Wi ɔl no aw di kalsiɔm impɔtant fɔ di bɔdi, mɔ fɔ wi bon dɛn. Frɔm we wi smɔl, wi mama dɛn dɔn de tɛl wi se "we wi drink milk i kin mek di bon dɛn strɔng." Bɔt yu dɔn ɛva tink bɔt wetin go apin if dis tin we dɛn kɔl gud kalsiɔm go bɔku pasmak na wi blɔd? Na dat wi kin kɔl hypercalcemia na mɛrɛsin. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin rili na aypa kalsiɔm?
Fɔ tɔk am simpul wan, aypa kalsiɔm na we yu gɛt mɔ kalsiɔm na yu blɔd pas aw i nɔmal. Dis kin bi fɔ sɔm tɛm, smɔl inkris, ɔr kin bi wan sik wae nɔr de dɔn, fɔ lɔng tɛm.
Naw yu go de wɔnda wetin kin apin we di kalsiɔm we de na yu bon dɛn go insay yu blɔd. Fɔ tru, bɔku pan di kalsiɔm we de na yu bɔdi de na yu bon dɛn. Bɔt fɔ mek yu wok fayn, yu nid bak fɔ gɛt sɔm kalsiɔm na yu blɔd.
Na dɛn tin ya we di kalsiɔm we de na di blɔd kin du to wi bɔdi:
- Fɔ mek di nervɔs sistɛm wok fayn fayn wan: Dis kin ɛp fɔ du ɔl wetin wi de tink, fil, ɛn kɔmand.
- Mɔsul dɛn kin kɔntrakt: Di kalsiɔm we de na di blɔd kin ɛp di mɔsul dɛn fɔ muv, waka, ɛn du ɛni muvmɛnt.
- Blɔd we de klɔt: I de ɛp fɔ stɔp blɔd we injuri de.
- di at fɔ wok fayn fayn wan: Dis impɔtant fɔ mek di at bit di rayt we.
Wi bɔdi de rigul dis kalsiɔm lɛvɛl insay wan we we rili wɔndaful. Tu ɔmon dɛn kin ɛp fɔ du dis. Wan na di paratayroyd ɔmon, ɛn di ɔda wan na di kalsitɔnin. Vitamin D de ple big rol bak ya, biכs vaytam in D de εp di bכdi fכ tek di kalsiכm frכm di it dεm we wi de it.
Bɔt bikɔs ɔf sɔm sik dɛn, mɛrɛsin dɛn, ɛn ɔda tin dɛn, dis kɔntrol sistɛm kin ambɔg ɛn di kalsiɔm we de na di blɔd kin go ɔp. Dis na we di haypa kalsiɔm kin apin.
Di difrɛns bitwin haypa kalsiɔm ɛn haypokalsimia
Pan ɔl we dɛn tu wɔd ya kin tan lɛk di sem, di minin dɛn we dɛn gɛt rili difrɛn.
- Hyper: Di Inglish wɔd "Hyper" min "too much." Dat min se haypa kalsiɔm na we di kalsiɔm we de na di blɔd de bɔku .
- Hypo: Di wɔd "Hypo" min "lɔ." Dat min se haypokalsiɔm na di smɔl lɛvɛl we di kalsiɔm de na di blɔd.
Udat kin gɛt dis sik pas ɔlman?
Hypercalcemia kin apin pan ɛni ej, pan ɛnibɔdi. Bɔt i kin apin mɔ pan uman dɛn we dɔn pas 50 ia .Dis kכndyushכn kin kכmכn mכr, εspεshali afta mεnopos. di men tin we kin mek dis apin na wan paratayroyd gland we de wok pasmak.
Dɛn se bitwin 1% ɛn 2% pan di jenɛral pipul dɛn gɛt dis sik. Bɔt 90% pan dɛn tin ya kin kɔmɔt frɔm di prɔblɛm we wi bin dɔn tɔk bɔt wit di paratayroyd gland dɛm (primary hyperparathyroidism) ɔ kansa.
