Mí katã míenya be calcium hiã vevie na ƒu kple aɖu sesẽwo. Gake ènya be tsɔ kpe ɖe calcium si le míaƒe ƒuwo me ŋu la, calcium si le míaƒe ʋu me hã le vevie ŋutɔ na dɔ geɖe wɔwɔ le míaƒe ŋutilã mea? Ne calcium ƒe agbɔsɔsɔ si le ʋu sia me ɖiɖi wu alesi wòle be wòanɔ la, míeyɔnae be hypocalcemia. Esia ate ŋu ahe kuxi siwo mèle mɔ kpɔm na o vɛ. Eyata mina míaƒo nu tso esia ŋu tsitotsito vie egbea.
Kpuie ko la, nukae nye hypocalcemia?
Hypocalcemia nye ne wò ʋu me calcium ƒe agbɔsɔsɔ le ʋɛ akpa. Menye ɖeko calcium le vevie na míaƒe ƒuwo kple aɖuwo ko o, ke ele vevie hã be ʋukawo natsi ahakeke, lãmekawo nate ŋu akaka, ʋu natsi, eye lãmekawo nawɔ dɔ. Zi geɖe la, míaƒe ŋutilã ɖɔa calcium ƒe agbɔsɔsɔ sia ɖo nyuie ŋutɔ. Lãmetsiŋusẽ vevi etɔ̃ kpena ɖe esia ŋu: parathyroid hormone (PTH), calcitonin, kple vitamin D. Zi geɖe la, ele be ame tsitsi ƒe ʋu me calcium ƒe agbɔsɔsɔ nanɔ 8.5 va ɖo 10.2 mg/dL (milligram/deciliter) dome. Gake asixɔxɔ siawo ate ŋu ato vovo vie tso dodokpɔxɔ ɖesiaɖe me. Le ɖeviwo kple sɔhɛ tsitsiwo gome la, asixɔxɔ sia lolo vie wu. Ne calcium ƒe agbɔsɔsɔ si le wò ʋu me ƒe nyatakaka me le ʋɛ wu agbɔsɔsɔ sia si sɔ la, ke emae nye hypocalcemia.
Nukatae esia dzɔna ɖo? Nukawoe hea hypocalcemia vɛ?
Zi geɖe la, nɔnɔme sia dzɔna ne wò ŋutilã bu calcium fũ akpa le wò aɖuɖɔ me alo ne wò ƒuwo meɖe calcium si sɔ ɖe wò ʋu me o. Na míalé ŋku ɖe nu vevi siwo gbɔ wòtso ŋu.
| Susu | Numeɖeɖe bɔbɔe |
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| Hypoparathyroid ƒe dɔléle si nye Hypoparathyroidism | Parathyroid glands nye lãkusi sue ene siwo le thyroid gland megbe le míaƒe kɔ me. Esiawoe wɔa lãmetsi si nye PTH, si kpɔa calcium dzi. Ne lãkusi siawo gblẽ le nane abe lãkusi ƒe dɔwɔwɔ ene me la, PTH ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna eye calcium ƒe agbɔsɔsɔ si le ʋua me dzi ɖena kpɔtɔna. |
| Vitamin D ƒe anyimanɔmanɔ | Vitamin D le abe xɔlɔ̃ si kpena ɖe ŋutilãa ŋu wòxɔa calcium ene. Ne mèkpɔ vitamin D si sɔ tso ɣe ƒe keklẽ, nuɖuɖu, alo atikewo me o la, calcium ƒe xɔxlɔ̃ dzi ɖena kpɔtɔna eye calcium ƒe agbɔsɔsɔ le ʋu me dzi ɖena kpɔtɔna. |
| Ayikudɔ si nɔa anyi didi | Ne ayikuwo mewɔa dɔ nyuie o la, esesẽna na ŋutilãa be wòazã vitamin D. Azɔ hã, mineral aɖe si woyɔna be phosphorus ƒoa ƒu ɖe ʋua me. Kuxi siawo ate ŋu ana calcium ƒe agbɔsɔsɔ naɖiɖi. |
| Susu bubuwo tae | - Magnesium ƒe agbɔsɔsɔ si mesɔ o: Magnesium ƒe agbɔsɔsɔ alo esi mesɔ gbɔ o ate ŋu akpɔ ŋusẽ ɖe calcium ƒe agbɔsɔsɔ dzi.
