Yu blɔd nɔ gɛt bɔku fosfɛt? Lɛ wi tɔk bɔt dis kɔndishɔn (Hypophosphatemia)!

yu go don si sohmtin we dem kol "Phosphate" we yu luk pan blɔd ripɔt, nɔto so? Ɔ sɔntɛm dɔktɔ dɔn tɛl yu bɔt am. Dis fosfet rili impɔtant fɔ wi bɔdi. So, wetin kin apin if dis fכsfεt lεvεl dכn dכn na di bכdi? Na dat wi kin kɔl `(Hypophosphatemia)`. Lɛ wi tɔk bɔt dis ditayli, rili simpul, tide.

Wetin di lɔw fosfɛt min? Na `(Hypophosphatemia)` na?

Fɔ tɔk am simpul wan, yɛs. Hypophosphatemia na wan sik wae de mek di lεvεl fכ wan minral we dεn kכl fכsfεt na yu bכdi de sכm. Fɔsfɛt na ilɛktrɔlayt we impɔtant fɔ bɔku wok dɛn na wi bɔdi. I de wok lɛk batri na wi bɔdi. Dis sik kin bi smɔl ɔr kin tranga. I kin apin bak wantɛm wantɛm (akyu) ɔ as tɛm de go (krɔnik).

So, aw dis fosfet impɔtant to di bɔdi?

Jɔs imajin aw dis fɔsfɛt de du bɔku tin na wi bɔdi!

• fכ bil wi bon dεm εn tit dεm εn fכ kip dεm strכng: 85% pan di fכsfכr we de na wi bכdi de insay wi bon dεm. So dis impɔtant fɔ mek bon dɛn strɔng.
• Kip di nεv sistεm fכ wok fayn fayn wan: Wi nεv dεm nid fכsfεt fכ wok fayn fayn wan.
• I de ɛp fɔ mek di mɔsul dɛn kɔntrakt: We wi de muv wi an ɛn leg dɛn, ɛn we wi at de bit, wi mɔsul dɛn de kɔntrakt, so dis kin ɛp bak wit dat.

Wi kin gɛt dis fɔsfɔr/fɔsfɛt frɔm di it we wi de it.

di imכtant tin na dat di fכsfεt lεvεl na wi bכdi de riliyt to di kכlsyכm lεvεl. Di tu de wok in rivays. dat min se as di kalsiכm lεvεl na di bכdi de go כp, di fכsfεt lεvεl de dכn. Dis de apin ɛvri sɛkɔn. di paratayroyd כmon (PTH), we di paratayroyd gland dεm na wi nεk de mek, de kכntro dεn kalsiכm εn fכsfεt lεvεl dεm ya.

Aw kɔmɔn dis sik (Hypophosphatemia)?

Mild hypophosphatemia na wan kɔmɔn sik we dɛn kin si we dɛn de du blɔd tɛst. Sɔm ripɔt dɛn se i kin afɛkt te to 5% pan di pipul dɛn na Amɛrika. Bɔrku tɛm, e nɔr kin bi siriɔs sik ɛn nɔr kin kɔz ɛni sayn. Bɔku tɛm, dɛn kin fɛn am bay chans.

Bɔt, wan wan, siriɔs haypofosfatemia (akyu, siriɔs haypofosfatemia) kin mɔs pan pipul dɛm wae gɛt sɔm kayn mɛrɛsin. Fɔ ɛgzampul:

• Fɔ di wan dɛn we gɛt adikshɔn to rɔm `(Alcohol use disorder)`
• Insay di kes we gɛt fɔ du wit dayabitis-rilayt ketoacidosis (DKA) .
• Insay siriɔs infɛkshɔn, sɛpsis
• Fɔ di wan dɛn we gɛt big big bɔn

Dis kכndyushכn kin de pan 80% pan pipul dεm lεk dis.

So, wetin na di simptom dɛm fɔ `(Hypophosphatemia)`?

di simptom dεm dipכnt pan aw di fכsfεt lεvεl lכw.