Bɔrku tɛm, dis sik nɔr kin siriɔs. Bɔku pipul dɛn kin gɛt am bay chans we dɛn de du blɔd tɛst ɔltɛm fɔ ɔda rizin. So nid nɔ de fɔ wɔri.
Bɔt if di kalsiɔm we de na di blɔd rili bɔku, dat kin mek wi gɛt siriɔs prɔblɛm.
- Kidni we nɔ de wok fayn
- At nɔ de bit (Aritmia) .
- Memori ɛn kɔnshɛns distɔblɛshɔn (Kɔnfyushɔn) .
- Go insay wan kɔma
Wetin na di sayn dɛm wae de sho se yu gɛt aypa kalsiɔm?
Bikɔs bɔku tɛm dɛn kin kech dis sik kwik kwik wan, bɔku pipul dɛn nɔ kin gɛt ɛni sayn. Bɔt we di kalsiɔm lɛvɛl go ɔp smɔl ɔ if di sik dɔn de fɔ lɔng tɛm, dɛn tin ya kin apin.
| Di bɔdi sistɛm | Sɔm sayn dɛn we kin apin |
|---|---|
| Kidni ɛn urinary system | Fɔ pis bɔku tɛm ɛn fɔ tɔsti pasmak. |
| Dijestiv sistɛm | Nɔs ɛn vɔmit, kɔnstipɛshɔn, nɔ want fɔ it. |
| Bren ɛn mental stet | Fɔgɛt, pwɛl hat, fɔ vɛks ɔltɛm. |
| Bɔn ɛn mɔsul dɛn | Bɔn pen, mɔsul pen, bɔdi de at, mɔsul dɛn de twitch. |
| Jɛnɛral kwaliti dɛn | I kin taya ɔltɛm ɛn ed kin at. |
Wetin mek di kalsiɔm we de na di blɔd kin bɔku lɛk dis?
I pas 25 sik dɛn we kin mek pɔsin gɛt aypa kalsiɔm. Sɔm mɛrɛsin ɛn we yu nɔ gɛt wata na yu bɔdi kin mek am bak. Bɔt lɛk aw wi bin dɔn tɔk, di tu men tin dɛn we kin mek pɔsin gɛt dis sik na di sik we dɛn kɔl hyperparathyroidism ɛn kansa.
1. Paratayroyd gland prɔblɛm (Primary Hyperparathyroidism) .
Fo smɔl smɔl gland dɛn de na wi nɛk, biɛn di tayroyd gland. Dɛn kɔl dɛn tin ya di paratayrɔyd gland dɛn. Dɛn tin ya kin mek dɛn gɛt paratayrɔyd ɔmon (PTH). Dis ɔmon na di men wan we de kɔntrol di lɛvɛl we di kalsiɔm de na di blɔd.
Imajin, we di kalsiɔm we de na wi blɔd go dɔŋ, dɛn gland ya de pul di ɔmon we dɛn kɔl PTH. Da ɔmon de go ɛn pul sɔm kalsiɔm frɔm di bon dɛn insay di blɔd, i de stɔp di kidni dɛn fɔ pul di kalsiɔm, ɛn i de ɛp di insay fɔ tek di kalsiɔm. dis we ya, di kalsiכm lεvεl dεm de bכn bak to nכmal.
Bɔt if wan ɔ mɔ pan dɛn 4 gland ya de wok pasmak , ivin if di blɔd kalsiɔm lɛvɛl kam bak to nɔmal, di PTH ɔmon nɔ go stɔp fɔ kɔmɔt. Dɔn di kalsiɔm we kɔmɔt na di bon dɛn go kɔntinyu fɔ ad to di blɔd, we go mek di blɔd kalsiɔm lɛvɛl go ɔp.
2. Kansa dɛn
Na lɛk 2% pan di kansa dɛn gɛt fɔ du wit aypa kalsiɔm. Bɔrku tɛm, haypa kalsiɔm fɔ malignancy kin apin kwik kwik wan ɛn i kin tranga. dis na biכs sכm kεnsar sεl dεm de mek wan protin (PTHrP) we de wok lεk di כmon PTH כ rilis kalsiכm bay we i de pwεl di bon.
