Yu gɛt prɔblɛm wit di lɔw kalsiɔm lɛvɛl afta dɛn dɔn ɔpreshɔn yu? I kin bi ‘Hungry Bone Syndrome’!

As yu go no, afta sɔm ɔpreshɔn, mɔ di wan dɛn we de pul di tayroyd gland na di nɛk ɔ di paratayroyd gland dɛn we de nia de, di bɔdi kin gɛt sɔm difrɛn kayn prɔblɛm dɛn. Sɔm pipul dɛn kin fil lɛk se dɛn taya we dɛn nɔ go ebul fɔ imajin, dɛn bɔdi kin at, ɔ dɛn kin kɔnfyus smɔl. So if yu ɔ pɔsin we yu sabi de gɛt sɔntin lɛk dis, i kin bi bikɔs ɔf wan kɔndishɔn we wi go tɔk bɔt tide we dɛn kɔl ‘Hungry Bone Syndrome’. Di nem de saund likl strenj, no bi so? Yu kin de tink se, "Wetin i min fɔ gɛt bon dɛn we angri?" Lɛ wi tek wan luk pan wetin i bi, insay simpul wɔd dɛn.

Wetin na ‘Hungry Bone Syndrome’?

Fɔ tɔk am simpul wan, Hungry Bone Syndrome na wan sik we yu blɔd kalsiɔm lɛvɛl kin go dɔŋ tumɔs wantɛm wantɛm. Dɔktɔ dɛn kin kɔl dis ``Hypocalcemia''. Bɔku tɛm dɛn kin si dis sik afta dɛn dɔn du ɔpreshɔn pan di paratayroyd gland dɛn. Yu no se di paratayroyd gland dɛn rili impɔtant fɔ kɔntrol di kalsiɔm we de na wi bɔdi?

Pipul dεm we gεt dis ‘hungry bone syndrome’ kin nכ כnli gεt lכw kכlsyכm lεvεl, bכt sכmtεm dεn kin gεt lכw lεvεl כf magnεsium (`(Hypomagnesemia)`) εn fכsfכr (`(Hypophosphatemia)`) na dεn bכdi. Dɛn tin ya na impɔtant minral dɛn bak we wi bɔdi nid.

Bɔt natin nɔ de fɔ wɔri bɔt. ‘Hungry Bone Syndrome’ na wan sik wae dɛn kin trit ɛn mɛn . De tin wae impɔtant pas ɔl na fɔ no am insay tɛm ɛn bigin fɔ trit yu.

Aw dis sik kin kɔmɔn?

Risach pipul dɛm nɔr rili gɛt ɛksaktɔl aidia bɔt aw kɔmɔn dis ‘hungry bone syndrome’, as e kin difrɛn frɔm pɔrsin to ɔda pɔrsin.

Bɔt sɔm stɔdi dɛn dɔn sho se bitwin 4 ɛn 13 pan 100 pipul dɛn we dɔn gɛt paratayroyd fɔ wan sik we dɛn kɔl praymari haypaparatayroydizm kin gɛt dis sik. Dɔn bak, sɔm ripɔt dɛn se afta dɛn dɔn du ɔpreshɔn fɔ sɛkɔndari ɛn tɛshari haypaparatayroydism, di chans fɔ mek dis sik bigin kin rich 20 to 70 pan 100. So, i tan lɛk se dis kin kɔmɔn smɔl pan sɔm kes dɛm.

Wetin na di sayn dɛm fɔ ‘Hungry Bone Syndrome’?