Mild Hypophosphatemia we nɔ gɛt wan bɔt

Bɔrku tɛm, pipul dɛm wae gɛt mild hypophosphatemia nɔr kin gɛt ɛni sayn , bɔt sɔm kin gɛt smɔl mɔsul wikɛd ɛn taya.

If i rili bad (Siv Hypophosphatemia) .

כltu, if di fכsfεt lεvεl dεm sכmtεm lכw (sεvεr haypofosfεtεmia), dεn simptom dεm ya kin apin, εn dεn nכ fכ tek dεn tin ya layt :

• Pen na di mɔsul ɛn bon dɛn
• Di mɔsul dɛn kin wik bad bad wan
• di chenj dεm na di mכd - fכ egzampl, yu nכ kin ebul fכ kכnsantreyt, i kin izi fכ irita
• Respiratory ɔ at we nɔ de wok fayn
• Fɔ fil se yu wik, yu nɔ de ebul fɔ ansa
• Fɔ gɛt fit (seizure) .

Dis rili impɔtant: If dɛn nɔ trit siriɔs haypofosfatemia kwik , i kin mek pɔsin kɔma ɛn ivin day . So if yu ɔ pɔsin we yu sabi gɛt dɛn kayn bad bad sik ya, yu fɔ go na di ɔspitul we de nia yu wantɛm wantɛm.

If i dɔn de fɔ lɔng tɛm (Chronic Hypophosphatemia) .

Pipul wae gɛt low phosphate level fɔ lɔng tɛm (chronic hypophosphatemia) kin gɛt sɔm kayn sik lɛk:

• Pen na di bon dɛn
• Bɔn dɛn we kin brok
• Wik
• Fil fɔ it

Yɔŋ pikin dɛn we nɔ gɛt bɛtɛ fɔstɛm fɔ lɔng tɛm kin gɛt sayn dɛn fɔ wan sik we dɛn kɔl rikɛt , we inklud:

• Lɔs fɔ ayt fɔ di ej
• Di leg dɛn we tan lɛk bɔw kɔba
• di say dεm we di an εn ankכl de wayd bikoz fכ chenj dεm na di bon dεm

If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ.

Wetin na di tin dɛm we kin mek pɔsin gɛt `(Hypophosphatemia)`?

Bɔrku rizin de wae mek dis sik kin apun. De tin wae kin mek pɔrsin kin gɛt dis sik kin difrɛn difrɛn wan wae i nɔr kin bɔrku ɔr kin tranga, wae kin kam wantɛm wantɛm, ɔr kin teik lɔng tɛm.

Di tin dɛn we kin mek pɔsin gɛt mɔdaret ɛn siriɔs haypofosfatemia

di mכdarεt to siriכs fכsfεt dεfichεshכn kin apin insay dεn situeshכn dεm ya:

• We i de wɛl frɔm dayabitik ketoacidosis (DKA) .
• Yuz rɔm ɛn lɛf fɔ drink rɔm
• Bɔn bad bad wan
• Rifidin sindrom : Dis kin kɔmplikt smɔl. Fɔ tɔk am simpul wan, na we pɔsin kin kam bak to it wantɛm wantɛm afta we i dɔn fast fɔ sɔm tɛm, we kin mek di wata ɛn ilɛktrɔlayt lɛvɛl na di bɔdi chenj we denja, sɔm tɛm dɛn kin mek pɔsin in layf de pan denja.
• Sivεr respiratory alkalosis: Dis na we di bכdi nכ de insay di bכdi.

