Yɛn nyinaa ate fi yɛn mmofraase sɛ calcium ho hia ma nnompe a ɛyɛ den (a sẽ ka ho). Ɛno yɛ nokware. Nanso so wunim sɛ yɛn nipadua nso hia calcium dodow bi na ama mogya ntini, ntini, ne ntini a ɛma yɛn ho yɛ den no atra hɔ? Ebia wo mogya mu nhwehwɛmu a wɔyɛe nnansa yi no kyerɛe sɛ wo calcium dodow dɔɔso dodo anaasɛ ɛba fam dodo. Sɛ saa a, wo duruyɛfo betumi akyerɛ wo mogya mu nhwehwɛmu titiriw foforo. Ɛno yɛ sɔhwɛ a ɛkyerɛ sɛnea parathyroid hormone (PTH) dodow te.
Dɛn nti na oduruyɛfo no reka akyerɛ wo sɛ yɛ PTH nhwehwɛmu yi?
Sɛ yɛbɛka no tiawa a, saa hormone a wɔfrɛ no PTH yi yɛ ade titiriw a ɛhwɛ calcium dodow a ɛwɔ yɛn nipadua mu no so. Ntini nketenkete anan a ɛwɔ yɛn kɔn mu na ɛyɛ saa hormone yi. Yɛfrɛ eyi sɛ parathyroid ntini ahorow. Fa no sɛ ɛwɔ ‘nkatefo’ nketewa anan wɔ yɛn kɔn mu a ɛhwɛ calcium dodow a ɛwɔ yɛn nipadua mu so. Eyinom yɛ adwuma te sɛ eyi:
- Sɛ wo mogya mu calcium dodow so tew , saa ntini ahorow yi yi hormone PTH no kɔ wo mogya mu. Saa hormone PTH yi kɔ nnompe ne asaabo mu na ɛsan de calcium kɔ wo mogya mu, na ɛma calcium dodow san ba sɛnea na ɛte kan no.
- Sɛ wo mogya mu calcium dodow kɔ soro a , saa ntini ahorow yi gyae PTH hormone a ɛma calcium a ɛboaboa ano wɔ mogya no mu a ɛho nhia no gyae.
Afei deɛ wote aseɛ, ɛnte saa? Sɛ ɔhaw bi wɔ wo calcium dodow mu a, oduruyɛfo no reyɛ saa PTH nhwehwɛmu yi de ahu pɛpɛɛpɛ sɛ ebia nea ɛde ba no yɛ ɔhaw a ɛwɔ parathyroid ntini no dwumadi mu anaasɛ biribi foforo bi wɔ hɔ a enti ɛte saa.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ calcium kɔ soro na ɛso tew?
Sɛ wo calcium dodow nyɛ nea ɛfata, a ɛkyerɛ sɛ ɛkɔ soro dodo (Hypercalcemia) anaasɛ ɛba fam dodo (Hypocalcemia) a, wubetumi ahu sɛnkyerɛnne ahorow bi. Pon a ɛwɔ ase ha no bɛboa wo ma woate eyi ase yiye.
| Nsɛnkyerɛnne a ɛkyerɛ sɛ calcium dɔɔso wɔ mogya mu (Hypercalcemia) . | Nsɛnkyerɛnne a ɛkyerɛ sɛ calcium sua wɔ mogya mu (Hypocalcemia) . |
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| - Adwenemhaw ne adwene mu nsakrae
- Ntini a ɛyɛ mmerɛw
- Nsa , anan, anaa ano a atwa ho ahyia a ɛyɛ mmerɛw
- Koma a ɛbɔ a ɛnyɛ ne kwan so
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Nea ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woahwehwɛ afotu a wommɔ mmɔden sɛ wo ho bɛhwehwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi a.
Mfaso ne asiane bɛn na ɛwɔ sɔhwɛ yi so?
Nokwarem no, saa PTH mogya mu nhwehwɛmu yi yɛ mmerɛw yiye.
Biribiara nni hɔ a enti ɛsɛ sɛ yesuro. Sɛnea ɛte wɔ mogya mu nhwehwɛmu biara ho no, asiane nketenkete bi wɔ hɔ.
- Ebia wobɛte ɛyaw kakra nka wɔ baabi a wɔde ade no ahyɛ mu no.
- Ebia beae no bɛpirapira kakra anaasɛ ayɛ kuru wɔ sɔhwɛ no akyi.
- Ɛntaa mma sɛ ɔyare mmoawa bi betumi aba anaasɛ wobɛte nka sɛ woatɔ piti bere a wɔatwe wo mogya awie no.
Nanso sɛ wɔde toto asiane nketenkete yi ho a,
mfaso a ɛwɔ sɔhwɛ yi so no sõ yiye . Efisɛ nhwehwɛmu yi betumi ahu wo duruyɛfo no pɛpɛɛpɛ sɛ ebia wo nipadua no reyɛ PTH hormone pii dodo anaasɛ kakraa bi dodo. Ebetumi aboa nso ma yɛasi so dua sɛ ɛnyɛ parathyroid ntini no na ɔhaw no wɔ na wɔahwehwɛ nneɛma afoforo a ɛde calcium dodow a ɛnteɛ ba.
