Yu gɛt bɔku bɔku fosfɛt na yu bɔdi? Lɛ wi tɔk bɔt haypafɔsfɛtemia!

Yu dɔn ɛva wɔnda wetin mek sɔntɛnde sɔm tin dɛn na wi bɔdi kin ay pas aw dɛn fɔ ay? Sɔntɛm dɔktɔ dɔn tɛl yu se yu gɛt tumɔs fɔsfɛt na yu blɔd. Ɔ sɔntɛm yu dɔn yɛri bɔt am sɔnsay. Dis na wetin wi kin kɔl hyperphosphatemia. Pan ɔl we di nem kin tan lɛk se i strenj smɔl, if wi ɔndastand am kɔrɛkt wan, i nɔto natin fɔ wɔri bɔt.

Wetin rili na haypafɔsfɛtemia?

Fɔ tɔk am simpul wan, haypafɔsfɛtemia na we yu blɔd gɛt tumɔs wan minral we dɛn kɔl fɔsfɛt. Fɔsfɛt na impɔtant tin fɔ wi bɔdi. I de ɛp fɔ mek wi bon ɛn tit dɛn strɔng, i de gi wi sɛl dɛn ɛnaji, ɛn i de ɛp fɔ mek di sɛl mɛmbran dɛn.

Tink bɔt am dis we, fɔsfɛt tan lɛk smɔl batri na wi bɔdi. Fɔ mek dɛn tin ya go wok fayn, dɛn nid fɔ gɛt ilɛktrik chaj. Fosfɛt na wan pan dɛn kayn ilɛktrɔlayt dɛn de . Ilɛktrɔlayt na minral dɛn we kin tek pɔzitiv (+) ɔ nɛgitiv (-) ilɛktrik chaj we dɛn sɔlv am na wata ɔ wata lɛk wi blɔd. So, fכ kip dis fכsfεt lεvεl bεlε na imכtant fכ plεnti wok dεm na di bכdi. Yu ɔndastand?

Udat kin gɛt dis sik?

Fɔ tru, ɛnibɔdi kin gɛt dis sik we dɛn kɔl hyperphosphatemia. Bɔt i kin mɔna pipul dɛn we gɛt prɔblɛm wit dɛn kidni. Speshal, pipul dɛm wae gɛt krɛse sik (CKD) , mɔr di wan dɛm wae gɛt advans sik, ɔr wae gɛt kidni wae nɔr de woke fayn, kin gɛt dis sik.

Naw, tin dɛn de we kin mek pɔsin gɛt sik na in kidni. If yu gɛt wan ɔr mɔr pan dɛn tin ya, yu kin gɛt smɔl risk fɔ gɛt kidni sik ɛn, tru am, yu kin gɛt hyperphosphatemia:

• If yu gɛt dayabitis (Diabetes Mellitus) .
• If yu gɛt ay blɔd prɛshɔn (haypa prɛshɔn) .
• If yu gɛt at sik .
• If pɔrsin na yu famili dɔn gɛt kidni sik (we min se i kin bi frɔm in mama ɛn papa).
• If ɛni abnɔmal tin de na di strɔkchɔ na yu kidni.
• If yu kɔmɔt na Afrikan Amɛrikin, Hispanik, Eshian, ɔ Indian Amɛrikin (pipul dɛn we de na dɛn etnik grup ya kin gɛt sik na dɛn kidni).
• If yu dɔn pas 60 ia .
• If yu dɔn de yuz mɛrɛsin fɔ mek yu nɔ fil pen bɔku tɛm fɔ lɔng tɛm , mɔ di mɛrɛsin dɛn we nɔ de mek yu fil pen (NSAID), we yu kin bay na di kɔwnta na di famasi.

Aw dis sik kin kɔmɔn?

If yu luk pan bɔku pipul dɛm na di wɔl, i nɔr kin izi fɔ gɛt hyperphosphatemia nɔmɔ. Dat min se na jɔs di fosfɛt we de na di blɔd go bɔku. Bɔt, lɛk aw a bin dɔn tɔk bifo tɛm, if yu gɛt krɛse sik , mɔ if i bad, dis sik kin rili kɔmɔn. Fɔ tɔk roughly, dɛn dɔn si se lɛk 70% pan di pipul dɛm wae gɛt siriɔs krɛse sik na dɛn kidni gɛt haypafɔsfatemia.

Wetin kin apin to di bɔdi we di fɔsfɛt lɛvɛl go ɔp?

