Te pikinga o ngā taumata konupūmā i roto i te tinana: Nā te hyperparathyroidism rānei?

He maha ngā wā ka ngoikore koe, ka mamae ō wheua? I tirohia rānei e tō tākuta he pūrongo toto, ā, ka mea, "He paku teitei tō taumata konupūmā"? Ko te take pea o tēnei he āhuatanga kāore e tino kōrerohia ana, engari he mea tino nui. I tēnei rā, me kōrero tātou mō tēnei āhuatanga e kiia nei ko te hyperparathyroidism i roto i tētahi huarahi māmā e mārama ai koe.

He aha te hyperparathyroidism?

Ki te whakarapopototanga, ko te hyperparathyroidism te wā ka nui rawa te mahi a tētahi, neke atu rānei o ō repe parathyroid, ā, ka nui rawa te homoni parathyroid (PTH) e whakaputa ana. Ka piki ake te taumata konupūmā i roto i tō toto. E kiia ana tēnei e te rongoā he hypercalcemia .

Whakaarohia, i muri i te repe tairoiti i roto i tō tātou kaki, e whā ngā repe iti e rite ana te rahi ki te kakano raihi. Ko ēnei e kiia ana ko ngā repe parathyroid. Pērā i te pōro e whakahaere ana i te taumata wai i roto i tō tātou tāke wai i te kāinga, ko te mahi matua o ēnei repe he whakahaere i ngā taumata konupūmā me te phosphate i roto i ō tātou toto ki ngā taumata tika.

Koinei te āhua o tana mahi:

• Ina heke te taumata o te konupūmā i roto i te toto, ka whakaputahia e ēnei repe te homoni PTH.
• Ka tukuna e tēnei homoni PTH he tohu ki ō tātou wheua kia "tukuna ētahi konupūmā ki roto i te toto".
• Ka kī atu hoki ki ngā whatukuhu kia "whakaitihia te nui o te konupūmā e tukuna ana i roto i te mimi, kia mau tonu hoki ki roto i te tinana."
• Kātahi ka whakahohehia e ngā whatukuhu te huaora D ka tukuna ki ō tātou whekau . Kātahi ka mimitihia e ngā whekau te konupūmā i roto i ngā kai e kainga pai ana e tātou.

He pūnaha tino taurite tēnei. Heoi, i roto i te hyperparathyroidism, ka nui rawa te whakaputanga o te homoni PTH, ka tukuna tonutia e ngā wheua te konupūmā, ka angiangi, ka pakarukaru hoki. Hei tāpiri, ko te konupūmā tāpiri e kohia ana i roto i te toto ka taea te whakatakoto ki roto i ngā whatukuhu (ka taea te hanga kohatu), ngā uaua toto, te ngākau, me ētahi atu okana, ka puta ai ngā raruraru hauora.

He aha ngā momo matua o tēnei āhuatanga?

E toru ngā momo matua o te hyperparathyroidism, e whakarōpūtia ana i runga i te āhua o tōna putanga mai.

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He aha ngā tohu?

Ko te nuinga o te hunga e pāngia ana e tēnei mate kāore he tohu . He maha ngā wā ka kitea ngā taumata konupūmā toto tiketike i roto i te whakamātautau toto mō tētahi atu take. Heoi, ko ētahi tāngata, inā koa he tino tiketike ō rātou taumata konupūmā, ka pāngia pea e ēnei tohu e whai ake nei:

• Mamae wheua me ngā hononga
• ngoikore o te uaua
• Te ngenge tonu me te ngenge
• Te pouri
• He uaua ki te arotahi ki tētahi mea
• Hiahia kai
• Whakapairuaki me te ruaki
• Te pōhēhē, te wareware i ngā mea
• Te tino matewai me te hiahia ki te mimi pinepine
• Te kōroke

Kia maumahara, he tino noa ēnei tohu. Ehara i te mea ko te hunga katoa e pāngia ana e ēnei tohu he hyperparathyroidism. Engari ki te mau tonu ēnei tohu, he pai ake te toro atu ki te tākuta.

