Na míasrɔ̃ nu tso wò parathyroid lãkusiwo ŋu. Kalẽtɔ sue siawo wɔa dɔ gã aɖe ŋutɔ!

Egbea míele nu ƒom tso lãkusi sue aɖewo ŋutɔ, gake wole vevie ŋutɔ le míaƒe ŋutilã me ŋu. Ðewohĩ mèse nu geɖe tso wo ŋu o. Woyɔa esiawo be parathyroid glands. Togbɔ be woƒe lolome anɔ abe pea ene hã la, lãkusi siawo le abe kalẽtɔ siwo kpɔa calcium ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzi ene. Na míakpɔ nusiwo wonye, ​​nu siwo wowɔna, kple kuxi siwo woate ŋu ahe vɛ ɖa.

Nukae nye parathyroid lãkusi siawo?

Kpuie ko la, wò parathyroid glands nye endocrine gland sue ene siwo lolo abe pea ene siwo ɣla ɖe wò thyroid gland ƒe megbe le wò kɔ me. Lãmenugbagbevi siawo wɔa lãmetsi vevi aɖe si woyɔna be Parathyroid Hormone (PTH) eye woɖea wo ɖe go . Lãmetsi sia kpena ɖe ŋuwò nèkpɔa calcium ƒe agbɔsɔsɔ si le wò ʋu me dzi. Ðe ema mele vevie oa?

Parathyroid lãkusi nenie le mía si?

Parathyroid gland siawo dometɔ ene le ame akpa gãtɔ si. Gake numekuku aɖewo ɖee fia be ame aɖewo ƒe lãme ate ŋu anɔ ʋɛ alo wu ene. Menye nya gã aɖekee wònye o, eɖanye xexlẽme ka kee woɖale o, zi alesi wole dɔ wɔm nyuie ko.

Nuka tututue dzɔna ɖe parathyroid gland siawo dzi?

Dɔ vevi ɖeka koe le wò parathyroid glandwo ŋu: be woawɔ parathyroid hormone (PTH) eye woaɖee ɖe go ɖe wò ʋukawo me. Lãmetsi sia, kpakple lãmetsi bubu si woyɔna be calcitonin (si thyroid gland wɔna) wɔa dɔ be woakpɔ calcium ƒe agbɔsɔsɔ si le wò ʋu me dzi pɛpɛpɛ. Bu eŋu kpɔ, calcium si sɔ gbɔ ɖe wò ʋu me ate ŋu ahe kuxiwo vɛ, eye ne mesɔ gbɔ o ate ŋu ahe kuxiwo vɛ. Eyata ele be ɖoɖo sia nawɔ dɔ nyuie.

Nukatae calcium le vevie na míaƒe ŋutilã alea gbegbe ɖo?

Calcium nye mineral vevi aɖe ŋutɔ eye wòbɔ ɖe míaƒe ŋutilã me. Calcium si katã le wò ŋutilã me ƒe 99% dzrana ɖo ɖe wò ƒuwo kple aɖuwo me . 1% mamlɛawo ƒoa xlã ʋua. Togbɔ be esia nye agbɔsɔsɔ sue aɖe hã la, calcium sia si le ʋua me la le vevie ŋutɔ. Ènya nusitae?

• Ele be wò lãmekawo nawɔ dɔ nyuie . Bu eŋu kpɔ, ne èdi be yeaka asi nane ŋu la, gbedasi ma toa lãmekawo me. Ema bia be woatsɔ calcium awɔ dɔe.
• Kpe ɖe wò lãmekawo ŋu woatsi eye wòakpe ɖe ŋuwò nàʋuʋu . Ne èkɔ alɔ ɖe dzi alo nèle zɔzɔm la, lãmekawo wɔa dɔ. Calcium le vevie na ema hã.
• Ne abi le ŋuwò eye ʋu le dodom la, kpe ɖe ʋua ŋu be wòaxe . Ne menye nenema o la, abi sue aɖe gɔ̃ hã ate ŋu ava zu kuxi gã aɖe.
• Wò dzi hiã calcium be wòate ŋu awɔ dɔ nyuie . Dzi ƒe lãmeka hã hiã calcium hafi wòate ŋu aƒo nyuie.

