Operation hnua calcium level tlahniam chungchangah harsatna i nei em? ‘Hungry Bone Syndrome’ a ni thei!

I hriat angin, surgery thenkhat, a bik takin kawr chhunga thyroid gland emaw, a bula parathyroid gland emaw lakchhuahna hnuah taksa hian harsatna chi hrang hrang tlemte a tawk thei a ni. Mi ṭhenkhat chu ngaihtuah phak loh khawpin an chau thei a, taksa na an nei a, tlem chuan an buai hle bawk. Chuvangin nangmah emaw i hriat emaw hian hetiang thil hi i tawk a nih chuan vawiin a kan sawi tur ‘Hungry Bone Syndrome’ tih natna avang pawh a ni thei. A hming hi a mak deuhin a ri a ni lawm ni? I ngaihtuah mai thei, "Ram riltam ruh neih hi eng nge a awmzia?" Eng nge a nih i han thlir teh ang, a awlsam zawngin.

‘Hungry Bone Syndrome’ tih hi eng nge ni?

A awlsam zawngin, Hungry Bone Syndrome hi i thisena calcium level tlahniam nghal lutuk a ni. Doctor te chuan hei hi ``Hypocalcemia'' an ti a. Hetiang dinhmun hi parathyroid glands operation hnuah hmuh tur a awm fo. Kan taksaa calcium control-na kawngah hian parathyroid glands hi a pawimawh hle tih i hria em?

Hetiang ‘hungry bone syndrome’ vei te hian an thisenah hian calcium level a hniam mai ni lovin, a chang chuan magnesium (`(Hypomagnesemia)`) leh phosphorus (`(Hypophosphatemia)`) te pawh a hniam thei bawk. Hengte hi kan taksa mamawh mineral pawimawh tak tak an ni bawk.

Mahse, ngaihtuahawm tur a awm lo. ‘Hungry Bone Syndrome’ hi enkawl leh tihdam theih a ni . A pawimawh ber chu a hun taka hriatchhuah a, enkawl tan hi a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

He ‘hungry bone syndrome’ hi engtiang chiahin nge a hluar tih hi zirchiangtute chuan an hre chiang lo tak zet a, mi hrang hrangah a inang lo thei a ni.

Mahse, zirchianna thenkhatah chuan primary hyperparathyroidism an tih natna avanga parathyroidectomy nei mi 100 zinga 4 atanga 13 inkar chuan he natna hi an nei tih hmuhchhuah a ni. Tin, report thenkhat chuan secondary leh tertiary hyperparathyroidism operation hnuah he natna hi a lo awm theihna chance hi 100 zinga 20 atanga 70 vel a ni thei tih an sawi bawk a, chuvangin, hei hi thil thenkhatah chuan a tam zawk deuh thei niin a lang.

‘Hungry Bone Syndrome’ natna lan chhuah dan chu engte nge ni?

‘Hungry Bone Syndrome’ natna lan chhuah dan hi thisen calcium tlakchham (Hypocalcemia) avanga natna lan chhuah dan nen a inang hle. Chungte chu mi thenkhatah chuan lump te tak te ang maia te, mi thenkhatah chuan buaina emaw, seizure emaw ang maia na thei a ni. A lan chhuah dan thenkhat chu hetiang hi a ni:

• Sa rolling emaw pulling of the flesh: Ke emaw kut emaw a sa chu rolling mai mai ang maia hriatna.
• Muscle chak lohna: Nunna nei lo anga inhria leh engmah tih theih loh khawpa chau lutuk.
• Ruh na: Taksa ruhte chu a na ang maia inhriatna.
• Chauhna nasa tak: Mut hnuah pawh a reh lo.
• Buaina: Thil ngaihtuah harsa, tih tur hre lo.
• Hriatrengna lama harsatna: Thil theihnghilh.
• Thinrimna emaw thinrimna: Thil tenawm tak avanga thinrim, rilru hahdam lohna.
• Depression: Lungngaihna leh beiseina nei lo anga inhriatna.
• Ka hmui, lei, kut zungtang, leh/ emaw kea natna: Heng hmunte hi a rilru a buai hle a, a nih loh leh rulhut tlan kual ang maiin a awm.
• Thlawhna ruh (`(Laryngospasm)`) avanga thawk harsa (`(Laryngospasm)`): Hei hi a hlauhawm deuh a, thawk a harsat phah a ni.
• Muscle stiffness and twitching (`(Tetany)`): Taksa ruhte chu a nghet lo va, a inher chhuak thin.
• Seizures: Hei hi symptom na tak a ni bawk.

