E aʻo kākou e pili ana i kāu mau kelepa parathyroid. Hana maikaʻi kēia mau koa liʻiliʻi!

I kēia lā, e kamaʻilio kākou e pili ana i kekahi mau kelepa liʻiliʻi loa, akā he mea nui loa i loko o ko kākou kino. ʻAʻole paha ʻoe i lohe nui e pili ana iā lākou. Ua kapa ʻia kēia mau mea ʻo nā kelepa parathyroid. ʻOiai ua like ko lākou nui me ka pī, ua like kēia mau kelepa me nā koa e kāohi ana i nā pae calcium i loko o ko kākou kino. E nānā kākou i ko lākou ʻano, kā lākou hana, a me nā pilikia e hiki ai iā lākou ke hana.

He aha kēia mau kelepa parathyroid?

I ka ʻōlelo maʻalahi, ʻo kāu mau kelepa parathyroid he ʻehā mau kelepa endocrine liʻiliʻi, e like me ka nui o ka pī i hoʻokomo ʻia i loko o ke kua o kou kelepa thyroid ma kou ʻāʻī. Hoʻopuka kēia mau kelepa a hoʻokuʻu i kahi hormone koʻikoʻi i kapa ʻia ʻo Parathyroid Hormone (PTH) . Kōkua kēia hormone i ka hoʻomalu ʻana i ka pae o ka calcium i loko o kou koko. ʻAʻole anei he mea nui ia?

Ehia mau kelepa parathyroid i loaʻa iā mākou?

ʻEhā o kēia mau kelepa parathyroid ka hapa nui o ka poʻe. Akā, ua hōʻike kekahi mau noiʻi he emi a ʻoi aku paha ma mua o ʻehā o kekahi poʻe. ʻAʻole ia he mea nui, ʻaʻohe mea nui ka helu, inā e hana pono ana lākou.

He aha ka mea e hana maoli ai i kēia mau kelepa parathyroid?

Hoʻokahi hana nui a kāu mau kelepa parathyroid: e hana i ka hormone parathyroid (PTH) a hoʻokuʻu iā ia i loko o kou koko. Hana kēia hormone, me kekahi hormone ʻē aʻe i kapa ʻia ʻo calcitonin (i hana ʻia e ka kelepa thyroid), e kāohi pono i ka nui o ka calcium i loko o kou koko. E noʻonoʻo e pili ana iā ia, ʻo ka nui o ka calcium i loko o kou koko hiki ke hoʻopilikia, a ʻo ka liʻiliʻi loa hiki ke hoʻopilikia. No laila, pono kēia ʻōnaehana e hana pono.

No ke aha he mea nui ka calcium i ko mākou kino?

He mineral koʻikoʻi loa ka kalipuna a he mineral maʻamau i loko o ko kākou kino. 99% o ka nui o ka kalipuna i loko o kou kino e mālama ʻia ana i loko o kou mau iwi a me kou mau niho . Ke kaʻapuni nei ke koena o ka 1% i loko o ke koko. ʻOiai he liʻiliʻi kēia, he mea nui loa kēia kalipuna i loko o ke koko. Ua ʻike anei ʻoe i ke kumu?

• Pono kou mau aʻalolo e hana pono . E noʻonoʻo e pili ana i ia mea, ke makemake ʻoe e hoʻopā i kahi mea, hele kēlā leka ma o nā aʻalolo. Pono kēlā i ka calcium.
• E kōkua i kou mau ʻiʻo e ʻūlū a kōkua iā ʻoe e neʻe . Ke hāpai ʻoe i kahi lima a hele paha, hana nā ʻiʻo. He mea nui ka calcium no kēlā.
• Ke loaʻa iā ʻoe kahi ʻeha a ke kahe nei ke koko, e kōkua i ke kāpili ʻana o ke koko . A i ʻole, hiki i kahi ʻeha liʻiliʻi ke lilo i pilikia nui.
• Pono kou puʻuwai i ka calcium e hana pono ai . Pono pū ka ʻiʻo puʻuwai i ka calcium e paʻi pono ai.

E nānā i ka nui o kēia mea liʻiliʻi o ka calcium e hiki ai ke hana! Eia kekahi, he mea nui loa ka Vitamin D no ka mālama ʻana i nā pae calcium i loko o ke koko. No ka mea, pono i ko mākou kino ka vitamin D e omo i ka calcium mai ka meaʻai. Loaʻa iā mākou ka vitamin D mai ka lā, a loaʻa pū kekahi i kekahi mau meaʻai.

Aia ma hea kēia mau kelepa parathyroid?

No ka hapa nui o nā kānaka (ma kahi o 80%), aia kēia mau kelepa parathyroid ʻehā ma ke ʻano o kahi pulelehua i loko o kou ʻāʻī, i hoʻopaʻa ʻia ma hope ona. ʻO ka maʻamau, aia ʻelua mau kelepa ma nā ʻaoʻao ʻelua o nā "ʻēheu" ʻelua o ka kelepa thyroid.

