Lɛ wi fɛn ɔda tin bɔt ‘fri kalsiɔm’ we de na yu blɔd? (Ayɔniz Kalsiɔm) .

Wetin yu no bɔt di kalsiɔm we de na yu bɔdi? Wi ɔl no se bon ɛn tit nid kalsiɔm. Bɔt yu no se wan kayn kalsiɔm de na di blɔd we spɛshal smɔl. Tide wi go tɔk bɔt da kayn de we dɛn kɔl 'ionized calcium ' . Dis kin rili impɔtant na wi bɔdi. Lɛ wi si wetin i bi, wetin mek i impɔtant, ɛn wetin kin apin if i tu smɔl ɔ i tu ay.

Wetin na ‘ayɔniz kalsiɔm’?

Fɔ tɔk am simpul wan, sɔm pan di kalsiɔm we de na yu blɔd de flɔt rawnd ɛn nɔ tay pan ɛni prɔtin . Dat fri, aktif kalsiכm na wetin wi kכl ‘ayכnayz kalsiכm ’ כ ‘fri kalsiכm.’ Imajin, dis na di ‘aktiv’ kalsiɔm we rili de wok na wi bɔdi. lεk af, כ lεk 50%, pan di tכtal kalsiכm we de na yu bכdi na ayכnayz kalsiכm.

Wetin kin apin to di ɔda pat pan di kalsiɔm? i de tay pan di protin dεm we de na di bכdi, spεshal wan to wan protin we dεn kכl ' Albumin ' . Wi kin kɔl am ‘bound calcium’ . dis kalsiכm we dεn bכnd nכ de du bכku wok, i jכs ‘inaktiv’, we min se i nכ de wok. Na dat mek na di fri, ayɔnized kalsiɔm we dɛn kin yuz dairekt fɔ wi bɔdi in wok.

Naw luk, 99% pan di ɔl di kalsiɔm we de na wi bɔdi de na wi bon ɛn tit . Wi ɔl no dat. Di ɔda 1% de go ɔlsay na di blɔd . so, dis ayonayz kalsiכm (fri kalsiכm) we wi de tכk bכt na rili sכm, lεk 0.5% pan di tכtal kalsiכm na di bכdi. Yu go tink se, ‘Wow, dat na so smɔl mɔni.’ Bɔt, lɛk chili pepa , dis ayɔnized kalsiɔm impɔtant fɔ wi ɔl wɛlbɔdi. Yu no wetin?

Dis ayɔniz kalsiɔm na wi:

• I de ɛp di nervɔs sistɛm fɔ wok fayn fayn wan. Dis rili impɔtant fɔ kɛr mɛsej go rawnd.
• I de ɛp di mɔsul dɛn fɔ kɔntrakt, we min se dɛn de kɔntrakt ɛn lɔng, ɛn wok fayn fayn wan.
• Sɔpɔt wɛlbɔdi at fɔ wok ɛn at ritm .
• Blɔd-klɔtI impɔtant bak fɔ di prɔses. Dis nid fɔ mek yu stɔp fɔ blɔd we wund de.

Tink bɔt aw dɛn tin ya impɔtant. So if di ayɔniz kalsiɔm we de na di blɔd tu bɔku ɔ tu smɔl, dat kin sho se sɔm wɛlbɔdi prɔblɛm de insay di bɔdi. Na dat mek i impɔtant fɔ no bɔt dis.

Wetin mek dɛn kin du dis ‘Ionized Calcium’ tɛst?

Bɔku tɛm we wi de chɛk di kalsiɔm we de na di blɔd, di dɔktɔ dɛn kin luk di tɔtal kalsiɔm, we na di amɔnt ɔf ɔl tu di kalsiɔm we dɛn dɔn tay ɛn di fri kalsiɔm. Bɔt sɔntɛnde, yu kin want fɔ no ɔmɔs fri, aktif kalsiɔm yu gɛt. Na da tɛm de dɛn kin du dis ‘ayɔniz kalsiɔm’ tɛst . i de כnli mכsu di כmכnt כf fri, aktif kalsiכm.

