Koj puas feem ntau xav tias koj lub cev tsis muaj zog, mob pob txha, lossis koj lub cim xeeb tsis zoo? Txawm hais tias peb xav tias cov no yog ib yam dab tsi uas ib txwm muaj, tej zaum yuav muaj ib qho laj thawj kho mob tom qab qhov no. Yog li ntawd, qib calcium hauv cov ntshav nce siab. Qhov ua rau qhov no yog ib qho mob hu ua Hyperparathyroidism. Txawm hais tias lub npe yuav nyuaj me ntsis, tsis txhob ntshai. Cia peb tham txog nws yooj yim.
Hyperparathyroidism yog dab tsi tiag?
Hauv lwm lo lus, hyperparathyroidism yog thaum ib lossis ntau lub qog parathyroid hauv peb lub cev ua haujlwm ntau dhau thiab tsim cov tshuaj parathyroid hormone (PTH) ntau dhau.
Xav txog seb, hauv peb lub caj dab, tom qab lub qog thyroid, muaj plaub lub qog me me uas loj li taum pauv. Cov no yog cov uas peb hu ua cov qog parathyroid. Lawv txoj haujlwm tseem ceeb yog tswj cov calcium hauv peb cov ntshav kom nyob rau qee qib. Lawv kuj txo cov phosphate hauv cov ntshav.
Cov qog no tsim cov tshuaj hormone PTH thiab xa ntau lub cim rau peb lub cev:
- Peb cov pob txha: Cov ntshav qhia kom lawv tso cov calcium thiab phosphate tawm.
- Peb lub raum: Lawv raug qhia kom txo cov calcium uas tawm hauv cov zis thiab rov nqus nws rov qab rau hauv lub cev. Lawv kuj raug qhia kom tso cov phosphate ntau dhau hauv cov zis.
Tom qab ntawd, lub raum ua kom cov vitamin D ua haujlwm thiab xa mus rau peb txoj hnyuv. Cov hnyuv ces nqus cov calcium los ntawm cov khoom noj uas peb noj.
Txawm li cas los xij, thaum cov qog parathyroid no tsim cov tshuaj PTH ntau dhau, cov calcium ntau dhau yuav raug tso tawm ntawm peb cov pob txha, ua rau lawv tsis muaj zog thiab tawg yooj yim. Tsis tas li ntawd, cov calcium ntau dhau no tuaj yeem tso rau hauv peb lub raum, cov hlab ntsha, lub plawv, thiab lwm qhov ntawm lub cev. Qhov kev nce ntxiv ntawm cov calcium hauv cov ntshav no hu ua hypercalcemia .
Puas muaj ntau hom sib txawv ntawm qhov no?
Yog, muaj peb hom mob Hyperparathyroidism tseem ceeb. Lawv raug faib ua pawg raws li lawv tshwm sim li cas. Cia peb saib seb cov no yog dab tsi.
| Hom mob hyperparathyroidism | Hauv lus yooj yim, qhov laj thawj |
|---|---|
| Kev mob hyperparathyroidism thawj zaug | Qhov no yog ib qho teeb meem uas tshwm sim hauv lub qog parathyroid nws tus kheej. Uas yog, ib qho qog tsis yog mob qog noj ntshav (adenoma) hauv ib qho ntawm cov qog lossis kev loj hlob (hyperplasia) ntawm ib lossis ntau lub qog, ua rau tsis tswj tau cov tshuaj PTH. |
| Kev mob hyperparathyroidism theem ob | Qhov no tsis yog qhov txhaum ntawm cov qog. Nws yog ib qho mob hauv lub cev, tshwj xeeb tshaj yog kab mob raum ntev (CKD), uas ua rau cov calcium qis lossis cov phosphate siab hauv lub cev, thiab cov qog ua haujlwm ntau dhau. |
| Kev mob qog nqaij hlav theem peb (tertiary hyperparathyroidism) | Yog tias tsis kho tus mob hyperparathyroidism theem ob ntev, cov qog yuav loj zuj zus mus tas li thiab pib tsim cov PTH yam tsis muaj kev tswj hwm. Qhov no yog hom. |
Cov tsos mob ntawm qhov no yog dab tsi?
