Yu bɔdi nɔ gɛt bɔku kalsiɔm? Lɛ wi tɔk bɔt hypocalcemia!

Yu dɔn ɛva yɛri se di kalsiɔm we de na di bɔdi nɔ bɔku? Yu kin gɛt dis sik wae yu nɔr ivin no. Wi ɔl no aw di kalsiɔm impɔtant fɔ wi bon dɛn. Bɔt kalsiɔm impɔtant fɔ bɔku ɔda tin dɛn na wi bɔdi. So, tide wi go tɔk bɔt dis kɔndishɔn we di kalsiɔm we nɔ bɔku na di blɔd, we dɛn kɔl haypokalsiɔm . Nɔr wɔri, dis na wan sik wae dɛn kin trit ɛn mɛn bɔrku tɛm.

Wetin na kalsiɔm ɛn wetin mek i impɔtant to wi?

Fɔ tɔk am simpul wan, kalsiɔm na wan rili impɔtant ɛn kɔmɔn minral na wi bɔdi. I de ɛp wit mɔ pas aw yu go tink.

• I de mek bon ɛn tit strɔng: Dis na di tin we impɔtant pas ɔl we wi ɔl no. Bɔku pan di kalsiɔm we de na wi bɔdi de na wi bon dɛn.
• Kalsiɔm nid fɔ de bak na di blɔd: Nɔto na di bon dɛn nɔmɔ, bɔt insay wi blɔd bak, sɔm kayn kalsiɔm fɔ de. Di kalsiɔm we de insay dis blɔd na:
• I de ɛp wi nervɔs sistɛm fɔ wok .
• I de ɛp wi mɔsul dɛn fɔ kɔntrakt ɛn rilaks (we min se wi de muv).
• I kin ɛp fɔ mek blɔd klɔt we wi wund.
• I de ɛp wi at fɔ wok fayn .

Imajin, if di kalsiɔm lɛvɛl na wi blɔd go dɔŋ (hypocalcemia), i nɔ go izi fɔ wi bɔdi fɔ du dɛn impɔtant tin ya fayn fayn wan.

Impɔtant tin na dat, if wi nɔ gɛt inof kalsiɔm frɔm wi it, wi bɔdi go tek di kalsiɔm we de na wi bon ɛn ad am to wi blɔd. Dis kin mek wi bon dɛn wik. כltu, `Hypocalcemia` na we di kalsiכm we de na di bכdi de dכn, nכto jכs we di kalsiכm we de na di bon dεm de dכn.

Tu men ɔmon dɛn de kɔntrol di lɛvɛl we di kalsiɔm de na wi blɔd ɛn bon dɛn: Parathyroid Hormone (PTH) ɛn Calcitonin . Vitamin D impɔtant bak fɔ mek yu kɔntinyu fɔ gɛt kalsiɔm. Vitamin D impɔtant fɔ mek di bɔdi tek di kalsiɔm we wi de it.

Udat kin gɛt hypocalcemia?

dis kכndyushכn we di kכlsiכm sכmtεm sכmtεm kin apin to εnibodi we ol eni ej, ivin pikin dεm we rili yכng. Bɔrku tɛm na di ej wae i kin apun, na di tin wae kin mek i apin. Fɔ ɛgzampul, if dis sik apin to yɔŋ pikin, i go mɔs bi se na bikɔs ɔf wan prɔblɛm we de na in jɛnɛtiks.

E tranga fɔ tɔk bɔt aw dis kin bi, bikɔs bɔrku tɛm na sayd ɛfɛkt fɔ ɔda sik. Bɔt i kɔmɔn fɔ si dis sik afta dɛn dɔn du ɔpreshɔn fɔ pul di tayroyd gland (thyroidectomy) . Sɔm stɔdi dɛn sho se bitwin 7% ɛn 49% pan pipul dɛn kin gɛt tɛmporari haypokalsiɔm afta dɛn dɔn ɔpreshɔn dɛn tayroyd.

Wetin na di sayn dɛm fɔ dis kayn we aw pɔsin kin gɛt kalsiɔm?

Sɔm pipul dɛn kin gɛt smɔl smɔl kalsiɔm na dɛn bɔdi bɔt dɛn nɔ kin sho ɛni sayn. di simptom dεm dipכnt pan di digri we di kalsiכm dεfichεns - dat na if di kכndyushכn na `mild` כ `sεvεri`.