Wi bin dɔn tɔk bifo tɛm bɔt aw fosfɛt de ɛp fɔ mek wi bon ɛn tit dɛn strɔng, i de gi di sɛl dɛn ɛnaji, ɛn i de ɛp fɔ bil di sɛl mɛmbran dɛn. Na tru dat. Bɔt, lɛk ɛnitin, if yu du am tumɔs, dat kin mek wi gɛt prɔblɛm.

Imajin, if di fosfɛt lɛvɛl na yu blɔd tumɔs, i kin bigin fɔ pul di kalsiɔm kɔmɔt na yu bon dɛn. Wetin kin apin da tɛm de? Di bon dɛn kin wik ɛn dɛn kin brok.

Nɔto dat nɔmɔ, bɔt dis bɔku bɔku fosfɛt kin mek yu yay, yu lɔng, yu at, ɛn yu blɔd vesel dɛn gɛt kalsiɔm . Dis na tin we denja smɔl. Na bikɔs as tɛm de go, dɛn tin ya we dɛn kin put pan dɛn tin ya kin mek yu gɛt at atak, strok , ɛn ivin day.

Wetin na di sayn dɛm fɔ Hyperphosphatemia?

Bɔrku tɛm, wae yu gɛt ɔl di haypafɔsfatemia, yu nɔr kin si ɛni big big sayn. Dat min se yu nɔ go no fɔs se yu gɛt tumɔs fɔsfɛt na yu bɔdi. Bɔt as wi dɔn tɔk, we dis fɔsfɛt de bɔku, i kin mek di kalsiɔm kɔmɔt na yu bon ɛn blɔd. Dɛn kɔl dat hypocalcemia . Dat min se di lɛvɛl we di kalsiɔm de na di blɔd go go dɔŋ.

So, bɔrku tɛm, di sayn dɛm wae de sho se pɔrsin gɛt haypafɔsfatemia na di sem wit di wan dɛm wae de kam wit haypokalsiɔm. Si if dɛn tin ya tan lɛk se yu sabi:

• Mɔsul dɛn we de kramp.
• Nail dɛn we kin brok brok.
• Dray skin.
• Kɔs kɔs ia pas yu nɔmal ia.
• Prɔblɛm dɛn fɔ mɛmba .
• Di we aw pɔsin kin vɛks.
• Tingling na di lip, tong, finga tip, ɛn/ɔ fut.
• Sɔmtɛm i kin kam lɛk fit (seizures).
• Abnɔmal tin na di at bit, dat na, aritmia.

Wetin mek di haypafɔsfɛtemia kin apin?

Bɔku rizin dɛn kin de fɔ dis. Di men wan dɛn na:

• Advans kronik kidni sik. Dis na di tin we kin mek pɔsin gɛt dis sik. we di kidni dεm nכ de wok fayn, dεn nכ kin ebul fכ pul di fכsfεt we pasmak na di bכdi.
• Di sik we dɛn kɔl haypoparatayroyd. dis na kכndyushכn we di paratayroyd gland dεm de prodyuz tu sכm paratayroyd כmon, we de kכntro di bכdi in kalsiכm εn fכsfεt lεvεl.
• Yu blɔd pH smɔl pas aw i nɔmal (we min se yu blɔd gɛt mɔ asid). Dis kin bi bikɔs yu lɔng dɛn nɔ ebul fɔ pul ɔl di kabon dayɔgzayd we de kɔmɔt na yu bɔdi. Dɛn kɔl dis respiratory acidosis .
• di dכn pan di bכdi pH bikoz fכ כda kכz dεm ( mεtabolik asidכsis ).

apat frכm dεn tin ya, pan כl we i nכ kin kכmכn, haypa fכsfεtεmia kin apin bak biכs fכ dεn tin ya:

• Kεtoacidosis we gɛt fɔ du wit dayabitis.
• Mɔsul dɛn we dɔn pwɛl ( rhabdomyolysis ).
• Sivεr infεkshכn ( sepsis ).
• Krɔs injuri (injuri we kin kam we sɔntin we ebi kin fɔdɔm pan di bɔdi ɔ we sɔntin prɛs pan di bɔdi fɔ lɔng tɛm).
• Yu bɔdi nɔ de ansa fayn to paratayroyd ɔmon ( pseudohypoparathyroidism ).
• Fɔ gɛt tumɔs fɔsfɛt insay yu bɔdi, ilɛksɛf na frɔm di it we yu de it ɔ tru inema .

