Koj puas muaj tej yam tsos mob txawv txawv vim koj lub cev tsis muaj calcium txaus? Tej zaum yuav yog vim koj lub cev tsis muaj parathyroid txaus!

Koj puas muaj tej lub sij hawm koj mob lub cev uas tsis paub ua li cas? Koj ob txhais ceg puas loog? Los yog koj tsuas xav tias koj daim tawv nqaij tsuas yog txav xwb? Ib qho ntawm cov laj thawj rau tej yam no yuav yog ib yam mob hu ua hypoparathyroidism, uas peb yuav tham txog hnub no. Tsis txhob txhawj, txawm hais tias qhov no yog ib yam mob tsis tshua muaj, nws tuaj yeem tswj tau yog tias nws raug lees paub thiab kho kom zoo. Cia peb tham txog qhov no kom meej.

Hypoparathyroidism yog dab tsi?

Hais yooj yim xwb, hypoparathyroidism yog thaum koj cov ntshav tsim tsawg dhau lossis tsis muaj Parathyroid Hormone (PTH). Cov tshuaj hormone no tseem ceeb rau kev tswj cov calcium thiab phosphorus hauv koj lub cev. Yog li, thaum koj cov PTH qis, koj cov calcium hauv cov ntshav poob qis - peb hu qhov no hypocalcemia - thiab koj cov phosphorus hauv cov ntshav nce siab.

Tus mob no feem ntau yog mob ntev , uas txhais tau tias nws tuaj yeem kav ntev mus ib sim neej. Txawm li cas los xij, qee zaum, nws kuj tuaj yeem zoo dua ib ntus.

Yog li cov qog parathyroid no yog dab tsi?

Xav txog, nyob rau pem hauv ntej ntawm peb lub caj dab, zoo li tus npauj npaim, muaj Thyroid Gland. Tom qab Thyroid Gland ntawd, muaj plaub lub qog, feem ntau loj li lub taum me me. Cov no hu ua Parathyroid Glands . Cov no yog ib feem ntawm Endocrine System, uas tsim cov tshuaj hormones hauv peb lub cev.

Qee zaum plaub lub qog no tuaj yeem nyob rau lwm qhov ntawm lub caj dab, hauv siab, lossis txawm tias raws txoj hlab pas. Cov no hu ua cov qog parathyroid ectopic .

Lub luag haujlwm tseem ceeb ntawm cov qog parathyroid no yog tsim cov tshuaj parathyroid hormone (PTH). Cov PTH no yog qhov uas ua rau cov calcium hauv peb cov ntshav nyob rau theem zoo.

• Yog tias PTH txo qis: Calcium hauv cov ntshav txo qis (Hypocalcemia).
• Yog tias PTH nce ntxiv: Calcium hauv cov ntshav nce ntxiv (Hypercalcemia).

Tsis yog li ntawd xwb, tab sis cov tshuaj PTH no kuj pab tswj cov phosphorus thiab vitamin D hauv cov ntshav thiab pob txha.

Calcium yog dab tsi? Nws ua dab tsi rau peb lub cev?

Calcium yog ib qho mineral tseem ceeb rau peb lub cev. Koj puas paub tias feem ntau ntawm cov calcium hauv peb lub cev khaws cia rau hauv peb cov pob txha? Txawm li cas los xij, yuav tsum muaj qee qhov calcium hauv cov ntshav.

Cia peb saib qee yam tseem ceeb uas tsis yog calcium hauv cov ntshav:

• Nws pab peb lub paj hlwb ua haujlwm .
• Nws pab cov leeg nqaij kom nruj thiab so . Qhov no yog qhov uas ua rau peb txav tau peb ob txhais ceg thiab taug kev.
• Thaum peb raug mob thiab los ntshav, nws pab kom cov ntshav txhaws .
• Nws yog ib qho tseem ceeb rau peb lub siab ua haujlwm kom zoo .

Tam sim no koj nkag siab tias hypocalcemia (tsawg calcium hauv cov ntshav) vim yog hypoparathyroidism tuaj yeem cuam tshuam rau ntau yam li cas. Calcium kuj tseem xav tau los ua kom cov pob txha muaj zog. Tab sis hypocalcemia yog qhov txo qis hauv calcium hauv cov ntshav, tsis yog qhov txo qis hauv calcium hauv cov pob txha.