Kpɔ alesi gbegbe calcium sue sia ate ŋu awɔe ɖa! Azɔ hã, Vitamin D le vevie ŋutɔ be calcium ƒe agbɔsɔsɔ nanɔ ʋua me. Elabena míaƒe ŋutilã hiã vitamin D be wòaxɔ calcium le nuɖuɖu me. Míekpɔa vitamin D tso ɣe ƒe keklẽ me, eye wòle nuɖuɖu aɖewo hã me.

Afikae parathyroid gland siawo le?

Le ame akpa gãtɔ gome (anɔ abe 80%) la, parathyroid gland ene siawo le kpakpaluʋui ƒe nɔnɔme me le wò kɔ me, eye woɣla wo ɖe megbe nɛ. Zi geɖe la, lãkusi eve nɔa lãkusi ƒe "aʋala" eveawo ƒe akpa eveawo.

Gake ɣeaɖewoɣi la, wò parathyroid glands ate ŋu anɔ wò kɔ me, le nuɖuɖutome, alo le wò akɔta (ne míagblɔe tututu la , le mediastinum, akɔta ƒe titina). Ðɔktawo yɔa ‘ectopic’ parathyroid glands siawo , si gɔmee nye “le teƒe si mebɔ o.” Ame siwo ade 16% ate ŋu akpɔ ‘ectopic’ gland siawo.

Zi geɖe la, ‘ectopic’ parathyroid glands ƒe amesinɔnɔ menye nusi ŋu woatsi dzi ɖo o. Gake ne wo dometɔ ɖeka alo esi wu nenema le PTH wɔm fũ akpa la, ate ŋu asesẽ na wò ɖɔkta be wòake ɖe wo ŋu ne ehiã be woawɔ dɔ na wo.

Aleke parathyroid lãkusiwo le?

Wò parathyroid lãkusiwo le sue ŋutɔ – wo dometɔ ɖesiaɖe ƒe lolome kple nɔnɔme anɔ abe pea ene . Gake le ame aɖewo gome la, lãkusi siawo ate ŋu awɔ dɔ akpa eye woalolo.

Nɔnɔme kawoe gblẽa nu le parathyroid lãkusiwo ŋu?

Nɔnɔme vevi eve li siwo do ƒome kple parathyroid glands: hyperparathyroidism kple hypoparathyroidism . Mina míaƒo nu tso wo dometɔ ɖesiaɖe ŋu.

Nukae nye hyperparathyroidism?

Esia dzɔna ne wò parathyroid gland ɖeka alo esi wu nenema va le dɔ wɔm akpa eye wòɖe parathyroid hormone (PTH) si sɔ gbɔ akpa ɖe go. Esia nana be calcium ƒe agbɔsɔsɔ si le wò ʋu me dzina ɖe edzi wu alesi wòle be wòanɔ. Míeyɔa esia be hypercalcemia .

Mɔ aɖewo li siwo dzi wò parathyroid glandwo ate ŋu ato awɔ lãmetsiŋusẽ geɖe wu le dzɔdzɔme nu:

• Abe dɔléle aɖewo ƒe ŋuɖoɖo ene.
• Ne Vitamin D mesɔ gbɔ na wò o.
• Ne ayiku ƒe dɔwɔwɔ ƒe kuxiwo le ŋuwò la, be wòakpe ɖe ŋuwò nàlé calcium ƒe agbɔsɔsɔ si sɔ le ʋu me ɖe asi.

Ðɔktawo yɔa nɔnɔme sia be secondary hyperparathyroidism . Ne dɔ sia yi edzi ɣeyiɣi didi la, ate ŋu ahe lãmesẽkuxi bubuwo abe ƒu ƒe gbɔdzɔgbɔdzɔ ene vɛ.