Di sayn dɛm we de sho se yu nɔ gɛt bɛtɛ kalsiɔm:

• Mɔsul kramp: Ɛspɛshali na di bak ɛn leg. Imajin se yu de slip na nɛt ɛn wantɛm wantɛm yu leg fil lɛk se i de go swɛ, na so i de fil.
• Dray, skel skin.
• Nail dɛn we kin brok brok.
• I de kam kɔs pas aw i kin bi.

If dεn nכ trit dis mild kכndyushכn fayn fayn wan, ova tεm, di simptom dεm we de afekt di nεv sεstem (`neurologic`) כ mental hεlth (`psychologic`) kin kam. Dɛn tin ya na:

• Kɔnfyus.
• Prɔblɛm fɔ mɛmba tin dɛn.
• I kin vɛks ɔltɛm ɔ nɔ kin rɛst.
• Pwɛl at.
• Hallucinations: Dis min se yu fɔ si tin dɛn we nɔ rili de.

Di sayn dɛm fɔ siriɔs haypokalsiɔm:

Dis na wan denja tin we kin apin we di kalsiɔm lɛvɛl na di blɔd go dɔŋ tumɔs.

• Tingling na di lip, tong, finga ɛn/ɔ fut.
• Mɔsul dɛn kin at.
• i at fכ brith biכs di trot mכsul dεm de tayt (laryngospasm). Dis na tin we denja smɔl.
• di mכsul dεm stif εn twitch (Tetany).
• Di sik dɛn we kin mek pɔsin sik.
• Di at bit we nɔ de bit (Aritmia).
• Kɔnjɛstiv at we nɔ de wok fayn.

If yu gɛt ɛni wan pan dɛn bad bad sayn ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek di kalsiɔm we de na wi bɔdi kin go dɔŋ? Wetin na di rizin dɛn?

Wi bɔdi gɛt wan kɔmpleks prɔses fɔ mek di kalsiɔm we de na di blɔd kɔntinyu fɔ stebul. So, difrɛn kayn wɛl bɔdi prɔblɛm ɛn sik kin kam wit haypokalsiɔm.

Bɔku tɛm, di men tin we kin mek dis apin na prɔblɛm wit yu paratayrɔyd ɔmon (PTH) ɔ di vaytamɛn D lɛvɛl . Dis na bikɔs PTH de ɛp fɔ kɔntrol di kalsiɔm we de na di blɔd, ɛn vaytamɛn D de ɛp di bɔdi fɔ tek di kalsiɔm.

Di tri rizin dɛn we kin apin mɔ na:

1. Hypoparathyroidism: Dis kin apin we di paratayroyd gland dεm (fo sכm gland dεm we de bihayn di tayroyd gland) na yu nεk nכ de prodyuz inof PTH. We di PTH lɛvɛl smɔl, di kalsiɔm lɛvɛl na yu bɔdi sɛf de drɔp. Dis kin bi bikɔs ɔf di jɛnɛtiks, ɔpreshɔn fɔ pul wan ɔ mɔ paratayroyd gland, ɔ di tayroyd gland.

2. 2. .Vitamin D we nɔ de: If yu nɔ gɛt inof vaytamɛn D, yu bɔdi nɔ go ebul fɔ tek di kalsiɔm fayn fayn wan. Dis kin mek di kalsiɔm we de na di blɔd nɔ bɔku. Wae yu nɔr gɛt bɛtɛ vaytamɛn D kin bi bikɔs yu gɛt jɛnɛtiks, yu nɔr de gɛt bɛtɛ san, ɔr yu nɔr de gɛt inof vaytamɛn D frɔm yu it.

3. Kidni fεil / Rεnal fεil: Pipul dεm we gεt krεse sik kin gεt haypokalsimia. dis kin bi biכs di fכsfכr lεvεl dεm na di bכdi de inkrεs εn wan spεshal kayn vaytam in D we di kidni dεm de mek de dכn.