Wetin na di tin we kin mek pɔsin gɛt dis sik?

As a bin dɔn tɔk bifo tɛm, di men ɛn kɔmɔn tin we kin mek pɔsin gɛt haypafɔsfatemia na advans kronik kidni sik.

Dis na sik we pɔsin kin pas?

Nɔ, haypafɔsfatemia nɔto sik we pɔsin kin gɛt. Yu nɔ go ebul fɔ spre am to ɔda pipul dɛn. Bɔt, na smɔl tɛm nɔmɔ, i kin rɔn na famili bikɔs ɔf di jɛnɛtik rizin.

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ kin no if yu gɛt hyperphosphatemia. I go tek yu mɛdikal istri , du yu bɔdi ɛgzam , ɛn aks bɔt yu sik, di it we yu de it, ɛn ɛni mɛrɛsin we yu de tek. Fɔ no ustɛm yu gɛt fɔsfɛt, yu go nid fɔ du yu blɔd tɛst .

We dɛn de du blɔd tɛst, dɔktɔ ɔ nɔs go tek smɔl blɔd frɔm wan vein na yu an yuz smɔl nidul (21 gej, we smɔl smɔl pas di tip fɔ wan rɛgyula iaring). Dɛn kin sɛn dis blɔd sɛmpul to lab fɔ chɛk ɔmɔs fɔsfɛt de na yu blɔd. If yu fכsfεt lεvεl pas 4.5 miligram pan wan dεsilita (4.5 mg/dL) bכdi,, dat min se yu gɛt hyperphosphatemia.

If dɛn no se yu gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ chɛk aw yu kidni dɛn de. Dɛn tin ya kin bi:

• Ɔda blɔd tɛst dɛn.
• wan tεst fכ chεk fכ protin na di urine.
• Wan ɔltra saund skan.
• Wan MRI skan we dɛn kin du.
• CT skan we dɛn kin du.
• Kidni bayɔpsi ( tek wan smɔl pat pan di kidni tisu fɔ ɛgzamin).

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ di haypafɔsfatemia de dipen pan wetin de mek di fɔsfɛt de bɔku na yu blɔd. Sɔm it ɛn mɛrɛsin dɛn kin mek yu gɛt bɔku fɔs fɔs. If dis apin, yu go nid fɔ stɔp ɔ stɔp fɔ it sɔm it ɔ mɛrɛsin dɛn ɔltogɛda. Ɔ, yu kin nid fɔ chenj to difrɛn mɛrɛsin we gɛt smɔl fɔs fɔs.

Di tin we impɔtant pas ɔl na fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.

Yu dɔktɔ kin gi yu mɛrɛsin dɛn we go mek yu bɔdi nɔ gɛt bɔku bɔku fosfɛt. dis min se mכr fכsfεt de kכmכt na yu urine (pi). Dɛn mɛrɛsin ya na:

• Sεvεlamer (Sεvεlamer - RenaGel®) .
• Lantanum (Lantanum - Fosrenol®) .
• Kalsiɔm asɛtat (Kalsiɔm asɛtat - Calphron®) .

If yu fɔsfɛt lɛvɛl bɔku bikɔs yu kidni nɔ de wok fayn, yu dɔktɔ kin bigin fɔ du dayalaysis . Dayalaysis de du wetin yu kidni fɔ du. Dat min se i de pul di wata we pasmak ɛn dɔti tin dɛn, lɛk fɔsfɛt, na yu blɔd.

Wetin na it dɛn we gɛt bɔku fɔs fɔs?

sεvεra it εn drink dεm de we gεt bכku fכsfכr – di εlimεnt we fכsfεt de fכm frכm. I impɔtant fɔ no bɔt dɛn tin ya, mɔ if yu gɛt haypafɔsfatemia.

• Dairy ɛn dairy prodakt, lɛk milk, prosɛs chiz, ɛn yogɔt.
• Sɔm drink dɛn we gɛt kabɔn (soda pop/fizzy drinks).
• Mit dɛn we dɛn dɔn prosɛs ( lɛk sosish ɛn bekin).
• Fast fud fɔ it.
• Snek it ( tin dɛn we dɛn pak lɛk chips, biskit).
• Nat dɛn.
• Whole grains , we inklud wit, oats, ɛn rays (especially di wan dɛn we gɛt bran).
• Binch dɛn.
• Lɛntil dɛn.

