He nui te konupūmā i roto i tō tinana? He adenoma parathyroid pea?

I tō tirotiro i ngā hua o tō whakamātautau toto i ēnei rā tata nei, i kī atu tō tākuta he teitei ake tō taumata konupūmā? Kāore pea koe i kite i tētahi mea rerekē, i tētahi mea rerekē rānei i roto i tō tinana. Tērā pea i whakaaro koe, "Kei te pai ahau, he aha i teitei noa ai tēnei konupūmā?" Inaa, he maha ngā tāngata e mōhio ana ki tēnei āhuatanga mā te tūpono noa iho. Nō reira, i roto i tēnei tuhinga o tēnei rā, ka kōrerohia e tātou ngā take matua me ngā take tino noa mō te pikinga o ngā taumata konupūmā i roto i te toto i roto i tētahi huarahi tino māmā, tino mārama hoki.

Tuatahi, kia titiro tātou, he aha ēnei repe parathyroid?

Ina rongo koe i tēnei ingoa, ka whakaaro ētahi he wāhanga tēnei o te repe tairoiti tonu. Engari ehara i te mea pēnā. He momo repe motuhake ēnei. Kei roto i tō tātou kaki, kei te taha o te repe tairoiti, me te mea nei kei te awhi i a ia. E whā ā te nuinga o te tangata. E whā ngā repe porowhita te āhua, tata ki te rahi o tētahi pī iti.

Nā, he aha te mahi a ēnei repe iti e whā ki ō tātou tinana? Koinei ngā kaiwhakahaere konupūmā o tō tātou tinana. He rite tā rātou mahi ki te pōro e whakahaere ana i te taumata wai i roto i tō tātou tāke wai i te kāinga. Ina heke te taumata konupūmā i roto i ō tātou toto, ka tukuna e ēnei repe he matū e kiia nei ko te Parathyroid Hormone (PTH) . Ka kī atu tēnei homoni ki ō tātou wheua, "Āe, hoatu he konupūmā ki te toto." Ka kī atu hoki ki ō tātou whatukuhu me ō tātou whekau kia mimiti anō i te konupūmā ki roto i te tinana, kaua e moumou. Ina hoki te taumata konupūmā i roto i ō tātou toto ki te taumata tika, ka mutu te tukunga o te homoni e ēnei repe. He tikanga whakamiharo tēnei?

He mea nui te konupūmā kia tika ai te mahi a ngā pūtau katoa o te roro, te ngākau, te pūnaha io, ngā wheua, me te pūnaha nakunaku. Nō reira, ko te pupuri i te taumata konupūmā kia tika te kawenga nui o ēnei repe iti e whā.

Nā, he aha tēnei adenoma parathyroid?

He kupu ngāwari, he pukupuku iti te adenoma, ehara i te matepukupuku (pai) . Ka puta pea tēnei momo pukupuku i roto i tētahi o ngā repe parathyroid e whā i kōrerohia e tātou i mua ake nei (i ētahi wā he nui atu i te kotahi).

Whakaarohia te mea ka tupu ina puta he pukupuku pēnei i roto i tētahi o aua repe e whā. Ka tīmata te repe kei roto te pukupuku ki te mahi me te kore e taea te whakahaere, me te kaha rawa. He rite ki tētahi mīhini kua pakaru te pana whakaweto/whakakā e tahuri tonu ana. Kātahi ka nui rawa te homoni parathyroid (PTH) e whakaputaina ana e te repe. I roto i te rongoā, ka kiia tēnei āhuatanga ko te Hyperparathyroidism Tuatahi .

Ina nui rawa te whakaputanga o tēnei homoni, ka tangohia tonutia te konupūmā mai i ngā wheua ka tukuna ki roto i te toto. Ka whakanuia hoki te mimiti o te konupūmā mai i ngā whatukuhu me ngā whekau. Ko te mutunga iho, ka piki tonu te taumata konupūmā i roto i te toto i te mea e tika ana. Ka kiia tēnei ko te hypercalcemia .

He aha ngā tohu o te nui o te konupūmā i roto i te toto (Hypercalcemia)?

I te nuinga o te wā, kāore he tohu i ngā wāhanga tōmua. Koia mātou i kī tuatahi ai he tokomaha te hunga ka kitea tēnei i runga i te tūponotanga. Engari ina teitei te taumata o te konupūmā i roto i te toto mō te wā roa, ka puta mai ngā tohu maha. Kia titiro tātou he aha ēnei tohu.

Ki te pā mai tētahi, ētahi rānei o ēnei tohu ki a koe, kaua e whakaaro he parathyroid adenoma tēnei. Tērā pea ka puta mai ēnei tohu i ētahi atu āhuatanga. Nō reira, ko te mea nui ko te toro atu ki tō tākuta me te kōrero mō tēnei mea.

He aha i puta ai ēnei pukupuku? Ko wai kei te mōrearea nui ake?

Ina hoki, i roto i te 90% o ngā take , kāore anō kia kitea he tino take mō te whanaketanga o ēnei adenomas. Ka puta noa mai. Engari i roto i te ōrau iti, tata ki te 10%, ka taea tēnei te puta mai i tētahi take ira e tukuna iho ana i roto i ngā whakatipuranga.

Hei tāpiritanga, kua kitea ētahi atu āhuatanga hei whakanui ake i te mōrearea:

• Tau: Ko te nuinga o te wā ka pā tēnei mate ki te hunga i waenga i te 50 me te 70 tau te pakeke.
• Ira Tangata: E toru ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne.
• Te pānga ki te irahiko: Mena kua whiwhi koe i te maimoatanga irahiko ki te kaki me te mahunga i a koe e tamariki ana, e taiohi ana rānei, tera pea ka paku piki ake tō mōrearea.
• Te korenga o te konupūmā: Ko te kore e whiwhi i te nui o te konupūmā mai i te kai mō te wā roa e kiia ana he take mōrearea.

Ka aha mēnā ka waihotia tēnei mate kia kore e rongoatia?

Ahakoa ehara tēnei i te mate pukupuku, ki te kore e rongoatia mō te wā roa, ka puta pea ngā raruraru maha nā te pikinga tonu o ngā taumata konupūmā i roto i te toto.

• Te Āwhati o te Manawa: Tērā pea ka rerekē te āhua o te manawa.
• Te Mate Pāwera o te Parathyroid: He mate onge tēnei engari he kino rawa. Ka tino teitei te taumata o te konupūmā i roto i te toto, ka arahi ki te pōhēhē hinengaro me te koma.
• Hei tāpiritanga, kei reira ngā raruraru roa pērā i ngā kōhatu tākihi me ngā whati wheua, i kōrerotia e tātou i mua ake nei.

Nō reira, ahakoa kāore he tohu, ki te kitea tēnei mate e te tākuta, he mea tino nui kia tika te rongoā.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

He tino māmā te tukanga tautuhi i tēnei mate.

1. Ngā whakamātautau toto: Ko te mea tuatahi hei mahi ko te tirotiro i te taumata konupūmā i roto i te toto. Mena he teitei, ka tirohia te taumata o te homoni parathyroid (PTH) i roto i te toto. Mena he teitei ngā mea e rua, e 99% te tino mōhiotanga. Ahakoa he tohu, he kore rānei, ko ēnei whakamātautau toto e rua ngā mea matua hei whakaū i te mate.

2. Ētahi atu whakamātautau:Kia whakaūtia te mate, ka tūtohu pea te tākuta i ētahi atu whakamātautau. Ka mahia ēnei hei tirotiro mō ētahi atu raruraru, hei whakamahere hoki mō te pokanga.

• Matawai ira-oro o te kaki: Ka whakamahia tēnei hei rapu i te repe nui e kaha rawa ana te mahi.
• Matawai Sestamibi: He momo matawai motuhake tēnei. Ka werohia he iti noa te matū ki roto i te tinana, ā, ka whakatauhia te wāhi tika o te pukupuku mā te titiro ki te āhua o tana here ki te repe kaha.
• Te Ine i te Kaha o te Wheua (matawai DEXA): Ka ine i te ngoikore o ngā wheua.
• He whakamātautau mimi 24-hāora: Ka ine tēnei i te nui o te konupūmā e tukuna ana i roto i te mimi.

He aha ngā maimoatanga? He aha te otinga pai rawa atu?

Ko te maimoatanga pai rawa atu, tino whai hua, me te pumau mō tēnei āhuatanga ko te pokanga hei tango i te repe, i ngā repe rānei kāore i te tika. Ka kiia tēnei pokanga he parathyroidectomy . I muri i te pokanga, ka ora katoa te mate i roto i te neke atu i te 95% o ngā take.

Mena kāore he tohu, me mahi tonu he pokanga?

He pātai tēnei nā te tini o te tangata. Ae, he mea pai tonu te pokanga ahakoa kāore he tohu. He aha ai? Nā te mea ahakoa kāore he tohu, ka pā kino te pikinga o te konupūmā i roto i te toto ki te tinana mai i roto. Ko te pokanga te otinga pai hei ārai i ngā kōhatu tākihi me te osteoporosis ā muri ake nei.

Me pēhea te mahi i te pokanga?

Ehara tēnei i te mahi nui, uaua hoki.

• I raro i te rongoā whakamoe katoa, ka mahia he tapahi iti rawa ki mua o te kaki.
• Ka tirotirohia e te taote pokanga ngā repe e whā, ka kitea te repe kua nui, kua rerekē, kātahi ka tangohia.
• I ētahi wā, tera pea he pukupuku kei roto i ngā repe e rua. Mēnā ka pērā, ka tangohia ngā mea e rua. Mēnā ka nui haere ngā repe e whā (ka kiia tēnei ko te hyperplasia), ka tangohia te 3 1/2 o ngā repe, ā, ka toe te haurua e toe ana ki te tinana. Nā te mea he iti noa te kiko parathyroid e hiahiatia ana e te tinana hei whakahaere i te konupūmā.
• Ka tirohia te taumata o te homoni PTH i roto i te toto i te wā e pokangahia ana. Mena ka heke te taumata mā te 50% i muri i te tango i te repe rerekē, ko te tikanga kua angitu te pokanga.

He tūponotanga kei roto i te pokanga?

Pērā i ngā pokanga katoa, he iti noa ngā mōrearea. Ko te mea nui ko te hekenga wā poto o ngā taumata konupūmā toto (hypocalcemia) i muri i te pokanga.. Tērā pea ka pāngia ngā pito o ngā maihao me te waha e te ngoikore, me te ahua o te wiri o ngā uaua. Engari kāore he mea hei manukanuka. Ka hoatu e te tākuta he papa konupūmā me te huaora D ki a koe mō ētahi wiki. Ki te tangohia tika e koe, ka karohia tēnei āhuatanga.

He aha ngā mea ka tupu i muri i te pokanga?

Tata ki te kotahi marama i muri i te pokanga, ka tata ngaro katoa ō tohu (pēnei i te ngenge me te mamae o te tinana). Ka tīmata koe ki te rongo i te tino whakamarie me te whakaoranga.

Ko ngā painga roa o te pokanga ko:

• Ka hoki mai te mātotoru o te wheua.
• Te whakaiti i te mōrearea o te whati wheua.
• Ka whakakore i te mōrearea o ngā kohatu whatukuhu.