Ke pilikia nei ʻoe me nā pae calcium haʻahaʻa ma hope o ke ʻoki ʻana? Hiki paha ke lilo i 'Hungry Bone Syndrome'!

E like me kou ʻike, ma hope o kekahi mau ʻoki kino, ʻoiai nā mea e wehe ai i ke kelepa thyroid ma ka ʻāʻī a i ʻole nā ​​kelepa parathyroid kokoke, hiki i ke kino ke ʻike i kekahi mau ʻano ʻoluʻolu ʻole. Manaʻo paha kekahi poʻe i ka luhi hiki ʻole ke noʻonoʻo ʻia, ʻeha ke kino, a i ʻole ka huikau iki. No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kahi mea e like me kēia, hiki ke kumu o kahi maʻi a mākou e kamaʻilio ai i kēia lā i kapa ʻia ʻo 'Hungry Bone Syndrome'. He ʻano ʻē iki ka inoa, ʻeā? Ke noʻonoʻo nei paha ʻoe, "He aha ke ʻano o ka loaʻa ʻana o nā iwi pōloli?" E nānā kākou i ke ʻano o ia mea, ma nā ʻōlelo maʻalahi.

He aha ka 'Hungry Bone Syndrome'?

I ka ʻōlelo maʻalahi, ʻo Hungry Bone Syndrome kahi kūlana kahi e hāʻule koke ai kou pae calcium koko i lalo loa. Ua kapa ʻia kēia e nā kauka he "Hypocalcemia". ʻIke pinepine ʻia kēia kūlana ma hope o ke ʻoki ʻana ma nā kelepa parathyroid. Ua ʻike anei ʻoe he mea nui loa nā kelepa parathyroid i ka kaohi ʻana i ka calcium i loko o ko mākou kino?

ʻO ka poʻe me kēia 'pōloli iwi syndrome' ʻaʻole paha he haʻahaʻa wale nō ka pae calcium, akā i kekahi manawa he haʻahaʻa hoʻi ka pae o ka magnesium (`(Hypomagnesemia)`) a me ka phosphorus (`(Hypophosphatemia)`) i loko o ko lākou koko. He mau minelala koʻikoʻi kēia e pono ai ko kākou kino.

Akā, ʻaʻohe mea e hopohopo ai. ʻO ka 'Hungry Bone Syndrome' kahi maʻi hiki ke mālama ʻia a ho'ōla ʻia . ʻO ka mea nui loa, ʻo ia ka ʻike ʻana iā ia i ka manawa kūpono a hoʻomaka i ka lāʻau lapaʻau.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maopopo maoli i nā kānaka noiʻi ka maʻamau o kēia 'pōloli iwi syndrome', no ka mea, hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka.

Eia nō naʻe, ua hōʻike kekahi mau noiʻi ma waena o 4 a me 13 o 100 mau kānaka i loaʻa ka parathyroidectomy no kahi kūlana i kapa ʻia ʻo primary hyperparathyroidism e loaʻa i kēia kūlana. Eia kekahi, ʻōlelo kekahi mau hōʻike ma hope o ke ʻoki ʻana no ka secondary a me tertiary hyperparathyroidism, hiki ke kiʻekiʻe ka manawa e ulu ai kēia kūlana i 20 a 70 mai 100. No laila, me he mea lā he mea maʻamau kēia i kekahi mau hihia.

He aha nā hōʻailona o ka 'Hungry Bone Syndrome'?

Ua like loa nā hōʻailona o ka 'Hungry Bone Syndrome' me nā mea i hoʻokumu ʻia e ka calcium koko haʻahaʻa (Hypocalcemia). Hiki i kēia ke liʻiliʻi e like me kahi puʻupuʻu liʻiliʻi i kekahi poʻe, a hiki i ka nui e like me ka huikau a i ʻole nā ​​​​​​hōʻailona i kekahi. Eia kekahi o nā hōʻailona:

• Ka ʻōwili ʻana a i ʻole ka huki ʻana i ka ʻiʻo: He manaʻo e like me ka ʻōwili wale ʻana o ka ʻiʻo ma nā wāwae a i ʻole nā ​​​​lima.
• Nāwaliwali o nā ʻiʻo: Manaʻo make a luhi loa hoʻi e hana i kekahi mea.
• ʻEha iwi: Manaʻo e like me ka ʻeha ʻana o nā iwi o ke kino.
• Luhi nui: Luhi e nalo ʻole ana ma hope o ka hiamoe ʻana.
• Huikau: Paʻakikī i ka noʻonoʻo ʻana, ʻaʻole maopopo i ka mea e hana ai.
• Nā pilikia hoʻomanaʻo: Poina i nā mea.
• Ka huhū a i ʻole ka hoʻonāukiuki: Ke huhū nei i nā mea liʻiliʻi, ka manaʻo hoʻoluhi.
• Kaumaha: Manaʻo o ke kaumaha a me ka manaʻolana ʻole.
• ʻO ka maneʻo ma nā lehelehe, ke alelo, nā manamana lima, a me/a i ʻole nā ​​​​wāwae: Manaʻo kēia mau wahi he maneʻo, a i ʻole e like me nā ʻanuʻu e holo ana a puni.
• Ka paʻakikī o ka hanu ʻana ma muli o ka ʻūlū ʻana o nā ʻiʻo o ka puʻu (`(Laryngospasm)`): He mea weliweli iki kēia, hoʻolilo ia i mea paʻakikī ke hanu.
• ʻOʻoleʻa a me ka ʻūlū ʻana o nā ʻiʻo (`(Tetany)`): He ʻano e ʻoʻoleʻa ai a ʻūlū ʻia nā ʻiʻo o ke kino.
• Nā hopu ʻana: He hōʻailona koʻikoʻi nō hoʻi kēia.

Me kēia mau hōʻailona, ​​e like me ka mea i ʻōlelo ʻia ma mua, hiki ke loaʻa nā pae haʻahaʻa o ka magnesium a me ka phosphorus i loko o ke koko (`(Hypomagnesemia)` a me `(Hypophosphatemia)`). Ua like loa nā hōʻailona o kēia mau kūlana me nā hōʻailona o ka calcium haʻahaʻa. Hiki iā lākou ke hana i nā pilikia ʻiʻo, nā hopu ʻana, a me nā puʻuwai puʻuwai kūpono ʻole (`(Arrhythmia)`).

ʻO ka maʻamau, ʻike ʻia ka hungry bone syndrome i loko o 18 mau hola o ke ʻoki parathyroid a i ʻole ke ʻoki thyroid .

No ke aha e kū mai ai kēia 'Hungry Bone Syndrome'?

Aia kekahi mau kumu nui o ka 'Hungry Bone Syndrome':

• Ma hope o ke ʻoki parathyroid (Parathyroidectomy) no ka hyperparathyroidism mua a lua paha.
• ʻO ka Thyrotoxicosis kahi maʻi e kū mai ana ma hope o ka hana thyroidectomy holoʻokoʻa.
• Ke laha ka maʻi ʻaʻai prostate i nā iwi (metastasized).

I mea e maopopo pono ai ke kumu o kēia, he mea nui e hoʻomaopopo iki e pili ana i ke ʻano o ka hoʻoponopono ʻia ʻana o nā pae calcium i loko o ko mākou kino.

E noʻonoʻo, ma hope o kou kelepa thyroid i kou ʻāʻī, aia ʻehā mau kelepa liʻiliʻi i kapa ʻia ʻo nā kelepa parathyroid. Hoʻopuka kēia mau kelepa i kahi hormone i kapa ʻia ʻo ka hormone parathyroid (PTH) . ʻO ka hana nui o kēia hormone PTH ka hoʻomalu ʻana i ka pae o ka calcium i loko o ke koko (ʻaʻole i loko o nā iwi, akā i loko o ke koko). Kōkua pū ka PTH i ka hoʻomalu ʻana i nā pae o ka phosphorus (he mineral nō hoʻi) a me ka huaora D (he hormone nō hoʻi) i loko o ke koko a me nā iwi.

No laila, ke ʻike kou kino ua haʻahaʻa kou pae calcium i ke koko, hoʻokuʻu nā kelepa parathyroid i ka hormone PTH. Hoʻokuʻu kēia PTH i kahi liʻiliʻi o ka calcium mai nā iwi a hoʻohui iā ia i ke koko. A laila hoʻi ka pae calcium i ke koko i ka maʻamau.

I kēia manawa, e noʻonoʻo he nui nā kelepa parathyroid i hana nui ʻia e kekahi, a ua hana ʻia ke ʻoki ʻana e wehe iā lākou. ʻO ka mea e hana ʻia ana, ʻo ia ka hāʻule koke ʻana o nā pae hormone PTH kiʻekiʻe loa ma mua. I kekahi manawa, ke hana ʻia kahi ʻoki thyroid, inā ua hōʻino ʻia nā kelepa parathyroid kokoke, hiki nō hoʻi ke hāʻule nā ​​pae PTH.

Ke hāʻule koke nā pae PTH, e emi ana ka nui o ka calcium i loko o nā iwi kahiko i komo hou ʻia i loko o ke koko (`(Resorption)`), a e piʻi aʻe ka nui o ka hoʻokumu ʻia ʻana o ka iwi hou (`(Bone Formation)`). ʻO kēia ke kumu e "pōloli" ai nā iwi i ka calcium. ʻO ia ke kumu i kapa ʻia ai kēia ʻo 'hunger bone syndrome'.

ʻO kēia ka mea e hana ʻia ke laha ka maʻi ʻaʻai prostate i nā iwi. Ma laila, hoʻonui ʻia ka hana o nā pūnaewele kūkulu iwi (`(Osteoblastic activity)`), no laila pono nā iwi i ka calcium hou aku.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o ka 'Hungry Bone Syndrome'?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. E nānā kākou iā lākou:

• Nā pae kiʻekiʻe loa o ka hormone parathyroid (PTH) i loko o ke koko.
• Hoʻonui ʻia ka nui o ka alkaline phosphatase i loko o ke koko.
• ʻO ka maʻamau, haʻahaʻa ka nui o ka calcium i loko o ke koko.
• Loaʻa ka nele o ka wikamina D.
• Ke hana nei i nā ʻokiʻoki thyroid a me parathyroid i ka manawa like.
• Hoʻonui ʻia ka nui o ka naikokene urea koko (BUN).
• ʻO ka momona, ʻo ia hoʻi, ka momona nui loa.
• Wehe ʻana i kahi kelepa parathyroid i ʻoi aku ka nui ma mua o ka maʻamau.
• Ka laha ʻana o nā hunaola kanesa i nā iwi (Nā tumo metastatic o nā iwi).
• ʻO ka loaʻa ʻana o nā maʻi e pili ana i ka iwi e like me nā ʻōpū ʻeleʻele a me ka osteitis fibrosa cystica.

ʻOi aku ka nui o ka poʻe me kēia mau kumu pilikia e loaʻa i ka 'hurry bone syndrome'.

Pehea e ʻike ai nā kauka i kēia?

E hoʻoholo mua ke kauka inā loaʻa iā ʻoe ka 'hurry bone syndrome' ma ka hana ʻana i kahi hoʻāʻo koko calcium. Ma ke ʻano laulā, inā ʻoi aku ka nui o ka calcium o kou koko ma lalo o 8.4 mg/dL no nā lā ʻehā a ʻoi, ua manaʻo ʻia he kumu pilikia no ka 'hurry bone syndrome'.