Di sayn dɛm fɔ ‘Hungry Bone Syndrome’ rili fiba di wan dɛm wae kin kam wae yu blɔd gɛt smɔl kalsiɔm (Hypocalcemia). Dɛn tin ya kin bi smɔl smɔl lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:

• Rol ɔ pul di bɔdi: Na filin lɛk se di bɔdi na di leg ɔ an jɔs de rɔl.
• Mɔsul wik: Fɔ fil se yu nɔ gɛt layf ɛn yu taya tumɔs fɔ du ɛnitin.
• Bɔn pen: Fɔ fil lɛk se di bon dɛn na di bɔdi de at.
• Taya bad bad wan: Taya we nɔ de go ivin afta yu dɔn slip.
• Kɔnfyushɔn: I nɔ kin izi fɔ pe atɛnshɔn, nɔ kin no wetin fɔ du.
• Prɔblɛm fɔ mɛmba tin dɛn: Fɔ fɔgɛt tin dɛn.
• Fɔ vɛks ɔ fɔ vɛks: Fɔ vɛks pan smɔl tin, fɔ fil bad.
• Pwɛl hat: Fɔ fil se yu at pwɛl ɛn nɔr gɛt op.
• Di lip, tɔŋ, finga, ɛn/ɔ fut kin swɛla: Dɛn say ya kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, ɔ lɛk se ant de rɔn rawnd.
• difεlεns fכ brith bikoz fכ di spasm na di trot mכsul dεm (`(Laryngospasm)`): Dis na sכm denja sכmtεm, i de mek i at fכ brith.
• di mכsul dεm stiff εn twitch (`(Tetany)`): Na kכndyushכn we di mכsul dεm na di bכdi de stiff εn twitch.
• Seizure: Dis na siriɔs sayn bak.

along wit dis simptom dεm, lεk aw wi bin dכn tכk, di lכw lεvεl dεm fכ magnεsium εn fכsfכr na di bכdi (`(Hypomagnesemia)` εn `(Hypophosphatemia)`) kin apin bak. Di sayn dɛm fɔ dɛn kayn tin ya kin rili fiba di wan dɛm wae gɛt smɔl kalsiɔm. Dɛn kin mek bak di mɔsul dɛn gɛt prɔblɛm, dɛn kin gɛt sik, ɛn at kin bit ɔltɛm (`(Arrhythmia)`).

Angri bon sindrom kin apin insay 18 awa afta dɛn dɔn ɔpreshɔn di paratayroyd ɔ tayroyd .

Wetin mek dis ‘Hungry Bone Syndrome’ kin apin?

Bɔku men tin dɛn de we kin mek pɔsin gɛt ‘Hungry Bone Syndrome’:

• Afta paratayroyd ɔpreshɔn (Parathyroidectomy) fɔ praymari ɔ sɛkɔndari haypaparatayroydism.
• Tayrotoxicosis na wan kכndyushכn we kin apin afta dεn dכn tכtal tayroyd.
• we di prכstat kεnsar de spre to di bon dεm (metastasized).

fכ כndastand gud gud wan wetin mek dis kin apin, i implεnt fכ כndastand sכmtεm bכt aw dεn de rεgεl di kalsiכm lεvεl na wi bכdi.

Imajin, biɛn yu tayroyd gland na yu nɛk, 4 smɔl smɔl gland dɛn de we dɛn kɔl paratayroyd gland. Dɛn gland ya kin mek wan ɔmon we dɛn kɔl paratayroyd ɔmon (PTH) . di men wok we dis PTH כmon de du na fכ kכntrכl di lεvεl fכ kalsiכm na di bכdi (nכto na di bon dεm, bכt na di bכdi). PTH de εp bak fכ kכntrכl di lεvεl dεm fכ fכsfכr (we na minral bak) εn vaytam in D (we na כmon bak) na di bכdi εn bon dεm.

So, we yu bɔdi no se yu blɔd kalsiɔm lɛvɛl dɔn smɔl, di paratayrɔyd gland dɛn kin pul di ɔmon we dɛn kɔl PTH. dis PTH de go εn pul sכm sכm kalsiכm frכm di bon dεm εn ad am to di bכdi. Dɔn di blɔd kalsiɔm lɛvɛl kin kam bak to nɔmal.

