Ua mae kou mau lālā? Ke manaʻo nei anei kou mau aa koko e like me ke kuʻi nei? He Tetany paha ia.

I kekahi manawa ua ʻike paha ʻoe iā ia, ʻeā? Malie wale kou mau manamana lima a me kou mau manamana wāwae, kani kou waha, a ʻūlū paha kou mau ʻiʻo me he mea lā e pohā ana kekahi aa koko. ʻO ka hapa nui o ka manawa, manaʻo mākou he mau mea maʻamau kēia, akā i kekahi manawa he hōʻailona kēia o kahi maʻi e pono ai ka nānā ʻana. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā, i kapa ʻia ʻo 'Tetany.' ʻAʻole kēia he maʻi, akā he hōʻailona. I ka pololei, ua hoʻoulu nui ʻia ka ʻōnaehana nerve o ko mākou kino, e hoʻoulu ai i nā ʻiʻo e ʻūmiʻi koke.

No laila he aha nā hōʻailona o ka tetany?

Hiki i ka Tetany ke hōʻike iā ia iho ma nā ʻano like ʻole. He ʻoluʻolu loa kekahi mau hōʻailona, ​​​​aʻo kekahi hiki ke koʻikoʻi loa. E hoʻokaʻawale kākou iā lākou i kā lākou mau ʻano ponoʻī.

ʻAʻole hoʻoweliweli pinepine ka Tetany i ke ola, akā i nā hihia koʻikoʻi hiki ke hoʻoweliweli. Hiki i nā ʻūmiʻi ʻiʻo koʻikoʻi ke alakaʻi i ka haki ʻana o nā ʻiʻo, a hiki i kahi kūlana weliweli i kapa ʻia ʻo 'Rhabdomyolysis'.

He hopu ʻana anei ka tetany?

ʻAʻole. ʻElua kēia mau mea ʻelua. Akā, maʻalahi ke huikau. Hiki i ka tetany koʻikoʻi ke hoʻoulu i nā hopu ʻana.

I ka ʻōlelo maʻalahi, he hana uila ka hopu ʻana i loko o ka lolo no kekahi manawa pōkole a kaohi ʻole ʻia. Eia naʻe, ʻaʻole i hana ʻia ka Tetany e kahi pilikia i loko o ka lolo, akā, ma muli o ka hoʻoulu nui ʻana o nā aʻalolo a me nā ʻiʻo ma muli o kahi kaulike ʻole o ka electrolyte i loko o ko mākou kino.

No ke aha e hana ai ka tetany? He aha nā kumu nui?

ʻO ke kumu nui o ka tetany he kaulike ʻole o ka electrolyte i loko o ke kino. He aha nā electrolytes? He mau mea kēia e lawe ana i kahi hoʻouka uila ke hoʻoheheʻe ʻia i loko o ko mākou kino. E noʻonoʻo he 60% o ko mākou kino he wai. No laila, kokoke i kēlā me kēia cell a me kēlā me kēia wai i loaʻa nā electrolytes. He mea nui kēia mau electrolytes no nā mea he nui i loko o ko mākou kino, e like me nā hopena kemika, ka hoʻoili ʻana o nā aʻalolo, a me ka ʻūlū ʻana o nā ʻiʻo.

Ke kaulike ʻole kēia mau electrolytes, hiki ke ʻike ʻia nā hōʻailona o ka tetany. E nānā kākou i nā kumu nui.

• Ka haʻahaʻa o ka calcium koko (Hypocalcemia): ʻO kēia ke kumu maʻamau o ka tetany. ʻO ka calcium i loko o ko kākou koko ka mea e kōkua ai i ka hana aʻalolo, ka ʻūlū ʻana o nā ʻiʻo, ke kāpili ʻana o ke koko, a me ka hana pono ʻana o ka puʻuwai. Hiki ke haʻahaʻa nā pae calcium no nā kumu like ʻole, e like me ka haʻahaʻa o ka hormone parathyroid (Hypoparathyroidism) a i ʻole ka nele o ka huaora D.

