He nui tō taumata konupūmā? Me kōrero tātou mō te Hyperparathyroidism i roto i ngā kupu māmā noa iho.

He maha ngā wā ka ngoikore koe, ka mamae ō wheua, ka ngaro rānei ō mahara? Ahakoa e whakaaro ana tātou he mea noa ēnei, tera pea he take hauora kei muri i tēnei. Arā, kua teitei te taumata o te konupūmā i roto i te toto. Ko te tino take o tēnei he mate e kiia nei ko te Hyperparathyroidism. Ahakoa he ahua uaua te ingoa, kaua e wehi. Me kōrero noa iho tātou.

He aha tonu te hyperparathyroidism?

Ki te kī ngāwari, ko te Hyperparathyroidism te wā ka kaha rawa te mahi a tētahi, neke atu rānei o ngā repe parathyroid i roto i te tinana, ā, ka nui rawa te homoni parathyroid (PTH) e whakaputaina ana.

Whakaarohia, i roto i tō tātou kaki, i muri i te repe tairoiti, e whā ngā repe iti rite ki te pī. Koinei ngā mea e kīia nei e tātou ko ngā repe parathyroid. Ko tā rātou mahi matua he pupuri i te taumata konupūmā i roto i ō tātou toto ki tētahi taumata. Ka whakaitihia hoki e rātou te taumata phosphate i roto i te toto.

Ka whakaputahia e ēnei repe te homoni PTH, ā, ka tukuna atu ētahi tohu ki tō tātou tinana:

• Ō tātou wheua: E kī ana te toto kia tukuna e rātou te konupūmā me te phosphate.
• Ō tātou whatukuhu: E whakahaua ana rātou kia whakaiti i te nui o te konupūmā e tukuna ana i roto i te mimi, ka mimiti anō ki roto i te tinana. E whakahaua ana hoki rātou kia tukuna te phosphate nui rawa i roto i te mimi.

Kātahi ka whakahohehia e ngā whatukuhu te huaora D ka tukuna ki ō tātou whekau. Kātahi ka mimitihia e ngā whekau te konupūmā mai i ngā kai e kainga ana e tātou.

Heoi, ina nui rawa te homoni PTH e whakaputaina ana e ēnei repe parathyroid, ka nui rawa te konupūmā ka tukuna mai i ō tātou wheua, ka ngoikore, ka pakarukaru hoki. Waihoki, ka taea te whakatakoto i tēnei konupūmā nui ki roto i ō tātou whatukuhu, i ngā uaua toto, i te ngākau, me ētahi atu wāhanga o te tinana. Ko tēnei pikinga o ngā taumata konupūmā toto e kiia ana ko te hypercalcemia .

He momo rerekē tēnei?

Ae, e toru ngā momo matua o te Hyperparathyroidism. Ka whakarōpūtia ēnei i runga i te āhua o te puta. Kia tirohia tātou he aha ēnei.

He aha ngā tohu o tēnei?

He maha ngā wā, kāore he tohu o te hunga whai mate pēnei. He maha ngā wā ka kitea noa i te wā e whakamātautau toto ana mō tētahi atu mate. Heoi, ina tino teitei ngā taumata konupūmā i roto i te toto, ka puta ngā tohu pēnei i:

• Te mamae o ngā wheua me ngā hononga
• ngoikore o te uaua
• Te ngenge tonu me te ngenge
• Te āhua pouri
• He uaua ki te aro ki tetahi mea
• Hiahia kai
• Whakapairuaki me te ruaki
• Te ngaronga o te mahara, te wareware rānei
• Te nui ake o te matewai i te tikanga, me te hiahia kia mimi pinepine
• Te kōroke

Ngā mōrearea me ngā raruraru pea o tēnei āhuatanga

Ka taea e ngā taumata konupūmā nui o te toto te whakaputa i ngā raruraru maha mō te wā roa.

• Ngā kōhatu whatukuhu: Ka taea e ngā putunga konupūmā i roto i ngā whatukuhu te puta ai ngā kōhatu whatukuhu.
• Osteoporosis: Ka ngoikore ngā wheua, ka ngawari hoki te whati i te ngaronga o te konupūmā mai i ngā wheua.
• Mate manawa: Ka piki ake te mōrearea o ngā mate pēnei i te toto toto tiketike, te mate manawa, te whiu rānei nā te mea ka pupū ake te konupūmā i roto i ngā oko toto me te ngakau.
• Ngā raruraru kiri: Ka pā mai ngā patunga me ngā mate pāwera i ngā putunga konupūmā ki te kiri.

