa anyi ɖaa, kple ayikudɔ si nɔa anyi didi ate ŋu ana potassium naɖiɖi.

• Metabolic Alkalosis: Míaƒe ʋu ƒe acid-base (pH) ƒe dadasɔ le vevie ŋutɔ. Ne míetra ɖa vie tso esia gbɔ gɔ̃ hã la, ate ŋu ana míadze dɔ. Le nɔnɔme sia me la, bicarbonate (base) ƒe agbɔsɔsɔ si le ŋutilãa me dzina ɖe edzi.

• Gbɔgbɔ kabakaba (Yagbɔgbɔ ƒe Alkalosis):Bu eŋu kpɔ, ne vɔvɔ̃ alo dzimaɖitsitsi gã aɖe na wò zi ɖeka la, èdzea gbɔgbɔ gɔme kabakaba, alo? Le ɣeyiɣi mawo me la, míegbɔa ya si woyɔna be carbon dioxide geɖe wu alesi wòhiã. Emegbe ya si woyɔna be carbon dioxide si le ʋua me dzi ɖena kpɔtɔna, eye ʋua va zua alkaline. Esia ate ŋu ahe tetany ƒe dzesiwo hã vɛ.

Aleke wodaa nɔnɔme siae?

Taɖodzinu eve le tetany dada me.

1. Taɖodzinu si anɔ anyi ɣeyiɣi kpui aɖe: Be woaɖɔ elektrikŋusẽ ƒe masɔmasɔa ɖo kaba ale si woate ŋui.

2. Taɖodzinu si anɔ anyi ɣeyiɣi didi: Be woade dzesi dɔléle si gbɔ nɔnɔme sia tso ahadae.

Ne tetany ƒe dzesiwo le ŋuwò si tso calcium ƒe anyimanɔmanɔ vie (hypocalcemia) gbɔ la, anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò:

• Calcium ƒe kpeɖeŋutɔ
• Vitamin D ƒe kpeɖeŋutɔ
• Magnesium ƒe atikekuiwo

Tetany sesẽ nye atikewɔwɔ kpata si hiã be woaxɔ ame ɖe kɔdzi enumake. Ate ŋu abia be woawɔ atike nɛ abe calcium si wodona ɖe ʋuka me (IV) ene. Ne nya kpata la wu enu ko la, ɖɔktawo adze dɔléle si gbɔ wòtso la dada gɔme.

Ðe woate ŋu axe mɔ ɖe Tetany nua?

Ðewohĩ womate ŋu axe mɔ ɖe tetany nu keŋkeŋ ne atikewɔwɔ me nɔnɔme aɖe si le ete ye le elektrikŋusẽ ƒe masɔmasɔa hem vɛ o. Gake abe alesi wòle le dɔléle ɖesiaɖe gome ene la, ekpɔkpɔ kaba kple edada nye nu vevitɔ.

Ne èƒo nu kple wò ɖɔkta ne ènya de dzesi dzesi suesuesuewo abe nu me ʋuʋu kple ʋuka siwo vuvu ene ko la, àte ŋu aɖu nɔnɔmea dzi hafi wòava sesẽ.

Nu vevitɔe nye be ne dzesi siawo do mo ɖa xoxo la, asesẽ be woaɖɔ elektrikŋusẽ ƒe masɔmasɔ sia ɖo to nuɖuɖu kple nunono le aƒeme ko me. Eyata ele vevie be míadi atikewɔlawo ƒe aɖaŋuɖoɖo.