So ɛtɔ mmere bi a wo nkwaa mu yɛ wo yaw a ntease biara nnim? So wote nka sɛ wunni ahoɔden biara, na woabrɛ kɛkɛ? So ɛtɔ mmere bi a wote nka sɛ wo ho yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ ɛyɛ den sɛ wubesusuw nneɛma ho? Yɛtaa bu saa sɛnkyerɛnne ahorow yi animtiaa sɛ ɛyɛ nea ɛfata. Nanso so woasusuw pɛn sɛ nea ɛde eyinom nyinaa ba no betumi ayɛ ntini nketenkete bi, te sɛ nnompe anan a ɛwɔ yɛn kɔn mu? Ɛno ne nea yɛreka ho asɛm nnɛ.
Know your body mass index (BMI) and weight classification
Dɛn ne saa parathyroid ntini ahorow yi?
Sɛ yɛbɛka no tiawa a, parathyroid ntini no yɛ ntini nketenkete anan paa a ɛwɔ yɛn kɔn mu, wɔ thyroid ntini no akyi. Ebia nnipa binom wɔ nea ɛboro anan anaa nea ennu saa. Wɔn adwuma titiriw ne sɛ wɔbɛhwɛ calcium dodow a ɛwɔ yɛn mogya mu no so. Saa calcium yi ho hia na ama yɛn nnompe ayɛ den na ama ntini ne ntini ahorow no ayɛ adwuma yiye. Enti saa ntini nketenkete yi di dwuma titiriw wɔ calcium a ɛkari pɛ wɔ yɛn nipadua mu no mu.
Dɛn nti na ehia sɛ wɔyɛ oprehyɛn na wɔayi saa ntini ahorow yi afi hɔ?
Ɛtɔ mmere bi a, saa parathyroid ntini yi mu biako anaa nea ɛboro saa yɛ adwuma boro so. Afei wɔyɛ parathyroid hormone (PTH) pii dodo. Wɔfrɛ saa tebea yi hyperparathyroidism . Sɛ eyi ba a, calcium dodow a ɛwɔ mogya no mu no kɔ soro ma ɛyɛ hu. Eyi ne bere a oprehyɛn a wɔfrɛ no parathyroidectomy, a ɛyɛ oprehyɛn a wɔde yi ntini anaa ntini a ɛyɛ adwuma boro so no ho hia.
Ebia nneɛma atitiriw pii nti na ɛte saa:
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Parathyroid adenoma a ɛwɔ nipadua no mu | Eyi yɛ akisikuru a ɛnyɛ kokoram a ɛba wɔ parathyroid ntini bi mu. Eyi ne tebea a ɛtaa ba. |
| Parathyroid a ɛma nipadua no yɛ kɛse | Ɛha no, ntini anan no pii anaa ne nyinaa trɛw na ɛma nkwaadɔm a ɛma nipadua no yɛ adwuma pii. |
| Parathyroid kokoram | Eyi yɛ tebea a ɛntaa nsi koraa. |
Ɛtɔ mmere bi a, aduruyɛ mu tebea foforo te sɛ asaabo mu yare betumi de hyperparathyroidism aba. Nnuruyɛfo frɛ eyi hyperparathyroidism a ɛto so abien.
Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?
Ansa na wobɛyɛ oprehyɛn no, wo duruyɛfo bɛma wo akwankyerɛ a wuhia nyinaa . Nanso, ɛho hia paa sɛ wubisa nsɛm a wowɔ nyinaa. Sɛ nhwɛso no, mma wo werɛ mmfi sɛ wubebisa fa:
- So ɛsɛ sɛ midi mmuada anɔpa a wɔbɛyɛ oprehyɛn no?
- So ɛsɛ sɛ menom nnuru ne vitamin a metaa de di dwuma saa da no anaasɛ ɛnsɛ sɛ menom?
- So mihia obi a ɔde me bɛkɔ fie wɔ oprehyɛn no akyi?
Ɛbɛyɛ mmerɛw kɛse ama wo sɛ wubedi kan ahu saa nneɛma yi.
Sɛnea wɔyɛ oprehyɛn no ne mfaso a ɛwɔ so
Mprempren, nnuruyɛfo a wɔyɛ oprehyɛn no fa akwan horow so yɛ oprehyɛn yi. Akwan a wɔfa so yɛ atetesɛm wɔ hɔ, ne akwan a wɔmfa nhyɛ mu pii na ɛtɔ mmere bi a akwan a akuru nnim, a wotwa ano wɔ ano na wonhu akuru no wɔ akyi . Wo duruyɛfo bɛkyerɛkyerɛ ɔkwan a eye ma wo mu akyerɛ wo. Sɛ wɔtwa kɔn no mu a, wɔde si kɔn no mu, enti akyiri yi, akuru no ntumi nhu pii.
Bere a wɔreyɛ oprehyɛn no, wɔbɛma wo aduru a wɔde kum nipadua no ma enti worente nka sɛ wo ho nyɛ wo dɛ. Oduruyɛfo no beyi ntini anaa ntini a ayɛ no yaw no na wapam nea wɔatwa no asan abom. Mpɛn pii no, oprehyɛn yi gye bɛyɛ dɔnhwerew biako.
