Koj puas muaj teeb meem nrog cov calcium qis tom qab phais? Tej zaum nws yog 'Hungry Bone Syndrome'!

Raws li koj paub, tom qab qee qhov kev phais, tshwj xeeb tshaj yog cov uas tshem tawm cov qog thyroid hauv caj dab lossis cov qog parathyroid nyob ze, lub cev tuaj yeem ntsib ob peb yam kev tsis xis nyob sib txawv. Ib txhia neeg yuav xav tias nkees heev, mob lub cev, lossis xav tias me ntsis tsis meej pem. Yog li ntawd, yog tias koj lossis ib tus neeg koj paub tab tom ntsib qee yam zoo li no, nws yuav yog vim muaj tus mob uas peb yuav tham txog hnub no hu ua 'Hungry Bone Syndrome'. Lub npe suab me ntsis txawv, puas yog? Tej zaum koj yuav xav tias, "Nws txhais li cas kom muaj pob txha tshaib plab?" Cia peb saib seb nws yog dab tsi, hauv cov lus yooj yim.

'Tshuaj Mob Pob Txha Nqhis' yog dab tsi?

Hais yooj yim xwb, Hungry Bone Syndrome yog ib qho mob uas koj cov calcium hauv cov ntshav poob qis dhau. Cov kws kho mob hu qhov no tias "Hypocalcemia". Qhov mob no feem ntau pom tom qab phais cov qog parathyroid. Koj puas paub tias cov qog parathyroid tseem ceeb heev rau kev tswj cov calcium hauv peb lub cev?

Cov neeg uas muaj tus kab mob 'tshaib plab pob txha' no tsis yog tsuas yog muaj cov calcium tsawg xwb, tab sis qee zaum kuj muaj cov magnesium ('(Hypomagnesemia)') thiab phosphorus ('(Hypophosphatemia)') tsawg hauv lawv cov ntshav. Cov no kuj yog cov zaub mov tseem ceeb uas peb lub cev xav tau.

Tiamsis tsis muaj dab tsi yuav txhawj txog. 'Kab Mob Pob Txha Nqhis' yog ib yam mob uas kho tau thiab kho tau . Qhov tseem ceeb tshaj plaws yog kom paub txog nws raws sijhawm thiab pib kho.

Tus mob no feem ntau tshwm sim li cas?

Cov kws tshawb nrhiav tsis muaj lub tswv yim tseeb txog qhov 'mob pob txha tshaib plab' no feem ntau npaum li cas, vim nws tuaj yeem txawv ntawm ib tus neeg mus rau ib tus neeg.

Txawm li cas los xij, qee qhov kev tshawb fawb tau qhia tias ntawm 4 thiab 13 ntawm 100 tus neeg uas tau phais parathyroidectomy rau tus mob hu ua thawj hyperparathyroidism muaj tus mob no. Tsis tas li ntawd, qee qhov kev tshaj tawm hais tias tom qab phais rau tus mob thib ob thiab thib peb hyperparathyroidism, qhov muaj feem yuav muaj tus mob no ntau txog li 20 txog 70 ntawm 100. Yog li, nws zoo li qhov no tuaj yeem tshwm sim ntau dua hauv qee kis.

Cov tsos mob ntawm 'Hungry Bone Syndrome' yog dab tsi?

Cov tsos mob ntawm 'Hungry Bone Syndrome' zoo ib yam li cov uas tshwm sim los ntawm cov calcium hauv cov ntshav qis (Hypocalcemia). Cov no tuaj yeem me me li ib lub pob me me rau qee tus neeg, mus txog rau qhov hnyav li kev tsis meej pem lossis qaug dab peg rau lwm tus. Nov yog qee cov tsos mob:

• Dov los yog rub cov nqaij: Ib qho kev xav zoo li cov nqaij ntawm ob txhais ceg lossis caj npab tsuas yog dov xwb.
• Cov leeg tsis muaj zog: Xav tias tsis muaj sia nyob thiab nkees dhau ua tsis tau dab tsi.
• Mob pob txha: Zoo li cov pob txha hauv lub cev mob.
• Qaug zog heev: Qaug zog uas tsis ploj mus txawm tias tom qab pw tsaug zog lawm los xij.
• Kev tsis meej pem: Nyuaj rau kev tsom ntsoov, tsis paub yuav ua li cas.
• Teeb meem nco qab: Tsis nco qab tej yam.
• Kev chim siab lossis kev chim siab: Npau taws rau tej yam me me, tsis xis nyob.
• Kev Nyuaj Siab: Kev xav tu siab thiab tsis muaj kev cia siab.
• Kev loog ntawm daim di ncauj, tus nplaig, cov ntiv tes, thiab/lossis ko taw: Cov chaw no zoo li loog, lossis zoo li cov ntsaum khiav ib ncig.
• Ua pa nyuaj vim yog cov leeg ntawm lub caj pas ntswj (`(Laryngospasm)`): Qhov no txaus ntshai me ntsis, nws ua rau nws nyuaj rau ua pa.
• Cov leeg nqaij tawv thiab ntswj ('(Tetany)'): Ib qho mob uas cov leeg nqaij ntawm lub cev tawv thiab ntswj.
• Qaug dab peg: Qhov no kuj yog ib qho tsos mob loj heev.

