Yu tink se di kalsiɔm we de na yu blɔd bɔku? Lɛ wi tɔk bɔt Hypercalcemia insay simpul wɔd dɛn!

Sɔntɛnde, yu kin fil taya, yu bɔdi kin at, ɔ yu kin tɔsti ɔltɛm? Yu kin tink se dɛn tin ya na nɔmal tin. Bɔt dɛn tin ya kin bi sayn dɛn bak fɔ se yu blɔd gɛt bɔku kalsiɔm. Na dat wi kin kɔl hypercalcemia na mɛrɛsin. Nɔ wɔri, bɔku tɛm dis nɔto siriɔs prɔblɛm. Lɛ wi tɔk bɔt ɔltin simpul ɛn klia we.

Fɔ tɔk am simpul wan, wetin na Hypercalcemia?

Hypercalcemia na we yu gɛt mɔ kalsiɔm na yu blɔd pas aw i nɔmal. Sɔntɛnde i kin jɔs ay smɔl, ɔda tɛm dɛn i kin ay pasmak. Dɔn bak, fɔ sɔm pipul dɛn, na fɔ shɔt tɛm nɔmɔ ɛn i kin go, bɔt fɔ ɔda pipul dɛn i kin tek dɛn layf ɔl.

Naw yu go de tink se, kalsiɔm fayn fɔ bon, so wetin kin apin we di kalsiɔm we de na di blɔd bɔku? Na tru se bɔku pan di kalsiɔm we de na wi bɔdi de na wi bon dɛn. Bɔt, sɔm kalsiɔm fɔ de na di blɔd bak. Yu no wetin mek?

• fכ di wok we wi nεv sistεm de wok: Kalsiכm implεnt fכ transmit mεsej tru nεv dεm.
• Mɔsul dɛn we de wok: Kalsiɔm de ɛp wi mɔsul dɛn fɔ kɔntrakt ɛn rilaks, we min se wi de muv.
• Blɔd we de klɔt: We injuri de sɔmsay ɛn blɔd de flɔ, dɛn nid kalsiɔm fɔ mek di blɔd klɔt fɔ stɔp di blɔd.
• At wok: Kalsiɔm de ple impɔtant pat fɔ mek wi at bit fayn fayn wan.

Bikɔs i de du bɔku impɔtant tin dɛn, wi bɔdi kin tek tɛm kɔntrol di lɛvɛl we di kalsiɔm de na wi blɔd. Tu ɔmon dɛn kin ɛp fɔ du dis. Dɛn na di paratayroyd ɔmon ɛn di kalsitɔnin . Apat frɔm dat, vaytamɛn D impɔtant bak fɔ mek di bɔdi tek di kalsiɔm we de na di it dɛn we wi de it.

Wetin na di difrɛns bitwin Hypercalcemia ɛn Hypocalcemia?

Dɛn tu wɔd ya kin tan lɛk se dɛn fiba smɔl, nɔto so? Bɔt dɛn gɛt difrɛn minin dɛn atɔl. Insay mɛrɛsin, di wɔd "Hyper" min "tu bɔku." "Hypo" min "tu smɔl." So di difrɛns bitwin dɛn tu rili simpul.

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 , mɔ afta dɛn dɔn lɛf fɔ gɛt bɛlɛ. Bɔku tɛm, na wan paratayrɔyd gland we de wok pasmak, we wi bin dɔn tɔk bɔt.

Dɛn se bitwin 1% ɛn 2% pan di jenɛral pipul dɛn gɛt dis sik. pan dεn wan ya, dεn ripot 90% as haypa kalsiya we kכz fכ prכblεm wit di paratayroyd gland dεm (primary hyperparathyroidism) כ wan kεnsar kכndyushכn.

Yu tink se aypa kalsiɔm kin mek pɔsin in layf de pan denja?

Bɔt if di kalsiɔm lɛvɛl go rili ay (siv aypa kalsiɔm), i kin mek yu gɛt siriɔs prɔblɛm. If na so i bi, i nid fɔ go to dɔktɔ wantɛm wantɛm. If dis kayn bad bad tin apin, dɛn tin ya kin apin:

• Kidni we nɔ de wok fayn
• At we nɔ de bit ɔltɛm (Aritmia) .
• Kɔnfyus
• Kɔma

So, pan ɔl we dis nɔ kin siriɔs, i nɔto tin fɔ tek am layt.

Wetin na di sayn dɛm fɔ Hypercalcemia?

As wi bin dɔn tɔk, bɔku pipul dɛn nɔ kin gɛt ɛni sik, mɔ we dɛn kalsiɔm lɛvɛl jɔs go ɔp smɔl. Bɔt if di kalsiɔm lɛvɛl go ɔp bad bad wan ɔ if di sik de fɔ lɔng tɛm, dɛn sayn ya kin apin.