Fɔ du dis tɛst, dɛn go tek smɔl blɔd sɛmpul frɔm yu. Na dat.

Naw lɛ wi si us sityueshɔn dɛn dɔktɔ kin aks fɔ mek dɛn du ayɔniz kalsiɔm tɛst:

• If di prɔtin we de na yu blɔd (espɛshali di albumin) nɔ de wok fayn . biכs we di albumin inkrεs כ dכn, di tכtal kalsiכm lεvεl kin chenj, bכt di ayoniz kalsiכm lεvεl na di כnli we fכ כndastand di tru situeshכn.
• If yu sik bad bad wan ɛn nid fɔ gi yu IV fluid (fluid lɛk salin we dɛn gi yu na di an) . Dis impɔtant fɔ chɛk di bɔdi in balans if pɔsin gɛt siriɔs sik.
• If yu go du big ɔpreshɔn , i impɔtant fɔ wach dis lɛvɛl bifo ɛn afta di ɔpreshɔn.
• If dɛn dɔn transfyuz yu blɔd , sɔm tin dɛn we de insay di blɔd we yu gi kin mek di kalsiɔm lɛvɛl chenj.
• If yu gɛt bɛlɛ ɛn nid fɔ mek dɛn de wach yu pikin dɛn we dɛn jɔs bɔn .
• If yu gɛt sayn dɛn fɔ akyu pankriaytis . di kalsiכm lεvεl dεm de afekt bay pankrεas prכblεm.
• If yu tink se yu gɛt paratayroyd disɔda , dɛn gland ya kin mek ɔmon dɛn we de kɔntrol di kalsiɔm.

Aw fɔ rɛdi fɔ di tɛst?

Smɔl prɛparashɔn de we yu nid fɔ du bifo yu go fɔ dis ayɔnized kalsiɔm tɛst.

• Dɛn kin aks yu fɔ nɔ it ɔ drink ɛnitin fɔ lɛk siks (6) awa bifo di tɛst . I nɔ bad fɔ drink smɔl wata. Dis na bikɔs di tin dɛn we de insay di blɔd kin chenj smɔl difrɛns dipen pan di it we wi de it, ɛn dis kin mek i nɔ izi fɔ gɛt kɔrɛkt ridin.
• Dɔn bak, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek . Sɔm mɛrɛsin kin afɛkt di rizɔlt fɔ dis tɛst. If na so, yu dɔktɔ kin tɛl yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez bifo dɛn du di tɛst.Bɔt mɛmba se, nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu.

Wetin di ayɔniz kalsiɔm lɛvɛl min?

If yu luk yu ayɔniz kalsiɔm lɛvɛl, yu dɔktɔ kin ɔndastand bɔku tin bɔt yu wɛlbɔdi. Fɔ ɛgzampul, i kin ɛp fɔ no difrɛn kayn mɛrɛsin lɛk pankrias, kidni sik, ɛn paratayroyd gland kɔndishɔn .

fכ gεt yu ayonayz kalsiכm lεvεl dεm insay di aprכpriet rεnj min se yu bכdi in fכnshכn dεm we rilet to kalsiכm de wok fayn fayn wan.

Na di nכmal rεnj dεm fכ ayonayz kalsiכm (dεn valyu dεm ya kin difrεn sכmtεm frכm lab to lab, so chεk di nכmal rεnj na yu ripot):

• Nyu bכn: 4.8 – 5.5 mg/dL (miligram pan wan dεsilita)
• Fɔ pikin dɛn: 4.8 – 5.3 mg/dL
• Di big pipul dɛn: 4.6 – 5.3 mg/dL

Wetin kin apin if di ayɔniz kalsiɔm go dɔŋ? (Haypokalsimia) .