Ɔda rizin dɛn de bak:

• Sɔm mɛrɛsin dɛm: Fɔ ɛgzampul, sɔm mɛrɛsin dɛm lɛk `Bisphosphonates`, `Corticosteroids`, `Rifampin`, `Calcitonin` kin mek yu nɔ gɛt kalsiɔm. Tɔk to yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek.
• Pseudohypoparathyroidism: Dis na wan sik we de mek pɔsin gɛt jɛnɛtiks. Wetin kin apin ya na dat, pan ɔl we di bɔdi gɛt nɔmal lɛvɛl dɛn na di ɔmon PTH, di bɔdi nɔ de ansa am fayn.
• Hypomagnesemia: Dis na di low level of magnesium na di blɔd. di paratayroyd gland dεm nid magnεsium fכ mek εn rilis di כmon PTH. if magnεsium lכw, sכm PTH de prodyuz, we in tכn de mek di kalsiכm lεvεl dכn.
• Pankriaytis: Bitwin 15% ɛn 88% pan di pipul dɛm we gɛt akyu pankrias kin gɛt haypokalsimia.
• sik dεm we nכ kin kam pan jεnεtik: Dis kכndyushכn kin kכz bak bay sכm jεnεtik mכtεshכn dεm, lεk `DiGeorge syndrome`.

Aw a go no if a gɛt dis sik?

If yu tכtal sεrum kalsiכm kכnsantreshכn less dan 8.8 mg/dL, yu kin gεt haypokalsiכm. Sɔntɛnde, dɛn kin no bɔt mild hypocalcemia bay we dɛn du blɔd tɛst fɔ ɔda tin.

E fayn fɔ no se dis sik de, ɛn bak fɔ no wetin kin mek i gɛt am.

Yu dɔktɔ kin ɔda fɔ du tɛst lɛk dis fɔ no wetin mek dis sik ɛn fɔ si if i de afɛkt ɔda pat dɛn na yu bɔdi:

• Ɔda blɔd tɛst dɛm: Chɛk yu magnɛsiɔm, fɔsfɔr, PTH ɔmon ɛn/ɔ vaytamɛn D lɛvɛl.
• ECG (Electrocardiogram): Dis de mek yu at rit bay we yu de put ilɛktrɔd dɛn na yu chɛst. Hypocalcemia kin mek yu at bit fayn fayn wan.
• Bɔn imej tɛst: Dɛn kin yuz dɛn tin ya fɔ si if yu gɛt prɔblɛm wit kalsiɔm na yu bon dɛn (lɛk ɔstiomalasia ɔ rikɛt).

Aw dɛn kin trit pɔsin we nɔ gɛt kalsiɔm?

Bɔku tɛm dɛn kin trit dis wit ɔral kalsiɔm sɔpɔtmɛnt.. Dɔn bak, i impɔtant fɔ no wetin de mek di kalsiɔm nɔ bɔku ɛn trit am. Imajin se di lɔw kalsiɔm na bikɔs ɔf wan mɛrɛsin we yu de tek, dɔn di dɔktɔ kin chenj di mɛrɛsin ɔ inkrisayz ɔ ridyus di doz.

Wetin na di mɛrɛsin ɛn tritmɛnt dɛn we dɛn kin yuz fɔ dis?

• Kalsiɔm tablɛt: Dɛn kin gi dɛn tin ya fɔ mek di kalsiɔm lɛvɛl na di blɔd nɔmal.
• Vitamin D supliment: Bɔku tɛm dɛn kin gi pipul dɛn we nɔ gɛt kalsiɔm fɔ lɔng tɛm wit vaytamɛn D wit di kalsiɔm pils. Dis na aw di bɔdi kin tek di kalsiɔm fayn fayn wan.
• Sintetik PTH: If yu gɛt smɔl kalsiɔm lɛvɛl bikɔs ɔf haypoparatayroydism, yu dɔktɔ kin gi yu sintetik PTH.
• Intravenous calcium gluconate (IV calcium gluconate): If yu kalsiɔm lɛvɛl rili smɔl ɛn yu gɛt siriɔs simptom lɛk fɔ mek yu mɔsul dɛn de twitch (tetany), dɛn kin gi yu wan kalsiɔm glukonayt sɔlvushɔn we dɛn gi yu na ɔspitul.
• Ɔda mɛrɛsin: Dipen pan wetin mek yu nɔ gɛt bɔku kalsiɔm, yu kin nid fɔ tek ɔda mɛrɛsin fɔ trit/manej da kɔz de.

Wetin na di risk factor dɛm fɔ mek yu gɛt hypocalcemia?

