Ua kiʻekiʻe anei kou pae calcium? E kamaʻilio kākou e pili ana i ka Hyperparathyroidism ma nā huaʻōlelo maʻalahi

Ke manaʻo pinepine nei ʻoe he nāwaliwali, ʻeha ka iwi, a i ʻole he nalowale ka hoʻomanaʻo? ʻOiai paha mākou e manaʻo he mau mea maʻamau kēia, aia paha he kumu lapaʻau ma hope o kēia. ʻO ia hoʻi, ua kiʻekiʻe ka pae o ka calcium i loko o ke koko. ʻO ke kumu nui o kēia he ʻano i kapa ʻia ʻo Hyperparathyroidism. ʻOiai paha he paʻakikī iki ka inoa, mai makaʻu. E kamaʻilio maʻalahi kākou e pili ana.

He aha maoli ka hyperparathyroidism?

I ka ʻōlelo maʻalahi, ʻo ka Hyperparathyroidism ka wā e hana nui ai kekahi a ʻoi aku paha o nā kelepa parathyroid i loko o ko mākou kino a hana i ka nui o ka hormone parathyroid (PTH).

E noʻonoʻo, ma ko kākou ʻāʻī, ma hope o ke kelepa thyroid, aia ʻehā mau kelepa liʻiliʻi e like me ka nui o ka pī. ʻO kēia nā mea a kākou e kapa nei he mau kelepa parathyroid. ʻO kā lākou hana nui ka mālama ʻana i ka pae calcium i loko o ko kākou koko ma kahi pae. Hoʻemi pū lākou i ka pae phosphate i loko o ke koko.

Hoʻopuka kēia mau kelepa i ka hormone PTH a hoʻouna i kekahi mau hōʻailona i ko mākou kino:

• Ko kākou mau iwi: Ke haʻi aku nei ke koko iā lākou e hoʻokuʻu i ka calcium a me ka phosphate.
• ʻO ko kākou mau puʻupaʻa: Ua ʻōlelo ʻia iā lākou e hōʻemi i ka nui o ka calcium i hoʻokuʻu ʻia i loko o ka mimi a hoʻihoʻi hou iā ia i loko o ke kino. Ua ʻōlelo ʻia hoʻi iā lākou e hoʻokuʻu i ka phosphate keu i loko o ka mimi.

A laila, hoʻāla nā puʻupaʻa i ka wikamina D a hoʻouna iā ia i ko kākou ʻōpū. A laila omo nā ʻōpū i ka calcium mai ka meaʻai a kākou e ʻai ai.

Eia nō naʻe, ke hana nui kēia mau kelepa parathyroid i ka hormone PTH, hoʻokuʻu ʻia ka nui o ka calcium mai ko mākou mau iwi, e hoʻonāwaliwali a palupalu hoʻi. Eia kekahi, hiki ke waiho ʻia kēia calcium keu i loko o ko mākou mau puʻupaʻa, nā kīʻaha koko, ka puʻuwai, a me nā ʻāpana ʻē aʻe o ke kino. ʻO kēia hoʻonui ʻana o nā pae calcium koko ua kapa ʻia ʻo hypercalcemia .

Aia kekahi mau ʻano like ʻole o kēia?

ʻAe, ʻekolu mau ʻano nui o ka Hyperparathyroidism. Ua hoʻokaʻawale ʻia lākou e like me ke ʻano o ko lākou hanana ʻana. E nānā kākou i kēia mau mea.

He aha nā hōʻailona o kēia?

I nā manawa he nui, ʻaʻohe hōʻailona o ka poʻe me kēia maʻi. ʻIke pinepine ʻia ia i ka wā o ka hoʻāʻo koko no kekahi maʻi ʻē aʻe. Eia nō naʻe, i ka wā e kiʻekiʻe loa ai nā pae calcium koko, nā hōʻailona e like me:

• ʻEha i nā iwi a me nā hono
• Nāwaliwali o nā ʻiʻo
• Ka luhi mau a me ka luhi
• ʻAno kaumaha
• Ka paʻakikī e hoʻolohe i kekahi mea
• Makemake nui
• Ka luaʻi a me ka luaʻi
• Poho a poina paha ka hoʻomanaʻo
• Manaʻo nui i ka make wai ma mua o ka maʻamau a pono e mimi pinepine
• Ka paʻa ʻana o ka ʻōpū

Nā pilikia a me nā pilikia kūpono o kēia maʻi

ʻO ke kiʻekiʻe o ka calcium koko i kahi manawa lōʻihi hiki ke hana i nā pilikia like ʻole.

• Nā pōhaku puʻupaʻa: Hiki i nā waihona calcium i loko o nā puʻupaʻa ke hana i nā pōhaku puʻupaʻa.
• Osteoporosis: Lilo nā iwi i nāwaliwali a haki maʻalahi i ka nalowale ʻana o ka calcium mai nā iwi.
• Maʻi puʻuwai: ʻO nā waihona calcium i loko o nā kīʻaha koko a me ka puʻuwai e hoʻonui i ka pilikia o nā kūlana e like me ke koko kiʻekiʻe, ka hōʻeha puʻuwai, a i ʻole ka hahau.
• Nā pilikia ʻili: Hiki i nā waihona calcium ma ka ʻili ke hana i nā ʻeha a me nā maʻi.