Nrog rau cov tsos mob no, raws li tau hais ua ntej lawm, cov magnesium thiab phosphorus qis hauv cov ntshav (`(Hypomagnesemia)` thiab `(Hypophosphatemia)`) kuj tseem yuav tshwm sim. Cov tsos mob ntawm cov mob no zoo ib yam li cov calcium qis. Lawv kuj tseem tuaj yeem ua rau muaj teeb meem ntawm cov leeg nqaij, qaug dab peg, thiab lub plawv dhia tsis xwm yeem (`(Arrhythmia)`).

Kab mob pob txha tshaib plab feem ntau tshwm sim hauv 18 teev ntawm kev phais mob parathyroid lossis thyroid .

Vim li cas qhov 'Hungry Bone Syndrome' no thiaj tshwm sim?

Muaj ntau yam ua rau muaj 'Hungry Bone Syndrome':

• Tom qab phais mob parathyroid (Parathyroidectomy) rau thawj zaug lossis thib ob hyperparathyroidism.
• Thyrotoxicosis yog ib qho mob uas tshwm sim tom qab phais tag nrho cov thyroidectomy.
• Thaum mob qog nqaij hlav prostate kis mus rau cov pob txha (metastasized).

Yuav kom nkag siab meej tias vim li cas qhov no thiaj tshwm sim, nws yog ib qho tseem ceeb kom nkag siab me ntsis txog seb cov calcium uas tswj hwm li cas hauv peb lub cev.

Xav txog, tom qab koj lub qog thyroid hauv koj lub caj dab, muaj plaub lub qog me me hu ua cov qog parathyroid. Cov qog no tsim cov tshuaj hormones hu ua parathyroid hormone (PTH) . Lub luag haujlwm tseem ceeb ntawm cov tshuaj hormones PTH no yog tswj cov calcium hauv cov ntshav (tsis yog hauv cov pob txha, tab sis hauv cov ntshav). PTH kuj pab tswj cov phosphorus (tseem yog cov minerals) thiab vitamin D (tseem yog cov tshuaj hormones) hauv cov ntshav thiab cov pob txha.

Yog li, thaum koj lub cev hnov ​​​​​​tias koj cov calcium hauv cov ntshav qis, cov qog parathyroid tso tawm cov tshuaj hormone PTH. Cov PTH no mus thiab tso tawm me ntsis calcium los ntawm cov pob txha thiab ntxiv rau hauv cov ntshav. Tom qab ntawd cov calcium hauv cov ntshav rov qab mus rau qhov qub.

Tam sim no, xav txog tias ib tug neeg muaj cov qog parathyroid ua haujlwm ntau dhau, thiab lawv tau phais kom tshem tawm lawv. Qhov tshwm sim yog tias cov tshuaj hormone PTH uas tau siab heev uas tau ua dhau los poob qis tam sim ntawd. Qee zaum, thaum phais mob thyroid, yog tias cov qog parathyroid nyob ze raug puas tsuaj tsis raug, cov qib PTH kuj tuaj yeem poob qis.

Thaum cov theem PTH poob qis tam sim ntawd, qhov ntau ntawm cov calcium hauv cov pob txha qub uas raug nqus mus rau hauv cov ntshav (`(Resorption)`) txo qis, thiab qhov ntau ntawm cov pob txha tshiab tsim (`(Bone Formation)`) nce ntxiv. Qhov no ua rau cov pob txha "tshaib plab" ntawm calcium. Yog vim li cas qhov no thiaj hu ua 'teeb meem pob txha tshaib plab'.

Qhov no yog qhov tshwm sim thaum mob qog nqaij hlav prostate kis mus rau cov pob txha. Nyob ntawd, cov haujlwm ntawm cov hlwb tsim pob txha (`(Osteoblastic activity)`) nce ntxiv, yog li cov pob txha xav tau calcium ntau ntxiv.

Leej twg muaj feem yuav mob pob txha tshaib plab ntau dua?

