Koj puas feem ntau xav tias koj lub cev tsis muaj zog thiab koj cov pob txha mob? Los yog koj tus kws kho mob puas tau saib daim ntawv qhia ntshav thiab hais tias, "Koj cov calcium siab me ntsis"? Tej zaum qhov laj thawj tom qab qhov no yog ib qho mob uas peb tsis tham txog ntau, tab sis nws tseem ceeb heev. Hnub no, cia peb tham txog qhov mob no hu ua hyperparathyroidism hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.
Hyperparathyroidism yog dab tsi?
Hais yooj yim xwb, hyperparathyroidism yog thaum ib lossis ntau dua ntawm koj cov qog parathyroid ua haujlwm ntau dhau thiab tsim cov tshuaj parathyroid hormone (PTH) ntau dhau. Qhov no ua rau cov calcium hauv koj cov ntshav nce siab. Peb hu qhov no hauv kev kho mob ua hypercalcemia .
Xav txog, tom qab lub qog thyroid hauv peb lub caj dab, muaj plaub lub qog me me uas loj li ib lub noob mov. Cov no hu ua cov qog parathyroid. Ib yam li lub pob uas tswj cov dej hauv peb lub tank dej hauv tsev, txoj haujlwm tseem ceeb ntawm cov qog no yog tswj cov calcium thiab phosphate hauv peb cov ntshav ntawm cov qib tsim nyog.
Nov yog li cas nws ua haujlwm:
- Thaum cov calcium hauv cov ntshav poob qis, cov qog no tsim cov tshuaj hormone PTH.
- Cov tshuaj hormone PTH no xa ib lub teeb liab mus rau peb cov pob txha kom "tso qee cov calcium rau hauv cov ntshav."
- Nws kuj qhia rau lub raum kom "txo cov calcium uas tawm hauv cov zis thiab khaws cia rau hauv lub cev."
- Tom qab ntawd, lub raum ua kom cov vitamin D ua haujlwm thiab xa mus rau peb txoj hnyuv . Tom qab ntawd, txoj hnyuv nqus cov calcium hauv cov khoom noj uas peb noj tau zoo.
Qhov no yog ib lub cev uas sib npaug zoo heev. Txawm li cas los xij, hauv hyperparathyroidism, PTH hormone raug tsim tawm ntau dhau, ua rau cov pob txha tso calcium tas li, ua rau lawv nyias thiab tawg yooj yim. Tsis tas li ntawd, cov calcium ntxiv uas khaws cia hauv cov ntshav tuaj yeem tso rau hauv lub raum (uas tuaj yeem tsim pob zeb), cov hlab ntsha, lub plawv, thiab lwm yam kabmob, ua rau muaj ntau yam teeb meem kev noj qab haus huv.
Cov hom mob no tseem ceeb yog dab tsi?
Hyperparathyroidism muaj peb hom loj, uas raug faib ua pawg raws li lawv tshwm sim li cas.
| Hom | Hais yooj yim xwb... |
|---|---|
| Kev mob hyperparathyroidism thawj zaug | Qhov teeb meem hauv qhov no yog nrog lub qog parathyroid nws tus kheej. Ib qho qog (feem ntau tsis yog mob qog noj ntshav) hauv lub qog lossis qhov loj ntawm lub qog ua rau lub cev tsim cov tshuaj PTH txawm tias nws tsis xav tau nws los xij. |
| Kev mob hyperparathyroidism theem ob | Tsis yog qhov txhaum ntawm cov qog no. Lwm yam mob (feem ntau yog Kab Mob Raum Ntev) ua rau lub cev cov calcium poob qis. Vim yog qhov no, cov qog parathyroid pib ua haujlwm ntau dhau los them rau qhov tsis txaus. |
| Kev mob hyperparathyroidism theem peb | Qhov no tshwm sim thaum tus mob thib ob tsis tau kho ntev heev. Cov qog ua haujlwm hnyav dhau, loj zuj zus thiab tsim cov tshuaj PTH tsis tuaj yeem tswj tau. |
Cov tsos mob yog dab tsi?
Feem ntau cov neeg uas muaj tus mob no tsis muaj tsos mob dab tsi li . Cov calcium ntau hauv cov ntshav feem ntau pom tau thaum lub sijhawm kuaj ntshav vim lwm yam laj thawj. Txawm li cas los xij, qee tus neeg, tshwj xeeb tshaj yog thaum lawv cov calcium ntau heev, yuav muaj cov tsos mob hauv qab no:
- Mob pob txha thiab pob qij txha
- Cov leeg tsis muaj zog
- Kev qaug zog thiab kev qaug zog tas li
- Kev Nyuaj Siab
- Nyuaj siab tsom ntsoov rau ib yam
- Kev ntshaw noj mov
- Xeev siab thiab ntuav
- Kev tsis meej pem, tsis nco qab tej yam
- Xav tias nqhis dej heev thiab xav tau tso zis ntau zaus
- Kab mob cem quav
Nco ntsoov tias, cov tsos mob no feem ntau tshwm sim. Tsis yog txhua tus neeg uas muaj cov tsos mob no muaj hyperparathyroidism. Tab sis yog tias cov tsos mob no tseem muaj, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob.
Dab tsi ua rau qhov no?
Cia peb saib cov laj thawj rau peb hom uas peb tau tham ua ntej sib cais.
Cov ua rau muaj tus kab mob hyperparathyroidism thawj zaug
- Adenoma: Qhov no yog ib qho mob qog uas tsis yog mob qog nqaij hlav uas tsim nyob rau hauv ib lub qog parathyroid. Qhov no yog qhov ua rau muaj mob hyperparathyroidism thawj zaug feem ntau.
