Ua ʻike mākou a pau i ke koʻikoʻi o ka calcium no ko mākou kino, ʻoiai ko mākou mau iwi a me nā niho. Akā, ua ʻike anei ʻoe e pili ana i ka 'luna' liʻiliʻi i loko o ko mākou kino e hoʻomalu pono ana i ka nui o ka calcium i loko o ko mākou koko? ʻO kēlā ʻāpana liʻiliʻi, akā ikaika loa, ua kapa ʻia ʻo nā kelepa parathyroid. Ke kamaʻilio nei mākou e pili ana i kēia mau kāne liʻiliʻi i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia mau kelepa parathyroid?
E noʻonoʻo, ua lohe ʻoe i ke ʻano o ka ʻōpū thyroid i loko o kou ʻāʻī. Ma hope o ke ʻōpū thyroid, i loko pono, he ʻehā mau ʻōpū liʻiliʻi e like me ka nui o nā pī ʻehā . He ʻāpana kēia o ka ʻōnaehana endocrine o ko kākou kino.
ʻO ka maʻamau, loaʻa i kēlā me kēia kanaka ʻehā o kēia mau kelepa. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i ka emi a ʻoi aku paha ma mua o ʻehā. He mea maʻamau kēlā.
He aha ka mea e hana maoli ana i kēia mau kelepaʻi liʻiliʻi?
Hoʻokahi wale nō hana a kēia mau kelepa parathyroid, akā he mea nui loa ia. ʻO ia ka hana ʻana a me ka hoʻokuʻu ʻana i ka hormone parathyroid hormone, a i ʻole (PTH) no ka pōkole, i loko o ke kino.
ʻO kēia hormone (PTH) ka mea e mālama ai i ka pae calcium i loko o ko kākou koko ma ka pae kūpono. E like me ka thermostat i loko o ka AC o ka hale. Ke piʻi ka mahana, hoʻohaʻahaʻa ia, a i ka wā e hāʻule ai, hoʻonui ia. Ke emi ka pae calcium i loko o ke koko, hoʻokuʻu ʻia ka hormone (PTH) a hoʻonui iā ia. Ke piʻi ka pae calcium, emi ka hoʻokuʻu ʻana o (PTH).
No ke aha he mea nui kēia pae calcium koko?
99% o ka nui o ka calcium i loko o ko kākou kino aia i loko o ko kākou mau iwi a me nā niho. ʻO ke koena 1% aia i loko o ko kākou koko. Hana kēlā nui liʻiliʻi i kēia mau mea a pau:
- Ka hana o ka ʻōnaehana nerve: He mea nui ka calcium no ka hoʻouna ʻana i nā leka ma o ko mākou mau aʻalolo.
- ʻUmiʻumi ʻiʻo: Hoʻoneʻe mākou i ko mākou mau lālā, hele mākou, pono kēia mau mea āpau i ka ʻumiʻumi ʻiʻo. Pono kēlā i ka calcium.
- Ke kāpili ʻana o ke koko: Ke ʻeha ʻoe, pono e kāpili ʻia kou koko e hoʻōki i ke kahe ʻana o ke koko. Kōkua pū ka calcium i kēlā kaʻina hana.
- No ka hana a ka puʻuwai: He mea nui loa ka nui o ka calcium i loko o ke koko no ka paʻi pono ʻana o ko kākou puʻuwai.
E hoʻomanaʻo, he mea nui nō hoʻi ka wikamina D no ko kākou kino e omo i ka calcium. No laila, hāʻawi pū ka wikamina D i ke kākoʻo nui no ka hana ʻana o nā kelepa parathyroid.
Nā maʻi nui e pili ana i nā kelepa parathyroid
Aia nā pilikia me ka hana o kēia mau kelepa, ʻo ka nui a me ka hemahema. Ke kamaʻilio nui nei mākou e pili ana i ʻelua mau kūlana olakino.
1. Hyperparathyroidism - ka hana nui ʻana o ka hormone
Hana ʻia kēia ke hana nui ʻia kekahi a ʻoi aku paha o nā kelepa parathyroid a hana i ka nui o ka hormone parathyroid (PTH). ʻO kēia ke kumu o ka piʻi ʻana o ka pae calcium i loko o ke koko i kahi kiʻekiʻe weliweli. Kāhea mākou i kēia he hypercalcemia .
Aia paha kekahi mau kumu no kēia:
- ʻO ka Hyperparathyroidism Mua: I kēia hihia, aia ka pilikia i loko o nā glands ponoʻī. ʻO ke kumu maʻamau he puʻupuʻu ʻaʻole kanesa i kapa ʻia ʻo ka parathyroid adenoma i loko o kekahi o nā glands. He mea kākaʻikahi loa, hiki ke hana ʻia kēia kūlana e ka maʻi kanesa parathyroid. Akā he mea kākaʻikahi loa ia, no laila mai hopohopo.