Le go bubu me la, ɣeaɖewoɣi la, kuxi aɖe nɔa wò parathyroid lãkusiwo ŋutɔ ŋu (nusi kpɔa ŋusẽ ɖe lãkusiawo ŋutɔ dzi tẽ) si ate ŋu ana woawɔ dɔ fũ akpa, si ana wò ʋu me calcium nadzi ɖe edzi. Esiae nye nusi ɖɔktawo yɔna be primary hyperparathyroidism .

Ame akpa gãtɔ siwo ŋu hyperparathyroidism gbãtɔ le la mekpɔa dzesi aɖeke o elabena zi geɖe la, wokpɔa hypercalcemia kaba, abe ne wodo ʋu kpɔ le susu bubu aɖe ta ene.

Gake le calcemia ƒe dɔléle siwo nu sẽ wu kple/alo esiwo nɔa anyi didi wu me la, dzesiwo abe:

• Aɖuɖɔɖɔɖɔ enuenu.
• Tsikɔwuame si gbɔ eme (polydipsia).
• Ɖeɖiteameŋu .
• Ƒu ƒe vevesese.
• Taɖuame.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Miléle.
• Nuɖuɖudzroame dzi ɖeɖe kpɔtɔ.
• Nuŋlɔɖi be, blanuiléle, alo dzikudodo .
• Lãmetsiwo ƒe vevesese, gbɔdzɔgbɔdzɔ, lãmekawo ƒe ʋuʋu kple/alo ʋuʋu.

Nukae nye parathyroid adenoma?

Parathyroid adenoma nye tsitsi si me dɔlékui aɖeke mele o / si menye kansa o , si ɖi dɔdzẽ sue aɖe, si dona ɖe wò parathyroid lãkusi ɖeka alo esi wu nenema dzi. Esiae nye nusi gbɔ parathyroidism gbãtɔ si gbɔ eme tsona wu. Mègatsi dzi o, menye kansae o. Zi geɖe la, wokpɔa kuxia gbɔ ne woɖe dɔdzẽa ɖa to amekoko me.

Mina míasrɔ̃ nu tso parathyroid cancer hã ŋu.

Parathyroid cancer hã ate ŋu ana hyperparathyroidism gbãtɔ. Gake esia mebɔ kura o . Parathyroid kansa nye kansa katã ƒe 0.005% ko. Azɔ hã, kansa siawo nyea nɔnɔme siwo katã do ƒome kple parathyroid glands la ƒe 0.5% va ɖo 1%.

Nukae nye Hypoparathyroidism?

Esia nye nɔnɔme si mebɔ kura o. Nusi dzɔna enye be wò ʋu me parathyroid hormone `(PTH)` ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Esia nana be wò ʋu me calcium ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna – míeyɔnae be hypocalcemia – eye wò ʋu me phosphorus ƒe agbɔsɔsɔ dzina ɖe edzi – míeyɔnae be hyperphosphatemia .

Ame siwo ade 75% tsoa ʋumenugbagbeviɣidɔ si me ʋu sina tona ƒe lãkusiwo ƒe gbegblẽ le vo me le kɔ ƒe dɔwɔwɔ alo lãkusi ƒe dɔwɔwɔ me gbɔ . Tsɔ kpe ɖe eŋu la, domenyiŋusẽfianu kple dɔlélenutsiŋutete ƒe nɔnɔme aɖewo hã ate ŋu atsoe.