Mfaso bɛn na ɛwɔ oprehyɛn yi so?
Oprehyɛn yi betumi ama w’asetra atu mpɔn kɛse. Sɛ calcium dodow a ɛwɔ wo mogya mu no san kɔ sɛnea na ɛte kan no a, yare no ho sɛnkyerɛnne a na ɛhaw wo kan no befi hɔ.
| Nsɛnkyerɛnne a ɛretu mpɔn | Nyarewa a ɛtew asiane so |
|---|---|
| Nkwaa mu yaw | Asaabo mu abo |
| Ntini mu mmerɛwyɛ | Nnompe mu yare |
| Akisikuru ne ɔbrɛ | Koma mu haw ahorow |
| Adwene a ɛyɛ basaa | - . |
Bere a wɔayɛ oprehyɛn ne asiane ahorow a ɛwom akyi
Wubetumi akɔ fie da koro no ara anaa da a edi hɔ wɔ oprehyɛn no akyi. Wubetumi adidi na woanom sɛnea ɛsɛ, nanso sɛ wo menewa mu yaw bi a, ɛbɛyɛ papa sɛ wubedi nsu anaa nnuan a ɛyɛ mmerɛw da koro anaa nnanu. Nantew ye, nanso kwati sɛ wobɛteɛteɛ w’apɔw mu kosi sɛ wo duruyɛfo bɛma wo kwan.
Ebia ebehia sɛ wonom calcium nnuru kakra kosi sɛ ntini a aka no befi ase ayɛ adwuma yiye.
So asiane bi wɔ oprehyɛn no mu?
Mpɛn pii no, parathyroidectomy yɛ nea asiane biara nni ho koraa, nanso te sɛ oprehyɛn biara no, asiane ahorow bi wɔ hɔ.
- Asiane a ɛwɔ hɔ bere tiaa mu: Menewa mu yaw, ɛyɛ den, ɔyare mmoawa, ne mogya a ɛboaboa ano wɔ honam ani a ɛbɛn baabi a wɔatwa no (hematoma). Sɛ eyinom ba a, ɛnyɛ den sɛ wo duruyɛfo no bɛsa.
- Asiane a ɛtra hɔ kyɛ: Ɛwom sɛ ɛntaa mma de, nanso nnipa binom betumi ahyia ɔhaw ahorow a ɛtra hɔ kyɛ.
- Hungry bone syndrome: Sɛ ntini a aka no ntumi nyɛ adwuma yiye wɔ oprehyɛn akyi a, tebea bi a ɛma calcium dodow a ɛwɔ mogya no mu kɔ so sua (‘hypocalcemia a enni sabea) betumi aba.
- Hyperparathyroidism a ɛsan ba bio: Saa yare yi betumi asan aba bio esiane sɛ ntini foforo a aka wɔ oprehyɛn akyi no yɛ adwuma boro so nti.
Nanso kae sɛ oprehyɛn yi di nkonim bɛboro 95% . Nokwarem no, ɛno nkutoo ne aduru a wɔde sa hyperparathyroidism.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ oprehyɛn akyi a, frɛ wo duruyɛfo ntɛm ara.
- Atiridiinini a ɛboro Fahrenheit 101 (Celsius 38.3).
- Ɛyaw a ɛnbrɛ ase bere a wanom nnuru mpo akyi.
- Ɛyɛ den sɛ wobɛmene aduan anaa nsu.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa, te sɛ kɔkɔɔ, akisikuru, anaa ɔhyew a atwa baabi a wɔatwa no ho ahyia.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi nni calcium, te sɛ akisikuru, ntini a ɛtwetwe, anaa ɔbrɛ kɛse.
Nea ɛho hia sen biara: Sɛ ɛyɛ den ma wo sɛ wobɛhome a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara.
Ebetumi agye adapɛn biako kosi abiɛsa ansa na wo ho atɔ wo koraa, nanso ɛsɛ sɛ wutumi san kɔ dwumadi ahorow a woyɛ daa no mu wɔ nna kakraa bi mu. Di wo duruyɛfo akwankyerɛ akyi bere nyinaa.
Nkrasɛm a Wɔde Kɔ Fie
- Parathyroidectomy yɛ oprehyɛn a ahobammɔ wom na edi mu kɛse a eyi parathyroid ntini a ɛyɛ adwuma boro so a ɛma calcium dodow kɔ soro wɔ wo nipadua mu no fi hɔ.
- Saa oprehyɛn yi boa ma yare no ho sɛnkyerɛnne te sɛ nkwaa mu yaw, ɔbrɛ, ne adwene a ɛyɛ basaa fi hɔ, na ɛtew asiane a ɛwɔ hɔ sɛ wobenya nyarewa te sɛ asaabo mu abo ne nnompe a ɛyɛ mmerɛw no so.
- Eyi nyɛ oprehyɛn kɛse, na bere a wɔde ma obi ho tɔ no yɛ tiaa.
- Sɛ wunya ɔhaw biara wɔ oprehyɛn akyi, te sɛ atiridiinini, ɛyɛ den sɛ wobɛmene, anaa ɛyɛ den sɛ wobɛhome a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Ansa na wubesi gyinae biara a ɛfa w’akwahosan ho no, wo ne wo duruyɛfo nkasa bere nyinaa.
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