Tērā pea i tangohia he toto mō te tirotiro ā-tau. Tērā pea nā te mea i ngenge tonu koe, nā te mea rānei i mamae tō tinana. Ahakoa rā, i te kīnga a te tākuta i roto i taua pūrongo toto "he teitei ake tō taumata konupūmā," tērā pea i pōhēhē koe. Tērā pea i whakaaro koe mēnā he raruraru te nui o te konupūmā. Ae, i ētahi wā he tohu pea tēnei kei roto i ō tātou tinana. Koinei tētahi o ngā āhuatanga ka kōrerohia e tātou i tēnei rā.
He aha te tikanga o tēnei adenoma parathyroid?
Kaua e manukanuka, ahakoa he roa te ingoa, he tino māmā noa iho. Ehara te adenoma i te mate pukupuku. Ara, ehara i te mea morearea e horapa ana puta noa i te tinana. He pukupuku iti, kāore he kino e puta mai ana i roto i te repe.
Nā, kia titiro tātou he aha ēnei repe parathyroid . E whā ngā repe iti, rite ki te wheua i roto i tō tātou kaki, e karapoti ana i te repe tairoi (te repe e mōhiotia ana e te nuinga ko te "koati"). Ko ēnei ngā repe parathyroid. Ko tā rātou mahi matua he whakaputa i tētahi homoni, e kiia nei ko te Parathyroid Hormone (PTH) , e whakahaere ana i te taumata konupūmā i roto i tō tātou tinana.
Whakaarohia he 'pana' e whakahaere ana i ngā taumata konupūmā i roto i ō tātou tinana. Ina heke ngā taumata konupūmā, ka tukuna ngā homoni mai i ēnei repe, ka kukume i te konupūmā mai i ngā wheua, ngā whatukuhu, me ngā whekau ki roto i te toto hei whakahoki i ngā taumata ki te taumata tika.
Heoi, ki te puta he adenoma i tētahi, i ētahi rānei o ēnei repe parathyroid, ka nui rawa te mahi a te repe. Kātahi ka tīmata te whakaputa i te homoni parathyroid nui atu i te mea e hiahiatia ana e te tinana. Ka kiia tēnei āhuatanga ko te hyperparathyroidism tuatahi . Mā tēnei ka piki haere te taumata konupūmā i roto i te toto, me te kore e hiahiatia.
He whakarāpopototanga noa iho: He pukupuku iti, ehara i te matepukupuku (adenoma) e tupu ana i roto i te repe parathyroid ka nui rawa te homoni e whakaputaina ana e te repe. Ka piki ake te taumata konupūmā i roto i te toto. Koinei te tīmatanga o te raruraru.
He aha ngā tohu ka puta mai i tēnei mate?
He maha ngā wā, ina piki noa iho ngā taumata konupūmā i roto i te toto, kāore pea he tohu e kitea. Koia te take ka kitea noatia e te tini tāngata mā te whakamātautau toto. Heoi, ina tino piki ngā taumata konupūmā, ka tīmata te puta o ngā momo raruraru.
Tirohia te ripanga i raro nei mō ngā tohumate noa ka puta mai nā tēnei.
| Momo āhuatanga | Ngā mea ka taea te rongo |
|---|---|
| Ngā āhuatanga ā-tinana whānui | - Te ngenge tonu me te ngoikore. - Ngā mamae tinana e puta ana, kāore he take. - Te hiahia ki te mimi i ngā wā katoa. |
| Ngā tohu o te pūnaha hinengaro me te pūnaha io | - Te ngaronga o te mahara, te uaua ki te arotahi. - Te pouri, te riri pinepine. |
| Ngā pānga ki ngā whatukuhu | - Te hanganga o ngā kōhatu whatukuhu. |
| Ngā pānga ki ngā wheua me ngā hononga | - Te mamae o ngā wheua me ngā hononga. - Te angiangi o ngā wheua (Osteoporosis), te whati ngāwari o te wheua. |
| Ngā pānga ki te pūnaha nakunaku | - Mamae puku, mumura o te uma, whakapairuaki me te ruaki. - Te kōroke. |
| Ētahi atu pānga | - Te toto toto tiketike (hypertension). |
He aha i puta ai tēnei momo adenoma? Ko wai te hunga tino mōrearea?
Ina hoki, i te nuinga o te wā, kāore anō kia kitea he take motuhake mō te whanaketanga o ēnei adenomas, engari kei reira ētahi āhuatanga mōrearea.
- Ngā take ira: He iti noa te ōrau (tata ki te 10%) o te tangata ka riro i a rātou tēnei mate mā roto i ngā ira kua tukuna iho i roto i ngā whakatipuranga.
- Te pānga ki te irahiko: Mena i 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 te mōrearea.
