Ne èlé ŋku ɖe ʋu ŋuti nyatakaka aɖe ŋu la, ɖe nèkpɔ nane si woyɔna be Phosphorus kpɔa? Mí katã míeƒoa nu tso calcium kple vitamin D ŋu, gake míeƒoa nu tso Phosphorus ŋu fũ o. Gake esia hã nye tomenu si hiã vevie be wòado ŋusẽ míaƒe ƒuwo eye wòana ŋusẽ ŋutilã ƒe lãmenugbagbeviwo. Gake... ne Phosphorus ƒe agbɔsɔsɔ sia le ŋutilã me dzi ɖe edzi wu alesi wòhiã ya ɖe? Emae nye nusi míeyɔna le atikewɔwɔ me be Hyperphosphatemia . Mègatsi dzi o, togbɔ be ŋkɔa sesẽ vie hã la, míele nu ƒom tso nɔnɔme sia ŋu egbea be míakpe ɖe ŋuwò nàse egɔme bɔbɔe.
Nuka tututue nye Hyperphosphatemia?
Kpuie ko la, hyperphosphatemia nye ne phosphorus ƒe agbɔsɔsɔ si le wò ʋu me sɔ gbɔ wu alesi wòle. Nɔnɔme sia bɔ ɖe amesiwo ŋu ayikudɔléle si nɔa anyi didi (CKD) le ŋu wu .
Bu míaƒe ayikuwo be wonye nusi wotsɔna tsia nu me. Dɔ vevi siwo ayiku wɔna dometɔ ɖekae nye be wòaɖe nusiwo mehiã o kple esiwo sɔ gbɔ la ɖa le ŋutilãa me eye wòaɖe wo do goe to aɖuɖɔ me. Ayikuwo hã ɖea phosphorus si sɔ gbɔ ɖe nuɖuɖu siwo míeɖuna kple esiwo míenona me le mɔ sia nu.
Gake ne ayikuawo mele dɔ wɔm nyuie o, abe le nɔnɔme si le abe CKD ene me la, tsilénu sia mewɔa dɔ nyuie o. Emegbe, phosphorus si sɔ gbɔ la dzea ƒoƒo ƒu ɖe ŋutilãa me le esi teƒe be wòaɖee ado goe.
Menye ɖeko phosphorus si ƒoa ƒu alea la nɔa anyi ɖe afima ko o. Ate ŋu agblẽ nu le míaƒe ŋutilã ŋu.
Phosphorus sia si sɔ gbɔ la dzea calcium hehe tso míaƒe ƒuwo me gɔme . Emegbe ƒuawo gbɔdzɔna eye wote ŋu gbãna bɔbɔe. Azɔ hã, calcium ma si wohe, si wotsɔ kpe ɖe phosphorus ŋu, ate ŋu awɔ nu suesuesuewo ɖe míaƒe ʋukawo, lãkusiwo, ŋkuwo, kple dzi me. Esia ate ŋu ana nɔnɔme sesẽwo abe dzidɔ kple ʋusɔgbɔdɔ ene ƒe afɔkua nadzi ɖe edzi gɔ̃ hã .
Nukae nye nɔnɔme sia ƒe dzesiwo?
Zi geɖe la, Hyperphosphatemia meɖea dzesi aɖeke koŋ fiana o, si wɔnɛ be wònye futɔ si meƒoa nu o. Gake ɣeaɖewoɣi la, woate ŋu akpɔ dzesi siwo gbɔna:
Gake nusiwo wokpɔna zi geɖe wue nye dɔléle si gbɔ wòtso si he esia vɛ, si nye ayikudɔ, ƒe dzesiwo. Mina míalé ŋku ɖe dzesi ƒomevi eveawo siaa ŋu nyuie le kplɔ̃ dzi.
| Dzesi ƒomevi | Nusiwo woate ŋu akpɔ |
|---|---|
| Dzesi siwo ate ŋu ado mo ɖa le hyperphosphatemia ta |
|
| Ayikudɔléle si gbɔ wòtso ƒe dzesi siwo bɔ |
|
Le nɔnɔme sesẽ aɖewo me la, calcium ƒe agbɔsɔsɔ si le ʋua me ate ŋu aɖiɖi le mɔ si me afɔku le nu. Ðɔktawo yɔa esia be Hypocalcemia . Esia ate ŋu ahe kuxi sesẽwo vɛ le lãmekawo ŋu, abe alɔ̃madɔmadɔ ene . Ne dzesi siawo le ŋuwò la, ele be nàyi ɖɔkta gbɔ kaba.
Afikae phosphorus sia tsona?
