I chak lo va, i ruh a na fo em? A nih loh leh i doctor khan thisen report a en a, "I calcium level a sang deuh" a ti em? Hei hi a chhan chu kan sawi tam loh, mahse a pawimawh em em condition vang pawh a ni mai thei. Vawiin hian he hyperparathyroidism an tih hi i hriatthiam theih tur awlsam takin i sawi dawn nia.
Hyperparathyroidism hi eng nge ni?
A awlsam zawngin, hyperparathyroidism chu i parathyroid gland pakhat emaw a aia tam emaw a thawk nasa lutuk a, parathyroid hormone (PTH) a siam tam lutuk hi a ni. Hei hian i thisena calcium level a tisang a ni. Damdawi lamah chuan hei hi hypercalcemia kan ti a .
Ngaihtuah teh, kan kawr chhunga thyroid gland hnung lamah hian buh chi khat vel zeta lian gland te tak te pali a awm a. Chungte chu parathyroid glands an ti a. In lama kan tui tank chhunga tui level control tu ball ang bawkin heng glands te hna ber chu kan thisena calcium leh phosphate level dik taka control hi a ni.
Hei hi a hnathawh dan chu a ni:
- Thisen a calcium level a tlahniam chuan heng gland te hian hormone PTH an siam chhuak thin.
- He PTH hormone hian kan ruhte hnenah "thisenah calcium engemaw zat a chhuah tir" turin signal a thawn a.
- Tin, kal (kidney) te chu "zun atanga calcium chhuak tihtlem a, taksa chhunga awm reng" turin a hrilh bawk.
- Tichuan, kal (kidney) chuan vitamin D chu a tichak a, kan intestines-ah a thawn ta a ni . Tichuan, kan eitur tha taka kan ei tur a calcium awm chu kan intestines hian a hip lut ta a ni.
Hei hi system inthlau tak a ni. Mahse, hyperparathyroidism-ah chuan PTH hormone hi a tam lutuk a, chu chuan ruhte chu calcium a chhuah chhunzawm zel a, chu chuan a ti hring a, a ti chhe thei bawk. Tin, thisena calcium tam tak awmkhawm chu kal (lung siam thei), thisen kalna kawng, thinlung leh taksa peng dangteah a awm thei a, hriselna lama harsatna hrang hrang a thlen thei bawk.
Hetiang dinhmun hi eng chi hrang hrang nge ni ber?
Hyperparathyroidism hi chi thum ah then theih a ni a, a lo awm dan azirin then a ni.
| Lampang | A awlsam zawngin... |
|---|---|
| A hmasa berah chuan hyperparathyroidism a awm | Hetiang dinhmunah hian buaina chu parathyroid gland ngeiah a ni. Gland-a tumor (a tlangpuiin cancer ni lo) emaw, gland lian lutuk emaw hian taksain a mamawh loh lai pawhin PTH hormone a siam chhuak thin. |
| Secondary hyperparathyroidism a awm bawk | Hetah hian glands te sualna a ni lo. Damdawi lam thil dang (a tam zawkah chuan Chronic Kidney Disease) hian taksaa calcium level a ti tlahniam a ni. Chumi chhanna atan chuan parathyroid glands te chuan an tlakchhamna phuhruk nan overtime hna an thawk tan thin. |
| Tertiary hyperparathyroidism natna a awm a | Hei hi secondary condition hi hun rei tak enkawl loh a nih chuan a thleng thin. Glands te hian hna an thawk nasa lutuk chhunzawm zel a, an lian chho zel a, thunun theih lohvin PTH hormone an siam chhuak thin. |
Eng nge a lan chhuah dan?
Hetiang natna vei tam zawk hian symptom an nei lo . Thisenah calcium level sang tak hi chhan dang avanga thisen test neih laiin a thleng maiin hmuhchhuah a ni fo thin. Mahse, mi thenkhat chuan a bik takin an calcium level a san lutuk chuan a hnuaia symptoms te hi an nei thei a ni.
- Ruh leh ruh natna
- Muscle chak lohna
- Chauhna leh hahna reng reng
- Lungngaihna
- Thil pakhata ngaihtuahna seng harsa
- Chaw chakna
- Nausea leh luak chhuak
- Buaina, thil theihnghilh
- Tuihalna nasa tak nei leh zun chhuah fo ngai
- Ek khal
Heng symptoms te hi a tam hle tih hre reng ang che. An nei zawng zawng hian hyperparathyroidism an nei vek lo. Mahse heng symptoms te hi a awm reng chuan doctor pan a tha ber.
Eng thilin nge hei hi a thlen?
A hmaa kan sawi tawh chi thumte hi a chhan hrang hrang han thlir ila.
Primary Hyperparathyroidism awm chhan te
- Adenoma: Hei hi cancer ni lo tumor a ni a, parathyroid gland-ah a lo awm a. Hei hi primary hyperparathyroidism thlentu ber a ni.