He aha te take o tēnei?

Me titiro tātou ki ngā take mō ngā momo e toru i kōrerotia e tātou i mua ake nei.

Ngā Take o te Hyperparathyroidism Tuatahi

• Adenoma: He pukupuku kore-matepukupuku tēnei e puta mai ana i roto i te repe parathyroid. Koinei te tino take o te hyperparathyroidism tuatahi.
• Hyperplasia: Koinei te wā ka nui haere tetahi o ngā repe parathyroid.
• Matepukupuku:He tino onge te take o te mate pukupuku o ngā repe parathyroid.

Ngā Take o te Hyperparathyroidism Tuarua

Ko te tino take o tēnei ko te Mate Tākihi Mau tonu (CKD) . Ina kore e mahi tika ngā tākihi, ka piki ake ngā taumata phosphate i roto i te tinana, ka heke hoki ngā taumata huaora D. Ka heke iho ngā taumata konupūmā i roto i te toto. Nō reira, hei utu mō tēnei korenga o te konupūmā, ka nui rawa te homoni PTH e whakaputaina ana e ngā repe parathyroid.

Hei tāpiri, ka taea hoki tēnei e te korenga nui o te huaora D (nā te kore e whiti ki te rā, nā te kore rānei o ngā kai e tika ana).

Me pēhea te mohio ki tēnei āhuatanga?

Ka whakarongo tō tākuta ki ō tohumate, ka tirotiro i a koe, ā, ka tuku i a koe mō ētahi whakamātautau mēnā e whakapae ana rātou kei a koe tēnei mate.

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

Ko te otinga pai rawa atu, ā, ko te otinga pumau rawa atu mō tēnei ko te mahi pokanga (parathyroidectomy) hei tango i te repe, i ngā repe rānei e kaha rawa ana te mahi. Whai muri i tēnei pokanga, neke atu i te 90% o te tangata ka hoki ki ngā taumata konupūmā toto noa.

Mena kei raro iho koe i te 50 tau te pakeke, he tohu tōu, he tino nui ō taumata konupūmā, he kōhatu tākihi tōu, he kikokore rānei ō wheua, ka tino taunaki tō tākuta kia pokanga koe.

Mēnā kāore i te kino rawa, ā, kāore e hiahiatia he pokanga, ka aroturukihia tō āhua e tō tākuta i ia wā, i ia wā. Tērā pea ka:

• Ngā Bisphosphonates: Ka ārai ēnei rongoā i te tukunga o te konupūmā mai i ngā wheua, ā, ka whakapakari i a rātou.
• Ngā Calcimimetics: Ka "tinihanga" ēnei rongoā i ngā repe parathyroid kia whakaitihia ai te hanga o te homoni PTH.
• Ngā huringa āhua noho: Ka tohutohuhia pea koe kia mutu te tango i ētahi rongoā (hei tauira, ngā rongoā diuretic thiazide, lithium) me te mahi i ngā huringa kai.

Te maimoatanga mō te hyperparathyroidism tuarua

Ko te mea nui i konei ko te rongoā i te pūtake o te mate , pērā i te whakahaere i te mate tākihi me te rongoā i te ngoikore o te huaora D.

• Tērā pea me dialysis, me whakawhitinga whatukuhu rānei te tangata e mate ana i te tākihi.
• Ka hoatu ngā rongoā pēnei i ngā here phosphate hei whakaiti i ngā taumata phosphate i roto i te toto.
• Ka whakamahia hoki te huaora D me ngā rongoā calcimimetic mō tēnei kaupapa.

Mena kāore e taea e ēnei maimoatanga te whakahaere i te āhua, me mahi pea te pokanga.

Ko te mea nui, kaua e tango noa i ngā pire huaora D, i te konupūmā rānei. Me kōrero tonu ki tō tākuta, ā, me whakamahi noa i ngā mea kua tohua. I ētahi wā ka kino ake te āhua.