Wi ɔl no se kalsiɔm impɔtant fɔ mek yu bon ɛn tit strɔng. Bɔt yu no se apat frɔm di kalsiɔm we de na wi bon dɛn, di kalsiɔm we de na wi blɔd impɔtant bak fɔ bɔku wok dɛn na wi bɔdi? If di kalsiɔm lɛvɛl na dis blɔd smɔl pas aw i fɔ bi, wi kin kɔl am haypokalsiɔm. Dis kin mek yu gɛt prɔblɛm dɛn we yu nɔ bin de tink se go apin. So lɛ wi tɔk bɔt dis smɔl mɔ tide.
Fɔ tɔk am simpul wan, wetin na hypocalcemia?
Hypocalcemia na we yu blɔd kalsiɔm lɛvɛl tu smɔl. Nɔto jɔs kalsiɔm impɔtant fɔ wi bon ɛn tit dɛn, bɔt i impɔtant bak fɔ mek di blɔd vesel dɛn kɔntrakt ɛn dilayt, di nerve impuls dɛn fɔ transmit, blɔd klot, ɛn di mɔsul dɛn fɔ wok. nכmal wan, wi bכdi de rεgεl dis kalsiכm lεvεl fayn fayn wan. tri men כmon dεm de εp fכ dis: paratayroyd כmon (PTH), kalsitonin, εn vaytam in D. nכmal wan, di bכdi in bכdi in blכd kalsiכm lεvεl fכ de bitwin 8.5 εn 10.2 mg/dL (miligram/dεsilita). Bɔt dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab. Na pikin ɛn yɔŋ pipul dɛn, dis valyu kin pas smɔl. If di kalsiɔm lɛvɛl na yu blɔd ripɔt smɔl pas dis nɔmal valyu, dat na haypokalsiɔm.
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt di sik we dɛn kɔl hypocalcemia?
Dis sik kin apin we yu bɔdi lɔs tumɔs kalsiɔm na yu urine ɔ we yu bon dɛn nɔ de pul inof kalsiɔm insay yu blɔd. Lɛ wi luk di men tin dɛn we kin mek wi du dis.
| Rizin | Simpul ɛksplen |
|---|
| Di sik we dɛn kɔl haypoparatayroyd | di paratayroyd gland dεm na fכ sכm sכm gland dεm we de bihayn di tayroyd gland na wi nεk. Dɛn wan ya de mek di ɔmon we dɛn kɔl PTH, we de kɔntrol di kalsiɔm. if dεn gland dεm ya dכn pwεl we dεn de du sכmtin lεk tayroyd כpεrayshכn, di PTH lεvεl dεm de dכn εn di kalsiכm lεvεl dεm na di bכdi de dכn. |
| Vitamin D we nɔ de | Vitamin D tan lɛk padi we de ɛp di bɔdi fɔ tek di kalsiɔm. If yu nɔ gɛt inof vaytamɛn D frɔm di san, it, ɔ mɛrɛsin, di kalsiɔm we yu de tek go dɔŋ ɛn di kalsiɔm we de na yu blɔd go go dɔŋ. |
| Kidni sik we nɔ de mɛn | we di kidni dεm nכ de wok fayn, i kin at fכ di bכdi fכ yuz vaytam in D. Dɔn bak, wan minral we dεn kכl fכsfכr de bכku insay di bכdi. Dɛn prɔblɛm ya kin mek yu nɔ gɛt bɔku kalsiɔm. |
| Ɔda rizin dɛn | - di abnכmal tin dεm na di magnεsium lεvεl: If yu bכku כ tu sכm magnεsium i kin afekt di kalsiכ m lεvεl.
- Pankriaytis : Dis sik kin kam bikɔs yu drink pasmak ɔ yu gɛt gal ston ɛn i kin mek yu nɔ gɛt bɔku kalsiɔm.
- Sɔm mɛrɛsin: I kin kam bak bay mɛrɛsin fɔ ɛpilepshi, sɔm antibayɔtik , ɛn mɛrɛsin fɔ bon kansa.
- Bɛlɛ: Sɔntɛnde dis kin kam bikɔs i nɔ gɛt bɛtɛ tin fɔ it ɔ i kin vɔmit pasmak .
- Sivεr infεkshכn: Di lεvεl fכ di kalsiכm kin dכn pan siriכs infεkshכn dεm we de spre כlsay na di bכdi, lεk sepsis .
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Wetin na di sayn dɛm fɔ hypocalcemia?
Sɔmtɛm yu nɔr kin gɛt ɛni sayn, bɔt sɔmtɛm dis sik kin rili bad ɛn kin put yu layf pan denja.
Sɔm sayn dɛn we nɔ at fɔ si
- Mɔsul dɛn kin kramp na di bak ɛn di leg dɛn
- Dray, skel skin
- Di ia we de tik pas aw i kin tik
- Nɛl dɛn kin brok izi wan
Simptom dɛm wae kin apun wae de sik tranga
- Di lip, tɔŋ, finga, ɔ fut we de swɛ
- Di kɔntrakshɔn dɛn we di mɔsul dɛn kin gɛt we nɔ kin izi fɔ bia
- I nɔ kin izi fɔ blo bikɔs di trot mɔsul dɛn kin kɔnstrikt
- Di sik dɛn we kin mek pɔsin sik
- At ritm abnɔmaliti (Arrhythmia) ɛn at nɔ de wok fayn
- Di chenj wae de kam pan yu maynd lɛk wae yu nɔr de mɛmba fayn fayn wan, yu de fil bad, yu kin vɛks kwik, ɛn yu kin si tin dɛn we yu de tink bɔt
Wetin na tetany? Tetany na wan kɔlekɛshɔn fɔ di sayn dɛm we pɔsin kin gɛt we i gɛt haypokalsiɔm . I kin bi se i kin vɛks ɛn di mɔsul dɛn kin kɔntrakt we i nɔ want . Di sayn dɛm wae de sho se yu de swɛt, yu nɔr de fil fayn, ɛn yu nɔr kin ebul fɔ blo na yu an ɛn fut. If dɛn nɔ trit di tetany kwik kwik wan, i kin go to wan siriɔs sik we dɛn kɔl rabdomyolysis, we kin mek di mɔsul dɛn brok ɛn di kidni dɛn nɔ kin wok fayn.