Naw, imajin se sɔmbɔdi gɛt paratayrɔyd gland dɛn we de wok pasmak, ɛn dɛn du ɔpreshɔn fɔ pul dɛn. wetin kin apin na dat di PTH hכmon lεvεl dεm we bin de bכku bכku bכku wan de dכn wan wan. Sɔntɛnde, we dɛn du tayroyd ɔpreshɔn, if di paratayroyd gland dɛn we de nia de pwɛl aksidɛntli, di PTH lɛvɛl kin go dɔŋ bak.

we di PTH lεvεl dεm dכn wan wan, di כmכnt כf kalsiכm na ol bon dεm we de rεsכb insay di bכdi (`(Rεsכpshכn)`) de dכn, εn di amoun fכ nyu bon fכmeshכn (`(Bכn Fכmeshכn)`) de inkrεs. dis kin mek di bon dεm "stard" fכ kalsiכm. Na dat mek dɛn kɔl dis ‘hungry bone syndrome’.

Dis na wetin kin apin we prɔstat kansa kin go na di bon dɛm. na de, di aktiviti fכ di bon-bildin sεl dεm (`(Osteoblastic activity)`) de inkrεs, so di bon dεm nid mכr kalsiכm.

Udat de pan big risk fɔ gɛt ‘Hungry Bone Syndrome’?

Sɔm pipul dɛn kin gɛt dis sik. Lɛ wi luk udat dɛn bi:

• di paratayroyd ɔmon (PTH) we rili ay na di blɔd.
• di lεvεl dεm we di alkaline phosphatase de insay di bכdi de inkrεs.
• Bɔku tɛm, di kalsiɔm we de na di blɔd kin smɔl.
• Fɔ gɛt vaytamɛn D we nɔ de.
• Fɔ du tayroyd ɛn paratayroyd ɔpreshɔn di sem tɛm.
• di blɔd yuria naytrɔjen (BUN) lɛvɛl de go ɔp.
• Fat pasmak, dat na fɔ fat pasmak.
• Ɔpreshɔn fɔ pul wan paratayrɔyd gland we big pas di nɔmal.
• di kεnsar sεl dεm we de spre to di bon dεm (Mεtastatik tכmכro dεm na di bon dεm).
• Prεsεns fכ bon-rεlatεd sik dεm lεk brawn tכmכro εn כsteitis fibrosa cystica.

Pipul wae gɛt dis risk factor kin gɛt ‘hungry bone syndrome’.

Aw dɔktɔ dɛn kin fɛn dis?

Bɔku tɛm, dɔktɔ go fɔs no if yu gɛt ‘hungry bone syndrome’ bay we i du kalsiɔm blɔd tɛst. jεnarali, if yu bכdi kalsiכm lεvεl de dכn 8.4 mg/dL fכ mכr dan fכ de, dεn kin kכnsida am as risk fכ ‘hungry bone syndrome’.

Nɔto dat nɔmɔ, yu dɔktɔ kin du sɔm ɔda tɛst dɛn bak fɔ si if dis sik dɔn afɛkt ɔda tin dɛn we gɛt fɔ du wit yu wɛlbɔdi:

• Ɔda blɔd tɛst dɛn: Dɛn kin tɛst yu blɔd fɔ si if yu gɛt magnɛsiɔm, fɔsfɔr, paratayrɔyd ɔmon (PTH), ɛn/ɔ vaytamɛn D.
• EKG (Electrocardiogram): Dis tεst de mכsu di ritm fכ yu at bay we dεn de atak εlektrod dεm na yu chεst. dis impɔtant bikɔs di blɔd kalsiɔm we nɔ de (hypocalcemia) ɛn ‘hungry bone syndrome’ kin mek di at bit fayn fayn wan.
• Bɔn imej tɛst: Dɛn tɛst ya kin chɛk fɔ si if yu bon dɛn gɛt prɔblɛm, lɛk we yu bon brok, we nɔ fayn, ɔ we gɛt tumbu.