Di tin dɛn we kin mek pɔsin gɛt aypofosfatemia fɔ lɔng tɛm

• di paratayroyd כmon lεvεl dεm we de inkrεs, fכ egzampl insay di kכndishכn ``Hyperparathyroidism``.
• Ɔda ɔmon dɛn we nɔ de balans, lɛk di sik we dɛn kɔl Cushing’s syndrome.
• Vitamin D we nɔ de.
• Malabsorption na wan kɔndishɔn we di it nɔ de absɔb fayn bikɔs ɔf di malnutrishɔn ɛn intestinal prɔblɛm.
• כda ilektrolayt imbalans, lεk lכw magnεsiכm (haypomagnesemia) εn lכw potashכm (haypokalemia).
• di tritmεnt fכ ayn dεfisit na IV ayron infushכn, spεshal wan tכp we dεn kכl fεrik kכbכksimaltכz (FCM). Bɔku tɛm dis kin apin we dɛn de tek ayɛn ɔltɛm dis kayn we.
• Yuz diuretics fɔ lɔng tɛm.
• Yuz di antisid dɛm we de tay di fɔsfɛt bɔku tɛm ɔ pasmak, we yu bay frɔm famasi we yu nɔ gɛt dɔktɔ advays. Dis inklud antasid dɛn we gɛt aluminiɔm, kalsiɔm, ɛn magnɛsiɔm.
• Pɔyzin bay wan mɛrɛsin we dɛn kɔl tiofilin, we dɛn kin gi uman dɛn we gɛt bɛlɛ.

Pipul dεm we gεt advans kidni sik (especially dεn wan dεm we de pan dayalaysis) de tek mεdikeshכn dεm we dεn kכl "phosphate binders" wit it, we dεn kidni spεshalis dεn gi dεm, fכ limited di abzכpshכn fכ fכsfεt frכm it. Dɛn tin ya kin mek bak di fɔsfɛt lɛvɛl smɔl if dɛn yuz am fɔ lɔng tɛm.

Aw dεn kin no dis kכndyushכn `(Hypophosphatemia)`?

Dis na tin we rili simpul fɔ no bɔt dis. Dɔktɔ go du blɔd tɛst fɔ chɛk di lɛvɛl we di fɔsfɛt de na yu blɔd . if yu bכdi fכsfεt kכnsantreshכn less dan 2.5 miligram pan wan desilita (mg/dL), dεn se yu gεt ``Hypophosphatemia''.

di nכmal bכdi fכsfεt lεvεl fכ big pipul dεm de bitwin 2.5 εn 4.5 mg/dL, εn fכ pikin dεm, i de bitwin 4.5 εn 6.5 mg/dL. Bɔt dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab.

Bɔrku tɛm, mɔr lɛk wae yu gɛt akyu haypofosfatemia, yu kin no klia wan di kɔz bay yu mɛdikal histri ɛn di sayn dɛm.

Bikɔs bɔku tɛm, di haypofosfatemia kin bi bikɔs ɔf ɔda sik, yu dɔktɔ kin ɔda fɔ du ɔda tɛst fɔ no di tin we kin mek yu gɛt am ɛn fɔ no aw yu gɛt wɛlbɔdi. Dɛn tin ya kin bi:

• Ɔda blɔd tɛst dɛn: tɛst fɔ no aw di kidni de wok, fɔ tɛst di blɔd we gɛt kalsiɔm, fɔ tɛst di blɔd we gɛt vaytamɛn D.
• Urinalysis we dɛn kin du.
• Sɔntɛm na imej skan.

Wetin na di tritmɛnt dɛm fɔ `(Hypophosphatemia)`?

Di men tritmɛnt na fɔ trit di ɔndalayn kɔz fɔ dis sik, ɛn bak fɔ mek di fɔsfɛt lɛvɛl kam bak na di blɔd.

Bɔku tɛm dɛn kin gi pipul dɛn we gɛt mild to moderate hypophosphatemia , dɛn kin gi dɛn ɔral phosphate riplesmɛnt pils . Yu dɔktɔ kin tɛl yu bak se yu fɔ it tin dɛn we gɛt bɔku fosfɔr.

Bɔt if di sik bad, dɛn kin gi dɛn fɔsfɛt insay di bɛlɛ (tru wan IV) .

Ɛnitin de we wi go du fɔ mek dis tin nɔ apin?