Puas yog hypoparathyroidism ua rau electrolyte tsis sib npaug?

Yog, muaj tseeb tiag. Calcium thiab Phosphorus yog ob hom electrolytes . Electrolytes yog cov minerals uas muaj hluav taws xob hauv peb lub cev thiab pab txhawb rau ntau yam haujlwm tseem ceeb. Hauv hypoparathyroidism, calcium hauv cov ntshav txo qis thiab phosphorus nce ntxiv, ua rau electrolyte tsis sib npaug. Nws yog ib qho tseem ceeb heev uas yuav tsum kho qhov no.

Tseem muaj ib qho ntxiv. Magnesium yog lwm yam electrolyte tseem ceeb. Yog tias qib magnesium hauv cov ntshav txo qis (Hypomagnesemia) , nws kuj tuaj yeem ua rau hypoparathyroidism. Vim tias magnesium yog qhov tseem ceeb rau cov qog parathyroid kom ua haujlwm tau zoo.

Qhov txawv ntawm Hypoparathyroidism thiab hyperparathyroidism yog dab tsi?

Ob lub npe no zoo sib xws me ntsis, yog li ntawd lawv yuav ua rau tsis meej pem. Hauv kev kho mob, lo lus "Hypo" txhais tau tias "tsawg dua" lossis "tsis txaus." Lo lus "Hyper" txhais tau tias "ntau dua" lossis "siab dua."

• Hypoparathyroidism: Cov qog parathyroid tsis tsim cov tshuaj parathyroid hormone (PTH) txaus, uas ua rau cov calcium qis hauv cov ntshav.
• Hyperparathyroidism: Cov qog parathyroid tsim cov PTH ntau dhau, uas ua rau muaj calcium ntau ntxiv hauv cov ntshav.

Yooj yim, puas yog?

Leej twg thiaj li tau tus mob no hu ua hypoparathyroidism?

Qhov no tuaj yeem tshwm sim rau cov neeg laus thiab cov menyuam yaus. Tab sis raws li tau hais ua ntej, qhov no yog ib qho mob tsis tshua muaj .

• Rau cov neeg laus: Qhov no feem ntau yog tshwm sim los ntawm kev puas tsuaj rau cov qog parathyroid thaum lub sijhawm phais caj dab - piv txwv li, phais thyroid.
• Rau cov menyuam yaus: Qhov no feem ntau yog tshwm sim los ntawm ib qho mob caj ces hu ua DiGeorge Syndrome hauv cov menyuam yaus.

Txawm tias nyob rau hauv lub tebchaws zoo li Asmeskas, qhov mob no tau hais tias cuam tshuam tsawg dua ob puas txhiab tus neeg. Yog li ntawd, nyob rau hauv peb lub tebchaws, nws yuav tsawg dua.

Cov ua rau muaj hypoparathyroidism yog dab tsi?

Muaj ntau yam ua rau qhov no.

• Kev puas tsuaj rau cov qog parathyroid: Qhov no yog qhov ua rau feem ntau. Kwv yees li 75 feem pua ​​(75%) ntawmCov neeg mob yuav muaj tus mob no thaum cov qog nqaij raug puas tsuaj thaum phais mob caj dab lossis qog thyroid. Qee zaum, tus mob no tuaj yeem tshwm sim ntau xyoo tom qab phais mob. Tab sis feem ntau, nws pib sai tom qab phais mob. Hypoparathyroidism uas tshwm sim li no feem ntau yog ib ntus xwb, tab sis rau qee tus neeg nws tuaj yeem nyob mus ib txhis. Kev kho mob hluav taws xob tsis zoo li yuav ua rau cov qog nqaij no puas tsuaj.

• Cov mob caj ces: Tsawg dua kaum feem pua ​​(10%) ntawm cov neeg mob yog tshwm sim los ntawm cov mob caj ces. Qhov feem ntau ntawm cov no yog DiGeorge Syndrome . Qhov no yog ib qho mob caj ces chromosomal. Cov menyuam mos uas yug los nrog tus mob no tsis muaj cov qog parathyroid. Yog li, vim tias lawv tsis tsim PTH, lawv muaj mob hypoparathyroidism ntev. Kwv yees li 60% ntawm cov menyuam yaus uas muaj hypoparathyroidism tau hais tias muaj DiGeorge Syndrome. Nws kuj tseem tuaj yeem tshwm sim los ntawm lwm cov mob caj ces uas cuam tshuam nrog kev lag ntseg thiab kab mob raum.