Wetin na di tritmɛnt fɔ ‘Hungry Bone Syndrome’?

Nɔ wɔri, gud tritmɛnt dɛn de fɔ dis. Di men gol fɔ tritmɛnt na fɔ briŋ di kalsiɔm lɛvɛl na yu blɔd bak to wɛl bɔdi lɛvɛl. Bɔrku tɛm, yu go gɛt dis tritmɛnt wae yu de na ɔspitul. Di tritmɛnt kin inklud:

• fכ gi kalsiכm tru wan vein (`(IV Calcium - Calcium Gluconate)`): dis de εp fכ mek di kalsiכm lεvεl kam bak kwik kwik wan.
• Ɔral Calcium Supplements (Calcium Citrate ɔ Calcium Carbonate): Dɛn kin gi dɛn tin ya fɔ mek di kalsiɔm lɛvɛl kɔntinyu fɔ de.
• Vitamin D we yu kin it wit yu mɔt: Vitamin D impɔtant fɔ mek di bɔdi tek di kalsiɔm.
• Magnɛsiɔm riplesmɛnt: If di magnɛsiɔm lɛvɛl smɔl, dat sɛf nid fɔ kɔrɛkt.

Di dɔktɔ dɛn go chɛk yu sik ɛn no di tritmɛnt we go fayn fɔ yu.

Aw lɔng i go tek fɔ mek yu wɛl frɔm dis sik? Wetin na di tumara bambay?

Di gud nyus na dat dis sik, ‘Hungry Bone Syndrome’, dɔn ɔlmost wɛl bɔdi . Dat min se di prɔgnosis rili gud.

Bɔt ivin wit tritmɛnt, di tɛm we i kin tek fɔ mek dis sik dɔn ful-ɔp kin difrɛn. Sɔm pipul dɛn kin wɛl insay sɔm dez, ɛn ɔda wan dɛn kin tek sɔm mɔnt. Na rare kes dɛm, e kin las fɔ wan ia.

Di tin we impɔtant pas ɔl na dat, if dɛn nɔ trit am, siriɔs haypokalsimia kin mek pɔsin gɛt prɔblɛm dɛn we kin mek pɔsin in layf de pan denja lɛk fɔ sik. So, i impɔtant fɔ go to tritmɛnt kwik kwik wan if yu gɛt di sik.

Yu tink se dɛn kin ebul fɔ avɔyd ‘Hungry Bone Syndrome’?

Bikɔs ‘hungry bone syndrome’ kin apin afta dɛn dɔn du paratayroyd ɔpreshɔn (`(Parathyroidectomy)`) ɔ tayroyd ɔpreshɔn (`(Thyroidectomy)`), dɔktɔ dɛn kin tray fɔ tek stɛp fɔ mek i nɔ apin ivin bifo dɛn du di ɔpreshɔn. Lɛ wi si wetin dɛn bi:

• Evalueshɔn bifo yu du di ɔpreshɔn: Bifo yu du di ɔpreshɔn , yu dɔktɔ go chɛk yu bon minral dɛnsiti, yu blɔd kalsiɔm lɛvɛl, fɔsfɛt lɛvɛl, PTH lɛvɛl, ɛn vaytamɛn D lɛvɛl. Dɛn tɛst ya kin ɛp yu dɔktɔ fɔ no if yu de pan risk fɔ gɛt ‘hungry bone syndrome’.
• Di tin dɛn we dɛn fɔ du fɔ mek dɛn nɔ gɛt dis sik:If yu gɛt mɔ risk fɔ gɛt ‘hungry bone syndrome’, yu dɔktɔ kin se yu fɔ tek sɔpɔt ɔ mɛrɛsin fɔ mek yu kɔntinyu fɔ gɛt vaytamɛn D ɛn kalsiɔm bifo yu ɔpreshɔn. Dis kin ɛp fɔ ridyus di chans ɛn/ɔ di kayn we aw pɔsin kin gɛt ‘angri bon sindrom’.
• Fɔ wach di pɔsin afta di ɔpreshɔn: Afta di ɔpreshɔn, di ɔspitul tim go de chɛk yu blɔd ɔltɛm fɔ gɛt kalsiɔm, fɔsfɛt, magnɛsiɔm, ɛn PTH. Dis na so dat if yu gɛt ‘hungry bone syndrome’, dɛn kin no am kwik ɛn bigin tritmɛnt wantɛm wantɛm.

