By’olina okumanya ku calcium omungi mu musaayi (Hypercalcemia)!

Bwe tulowooza ku kalisiyamu, tulowooza ku magumba amagumu n’amannyo amalamu, nedda? Mu butuufu calcium kiriisa kikulu nnyo eri omubiri gwaffe. Naye obadde okimanyi nti, okufaananako n’ekintu kyonna ekisusse, ekirungo kya calcium ekisusse mu musaayi gwaffe nakyo kisobola okuleeta ebizibu by’obulamu ebiwerako? Emirundi egisinga, embeera eno esobola okubaawo nga tewali bubonero bwonna mu ntandikwa. Leero, tugenda kwogera ku kweyongera kuno okwa calcium mu musaayi, oba nga bwe bayita mu by’obujjanjabi, hypercalcemia.

Lwaki calcium mu musaayi yeeyongera bwati?

Mu budde obwabulijjo, emibiri gyaffe giba mulungi nnyo mu kufuga obungi bwa kalisiyamu mu musaayi gwaffe. Obusimu obuwerako buyamba ku kino. Kyokka waliwo ensonga ezisukka mu 25, gamba ng’endwadde ezimu, eddagala, obuzibu mu kibumba oba okuggwaamu amazzi mu mubiri, eziyinza okuvaako okufuga kuno okubula n’omuwendo gwa kalisiyamu mu musaayi gwaffe okulinnya. Ka tulabe ezimu ku nsonga enkulu.

Okweyongera kw’emirimu gy’endwadde z’omubiri (Hyperparathyroidism) .

Kino kye kisinga era ekisinga okuvaako ekirungo kya ‘calcium’ mu musaayi. Mu butuufu, kino kye kivaako ebitundu nga 90% eby’abalwadde ba `Hypercalcemia`. Emabega w’endwadde ya thyroid mu bulago bwaffe waliwo obusimu buna obutono obulinga amagumba, bwe tuyita endwadde za parathyroid. Bino bifulumya obusimu obuyitibwa parathyroid hormone `(Parathyroid Hormone - PTH).` Obusimu buno buyamba okufuga omuwendo gwa calcium mu musaayi. Mu `Hyperparathyroidism`, endwadde emu oba eziwera ku zino zikola ekisusse ne zisigala nga zikola obusimu bwa `PTH` nga tezikebedde calcium mmeka ali mu musaayi. Olwo calcium mu musaayi ne yeeyongera mu ngeri etaali ya bulijjo. Embeera eno esinga kubeera mu bakyala abava mu nsonga.

Eddagala erimu ly’omira

Eddagala n’ebirungo ebimu by’omira nabyo bisobola okuvaako ekirungo kya ‘calcium’ mu musaayi okweyongera.

Kookolo

Ebika bya kookolo by’amawuggwe, amabeere oba mu musaayi ebimu nabyo bisobola okuvaako ekirungo kya ‘calcium’ okubeera ekinene mu musaayi. Kino kiyinza okuva ku kusaasaana kw’obutoffaali bwa kookolo okutuuka mu magumba (bone metastases) oba obusimu obukolebwa ebika bya kookolo ebimu.

Ebirala ebitali bya bulijjo ebivaako

• Embeera nga Sarcoidosis
• Akafuba
• Okulemererwa kw’ekibumba
• Obulwadde bwa thyroid obusukkiridde
• Obulwadde bwa Paget bulwadde bwa magumba.
• Okubeera ku kitanda okumala wiiki eziwera
• Okubulwa amazzi mu mubiri
• Embeera z’obuzaale nga Familial Hypocalciuric Hypercalcemia

Bubonero ki obulaga kino?

Bw’oba ​​olina obulwadde bwa ‘mild hypercalcemia’, oyinza obutaba na bubonero bwonna. Naye embeera eno bw’efuuka ey’amaanyi, esobola okukosa ebitundu by’omubiri gwo bingi. Beera ku bunkenke okulaba obubonero buno.

• Okufuka ennyo
• Okuwulira ennyonta mu ngeri etaali ya bulijjo
• Obukoowu n’obunafu mu mubiri
• Obulumi bw’amagumba
• Okulumizibwa omutwe
• Okuziyira n’okusiiyibwa
• Obuteeyabya
• Endya
• Okulumwa ebinywa, okukaluba oba okunyiganyiga
• Okwerabira n’okutabulwa mu birowoozo
• Okwennyamira n’okunyiiga

Bizibu ki ebiva mu kweyongera kwa kalisiyamu?

Calcium bw’amala mu musaayi okumala ebbanga eddene kiyinza okuleeta ebizibu by’obulamu ebiwerako eby’amaanyi.