Muaj ib txhia neeg yuav muaj tus mob no ntau dua. Cia peb saib seb lawv yog leej twg:

• Cov tshuaj parathyroid hormone (PTH) ntau heev hauv cov ntshav.
• Kev nce ntxiv ntawm alkaline phosphatase hauv cov ntshav.
• Cov calcium hauv cov ntshav feem ntau qis.
• Muaj qhov tsis txaus vitamin D.
• Ua cov phais mob thyroid thiab parathyroid tib lub sijhawm.
• Cov ntshav urea nitrogen (BUN) ntau ntxiv.
• Kev rog dhau heev, uas yog, rog dhau heev.
• Kev phais tshem tawm ib lub qog parathyroid uas loj dua li qub.
• Kev kis mus rau cov pob txha ntawm cov qog nqaij hlav (Metastatic tumors of the bone).
• Muaj cov kab mob ntsig txog pob txha xws li cov qog xim av thiab osteitis fibrosa cystica.

Cov neeg uas muaj cov yam ntxwv no yuav muaj feem ntau dua los mob 'tshaib plab pob txha'.

Cov kws kho mob nrhiav tau qhov no li cas?

Feem ntau tus kws kho mob yuav xub txiav txim seb koj puas muaj 'mob pob txha tshaib plab' los ntawm kev kuaj ntshav calcium. Feem ntau, yog tias koj cov calcium hauv cov ntshav qis dua 8.4 mg/dL rau ntau tshaj plaub hnub, nws suav tias yog ib qho kev pheej hmoo rau 'mob pob txha tshaib plab'.

Tsis yog li ntawd xwb, tab sis koj tus kws kho mob kuj tseem yuav ua ob peb qhov kev kuaj ntxiv kom pom tias qhov mob no puas tau cuam tshuam rau lwm yam ntawm koj txoj kev noj qab haus huv:

• Lwm yam kev kuaj ntshav: Koj cov ntshav yuav raug kuaj xyuas seb puas muaj magnesium, phosphorus, parathyroid hormone (PTH), thiab/lossis vitamin D.
• EKG (Electrocardiogram): Qhov kev kuaj no ntsuas lub plawv dhia los ntawm kev txuas cov electrodes rau ntawm koj lub hauv siab. Qhov no tseem ceeb vim tias cov calcium hauv cov ntshav qis (hypocalcemia) thiab 'teeb meem pob txha tshaib plab' tuaj yeem ua rau lub plawv dhia tsis xwm yeem.
• Kev kuaj duab pob txha: Cov kev kuaj no tuaj yeem kuaj xyuas seb puas muaj teeb meem nrog koj cov pob txha, xws li pob txha tawg, pob txha tsis zoo, lossis pob txha tawg.

Cov kev kho mob rau 'Hungry Bone Syndrome' yog dab tsi?

Tsis txhob txhawj, muaj kev kho mob zoo rau qhov no. Lub hom phiaj tseem ceeb ntawm kev kho mob yog coj cov calcium hauv koj cov ntshav rov qab mus rau qib noj qab haus huv. Feem ntau, koj yuav tau txais kev kho mob no thaum koj nyob hauv tsev kho mob. Kev kho mob tuaj yeem suav nrog:

• Muab calcium los ntawm cov leeg ntshav (`(IV Calcium - Calcium Gluconate)`): Qhov no pab kom rov qab tau cov calcium sai sai.
• Cov Tshuaj Calcium Noj (Calcium Citrate los yog Calcium Carbonate): Cov no yog muab los tswj cov calcium kom zoo.
• Cov Tshuaj Vitamin D Noj: Vitamin D yog qhov tseem ceeb rau lub cev kom nqus tau calcium.
• Kev hloov magnesium: Yog tias cov magnesium qis, qhov ntawd kuj yuav tsum tau kho.

Cov kws kho mob yuav tshuaj xyuas koj tus mob thiab txiav txim siab qhov kev kho mob zoo tshaj plaws rau koj.

Yuav siv sijhawm ntev npaum li cas los kho tus mob no? Yav tom ntej yuav zoo li cas?

Qhov xov xwm zoo yog tias tus mob no, 'Hungry Bone Syndrome', yuav luag kho tau tag nrho . Qhov ntawd txhais tau tias qhov kev kwv yees zoo heev.

Txawm li cas los xij, txawm tias tau kho mob los xij, lub sijhawm uas nws siv rau qhov mob no kom zoo tag nrho tuaj yeem sib txawv. Ib txhia neeg yuav zoo dua hauv ob peb hnub, thaum lwm tus yuav siv sijhawm ntau lub hlis. Hauv qee kis tsawg heev, nws tuaj yeem kav ntev txog ib xyoos.

Qhov tseem ceeb tshaj plaws, yog tias tsis kho, qhov mob hypocalcemia hnyav tuaj yeem ua rau muaj teeb meem txaus ntshai xws li qaug dab peg. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai li sai tau yog tias muaj cov tsos mob tshwm sim.

Puas tiv thaiv tau tus kab mob 'Hungry Bone Syndrome'?