Na tru se nɔto ɔl di kes dɛm we pɔsin kin gɛt we i gɛt haypofosfatemia, dɛn kin ebul fɔ avɔyd, mɔ di wan dɛn we kin rili bad ɛn we kin apin wantɛm wantɛm. Bɔt if yu it fayn ɛn balans it kin go sɔm we fɔ mek yu nɔ gɛt smɔl smɔl fɔsfɛt.

Us it dɛn we gɛt bɔku fɔs fɔs?

• Mit, fish ɛn ɔda prɔtin: Pat dɛn lɛk eg, chukchuk, tik, bɔd, sifud, ɛn liva.
• Dairy prodakt: milk, chiz, kɔtjɛ chiz, yogɔt.
• Nat ɛn sid: amɔnd, kash, Brazil nat, pɔmpin sid, sɛsam sid.

Impɔtant: Bifo yu mek ɛni big chenj na di it we yu de it, mek shɔ se yu tɔk to dɔktɔ ɔ pɔsin we sabi bɔt it.

If yu gɛt wan sik we de put yu pan ay risk fɔ gɛt haypofosfatemia, lɛk haypaparatayroydism, malabsorption issues, ɔr vaytamɛn D deficiency, i impɔtant fɔ go to yu dɔktɔ ɔltɛm ɛn fala yu tritmɛnt plan. Dis kin ɛp fɔ mek yu nɔ gɛt di sik we dɛn kɔl hypophosphatemia.

Wetin go apin tumara bambay? (Prɔgnosis) .

Di prɔgnosis fɔ dis kɔndishɔn de dipen pan if i nɔr kin pasmak ɔr i kin tranga, i kin bigin wantɛm wantɛm, ɔ i kin te fɔ lɔng tɛm. Di wan dɛn we nɔ gɛt bɛtɛ sik kin ansa fayn to tritmɛnt, we min se dɛn kin mɛn dɛn. Bɔt, bad bad kes dɛm we kin bigin wantɛm wantɛm kin mek dɛn gɛt siriɔs prɔblɛm if dɛn nɔ trit dɛn kwik kwik wan.

Yu tink se kɔmplikeshɔn kin apin bikɔs ɔf `(Hypophosphatemia)`?

Yɛs, if dɛn nɔ trit am, mɔ if di fosfɛt dɔn go dɔŋ fɔ lɔng tɛm (chronic hypophosphatemia), wan sik we dɛn kɔl osteomalacia kin kam. Fɔ tɔk am simpul wan, dis na we di bon dɛn kin saf ɛn brok izi wan .

As wi bin dɔn tɔk, if yu gɛt siriɔs sayn dɛm fɔ hypophosphatemia, lɛk fɔ pen na yu mɔsul dɛm we yu nɔ ɛksplen ɛn chenj na yu maynd, i rili impɔtant fɔ go na di ɔspitul we de nia yu kwik kwik wan.

Fɔ dɔn, mɛmba dis.

So, dis fכsfεt we wi bin tכk bכt tide na rili imכtant ``ilεktrolayt`` na wi bכdi. fכs fכs we dεn dכn sכmtεm (``mild hypophosphatemia``) dεn kin si am pan bכdi tεst εn i nכto tin fכ wכri bכt. If dat apin, yu dɔktɔ go tɛl yu fɔ it mɔ it dɛn we gɛt bɔku fɔsfɔr.

Bɔt if yu gɛt wan sik ɔ yu gɛt abit we de put yu pan denja fɔ gɛt siriɔs fɔsfɛt dɛfisiɛns, lɛk fɔ drink pasmak ɔ yu intestinal malabsorption, i go fayn fɔ tɔk to yu dɔktɔ bɔt am. Aks dɛm aw fɔ mek yu nɔ gɛt hypophosphatemia ɛn us sayn dɛm fɔ wach fɔ. Mɛmba se yu dɔktɔ na yu bɛst padi pan yu wɛlbɔdi joyn. Dɛn kin ɛp yu.

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