Oboolyawo omanyi dda engeri calcium gy’ali enkulu mu kukuuma amagumba n’amannyo gaffe nga ganywevu. Naye obadde okimanyi nti calcium, eky’obugagga eky’omu ttaka ekikulu, nakyo kyetaaga okuba mu mutindo ogwa bulijjo okusobola okukuuma emisuwa, ebinywa n’obusimu nga biramu? Singa ebyava mu kukeberebwa omusaayi gye buvuddeko byalaga nti omuwendo gwa kalisiyamu gwali mungi nnyo oba nga mutono nnyo, omusawo wo ayinza okuba nga yalagira okukeberebwa omusaayi omulala ogw’enjawulo. Ekyo kye kigezo kye twogerako leero, ekipima emiwendo gy’obusimu bwo obuyitibwa parathyroid hormone (PTH).
Mu ngeri ennyangu, obusimu obuyitibwa parathyroid hormone (PTH) kye ki?
Tulina endwadde nnya entono ennyo mu bulago. Ziringa entangawuuzi entonotono. Zino ze tuyita
endwadde za parathyroid . Endwadde zino zikola obusimu obuyitibwa parathyroid hormone oba PTH. Omulimu omukulu ogw’obusimu buno kwe kufuga omuwendo gwa kalisiyamu mu musaayi gwaffe. Enkola eyeewuunyisa ennyo. Lowooza ku nsonga eno:
- Calcium mu musaayi gwo bwe gukendeera , endwadde zino zifulumya obusimu bwa PTH mu musaayi gwo. PTH eno egenda okukung’aanya calcium okuva mu magumba go n’ensigo n’ezzaawo calcium zo mu mbeera eya bulijjo.
- Calcium mu musaayi gwo bw’alinnya , endwadde zino zikoma okufulumya obusimu bwa PTH. Kino kifuga omuwendo gwa calcium mu musaayi gwo.
Kale, okupima omutindo gwa PTH kiyamba nnyo abasawo okuzuula kiki ddala ekivaako calcium mu musaayi gwo okubeera omutono oba omungi.
Lwaki omusawo yandiwadde amagezi okukebera kuno?
Ekikulu kwe kuzuula oba ekivaako ekirungo kya calcium mu musaayi gwo ekitali kya bulijjo kizibu ku nkola y’endwadde za parathyroid oba ekivaako ekirala. Singa omutindo gwa PTH gwo gukwatagana n’omuwendo gwa calcium gwo, kitegeeza nti ekivaako omuwendo gwa calcium ogutali gwa bulijjo kintu kirala. Ebiseera ebisinga, bw’oba olina obubonero buno wammanga, omusawo ayinza okukuwa amagezi okukeberebwa kuno okwa PTH.
| Hypercalcemia - okweyongera kwa calcium mu musaayi | Hypocalcemia - calcium omutono mu musaayi |
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| Obulumi mu lubuto | Okwennyamira n’okukyukakyuka mu mbeera enfunda eziwera |
| Ennyonta esukkiridde | Okunyiganyiga oba okunyiganyiga ebinywa (Spasms) . |
| Okwetaaga okufulumya omusulo emirundi mingi | Okuzimba oba okuwunya okwetooloola emikono, ebigere n’akamwa |
| Okuziyira n’okusiiyibwa | Omutima obutakuba bulungi |
| Obukoowu | |
| Obulumi mu mubiri n’amagumba | |
| Amayinja mu kibumba | |
Waliwo akabi konna akali mu kukebera kuno?
Mu butuufu waliwo
akabi katono nnyo akazingirwamu. Nga bwe kiri mu kukeberebwa kwonna okw’omusaayi, oyinza okuwulira obulumi obumu we bateeka empiso. Oyinza n’okufuna ebiwundu ebimu oluvannyuma. Abantu abamu bayinza okuwulira nga baziyira katono oluvannyuma lw’okugaba omusaayi. Naye kino kya bulijjo nnyo.
Ekirungi ekisinga obunene ekiri mu kukebera kuno kwe kuba nti kusobozesa omusawo okumanya obulungi oba omubiri gwo gukola obusimu bwa PTH bungi oba butono.
Kino kiyinza okukakasa oba okugaana obulwadde bwa parathyroid. Olwo ggwe n’omusawo musobola okunoonya ebirala ebikuviirako omuwendo gwa calcium ogutali gwa bulijjo.
Olina okwetegeka nga tonnaba kugezesebwa?
Yee, omusawo ayinza okukusaba okulekera awo okumira eddagala oba vitamiini (supplements) ezimu olunaku olusooka oba ku lunaku lw’okukeberebwa. Naye
tolekera awo kumira ddagala lyonna nga tosoose kubuuza musawo wo .
