Calcium dodow a ɛkɔ soro wɔ nipadua no mu: So efi hyperparathyroidism?

So wotaa te nka sɛ woayɛ mmerɛw na wo nnompe nso yɛ wo yaw? Anaasɛ wo duruyɛfo hwɛɛ mogya ho amanneɛbɔ bi na ɔkae sɛ, "Wo calcium dodow kɔ soro kakra"? Ebia nea enti a eyi akyi ne tebea bi a yɛnka ho asɛm pii, nanso ɛho hia yiye. Ɛnnɛ, momma yɛnka tebea yi a wɔfrɛ no hyperparathyroidism ho asɛm wɔ ɔkwan tiawa bi a wubetumi ate ase so.

Dɛn ne hyperparathyroidism?

Sɛ yɛbɛka no tiawa a, hyperparathyroidism yɛ bere a wo parathyroid ntini biako anaa nea ɛboro saa yɛ adwuma boro so na ɛyɛ parathyroid hormone (PTH) pii dodo. Eyi ma calcium dodow a ɛwɔ wo mogya mu no kɔ soro. Yɛfrɛ eyi wɔ aduruyɛ mu sɛ hypercalcemia .

Fa no sɛ, thyroid ntini a ɛwɔ yɛn kɔn mu no akyi no, ntini nketewa anan na ne kɛse bɛyɛ sɛ aburow aba biako. Wɔfrɛ eyinom sɛ parathyroid ntini ahorow. Te sɛ bɔɔl a ɛhwɛ nsu dodow a ɛwɔ yɛn nsukorabea mu wɔ fie no, saa ntini yi adwuma titiriw ne sɛ ɛbɛhwɛ calcium ne phosphate dodow a ɛwɔ yɛn mogya mu no so wɔ dodow a ɛfata mu.

Eyi ne sɛnea ɛyɛ adwuma:

• Sɛ calcium dodow a ɛwɔ mogya no mu so tew a, saa ntini ahorow yi yɛ hormone PTH.
• Saa PTH hormone yi de sɛnkyerɛnne bi kɔ yɛn nnompe mu sɛ "ɛnyi calcium bi nkɔ mogya no mu."
• Ɛsan ka kyerɛ asaabo no sɛ "ɛntew calcium dodow a ɛkɔ nsu mu no so na wɔmfa nkɔ nipadua no mu."
• Afei, asaabo no ma vitamin D yɛ adwuma na ɛde kɔ yɛn dwensɔtwaa mu . Afei, dwensɔtwaa no twe calcium a ɛwɔ aduan a yedi no mu no.

Eyi yɛ nhyehyɛe a ɛkari pɛ yiye. Nanso, wɔ hyperparathyroidism mu no, wɔyɛ PTH hormone no boro so, na ɛma nnompe no kɔ so yi calcium fi mu, na ɛma ɛyɛ teateaa na ɛyɛ mmerɛw. Bio nso, calcium a ɛboro so a ɛboaboa ano wɔ mogya no mu no betumi akɔto asaabo (a ebetumi ayɛ abo), mogya ntini, koma, ne akwaa afoforo mu, na ɛde akwahosan ho haw ahorow aba.

Dɛn ne tebea yi ahorow atitiriw?

Wobetumi akyekyɛ hyperparathyroidism mu ayɛ no ahorow abiɛsa atitiriw, a wɔkyekyɛ mu sɛnea ɛba no te.

Dɛn ne sɛnkyerɛnne ahorow no?

Nnipa dodow no ara a wɔwɔ saa tebea yi nni sɛnkyerɛnne biara . Wɔtaa hu mogya mu calcium dodow a ɛkɔ soro wɔ akwanhyia mu bere a wɔreyɛ mogya mu nhwehwɛmu esiane biribi foforo nti no. Nanso, nnipa binom, titiriw bere a wɔn calcium dodow dɔɔso yiye no, betumi anya sɛnkyerɛnne ahorow a edidi so yi:

• Nnompe ne nkwaa mu yaw
• Ntini mu mmerɛwyɛ
• Ɔbrɛ ne ɔbrɛ a ɛkɔ so daa
• Hahaahayɔ
• Ɛyɛ den sɛ wode w’adwene besi ade biako so
• Akɔnnɔ
• Akisikuru ne ɔfe
• Adwene a ɛyɛ basaa, nneɛma a wo werɛ fi
• Sɛ obi te nka sɛ sukɔm de no kɛse na ɛsɛ sɛ ɔtaa tow nsu
• Ayamtim

Dɛn na ɛde eyi ba?