Heng symptoms te bakah hian a hmaa kan sawi tawh ang khan thisenah magnesium leh phosphorus level hniam (`(Hypomagnesemia)` leh `(Hypophosphatemia)`) te pawh a awm thei bawk. Heng natna lan chhuah dan hi calcium tlahniam nen hian a inang hle. Tin, taksa ruh lama harsatna, seizure, leh heartbeat mumal lo (`(Arrhythmia)`) a thlen thei bawk.

Hungry bone syndrome hi parathyroid emaw thyroid emaw surgery atanga darkar 18 chhungin a awm tlangpui .

Engvangin nge he ‘Hungry Bone Syndrome’ hi a lo awm?

‘Hungry Bone Syndrome’ hi a chhan lian ber ber engemaw zat a awm a:

• Parathyroid surgery (`(Parathyroidectomy)`) hnuah primary emaw secondary emaw hyperparathyroidism a awm a.
• Thyrotoxicosis hi total thyroidectomy hnua lo awm thin a ni.
• Prostate cancer chu ruh (metastasized)-a a darh chuan.

Hetiang thil a thlen chhan dik tak hriat chian nan hian kan taksaa calcium level a insiamrem dan hi tlem tal hriatthiam a pawimawh hle.

Ngaihtuah teh, i kawr chhunga i thyroid gland hnung lamah hian parathyroid glands an tih gland te tak te pali a awm a. Heng gland te hian hormone pakhat parathyroid hormone (PTH) an siam chhuak thin . He PTH hormone hnathawh ber chu thisen (ruh-ah ni lovin, thisenah) calcium level control hi a ni. PTH hian thisen leh ruh a phosphorus (mineral pawh a ni bawk) leh vitamin D (hormone pawh a ni) level control nan a pui bawk.

Chuvangin, i taksain i thisena calcium level a hniam tih a hriat chuan parathyroid glands te hian hormone PTH chu an chhuah tir thin. He PTH hian a kal a, ruh atang hian calcium tlem a chhuah a, thisenah a dah tel bawk. Tichuan thisen calcium level chu a pangngaiin a awm leh ta a ni.

Tunah chuan, mi pakhatin parathyroid glands overactive tak a nei a, chu chu lakchhuah tumin operation an nei tih han ngaihtuah teh. Thil thleng chu a hmaa PTH hormone level sang tak tak kha a tlahniam nghal vek a ni. A chang chuan thyroid operation an tih hian a bul hnaia parathyroid glands te chu a chhiat palh chuan PTH level pawh a tlahniam thei bawk.

PTH level a tlakhniam thut chuan ruh hlui a calcium awm zat thisenah a lut leh (`(Resorption)`) a tlahniam a, ruh thar siam (`(Bone Formation)`) a pung bawk. Hei hian ruhte chu calcium "starved" turin a siam a ni. Chuvangin hei hi ‘hungry bone syndrome’ an ti a ni.

Hei hi ruh chhunga prostate cancer a darh chuan a thleng thin. Chutah chuan ruh siamtu cell (`(Osteoblastic activity)`) te hnathawh a pung a, chuvangin ruh hian calcium a mamawh tam zawk a ni.

Tute nge ‘Hungry Bone Syndrome’ vei theihna sang zawk?