Ntau zaus, cov neeg uas muaj tus mob no tsis muaj tsos mob dab tsi li. Feem ntau pom nws thaum lub sijhawm kuaj ntshav rau lwm yam mob. Txawm li cas los xij, thaum cov calcium hauv cov ntshav siab heev, cov tsos mob xws li:
- Mob hauv cov pob txha thiab cov pob qij txha
- Cov leeg tsis muaj zog
- Kev qaug zog thiab kev qaug zog tas li
- Kev xav zoo li kev nyuaj siab
- Nyuaj siab rau kev mloog ib yam dab tsi
- Kev ntshaw noj mov
- Xeev siab thiab ntuav
- Kev nco tsis zoo los yog kev tsis nco qab
- Xav tias nqhis dej ntau dua li niaj zaus thiab xav tau tso zis ntau zaus
- Kab mob cem quav
Qhov tseem ceeb yog vim tias cov tsos mob no feem ntau tshwm sim, tsis yog txhua tus neeg uas muaj cov tsos mob no muaj hyperparathyroidism. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum sab laj nrog koj tus kws kho mob.
Cov kev pheej hmoo thiab tej yam teeb meem ntawm tus mob no
Cov calcium ntau hauv cov ntshav ntev ntev tuaj yeem ua rau muaj ntau yam teeb meem.
- Pob zeb hauv lub raum: Cov calcium uas tso rau hauv lub raum tuaj yeem ua rau muaj pob zeb hauv lub raum.
- Kab mob pob txha tawg: Cov pob txha ua rau tsis muaj zog thiab yooj yim tawg vim tias calcium ploj ntawm cov pob txha.
- Kab mob plawv: Cov calcium uas tso rau hauv cov hlab ntsha thiab lub plawv ua rau muaj kev pheej hmoo ntawm cov mob xws li ntshav siab, mob plawv nres, lossis mob hlwb.
- Teeb Meem Ntawm Tawv Nqaij: Cov calcium uas tso rau ntawm daim tawv nqaij tuaj yeem ua rau muaj qhov txhab thiab kis kab mob.
Muaj ntau yam ua rau muaj feem yuav mob no. Qhov tseem ceeb tshaj plaws yog tau txais kev kho mob hluav taws xob rau thaj tsam caj dab, tsis muaj calcium lossis vitamin D txaus, mob raum, thiab yog ib tug poj niam.
Yuav kuaj mob li cas?
Yog koj tus kws kho mob xav tias muaj tus kab mob no, nws yuav kom koj kuaj ntau zaus kom paub meej tias muaj tus kab mob no.
- Kev kuaj ntshav: Cov no ntsuas cov calcium, parathyroid hormone (PTH), vitamin D, thiab phosphate hauv koj cov ntshav.
- Kev kuaj zis 24 teev: Ib qho qauv zis uas tau sau los ntawm ib hnub yog siv los ntsuas qhov ntau ntawm calcium hauv cov zis.
- Kev ntsuas Parathyroid: Qhov kev ntsuas no tuaj yeem txiav txim siab qhov twg ntawm plaub lub qog ua haujlwm ntau dhau.
- Lwm yam kev soj ntsuam: Kuj tseem yuav ua tau kev soj ntsuam ultrasound ntawm lub raum lossis kev soj ntsuam qhov ceev ntawm pob txha.
Yuav kho li cas?
Cov kev kho mob nyob ntawm seb koj puas muaj hom mob thawj zaug lossis hom mob thib ob thiab qhov hnyav ntawm tus kab mob.
Kev Kho Mob Rau Primary Hyperparathyroidism
- Phais Mob: Txoj kev kho mob zoo tshaj plaws thiab ruaj khov tshaj plaws rau qhov no yog phais tshem tawm cov qog uas muaj teeb meem. Kev phais mob no hu ua parathyroidectomy . Koj tus kws kho mob yuav pom zoo kom phais mob, tshwj xeeb tshaj yog tias koj hnub nyoog qis dua 50 xyoo, muaj cov tsos mob hnyav, lossis muaj pob zeb hauv lub raum lossis osteoporosis.