Sɔntɛm yu dɔktɔ dɔn tɛl yuDɛn go rifer yu to wan dɔktɔ we de mɛn yu rεnal . Dis na pipul dɛm wae spɛshal pan aw fɔ manej yu it fɔ sɔpɔt kidni wɛl bɔdi. Dɛn go ɛp yu fɔ mek wan spɛshal it plan (renal diet) we de stɔp di amount of phosphate na yu bɔdi.

We yu tink se we fɔ rɔnawe pan dis prɔblɛm?

Di bɛst we fɔ mek yu nɔ gɛt aypafɔsfɛtemia na fɔ tek kia ɔf yu kidni wɛlbɔdi ɛn no di kayn fɔsfɛt ɛn kalsiɔm we yu de it. If yu tink se yu kin de pan denja fɔ dis sik, tɔk to yu dɔktɔ. I kin rifer yu to dɔktɔ we de mɛn yu nɛf . Nefrɔlɔjis na dɔktɔ we spɛshal pan tin dɛn we kin afɛkt di kidni dɛn.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu no se yu gɛt hyperphosphatemia, ɛn yu gɛt sayn dɛm fɔ sik na yu kidni ɔ yu kidni nɔ de wok fayn, go to dɔktɔ wantɛm wantɛm. Nɔ delay.

Us kwɛstyɔn dɛn yu fɔ aks dɔktɔ?

We yu go si dɔktɔ, i rili impɔtant fɔ aks dɛn kwɛstyɔn ya:

• Aw yu go no fɔ tru if a gɛt hyperphosphatemia?
• If a nɔ gɛt dis sik, us ɔda mɛrɛsin dɛn a go gɛt?
• Wetin na di wɛlbɔdi blɔd fɔsfɛt lɛvɛl?
• Us mɛrɛsin dɛn yu kin rɛkɔmɛnd fɔ mi?
• Yu nid prɛskrishɔn fɔ gɛt da mɛrɛsin de, ɔ yu kin jɔs bay am na di famasi?
• Us it ɛn drink dɛn a nɔ fɔ it ɔ drink?
• Aw bɔku fɔsfɔr a fɔ it fɔ wan de?
• yu kin rifer mi to wan renal dietitian?
• A fɔ go to dɔktɔ we de mɛn mi bɔdi ɔ ɔda spɛshal pɔsin?

Wetin na di difrɛns bitwin Hyperphosphatemia ɛn Hypocalcemia?

Dɛn tu ya kin mek wi kɔnfyus smɔl, so lɛ wi mek wi no klia wan.

Hyperphosphatemia na we di fosfet lεvεl na yu bכdi tu hכy .

Hypocalcemia na we di kalsiɔm lɛvɛl na yu blɔd de kam dɔŋ tumɔs .

Bɔrku tɛm, dis sik wae dɛn kɔl hypocalcemia kin apun as sayd ɛfɛkt fɔ ɔda mεdikal kכndyushכn. Hyperphosphatemia na wan pan dɛn tin ya we kin mek pɔsin gɛt hypocalcemia.

Faynal Mɛsej fɔ Tek-Hom

Okay, so wi don tok plenti boht hyperphosphatemia. Fɔ tɔk am simpul wan, na fɔ mek di fɔstɛm we de na yu blɔd go ɔp. Pan ɔl we i nɔ kin rili kɔmɔn pan bɔku pipul dɛn na di wɔl, i kin rili kɔmɔn pan pipul dɛn we gɛt krɛse sik ɔ kidni we nɔ de wok fayn .

Bɔrku tɛm, no patikyula sayn nɔr kin de fɔs. So, bɔrku pipul dɛn kin jɔs no se dɛn gɛt dis sik afta ɔda sayn dɛm dɔn sho, sɔmtɛm lɛk haypokalsiɔm.

We yu kam fɔ no se yu gɛt haypafɔsfatemia, mɔ we dɛn tɛl yu se yu nid fɔ gɛt dayalaysis, i nɔmal fɔ mek yu wɔri ɛn fred. Natin nɔ bad fɔ gɛt dɛn filin dɛn de. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn go ansa yu kwɛstyɔn dɛn, gi yu di sɔpɔt we yu nid, ɛn gi yu advays bɔt aw fɔ bia wit dis sik fayn fayn wan. Mɛmba se nɔto yu wangren de!

` Haypafכsfεtεmia, Fכsfεt, Kidni Sik, Krכnik Kidni Disiz, Haypokalsimia, Dayalysis