Mi thenkhat chuan he natna hi an nei tam zawk. Tute nge an nih i han en teh ang:

• Thisenah parathyroid hormone (PTH) a sang hle.
• Thisenah alkaline phosphatase level a sang chho zel.
• Thisenah hian Calcium level a hniam tlangpui.
• Vitamin D tlakchhamna nei.
• Thyroid leh parathyroid surgery a ruala tih.
• Thisenah urea nitrogen (BUN) level a sang.
• Obesity, chu chu thau lutuk tihna a ni.
• Parathyroid gland pangngai aia lian zawk surgery hmanga lakchhuah.
• Cancer cells te chu ruh ah a darh (Metastatic tumors of the bones).
• Ruh nena inzawm natna, brown tumor leh osteitis fibrosa cystica te awmna.

Heng risk factors nei te hi ‘hungry bone syndrome’ an vei tam zawk.

Doctor-te hian engtin nge hei hi an hmuh?

Doctor chuan ‘hungry bone syndrome’ i neih leh neih loh chu calcium thisen test hmangin a hre hmasa fo thin. A tlangpuiin ni li aia rei i thisen calcium level 8.4 mg/dL hnuai lam a nih chuan ‘hungry bone syndrome’ vei theihna tur risk factor anga ngaih a ni.

Chu mai ni lovin, i doctor chuan he natna hian i hriselna kawng dang a nghawng em tih hriat nan test dang tlemte pawh a ti thei bawk:

• Thisen test dang: I thisenah magnesium, phosphorus, parathyroid hormone (PTH), leh/ emaw vitamin D level te enfiah theih a ni.
• EKG (Electrocardiogram): He test hian i thinlung rhythm a teh a, i rilruah electrode a dah a ni. Hei hi a pawimawh a, a chhan chu thisen calcium tlem (hypocalcemia) leh ‘hungry bone syndrome’ te hian thinlung thawk mumal lo a thlen thei a ni.
• Bone imaging tests: Heng test te hian i ruh lama harsatna, ruh tliak, deformities, tumor te chu a enfiah thei a ni.

‘Hungry Bone Syndrome’ natna enkawl dan tur chu engte nge ni?

Lungngai suh, hei hi enkawl dan tha tak tak a awm. Enkawlna tum ber chu i thisena calcium level chu hrisel level-a hruai kir leh hi a ni. A tam zawkah chuan damdawi ina i awm chhungin he enkawlna hi i dawng ang. Enkawlna atan hian:

• Vein hmanga calcium pek (`(IV Calcium - Calcium Gluconate)`): Hei hian calcium level rang taka siam that nan a pui a ni.
• Oral Calcium Supplements (Calcium Citrate emaw Calcium Carbonate): Hengte hi calcium level vawng reng turin pek thin a ni.
• Oral Vitamin D Supplements: Vitamin D hi taksain calcium a lakluh theih nan a pawimawh hle.
• Magnesium thlak danglamna: Magnesium level a hniam chuan chu pawh chu siamthat a ngai a ni.

Doctor ten i dinhmun an enfiah ang a, i tana enkawlna tha ber tur an ruat ang.

Hetiang dinhmun atanga dam leh tur hian eng chen nge a mamawh ang? Nakin hun chu eng nge ni?

Thu lawmawm tak chu he natna, ‘Hungry Bone Syndrome’ hi tihdam theih a ni tawh mai thei . Chu chu prognosis a tha hle tihna a ni.

Mahse, enkawlna nen pawh hian he natna hi a reh kim theih nan hun a duh dan hi a inang lo thei hle. Mi thenkhat chu ni rei lo te chhungin an dam a, thenkhat erawh chuan thla engemaw zat an daih thei bawk. A tlem berah chuan kum khat thleng a daih thei.

A pawimawh ber chu enkawl loh chuan hypocalcemia na tak hian nunna atana hlauhawm tak tak, seizures ang chi a thlen thei a ni. Chuvangin symptoms a awm chuan a rang thei ang bera enkawl a pawimawh.

‘Hungry Bone Syndrome’ hi a veng thei ang em?