Momma yɛnhwɛ nea enti a nneɛma abiɛsa a yɛadi kan aka ho asɛm no wɔ ɔkwan soronko so.

Nneɛma a Ɛde Primary Hyperparathyroidism Ba

• Adenoma: Eyi yɛ akisikuru a ɛnyɛ kokoram a ɛba wɔ parathyroid ntini bi mu. Eyi ne ade a ɛtaa de hyperparathyroidism titiriw ba.
• Hyperplasia: Eyi ne bere a parathyroid ntini no biako yɛ kɛse.
• Kokoram:Kokoram a ɛba parathyroid ntini mu no yɛ ade a ɛntaa nsi koraa .

Nneɛma a Ɛde Secondary Hyperparathyroidism Ba

Nea ɛde eyi ba titiriw ne Asaabo mu Yare a Enni sabea (CKD) . Sɛ asaabo no ntumi nyɛ adwuma yiye a, phosphate dodow a ɛwɔ nipadua no mu no kɔ soro na vitamin D dodow so tew. Eyi ma calcium dodow a ɛwɔ mogya no mu no so tew. Enti, sɛnea ɛbɛyɛ na wɔatua calcium a enni hɔ yi so ka no, parathyroid ntini no yɛ PTH hormone pii dodo.

Bio nso, vitamin D a enni nipadua mu kɛse (esiane owia a onni anaasɛ aduannuru a enni nipadua mu nti) nso betumi de eyi aba.

Ɔkwan bɛn so na wobehu tebea yi?

Wo duruyɛfo betie wo yare no ho sɛnkyerɛnne, ahwehwɛ wo mu, na sɛ wosusuw sɛ wowɔ saa tebea yi a, ɔde wo bɛkɔ akɔyɛ nhwehwɛmu ahorow bi.

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 hyperparathyroidism titiriw

Eyi ano aduru a eye sen biara na ɛtra hɔ daa ne sɛ wɔbɛyɛ oprehyɛn (parathyroidectomy) de ayi ntini anaa ntini a ɛyɛ adwuma boro so no afi hɔ. Saa oprehyɛn yi akyi no, nnipa bɛboro 90% san kɔ mogya mu calcium dodow a ɛfata mu.

Sɛ wunnii mfe 50, wowɔ sɛnkyerɛnne ahorow, calcium dɔɔso yiye, w’asaabo mu abo, anaasɛ wo nnompe a ɛyɛ tratraa a, akyinnye biara nni ho sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo oprehyɛn.

Wɔ nsɛm a ɛnyɛ aniberesɛm na enhia sɛ wɔyɛ oprehyɛn mu no, wo duruyɛfo bɛhwɛ wo tebea no so daa. Na ɛtɔ mmere bi a:

• Bisphosphonates: Nnuru yi mma calcium mfi nnompe no mu na ɛhyɛ mu den.
• Calcimimetics: Saa nnuru yi "daadaa" parathyroid ntini no ma ɛtew hormone PTH a wɔyɛ no so.
• Asetra mu nsakrae: Ebia wobetu wo fo sɛ gyae nnuru bi (e.g., thiazide diuretics, lithium) nom na yɛ nsakrae wɔ w’aduan mu.

Ayaresa a wɔde sa hyperparathyroidism a ɛto so abien

Ade titiriw a ɛwɔ ha ne sɛ wɔbɛsa nea ɛde ba no , te sɛ asaabo mu yare a wobedi so ne vitamin D a enni nipadua mu a wɔbɛsa.

• Ebia obi a ɔwɔ asaabo mu yare no behia sɛ wɔyɛ no dialysis anaasɛ wɔde asaabo foforo ma no.
• Wɔde nnuru te sɛ phosphate binders ma na ama phosphate dodow a ɛwɔ mogya no mu no so atew.
• Wɔde vitamin D ne nnuru a ɛma calcimimetic nso di dwuma de yɛ eyi.

Sɛ saa ayaresa ahorow yi ntumi nni tebea no so a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.