Di kayn kansa wae kin mek yu gɛt dis sik:
- Kansa na di lɔng
- Brɔst kansa
- Multiple myeloma (wan kansa we de na di wayt blɔd sɛl dɛn) .
- Rεnal sεl kansa
- Blɔd kansa (Lukemia) .
- Limfoma (kansa na di limfatik sistɛm) .
3. Sɔm mɛrɛsin dɛn
Sɔm mɛrɛsin ɛn vaytamɛn dɛn we wi kin tek kin mek dis sik bak.
- Thiazide diuretics (mɛrɛsin fɔ ay blɔd prɛshɔn), lɛk hydrochlorothiazide .
- Lithium ( na mɛrɛsin we dɛn kin yuz fɔ mɛn sɔm sik dɛn we pɔsin kin gɛt na in maynd).
- Fɔ tek tumɔs vaytamɛn D, vaytamɛn A, ɔ kalsiɔm sɔpɔtmɛnt .
Sɔm pipul dɛn kin tek kalsiɔm kabɔnɛt tablɛt ɔltɛm, lɛk Tums®, fɔ gastritis. If yu tek dɛn tin ya tumɔs, dat kin mek di kalsiɔm we de na di blɔd go ɔp fɔ sɔm tɛm.
4. Ɔda rizin dɛn
Apat frɔm dis, sɔm ɔda rizin dɛn de we nɔ kin apin:
- Sik dɛm na di lɔng dɛm lɛk sarcoidosis ɛn tuberculosis.
- Kidni we nɔ de wok fayn.
- Haypatayroydizm (Thyrotoxicosis) we de mek pɔsin gɛt sik.
- Immobilizayshɔn fɔ mek pɔsin nɔ muv.
- Bɔn sik dɛm lɛk Paget in sik na di bon.
Aw fɔ no dis sik?
Bɔku tɛm, dɛn kin no dis bay we dɛn de du simpul blɔd tɛst. Yu dɔktɔ go mɛzhɔ yu kalsiɔm lɛvɛl we yu de du di bɛsik mɛtabolik panɛl (BMP) ɔ kɔmprɛhɛnsif mɛtabolik panɛl (CMP) blɔd tɛst.
Dɛn kin sheb di kayn bad bad tin we kin apin to am akɔdin to di lɛvɛl we di kalsiɔm de na di blɔd.
| Pozishɔn | Di blɔd kalsiɔm lɛvɛl (mg/dL) . |
|---|---|
| Mild haypa kalsiɔm | 10.5 to 11,9 mg/dL |
| Modaret haypa kalsiɔm | 12,0 to 13,9 mg/dL |
| Sivεr/imejɛnsi sityueshɔn (Hypercalcemic crisis) . | 14.0 to 16.0 mg/dL |
We yu dɔktɔ no se di kalsiɔm we de na yu blɔd bɔku, i go aks yu bɔt yu mɛrɛsin dɛn, yu famili mɛdikal istri, ɛn ɔda tin dɛn. Dɔn, dɛn go ɔda fɔ mek dɛn du sɔm ɔda tɛst dɛn fɔ no di tin we mek dɛn du dis.
- Na blɔd tɛst we de chɛk di paratayrɔyd ɔmon (PTH) lɛvɛl.
- Wan blɔd tɛst fɔ chɛk di vaytamɛn D lɛvɛl.
- Test we de mכsu aw bכku kalsiכm de kכmכt na di urine.
If dɛn tink se di kɔz na prɔblɛm wit di paratayrɔyd gland dɛm, dɛn kin ɔda fɔ mek dɛn du ɔltra saund skan ɔ CT skan fɔ chɛk fɔ si if di gland dɛn gɛt tumbu ɔ swɛlin.
Wetin na di tritmɛnt fɔ aypa kalsiɔm?
Di tritmɛnt dipen pan wetin mek di sik ɛn aw i siriɔs.