Kiki ekibaawo mu kiseera ky’okukeberebwa n’oluvannyuma lw’okukeberebwa?
Eno nkola nnyangu nnyo. Omusaayi omutono guggyibwa mu musuwa oguli mu mukono gwo. Omuntu atwala omusaayi ajja kusooka kuteeka kapiira ku mukono gwo waggulu n’agunyweza. Bw’osika omukono gwo, emisuwa gijja kulabika bulungi. Oluvannyuma, nga bakozesa empiso entono, omusaayi omutono gujja kuggyibwa mu ttanka y’okukebera. Kino tekyetaagisa musaayi mungi. Omusaayi bwe guggyibwamu, empiso eggyibwamu ne bagisiiga akapiira akatono ku kitundu ekyo. Olwo omusaayi guno gusindikibwa mu laabu okukebera emiwendo gya PTH, calcium, era oboolyawo obusimu n’eby’obutonde ebirala.
Oyinza otya okutegeera ebivaamu?
Kiyinza okutwala ennaku ntono ebyava mu kukeberebwa okudda. Wabula oluusi ebivaamu bisobola okufunibwa amangu okusinziira ku laabu n’ebyetaago by’omusawo. Ebivuddemu biragiddwa mu picograms buli mililita (pg/mL). Ekigero ekya bulijjo ekya PTH kiyinza okwawukana katono okuva ku laabu okudda ku ndala. Ekitundu ekiramu eky’ekika kya PTH ekya `molekyulu etaliiko kamogo` kitera okuba wakati wa
10 - 65 pg/mL .
Ekisinga obukulu kwe kwogera ddala n’omusawo wo okutegeera ddala ennamba eziri mu bivudde mu kunoonyereza kwo kye zitegeeza.
Emiwendo gya PTH n’ebigiviirako Ebintu ebiyinza okuvaako emiwendo gya PTH okulinnya (Hyperparathyroidism): Ebintu ebiyinza okuleeta emiwendo gya PTH okutono (Hypoparathyroidism):
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- Okukendeera kw’enkola y’endwadde za parathyroid.
- Okulongoosebwa okwekuusa ku nnywanto ya thyroid.
- Okukwatibwa obusannyalazo .
- Ekyuma ekisukkiridde.
- Okwongera ku muwendo gwa calcium mu musaayi.
- Endwadde z'abaserikale b'omubiri .
- Omutindo gwa magnesium omutono.
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Nnaaba nnina okukola ebigezo ebirala?
Yee, omusawo ayinza okukuwa amagezi okwongera okukeberebwa okusinziira ku PTH yo ne calcium.
- Okugeza, singa PTH zo ziri waggulu naye nga calcium mutono, kiyinza okutegeeza nti endwadde zo eza parathyroid zikola bulungi. Oluvannyuma omusawo ajja kukebera ebirungo bya vitamiini D, phosphorus ne magnesium alabe oba bikosa omuwendo gwa calcium.
- Ate singa calcium yo eba waggulu ate nga PTH esinga ku ya bulijjo, oyinza okuba n’obulwadde bwa hyperparathyroidism. Mu mbeera eyo, omusawo wo ajja kukola ekigezo kya X-ray oba ekifaananyi ekirala okukebera endwadde zo eza parathyroid.
Singa endwadde zizimba oba nga zirina ekizimba, osobola okulongoosa okuggyamu endwadde. Wabula embeera yo bw’eba si ya maanyi ate nga tolina bubonero ng’obuzibu mu kibumba oba amagumba amanafu, omusawo ayinza okwagala okukebera buli kiseera emiwendo gya calcium ne PTH. Bayinza n’okuwandiika eddagala nga Cinacalcet (Sensipar). Mu mbeera ng’ezo, kiyinza obuteetaagisa kulongoosebwa.
Obubaka Obutwala Awaka
- Okukebera omusaayi gwa PTH kikulu okuzuula ekivaako calcium okubeera mu musaayi gwo mu ngeri etaali ya bulijjo.
- Kino kikebera musaayi ekya bulijjo nga kirimu akabi katono nnyo, kale tekyetaagisa kutya.
- Omusawo wo ajja kusalawo ekiddako okusinziira ku bubonero bwo, emiwendo gya calcium, n’emiwendo gya PTH.
- Bw’ofuna ebyava mu kukeberebwa kwo, kakasa nti oyogera n’omusawo wo okubitegeera obulungi.
- Tolekera awo kumira ddagala lyo oba okukyusa eddagala nga tolina magezi ga musawo.
Parathyroid hormone, PTH test, calcium, okukebera omusaayi, hypercalcemia, hypocalcemia, obulwadde bw’ekibumba
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