Negbe ɖe amekokoe gbɔe wòtso ko hafi la, zi geɖe la, hypoparathyroidism va doa mo ɖa vivivi, eyata dzesiawo ate ŋu anɔ bɔbɔe. Dzesiawo ate ŋu anye:

• Nuyiwo, asibidɛwo, kple afɔbidɛwo ƒe ʋuʋu .
• Lãmetsiwo ƒe ʋuʋu.
• Lãmetsiwo ƒe ʋuʋu.
• Ƒodo ƒe vevesese.
• “Ahɔhɔ̃ ƒe afu” alo tɔtɔ.
• Dzi ƒe tsotso si mesɔ o / dzi ƒe tsotso ƒe dɔmawɔmawɔ nyuie.
• Aɖabɛ siwo le gbagbãm.
• Taɖa ƒuƒu kple ŋutigbalẽ ƒuƒu si me ʋuʋudedi le.
• Ŋku ƒe ʋuʋu.
• Aɖu ƒe ʋuʋudedi si gbɔdzɔ (le ɖeviwo me).

Nukae mate ŋu awɔ be nye parathyroid glands nanɔ lãmesẽ me?

Esi wònye be wokpɔa wò parathyroid glandwo ta nyuie le wò thyroid gland megbe ta la, womegblẽna bɔbɔe o. Mehiã be nàwɔ nu tɔxɛ aɖeke be lãkusi siawo nanɔ lãmesẽ me o. Gake nu ʋɛ aɖewo li nàte ŋu awɔ atsɔ akpe ɖe wò parathyroid glands ŋu be calcium ƒe agbɔsɔsɔ le wò ʋu me nanɔ lãmesẽ me:

• Kpɔ egbɔ be vitamin D sɔ gbɔ na ye: Vitamin D le vevie na calcium ƒe agbɔsɔsɔ si le ʋu me si li ke. Bia wò ɖɔkta nenye be ehiã be nàno vitamin D ƒe kpeɖeŋutɔ. Zi geɖe la, woate ŋu akpɔ esia ne wozã ɣeyiɣi aɖe le ŋdɔ me le ŋkekea me.
• Kpɔ egbɔ be calcium sɔ gbɔ na wò le wò nuɖuɖu me: Calcium ƒe anyimanɔmanɔ le wò ŋutilã me ate ŋu ahe calcium ƒe kuxiwo vɛ le ʋu me. Calcium dzɔtsoƒe nyuiwoe nye notsi, yogurt, cheese, amagbe damawo, kple tɔmelã suewo (siwo woɖuna kple ƒu). Ne mèka ɖe edzi be calcium sɔ gbɔ na wò le wò gbesiagbenuɖuɖu me o la, ƒo nu kple wò ɖɔkta alo nuɖuɖuŋutinunyala si woŋlɔ ŋkɔ na.

Ðo ŋku edzi be aɖaŋuɖoɖo aɖewo koe nye esiawo. Ne dzesi aɖewo le ŋuwò la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo. Mègawɔ atike na ɖokuiwò o.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Wò parathyroid lãkusiwo nye lãkusi suewo, gake ŋusẽ le wo ŋu, siwo hiã vevie be wò ʋu me calcium ƒe agbɔsɔsɔ nanɔ te. Ame akpa gãtɔ mebua wo ŋu gɔ̃ hã o – alo sea wo ŋu nya gɔ̃ hã o – vaseɖe esime nane gblẽ. Ne calcium ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me (hypercalcemia) alo calcium ƒe agbɔsɔsɔ si mede ʋu me o (hypocalcemia) ƒe dzesiwo le ŋuwò la, gblɔe na wò ɖɔkta enumake . Woate ŋu awɔ ʋudodokpɔ bɔbɔewo atsɔ adi nusi gbɔ wòtso eye woaŋlɔ atike si hiã la na wo.

Lãmetsi sue siawo nyanya le vevie ŋutɔ na wò lãmesẽ bliboa. Elabena subɔsubɔdɔ si wowɔna le ɖoɖoezizi me la lolo ŋutɔ! Nɔ lãmesẽ me!

` Parathyroid lãkusiwo, calcium, parathyroid lãmetsi, hyperparathyroidism, hypoparathyroidism, vitamin D, lãmetsiwo