Bɔt pan ɔl dɛn tin ya we dɛn kin du, sɔntɛnde ‘angri bon sindrom’ kin kam. Risach pipul dɛn stil nɔ shɔ wetin mek dis kin apin.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn gɛt paratayroyd ɔ tayroyd ɔpreshɔn ɛn leta yu gɛt di sayn dɛn we de sho se yu gɛt smɔl blɔd kalsiɔm (`(Hypocalcemia)`) we wi bin dɔn tɔk bɔt, lɛk we yu mɔsul kramp, filin fɔ wik, chenj na yu kɔnshɛns (lɛk kɔnfyushɔn), ɛn yu lip ɛn finga dɛn we nɔ gɛt bɛtɛ trɛnk, yu fɔ rili go to dɔktɔ kwik kwik wan.**Hungry bone sindrom' εn `(Hypocalcemia)` kin apin afta paratayroyd εn/כ tayroyd כpεrayshכn, i kin sכbכt afta fכ de, εn afta dat i kin apia bak. So, i rili impɔtant fɔ pe atɛnshɔn to ivin di smɔl smɔl tin we de sho se yu gɛt dis sik.

‘Hungry bone syndrome’ na wan kכndyushכn we kin apin afta dεn du di כpεrayshכn fכ pul di paratayroyd כ tayroyd gland dεm. Di gud nyus na dat, dɛn kin trit am ɛn mɛn am. Bɔt, i kin tek sɔm tɛm fɔ mek i wɛl ɔl. Bikɔs if yu blɔd kalsiɔm go dɔŋ bad bad wan, dat kin mek yu gɛt prɔblɛm wit yu wɛlbɔdi, i go fayn fɔ mek yu go to dɔktɔ jɔs afta yu dɔn si di sik.

Tek mɛsej na os

So, fɔ tɔk am simpul wan, ‘Hungry Bone Syndrome’ na wan sik we kin apin afta dɛn dɔn du ɔpreshɔn pan di paratayroyd ɔ tayroyd gland. Wetin i impɔtant fɔ du na dat di kayn kalsiɔm we de na di bɔdi in blɔd kin go dɔŋ wantɛm wantɛm. dis na biכs di lεvεl fכ di paratayroyd כmon (`(PTH)`) de dכn afta di כpεrayshכn, we de mek di bon dεm "dimand" kalsiכm.

Nɔr frayd fɔ yɛri dis, bikɔs ‘Hungry Bone Syndrome’ na wan sik wae dɛn kin trit ɛn mɛn fayn fayn wan.

Di tin we impɔtant pas ɔl na dat if yu gɛt ɛni wan pan dɛn sik ya (lɛk fɔ mek yu mɔsul dɛn de shek shek, yu taya, yu nɔ de fil fayn), nɔ west yu tɛm ɛn go to dɔktɔ kwik kwik wan. Dis we ya, yu kin no di sik kwik kwik wan, bigin di tritmɛnt we yu nid kwik kwik wan, ɛn mɛn am bifo i bi big prɔblɛm. Mɛmba se fɔ kia fɔ yu wɛlbɔdi na yu yon an.

`Angri Bon Sindrom, Angri Bon Sindrom, Kalsiɔm, Hypocalcemia, Paratayroyd, Tayrɔyd Ɔpreshɔn, PTH