Yɛn nyinaa nim sɛnea calcium ho hia ma yɛn nipadua, titiriw yɛn nnompe ne yɛn sẽ. Nanso so wunim ‘ɔhwɛfo’ ketewaa a ɔwɔ yɛn nipadua mu a ɔhwɛ calcium dodow a ɛwɔ yɛn mogya mu so pɛpɛɛpɛ no ho asɛm? Wɔfrɛ saa ɔfã ketewaa a ɛwɔ tumi kɛse no parathyroid ntini. Yɛreka saa mmarima nkumaa yi ho asɛm nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne saa parathyroid ntini ahorow yi?
Fa no sɛ woate thyroid ntini a ɛte sɛ ntontom a ɛwɔ wo kɔn mu no ho asɛm. Ntini nketewa anan a ne kɛse bɛyɛ sɛ peas anan wɔ thyroid ntini no akyi, wɔ ne mu pɛɛ . Eyinom yɛ yɛn nipadua no endocrine nhyehyɛe no fã.
Mpɛn pii no, obiara wɔ saa ntini ahorow yi mu anan. Nanso, ebia nnipa binom wɔ anan anaasɛ ɛboro baanan. Ɛno yɛ ade a ɛfata.
Dɛn na ɛto saa ntini nketenkete yi ankasa?
Saa parathyroid ntini ahorow yi wɔ adwuma biako pɛ, nanso ɛho hia yiye. Ɛno ne sɛ wɔbɛyɛ hormone parathyroid hormone, anaa (PTH) tiawa no na wɔayi afi nipadua no mu.
Saa hormone (PTH) yi na ɛma calcium dodow a ɛwɔ yɛn mogya mu no kɔ so yɛ nea ɛfata. Te sɛ thermostat a ɛwɔ ofie AC mu no ara pɛ. Sɛ ɔhyew no kɔ soro a, ɛma ɛba fam, na sɛ ɛba fam a, ɛma ɛkɔ soro. Sɛ calcium dodow a ɛwɔ mogya no mu so tew a, hormone (PTH) no fi adi na ɛma ɛkɔ soro. Sɛ calcium dodow kɔ soro a, (PTH) a ɛba no so tew.
Enti dɛn nti na mogya mu calcium dodow yi ho hia saa?
Calcium a ɛwɔ yɛn nipadua mu nyinaa mu 99% wɔ yɛn nnompe ne yɛn sẽ mu. 1% a aka no wɔ yɛn mogya mu. Saa sika ketewaa no na ɛyɛ saa nneɛma yi nyinaa:
- Ntini mu dwumadi: Calcium ho hia na ama yɛatumi de nkrasɛm afa yɛn ntini mu akɔ.
- Ntini a ɛtwetwe: Yɛkanyan yɛn akwaa, yɛnantew, eyinom nyinaa hwehwɛ sɛ ntini mu twetwe. Ɛno hwehwɛ sɛ wonya calcium.
- Mogya a ɛtwetwe: Sɛ wopira a, ɛsɛ sɛ wo mogya tu na ama mogya no agyae. Calcium nso boa wɔ saa adeyɛ no mu.
- Sɛnea ɛbɛyɛ a koma no bɛyɛ adwuma: Calcium dodow a ɛwɔ mogya mu no ho hia yiye na ama yɛn koma abɔ yiye.
Kae sɛ vitamin D nso ho hia na ama yɛn nipadua no atwe calcium. Enti, vitamin D nso boa kɛse ma parathyroid ntini ahorow no yɛ adwuma.
Nyarewa atitiriw a ɛfa parathyroid ntini ahorow ho
Ɔhaw ahorow wɔ saa ntini ahorow yi dwumadi mu, sɛ ɛboro so ne nea enni mu nyinaa. Yɛreka aduruyɛ mu tebea abien ho asɛm titiriw.
1. Hyperparathyroidism - a ɛma hormone no yɛ dodo
Eyi ba bere a parathyroid ntini no biako anaa nea ɛboro saa yɛ adwuma boro so na ɛma parathyroid hormone (PTH) pii ba no. Eyi ma calcium dodow a ɛwɔ mogya no mu no kɔ soro ma ɛyɛ hu. Yɛfrɛ eyi hypercalcemia .
Ebia nneɛma pii nti na ɛte saa:
- Primary Hyperparathyroidism: Wɔ eyi mu no, ɔhaw no wɔ ntini ahorow no ankasa mu. Nea ɛtaa de ba ne akisikuru a ɛnyɛ kokoram a wɔfrɛ no parathyroid adenoma a ɛwɔ ntini no biako mu. Ɛntaa mma koraa sɛ parathyroid kokoram nso betumi de tebea yi aba. Nanso ɛno ho yɛ na koraa, enti mma ɛnhaw wo.