Vim tias 'mob pob txha tshaib plab' tuaj yeem tshwm sim tom qab phais mob parathyroid ('(Parathyroidectomy)') lossis phais mob thyroid ('(Thyroidectomy)'), cov kws kho mob sim ua cov kauj ruam los tiv thaiv nws txawm tias ua ntej phais. Cia peb saib lawv yog dab tsi:

• Kev ntsuam xyuas ua ntej phais: Ua ntej phais , koj tus kws kho mob yuav kuaj xyuas koj cov pob txha ntom ntom, cov calcium hauv cov ntshav, cov phosphate, cov PTH, thiab cov vitamin D. Cov kev kuaj no tuaj yeem pab koj tus kws kho mob txiav txim siab seb koj puas muaj feem yuav mob 'mob pob txha tshaib plab'.
• Kev tiv thaiv:Yog tias koj muaj feem yuav mob pob txha tshaib plab ntau ntxiv, koj tus kws kho mob yuav pom zoo kom koj noj cov tshuaj ntxiv lossis tshuaj kom tswj tau koj cov vitamin D thiab calcium ua ntej phais. Qhov no yuav pab txo qhov tshwm sim thiab/lossis qhov hnyav ntawm 'mob pob txha tshaib plab'.
• Kev soj ntsuam tom qab phais: Tom qab phais, pab pawg neeg hauv tsev kho mob yuav tshuaj xyuas koj cov ntshav ntawm cov calcium, phosphate, magnesium, thiab PTH tsis tu ncua. Qhov no yog kom yog tias koj muaj 'mob pob txha tshaib plab', nws tuaj yeem txheeb xyuas tau thaum ntxov thiab kev kho mob tuaj yeem pib tam sim ntawd.

Txawm li cas los xij, txawm tias muaj tag nrho cov kev ntsuas no los xij, qee zaum 'mob pob txha tshaib plab' tuaj yeem tshwm sim. Cov kws tshawb fawb tseem tsis paub meej tias vim li cas qhov no tshwm sim.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj tau phais mob parathyroid lossis thyroid thiab tom qab ntawd muaj cov tsos mob ntawm cov calcium hauv cov ntshav qis ('(Hypocalcemia)') uas peb tau tham ua ntej, xws li mob nqaij ntshiv, xav tias tsis muaj zog, hloov pauv hauv kev nco qab (xws li tsis meej pem), thiab loog ntawm daim di ncauj thiab ntiv tes, koj yuav tsum mus ntsib kws kho mob sai li sai tau. ** 'Tshawb nrhiav pob txha' thiab '(Hypocalcemia)' tuaj yeem tshwm sim tom qab phais mob parathyroid thiab/lossis thyroid, tej zaum yuav ploj mus tom qab ob peb hnub, thiab tom qab ntawd rov tshwm sim dua. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas txawm tias yog cov tsos mob me me xwb los xij.

'Kab mob pob txha tshaib plab' yog ib yam mob uas tuaj yeem tshwm sim tom qab phais kom tshem tawm cov parathyroid lossis cov qog thyroid. Qhov xov xwm zoo yog tias nws tuaj yeem kho tau thiab kho tau. Txawm li cas los xij, nws yuav siv sijhawm me ntsis kom rov zoo tag nrho. Vim tias qhov poob qis ntawm cov calcium hauv cov ntshav tuaj yeem ua rau koj txoj kev noj qab haus huv txaus ntshai, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau thaum koj muaj cov tsos mob.

Nqa cov lus mus tsev

Yog li, hais yooj yim xwb, 'Hungry Bone Syndrome' yog ib yam mob uas tshwm sim tau tom qab phais mob rau lub parathyroid lossis thyroid gland. Qhov nws ua yog tias cov calcium hauv cov ntshav ntawm lub cev poob qis tam sim ntawd. Qhov no yog vim tias cov tshuaj parathyroid hormone (`(PTH)`) poob qis tom qab phais mob, ua rau cov pob txha "xav tau" calcium.

Tsis txhob ntshai hnov ​​​​​​qhov no, vim tias 'Hungry Bone Syndrome' yog ib qho mob uas tuaj yeem kho thiab kho tau zoo heev.

Qhov tseem ceeb tshaj plaws yog tias yog koj muaj cov tsos mob no (xws li cov leeg nqaij ntswj, qaug zog, tsis muaj zog), tsis txhob nkim sijhawm thiab mus ntsib kws kho mob sai li sai tau. Ua li no, koj tuaj yeem txheeb xyuas qhov mob thaum ntxov, pib kho mob sai sai, thiab kho nws ua ntej nws dhau los ua teeb meem loj dua. Nco ntsoov, kev saib xyuas koj txoj kev noj qab haus huv yog nyob rau hauv koj txhais tes.

`Kab Mob Pob Txha Qaug Zog, Kab Mob Pob Txha Qaug Zog, Calcium, Hypocalcemia, Parathyroid, Kev Phais Mob Thyroid, PTH