Aw fɔ no dis sik?
Di men we fɔ no dis na fɔ tɛst blɔd. Yu dɔktɔ kin chɛk ɔl tu di tɔtal kalsiɔm ɛn ayɔniz kalsiɔm. Apat frɔm dat, yu dɔktɔ go luk fɔ tu patikyula sayn dɛn we i de chɛk yu: 1.
Chvostek sayn: Imajin se di dɔktɔ de tap wan nerve na yu jaw wit in finga. If yu fil se yu fes de swɛt, dat kin bi di sayn. 2.
Trousseau sayn: If yu put blɔd prɛshɔn kɔf na yu an ɛn ol am fɔ lɛk 3 minit, di mɔsul dɛn na yu an ɛn yu an kin kɔntrakt wit pen. Dis na rili impɔtant tɛst fɔ chɛk fɔ si if pɔsin gɛt haypokalsiɔm. Yu kin nid fɔ du mɔr tɛst fɔ no wetin de mek yu gɛt dis sik.
- Blɔd tɛst fɔ chɛk magnɛsiɔm, fɔsfɔr, PTH ɔmon, ɛn vaytamɛn D lɛvɛl
- Yurin tɛst fɔ chɛk di kidni wɛlbɔdi
- Ultrasound scan fɔ chɛk fɔ si if di kidni ston de
- EKG (Electrocardiogram) test fɔ chɛk fɔ si if di at ritm nɔ de wok fayn
- Wan bon skan fɔ chɛk aw di bon dɛn de
Aw dɛn kin trit am?
De tritmɛnt wae yu go gɛt go dipen pan de tin wae de mek yu gɛt de sik ɛn aw yu de fil bad.
- Fɔ di sayn dɛm we nɔr de shayn: Dɛn kin gi yu kalsiɔm ɛn vaytamɛn D tablɛt fɔ tek ɛvride. I rili impɔtant fɔ tek di rayt doz we yu dɔktɔ tɛl yu fɔ tek.
- Fɔ siriɔs sik: If yu sik bad bad wan, if yu gɛt prɔblɛm wit yu at ritm, ɔ if di sik kam wantɛm wantɛm, yu kin nid fɔ go na ɔspitul ɛn gi yu kalsiɔm tru wan vein (intravenous - IV). Dɛn kin gi am insay wan we we dɛn kɔl kalsiɔm glukɔnɛt. Afta IV tritmɛnt, yu kin nid fɔ tek kalsiɔm tablɛt fɔ sɔm tɛm.
- Fɔ trit di ɔndalayn kɔz:If yu magnɛsium lɛvɛl nɔ bɔku, yu kin nid fɔ trit am, ivin fɔ trit sik na yu kidni.
Di tin we impɔtant pas ɔl na, nɔ ɛva tek kalsiɔm pils fɔ yusɛf. Ɔltɛm, go to yu dɔktɔ ɛn tek di doz nɔmɔ we i tɛl yu fɔ tek.
Kɔmplikɛshɔn dɛn we kin apin if dɛn nɔ trit am
Bɔrku tɛm, di sayn dɛm kin go wit tritmɛnt, bɔt if dɛn nɔr trit am, kɔmplikeshɔn dɛm wae kin rili denja kin kam.
- At we nɔ de wok fayn
- Di sik dɛn we kin mek pɔsin sik
- Di prɔblɛm dɛn we kin mek pɔsin in at ritm we kin mek pɔsin in layf de pan denja
Dɔn bak, if yu tek bɔku bɔku kalsiɔm ɛn vaytamɛn D fɔ lɔng tɛm, dat kin mek yu gɛt sayd ɛfɛkt lɛk ston na yu kidni. So, i rili impɔtant fɔ tek tritmɛnt ɔltɛm ɔnda dɔktɔ in sɔpɔtishɔn.
Mɛsej we dɛn kin kɛr go na os
- Hypocalcemia na wan sik we di lɛvɛl we di kalsiɔm de na di blɔd nɔ bɔku. Dis nɔ kin afɛkt di bon dɛn nɔmɔ, bɔt i kin afɛkt di wan ol bɔdi.
- Nɔr ignore de symptom dɛm lɛk tingling ɔr numbness. I kin bi sayn fɔ se yu gɛt siriɔs sik kwik kwik wan.
- Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt dis sik, i impɔtant fɔ fɛn ɛn trit di tin we kin mek pɔsin gɛt dis sik ɛn bak fɔ trit di sayn dɛn.
- If yu gɛt ɛni wan pan dɛn sayn ya, go to yu dɔktɔ wantɛm wantɛm. Fɔ fala in instrɔkshɔn fɔ di tɛst ɛn tritmɛnt we nid fɔ bi.
Hypocalcemia, calcium deficiency, calcium deficiency, mכsul dεm we de twitch, sכm sכmtεm, vaytam in D, paratayroyd
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