• Cov Kab Mob Autoimmune: Qee zaum peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam cov qog parathyroid. Hom 1 autoimmune polyglandular syndrome yog ib qho kab mob zoo li no. Qhov no ua rau muaj hypoparathyroidism tas mus li. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov mob hu ua Addison's disease thiab pernicious anemia .

• Kev Mob Nkag Mus Rau Hauv Lub Cev: Hauv qee yam mob, cov tshuaj xws li hlau (xws li hemochromatosis) thiab tooj liab (xws li Wilson's disease) tuaj yeem sib sau ua ke hauv cov qog parathyroid. Tsis tas li ntawd, qee qhov mob qog nqaij hlav metastases tuaj yeem ua rau cov qog no ua haujlwm tsis zoo, ua rau hypoparathyroidism.

• Cov Qib Magnesium Qis: Raws li tau hais ua ntej lawm, magnesium yog qhov tseem ceeb rau cov qog parathyroid kom ua haujlwm tau zoo. Cov qib magnesium qis hauv cov ntshav (hypomagnesemia) tuaj yeem ua rau hypoparathyroidism. Qhov no hu ua functional hypoparathyroidism . Qhov mob no feem ntau daws tau thaum cov qib magnesium rov qab zoo li qub.

Cov tsos mob ntawm hypoparathyroidism yog dab tsi?

Feem ntau, tus mob no tshwm sim qeeb heev. Yog li ntawd, cov tsos mob yuav tsis pom tseeb heev. Ib txhia neeg tsis paub tias lawv muaj tus mob no tau ntau xyoo.

Cov no yog cov tsos mob uas pom tau feem ntau:

• Mob tingling hauv daim di ncauj, cov ntiv tes, thiab cov ntiv taw.
• Mob nqaij ntshiv.Koj puas nco qab qee zaum muaj plaub hau ntawm koj ob txhais ceg thaum hmo ntuj? Tej yam zoo li ntawd, tab sis yog tias nws tshwm sim ntau zaus, nws yuav yog ib qho tsos mob ntawm qhov tsis txaus calcium no.
• Cov leeg nqaij ntswj (Tetany).
• Mob plab.
• "Lub hlwb tsis meej pem" yog ib qho mob uas koj muaj teeb meem tsom ntsoov thiab xav tias koj tsis paub dab tsi.
• Lub plawv dhia tsis sib xws (Arrhythmia).
• Cov rau tes tawg.
• Cov plaub hau qhuav thiab tawv nqaij qhuav, tawv nqaij tawv.
• Cov tsos mob ntawm cataracts.
• Kev ua rau cov hniav enamel tsis muaj zog hauv cov menyuam yaus.

Cov kws kho mob paub qhov mob no li cas?

Feem ntau yuav xav tias muaj tus kab mob Hypoparathyroidism thaum cov kev kuaj ntshav qhia tias tus neeg cov calcium thiab parathyroid hormone (PTH) hauv cov ntshav qis.

Vim tias cov tsos mob tsis pom tseeb heev, cov kws kho mob qee zaum pom qhov mob no "ua rau muaj teeb meem." Ntawd yog, lawv tsuas yog pib nrhiav nws thaum lawv pom cov calcium qis hauv cov ntshav thaum lub sijhawm kuaj ntshav rau lwm yam mob.

Yog tias ib tug neeg raug lees paub tias muaj cov tshuaj PTH hormone thiab calcium tsawg hauv lawv cov ntshav ob zaug hauv rau lub hlis, nws raug suav hais tias yog mob hypoparathyroidism ntev .

Yuav ua li cas thiaj kuaj tau qhov no?

Yog koj muaj cov tsos mob no, koj tus kws kho mob yuav kuaj koj lub cev thiab nug txog koj cov tsos mob, keeb kwm kev mob nkeeg hauv tsev neeg, thiab cov tshuaj uas koj noj.