Fɔ kes dɛn we nɔ gɛt bɛtɛ trɛnk
If yu kalsiɔm lɛvɛl go ɔp smɔl, yu dɔktɔ kin advays yu fɔ:
- Drink bɔku wata: Dis kin ɛp fɔ pul sɔm pan di kalsiɔm we pasmak tru di kidni dɛn.
- Chenj yu mɛrɛsin: If yu de tek mɛrɛsin dɛn we tan lɛk thiazide fɔ ay blɔd prɛshɔn, dɛn kin aks yu fɔ chenj dɛn.
- Stɔp fɔ tek supamakit: If yu de tek kalsiɔm pils, vaytamɛn D, ɔ gastritis pils, stɔp fɔ tek am ɔ ridyus di doz lɛk aw yu dɔktɔ tɛl yu .
If prɔblɛm de wit di paratayrɔyd gland
If di kɔz na wan paratayroyd gland we de wok pasmak, di bɛst tritmɛnt na fɔ ɔspitul fɔ pul di gland ɔ gland dɛn we de wok pasmak.
If di sik na kansa
Dis tɛm ya, dɛn kin gi spɛshal mɛrɛsin fɔ kɔntrol di kalsiɔm lɛvɛl we dɛn de trit di kansa.
- Bisphosphonates: Dɛn tin ya de ridyus di kalsiɔm we de kɔmɔt na di bon dɛn.
- Denosumab: Dɛn kin gi dis mɛrɛsin to pipul dɛn we nɔ de ansa to bisphosphonates.
Fɔ siriɔs kes dɛn
If di kalsiɔm lɛvɛl rili ay ɛn i gɛt siriɔs sik, dɛn fɔ go na ɔspitul wantɛm wantɛm fɔ tritmɛnt. dis involv fכ gi salin intravenכs (IV fluid) fכ flush di kכlsiכm we pasmak frכm di bכdi kwik kwik wan.
Wetin na de tin wae dis sik kin du fɔ lɔng tɛm?
If dɛn nɔ no bɔt aypa kalsiɔm ɛn trit am kwik, i kin mek i gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm.
- Kidni ston dɛn .
- di kidni dεm we de fεil bikoz fכ di kalsiכm dεm we de na di kidni dεm.
- Ay blɔd prɛshɔn (Hypertension) .
- Ostioporosis ɛn di risk fɔ mek pɔsin brok brok.
- Bɔn sist dɛn.
- Pwɛl at.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Dɛn nɔ kin ebul fɔ stɔp di haypa kalsiɔm frɔm ɔl di tin dɛn we kin mek pɔsin gɛt sik. Bɔt yu kin ridyus yu risk to sɔm mak bay we yu avɔyd pasmak kalsiɔm sɔpɔtmɛnt ɛn antasid we gɛt kalsiɔm we yu nɔ gɛt dɔktɔ advays .
If ɛnibɔdi na yu famili gɛt histri bɔt ay blɔd kalsiɔm, kidni ston, ɔ paratayroyd sik, tɔk to yu dɔktɔ bɔt dat.
Mɛsej we dɛn kin kɛr go na os
- haypa kalsiɔm na jɔs we di kalsiɔm we de na di blɔd go ɔp pas di nɔmal lɛvɛl.
- Bɔrku tɛm, di wan dɛm wae nɔr kin gɛt dis sik nɔr kin sho ɛni sayn. Dɛn kin no am tru wan random blɔd tɛst.
- di tu men tin dεm we kin mek dis kin apin na di paratayroyd gland dεm we de wok pasmak εn sכm kayn kεnsar.
- Di tritmɛnt we dɛn kin pik kin dipen pan di tin we mek di sik ɛn aw i siriɔs, so fɔ no di sik kɔrɛkt wan rili impɔtant.
- If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul ɔ if pɔsin na yu famili dɔn gɛt dis sik, mek shɔ se yu go to yu dɔktɔ fɔ advays.
- Nɔ ɛva yuz kalsiɔm ɔ ɔda vaytamɛn sɔpɔtmɛnt dɛn we yu nɔ gɛt dɔktɔ advays.
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