Kan ruh leh ha nghet taka vawn rengna atana calcium hi a pawimawh zia i hre tawh ngei ang. Mahse, thisen kalna kawng, taksa peng leh nervous system hrisel taka awm reng tur chuan mineral pawimawh tak calcium pawh hi a level pangngaiah a awm a ngai tih i hria em? Tun hnaia i thisen test result-ah i calcium level a sang lutuk emaw, a hniam lutuk emaw a nih chuan i doctor chuan thisen test bik dang a ti leh mai thei. Chu chu vawiin a kan sawi tur test a ni a, chu chuan i parathyroid hormone (PTH) level a teh a ni.
A awlsam zawngin, parathyroid hormone (PTH) hi eng nge ni?
Kan kawngah hian gland te tak te pali kan nei a. Peas te tak te ang vel an ni. Hengte hi
parathyroid glands kan tih te hi an ni . Heng gland te hian parathyroid hormone, a nih loh leh PTH an siam chhuak thin. He hormone hnathawh ber chu kan thisena calcium awm zat control hi a ni. System mak tak a ni. Hetiang hian han ngaihtuah teh:
- I thisen calcium level a tlahniam chuan heng glands te hian hormone PTH chu i thisenah an chhuah tir thin. He PTH hian i ruh leh kal atanga calcium khawlkhawm turin a kal a, i calcium level chu a pangngaiah a hruai kir leh thin.
- I thisen calcium level a san chuan , heng glands te hian PTH hormone an tichhuak tawh lo. Hei hian i thisen calcium level a control a ni.
Chuvangin, i PTH level tehna hi doctor-te tan chuan i thisen calcium tlahniam emaw, sang emaw chhan dik tak hriat nan a \angkai hle.
Engvangin nge doctor chuan he test hi a rawt ang?
A bulpui ber chu i thisen calcium level dik lo chhan chu parathyroid glands hnathawhna lama harsatna a nih leh nih loh hriat chian a ni. I PTH level chu i calcium level nen a inmil a nih chuan calcium level dik lo awm chhan chu thil dang a ni tihna a ni. A tlangpuiin a hnuaia symptoms te hi i neih chuan i doctor chuan he PTH test hi a rawt thei ang.
| Hypercalcemia - thisenah calcium a pung | Hypocalcemia - thisenah calcium a tlem |
|---|
| Pum natna | Depression leh mood swing fo thin |
| Tuihal lutuk | Muscle twitching emaw twitching emaw (Spasms) . |
| Zun chhuah a ngai fo thin | Kut, ke leh hmui vel a rilru hah emaw, tingling emaw |
| Nausea leh luak chhuak | Lungphung dik lo a awm |
| Chau | |
| Taksa leh ruh na | |
| Kidney-ah lung a awm | |
He test hi hlauhawmna a awm em?
A nihna takah chuan
risk a tlem hle . Thisen test dang ang bawkin, needle dahna hmunah hian natna engemaw zat i nei thei. A hnuah pawh hliam engemaw zat i nei thei bawk. Mi thenkhat chuan thisen an pek hnuah an luak chhuak deuh thei. Mahse hei hi chu thil pangngai tak a ni.
He test hian a thatna lian ber chu doctor hnenah i taksain PTH hormone a siam tam lutuk nge a siam tlem lutuk tih chiang takin a hre thei a ni.
Hei hian parathyroid natna a nemnghet thei a, a hnawl thei bawk. Chumi hnuah chuan nang leh i doctor chuan in calcium level dik lo chhan dang i zawng thei ang.
Test hmain inbuatsaih a ngai em?
Ni e, i doctor chuan damdawi emaw vitamin (supplement) thenkhat chu test hma ni khatah emaw, ni khatah emaw ei tawh loh turin a ti thei che a ni. Mahse
doctor zawt hmasa lovin damdawi engmah ei kha bansan ngai suh .
Test neih chhung leh test zawhah eng nge thleng?