- Hyperplasia: Hei hi parathyroid gland pakhat a lian chhoh chuan a ni.
- Ngawt:Parathyroid glands cancer hi a awm lo hle .
Secondary Hyperparathyroidism awm chhan te
Hei hi a chhan ber chu Chronic Kidney Disease (CKD) a ni. Kidney-in hna a thawh that loh chuan taksaa phosphate level a sang a, vitamin D level a tlahniam bawk. Hei hian thisen a calcium level a tihhniam phah a ni. Chuvangin, he calcium tlakchhamna hi phuhruk nan parathyroid glands te hian PTH hormone an siam tam lutuk a ni.
Tin, vitamin D tlakchhamna nasa tak (ni tlak loh vang emaw, ei leh in lama tlakchham vang emaw) pawhin hei hi a thlen thei bawk.
Engtin nge he dinhmun hi kan hriat theih ang?
I doctor chuan i natna lan chhuah dan a ngaithla ang a, a enfiah ang che a, he natna hi a rinhlelh chuan test thenkhat atan a refer ang che.
| Fiahna | Eng nge i en? |
|---|---|
| Thisen Test neih a ni | Thisenah hian calcium, PTH hormone, vitamin D, phosphate, leh kal hnathawh (Creatinine) te enfiah thin a ni. |
| Darkar 24 chhung Urine Test a ni | Darkar 24 chhunga zun atanga calcium awm zat an teh thin. |
| Parathyroid Scan hmanga tih a ni | Hei hian eng gland nge overactive tih chiang taka hriat theih a ni. Hei hi surgery hmain a pawimawh hle. |
| Ultrasound hmanga Scan a ni | Kawr chhunga gland leh kal (kidney) awm dan enfiah nan hman a ni. |
| Ruh Density Scan a ni | He test hi ruhte hian calcium a hloh a, a hring (Osteoporosis) a nih leh nih loh enfiah thin a ni. |
Engtin nge enkawl a nih?
Enkawl dan tur chu primary emaw secondary type i neih leh neih loh leh natna nasat danah a innghat a ni.
Primary hyperparathyroidism enkawl dan tur
Hei hi a solution tha ber leh awm reng tur chu surgery (parathyroidectomy) tih a ni a, overactive gland emaw glands emaw te chu lakchhuah a ni. He operation hnu hian mi 90% aia tam chu thisen calcium level pangngaiah an kir leh thin.
Kum 50 hnuai lam, symptoms i neih, calcium level sang tak i neih, kidney stone i neih emaw, ruh te tak te i neih chuan i doctor chuan operation neih a rawt ngei ang.
Thil pawi lo leh operation ngai lo a nih chuan i doctor chuan i dinhmun a enfiah reng ang. Amah pawhin:
- Bisphosphonates: Heng damdawi te hian ruh atanga calcium chhuak tur a veng a, a tichak bawk.
- Calcimimetics: Heng damdawi te hian parathyroid glands te chu "trick" in hormone PTH siam chhuah a tihtlem phah a ni.
- Nunphung thlak danglam: Damdawi thenkhat (e.g., thiazide diuretics, lithium) ei kha bansan a, ei leh in thlak danglam turin fuih i ni thei bawk.
Secondary hyperparathyroidism natna enkawl dan
Hetah hian a pawimawh ber chu a chhan bulpui enkawl a ni , chu chu kal natna control leh vitamin D tlakchhamna enkawl te hi a ni.
- Kidney natna nei chuan dialysis emaw kidney transplant emaw a mamawh thei.
- Thisen a phosphate level tihhniam nan damdawi phosphate binder ang chi te pek thin a ni.
- Hemi atan hian Vitamin D leh Calcimimetic damdawi te pawh hman a ni.
Heng enkawlnate hian a natna hi a thunun theih loh chuan operation tih a ngai mai thei.
A pawimawh ber chu, Vitamin D emaw calcium pill emaw hi mahni chauhin ei suh. Doctor rawn hmasa phawt la, a tih ang chauhvin hmang rawh. A châng chuan hengte hian thil a tichhe zual thei a ni.
Take-Home Thuchah a ni
- Hyperparathyroidism hi parathyroid glands ten hormone PTH an siam tam lutuk avangin thisenah calcium level a sang chho thin a ni.
- A tam zawkah chuan symptom bik a awm lo. I rilru hahna leh ruh natna ang chi general symptoms i nei thei.
- Primary type hi gland chhung ngeia harsatna awm vang a ni a, secondary type awm chhan ber chu chronic kidney disease a ni thung.
- He natna hi thisen, zun test leh scan hmanga hriat theih a ni.
- Primary type enkawlna tha ber chu surgical removal of the affected gland hi a ni.
- Damdawi emaw vitamin emaw i hman hmain doctor rawn hmasa phawt ang che.
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