Phosphorus nye mineral si le dzɔdzɔme nu si le nuɖuɖu geɖe siwo míeɖuna me. Phosphorus, calcium, kple vitamin D wɔa dɔ ɖekae be míaƒe ƒuwo nanɔ lãmesẽ me eye ŋusẽ nanɔ wo ŋu. Nuɖuɖu siwo me phosphorus sɔ gbɔ ɖo dometɔ aɖewoe nye esi:
- Lã dzĩwo
- Notsi me nuɖuɖuwo abe notsi kple cheese ene
- Tɔmelã
- Akɔɖu ƒuƒu (chickpeas, peas, green beans) .
- Nutsetsewo kple nukuwo ƒe bɔta
- Abolo si wotsɔ nuku blibo siwo wotsɔ lãgbalẽ wɔe
Tsɔ kpe ɖe nu siawo ŋu la, wotsɔa phosphorus dea nuɖuɖu siwo woɖana kabakaba, nuɖuɖu siwo ŋu wotrɔ asi le, nuɖuɖu siwo wotsɔa gaze me, kple nunono siwo wotsɔa aŋetu me ɖuna egbea hã me be woakpɔ wo ta eye woƒe vivi nanyo ɖe edzi. Eyata phosphorus ƒe agbɔsɔsɔ si le nuɖuɖu siawo me hã sɔ gbɔ ŋutɔ.
Dɔlélea didi kple atikewɔwɔ ƒe mɔnuwo
Nɔnɔme sia nyanya ate ŋu asesẽ elabena dzesi aɖeke koŋ mele eŋu o. Zi geɖe la, woke ɖe eŋu le vo me le ʋudodokpɔ me be dɔléle bubu aɖe le ame ŋu.
Alesi woawɔ anya dɔléleae
Wò ɖɔkta ado wò ʋu aɖe kpɔ eye wòadzidze phosphate ƒe agbɔsɔsɔ si le eme. Ne esɔ gbɔ wu alesi wokafui la, aɖo kpe edzi be hyperphosphatemia le ŋuwò.
Aleke wowɔa atike nɛ?
Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woakpɔ phosphorus ƒe agbɔsɔsɔ si le ʋua me dzi eye woada dɔléle si gbɔ wòtso (zi geɖe la, ayikudɔ) si he dɔlélea vɛ.
1. Nuɖuɖu:Atikewɔwɔ ƒe akpa vevi aɖee nye nuɖuɖu. Woaɖo aɖaŋu na wò be nàɖe nuɖuɖu siwo me phosphorus sɔ gbɔ ɖo si míeyɔ ɖe etame dzi akpɔtɔ, vevietɔ nuɖuɖu siwo ŋu wotrɔ asi le.
2. Atikewo: Atike siwo blaa phosphate nye atike ƒomevi aɖe si wonana kple nuɖuɖu. Atikekui siawo xea mɔ na phosphorus ƒe xɔxlɔ̃ tso nuɖuɖu si míeɖuna me eye wòtoa aɖuɖɔ me. Ele vevie ŋutɔ be woano atike sia pɛpɛpɛ kple nuɖuɖu .
3. Dialysis: Ne wò ayikudɔa le sesẽm la, ahiã be woawɔ dialysis na wò. Dɔ sia ɖea phosphorus si sɔ gbɔ ɖe lãme na ame tsɔ kpe ɖe gbeɖuɖɔ siwo ƒo ƒu ɖe ŋutilãa me ŋu.
4. Vitamin D: Ayikudɔ ate ŋu axe mɔ na ŋutilãa be wòagazã vitamin D nyuie o. Eyata wò ɖɔkta ate ŋu aŋlɔ vitamin D ƒomevi tɔxɛ aɖe na wò.
Ne womewɔ atike na dɔléle sia o la, ate ŋu ahe nɔnɔme sesẽwo vɛ, abe secondary hyperparathyroidism, ayiku ƒe ƒumeŋuɖui, kple metastatic calcification ene.
Eyata ele vevie be woawɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- Hyperphosphatemia nye phosphorus ƒe agbɔsɔsɔ si dzi ɖe edzi le ʋua me. Nusi koŋ gbɔ esia tsonae nye ayikudɔléle si nɔa anyi didi (CKD).
- Zi geɖe la, mehea dzesi aɖeke vɛ o. Gake ne womedae o la, ate ŋu ahe nɔnɔme sesẽwo abe ƒu ƒe gbɔdzɔgbɔdzɔ kple dzidɔ ene vɛ.
- Woate ŋu akpɔ nɔnɔme sia to ʋudodokpɔ bɔbɔe aɖe dzi.
- Dɔdamɔnua dometɔ aɖewoe nye nuɖuɖu dzi ɖuɖu, atike tɔxɛwo (phosphate binders), kple ayikudɔ si gbɔ wòtso la dada.
- Ne ayikudɔ le ŋuwò, alo ɖikeke aɖe le ŋuwò le eŋu la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta eye yeaxɔ aɖaŋuɖoɖo kple atikewɔwɔ si hiã. Mègaxe mɔ ɖe wò nuɖuɖu nu alo adzudzɔ atikewo nono le wò didi nu o.
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