• Magnesium haʻahaʻa koko (Hypomagnesemia): ʻO ka Magnesium kahi electrolyte e pono ai no nā hana he nui i loko o ko mākou kino. Hiki ke loaʻa ka hemahema o ka Magnesium ma muli o nā maʻi maʻi, ka inu nui ʻana i ka waiʻona, nā maʻi ʻōnaehana hoʻoheheʻe, a me nā maʻi puʻupaʻa.

• Ka haʻahaʻa o ka potassium i loko o ke koko (Hypokalemia): He mea nui ka potassium no ka hana pono ʻana o nā aʻalolo a me nā ʻiʻo, ʻoiai ka ʻiʻo o ka puʻuwai. ʻO kekahi mau diuretics, ka luaʻi mau ʻana a i ʻole ka diarrhea, a me ka maʻi puʻupaʻa mau loa hiki ke hana i nā pae potassium haʻahaʻa.

• ʻO ka Metabolic Alkalosis: He mea nui loa ke kaulike o ka acid-base (pH) o ko kākou koko. ʻOiai kahi ʻokoʻa iki mai kēia hiki ke hoʻomaʻi iā kākou. I kēia kūlana, piʻi ka nui o ka bicarbonate (base) i loko o ke kino.

• Ka hanu wikiwiki ʻana (Respiratory Alkalosis):E noʻonoʻo, i ka wā e makaʻu koke ai ʻoe a hopohopo paha, hoʻomaka ʻoe e hanu wikiwiki, ʻeā? I kēlā mau manawa, hoʻopuka mākou i ka nui o ke kalapona ʻokikene ma mua o ka mea e pono ai. A laila emi ka pae kalapona ʻokikene i loko o ke koko, a lilo ke koko i alkaline. Hiki i kēia ke hana i nā hōʻailona o ka tetany.

Pehea e mālama ʻia ai kēia maʻi?

ʻElua mau pahuhopu i ka mālama ʻana i ka tetany.

1. Pahuhopu pōkole: E hoʻoponopono i ke kaulike ʻole o ka electrolyte i ka hikiwawe loa.

2. Pahuhopu lōʻihi: E ʻike a mālama i ka maʻi kumu i hoʻokumu ai i kēia kūlana.

Inā loaʻa iā ʻoe nā hōʻailona o ka tetany i hoʻokumu ʻia e ka hemahema calcium iki (hypocalcemia), e ʻōlelo paha kāu kauka i kēia mau mea:

• Nā mea hoʻohui kalipuna
• Nā mea hoʻohui huaora D
• Nā papa magnesium

He pilikia olakino ka tetany koʻikoʻi e pono ai ka hoʻokipa koke ʻia ʻana. Pono paha ia i ka mālama ʻana e like me ke intravenous (IV) calcium. Ke pau ka pilikia, e hoʻomaka nā kauka e mālama i ke kūlana kumu i hoʻokumu ai.

Hiki ke pale ʻia ka Tetany?

ʻAʻole hiki ke pale loa ʻia ka Tetany inā he kūlana olakino ma lalo ke kumu o ka nele o ka electrolyte imbalance. Eia nō naʻe, e like me nā maʻi āpau, he mea nui ka ʻike mua ʻana a me ka mālama ʻana .

Ma ke kamaʻilio ʻana me kāu kauka i ka wā e ʻike ai ʻoe i nā hōʻailona liʻiliʻi e like me ke ʻūlū a puni ka waha a me nā aʻa koko pehu, hiki iā ʻoe ke kaohi i ke kūlana ma mua o ka lilo ʻana i mea koʻikoʻi.

ʻO ka mea nui loa, inā ua loaʻa mua kēia mau hōʻailona, ​​​​he paʻakikī ke hoʻoponopono i kēia kaulike ʻole electrolyte me ka ʻai wale ʻana a me ka inu ʻana ma ka home. No laila, he mea nui e ʻimi i ke aʻo lapaʻau.