Hei hi kalphung awlsam tak a ni. I kut chhunga vein pakhat atang hian thisen tlemte lak chhuah a ni. Thisen latu chuan i kut chunglam chu rubber band a dah hmasa ang a, a tikhauh hmasa ang. I kut i hrual chuan thisen kalna kawngte chu chiang takin a lang ang. Tichuan, needle te tak te hmangin thisen tlem te te chu test tube-ah lak luh a ni ang. Hei hian thisen tam tak a mamawh lo. Thisen an lak chhuah chuan needle chu la chhuakin plaster te tak te chu a hmunah an hnawih thin. He thisen sample hi lab-ah PTH, calcium, leh hormone leh mineral dang pawh a awm theih zat test turin an thawn a ni.
Engtin nge a rah chhuah chu kan hriatthiam theih ang?
Test result a lo let leh theih nan ni engemaw zat a la ngai thei. Mahse, a chang chuan result hi a rang zawkin hmuh theih a ni a, chu chu lab leh doctor mamawh dan azirin a ni. A result chu picogram per milliliter (pg/mL) hmanga tarlan a ni. PTH tan hian normal range hi lab hrang hrangah a inang lo deuh thei a ni. PTH chi `intact molecule` tan chuan range hrisel tak chu
10 - 65 pg/mL inkar a ni tlangpui.
A pawimawh ber chu i result-a number awmte awmzia dik tak hriatthiam theih nan i doctor nen inbiakna neih ngei ngei tur a ni.
PTH level leh a chhan PTH level sang thlen thei thil (Hyperparathyroidism): PTH level hniam thlen thei thil (Hypoparathyroidism):
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- Parathyroid glands hnathawh a tlahniam.
- Thyroid gland nena inzawm surgery neih.
- Radiation laka invenna .
- Thir a tam lutuk.
- Thisenah calcium level a tisang.
- Autoimmune natna te .
- Magnesium level hniam tak a awm.
|
Test tam zawk ka tih a ngai dawn em ni?
Ni e, i doctor chuan i PTH leh calcium level a zirin test dang neih belh a rawt thei ang.
- Entirnan, i PTH level sang mahse i calcium level a hniam chuan i parathyroid glands te chu a thawk tha tihna a ni thei. Chumi hnuah i doctor chuan i vitamin D, phosphorus leh magnesium level te chu i calcium level a nghawng em tih a enfiah ang.
- A lehlamah chuan i calcium level a sang a, i PTH level chu a tlangpui aia sang a nih chuan hyperparathyroidism i nei thei bawk. Chutiang a nih chuan i doctor chuan X-ray emaw imaging test dang emaw hmangin i parathyroid glands te chu a enfiah ang.
Glands a hring emaw, tumor a awm emaw chuan glands lakchhuahna tur surgery tih theih a ni. Mahse, i dinhmun a na lo a, kal lama harsatna emaw, ruh chak lo emaw ang chi symptom i neih loh chuan i doctor chuan i calcium leh PTH level chu a enfiah fo duh mai thei. Damdawi Cinacalcet (Sensipar) ang chi pawh an pe thei bawk. Chutiang hunah chuan zai a ngai lo mai thei.
Take-Home Thuchah a ni
- PTH thisen test hi i thisena calcium level dik lo awm chhan hriat nan test pawimawh tak a ni.
- Hei hi thisen test pangngai a nih avangin risk a tlem hle a, chuvang chuan hlauh a ngai lo.
- I doctor chuan i natna lan chhuah dan, calcium level leh PTH level a zirin eng nge i tih tur tih a rel ang.
- I test result i dawn hunah i doctor nen inbia la, a hriatthiam kim theih nan.
- I damdawi ei kha titawp ngai suh la, i doctor thurawn tel lo chuan a dose pawh thlak ngai suh.
Parathyroid hormone, PTH test, calcium, thisen test, hypercalcemia, hypocalcemia, kal natna te
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