ʻAʻole wale kēlā, akā hiki i kāu kauka ke hana i kekahi mau hoʻokolohua ʻē aʻe e ʻike ai inā ua hoʻopilikia kēia ʻano i nā ʻano ʻē aʻe o kou olakino:

• Nā hoʻāʻo koko ʻē aʻe: Hiki ke hoʻāʻo ʻia kou koko no ka magnesium, phosphorus, parathyroid hormone (PTH), a me/a i ʻole nā ​​​​pae huaora D.
• EKG (Electrocardiogram): Ke ana kēia hoʻāʻo i ke kuʻina o kou puʻuwai ma ke kau ʻana i nā electrodes i kou umauma. He mea nui kēia no ka mea hiki i ka calcium koko haʻahaʻa (hypocalcemia) a me ka 'hungry bone syndrome' ke hana i nā puʻuwai puʻuwai kūpono ʻole.
• Nā hoʻokolohua kiʻi iwi: Hiki i kēia mau hoʻokolohua ke nānā i nā pilikia me kou mau iwi, e like me nā haki, nā deformities, a i ʻole nā ​​​​​​puʻupuʻu.

He aha nā lāʻau lapaʻau no ka 'Hungry Bone Syndrome'?

Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ka hoʻihoʻi ʻana i ka pae calcium i loko o kou koko i kahi pae olakino. I ka hapanui o nā hihia, e loaʻa iā ʻoe kēia lāʻau lapaʻau i kou wā ma ka haukapila. Hiki i ka lāʻau lapaʻau ke komo pū me:

• ʻO ka hāʻawi ʻana i ka calcium ma o kahi aʻa koko (`(IV Calcium - Calcium Gluconate)`): Kōkua kēia i ka hoʻihoʻi koke ʻana i nā pae calcium.
• Nā Mea Hoʻohui Kalikuma Waha (Calcium Citrate a i ʻole Calcium Carbonate): Hāʻawi ʻia kēia mau mea no ka mālama ʻana i nā pae kalikuma.
• Nā Mea Hoʻohui Vitamin D Waha: He mea nui ka Vitamin D no ke kino e omo i ka calcium.
• Hoʻololi i ka magnesium: Inā haʻahaʻa nā pae magnesium, pono e hoʻoponopono ʻia kēlā.

E nānā nā kauka i kou kūlana a hoʻoholo i ka lāʻau lapaʻau kūpono loa nāu.

Pehea ka lōʻihi e ola ai mai kēia maʻi? He aha ka wā e hiki mai ana?

ʻO ka nūhou maikaʻi, ʻaneʻane hiki ke ho'ōla loa ʻia kēia maʻi, ʻo 'Hungry Bone Syndrome'. ʻO ia hoʻi, maikaʻi loa ka wānana.

Eia nō naʻe, me ka mālama ʻia ʻana, hiki ke ʻokoʻa ka manawa e pono ai no kēia maʻi e hoʻoponopono piha. E hoʻomaikaʻi kekahi poʻe i loko o kekahi mau lā, aʻo kekahi e hala paha i kekahi mau mahina. I nā hihia kakaikahi loa, hiki ke mau a hiki i hoʻokahi makahiki.

ʻO ka mea nui loa, inā ʻaʻole mālama ʻia, hiki i ka hypocalcemia koʻikoʻi ke alakaʻi i nā pilikia e hoʻoweliweli i ke ola e like me nā hopu ʻana. No laila, he mea nui e ʻimi i ka lāʻau lapaʻau i ka wā hikiwawe inā loaʻa nā hōʻailona.

Hiki ke pale ʻia ka 'Hungry Bone Syndrome'?

ʻOiai hiki ke loaʻa ka 'pōloli iwi syndrome' ma hope o ke ʻoki parathyroid (`(Parathyroidectomy)`) a i ʻole ke ʻoki thyroid (`(Thyroidectomy)`), hoʻāʻo nā kauka e hana i nā hana e pale aku ai ma mua o ke ʻoki ʻana. E nānā kākou i ke ʻano o lākou:

• Loiloi ma mua o ke ʻoki kino: Ma mua o ke ʻoki kino , e nānā kāu kauka i kou nui o ka mineral iwi, nā pae calcium koko, nā pae phosphate, nā pae PTH, a me nā pae wikamina D. Hiki i kēia mau hoʻāʻo ke kōkua i kāu kauka e hoʻoholo inā he pilikia ʻoe no ka hoʻomohala ʻana i ka 'pōloli iwi syndrome'.
• Nā hana pale:Inā ʻoe i ka pilikia nui o ka loaʻa ʻana o ka 'hurry bone syndrome', hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i nā mea hoʻohui a i ʻole nā ​​​​lāʻau lapaʻau e mālama i kāu mau pae wikamina D a me ka calcium ma mua o ke ʻoki ʻana. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka likelika a/a i ʻole ke koʻikoʻi o ka 'hurry bone syndrome'.
• Ka nānā ʻana ma hope o ke ʻoki kino: Ma hope o ke ʻoki kino, e nānā mau ke kime haukapila i kou mau pae koko o ka calcium, phosphate, magnesium, a me PTH. ʻO kēia i mea e loaʻa ai iā ʻoe ka 'phourly bone syndrome', hiki ke ʻike mua ʻia a hiki ke hoʻomaka koke ʻia ka lāʻau lapaʻau.

Eia nō naʻe, me kēia mau ana āpau, i kekahi manawa hiki ke ulu aʻe ka 'phourly bone syndrome'. ʻAʻole maopopo i nā kānaka noiʻi ke kumu o kēia.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā ua loaʻa iā ʻoe kahi ʻoki parathyroid a i ʻole ka thyroid a ma hope e loaʻa nā hōʻailona o ka calcium koko haʻahaʻa (`(Hypocalcemia)`) a mākou i kūkākūkā ai ma mua, e like me ke ʻeha ʻana o nā ʻiʻo, ka manaʻo o ka nāwaliwali, nā loli o ka ʻike (e like me ka huikau), a me ka mae ʻana o nā lehelehe a me nā manamana lima, pono ʻoe e ʻike koke i ke kauka.** Hiki ke loaʻa ka 'Hungry bone syndrome' a me ka `(Hypocalcemia)` ma hope o ke ʻoki parathyroid a/a i ʻole ka thyroid, hiki ke emi ma hope o kekahi mau lā, a laila e ʻike hou ʻia. No laila, he mea nui loa ia e hoʻolohe i ka hōʻailona liʻiliʻi loa.

ʻO ka 'Hungry bone syndrome' kahi maʻi e hiki ke hana ma hope o ke ʻoki ʻana e wehe i nā kelepa parathyroid a i ʻole thyroid. ʻO ka nūhou maikaʻi, hiki ke mālama ʻia a ho'ōla ʻia. Eia nō naʻe, hiki ke lōʻihi ka manawa e hoʻōla piha ai. ʻOiai ʻo ka emi nui ʻana o nā pae calcium koko hiki ke hoʻoweliweli i kou olakino, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona.

E lawe i ka leka i ka home

No laila, ma nā huaʻōlelo maʻalahi, ʻo ka 'Hungry Bone Syndrome' kahi maʻi e hiki ke hana ma hope o ke ʻoki ʻana ma ka parathyroid a i ʻole ka thyroid gland. ʻO ka mea nui e hana ai, ʻo ia ka emi koke ʻana o ka nui o ka calcium i loko o ke koko o ke kino. ʻO kēia no ka mea e emi ana ka pae o ka hormone parathyroid (`(PTH)`) ma hope o ke ʻoki ʻana, e koi ana i nā iwi e "koi" i ka calcium.

Mai makaʻu i ka lohe ʻana i kēia, no ka mea, ʻo ka 'Hungry Bone Syndrome' kahi maʻi e hiki ke mālama ʻia a ho'ōla maikaʻi loa ʻia.

ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona (e like me ka ʻūlū ʻana o nā ʻiʻo, ka luhi, ka mae ʻana o ka ʻōpū), mai hoʻonele i ka manawa a e ʻike koke i ke kauka. Ma kēia ʻano, hiki iā ʻoe ke ʻike mua i ke kūlana, hoʻomaka koke i ka lāʻau lapaʻau e pono ai, a hoʻōla iā ia ma mua o ka lilo ʻana i pilikia nui aʻe. E hoʻomanaʻo, aia kou mālama ʻana i kou olakino ma kou mau lima ponoʻī.

`ʻO ka maʻi iwi pōloli, ka maʻi iwi pōloli, Calcium, Hypocalcemia, Parathyroid, ʻoki kino Thyroid, PTH