Ntxiv rau, ib lossis ntau qhov kev ntsuam xyuas hauv qab no yuav raug ua:

• Kev kuaj ntshav rau cov tshuaj hormones parathyroid (PTH).
• Kev kuaj ntshav calcium.
• Kev kuaj ntshav phosphorus.
• Kev kuaj ntshav magnesium.
• Kev kuaj zis 24 teev: Qhov no ntsuas seb muaj calcium ntau npaum li cas hauv cov zis.

Qee zaum, koj tus kws kho mob yuav hais kom kuaj ntxiv kom paub seb puas muaj cov kev mob tshwm sim loj dua uas yuav tshwm sim los ntawm tus mob no. Piv txwv li:

• Electrocardiogram (ECG lossis EKG): Kuaj xyuas seb lub plawv dhia puas tsis zoo.
• Kev thaij duab computer (CT scan): Tshawb xyuas seb puas muaj calcium nyob hauv lub hlwb (Brain Calcifications).

Qhov no kho li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob hypoparathyroidism yog kom txo cov tsos mob thiab rov qab kho cov calcium thiab lwm yam minerals hauv koj lub cev kom zoo.

Cov hauv qab no tuaj yeem ua tau raws li kev kho mob:

• Muab cov tshuaj Calcium Carbonate thiab Vitamin D ntxiv rau:Coob leej ntau tus neeg uas muaj hypoparathyroidism yuav tsum tau noj cov tshuaj calcium thiab vitamin D lossis cov kua dej rau tas lawv lub neej. Qhov no yog kab tseem ceeb thiab thawj kab ntawm kev kho mob rau tus mob no. Vitamin D yog qhov tseem ceeb rau peb lub cev kom nqus tau calcium kom zoo. Yog li ntawd, yog tias koj muaj hypoparathyroidism, koj yuav tsum tau noj ob qho tshuaj no.
• Kev noj zaub mov uas muaj calcium ntau thiab phosphorus tsawg: Koj tus kws kho mob yuav qhia koj kom noj cov zaub mov uas muaj calcium ntau ntxiv (mis nyuj, cheese, yogurt, zaub ntsuab) thiab txo cov zaub mov uas muaj phosphorus ntau (nqaij ua tiav, dej haus xws li cola). Txawm li cas los xij, vim tias nws nyuaj rau kom tau txais calcium txaus los ntawm cov zaub mov ib leeg xwb, kev noj cov tshuaj ntxiv yuav tsim nyog.
• Kev txhaj tshuaj Parathyroid hormone (PTH): Yog tias cov tshuaj calcium thiab vitamin D ib leeg tsis tswj tau koj tus mob, koj tus kws kho mob yuav txiav txim siab muab kev txhaj tshuaj parathyroid hormone (PTH) rau koj.

Puas muaj tej yam tshwm sim ntawm kev kho mob?

Yog, qee zaum yog tias cov vitamin D thiab calcium uas tau muab los kho mob ntau dhau, cov calcium hauv cov ntshav yuav siab dhau. Qhov no hu ua hypercalcemia . Qhov no kuj ua rau lub cev puas tsuaj. Yog li ntawd, koj yuav tsum tau kuaj ntshav tas li kom pom tias koj txoj kev kho mob puas ua haujlwm zoo thiab koj cov calcium puas yog.

Muaj kev pheej hmoo me me heev ntawm kev mob qog nqaij hlav pob txha hu ua osteosarcoma nrog kev siv tshuaj parathyroid hormone (PTH) mus sij hawm ntev. Yog li ntawd, cov kws kho mob pom zoo kom txhaj tshuaj no tsuas yog rau cov mob hnyav heev, thaum lwm yam kev kho mob tsis tau zoo.

Cov yam ua rau muaj tus mob no yog dab tsi?

Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev mob hypoparathyroidism:

• Tau phais mob caj dab lossis thyroid tsis ntev los no.
• Keeb kwm tsev neeg ntawm cov kab mob parathyroid.
• Muaj qee yam kab mob autoimmune uas cuam tshuam rau lub endocrine system, xws li Addison's kab mob.

Qhov kev kwv yees ntawm tus mob no yog dab tsi?