Wetin mek di kalsiɔm we de na di blɔd kin bɔku lɛk dis? Wetin na di tin dɛn we kin mek i apin?

Bɔku tin dɛn de we kin mek pɔsin gɛt aypa kalsiɔm. Sɔm sik dɛn, mɛrɛsin dɛn, ɛn we pɔsin nɔ gɛt wata na in bɔdi, ɔl kin mek i apin. Bɔt di tu men tin dɛn we kin mek pɔsin gɛt dis sik na di paratayroyd gland dɛn we de wok pasmak ɛn kansa.

1. Paratayroyd gland prɔblɛm (Primary Hyperparathyroidism) .

Imajin se 4 smɔl smɔl manija dɛn de na wi bɔdi we de kɔntrol di kalsiɔm lɛvɛl. Dɛn 4 paratayroyd gland ya de na wi nɛk, biɛn di tayroyd gland. Dɛn men wok na fɔ mek paratayroyd ɔmon (PTH), we de kɔntrol di kalsiɔm we de na di blɔd. We wan ɔ mɔ pan dɛn gland ya bigin fɔ wok tumɔs fɔ sɔm rizin, tumɔs kalsiɔm kin gɛda na di blɔd. Dis na di men tin we kin mek pɔsin gɛt aypa kalsiɔm.

2. Kansa dɛn

Sɔm kayn kansa kin mek bak yu gɛt bɔku kalsiɔm na yu blɔd. Dɛn kɔl dis haypa kalsiɔm fɔ malignancy. Di haypa kalsiɔm we kansa kin kam wit kin kam kwik ɛn i kin tranga. Sɔm kayn kansa wae kin kam wit dis na:

• Kansa na di lɔng
• Brɔst kansa
• Multiple myeloma, we na kansa we de na di wayt blɔd sɛl dɛn
• Rεnal sεl kansa
• Lukimia ɛn Limfoma
• Rabdomyosarkoma we dɛn kɔl Rhabdomyosarkoma

3. Sɔm mɛrɛsin dɛn

Dis sik kin kam bak bikɔs ɔf sɔm mɛrɛsin ɛn vaytamɛn dɛn we wi kin tek.

• Thiazide diuretics: Sɔm diuretics (e.g., Hydrochlorothiazide) we dɛn kin yuz fɔ trit ay blɔd prɛshɔn ɛn fɔ kip wata.
• Lithium: Na mɛrɛsin we dɛn kin yuz fɔ mɛn sɔm sik dɛn we pɔsin kin gɛt na in maynd.
• Vitamin ɛn kalsiɔm: Fɔ tek tumɔs vaytamɛn D, vaytamɛn A, ɔ kalsiɔm sɔpɔtmɛnt.
• Antasid: If wi tek tumɔs pan di kalsiɔm kabɔnɛt tablɛt (lɛk Tums® ɔ Rolaids®) we wi kin tek bɔku tɛm fɔ mek wi at pwɛl, dat kin mek di kalsiɔm lɛvɛl go ɔp fɔ sɔm tɛm.

4. Ɔda rizin dɛn

Apat frɔm dis, sɔm ɔda rizin dɛn de we nɔ kin apin so ɔltɛm.

• Sik dɛm na di lɔng dɛm lɛk sarcoidosis ɛn tuberculosis.
• Kidni we nɔ de wok fayn.
• Haypatayroydizm (Thyrotoxicosis) we de mek pɔsin gɛt sik.
• Fɔ de na bed fɔ lɔng tɛm.
• Sik dɛm wae gɛt fɔ du wit bon dɛm lɛk Paget’s disease of the bon.

Aw fɔ no dis sik?

Bɔku tɛm dɛn kin no am we dɛn de du rutin blɔd tɛst we yu kin du fɔ ɔda rizin. tεst dεm lεk di Kכmprεhεnsiv Mεtabolik Panεl (CMP) כ Bεsik Mεtabolik Panεl (BMP) dεn de mכsu bak di kכlsyכm lεvεl dεm na di bכdi. Dis kin ɛp fɔ no am bifo di sayn dɛm sho.

Yu dɔktɔ go no aw di sik bad bay di kayn kalsiɔm we de na yu blɔd.

If yu blɔd kalsiɔm lɛvɛl bɔku, yu dɔktɔ go chɛk yu, aks yu bɔt yu mɛrɛsin ɛn yu famili mɛdikal histri. If dɛn nɔ ebul fɔ no klia rizin, dɛn kin kɛr yu go to dɔktɔ we de mɛn di sik we de mek yu gɛt di sik.