- Dɔdzẽ : Ahanono fũ alo aɖuɖɔtoemekpewo gbɔe nɔnɔme sia ate ŋu atso eye ate ŋu ana calcium naɖiɖi.
- Atike aɖewo: Ate ŋu atso atike siwo wozãna na asrãdɔ, dɔlékuiwutike aɖewo , kple ƒumekansa ƒe atikewo hã gbɔ.
- Fufɔfɔ: Ɣeaɖewoɣi la, nunyiame ƒe veve alo ʋuʋudedi fũ ate ŋu atso nɔnɔme sia gbɔ .
- Dɔlékui sesẽwo: Calcium ƒe agbɔsɔsɔ ate ŋu aɖiɖi le dɔlékui sesẽ siwo kaka ɖe ŋutilã bliboa me, abe dɔlékuiwutikewo ene me.
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Ɣeaɖewoɣi la, dzesi aɖeke manɔ ŋuwò o, gake ɣeaɖewoɣi la, nɔnɔme sia ate ŋu asẽ ŋutɔ eye wòate ŋu ade wò agbe afɔku me.
Dzesi siwo mesẽ o
- Lãmetsiwo ƒe ʋuʋu le megbe kple afɔwo ŋu
- Ŋutilã ƒuƒui si me ʋuʋudedi le
- Taɖa ƒe ƒoƒo ɖe edzi wu alesi wònɔna ɖaa
- Aɖabɛwo gbãna bɔbɔe
Dzesi siwo ate ŋu ado mo ɖa ne nɔnɔmea nu sẽ
- Nuyiwo, aɖe, asibidɛwo, alo afɔwo ƒe ʋuʋu
- Lãmetsiawo ƒe tete si me vevesese le si womate ŋu ado dzi atsɔ o
- Yagbɔgbɔ sesẽ le ŋɔti ƒe lãmekawo ƒe tete ta
- Alɔ̃madɔmadɔ
- Dzi ƒe tsotso ƒe dɔmawɔmawɔ nyuie (Arrhythmia) kple dzi ƒe dɔmawɔmawɔ nyuie
- Susu me tɔtrɔwo abe ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie, blanuiléle, dzikudodo, kple susumenuwo kpɔkpɔ
Nukae nye tetany? Tetany nye dzesi siwo ƒo ƒu tso ʋumenugbagbeviɣidɔ gbɔ . Eƒe dzesi enye dzikudodo kple lãmekawo ƒe tete le wo ɖokui si . Dzesiawo dometɔ aɖewoe nye lãmetutudɔ, lãmetutudɔ, kple gbɔgbɔ sesẽ le abɔ kple afɔwo me. Ne womeda tetany kaba o la, ate ŋu ayi ŋgɔ ava zu dɔléle sesẽ aɖe si woyɔna be rhabdomyolysis, si ate ŋu ana lãmekawo nagbã eye ayiku nawɔ dɔ nyuie.
Aleke woawɔ ade dzesi nɔnɔme sia?
Mɔ vevitɔ si dzi woato anya esiae nye ʋudodokpɔ. Wò ɖɔkta ate ŋu alé ŋku ɖe calcium bliboa kple calcium si me ion le siaa ŋu. Tsɔ kpe ɖe eŋu la, wò ɖɔkta adi dzesi eve koŋ ne ele wò dom kpɔ: 1.
Chvostek ƒe dzesi: Tsɔe be ɖɔktaa le lãmeka aɖe ƒom le wò aɖu me kple eƒe asibidɛ. Ne èse le ɖokuiwò me be yeƒe mo ƒe axadzi le ʋuʋum la, ema ate ŋu anye dzesia. 2.
Trousseau ƒe dzesi: Ne wotsɔ ʋu ƒe sisi ƒe akɔtaɖonu da ɖe wò alɔnu eye wolée ɖe asi abe miniti 3 ene la, wò alɔnu kple asibidɛ ƒe lãmekawo ƒoa ƒu vevesesetɔe. Esia nye dodokpɔ vevi aɖe ŋutɔ si woatsɔ akpɔe ɖa be ʋumenugbagbeviɣidɔ hã le lãme na ame hã. Ðewohĩ ahiã be woado wò kpɔ geɖe wu be nànya nusi gbɔ nɔnɔme sia tso.