Feem ntau, qhov kev cia siab rau hypoparathyroidism zoo, tshwj xeeb tshaj yog tias tus mob tau pom thaum ntxov thiab kev kho mob kom zoo.

Txawm li cas los xij, yog tias qhov mob no ua rau muaj tej yam xws li cataracts, calcifications hauv lub hlwb, thiab kev hloov pauv ntawm cov hniav, lawv nyuaj rau kho. Yog vim li cas kev kuaj pom thaum ntxov yog qhov tseem ceeb.

Qhov xwm txheej no yuav kav ntev npaum li cas?

Feem ntau, hypoparathyroidism yog ib qho mob ntev, txhais tau tias nws kav ntev mus ib sim neej. Txawm li cas los xij, hypoparathyroidism kuj tuaj yeem yog ib ntus vim muaj qee yam ua rau (piv txwv li, tsis muaj magnesium txaus, ib ntus tom qab phais).

Tej teeb meem dab tsi uas yuav tshwm sim los ntawm qhov no?

Yog tias hypoparathyroidism tsis kho kom zoo, ntau yam teeb meem mus sij hawm ntev tuaj yeem tshwm sim:

• Teeb meem kev ua haujlwm ntawm lub raum.
• Pob zeb hauv lub raum.
• Kab mob qhov muag.
• Cov calcium tso rau hauv ntau qhov ntawm lub hlwb.

Tus mob no, tshwj xeeb tshaj yog rau cov menyuam yaus, tuaj yeem ua rau muaj teeb meem xws li:

• Kev loj hlob tsis zoo.
• Teeb meem hniav.
• Kev loj hlob ntawm lub hlwb qeeb.

Nws yog ib qho tseem ceeb heev uas yuav tsum nco ntsoov tias yog tias cov calcium hauv cov ntshav poob qis sai sai thiab hnyav heev (Acute Hypocalcemia), yog tias tsis kho sai, nws tuaj yeem ua rau muaj mob hnyav xws li qaug dab peg thiab ua pa nyuaj vim yog laryngeal spasms . Yog tias koj muaj cov tsos mob no (piv txwv li cov leeg nqaij ntswj heev, qaug dab peg), koj yuav tsum mus rau tsev kho mob ze tshaj plaws tam sim ntawd.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

• Yog koj muaj cov tsos mob uas koj xav tias tej zaum yog hypoparathyroidism, nco ntsoov mus ntsib kws kho mob.
• Yog tias koj twb tau kuaj pom tias muaj hypoparathyroidism lawm, koj yuav tsum tau kuaj xyuas koj cov calcium hauv cov ntshav tsis tu ncua raws li koj tus kws kho mob qhia kom paub tseeb tias koj tau txais kev kho mob zoo.
• Raws li tau hais ua ntej lawm, yog tias koj muaj cov tsos mob ntawm hypocalcemia sai sai, xws li cov leeg nqaij ntswj lossis qaug dab peg , mus rau tsev kho mob ze tshaj plaws tam sim ntawd.

Cov lus tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Hypoparathyroidism yog ib yam mob tsis tshua muaj, tab sis nws kho tau thiab tswj tau . Cov tsos mob qee zaum yuav tsis pom tseeb thiab nyuaj rau paub. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob yog tias koj muaj tej yam ua rau muaj tus mob no (piv txwv li, yog tias koj nyuam qhuav phais caj dab lossis yog tias ib tug neeg hauv koj tsev neeg muaj tus kab mob parathyroid).

Ob peb qhov kev kuaj ntshav yooj yim tuaj yeem kuaj xyuas koj cov tshuaj parathyroid hormone (PTH) thiab cov calcium. Yog tias koj paub qhov mob no thaum ntxov, koj tuaj yeem pib kho kom zoo, tiv thaiv cov teeb meem, thiab ua lub neej noj qab haus huv. Yog li, tsis txhob ntshai, tab sis yuav tsum paub txog qhov no. Yog tias koj muaj kev txhawj xeeb, tsis txhob yig tham nrog koj tus kws kho mob.

` Hypoparathyroidism, Hypoparathyroidism, Parathyroid glands, Parathyroid hormone, PTH, Calcium, Hypocalcemia, Phosphorus, Vitamin D, Electrolytes, Cov tsos mob, Kev kho mob