Bɔku tɛm yu kin fil wik, yu kin gɛt pen na yu bon, ɔ yu nɔ kin mɛmba fayn? Pan ɔl we wi kin tink se dɛn tin ya na nɔmal tin, i kin bi se na mɛrɛsin rizin de biɛn dis. Dat min se di lɛvɛl we di kalsiɔm de na di blɔd kin go ɔp. Di men tin we kin mek dis apin na wan sik we dɛn kɔl Hyperparathyroidism. Pan ɔl we di nem kin kɔmplikt smɔl, nɔ fred. Lɛ wi tɔk bɔt am simpul wan.
Wetin rili na haypaparatayroydism?
Fɔ tɔk am simpul wan, Hyperparathyroidism na we wan ɔ mɔ pan di paratayroyd gland dɛn na wi bɔdi kin wok pasmak ɛn mek tumɔs paratayroyd ɔmon (PTH).
Imajin, insay wi nɛk, biɛn di tayroyd gland, 4 smɔl smɔl gland dɛn de we gɛt sayz lɛk pis. na dεn tin ya wi kin kכl di paratayroyd gland dεm. Dɛn men wok na fɔ mek di kalsiɔm lɛvɛl na wi blɔd kɔntinyu fɔ de na wan patikyula lɛvɛl. Dɛn kin ridyus di fɔsfɛt lɛvɛl bak na di blɔd.
dis gland dεm de mek di כmon PTH εn de sεnd sεvεra signal to wi bכdi:
- Wi bon dɛm: Di blɔd de tɛl dɛn fɔ pul kalsiɔm ɛn fɔsfɛt.
- Wi kidni dɛm: Dɛn kin tɛl dɛn fɔ ridyus di kalsiɔm we de kɔmɔt na di urine ɛn tek am bak insay di bɔdi. Dɛn kin tɛl dɛn bak fɔ pul di bɔku bɔku fɔsfɛt na di urine.
Dɔn, di kidni dɛn kin mek di vaytamɛn D wok ɛn sɛn am to wi insay. Dɔn di insay de tek di kalsiɔm we de kɔmɔt na di it we wi de it.
Bɔt we dɛn paratayrɔyd gland ya de mek tumɔs PTH ɔmon, tumɔs kalsiɔm de kɔmɔt na wi bon dɛn, ɛn dis kin mek dɛn wik ɛn brok. Dɔn bak, dis kayn kalsiɔm we pasmak kin de na wi kidni, blɔd vesel, at, ɛn ɔda pat dɛn na wi bɔdi. dis inkris na di blɔd kalsiɔm lɛvɛl dɛn kɔl am haypa kalsiɔm .
Yu tink se difrɛn kayn dis de?
Yes, tri men kayn Hyperparathyroidism de. Dɛn kin sheb dɛn akɔdin to aw dɛn kin apin. Lɛ wi si wetin na dɛn tin ya.
| Tayp fɔ di haypaparatayroydism | Fɔ tɔk am simpul wan, na di rizin |
|---|---|
| Praymari Haypaparatayroydism | Dis na prɔblɛm we kin apin na di paratayroyd gland insɛf. dat min se, wan tכmכro we nכ de kεnsar (adenoma) na wan pan di gland dεm כ wan כ mכr gland dεm we de big (hyperplasia), we de mek di PTH כmon we dεn nכ kכntrol. |
| Sɛkɔndari Haypaparatayroydism | Dis nɔto di gland dɛn fɔlt. Na wan kכndyushכn na di bכdi, spεshal krכnik kidni sik (CKD), we kin mek di kכlsiכm כ hכy fכsfεt lεvεl na di bכdi, εn di gland dεm kin כva aktif in rεspכns. |
| Tɛshari Haypaparatayroydism | if dεn nכ trit sεkכnd haypaparatayroydism fכ lכng tεm, di gland dεm kin big fכ כltεm εn bigin fכ prodyuz PTH we dεn nכ kin kכntro. Dis na di kayn we. |
Wetin na di sayn dɛm fɔ dis?