• Osteoporosis: Mu mbeera nga hyperparathyroidism, calcium mungi afuluma okuva mu magumba n’ayingira mu musaayi. Kino kireetera amagumba okugonza, okunafuwa era okwanguyirwa okumenya. Kino kiyitibwa obulwadde bw’amagumba.
• Amayinja mu kibumba: Omuwendo gwa kalisiyamu mu musulo bwe gweyongera, gusobola okukung’aanya ne gukola obuyinja obutonotono munda mu nsigo. Amayinja gano gayinza okuleeta obulumi obw’amaanyi nga bwe gatambula wansi mu nkola y’omusulo.
• Okulemererwa kw’ekibumba: Calcium omungi akwata butereevu ku nkola y’ensigo. Kino kiyinza okukendeeza ku busobozi bwazo obw’okulongoosa omusaayi n’okuggyamu kasasiro, era kiyinza n’okuviirako ekibumba okulemererwa.
• Ebikosa enkola y’obwongo: Calcium okweyongera mu musaayi kiyinza okukosa obusimu, era kirowoozebwa nti kiyinza okukosa okujjukira. Kiyinza okuleeta embeera ng’okutabulwa, okubulwa amagezi, ate mu mbeera ez’amaanyi, n’okubeera mu kkoma.
• Obulwadde bw’omutima: Calcium bw’abeera mungi mu ngeri etaali ya bulijjo asobola okutaataaganya obubonero bw’amasannyalaze bw’omutima, ekivaako omutima okukuba obutasalako (arrhythmia).

Omusawo kino akizuula atya?

Olw’okuba ebiseera ebisinga tewabaawo bubonero bulabika, embeera eno ezuulibwa mu butanwa ng’okeberebwa omusaayi gw’oba ​​olina olw’ensonga endala. Singa omusawo ateebereza obubonero buno, ajja kulagira okukeberebwa mu musaayi okukebera omuwendo gwa kalisiyamu. Okukebera omusaayi kuno era kusobola okukebera emiwendo gy’obusimu bwo obuyitibwa parathyroid hormone (PTH). Kino kyangu okuyamba okuzuula obulwadde bwa hyperparathyroidism. Okugatta ku ekyo, okukebera kuno wammanga kuyinza okukolebwa okuzuula ekivaako:

• Okukebera omusaayi okukebera omuwendo gwa vitamiini D
• Okukebera obungi bw’amagumba
• Ultrasound scan okukebera oba waliwo amayinja mu kibumba
• Sampuli y’omusulo esobola okukeberebwa okulaba kalisiyamu afulumizibwa mu musulo n’ensigo bwe zikola obulungi.

Singa kiteeberezebwa nti ekivaako kookolo ekirala, gamba nga kookolo, omusawo ayinza n’okulagira okukeberebwa ebifaananyi nga X-ray, MRI, oba CT scan.

Kijjanjabwa kitya?

Enteekateeka y’obujjanjabi ejja kusinziira ku buzibu bw’obulwadde bwa hypercalcemia bwo n’ekibuleeta. Singa embeera eno eba ntono (Mild Hypercalcemia): Omusawo ayinza okusalawo obutakujjanjaba, wabula okulondoola omuwendo gwa calcium buli kiseera. Ayinza n’okuteesa ku bino wammanga:

• Nywa amazzi mangi.
• Lekera awo oba kyusa eddagala erimu ly’omira, gamba ng’ery’okufulumya amazzi mu mubiri.
• Lekera awo okumira empeke ezitta asidi ezirimu ekirungo kya calcium.
• Lekera awo okumira eddagala lya calcium.

Singa embeera eba ya maanyi (Severe Hypercalcemia): Mu mbeera eno, oyinza okwetaaga okuddukira mu ddagala oba okulongoosebwa.

• Eddagala: Omusawo ayinza okukuwa eddagala nga `Cinacalcet (Sensipar),` obusimu `Calcitonin` obufunibwa okuva mu saluuni, steroids nga `Prednisone` ku mbeera eziva ku vitamiini D okweyongera, ne `Bisphosphonates` ne `Denosumab (Prolia, Xgeva)` ku bunafu bw'amagumba obuva ku kookolo.
• Okulongoosa: Singa hypercalcemia yo eva ku nnywanto za parathyroid ezikola ennyo, omusawo ayinza okukuwa amagezi okulongoosebwa okuggyamu endwadde oba endwadde ezikoseddwa.

Ebintu ebirala ebitonotono by’osaanidde okumanya

Embeera y’obulamu bwo mu mbeera ya `Hypercalcemia` esinziira ku buzibu bw’obulwadde n’ekibuviirako. Singa embeera eno eba ya maanyi, tewayinza kubaawo bizibu birala. Osobola okuddukanya emiwendo gya calcium gyo ng’ogoberera ebiragiro by’omusawo. Wabula singa embeera eno eba ya maanyi, enteekateeka y’obujjanjabi ejja kukolebwa okusinziira ku kivaako. Singa ekivaako kookolo, oyinza okwetaaga okuweebwa ekitanda mu ddwaaliro okufuna amazzi agayingira mu misuwa (IV fluids) n’obujjanjabi obulala. Wadde nga `Hypercalcemia`, evudde ku mbeera endala ez’obujjanjabi nga kookolo, tesobola kuziyizibwa, waliwo ebintu ebiwerako by’osobola okukola okufuga omuwendo gwa calcium mu musaayi gwo.

• Singa omuntu yenna mu maka go alina ebyafaayo by’obulwadde bwa hyperparathyroidism, amayinja mu kibumba oba calcium omungi, tegeeza omusawo wo.
• Tomirangako ddagala lya calcium oba eddagala eritta asidi eririmu calcium nga tosoose kwebuuza ku musawo .
• Bulijjo weebuuze ku musawo nga tonnamira vitamiini, ebiriisa oba eddagala eddala lyonna.

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