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru anaa nnuru bi te sɛ vitamin ne calcium nom bere tiaa bi ansa na wɔayɛ nhwehwɛmu no da koro anaa nnanu. Nanso,
nnyae nnuru biara a wobɛnom da a wunni kan nkɔ wo duruyɛfo nkyɛn. Akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo, titiriw sɛ worenom nnuru a wɔde sa tebea afoforo a.
Ɔkwan bɛn so na yɛbɛte nea efi mu ba no ase?
Sɛ wɔde mogya no kɔ aduruyɛdan mu wie a, ebetumi adi nna kakraa bi ansa na nea efi mu ba no asan aba. Saa bere yi betumi ayɛ soronko a egyina lab ne wo duruyɛfo ahiade so. Wɔtaa de picogram susuw PTH dodow wɔ mililita biara mu (pg/mL). Sɛnea ɛte daa no betumi ayɛ soronko kakra wɔ lab biako mu akɔ foforo mu. Obi a ɔwɔ apɔwmuden PTH dodow taa yɛ 10-65 pg/mL. Nanso,
nhuruw nnyina akontaabu a ɛwɔ wo sɔhwɛ no mu aba so no so.Wo duruyɛfo nkutoo na obetumi de saa gyinapɛn ahorow no atoto wo calcium dodow ho na wakyerɛkyerɛ nea ɛkyerɛ mu pɛpɛɛpɛ. Pon a ɛwɔ aseɛ ha no ma yenya adwene wɔ nneɛma a ɛtaa de PTH dodoɔ a ɛkɔ soro anaa ɛba fam ba no bi ho.
| Tebea | Nneɛma a Ebetumi De Ba |
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| PTH dodow a ɛkɔ soro | |
| PTH dodow a ɛso tew | - Hypoparathyroidism a ɛma mogya tu
- Thyroid oprehyɛn a wɔyɛ
- Mframa a wɔde sa yare
- Dade a ɛboro so
- Nyarewa a nipadua no tumi ko tia nyarewa
- Magnesium dodow a ɛba fam
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So sɔhwɛ pii bɛba a wɔbɛyɛ akyi?
Yiw, egyina nea ebefi PTH sɔhwɛ no mu aba so no, ebia ebehia sɛ woyɛ nhwehwɛmu pii bio. Ɛte sɛ nea detective bi di clue biako akyi foforo akyi.
- Sɛ nhwɛso no, sɛ wo PTH dodow dɔɔso nanso wo calcium dodow sua a , ɛkyerɛ sɛ wo parathyroid ntini no reyɛ adwuma, nanso esiane biribi foforo nti wo calcium dodow nkɔ soro. Afei wo duruyɛfo betumi ahwɛ sɛnea vitamin D, phosphorus, ne magnesium wɔ wo mu.
- Ɔkwan foforo so no, sɛ wo calcium dodow dɔɔso na wo PTH dodow dɔɔso a , ebia wubenya hyperparathyroidism. Afei wo duruyɛfo bɛyɛ X-ray anaa mfoninitwa nhwehwɛmu foforo de ahwɛ wo parathyroid ntini ahorow no. Ebia wɔbɛhwehwɛ akisikuru anaa akisikuru nso.
Saa tebea yi ayaresa ne oprehyɛn a wɔde yi ntini no. Nanso, sɛ tebea no mu nyɛ den, anaasɛ sɛ sɛnkyerɛnne atitiriw biara te sɛ asaabo a asɛe anaa nnompe a ɛyɛ mmerɛw biara nni hɔ a, ebia wo duruyɛfo bɛkyerɛw nnuru (te sɛ Cinacalcet (Sensipar)) ama wo na wama woahwɛ wo calcium ne PTH dodow so
bere ne bere mu .
Nkrasɛm a Wɔde Kɔ Fie
- PTH mogya mu nhwehwɛmu yɛ nhwehwɛmu a ɛho hia yiye a wɔde hwehwɛ nea ɛde calcium dodow a ɛnteɛ ba wo mogya mu.
- Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa a asiane nnim, enti nsuro ho a ɛho nhia.
- Ansa na wobɛyɛ nhwehwɛmu no, ka nnuru anaa nnuru a wɔde ka ho a worenom ho asɛm kyerɛ wo duruyɛfo. Nnyae nnuru biara a wobɛnom a wunni aduruyɛfo afotu.
- Sɛ wo nsa ka wo nhwehwɛmu no mu aba wie a, wo ne wo duruyɛfo nkasa mfa nea saa gyinapɛn ahorow no kyerɛ ne anammɔn a edi hɔ a ɛsɛ sɛ woyɛ ho asɛm.
PTH, Parathyroid Hormone, Calcium, Mogya mu Nhwehwɛmu, Hypercalcemia, Hypocalcemia, Parathyroid, Hormone, Asaabo mu Yare
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