Bɔrku tɛm, pipul dɛm wae gɛt dis sik nɔr kin gɛt ɛni sayn. Bɔrku tɛm dɛn kin kam fɔ no am bay we dɛn de du blɔd tɛst fɔ ɔda sik. Bɔt we di kalsiɔm we de na di blɔd kin rili bɔku, di sayn dɛn lɛk:
- Pen na bon ɛn jɔyn dɛn
- Di mɔsul dɛn we wik
- Taya ɛn taya ɔltɛm
- Di we aw pɔsin kin fil lɛk se i gɛt pwɛl at
- I nɔ izi fɔ pe atɛnshɔn to sɔntin
- Fil fɔ it
- Nɔs ɛn vɔmit
- Di mɛmori lɔs ɔ fɔgɛt
- Fɔ fil se yu tɔsti pas aw yu kin fil ɛn nid fɔ pis bɔku tɛm
- Banbɛlɛ
De impɔtant tin na dat bikɔs dɛn sik ya kin rili bɔku, nɔto ɔlman wae gɛt dɛn kin gɛt hyperparathyroidism. So, i rili impɔtant fɔ go to yu dɔktɔ.
De risk dεm εn posεbul kכmplikεshכn dεm fכ dis kכndyushכn
If yu gɛt bɔku kalsiɔm na yu blɔd fɔ lɔng tɛm, dat kin mek yu gɛt difrɛn prɔblɛm dɛn.
- Kidni ston: Di kalsiɔm we de na di kidni kin mek di kidni ston.
- Ɔstioporosis: Di bon dɛn kin wik ɛn i kin izi fɔ brok as di kalsiɔm de lɔs frɔm di bon dɛn.
- At sik: We di kalsiɔm we de na di blɔd vesel ɛn di at kin mek pɔsin gɛt tin dɛn lɛk ay blɔd prɛshɔn, at atak, ɔ strok.
- Prɔblɛm dɛn na di skin: We di kalsiɔm de na di skin, i kin mek yu wund ɛn gɛt infɛkshɔn.
Bɔrku tin de wae kin mek pɔrsin gɛt dis sik. Di tin dɛn we impɔtant pas ɔl na fɔ gɛt redyushɔn tritmɛnt to di nɛk eria, we yu nɔ gɛt kalsiɔm ɔ vaytamɛn D, sik na yu kidni, ɛn fɔ bi uman.
Aw fɔ no bɔt dis sik?
If yu dɔktɔ saspek dis sik, i go ɔda fɔ du bɔku tɛst fɔ no if i gɛt am.
- Blɔd tɛst: Dɛn tin ya de mɛzhɔ di lɛvɛl we di kalsiɔm, paratayrɔyd ɔmon (PTH), vaytamɛn D, ɛn fɔsfɛt de na yu blɔd.
- 24 awa urine test: Dɛn kin yuz urine sample we dɛn gɛda fɔ wan de fɔ tɛst di amount of kalsiɔm we de na di urine.
- Paratayroyd skan: Dis skan kin no uswan pan di 4 gland dɛn we de wok pasmak.
- Ɔda skan dɛn: Dɛn kin du ɔltra saund skan fɔ di kidni dɛn ɔ dɛn kin du bon dɛnsiti skan bak.
Aw dɛn kin trit am?
Di we aw dɛn de trit yu dipen pan if yu gɛt praymari ɔ sɛkɔndari tayp ɛn aw di sik siriɔs.
Tritmɛnt fɔ Praymari Haypaparatayroydism
- Ɔpreshɔn: Di bɛst ɛn fɔ ɔltɛm tritmɛnt fɔ dis na fɔ ɔpreshɔn fɔ pul di gland ɔ gland dɛn we gɛt prɔblɛm. Dɛn kɔl dis ɔpreshɔn paratayroydɛktɔmi . Yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn, mɔ if yu nɔ rich 50 ia yet, yu gɛt siriɔs sayn dɛn, ɔ yu gɛt ston na yu kidni ɔ yu gɛt ɔstioporosis.