Parathyroid surgery (`(Parathyroidectomy)`) emaw, thyroid surgery (`(Thyroidectomy)`) hnuah pawh ‘hungry bone syndrome’ a awm theih avangin, doctor-te chuan operation hma pawhin a ven theih nan hma lak an tum thin. Eng nge an nih i en ang u:

• Presurgery evaluation: Surgery i tih hmain i doctor chuan i ruh mineral density, thisen calcium level, phosphate level, PTH level, leh vitamin D level te a enfiah ang. Heng test te hian i doctor chu ‘hungry bone syndrome’ vei theihna i neih leh neih loh a hriat theih nan a pui thei a ni.
• Invenna tur ruahmanna: 1.1.‘Hungry bone syndrome’ i vei theihna a sang zawk a nih chuan, i doctor chuan operation hmain i vitamin D leh calcium level vawng reng turin supplement emaw damdawi emaw ei turin a rawt thei ang. Hei hian ‘hungry bone syndrome’ vei theihna leh/ emaw a nasat dan tihtlem nan a pui thei a ni.
• Post-surgery monitoring: Operation hnuah hospital team chuan i thisenah calcium, phosphate, magnesium, leh PTH awm zat an enfiah fo ang. Hei hi ‘hungry bone syndrome’ i neih chuan a hmaa hriatchhuah theih a nih theih nan leh enkawl tan nghal theih nan a ni.

Amaherawhchu, heng zawng zawng tehna zawng zawng hi awm mah se, a chang chuan ‘hungry bone syndrome’ a lo awm thei a ni. Zirchiangtute chuan hetiang thil hi a thlen chhan an la hre chiang lo.

Engtik hunah nge doctor ka hmuh ang?

Parathyroid emaw thyroid emaw surgery i neih tawh a, a hnuah kan sawi tawh ang khan thisen calcium tlahniam (`(Hypocalcemia)`) symptoms, muscle cramps, chak lohna hriatna, hriatna inthlak danglam (confusion ang chi), leh hmui leh kut zungtang hrual te i neih chuan a rang thei ang bera doctor i pan ngei tur a ni.**Hungry bone syndrome’ leh `(Hypocalcemia)` te hi parathyroid leh/ emaw thyroid surgery hnuah a awm thei a, ni engemaw zat hnuah a reh thei a, a lo lang leh thei bawk. Chuvang chuan natna lanchhuahna tenau ber pawh ngaihven a pawimawh hle.

‘Hungry bone syndrome’ hi parathyroid emaw thyroid glands emaw lakchhuahna tur operation hnua lo awm thei a ni. Thu lawmawm tak chu enkawl theih leh tihdam theih a ni. Mahse, a dam kim theih nan hun engemaw chen a la ngai thei. Thisena calcium level tlahniam nasa tak hian i hriselna atan a hlauhawm thei a, chuvangin symptom i hmuh veleh doctor pan vat a tha ber.

Home message chu la rawh

Chuvangin, a awlsam zawngin sawi ila, ‘Hungry Bone Syndrome’ hi parathyroid emaw thyroid gland emaw operation hnua lo awm thei a ni. A bulpui berah chuan taksa thisena calcium awm zat chu a tlahniam nghal vek a ni. Hei hi a chhan chu operation hnuah parathyroid hormone (`(PTH)`) level a tlahniam a, chu chuan ruhte hian calcium a "demand" thin a ni.

He thu hi hre hlau suh, a chhan chu ‘Hungry Bone Syndrome’ hi natna enkawl leh tihdam theih tak a ni.

A pawimawh ber chu heng symptoms (muscle twitching, chau, numbness ang chi) i neih chuan hun khawhral suh la, a rang thei ang bera doctor pan rawh. Chutiang chuan a natna chu i hre hmasa thei a, a tul anga enkawlna chu i tan nghal thei a, harsatna lian zawk a nih hmain i tidam thei bawk. I hriselna enkawl hi nangmah kutah a awm tih hre reng ang che.

`Hungry Bone Syndrome, Hungry Bone Syndrome, Calcium, Hypocalcemia, Parathyroid, Thyroid Surgery, PTH te pawh a awm thei