So wo calcium dodow dɔɔso? Momma yɛnka Hyperparathyroidism ho asɛm wɔ nsɛm a ɛnyɛ den mu

So wotaa te nka sɛ woayɛ mmerɛw, wo nnompe mu yɛ wo yaw, anaasɛ wo nkae ade yiye? Ɛwom sɛ ebia yebesusuw sɛ eyinom yɛ nneɛma a ɛfata de, nanso ebia aduruyɛ mu ntease bi wɔ eyi akyi. Ɛne sɛ, calcium dodow a ɛwɔ mogya no mu no kɔ soro. Nea ɛde eyi ba titiriw ne tebea bi a wɔfrɛ no Hyperparathyroidism. Ɛwom sɛ ebia edin no yɛ den kakra de, nanso nsuro. Momma yɛnka ho asɛm tiawa.

Dɛn ankasa ne hyperparathyroidism?

Sɛ yɛbɛka no tiawa a, Hyperparathyroidism yɛ bere a parathyroid ntini a ɛwɔ yɛn nipadua mu no biako anaa nea ɛboro saa yɛ adwuma boro so na ɛyɛ parathyroid hormone (PTH) pii dodo.

Fa no sɛ, wɔ yɛn kɔn mu, thyroid ntini no akyi no, ntini nketewa anan a ne kɛse te sɛ pea wɔ hɔ. Eyinom ne nea yɛfrɛ no parathyroid ntini ahorow. Wɔn adwuma titiriw ne sɛ wɔbɛma calcium dodow a ɛwɔ yɛn mogya mu no akɔ so ayɛ kɛse. Wɔma phosphate dodow a ɛwɔ mogya no mu nso so tew.

Saa ntini ahorow yi yɛ hormone PTH na ɛde nsɛnkyerɛnne pii kɔ yɛn nipadua no mu:

• Yɛn nnompe: Mogya no ka kyerɛ wɔn sɛ wonyi calcium ne phosphate.
• Yɛn asaabo: Wɔka kyerɛ wɔn sɛ wɔntew calcium dodow a ɛba nsu mu no so na wɔnsan nkɔ nipadua no mu bio. Wɔka kyerɛ wɔn nso sɛ wonyi phosphate a ɛboro so no mfi nsu mu.

Afei, asaabo no ma vitamin D yɛ adwuma na ɛde kɔ yɛn dwensɔtwaa mu. Afei dwensɔtwaa no twe calcium a efi aduan a yedi mu no.

Nanso, sɛ saa parathyroid ntini yi yɛ PTH hormone pii a, calcium pii fi yɛn nnompe mu, na ɛma ɛyɛ mmerɛw na ɛyɛ mmerɛw. Afei nso, saa calcium a ɛboro so yi betumi akɔto yɛn asaabo, mogya ntini, koma, ne nipadua no afã afoforo mu. Wɔfrɛ saa mogya mu calcium dodow a ɛkɔ soro yi hypercalcemia .

So eyi ahorow ahorow wɔ hɔ?

Yiw, Hyperparathyroidism ahorow atitiriw abiɛsa na ɛwɔ hɔ. Wɔkyekyɛ mu sɛnea ɛba no te. Ma yɛnhwɛ nea eyinom yɛ.

Dɛn ne eyi ho sɛnkyerɛnne?

Mpɛn pii no, nnipa a wɔwɔ saa tebea yi nni sɛnkyerɛnne biara. Wɔtaa hu no wɔ akwanhyia mu bere a wɔreyɛ mogya mu nhwehwɛmu de ahu tebea foforo bi no. Nanso, sɛ calcium dodow a ɛwɔ mogya mu no kɔ soro yiye a, yare no ho sɛnkyerɛnne te sɛ:

• Ɛyaw a ɛba nnompe ne nkwaa mu
• Ntini mu mmerɛwyɛ
• Ɔbrɛ ne ɔbrɛ a ɛkɔ so daa
• Adwene a ɛte sɛ adwenemhaw
• Ɛyɛ den sɛ wobɛma w’ani aku biribi ho
• Akɔnnɔ
• Akisikuru ne ɔfe
• Nkae a ɛyera anaasɛ werɛ fi
• Sɛ wote nka sɛ sukɔm de wo sen sɛnea ɔtaa yɛ na ɛsɛ sɛ woto nsu mpɛn pii
• Ayamtim

Asiane ahorow ne nsɛnnennen a ebetumi afi tebea yi mu aba

Calcium dodow a ɛkɔ soro wɔ mogya mu bere tenten no betumi de nsɛnnennen ahorow aba.

• Asaabo mu abo: Calcium a ɛwɔ asaabo mu no betumi ama asaabo mu abo.
• Nnompe mu yare: Nnompe yɛ mmerɛw na ɛnyɛ den sɛ ebebubu bere a calcium yera fi nnompe no mu no.
• Komayare: Calcium a ɛwɔ mogya ntini ne koma mu no ma asiane a ɛwɔ hɔ sɛ obi benya tebea horow te sɛ mogya mmoroso, komayare, anaa akisikuru.
• Honam ani haw ahorow: Calcium a ɛwɔ honam ani no betumi ama obi anya akuru ne ɔyare mmoawa.

Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya saa tebea yi yɛ kɛse. Eyinom mu nea ɛho hia sen biara ne sɛ wanya mframa a wɔde sa yare wɔ ne kɔn mu, calcium anaa vitamin D a onni, asaabo mu yare, ne ɔbea a wobɛyɛ.

Ɔkwan bɛn so na wobetumi ahu yare yi?

Sɛ wo duruyɛfo susuw sɛ saa yare yi a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii de si so dua.

• Mogya mu nhwehwɛmu: Eyinom susuw calcium, parathyroid hormone (PTH), vitamin D, ne phosphate dodow a ɛwɔ wo mogya mu.
• Nnɔnhwerew 24 nsu mu nhwehwɛmu: Wɔde nsu a wɔaboaboa ano wɔ da koro mu di dwuma de sɔ calcium dodow a ɛwɔ nsu no mu hwɛ.
• Parathyroid scan: Saa scan yi betumi ahu ntini anan no mu nea ɛyɛ adwuma boro so pɛpɛɛpɛ.
• Mfonini afoforo: Wobetumi nso ayɛ asaabo no mu ultrasound anaasɛ nnompe mu density scan.

Ɔkwan bɛn so na wɔsa?

Akwan a wɔfa so sa yare no gyina sɛ ebia wowɔ ɔyare a edi kan anaa nea ɛto so abien ne sɛnea yare no mu yɛ den so.

Ayaresa a Wɔde Sa Primary Hyperparathyroidism

• Oprehyɛn: Ayaresa a eye sen biara na ɛtra hɔ daa a wɔde sa eyi ne sɛ wɔbɛyɛ oprehyɛn ayi ntini anaa ntini a ɔhaw wom no afi hɔ. Wɔfrɛ saa oprehyɛn yi parathyroidectomy . Ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn, titiriw sɛ wunnii mfe 50, wowɔ sɛnkyerɛnne a emu yɛ den, anaasɛ wowɔ asaabo mu abo anaa nnompe mu yare a.
• Nnuru: Wɔ nsɛm a ɛho nhia sɛ wɔyɛ oprehyɛn anaasɛ entumi nyɛ yiye mu no, oduruyɛfo no betumi akyerɛw nnuru ama obi.
• Bisphosphonates: Eyinom mma calcium ntumi mfi nnompe no mu.
• Calcimimetics: Saa nnuru yi daadaa parathyroid ntini ahorow no ma ɛtew PTH hormone no a wɔyɛ so.
• Asetra mu nsakrae: Nnuru bi (e.g., Thiazide diuretics, Lithium) betumi ama calcium dodow akɔ soro. Enti, ebia ebehia sɛ wokwati wɔn sɛnea wo duruyɛfo afotu wo no.

Ayaresa a Wɔde Ma Hyperparathyroidism a Ɛto so Abien

Ade titiriw a ɛwɔ eyi mu ne sɛ wɔbɛsa nea ɛde tebea yi ba no.

• Sɛ wowɔ asaabo mu yare a enni sabea a, ebia ebehia sɛ wɔyɛ wo dialysis anaasɛ wɔma wo asaabo foforo .
• Wobetumi atu nyansa sɛ wɔnyɛ nsakrae wɔ aduan mu, titiriw nnuan a phosphorus pii wom a wɔbɛto ano hye.
• Nneɛma a wɔde kyekyere phosphateWobetumi akyerɛw nnuru te sɛ phosphatidylcholinesterase inhibitors (nnuru a ɛtew phosphate a ɛwɔ mogya mu so), vitamin D a wɔde ma, ne calcimimetics .

Sɛ saa ayaresa ahorow yi ntumi nni tebea no so a, wobetumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn yi ntini ahorow no.

Nneɛma a ɛsɛ sɛ wususuw ho bere a wo ne tebea yi te no

Sɛ wowɔ hyperparathyroidism a, nneɛma yi betumi aboa wo ma woanya apɔwmuden:

• Nom nsu pii: Sɛ woma nipadua no nya nsu a, eye ma asaabo no.
• Kɔ so yɛ nnam: Apɔw-mu-teɛteɛ betumi ama wo nnompe ayɛ den.
• Hwɛ yiye wɔ w'aduan ho: Sɛ wo duruyɛfo tu wo fo sɛ tew phosphorus a wudi so a, kwati nnuan a ɛba awiei wɔ "-phos" (e.g., calcium phosphate) a ɛwɔ nnuan a wɔde ahyɛ mu so.
• Vitamin D ho asɛm: Wobetumi atu nkurɔfo a wonni Vitamin D fo sɛ wɔnnom nnuru a wɔde ka aduan ho. Nanso, nnom vitamin anaa aduannuru biara da a wonkɔ wo duruyɛfo nkyɛn.

Wo duruyɛfo bɛhwɛ wo mogya mu calcium dodow, mogya mmoroso, asaabo dwumadi, ne nnompe a ɛyɛ den bere ne bere mu (ebia pɛnkoro anaa mprenu afe biara).