- Hyperplasia: Qhov no yog thaum ib qho ntawm cov qog parathyroid loj dua.
- Mob qog noj ntshav:Mob qog noj ntshav ntawm cov qog parathyroid yog ib qho ua rau tsis tshua muaj .
Cov ua rau muaj mob hyperparathyroidism theem ob
Qhov ua rau muaj qhov no yog Kab Mob Raum Ntev (CKD) . Thaum lub raum tsis ua haujlwm zoo, cov phosphate hauv lub cev nce ntxiv thiab cov vitamin D txo qis. Qhov no ua rau cov calcium hauv cov ntshav txo qis. Yog li, txhawm rau them rau qhov tsis txaus calcium no, cov qog parathyroid tsim cov tshuaj PTH ntau dhau.
Tsis tas li ntawd xwb, qhov tsis muaj vitamin D txaus (vim tsis muaj hnub ci lossis tsis muaj zaub mov txaus) kuj tuaj yeem ua rau qhov no.
Yuav paub qhov mob no li cas?
Koj tus kws kho mob yuav mloog koj cov tsos mob, kuaj koj, thiab xa koj mus kuaj qee yam yog tias lawv xav tias muaj tus mob no.
| Kev Ntsuas | Koj tab tom saib dab tsi? |
|---|---|
| Kev Ntsuas Ntshav | Cov ntshav ntawm cov calcium, PTH hormone, vitamin D, phosphate, thiab kev ua haujlwm ntawm lub raum (Creatinine) raug kuaj xyuas. |
| Kev Kuaj Zis 24-teev | Ntsuas seb cov calcium uas nyob hauv cov zis uas tau khaws cia rau hauv 24 teev. |
| Kev Tshuaj Xyuas Parathyroid | Qhov no yuav pab tau koj paub tias lub qog twg ua haujlwm ntau dhau. Qhov no tseem ceeb heev ua ntej phais. |
| Kev Ntsuas Ultrasound | Nws yog siv los xyuas seb cov qog thiab lub raum hauv caj dab zoo li cas. |
| Kev Ntsuas Qhov Ceev ntawm Pob Txha | Qhov kev kuaj no yog ua los saib seb cov pob txha puas tau poob calcium thiab nyias (Osteoporosis). |
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 thawj hyperparathyroidism
Qhov kev daws teeb meem zoo tshaj plaws thiab ruaj khov tshaj plaws rau qhov no yog ua phais (parathyroidectomy) kom tshem tawm cov qog lossis cov qog uas ua haujlwm ntau dhau. Tom qab phais no, ntau dua 90% ntawm cov neeg rov qab mus rau qib calcium hauv cov ntshav li qub.
Yog tias koj hnub nyoog qis dua 50 xyoo, muaj cov tsos mob, muaj cov calcium ntau heev, muaj pob zeb hauv lub raum, lossis muaj pob txha nyias, koj tus kws kho mob yuav pom zoo kom phais.
Yog tias tsis mob hnyav thiab tsis tas yuav phais, koj tus kws kho mob yuav saib xyuas koj tus mob tas li. Thiab qee zaum:
- Bisphosphonates: Cov tshuaj no tiv thaiv kev tso calcium tawm ntawm cov pob txha thiab ua kom lawv muaj zog.
- Calcimimetics: Cov tshuaj no "ua kom yuam kev" cov qog parathyroid kom txo qhov tsim cov tshuaj hormone PTH.
- Kev hloov pauv hauv lub neej: Tej zaum koj yuav raug qhia kom tsum tsis txhob noj qee yam tshuaj (piv txwv li, thiazide diuretics, lithium) thiab hloov pauv kev noj haus.
Kev kho mob rau hyperparathyroidism theem ob
Qhov tseem ceeb ntawm no yog kho qhov ua rau mob , xws li tswj kab mob raum thiab kho qhov tsis txaus vitamin D.
- Ib tug neeg uas muaj kab mob raum yuav tsum tau ntxuav lub raum lossis hloov raum.
- Cov tshuaj xws li cov phosphate binders raug muab los txo cov phosphate hauv cov ntshav.
- Cov tshuaj Vitamin D thiab cov tshuaj calcimimetic kuj tseem siv rau lub hom phiaj no.
Yog tias cov kev kho mob no tswj tsis tau tus mob, tej zaum yuav tsim nyog phais.
Qhov tseem ceeb tshaj plaws yog, tsis txhob noj cov tshuaj vitamin D lossis calcium xwb. Ib txwm nrog koj tus kws kho mob tham thiab siv raws li tau qhia xwb. Qee zaum cov no tuaj yeem ua rau tej yam hnyav dua.
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.
- Feem ntau, tsis muaj cov tsos mob tshwj xeeb. Tej zaum koj yuav muaj cov tsos mob dav dav xws li qaug zog thiab mob pob txha.
- Hom mob thawj yog tshwm sim los ntawm teeb meem hauv lub qog nws tus kheej, thaum hom mob thib ob yog kab mob raum ntev.
- Tus kab mob no raug kuaj pom los ntawm kev ntshav, kev kuaj zis, thiab kev ntsuas.
- Txoj kev kho mob zoo tshaj plaws rau hom mob thawj zaug yog phais tshem tawm cov qog uas cuam tshuam.
- Nco ntsoov sab laj nrog koj tus kws kho mob ua ntej siv tshuaj lossis vitamin.
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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