Susu-alkali faʻamaʻi

Milk-alkali syndrome o se tulaga o loʻo i ai le maualuga maualuga o le calcium i le tino (hypercalcemia). Lenei mafua ai se sifi i le tino o le tino / faʻavae paleni agaʻi i alkaline (metabolic alkalosis). O le iʻuga, e i ai le leiloa o fatugao gaioiga.

Milk-alkali syndrome e toetoe lava o taimi uma e mafua mai i le tele o calcium faʻaopopo, masani i le tulaga ole calcium carbonate. Calcium carbonate o se masani faʻaopoopo kalisiu. E masani ona ave e puipuia pe togafitia ai ponaivi leiloa (osteoporosis). Calcium carbonate o se mea e maua i antacids (pei o Tums).

O le maualuga o le vailaʻau D i le tino, e pei o le tagofia o mea faʻaopopo, e ono faʻateteleina ai le susu-alkali syndrome.

E mafai ona tupu le kalisiini i fatugaʻo ma isi mea i le susu-alkali syndrome.

I le amataga, o le tulaga masani lava e leai ni faʻailoga (asymptomat). A tupu mai auga, e mafai ona aofia ai:

• Tua, ogatotonu o le tino, ma maualalo tua tua i le vaega o le fatugaʻo (e fesoʻotaʻi ma fatugaʻo maʻa)
• Le mautonu, uiga ese
• Paneta
• Faʻanoanoa
• Ova tele urination
• Le lavava
• Lē masani fatu fatu (arrhythmia)
• Faanoi poʻo puaʻi
• Isi faʻafitauli e ono aliaʻe mai le faaletonu fatugaʻo

Kalisiu teu i totonu o le aano o le fatugaʻo (nephrocalcinosis) mafai ona vaaia luga:

• X-ray
• CT faʻasolosolo
• Ultrasound

O isi suʻega na faʻaaoga e fai ai se faʻamaoniga e ono aofia ai:

• Ole maualuga ole eletise e siaki ai le maualuga ole minerale ile tino
• Electrocardiogram (ECG) e siaki ai le eletise gaioiga o le fatu
• Electroencephalogram (EEG) e fua ai le eletise gaioiga o le faiʻai
• Glomerular filtration rate (GFR) e siaki pe faʻafefea ona ola fatugaʻo
• Toto suka tulaga

I tulaga ogaoga, togafitiga aofia ai le tuʻuina atu o vai i le alatoto (e IV). A le o lea, togafitiga e aofia ai le inu vai faʻatasi ma le faʻaititia poʻo le taofiofia o mea faʻaopoopo kalisiu ma antacids o loʻo iai le calcium. Vitamini D faʻaopopoga e manaʻomia foʻi ona faʻaititia pe taofi.

Lenei tulaga e masani ona faʻaleleia pe a fai o fatugaʻo galue tumau masani. Ogaoga faaumiumi mataupu ono taitai atu ai i le tumau fatugaʻo toilalo manaʻomia dialysis.

O faʻalavelave e masani ona aofia ai:

• Kalisiu teu i tisu (calcinosis)
• Le manuia fatugaʻo
• Maʻa fatugaʻo

Faʻafesoʻotaʻi lau fomaʻi pe a fai:

• E te aveina le tele o mea faʻaopoopo kalisiu pe e masani ona e faʻaaogaina antacids o loʻo iai le kalisiu, pei o Tums. Oe ono manaʻomia le siakiina mo susu-alkali syndrome.
• Oe i ai ni faʻailoga e ono fautuaina ai fatugaʻi faʻafitauli.

A faʻapea e te faʻaaogaina i taimi uma ni vailaʻau oona o le calcium, taʻu i lau tautua le faʻafitauli o le digestive Afai o loʻo e taumafai e puipuia le osteoporosis, aua neʻi sili atu i le 1.2 kalama (1200 milligrams) o le calcium i le aso seʻi vagana ua faatonuina oe e lau tautua.

Calcium-alkali faʻamaʻi; Fofo i le maʻi tiga; Burnett syndrome; Hypercalcemia; Faʻafitauli o le metabolism o le calcium

Bringhurst FR, Demay MB, Kronenberg HM. Hormones ma faʻaletonu o le mineral metabolism. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: mata 29.

DuBose TD. Metabolic alkalosis. I: Gilbert SJ, Weiner DE, eds. National Fatugao Faavae Aʻoga i Fatugaʻo Faamaʻi. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 14.