Calcium mu musaayi gwo mungi? Kyandiba nga kiva ku parathyroid adenoma?

Oyinza okuba nga waggyibwako omusaayi okukeberebwa bulijjo. Oba olyawo kyava ku kuba nti buli kiseera wali owulira ng’okooye, oba olw’okuba ng’omubiri okuluma. Anyway, omusawo bwe yagamba mu report eyo ey'omusaayi nti "calcium level yo eri waggulu katono," oyinza okuba nga wasobeddwa katono. Oyinza okuba nga weebuuzizza oba calcium omungi kizibu. Yee, oluusi kiyinza okuba akabonero akalaga nti waliwo ekigenda mu maaso munda mu mibiri gyaffe. Obwo bwe bumu ku bukwakkulizo obwo bwetugenda okwogerako leero.

Mu ngeri ennyangu, kino parathyroid adenoma kye ki?

Tofaayo, wadde erinnya lino liwanvu katono, mu butuufu lyangu nnyo. Adenoma si kookolo . Kwe kugamba, si kintu kya bulabe ekisaasaana mu mubiri gwonna. Kizimba ekitali kya bulabe, ekitono ekikola mu nseke.

Kati ka tulabe endwadde zino eza parathyroid kye ziri. Mu bulago bwaffe mulimu obusimu buna obutono obulinga amagumba, okwetooloola endwadde ya thyroid (endwadde abantu abasinga gye bamanyi nga "embuzi"). Zino ze nseke eziyitibwa parathyroid glands. Omulimu gwabwe omukulu kwe kukola obusimu obuyitibwa Parathyroid Hormone (PTH) , obufuga omuwendo gwa kalisiyamu mu mubiri gwaffe.

Kilowoozeeko nga ‘switch’ efuga emiwendo gya calcium mu mibiri gyaffe. Calcium bw’akendeera, obusimu bufuluma okuva mu nnywanto zino, ne busika calcium okuva mu magumba, ensigo n’ebyenda okuyingira mu musaayi okuzza omuwendo ku mutindo omutuufu.

Kyokka singa emu oba eziwera ku endwadde zino eza parathyroid zifuna obulwadde bwa adenoma, endwadde eyo ekola ekisusse. Olwo n’etandika okukola obusimu obuyitibwa parathyroid hormone bungi okusinga omubiri bwe gwetaaga. Embeera eno eyitibwa primary hyperparathyroidism . Kino kireetera omuwendo gwa kalisiyamu mu musaayi okulinnya mu ngeri eteetaagisa.

Bubonero ki embeera eno bw’eyinza okuleeta?

Ebiseera ebisinga, omuwendo gwa kalisiyamu mu musaayi bwe gulinnya katono, wayinza obutabaawo bubonero. Y’ensonga lwaki abantu bangi bagisanga mu butanwa nga bayita mu kukeberebwa omusaayi. Kyokka, emiwendo gya kalisiyamu bwe girinnya ennyo, ebizibu eby’enjawulo bitandika okuvaayo.

Laba ekipande wansi ku bubonero obutera okulabika obuyinza okuva ku kino.

Lwaki ekika kya adenoma kino kikula? Ani asinga okubeera mu bulabe?

Mu butuufu, emirundi egisinga, tewali nsonga ntongole ezuuliddwa ku nkula ya adenomas zino, naye waliwo ebintu ebimu ebiyinza okuleeta akabi.

• Ebivaako obuzaale: Abantu abatono ennyo (nga 10%) basobola okusikira embeera eno nga bayita mu buzaale obuyisibwa okuyita mu milembe.
• Okukwatibwa obusannyalazo: Singa wafuna obujjanjabi bw’obusannyalazo mu bulago n’omutwe ng’omwana oba omuto omukulu, akabi kayinza okweyongera katono.
• Emyaka n’ekikula: Embeera eno esinga kubeera mu basajja okusinga abakyala.Abakyala batera okubufuna emirundi nga esatu. Ekirala, businga kubeera mu bantu abali wakati w’emyaka 50 ne 70.

Bintu ki eby’entiisa ebiyinza okubaawo singa kino kibuusibwa amaaso?

Tolowooza nti, "Bwe kiba nga si kookolo, lwaki otya?". Omuwendo gwa calcium omungi mu musaayi ogutafugibwa okumala ebbanga eddene guyinza okwonoona ebitundu bingi mu mubiri gwaffe. Naddala singa calcium efuuka waggulu nnyo, embeera ez’amangu ziyinza okubaawo.

• Cardiac Arrhythmia: Omutima guyinza obutakuba bulungi.
• Parathyroid Crisis: Eno mbeera ya mangu mu by’obujjanjabi. Kiyinza okuvaako okutabulwa mu birowoozo, obusimu obutakola bulungi, okugwa mu kkoma, n’okufa.

Omusawo azuula atya obulungi obulwadde buno?

Enkola y’okuzuula kino yeeyoleka bulungi nnyo.