If yu blɔd ayɔniz kalsiɔm lɛvɛl smɔl, wi kin kɔl am pan mɛrɛsin ‘haypokalsiɔm’ . Dis kin min se yu gɛt wɛlbɔdi prɔblɛm.

Wetin na di rizin dɛn we mek di prɔblɛm dɔn go dɔŋ?

difrεn men rizin dεm de we mek di ayonized kalsiכm lεvεl kin dכn:

• Hypoparathyroidism: Dis min se yu paratayroyd gland dɛn nɔ de mek inof paratayroyd ɔmon (PTH), we na ɔmon we de kɔntrol di kalsiɔm we de na di blɔd.
• Pankreas: Na inflamɛns na di pankrias we de mek yu fil pen.
• Malabsorption: Di bɔdi nɔ de tek di kalsiɔm fayn fayn wan frɔm di it dɛn we yu de it.
• Riket: Na sik we pikin dɛn bon dɛn kin saf, mɔ bikɔs dɛn nɔ gɛt vaytamɛn D.
• di kidni dεm we de wok fayn: we di kidni dεm stכp fכ wok fayn, di kalsiכm rεgεlεshכn de ambɔg.
• Vitamin D we nɔ de: Vitamin D impɔtant fɔ mek di bɔdi tek di kalsiɔm. If yu nɔ gɛt am inof, yu kalsiɔm lɛvɛl kin go dɔŋ.

Wetin na di sayn dɛm wae de sho se yu nɔr gɛt bɛtɛ kalsiɔm?

we di ayonayz kalsiכm lεvεl dεm lכw (Hypocalcemia), difrεn simptom dεm kin apin. Nɔto ɔlman go gɛt ɔl dɛn sik ya, ɛn sɔm pipul dɛn kin gɛt wan ɔ tu.

• Mɔsul de twitch ɔ kramp (Mɔsul kramp).
• Kɔnfyus.
• Di mɛmori we yu nɔ ebul fɔ mɛmba.
• Nɛl dɛn we wik ɛn we kin brok.
• Di an ɛn fut dɛn kin swɛla ɛn tingling.
• Pwɛl at.

If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ fɔ advays.

Aw dɛn kin trit dis sik?

If yu ayɔniz kalsiɔm lɛvɛl smɔl, yu dɔktɔ go no di rizin ɛn gi yu tritmɛnt akɔdin to dat. Na sɔm tritmɛnt dɛn we dɛn kin yuz:

• Kalsiɔm sɔpɔtmɛnt: Dɛn kin gi kalsiɔm insay pil ɔ likwid.
• Vitamin D supliment: Ɛp di bɔdi fɔ tek di kalsiɔm.
• Calcium gluconate injection: If di kalsiɔm lɛvɛl rili smɔl, dɛn kin gi dis injɛkshɔn fɔ mek i go ɔp kwik kwik wan.
• Paratayroyd ɔmon (PTH) riplesmɛnt: Dɛn kin gi dis tritmɛnt if yu gɛt haypoparatayroyd.

Along wit dis tritmɛnt, i impɔtant fɔ trit di ɔndalayn mɛdikal kɔndishɔn we mek di kalsiɔm dɛfisiɛns.

Wetin kin apin if di ayɔniz kalsiɔm go ɔp? (Haypa kalsiɔm) .

We di lɛvɛl we di ayɔniz kalsiɔm de na di blɔd tu ay, wi kin kɔl am ‘haypa kalsiɔm.’ Dis na sik bak wae kin kam wit sɔm kayn wɛl bɔdi prɔblɛm.

Wetin na di rizin dɛn we mek dɛn de bɔku?

