Milk-Alkali Syndrome

Anotusi

• O le a le susu-alkali syndrome?
• Faʻailoga o le susu-alkali syndrome
• Mafuaʻaga o le susu-alkali syndrome
• Faʻailoaina o le susu-alkali syndrome
• Faʻafitauli o le susu-alkali syndrome
• Togafitiga o le susu-alkali syndrome
• Puipuiga
• Fautuaina meaai alauni o kalisiu
• Vaaiga mamao

O le a le susu-alkali syndrome?

Milk-alkali syndrome o se ono ono tupu mai o le atiaʻe maualuga maualuga o kalisiu i lou toto. O le tele o kalisiu i au alaʻau toto e taʻua o le hypercalcemia.

Avea i kalisiu ma se alkali vailaʻau mafai foi mafua ai lou tino o acid ma faʻavae paleni ia avea atili alkaline.

Afai e tele lau kalisiu i lou toto, e ono mafua ai le faʻaleagaina o le tino i lou tino. Lenei mafai ona faʻaosofia faʻailoga pei o tele tele urination ma le lelava.

I le aluga o taimi, o lenei e mafai ona taitai atu ai i matuia faigata. Mo se faʻataʻitaʻiga, e mafai ona mafua ai faʻafitauli e pei o le faʻaititia o le tafe o le toto e ala i fatugaʻo, maʻisuka insipidus, fatugaʻo toilalo, ma, i seāseā tupu, oti.

O le tulaga e masani ona faʻaleleia pe a e tipi i lalo vailaʻau oona poʻo vailaʻau oona maualuga.

Faʻailoga o le susu-alkali syndrome

Lenei tulaga masani aofia ai leai vave ma faʻapitoa faʻailoga. A tupu faʻailoga, latou masani ona o faʻatasi ma faʻafitauli fatugao fesoʻotaʻi.

Faʻailoga e mafai ona aofia ai:

• maualuga miti output
• tiga le ulu ma le le mautonu
• lelava
• niniva
• tiga i lou manava

Mafuaʻaga o le susu-alkali syndrome

Milk-alkali syndrome sa masani ona avea ma itu masani o le faʻaaogaina o aofaiga tele o susu poʻo susu oloa, faʻatasi ai ma antacids o loʻo i ai alkaline powders.

I aso nei, o lenei tulaga e masani ona mafua mai i le faʻaaogaina o le tele o kalisiamu kalate. Calcium carbonate o se meaʻai faʻaopopo. Oe ono aveina pe a fai e te le lava le kalisiamu i lau taumafataga, oe maua i le fatu, pe o lo oe taumafai e puipuia le osteoporosis.

E faʻaopoopoina faʻaopoopo kalisiuma i se tasi o lua ituaiga: carbonate ma citrate.

E tusa ai ma le National Institutes of Health's Office of Diitary Supplement (NIHODS), o le calcium carbonate e sili atu ona avanoa lautele. E maualalo foi le tau, ae e mitiia i se aofaʻi sili atu pe a aveina ma meaai.

E oʻo i se tasi o nei ituaiga calcium e sili atu ona talafeagai e ave, o le calcium citrate e talitonuina e taliaina e tusa lava pe ave i meaai pe leai.

O le tele o vailaʻau oona o le counter-counter (OTC), pei o Tums ma nisi ituaiga o Maalox, o loʻo iai foʻi le calcium carbonate.

Milk-alkali syndrome e masani ona taunuʻu pe a le iloa e tagata o loʻo latou faʻaaogaina tele le kalisiu i le inuina o le tele o mea faʻaopopo poʻo vailaʻau o loʻo iai le calcium carbonate.

Faʻailoaina o le susu-alkali syndrome

E mafai e lau fomaʻi ona faʻamaonia lenei tulaga i se talafaʻasolopito atoa, suʻega faʻaletino, ma suʻega ile toto. Talanoa ia oe fomaʻi e uiga i ni faʻailoga o loʻo e mauaina.

Tuʻuina atu se lisi atoa o vailaʻau ma vailaʻau ma faʻasologa o le OTC o loʻo e inuina. Afai e te le aumaia se atoa talaʻaga o vailaʻau, e ono faʻaseseina e lau fomaʻi au faʻailoga.