Eia nō naʻe, i kekahi manawa hiki ke loaʻa kāu mau kelepa parathyroid ma kou ʻāʻī, ma ka esophagus, a i ʻole ma kou umauma (ʻoi aku ka pololei , ma ka mediastinum, ka ʻaoʻao waena o ka umauma). Kāhea nā kauka i kēia mau kelepa parathyroid 'ectopic' , ʻo ia hoʻi "ma kahi ʻē." Ma kahi o 16% o ka poʻe e loaʻa paha kēia mau kelepa 'ectopic'.

ʻAʻohe mea e hopohopo ai no ka loaʻa ʻana o nā kelepa parathyroid 'ectopic'. Eia nō naʻe, inā hoʻokahi a ʻoi aku paha o lākou e hana ana i ka nui o ka PTH, he mea paʻakikī paha i kāu kauka ke loaʻa iā lākou inā pono e wehe ʻia ma ke ʻoki ʻana.

He aha ke ʻano o nā kelepa parathyroid?

He liʻiliʻi loa kou mau kelepa parathyroid - ua like kēlā me kēia me ka nui a me ke ʻano o ka pī . Akā i kekahi poʻe, hiki i kēia mau kelepa ke lilo i mea hana nui a hoʻonui ʻia.

He aha nā kūlana e hoʻopilikia ai i nā kelepa parathyroid?

ʻElua mau kūlana nui e pili ana i nā kelepa parathyroid: hyperparathyroidism a me hypoparathyroidism . E kamaʻilio kākou e pili ana i kēlā me kēia.

He aha ka hyperparathyroidism?

Hana ʻia kēia ke hana nui ʻia kekahi a ʻoi aku paha o kāu mau kelepa parathyroid a hoʻokuʻu i ka nui o ka hormone parathyroid (PTH). ʻO kēia ke kumu o ka piʻi ʻana o ka pae calcium i loko o kou koko ma luna o ka pae maʻamau. Kāhea mākou i kēia hypercalcemia .

Aia kekahi mau ala e hiki ai i kāu mau kelepa parathyroid ke hana maoli i nā hormones hou aʻe:

• Ma ke ʻano he pane i kekahi mau maʻi.
• Inā nele ʻoe i ka Vitamin D.
• Inā loaʻa iā ʻoe nā pilikia hana puʻupaʻa, e kōkua i ka mālama ʻana i nā pae calcium koko maʻamau.

Ua kapa nā kauka i kēia kūlana he hyperparathyroidism lua . Inā hoʻomau kēia kaʻina hana no ka manawa lōʻihi, hiki iā ia ke alakaʻi i nā pilikia olakino ʻē aʻe, e like me ka nāwaliwali o ka iwi.

Ma ka ʻaoʻao ʻē aʻe, i kekahi manawa aia kahi pilikia me kāu mau kelepa parathyroid ponoʻī (kahi mea e hoʻopilikia pololei i nā kelepa ponoʻī) hiki ke hoʻolilo iā lākou i mea hana nui, e hoʻokiʻekiʻe ana i kou pae calcium koko. ʻO kēia ka mea a nā kauka e kapa nei he hyperparathyroidism mua .

ʻAʻole ʻike ka hapa nui o ka poʻe me ka hyperparathyroidism mua i nā hōʻailona no ka mea ʻike pinepine ʻia ka hypercalcemia i ka wā mua, e like me ka wā e hana ʻia ai kahi hoʻāʻo koko no kekahi kumu ʻē aʻe.

Eia nō naʻe, i nā hihia koʻikoʻi a/a i ʻole nā ​​​​​​hihia lōʻihi o ka hypercalcemia, nā hōʻailona e like me:

• Ka mimi pinepine ʻana.
• Ka makewai nui (polydipsia).
• Luhi .
• ʻEha iwi.
• Nā ʻeha poʻo.
• Ka luaʻi a me ka luaʻi.
• Ka paʻa ʻana o ka ʻōpū.
• Ka emi ʻana o ka makemake.
• Ka poina ʻana, ke kaumaha, a i ʻole ka huhū .
• ʻEhaʻeha nā ʻiʻo, nāwaliwali, ʻūmiʻi a me/a i ʻole ka naue ʻana.

He aha ka adenoma parathyroid?

He ulu ʻano maikaʻi ʻole ka adenoma parathyroid / ʻaʻole cancerous , e like me kahi puʻupuʻu liʻiliʻi, e ulu ana ma kekahi a ʻoi aku paha o kāu mau kelepa parathyroid. ʻO kēia ke kumu maʻamau o ka hyperparathyroidism mua. Mai hopohopo, ʻaʻole ia he maʻi kanesa. ʻO ka maʻamau, hoʻoponopono ʻia ka pilikia ma ka wehe ʻana i ka puʻupuʻu me ke ʻoki ʻana.

E aʻo pū kākou e pili ana i ka maʻi ʻaʻai parathyroid.