- ʻO ka Hyperparathyroidism Lua: Ma kēia kūlana, lilo nā glands i mea hana nui ma muli o kekahi kūlana ʻē aʻe. No ka laʻana, ʻo kekahi kanaka me ka hāʻule ʻana o ka puʻupaʻa a i ʻole ka nele o ka wikamina D, he haʻahaʻa paha ka nui o ka calcium i loko o ko lākou kino. I ka pane ʻana, hoʻomaka nā glands parathyroid e hana i nā hormones hou aʻe.
| Nā hōʻailona o ka hyperparathyroidism (hoʻonui ʻia ka calcium i loko o ke koko) | |
|---|---|
| ʻO ka mimi pinepine a me ka makewai nui | Ka luhi nui o ke kino a me ka luhi |
| ʻEha i nā iwi a me nā hono | ʻEha ke poʻo, ka luaʻi, a me ka luaʻi |
| Ka paʻa ʻana o ka ʻōpū a me ka nalowale o ka makemake | Ka poina ʻana, ke kaumaha, a me ka huhū |
| ʻEha ʻiʻo, nāwaliwali, a me nā ʻūpā | Ka pilikia o nā pōhaku puʻupaʻa |
2. Hypoparathyroidism - ʻaʻole lawa ka hormone
He ʻano kakaikahi kēia ma mua o ka mea ma mua. Hana ʻia ia ke hana ʻole nā kelepa parathyroid i ka nui o ka hormone (PTH).ʻO kēia ke kumu o ka emi ʻana o ka pae calcium i loko o ke koko i kahi haʻahaʻa loa. Kāhea mākou i kēia he hypocalcemia .
ʻO ke kumu nui o kēia kūlana, ʻo ia ka hōʻino ʻia a i ʻole ka wehe ʻia ʻana o nā kelepa parathyroid i ka wā o ke ʻoki ʻāʻī, ʻoiai hoʻi ka thyroidectomy. Eia kekahi, hiki ke hana ʻia kēia kūlana e kekahi mau kūlana genetic a me autoimmune.
| Nā hōʻailona o ka Hypoparathyroidism (ka haʻahaʻa o ka calcium koko) | |
|---|---|
| ʻO ka ʻeha ma nā lehelehe, nā manamana lima, a me nā manamana wāwae | ʻO nā ʻūpā a me nā spasms o nā ʻiʻo |
| ʻEha ʻōpū | ʻO ka noe lolo a me ka huikau |
| Nā ʻano ʻino o ka puʻuwai (Arrhythmia) | Nā kui palupalu, ka lauoho maloʻo a me ka ʻili |
| Nā Cataracts | Ka nāwaliwali o ka enamel niho i nā keiki liʻiliʻi |
Pehea lā e mālama ai i ke olakino o kēia mau ʻōpū?
Aia nā kelepa parathyroid i loko o ka ʻāʻī a ua pale maikaʻi ʻia. No laila, ʻaʻole lākou e hōʻino maʻalahi ʻia e nā pōʻino o waho. Akā aia kekahi mau mea hiki iā mākou ke hana e kōkua i kēia mau kelepa e hana pono i kā lākou hana.
- E kiʻi i ka lawa o ka wikamina D: He mea nui loa ka wikamina D no ka mālama ʻana i nā pae calcium koko paʻa. Ma ko mākou ʻāina, loaʻa iā mākou ka nui o ka wikamina D mai ka lā. He mea maikaʻi loa ke kau ʻia i ka lā no kekahi manawa pōkole i ke kakahiaka. E kamaʻilio me kāu kauka a hoʻoholo inā pono ʻoe i kahi mea hoʻohui wikamina D.
- E hoʻohui i ka nui o ka calcium i kāu meaʻai:He mea nui loa ka ʻai ʻana i ka meaʻai kaulike. ʻO nā kumu maikaʻi o ka calcium e komo pū me ka waiū, ka yogurt, ka tīhi, nā iʻa liʻiliʻi (me ka mackerel), a me nā mea kanu ʻōmaʻomaʻo (spinach, kale). Inā he mau nīnau kāu e pili ana i kāu meaʻai, e nīnau i ke kauka.
ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna. Hiki i kahi hoʻāʻo koko maʻalahi ke ʻike maʻalahi inā he pilikia ma ka nānā ʻana i nā pae calcium a me (PTH) i loko o ke koko.
ʻOiai ʻo nā kelepa parathyroid kekahi o nā ʻōkana liʻiliʻi loa o ke kino, ua maopopo paha iā ʻoe i kēia manawa ke nui o ko lākou hopena i ka hana o ko mākou kino holoʻokoʻa. ʻO ia ke kumu he mea nui loa ka makaʻala i ko mākou kino.
Leka Lawe-Home
- ʻO nā kelepa parathyroid ʻehā mau kelepa liʻiliʻi i loko o ko mākou ʻāʻī e kaohi ana i ka pae o ka calcium i loko o ke koko.
- Inā hoʻonui a emi paha ka hormone parathyroid (PTH) i hana ʻia e kēia mau kelepa (hyperparathyroidism) a i ʻole e piʻi ana (hypoparathyroidism), hiki i nā pilikia olakino ke kū mai.
- ʻO nā hōʻailona o ke kiʻekiʻe o ka calcium koko e komo pū me ka luhi nui, ka ʻeha o ka iwi, a me ka mimi pinepine.
- ʻO ka maneʻo o nā manamana lima a me ka ʻūlū ʻana o nā ʻiʻo kekahi mau hōʻailona o ka haʻahaʻa o ka calcium i loko o ke koko.
- He mea nui ka loaʻa ʻana o ka lawa ʻana o ka wikamina D a me ka calcium no ka hana olakino o ka parathyroid.
- Inā he mau hōʻailona a kānalua paha kāu e pili ana i kēia, e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
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