- Mɛrɛsin: If yu nɔ nid fɔ du ɔpreshɔn ɔ i nɔ pɔsibul, di dɔktɔ kin gi yu mɛrɛsin.
- Bisphosphonates: Dɛn tin ya de mek di kalsiɔm nɔ kɔmɔt na di bon dɛn.
- Calcimimetics: Dɛn mɛrɛsin ya kin trik di paratayroyd gland dɛm fɔ ridyus di prodakshɔn fɔ di PTH ɔmon.
- Di chenj na yu layf: Sɔm mɛrɛsin (e.g., Thiazide diuretics, Lithium) kin mek di kalsiɔm lɛvɛl go ɔp. So, yu kin nid fɔ avɔyd dɛn lɛk aw yu dɔktɔ advays yu.
Tritmɛnt fɔ Sɛkɔndari Haypaparatayroydism
De men tin na dis na fɔ trit di ɔndalayn kɔz fɔ dis sik.
- If yu gɛt sik we nɔ de mɛn na yu kidni, yu go nid fɔ du dayalaysis ɔ fɔ transplant yu kidni .
- Dɛn kin advays fɔ chenj di it dɛn we yu de it, mɔ fɔ mek yu nɔ it bɔku tin dɛn we gɛt bɔku fɔsfɔr.
- Fɔsfɛt binder dɛnDɛn kin gi yu mɛrɛsin dɛn lɛk phosphatidylcholinesterase inhibitors (mɛrɛsin dɛn we de ridyus fosfɛt na di blɔd), vaytamɛn D sɔpɔtmɛnt, ɛn kalsimimɛtik .
If dɛn tritmɛnt ya nɔ ebul fɔ kɔntrol di sik, dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di gland dɛn.
Tin dɛm wae yu fɔ tink bɔt wae yu de liv wit dis sik
If yu gɛt hyperparathyroidism, dɛn tin ya kin ɛp yu fɔ gɛt wɛl bɔdi:
- Drink bɔku wata: Fɔ mek yu bɔdi gɛt wata, i fayn fɔ di kidni dɛm.
- Stay active: We yu de du ɛksɛsayz, dat kin mek yu bon dɛn strɔng.
- Tek tɛm wit yu it: If yu dɔktɔ advays yu fɔ ridyus di fɔsfɔr we yu de it, nɔ it tin dɛn we de dɔn wit "-phos" (e.g., kalsiɔm fɔsfɛt) we de na di it paket dɛn.
- Bɔt Vitamin D: Dɛn kin advays pipul dɛn we nɔ gɛt bɛtɛ Vitamin D fɔ tek sɔpɔtmɛnt. Bɔt nɔ ɛva tek ɛni vaytamɛn ɔ sɔpɔtmɛnt we yu nɔ go to yu dɔktɔ.
Yu dɔktɔ go chɛk yu blɔd kalsiɔm lɛvɛl, blɔd prɛshɔn, di kidni wok, ɛn bon dɛnsiti ɔltɛm (sɔntɛm wan ɔ tu tɛm insay di ia).
Mɛsej we dɛn kin kɛr go na os
- haypaparatayroydism na wan kכndyushכn we di kalsiכm lεvεl na di bכdi de inkrεs biכs fכ di כmon PTH we di paratayroyd gland dεm de prodyuz pasmak.
- Sɔm kayn sik lɛk fɔ taya ɔltɛm ɛn fɔ pen na yu bon kin apin, ɛn sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl.
- Di tin we kin mek dis apin kin bi prɔblɛm wit di gland insɛf (primary) ɔ ɔda sik lɛk kidni sik (sɛkɔndari).
- Di tritmɛnt dɛn we pɔsin kin gɛt kin kɔmɔt frɔm ɔpreshɔn, mɛrɛsin, ɛn chenj di we aw pɔsin de liv in layf. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu.
- If yu gɛt ɛni dawt ɔ simptom bɔt dis, go to yu dɔktɔ wantɛm wantɛm fɔ advays.
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