He maha ngā āhuatanga e whakanui ake ana i te mōrearea o te whakawhanake i tēnei mate. Ko ngā mea tino nui o ēnei ko te whiwhi maimoatanga irahiko ki te kaki, te korenga o te konupūmā, te huaora D rānei, te mate tākihi, me te noho hei wahine.

Me pēhea te tautuhi i tēnei mate?

Mena kei te whakapae tō tākuta kei a koe tēnei mate, ka tonoa e ia ētahi whakamātautau hei whakaū i tēnei mate.

• Ngā whakamātautau toto: Ka ine ēnei i ngā taumata o te konupūmā, te homoni parathyroid (PTH), te huaora D, me te phosphate i roto i tō toto.
• Whakamātautau mimi 24-hāora: Ka whakamahia he tauira mimi ka kohia i te roanga o te rā hei whakamātautau i te nui o te konupūmā i roto i te mimi.
• Matawai parathyroid: Ka taea e tēnei matawai te whakatau ko tēhea o ngā repe e whā e kaha rawa ana te mahi.
• Ētahi atu matawai: Tērā pea ka mahia he matawai ultrasound o ngā whatukuhu, he matawai kiato wheua rānei.

Me pēhea te rongoā?

Ko ngā tikanga maimoatanga e whakawhirinaki ana ki te momo tuatahi, tuarua rānei, me te kaha o te mate.

Te Maimoatanga mō te Hyperparathyroidism Tuatahi

• Pokanga: Ko te maimoatanga pai rawa atu, ā, ko te maimoatanga pumau rawa atu mō tēnei ko te tango pokanga i te repe, i ngā repe rānei e raru ana. Ka kiia tēnei pokanga he parathyroidectomy . He nui ake te tūponotanga ka tūtohu tō tākuta i te pokanga, inā koa mēnā kei raro iho koe i te 50 tau te pakeke, he kino ngā tohu, he kōhatu tākihi, he osteoporosis rānei.
• Ngā Rongoā: Mēnā kāore e hiahiatia te pokanga, kāore rānei e taea, ka tohua pea e te tākuta he rongoā.
• Ngā Bisphosphonates: Ka ārai ēnei i te tukunga o te konupūmā mai i ngā wheua.
• Ngā Calcimimetics: Ka tinihanga ēnei rongoā i ngā repe parathyroid kia whakaitihia te hanga o te homoni PTH.
• Ngā huringa āhua noho: Ka taea e ētahi rongoā (hei tauira, ngā rongoā diuretic Thiazide, Lithium) te whakanui ake i ngā taumata konupūmā. Nō reira, me karo pea koe i ēnei e ai ki ngā tohutohu a tō tākuta.

Te Maimoatanga mō te Hyperparathyroidism Tuarua

Ko te mea nui i roto i tenei take ko te rongoa i te take o te mate.

• Mena he mate tākihi mau tonu tōu, me hiahia pea koe ki te dialysis , ki te whakawhitinga tākihi rānei.
• Me whakarerekē te kai, inā koa te whakawhāiti i ngā kai he nui te whākōkī.
• Ngā here phosphateTērā pea ka tohua he rongoā pēnei i ngā aukati phosphatidylcholinesterase (ngā rongoā hei whakaiti i te phosphate i roto i te toto), ngā tāpiringa huaora D, me ngā calcimimetics .

Mena kāore e taea e ēnei maimoatanga te whakahaere i te āhua, ka tūtohuhia pea kia tangohia ngā repe i roto i te pokanga.

Ngā mea hei whakaaroaro māu ina noho tahi me tēnei mate

Mena he hyperparathyroidism tōu, ka taea e ēnei mea te āwhina i a koe kia noho hauora:

• Inumia he nui te wai: He pai te pupuri i te makuku o te tinana mō ngā whatukuhu.
• Kia kaha tonu: Ka taea e te korikori tinana te whakapakari i ō wheua.
• Kia tūpato ki tāu kai: Ki te kī mai tō tākuta kia whakaitihia te kai o te phosphorus, karohia ngā kai e mutu ana ki te "-phos" (hei tauira, te calcium phosphate) i runga i ngā kete kai.
• Mō te Huaora D: Me kai pea te hunga kāore i te nui te Huaora D i ngā tāpiringa. Heoi, kaua rawa e kai i tētahi huaora, i tētahi tāpiringa rānei me te kore kōrero ki tō tākuta.

Ka tirohia e tō tākuta ō taumata konupūmā toto, te toto toto tiketike, te mahi a ō whatukuhu, me te mātotoru o te wheua i ngā wā auau (tērā pea kotahi, e rua rānei i te tau).