- Secondary Hyperparathyroidism: Wɔ tebea yi mu no, ntini no yɛ adwuma boro so esiane tebea foforo nti. Sɛ nhwɛso no, ebia obi a n’asaabo ntumi nyɛ adwuma yiye anaa vitamin D nni ne nipadua mu. Nea ɛbɛyɛ na wɔayɛ saa no, parathyroid ntini no fi ase yɛ hormone pii.
| Hyperparathyroidism (calcium a ɛkɔ soro wɔ mogya mu) ho sɛnkyerɛnne . | |
|---|---|
| Nsu a wɔtaa tow ne sukɔm a ɛboro so | Nipadua mu ɔbrɛ ne ɔbrɛ a ɛboro so |
| Ɛyaw a ɛba nnompe ne nkwaa mu | Tiyɛ, akisikuru, ne ɔfe |
| Akisikuru ne aduan ho akɔnnɔ a ɛyera | Wo werɛ fi, adwenemhaw, ne abufuw |
| Ntini mu yaw, mmerɛwyɛ, ne akisikuru | Asiane a ɛwɔ hɔ sɛ asaabo mu abo bɛba |
2. Hypoparathyroidism - a ennye hormone a edɔɔso
Eyi yɛ tebea a ɛntaa nsi sen nea atwam no. Ɛba bere a parathyroid ntini no ntumi nyɛ hormone (PTH) no sɛnea ɛsɛ no.Eyi ma calcium dodow a ɛwɔ mogya no mu no so tew wɔ ɔkwan a ɛyɛ hu so. Yɛfrɛ eyi hypocalcemia .
Nea ɛde tebea yi ba titiriw ne sɛe parathyroid ntini no wɔ akwanhyia mu anaasɛ woyi fi hɔ bere a wɔreyɛ kɔn oprehyɛn, titiriw thyroidectomy. Nea ɛka ho no, awosu mu tebea horow bi ne nipadua mu ahoɔden a ɛko tia nyarewa nso betumi de tebea yi aba.
| Hypoparathyroidism (mogya mu calcium a ɛba fam) ho sɛnkyerɛnne . | |
|---|---|
| Anofafa, nsateaa ano, ne nansoaa a ɛyɛ mmerɛw | Ntini mu akisikuru ne akisikuru |
| Yafunu mu yaw | Amemene mu sum ne adwene mu naayɛ |
| Koma a ɛbɔ a ɛnyɛ ne kwan so (Arrhythmia) . | Nnadewa a ɛyɛ mmerɛw, ti nhwi a ayow ne honam ani |
| Aniwa a ɛyɛ mmerɛw | Nsõ mu ntini a ɛyɛ mmerɛw wɔ mmofra nkumaa mu |
Yɛbɛyɛ dɛn ama saa ntini ahorow yi anya apɔwmuden?
Parathyroid ntini no wɔ kɔn no mu tɔnn ankasa na wɔabɔ ho ban yiye. Enti ɛnyɛ mmerɛw sɛ abɔnten so asiane bɛsɛe wɔn. Nanso nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de aboa saa ntini ahorow yi ma wɔayɛ wɔn adwuma yiye.
- Nya vitamin D a ɛdɔɔso: Vitamin D ho hia yiye na ama mogya mu calcium dodow akɔ so ayɛ nea ɛyɛ den. Wɔ yɛn man yi mu no, yenya vitamin D pii fi owia hann mu. Ɛyɛ papa paa sɛ wobɛtena owia mu bere tiaa bi anɔpa. Wo ne wo duruyɛfo nkasa na si gyinae sɛ ebia wuhia vitamin D a wode bɛma wo anaa.
- Fa calcium a ɛdɔɔso ka w’aduan ho:Ɛho hia paa sɛ wudi aduan a ɛkari pɛ. Calcium fibea pa bi ne nufusu, yogurt, kyiisi, mpataa nketewa (a mackerel ka ho), ne nhabannuru a ɛyɛ ahabammono (spinach, kale). Sɛ wowɔ nsɛmmisa bi fa w’aduan ho a, kɔ oduruyɛfo nkyɛn.
Nea ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi a. Ɛnyɛ den sɛ mogya mu nhwehwɛmu a ɛnyɛ den betumi ahu sɛ ɔhaw bi wɔ hɔ denam calcium ne (PTH) dodow a ɛwɔ mogya no mu a wɔbɛhwɛ so.
Ɛwom mpo sɛ parathyroid ntini no yɛ akwaa nketewa a ɛwɔ nipadua no mu no mu biako de, nanso ebia afei woate sɛnea ɛka yɛn nipadua nyinaa dwumadi kɛse no ase. Ɛno nti na ɛho hia paa sɛ yɛde yɛn adwene si yɛn nipadua so no.
Nkrasɛm a Wɔde Kɔ Fie
- Parathyroid ntini no yɛ ntini nketenkete anan a ɛwɔ yɛn kɔn mu a ɛhwɛ calcium dodow a ɛwɔ mogya no mu so.
- Sɛ parathyroid hormone (PTH) a saa ntini ahorow yi yɛ no kɔ soro (hyperparathyroidism) anaasɛ ɛso tew (hypoparathyroidism) a, akwahosan ho haw betumi aba.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu calcium dɔɔso ne ɔbrɛ a ɛtra so, nnompe mu yaw, ne nsu a ɔtaa tow.
- Nsateaa a ɛyɛ mmerɛw ne ntini a ɛtwetwe no betumi ayɛ calcium a ɛba fam wɔ mogya no mu ho sɛnkyerɛnne.
- Vitamin D ne calcium a ɛdɔɔso a wobenya no ho hia ma parathyroid dwumadi a ɛfata.
- Sɛ wowɔ sɛnkyerɛnne anaa adwenem naayɛ bi wɔ eyi ho a, kɔ wo duruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu.
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