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi. ʻO ka mea nui o kēia mau mea, ʻo ia ka loaʻa ʻana o ka lāʻau radiation ma ka ʻāʻī, ka nele o ka calcium a i ʻole ka wikamina D, ka maʻi puʻupaʻa, a me ka wahine.

Pehea e ʻike ai i kēia maʻi?

Inā kānalua kāu kauka i kēia maʻi, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ia mea.

• Nā hoʻāʻo koko: Ke ana kēia i nā pae o ka calcium, ka hormone parathyroid (PTH), ka huaora D, a me ka phosphate i loko o kou koko.
• Hoʻāʻo mimi 24-hola: Hoʻohana ʻia kahi hāpana mimi i hōʻiliʻili ʻia i loko o hoʻokahi lā e hoʻāʻo ai i ka nui o ka calcium i loko o ka mimi.
• ʻO ke scan parathyroid: Hiki i kēia scan ke hoʻoholo pololei i kahi o nā kelepa ʻehā i hana nui ʻia.
• ʻO nā scan ʻē aʻe: Hiki ke hana ʻia kahi scan ultrasound o nā puʻupaʻa a i ʻole kahi scan density iwi.

Pehea e mālama ʻia ai?

Hoʻoholo ʻia nā ʻano lapaʻau ma ke ʻano mua a lua paha kou ʻano a me ke koʻikoʻi o ka maʻi.

Lapaʻau no ka Hyperparathyroidism mua

• ʻO ke ʻoki kino: ʻO ka lāʻau lapaʻau maikaʻi loa a mau loa no kēia, ʻo ia ka wehe ʻana i ke kelepa pilikia a i ʻole nā ​​kelepa. Ua kapa ʻia kēia ʻoki kino he parathyroidectomy . ʻOi aku ka nui o ka manaʻo o kāu kauka e ʻōlelo i ke ʻoki kino, ʻoiai inā ʻoe ma lalo o 50, loaʻa nā hōʻailona koʻikoʻi, a loaʻa paha nā pōhaku puʻupaʻa a i ʻole osteoporosis.
• Nā lāʻau lapaʻau: I nā hihia kahi i pono ʻole ai ke ʻoki ʻana a i ʻole hiki ʻole ke hana ʻia, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau.
• Nā Bisphosphonates: Pale kēia i ka hoʻokuʻu ʻia ʻana o ka calcium mai nā iwi.
• Calcimimetics: Hoʻopunipuni kēia mau lāʻau lapaʻau i nā kelepa parathyroid i mea e hōʻemi ai i ka hana ʻana o ka hormone PTH.
• Nā loli o ke ʻano o ka nohona: Hiki i kekahi mau lāʻau lapaʻau (e laʻa, nā diuretics Thiazide, Lithium) ke hoʻonui i nā pae calcium. No laila, pono paha ʻoe e pale iā lākou e like me ka ʻōlelo a kāu kauka.

Lapaʻau no ka Hyperparathyroidism Lua

ʻO ka mea nui ma kēia ʻano, ʻo ia ke mālama i ke kumu o kēia maʻi.

• Inā loaʻa iā ʻoe ka maʻi puʻupaʻa mau loa, pono paha ʻoe i ka dialysis a i ʻole ka hoʻoili ʻana i ka puʻupaʻa .
• Hiki ke aʻo ʻia e hoʻololi i ka ʻai, ʻoiai ke kaupalena ʻana i nā meaʻai kiʻekiʻe i ka phosphorus.
• Nā mea hoʻopaʻa phosphateHiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me nā mea hoʻopaʻa phosphatidylcholinesterase (nā lāʻau lapaʻau e hōʻemi i ka phosphate i loko o ke koko), nā mea hoʻopihapiha wikamina D, a me nā calcimimetics .

Inā ʻaʻole hiki i kēia mau lāʻau lapaʻau ke kaohi i ke kūlana, hiki ke ʻōlelo ʻia e wehe ʻokiʻoki i nā kelepa.

Nā mea e noʻonoʻo ai i ka wā e noho ai me kēia maʻi

Inā loaʻa iā ʻoe ka hyperparathyroidism, hiki i kēia mau mea ke kōkua iā ʻoe e noho olakino:

• E inu i ka wai nui: He mea maikaʻi ka mālama ʻana i ke kino i ka wai no nā puʻupaʻa.
• E noho hana: Hiki i ka hoʻoikaika kino ke hoʻoikaika i kou mau iwi.
• E makaʻala i kāu meaʻai: Inā ʻōlelo aku kāu kauka iā ʻoe e hōʻemi i kāu lawe ʻana i ka phosphorus, e pale i nā meaʻai e pau i ka "-phos" (e.g., calcium phosphate) ma nā ʻeke meaʻai.
• E pili ana i ka Wikamina D: Hiki ke aʻo ʻia ka poʻe nele i ka Wikamina D e lawe i nā mea hoʻohui. Eia nō naʻe, mai lawe i kekahi wikamina a mea hoʻohui paha me ka ʻole o ke kūkākūkā ʻana me kāu kauka.

E nānā kāu kauka i kou pae calcium koko, ke koko, ka hana o nā puʻupaʻa, a me ka nui o ka iwi i nā manawa maʻamau (hiki paha i hoʻokahi a ʻelua paha i ka makahiki).