- Cov Tshuaj: Yog tias tsis tas yuav phais lossis ua tsis tau, tus kws kho mob yuav sau ntawv kom phais.
- Bisphosphonates: Cov no tiv thaiv calcium kom tsis txhob raug tso tawm ntawm cov pob txha.
- Calcimimetics: Cov tshuaj no dag cov qog parathyroid kom txo cov tshuaj PTH hormone.
- Kev hloov pauv hauv lub neej: Qee cov tshuaj (piv txwv li, Thiazide diuretics, Lithium) tuaj yeem ua rau cov calcium ntau ntxiv. Yog li ntawd, koj yuav tsum tsis txhob noj lawv raws li koj tus kws kho mob qhia.
Kev Kho Mob Rau Mob Hyperparathyroidism Thib Ob
Qhov tseem ceeb hauv qhov no yog kho qhov ua rau muaj tus mob no.
- Yog tias koj muaj kab mob raum ntev, tej zaum koj yuav xav tau kev ntxuav lub raum lossis hloov raum .
- Tej zaum yuav muaj kev qhia kom hloov kev noj zaub mov, tshwj xeeb tshaj yog txwv cov khoom noj uas muaj phosphorus ntau.
- Cov khoom siv phosphateCov tshuaj xws li phosphatidylcholinesterase inhibitors (cov tshuaj uas txo cov phosphate hauv cov ntshav), cov tshuaj vitamin D, thiab cov tshuaj calcimimetics yuav raug sau ntawv kom noj.
Yog tias cov kev kho mob no tsis tswj tau qhov mob, yuav tsum phais tshem cov qog tawm.
Tej yam yuav tsum xav txog thaum nyob nrog tus mob no
Yog koj muaj mob hyperparathyroidism, cov no tuaj yeem pab koj kom noj qab nyob zoo:
- Haus dej ntau: Kev ua kom lub cev muaj dej txaus yog qhov zoo rau lub raum.
- Ua kom koj lub cev nquag: Kev tawm dag zog tuaj yeem ua rau koj cov pob txha muaj zog.
- Ua tib zoo saib xyuas koj cov zaub mov noj: Yog tias koj tus kws kho mob qhia koj kom txo koj cov phosphorus noj, zam cov khoom noj uas xaus rau "-phos" (piv txwv li, calcium phosphate) ntawm cov pob khoom noj.
- Txog Vitamin D: Cov neeg uas tsis muaj Vitamin D txaus yuav raug qhia kom noj cov tshuaj ntxiv. Txawm li cas los xij, tsis txhob noj cov tshuaj vitamin lossis cov tshuaj ntxiv yam tsis tau sab laj nrog koj tus kws kho mob.
Koj tus kws kho mob yuav kuaj xyuas koj cov calcium hauv cov ntshav, ntshav siab, kev ua haujlwm ntawm lub raum, thiab pob txha ceev tsis tu ncua (tej zaum ib lossis ob zaug hauv ib xyoos).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hyperparathyroidism yog ib qho mob uas cov calcium hauv cov ntshav nce ntxiv vim yog kev tsim cov tshuaj hormone PTH ntau dhau los ntawm cov qog parathyroid.
- Tej zaum yuav muaj cov tsos mob xws li qaug zog tas li thiab mob pob txha, thiab qee tus neeg yuav tsis muaj tsos mob li.
- Qhov ua rau qhov no yuav yog teeb meem nrog lub qog nws tus kheej (thawj zaug) lossis lwm yam kab mob xws li kab mob raum (theem ob).
- Cov kev xaiv kho mob muaj xws li phais, tshuaj, thiab kev hloov pauv hauv lub neej. Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj.
- Yog koj muaj lus nug lossis muaj tej yam tsos mob txog qhov no, mus ntsib koj tus kws kho mob tam sim ntawd kom tau txais lus qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus