Kei te pāngia koe e ngā tohu rerekē nā te iti o te konupūmā i roto i tō tinana? Tērā pea he hypoparathyroidism!

Kei te mamae tinana koe i ētahi wā, kāore i te mārama te take? Kei te ngoikore ō waewae? Kei te ngokingoki noa rānei tō kiri? Ko tētahi o ngā take o ēnei mea he mate e kiia nei ko te hypoparathyroidism, ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, ahakoa he mate onge tēnei, ka taea te whakahaere mēnā ka kitea, ka rongoatia hoki. Me kōrero taipitopito tātou mō tēnei.

He aha te Hypoparathyroidism?

Ki te whakarapopoto, ko te hypoparathyroidism te wā e iti rawa ana, e kore rānei e puta te Parathyroid Hormone (PTH) i roto i tō toto. He mea nui tēnei homoni mō te whakahaere i ngā taumata o te konupūmā me te whākawa i roto i tō tinana. Nō reira, ina iti ō taumata PTH, ka heke ngā taumata konupūmā i roto i tō toto – e kiia ana tēnei he hypocalcemia – ā, ka piki ake ngā taumata whākawa i roto i tō toto.

He maha ngā wā ka mau tonu tēnei mate, arā, ka roa pea mō tōna oranga katoa. Heoi, i ētahi wā, ka taea hoki te whakapai ake mō te wā poto.

Nā, he aha ēnei repe parathyroid?

Whakaarohia, i mua o tō tātou kaki, he rite te āhua ki te pūrerehua, ko te Repe Tairoiro. I muri i taua Repe Tairoiro, e whā ngā repe, he rite te rahi ki te pī iti. Ko ēnei e kiia ana ko ngā Repe Parathyroid . He wāhanga ēnei o te Pūnaha Endocrine, e whakaputa ana i ngā homoni i roto i tō tātou tinana.

I ētahi wā ka kitea ēnei repe e whā i tētahi atu wāhi o te kaki, o te uma, i te taha rānei o te korokoro. Ka kiia ēnei he repe parathyroid ectopic .

Ko te mahi matua a ēnei repe parathyroid he whakaputa i te homoni parathyroid (PTH). Mā tēnei PTH ka pupuri i te taumata konupūmā i roto i ō tātou toto ki te taumata tika.

• Ki te heke te PTH: Ka heke te konupūmā i roto i te toto (Hypocalcemia).
• Ki te piki te PTH: Ka piki te konupūmā i roto i te toto (Hypercalcemia).

Ehara i te mea koinā anake, engari ka āwhina anō hoki tēnei homoni PTH ki te whakahaere i ngā taumata o te whākōkī me te huaora D i roto i te toto me ngā wheua.

He aha te konupūmā? He aha tāna mahi mō ō tātou tinana?

He kohuke nui te konupūmā mō ō tātou tinana. I mōhio koe ko te nuinga o te konupūmā i roto i ō tātou tinana kei roto i ō tātou wheua? Heoi anō, me whai wāhi anō hoki te nui o te konupūmā i roto i te toto.

Me titiro tātou ki ētahi atu mea nui atu i te konupūmā i roto i te toto:

• Ka āwhina i te mahi a tō tātou pūnaha io .
• Ka āwhina i ngā uaua kia whakawhāiti, kia wātea hoki . Koinei te mea e āhei ai tātou ki te neke i ō tātou waewae me te hikoi.
• Ina whara tātou, ā, ka toto, ka āwhina i te toto kia piri .
• He mea nui kia mahi tika tō tātou ngākau .

Kua mārama koe inaianei ki te pānga o te hypocalcemia (te iti o te konupūmā i roto i te toto) nā te hypoparathyroidism ki ngā tini mea. E hiahiatia ana hoki te konupūmā hei pupuri i te kaha o ngā wheua. Engari ko te hypocalcemia he hekenga o te konupūmā i roto i te toto, ehara i te hekenga o te konupūmā i roto i ngā wheua.

Ka taea e te hypoparathyroidism te whakararu i te kore taurite o te electrolyte?

Āe, tino tika. Ko te konupūmā me te whākōkī he momo irahiko e rua. Ko ngā irahiko he kohuke he utu hiko kei roto i ō tātou tinana, ā, he maha ngā mahi nui e whai wāhi ana ki tēnei. I roto i te hypoparathyroidism, ka heke te konupūmā i roto i te toto, ka piki ake te whākōkī, ka puta he taurite kore irahiko. He mea tino nui kia whakatikahia tēnei.

Tētahi atu mea anō. Ko te konupūmā tētahi atu electrolyte nui. Mēnā ka heke te taumata o te konupūmā i roto i te toto (Hypomagnesemia) , ka taea hoki te waiho hei take o te hypoparathyroidism. Nā te mea he mea nui te konupūmā kia tika ai te mahi a ngā repe parathyroid.

He aha te rerekētanga i waenga i te Hypoparathyroidism me te Hyperparathyroidism?

He āhua ōrite ēnei ingoa e rua, nō reira ka pōhēhē pea. I roto i te rongoā, ko te kupu whakataki "Hypo" he tikanga "iti iho" he "kāore rānei i te rawaka." Ko te kupu whakataki "Hyper" he tikanga "nui ake" he "teitei ake" rānei.

• Hypoparathyroidism: Kāore e nui te homoni parathyroid (PTH) e whakaputaina ana e ngā repe parathyroid, ā, ka iti te taumata o te konupūmā i roto i te toto.
• Hyperparathyroidism: He nui rawa te PTH e whakaputaina ana e ngā repe parathyroid, ka piki ake te konupūmā i roto i te toto.

He māmā noa iho, tika?

Ko wai ka pāngia e tēnei mate e kiia nei ko te hypoparathyroidism?

Ka pā pea tēnei ki ngā pakeke me ngā tamariki nohinohi. Engari e ai ki te kōrero i mua ake nei, he āhua onge tēnei mate .

• I roto i ngā pakeke: He maha ngā wā ka puta tēnei i te pakaru ohorere o ngā repe parathyroid i te wā e pokanga ana te kaki – hei tauira, te pokanga tairoi.
• Mō ngā tamariki: He maha ngā wā ka puta mai tēnei i tētahi āhuatanga ira e kiia nei ko te DiGeorge Syndrome i roto i ngā tamariki.

Ahakoa i roto i tētahi whenua pērā i Amerika, e kiia ana ka pāngia e tēnei āhuatanga te iti iho i te rua rau mano tāngata. Nō reira, i roto i tō tātou whenua, tera pea ka iti iho.

He aha ngā tino take o te hypoparathyroidism?

He maha ngā take mō tēnei.

• Te pakaru o ngā repe parathyroid: Koinei te tino take. Tata ki te whitu tekau mā rima ōrau (75%)Ka pāngia ngā tūroro e tēnei mate ina pakaru ngā repe i te wā e pokanga ana i te kaki, i te repe tairoi rānei. I ētahi wā, ka puta tēnei mate i ngā tau i muri i te pokanga. Engari i te nuinga o te wā, ka tīmata wawe i muri i te pokanga. Ko te Hypoparathyroidism e puta ana i tēnei ara he wā poto noa iho, engari i ētahi tāngata ka taea te noho pumau. Kāore pea te rongoā irahiko e kino i ēnei repe.

• Ngā āhuatanga ira: He iti iho i te tekau ōrau (10%) o ngā take i puta mai i ngā āhuatanga ira. Ko te mea tino noa ko te Mate DiGeorge . He āhuatanga ira ira tēnei. Kāore he repe parathyroid o ngā pēpi i whānau mai me tēnei mate. Nō reira, nā te mea kāore e whakaputa i te PTH, he hypoparathyroidism mau tonu tā rātou. Tata ki te 60% o ngā tamariki e pāngia ana e te hypoparathyroidism e kiia ana he Mate DiGeorge. Ka taea hoki te puta mai i ētahi atu āhuatanga ira e pā ana ki te turi me te mate tākihi.

• Ngā Mate Pūnaha Ārai Mate: I ētahi wā ka whakaekea hētia e tō tātou ake pūnaha ārai mate ngā repe parathyroid. Ko te momo 1 autoimmune polyglandular syndrome tētahi o aua mate. Ka puta te hypoparathyroidism pumau. Ka taea hoki te puta mai i ngā āhuatanga e kiia nei ko te mate a Addison me te anemia pernicious .

• Ngā Mate Urupare: I ētahi āhua mate, ka taea e ngā matū pēnei i te rino (pērā i te hemochromatosis) me te parahi (pērā i te mate a Wilson) te kohikohi i roto i ngā repe parathyroid. Waihoki, ka taea e ētahi mate pukupuku kua horapa te whakararu i te mahi a ēnei repe, ka puta ai te hypoparathyroidism.

• Ngā Taumata Konupora Iti: E ai ki te kōrero i mua ake nei, he mea nui te konupora kia tika ai te mahi a ngā repe parathyroid. Ka taea e ngā taumata konupora iti i roto i te toto (hypomagnesemia) te arahi ki te hypoparathyroidism. Ka kiia tēnei ko te hypoparathyroidism mahi . Ka ora tonu tēnei āhuatanga ina whakahokia mai ngā taumata konupora.

He aha ngā tohu o te hypoparathyroidism?

He maha ngā wā ka puhoi te whanaketanga o tēnei mate. Nō reira, he tino ngawari ngā tohu. Kāore ētahi tāngata e mōhio kei a rātou tēnei mate mō ngā tau.

Koinei ngā tohu ka kitea whānuitia:

• Te wiriwiri i ngā ngutu, i ngā pito o ngā maihao, me ngā matimati.
• Ngā mamae o te uaua.Kei te mahara koe he huruhuru ō waewae i ētahi wā i te pō? He pērā tonu ngā mea, engari ki te tupu pinepine, he tohu pea tēnei o te korenga o te konupūmā.
• Ngā uaua e māuiui ana (Tetany).
• Mamae puku.
• Ko te "kohu roro" he āhuatanga e uaua ai koe ki te arotahi, ā, ka pōhēhē hoki koe.
• Ngā rerekētanga o te pā o te ngakau (Arrhythmia).
• Ngā whao pakarukaru.
• He makawe maroke me te kiri maroke, he kiri unahi.
• Te āhua o ngā katarata.
• Te ngoikore o te enamel niho i roto i ngā tamariki.

Me pēhea te mōhio o ngā tākuta ki tēnei mate?

Ko te tikanga ka whakapaetia, ka whakaūtia hoki te hypoparathyroidism ina whakaatuhia e ngā whakamātautau he iti te taumata o te konupūmā me te homoni parathyroid (PTH) i roto i te toto o te tangata.

Nā te mea he tino ngawari ngā tohu, ka kitea tēnei mate e ngā tākuta "i te tūpono noa." Arā, ka tīmata noa rātou ki te rapu ina kite rātou i te iti o te konupūmā i roto i te toto i te wā o te whakamātautau toto mō tētahi atu mate.

Ki te whakaūtia he iti te taumata o te homoni PTH me te konupūmā i roto i te toto o te tangata i roto i ngā marama e ono, ka kiia tēnei he hypoparathyroidism mau tonu .

He aha ngā momo whakamātautau e mahia ana mō tēnei?

Mena kei a koe ēnei tohu, ka tirotirohia e tō tākuta tō tinana, ka pātai atu hoki mō ō tohu, mō tō hītori hauora whānau, me ngā rongoā e tangohia ana e koe.

Hei tāpiri, ka taea te whakahaere i tētahi, i ētahi atu rānei o ngā whakamātautau e whai ake nei:

• He whakamātautau toto mō te homoni parathyroid (PTH).
• Whakamātautau toto konupūmā.
• He whakamātautau toto mō te phosphorus.
• He whakamātautau toto mō te konupora.
• He whakamātautau mimi 24-hāora: Ka ine tēnei i te nui o te konupūmā e tukuna ana i roto i te mimi.

I ētahi wā, ka whakahau pea tō tākuta i ētahi atu whakamātautau hei tirotiro mō ngā pānga taha kino ake ka puta mai i tēnei mate. Hei tauira:

• Te hiko-mā-whatumanawa (ECG, EKG rānei): Te tirotiro mō ngā rerekētanga o te manawa o te ngakau.
• Matawai rorohiko (CT): Ka tirohia mēnā he putunga konupūmā kei roto i te roro (Ngā Whakapūtātanga o te Roro).

Me pēhea te rongoā mō tēnei?

Ko te whāinga matua o te maimoatanga mō te hypoparathyroidism he whakaiti i ngā tohu me te whakahoki i ngā taumata o te konupūmā me ētahi atu kohuke i roto i tō tinana ki ngā taumata tika.

Hei maimoatanga, ka taea te mahi i ngā mahi e whai ake nei:

• Te whakarato i ngā tāpiringa konupūmā kāponāte me te huaora D:He maha ngā tāngata e pāngia ana e te hypoparathyroidism me tango pire, wai rānei mō te konupūmā me te huaora D mō te toenga o ō rātou oranga. Koinei te rongoā matua me te rongoā tuatahi mō tēnei mate. He mea nui te huaora D kia mimiti tika ai te konupūmā e ō tātou tinana. Nō reira, ki te pāngia koe e te hypoparathyroidism, me tango e koe ēnei tāpiringa e rua.
• He kai nui te konupūmā, he iti te whākōkī: Ka tohutohu pea tō tākuta kia nui ake te kai i ngā kai nui te konupūmā (miraka, tīhi, miraka kawa, huawhenua matomato) me te whakaiti i ngā kai nui te whākōkī (mīti tukatuka, inu pēnei i te kora). Heoi, nā te mea he uaua ki te tiki i te nui o te konupūmā mai i te kai anake, me tango pea i ngā tāpiringa.
• Werohanga homoni parathyroid (PTH): Mena kāore e taea e ngā tāpiringa konupūmā me te huaora D anake te whakahaere i tō āhua, ka whakatau pea tō tākuta ki te hoatu ki a koe he werohanga homoni parathyroid (PTH).

He pānga taha kei te rongoā?

Ae, i ētahi wā, ki te nui rawa te nui o te huaora D me te konupūmā e hoatu ana hei maimoatanga, ka nui rawa te taumata konupūmā i roto i te toto. Ka kiia tēnei ko te hypercalcemia . He kino hoki tēnei ki te tinana. Nō reira, me whai whakamātautau toto auau koe kia kite ai mēnā kei te pai te mahi a tō maimoatanga, ā, kei te tika hoki tō taumata konupūmā.

He iti noa te mōrearea o te whakawhanake i tētahi momo mate pukupuku wheua e kiia nei ko te osteosarcoma mēnā ka whakamahia roa ngā werohanga homoni parathyroid (PTH). Nō reira, ka tūtohu ngā tākuta kia whakamahia tēnei werohanga i ngā wā tino kino anake, ina kore ētahi atu maimoatanga e angitu.

He aha ngā āhuatanga mōrearea mō tēnei mate?

He maha ngā āhuatanga e whakanui ana i te tūponotanga o te whakawhanaketanga o te hypoparathyroidism:

• Nō te mea kua oti tata nei te pokanga kaki, te tairoi rānei.
• He hītori whānau mō ngā mate o te repe parathyroid.
• Kei a koe ētahi mate pūnaha ārai mate e pā ana ki te pūnaha endocrine, pērā i te mate a Addison.

He aha te matapae mō tēnei āhuatanga?

He pai te tirohanga whānui mō te hypoparathyroidism, inā koa mēnā ka kitea wawe te mate, ā, ka tīmatahia te maimoatanga tika.

Heoi, ki te puta mai i tēnei āhuatanga ngā āhuatanga pēnei i te katarata, te whakapūngā o te roro, me ngā panonitanga o ngā niho, he uaua ki te whakakore. Koia te mea nui o te kitenga wawe.

Kia pēhea te roa o tēnei āhuatanga?

I te nuinga o te wā, he mate mau tonu te hypoparathyroidism, arā, ka roa te ora. Heoi anō, ka taea hoki e te hypoparathyroidism te noho rangitahi nā ētahi take (hei tauira, te korenga o te konupora, he rangitahi i muri i te pokanga).

He aha ngā raruraru ka puta mai i tēnei?

Mena kāore te hypoparathyroidism e rongoatia tika, ka puta pea ngā raruraru roa:

• Ngā raruraru mahi whatukuhu.
• Ngā kōhatu whatukuhu.
• Ngā katarata.
• Ngā putunga konupūmā i ngā wāhanga rerekē o te roro.

Ka taea e tēnei āhuatanga, inā koa i roto i ngā tamariki, te whakararu i ngā raruraru pēnei i:

• Te tipu ngoikore.
• Ngā raruraru niho.
• Te puhoi o te whanaketanga hinengaro.

He mea tino nui kia mōhiotia, ki te heke ohorere, ā, ka tino kino te taumata o te konupūmā i roto i te toto (Acute Hypocalcemia), ki te kore e rongoatia wawetia, ka arahi pea ki ngā āhuatanga morearea pērā i te haurangi me te uaua ki te manawa nā te pupuhi o te larynx . Ki te pāngia koe e ēnei tohu (hei tauira, te wiri nui o te uaua, te wiri), me haere tonu koe ki te hōhipera tata.

Āhea koe me toro atu ki te tākuta?

• Mena kei a koe ngā tohu e whakaaro ana koe he hypoparathyroidism pea, me toro atu ki te tākuta.
• Mena kua tāpaetia kētia koe he hypoparathyroidism, me tirotiro tonu ō taumata konupūmā i roto i tō toto i ngā wā katoa e ai ki ngā tohutohu a tō tākuta kia tika ai te maimoatanga e whiwhi ana koe.
• E ai ki te kōrero i mua ake nei, ki te pāngia koe e ngā tohu o te hypocalcemia whakapeka, pērā i te wiri o ngā uaua kino, te haurangi rānei , haere tonu ki te hōhipera tata.

Ngā mea tino nui hei maumahara māu (Karere hei kawe ki te kāinga)

He mate onge te Hypoparathyroidism, engari ka taea te rongoā me te whakahaere . I ētahi wā, he ngawari noa iho ngā tohu, ā, he uaua ki te kite. Nō reira, he mea nui kia kōrero koe ki tō tākuta mēnā he āhuatanga mōrearea tōu mō tēnei mate (hei tauira, mēnā kua pokangahia tō kaki i ngā wā tata nei, mēnā rānei he mate parathyroid tō tētahi o tō whānau).

Mā te whakamātautau toto māmā noa iho ka taea te tirotiro i tō homoni parathyroid (PTH) me ngā taumata konupūmā. Ki te kite wawe koe i tēnei mate, ka taea e koe te tīmata i te maimoatanga tika, te ārai i ngā raruraru, me te noho ora. Nō reira, kaua e mataku, engari kia tūpato ki tēnei. Ki te mea he āwangawanga āu, kaua e mangere ki te kōrero ki tō tākuta.

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