1. Okukebera omusaayi: Ekintu ky’ogenda okusooka okukola kwe kukebera omusaayi mu ngeri ey’enjawulo. Kino kijja kukebera oba calcium mu musaayi gwo eri waggulu .

2. Okukebera obusimu: Singa ekirungo kya calcium kikakasibwa nti kiri waggulu, kujja kukeberebwa omusaayi omulala okukebera obusimu bwo obuyitibwa parathyroid hormone (PTH) . Mu budde obwabulijjo, omuwendo gwa calcium mu musaayi bwe gweyongera, omuwendo gwa PTH gulina okukendeera. Naye mu bulwadde buno, ekirungo kya calcium ne PTH byombi biba bingi. Obwo bwe bubonero obukulu.

3. Ebigezo ebirala: Oluvannyuma lw’okukakasa nti omuntu azuuliddwa, omusawo ayinza okukuwa amagezi okukeberebwa okulala okuwerako.

• Sikaani: Sikaani ya ultrasound oba ekika kya sikaani eky’enjawulo (`Tc-sestamibi` scan) kikolebwa okuzuula ddala endwadde oba endwadde ezisukkiridde we ziri.
• CT scan: CT scan esobola okukolebwa okulaba oba nga waliwo ebitereke bya calcium oba amayinja mu nsigo.
• Bone Densitometry: Epima amagumba go bwe ganafuye.
• Okukebera omusulo okumala essaawa 24: Kino kipima obungi bwa kalisiyamu bw’afulumizibwa mu musulo.

Bujjanjabi ki obusinga obulungi ku kino?

Obujjanjabi obusinga obulungi era obw’olubeerera eri embeera eno kwe kulongoosa.Okulongoosa kuno kuzingiramu okuggyawo endwadde oba endwadde za parathyroid ezisukkiridde. Okulongoosa kuno tukiyita parathyroidectomy . Okulongoosa kuno kukola bulungi ebitundu ebisukka mu 95% era kusobola okuwonya ddala obulwadde buno.

Nkyalina okulongoosebwa ne bwe mba sirina bubonero bwonna?

Yee, abasawo abasinga bagamba nti omuntu alongoosebwe ne bwe kiba nti tewali bubonero. Kubanga, ne bwe waba tewali bubonero, ekirungo kya calcium ekingi mu musaayi kiyinza okuleeta ebintu ng’okugonza amagumba n’okwonooneka kw’ensigo mu kasirise. Okulongoosebwa kuyinza okuziyiza okwonooneka okwo okw’ekiseera ekiwanvu.

Tewali ngeri ndala omuntu atasobola kugenda kulongoosebwa gy’ayinza kukola?

Bw’oba ​​tosobola kulongoosebwa olw’emyaka gyo oba embeera endala ez’obulamu , omusawo ayinza okukuwa amagezi okukozesa eddagala. Naye eddagala lino terikendeeza ku busimu. Wabula zitangira calcium okufuluma mu magumba. Kino kitegeeza nti ojja kuba olina okumira eddagala lino obulamu bwo bwonna.

Engeri okulongoosa gye kukolebwamu n’akabi akali mu kulongoosa

Nga tebannalongoosebwa, bakozesa sikaani okuzuula endwadde eyogerwako. Okulongoosa kuno kukolebwa nga bakozesa eddagala eriwunyiriza.

• Omusawo asala akatundu akatono mu maaso g’ensingo n’akebera endwadde zonna ennya eziyitibwa parathyroid glands.
• Endwadde oba endwadde ezikula mu ngeri etaali ya bulijjo oba ezisukkiridde ziggyibwamu.
• Singa endwadde zonna ennya teziba za bulijjo, ebiseera ebisinga endwadde 3 1/2 ziggyibwamu, ne zisigalawo akatundu akatono, kubanga ebitundu ebimu ebya parathyroid birina okusigalawo okufuga emiwendo gya calcium mu mubiri.
• Emiwendo gy’obusimu bwa PTH gipimibwa mu kiseera ky’okulongoosebwa. Singa endwadde entuufu eggyibwawo, emiwendo gy’obusimu gijja kukka ebitundu nga 50% amangu ddala.

Nga bwe kiri ku kulongoosa kwonna, waliwo akabi akayinza okuvaamu. Obulabe obukulu kwe kukendeera kw’ekirungo kya calcium mu musaayi okumala akaseera oba eky’olubeerera (hypocalcemia) oluvannyuma lw’okulongoosebwa. Kino kiyinza okuvaako engalo okuziyira n’okwetooloola akamwa, n’okunyiga ebinywa. Okuziyiza kino, olina okumira empeke za kalisiyamu ne vitamiini D okumala wiiki ntono ng’omaze okulongoosebwa, ng’omusawo bw’akulagidde.

Oluvannyuma lw’omwezi nga gumu ng’olongooseddwa, obubonero bwo okusinga bujja kuba buweddewo. Amagumba go gajja kweyongera, obulabe bw’okufuna amayinja mu kibumba bujja kukendeera, era omutindo gw’obulamu bwo gujja kulongooka nnyo.