Pipul wae kin gɛt dis sik na:

• Fɔ di wan dɛn we nɔ gɛt vaytamɛn D .
• Fɔ di wan dɛn we dɔn gɛt paratayroyd gland sik ɔ paratayroyd gland ɔpreshɔn .
• Fɔ di wan dɛn we dɔn gɛt ɔpreshɔn fɔ pul di tayroyd gland (`thyroidectomy`) .
• If ɛnibɔdi na di famili gɛt jɛnɛtik kɔndishɔn (lɛk sɔm jin muteshon, jɛnɛtik vaytamɛn D sik, DiGeorge syndrome).

Yu tink se we de fɔ mek dis nɔ apin?

Bɔt i sɔri fɔ no se natin nɔ de we yu go du fɔ mek yu nɔ gɛt hypocalcemia. Pan ɔl we i kin tan lɛk se yu kin avɔyd am bay we yu it it dɛn we gɛt bɔku kalsiɔm, di kayn kalsiɔm we yu de it nɔ de afɛkt di kalsiɔm we de na yu blɔd dairekt wan. Bɔt fɔ gɛt inof kalsiɔm impɔtant fɔ mek yu bon dɛn gɛt wɛlbɔdi.

Wetin na de lukin-grɔn fɔ dis sik? (Prɔgnosis) .

Di gud nyus na dat, hypocalcemia na wan sik wae dɛn kin trit. Wae yu kalsiɔm lɛvɛl kam bak to nɔmal, di sayn dɛm go dɔn.

Bɔt if dɛn nɔ trit am, siriɔs haypokalsimia kin mek pɔsin in layf de pan denja bikɔs ɔf prɔblɛm dɛn lɛk we pɔsin kin gɛt sik ɛn we at kin pwɛl. So, go to dɔktɔ if yu gɛt sɔm sayn dɛn. If yu sik bad bad wan, go na di ɔspitul we de nia yu.

Aw lɔng dis sik kin te kin difrɛn difrɛn wan fɔ di kɔz. I kin bi fɔ sɔm tɛm ɔ fɔ ɔl in layf (`chronic`). Aks yu dɔktɔ aw lɔng dis go las ɛn aw lɔng yu go nid fɔ tek mɛrɛsin.

If dɛn nɔ trit am, di haypokalsiɔm kin kil pɔsin, so no bɔt di sayn dɛn we de sho se i gɛt di sik.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt sayn dɛn fɔ hypocalcemia , mek shɔ se yu go to dɔktɔ. If yu gɛt chronic hypocalcemia, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se yu kalsiɔm lɛvɛl nɔmal ɛn yu tritmɛnt de wok fayn.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ if a gɛt dis sik?

We yu no se yu gɛt haypokalsiɔm, i go fayn fɔ aks yu dɔktɔ ɔ nɔs dɛn kwɛstyɔn ya:

• Wetin mek a bin gɛt dis hypocalcemia?
• Aw lɔng a go gɛt dis sik?
• Aw lɔng a go gɛt fɔ tek mɛrɛsin fɔ dis?
• Aw lɔŋ e kin tek fɔ mek di sik nɔr de igen afta yu dɔn bigin fɔ tek di mɛrɛsin?
• Mi pikin dɛn ɔ ɔda pipul dɛn na mi famili de pan denja fɔ gɛt dis sik?

Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt wan sik. Bɔt mɛmba se, dɛn kin trit di haypocalcemia. Wit tritmɛnt, yu kalsiɔm lɛvɛl go kam bak to nɔmal ɛn yu sik go dɔn. Nɔr frayd fɔ aks yu mɛdikal tim kwɛstyɔn bɔt yu sik ɛn de tritmɛnt wae yu de gɛt.

Mɛsej we dɛn kin kɛr go na os

So, hypocalcemia, ɔ low blood calcium, na sɔntin we wi fɔ wɔri bɔt, bɔt nɔto sɔntin we wi fɔ fred. Bɔku tɛm dɛn kin trit am ɛn mek i bɛtɛ. De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ wae yu nɔr de west yu tɛm if yu gɛt sɔm kayn sik. If yu fala di tritmɛnt we yu dɔktɔ tɛl yu fɔ du, yu kin wɛl kwik kwik wan. Stay wit wɛlbɔdi!

` Hypocalcemia, kalsiɔm, kalsiɔm dɛfisiɛns, blɔd kalsiɔm, paratayroyd ɔmon, vaytamɛn D, bon wɛlbɔdi, simptom dɛm, tritmɛnt