I pɔsibul fɔ mek dɛn du bɔku ɔda tɛst dɛn fɔ no di rayt tin we mek dɛn du dis.

• Na blɔd tɛst we de chɛk di paratayrɔyd ɔmon (PTH) lɛvɛl.
• Blɔd tɛst fɔ chɛk di vaytamɛn D lɛvɛl.
• Test we de chɛk di lɛvɛl we di kalsiɔm de na di urine.
• Wan ɔltra saund ɔ CT skan fɔ chɛk fɔ si if di tumbu ɔ swɛlin de na di paratayroyd gland dɛn.

Aw dɛn kin trit am?

Di tritmɛnt fɔ aypa kalsiɔm de dipen pan di kɔz ɛn aw i siriɔs.

Fɔ di kɔndishɔn dɛn we nɔ gɛt bɛtɛ trɛnk

If yu kalsiɔm lɛvɛl go ɔp smɔl, yu dɔktɔ kin advays yu fɔ:

• Drink bɔku wata: Dis kin mek di bɔdi nɔ gɛt bɔku wata ɛn i kin ɛp fɔ pul di bɔku bɔku kalsiɔm tru di urine.
• Chenj di mɛrɛsin dɛn: If yu de tek mɛrɛsin dɛn we tan lɛk thiazide fɔ ay blɔd prɛshɔn, dɛn kin aks yu fɔ chenj to ɔda mɛrɛsin insted.
• Stɔp fɔ tek supamakit: Stɔp fɔ tek kalsiɔm ɔ vaytamɛn D supamakit, antasid tablɛt we gɛt kalsiɔm, ɔ ridyus di doz.

Tritmɛnt akɔdin to di kɔz

• If prɔblɛm de wit di paratayroyd gland dɛn: Bɔku tɛm, di bɛst tritmɛnt na fɔ du ɔpreshɔn fɔ pul di gland ɔ gland dɛn we de wok pasmak.
• If di sik na kansa: Dɛn kin gi am drɔgs lɛk bisphosphonates ɔ denosumab.

Fɔ siriɔs kɔndishɔn dɛn

Bɔt if yu kalsiɔm lɛvɛl rili bɔku ɛn yu sik dɛn rili bad, yu dɔktɔ kin disayd fɔ admit yu na ɔspitul ɛn gi yu wata we dɛn kin put insay yu bɛlɛ (IV fluid) ɛn ɔda tritmɛnt dɛn. Dis kin mek yu kalsiɔm lɛvɛl go dɔŋ kwik kwik wan ɛn mek yu nɔ gɛt prɔblɛm dɛn.

Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?

Di prɔblɛm dɛn we kin apin fɔ lɔng tɛm nɔ kin bɔku bikɔs dɛn kin no dis sik kwik kwik wan. Bɔt if dɛn nɔ trit am fɔ lɔng tɛm, dɛn prɔblɛm ya kin apin:

• di kכlsiכm we de dכn na di kidni dεm (Nephrocalcinosis) εn di kidni dεm we de wok fayn.
• Kidni ston dɛn.
• Ay blɔd prɛshɔn (Hypertension).
• Pwɛl at.
• Ɔstioporosis ɛn i izi fɔ mek yu bon brok.

Yu tink se dɛn go ebul fɔ stɔp am? Ustɛm yu fɔ go to dɔktɔ?

Nɔto ɔl di kes dɛm wae gɛt aypa kalsiɔm, dɛn kin ebul fɔ avɔyd. Bɔt if yu dɔktɔ nɔ advays yu, .I fayn fɔ avɔyd fɔ tek kalsiɔm pils, vaytamɛn, ɛn antasid we gɛt kalsiɔm we nɔ nid fɔ tek am.

Ustɛm yu fɔ go to dɔktɔ:

• If ɛnibɔdi na yu famili gɛt histri fɔ gɛt bɔku kalsiɔm, paratayrɔyd sik, ɔ kidni ston, tɔk to yu dɔktɔ bɔt dat.
• If yu gɛt ɛni wan pan di sayn dɛn we wi bin tɔk bɔt na dis atikul (lɛk fɔ tɔsti pasmak, fɔ pis bɔku tɛm, fɔ fil pen na yu bɔdi, fɔ nɔs), go to dɔktɔ wantɛm wantɛm.

Na nɔmal tin fɔ fil frayd ɛn wɔri we dɛn jɔs no se yu gɛt wan sik. Bɔt mɛmba se, aypa kalsiɔm na sik we pɔsin kin mɛn. Wae yu kalsiɔm lɛvɛl kam bak to nɔmal, yu sayn dɛm go dɔn. Nɔr frayd fɔ aks yu dɔktɔ ɛni kwɛstyɔn wae yu gɛt bɔt dis.