Hiki i ke kanesa parathyroid ke hana i ka hyperparathyroidism mua. Eia nō naʻe, he mea kakaikahi loa kēia . ʻO 0.005% wale nō o nā kanesa āpau ka maʻi kanesa parathyroid. Eia kekahi, ʻo kēia mau kanesa ma waena o 0.5% a me 1% o nā kūlana āpau e pili ana i nā kelepa parathyroid.

He aha ka Hypoparathyroidism?

He kūlana kākaʻikahi loa kēia. ʻO ka mea e hana ʻia ana, ʻo ia ka emi ʻana o ka nui o ka hormone parathyroid `(PTH)` i loko o kou koko. Hoʻemi kēia i ka nui o ka calcium i loko o kou koko - kapa mākou ia he hypocalcemia - a piʻi aʻe ka nui o ka phosphorus i loko o kou koko - kapa mākou ia he hyperphosphatemia .

Ma kahi o 75% o nā hihia o ka hypoparathyroidism e hana ʻia e ka hōʻino ulia pōpilikia i nā kelepa parathyroid i ka wā o ke ʻoki ʻāʻī a i ʻole ke ʻoki thyroid . Eia kekahi, hiki ke hana ʻia e kekahi mau kūlana genetic a me autoimmune.

Inā ʻaʻole ke kumu he ʻoki kino, ulu mālie pinepine ka hypoparathyroidism, no laila he akahai paha nā hōʻailona. Hiki i nā hōʻailona ke komo pū me:

• Ke ʻūlū ma nā lehelehe, nā manamana lima, a me nā manamana wāwae .
• ʻŌpū ʻiʻo.
• Nā ʻūmiʻi ʻiʻo.
• ʻEha ʻōpū.
• "Noe lolo" a i ʻole ka huikau.
• ʻAno ʻē ka ʻōlinolino o ka puʻuwai / arrhythmia.
• Nā kui palupalu.
• Lauoho maloʻo a me ka ʻili maloʻo a unahi.
• Nā katarata.
• Hoʻonāwaliwali ʻia ka enamel niho (i nā keiki).

He aha kaʻu e hana ai e mālama i ke olakino o koʻu mau kelepa parathyroid?

Ma muli o ka pale maikaʻi ʻia o kāu mau kelepa parathyroid ma hope o kou kelepa thyroid, ʻaʻole lākou e hōʻino maʻalahi ʻia. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e mālama i ke olakino o kēia mau kelepa. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i kāu mau kelepa parathyroid e mālama i kāu mau pae calcium koko i kahi pae olakino:

• E hōʻoia i ka loaʻa ʻana o ka nui o ka wikamina D: He mea nui ka wikamina D no ka mālama ʻana i nā pae calcium koko paʻa. E nīnau i kāu kauka inā pono ʻoe e lawe i kahi mea hoʻohui wikamina D. Hiki ke loaʻa pinepine kēia ma ka hoʻolilo ʻana i kekahi manawa i ka lā i ke ao.
• E hōʻoia i ka loaʻa ʻana o ka calcium lawa i kāu meaʻai: ʻO ka nele o ka calcium i loko o kou kino e hiki ke kōkua i nā pilikia calcium koko. ʻO nā kumu maikaʻi o ka calcium e komo pū me ka waiū, ka yogurt, ka tīhi, nā mea kanu ʻōmaʻomaʻo, a me nā iʻa liʻiliʻi (ʻai ʻia me nā iwi). Inā ʻaʻole ʻoe maopopo inā loaʻa iā ʻoe ka calcium lawa i kāu meaʻai i kēlā me kēia lā, e kamaʻilio me kāu kauka a i ʻole kahi meaʻai meaʻai i kākau inoa ʻia.

E hoʻomanaʻo, he mau ʻōlelo aʻoaʻo wale nō kēia. Inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​​​pono ʻoe e ʻimi i ke aʻo lapaʻau. Mai hoʻōla ponoʻī.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He liʻiliʻi kou mau kelepa parathyroid, akā he mau kelepa ikaika e pono ai no ka mālama ʻana i kou pae calcium koko i paʻa. ʻAʻole noʻonoʻo ka hapa nui o ka poʻe iā lākou - a lohe paha e pili ana iā lākou - a hiki i ka wā e hewa ai kekahi mea. Inā loaʻa iā ʻoe nā hōʻailona o nā pae calcium koko kiʻekiʻe (hypercalcemia) a i ʻole nā ​​​​pae calcium koko haʻahaʻa (hypocalcemia), e haʻi koke i kāu kauka . Hiki iā lākou ke hana i nā hoʻokolohua koko maʻalahi e ʻike i ke kumu a kuhikuhi i ka lāʻau e pono ai.

He mea nui loa ka ʻike ʻana i kēia mau kelepa liʻiliʻi no kou olakino holoʻokoʻa. No ka mea, he nui loa ka lawelawe a lākou e hana mālie nei! E noho olakino!

Nā kelepa parathyroid, calcium, hormone parathyroid, hyperparathyroidism, hypoparathyroidism, wikamina D, hormones