Bɔku rizin dɛn de we mek ayɔniz kalsiɔm kin bɔku:

• Hyperthyroidism: Tayroyd gland we de wok pasmak.
• Hyperparathyroidism: Na di paratayroyd gland dɛn de mek di paratayroyd ɔmon (PTH) pasmak. Dis na di men tin we kin mek pɔsin gɛt aypa kalsiɔm.
• Paget’s disease of the bone: Na sik we di bon tisu kin brok ɛn gro bak pasmak.
• Trombocytosis: Na di nɔmba fɔ di pletlɛt dɛn we de na di blɔd de bɔku.
• Sarcoidosis: Na wan sik wae de mek smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
• Multiple Myeloma: Na wan kayn blɔd kansa we nɔ kin bɔku.

Wetin na di sayn dɛm wae de sho se yu gɛt bɔku kalsiɔm?

we di ayonayz kalsiכm lεvεl dεm de inkrεs (Hypercalcemia), difrεn simptom dεm kin apin:

• Fɔ pis bɔku tɛm.
• Mɔsul dɛn kin at ɔ kramp.
• Nɔs ɛn vɔmit.
• Ɛd we de at.
• Taya.
• Bɔn pen.
• Banbɛlɛ.
• Di mɛmori we yu nɔ ebul fɔ mɛmba.
• Pwɛl at.
• I nɔ kin want fɔ it igen.

Impɔtant: Sɔntɛnde, if yu gɛt bɔku bɔku kalsiɔm, dat kin bi mɛdikal imejensi, so na fɔ no bɔt dɛn sik ya.

Aw dɛn go ebul fɔ sɔlv dis?

di tritmεnt fכ εlevεt ayכnayz kalsiכm dipכnt pan di kכz. Bɔku tritmɛnt dɛn de we yu kin pik:

• Calcimimetics: Dɛn mɛrɛsin ya kin ɛp fɔ kɔntrol di paratayroyd gland dɛn we de wok pasmak.
• Calcitonin supliment: I de ɛp fɔ kɔntrol di kalsiɔm lɛvɛl na di blɔd.
• Bisphosphonates: Dis na mεdikeshכn dεm we dεn kin yus fכ trit כstioporosis (di bon dεm we de tכn). Dɛn kin yuz dɛn bak fɔ ridyus di aypa kalsiɔm we kin kam wit kansa.
• Denosumab: Dɛn kin yuse dis fɔ pipul dɛm wae nɔr de ansa to bisphosphonates.
• Prεdnison: Dɛn kin gi dis stεrɔyd if di haypa kalsiɔm de kכz bay we di vaytam in D lεvεl dεm de go ɔp.
• IV fluid (intravenous saline): Dɛn kin gi dis tritmɛnt we i gɛt imejensi if di haypa kalsiɔm rili bad.
• Paratayroydɛktɔmi: Dɛn kin du ɔpreshɔn fɔ pul di tisu we afɛkt frɔm di paratayroyd gland dɛn.

Apat frɔm dat, di dɔktɔ go gi yu tritmɛnt bak fɔ di sik we de ɔnda yu we mek yu gɛt di sik.

Fɔ dɔn, wetin fɔ no

Yu go dɔn ɔndastand naw aw dis ayɔnized kalsiɔm impɔtant fɔ wi wɛlbɔdi. Ilɛksɛf i bɔku ɔ i smɔl na di blɔd, wi bɔdi nɔ go ebul fɔ wok fayn.

Wan ionized calcium test nɔmɔ nɔ go ebul fɔ tɛl yu ustɛm sik yu gɛt. Bɔt i de gi yu dɔktɔ bɔku valyu tin dɛn bɔt yu wɛlbɔdi biznɛs. We i yuz da infɔmeshɔn de, i go ebul fɔ no di kɔrɛkt we aw yu gɛt di sik ɛn bigin di tritmɛnt we yu nid.

So, if yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis, nɔ shem ɛn tɔk to yu dɔktɔ . I go ɛksplen ɔltin to yu. Stay wit wɛlbɔdi!

` Ayɔniz kalsiɔm, kalsiɔm, blɔd tɛst, haypokalsiɔm, haypa kalsiɔm, wɛlbɔdi, simptom dɛm