- Ʋudodokpɔ be woatsɔ akpɔ magnesium, phosphorus, PTH lãmetsi, kple vitamin D ƒe agbɔsɔsɔ
- Aɖuɖɔtoe dodokpɔ be woatsɔ akpɔ ayiku ƒe lãmesẽ
- Ultrasound scan be woatsɔ akpɔe ɖa be ayiku me kpewo le eŋu hã
- EKG (Electrocardiogram) dodokpɔ be woatsɔ akpɔe ɖa be dzi ƒe tsotso mesɔ o hã
- Ƒuwo ƒe fotoɖeɖe be woatsɔ akpɔ ƒuawo ƒe nɔnɔme
Aleke wowɔa atike nɛ?
Atike si nàxɔ la anɔ te ɖe nusi gbɔ dɔlélea tso kple alesi wò dzesiawo nu sẽe dzi.
- Le dzesi siwo mesẽ o gome la: Woate ŋu aŋlɔ calcium kple vitamin D ƒe atikekuiwo na wò be nàno gbesiagbe. Ele vevie ŋutɔ be nàno agbɔsɔsɔ si tututu wò ɖɔkta ŋlɔ na wò.
- Le dzesi sesẽwo gome la: Ne wò dzesiawo nu sẽ, ne dzi ƒe tsotso ƒe kuxiwo le ŋuwò, alo ne nɔnɔmea va do mo ɖa kpata la, ahiã be woaxɔ wò ɖe kɔdzi eye woana calcium wò to ʋuka me (to ʋuka me - IV). Zi geɖe la, wonaae le nɔnɔme si woyɔna be calcium gluconate me. Le IV-dɔdamɔnu vɔ megbe la, ahiã be nàno calcium-tikewo hena ɣeyiɣi aɖe.
- Nusi gbɔ wòtsona la dada:Ne magnesium ƒe agbɔsɔsɔ si le asiwò mesɔ gbɔ o la, ahiã be nàdae, eye ayikudɔléle hã dada.
Nu vevitɔe nye be, mègano calcium-tikewo le ɖokuiwò si gbeɖe o. Kpɔ wò ɖɔkta gbɔ ɣesiaɣi eye nàno atike si wòŋlɔ na wò la ko.
Kuxi siwo ate ŋu ado mo ɖa ne womekpɔ wo gbɔ o
Zi geɖe la, dzesiawo nu yina ne wowɔ atike na wo, gake ne womewɔ atike na wo o la, kuxi siwo me afɔku le ŋutɔ ate ŋu ado mo ɖa.
- Dzi ƒe dɔmawɔmawɔ nyuie
- Alɔ̃madɔmadɔ
- Dzi ƒe ʋuʋu ƒe dɔléle siwo ate ŋu ade ame ƒe agbe afɔku me
Azɔ hã, calcium kple vitamin D ƒe agbɔsɔsɔ gbogbo aɖe nono ɣeyiɣi didi ate ŋu ahe nugbegblẽ le ame ŋu abe ayiku me kpewo ene vɛ. Eyata ele vevie ŋutɔ be woawɔ atike ɣesiaɣi le ɖɔkta ƒe dzikpɔkpɔ te.
Gbedasi si Wotsɔ Yi Aƒeme
- Hypocalcemia nye nɔnɔme si me calcium ƒe agbɔsɔsɔ si le ʋua me medea ame dzi o. Menye ƒuwo ɖeɖekoe esia gblẽa nu le o, ke boŋ ŋutilã bliboa hã.
- Mègaŋe aɖaba ƒu dzesiwo abe ʋuʋudedi alo ʋuʋudedi ene dzi o. Ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi kaba.
- Esi wònye be nu geɖe gbɔe nɔnɔme sia tsona ta la, ele vevie be woadi nusi gbɔ wòtso ahadae eye woada dɔlélea ƒe dzesiwo hã.
- Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ enumake. Wɔ ɖe eƒe mɔfiamewo dzi hena dodokpɔ kple atikewɔwɔ siwo hiã.
Hypocalcemia, calcium ƒe anyimanɔmanɔ, calcium ƒe anyimanɔmanɔ, lãmekawo ƒe ʋuʋu, lãmekawo ƒe ʋuʋu, vitamin D, parathyroid
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