E ono faatonuina e lau fomaʻi se suʻega ile toto e siaki ai le maualuga o le calcium e leʻi faʻasaʻoina i lou toto. O le aofaʻi masani e amata mai i le 8.6 i le 10.3 milligrams i le itutasi o le toto. Maualuga tulaga ono taʻu mai susu-alkali syndrome. O le maualuga o lou toto o le bicarbonate ma le creatinine o le a siakiina foi.

Afai e le togafitia, o lenei tulaga e mafai ona taitai atu ai i kalama tuʻuina ma faʻaleagaina o fatugaʻo. Atonu e okaina e lau fomaʻi ni suʻega faʻaopopo e siaki ai ni faʻalavelave i ou fatugaʻo. O nei suʻega ono aofia ai:

• CT suʻega
• X-ray
• ultrasounds
• faʻaopopo toto faʻatinoga toto galue

O le vave iloa ma togafitiga e mafai ona puipuia ai le tumau tumau o ou fatugaʻo.

Faʻafitauli o le susu-alkali syndrome

Faʻafitauli o le susu-alkali syndrome e aofia ai kalama tuʻuina i fatugaʻo, lea e mafai ona faʻaleagaina tuʻusaʻo le fatugaʻo aano, ma faʻaititia ai fatugao gaioiga.

Afai e le togafitia, o le tulaga mafai foi ona taitai atu ai i fatugaʻo le lelei ma, i le seasea tulaga, oti.

Togafitiga o le susu-alkali syndrome

O le faʻamoemoe o togafitiga o le faʻaititia o le aofaʻi o kalasiamu i lau taumafataga, o lea la o le tipiina i lalo o kalisiu faʻalautelega ma antacids e masani o le sili togafitiga auala. O le faʻamamaina lelei i le inuina o se suavai lava e fesoasoani foi.

Faʻafitauli, pei o le afaina o fatugaʻo ma metabolic acidosis, e tatau foi ona togafitia.

Afai o loʻo e inuina nei ni vailaʻau o le calcium poʻo ni vailaʻau oona mo se tulaga faʻafomaʻi, taʻu i lau fomaʻi. Fesili ia i latou pe i ai se isi togafitiga e mafai ona e faʻataʻitaʻia.

Puipuiga

Ia aloese mai le atiaʻe susu-alkali syndrome:

• Faʻatapulaʻa pe aveʻese lau faʻaogaina o antacids o loʻo iai le calcium carbonate.
• Fesili atu i lau fomaʻi e uiga i vailaʻau faʻasologa.
• Faʻatapulaʻaina inumaga o supo calcium o loʻo iai isi vailaʻau.
• Lipoti faifai pea faʻafitauli o mea taumafa i lau fomaʻi.

Fautuaina meaai alauni o kalisiu

O le NIHODS o loʻo iai faʻatonuga nei mo le faʻaaogaina o kalisiu i aso uma i milligrams (mg):

• 0 i le 6 masina o le matua: 200 mg
• 7 i le 12 masina: 260 mg
• 1 i le 3 tausaga: 700 mg
• 4 i le 8 tausaga: 1,000 mg
• 9 i le 18 tausaga: 1,300 mg
• 19 i le 50 tausaga: 1,000 mg
• 51 i le 70: 1,000 mo aliʻi ma 1,200 mg mo fafine
• 71+ tausaga: 1,200 mg

Nei o le averesi aofaiga o kalisiu o le tele o tagata i le soifua maloloina lelei manaʻomia e 'ai i aso taʻitasi.

Vaaiga mamao

Afai e te atiaʻe le susu-alkali syndrome ona aveʻese lea pe faʻaititia kalisiu ma alkali i au meaʻai, o lau vaʻaiga e masani ona lelei. Ole faʻamaloloina ole susu-alkali syndrome e mafai ona tupu ai ni faʻalavelave faigata, pei ole:

• calcium teu i sela o lou tino
• faaleagaina fatugaʻo
• faaletonu fatugaʻo

Afai ua faʻamaonia oe i se tasi o nei faʻafitauli, fesili i lau fomaʻi e uiga i au togafitiga filifiliga.