- Tau me te ira tangata: He nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine.E toru ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate. Waihoki, he mea tino noa tēnei i waenga i te hunga i waenga i te 50 me te 70 tau te pakeke.
He aha ngā mea whakamataku ka puta mai mēnā ka kore e arohia tēnei?
Kaua e whakaaro, "Ki te kore he mate pukupuku, he aha koe i wehi ai?". Ka taea e ngā taumata konupūmā toto tiketike kāore e taea te whakahaere mō te wā roa te kino i ngā whekau maha o tō tātou tinana. Ina koa, ki te tino teitei ngā taumata konupūmā, ka puta pea ngā āhuatanga ohorere.
- Te Āwhati o te Manawa: Tērā pea ka rerekē te tere o te pao o te manawa.
- Te Mate Parathyroid: He āhuatanga ohorere hauora tēnei. Ka pā mai pea te pōhēhē hinengaro, te ngoikore o te pūnaha io, te koma, tae atu ki te mate.
Nō reira, ahakoa he pukupuku harakore tēnei, kaua e whakaititia ōna pānga. He mea nui kia kite i te tākuta i te wā tika, kia rapu maimoatanga ai.
Me pēhea te tātaritanga tika a te tākuta i tēnei mate?
He tino mārama te tukanga hei kimi i tēnei.
1. Ngā whakamātautau toto: Ko te mea tuatahi ka mahia e koe he whakamātautau toto whānui. Mā tēnei ka tirohia mēnā he teitei ake ngā taumata konupūmā o roto i tō toto .
2. Te tirotiro i ngā taumata o te homoni: Mena ka whakaūtia he teitei tō taumata konupūmā, ka mahia he whakamātautau toto anō hei tirotiro i tō taumata homoni parathyroid (PTH) . I te nuinga o te wā, ina piki ake tō taumata konupūmā i roto i te toto, me heke iho tō taumata PTH. Engari i roto i tēnei mate, he teitei tō taumata konupūmā me tō taumata PTH. Koinei te tohu matua.
3. Ētahi atu whakamātautau: Whai muri i te whakaū i te mate, ka tūtohu pea te tākuta i ētahi atu whakamātautau.
- Ngā Matawai: Ka mahia he matawai ultrasound , he momo matawai motuhake rānei (matawai 'Tc-sestamibi') hei kimi i te wāhi tika o te repe, o ngā repe rānei e kaha rawa ana te mahi.
- Matawai CT: Ka taea te whakahaere i te matawai CT hei tirotiro mēnā kua puta he putunga konupūmā, he kōhatu rānei i roto i ngā whatukuhu.
- Te Ine i te Kaha o te Wheua: Ka ine i te ngoikore o ō wheua.
- Whakamātautau mimi 24-hāora: Ka ine tēnei i te nui o te konupūmā e tukuna ana i roto i te mimi.
He aha te rongoā pai rawa atu mō tēnei?
Ko te pokanga te maimoatanga pai rawa atu, me te maimoatanga pumau rawa atu hoki mō tēnei mate.Ko te pokanga he tango i te repe parathyroid, i ngā repe rānei e kaha rawa ana te mahi. Ka kiia tēnei pokanga he parathyroidectomy . Neke atu i te 95% te angitu o tēnei pokanga, ā, ka taea te whakaora katoa i te mate.
Me mahi tonu rānei te pokanga ahakoa kāore he tohumate?
Ae, e taunaki ana te nuinga o ngā tākuta i te pokanga ahakoa kāore he tohu. Nā te mea, ahakoa kāore he tohu, ka taea e ngā taumata konupūmā toto tiketike te whakaputa puku i ngā mea pēnei i te angiangi o ngā wheua me te kino o te whatukuhu. Ka taea e te pokanga te ārai i taua kino mō te wā roa.
Kāore he huarahi kē atu mō te tangata kāore e taea te mahi pokanga?
Mena kāore e taea e koe te pokanga nā tō pakeketanga, nā ētahi atu āhuatanga hauora rānei, ka tūtohu pea tō tākuta i tētahi rongoā. Engari kāore ēnei rongoā e whakaiti i ngā taumata homoni. Engari, ka ārai i te tukunga o te konupūmā mai i ngā wheua. Ko te tikanga me tango e koe ēnei rongoā mō te toenga o tō oranga.
Te āhua o te pokanga me ngā mōrearea
I mua i te pokanga, ka whakamahia ngā matawai hei kimi i te repe e pā ana. Ka mahia te pokanga i raro i te rongoā whakamoe.
- Ka tapahia e te tākuta tētahi wahi iti ki mua o te kaki, ā, ka tirohia ngā repe parathyroid e whā.
- Ka tangohia te repe, ngā repe rānei e nui rawa ana, e kaha rawa ana rānei te mahi.
- Mena he rerekē ngā repe e whā, ko te tikanga ka tangohia te 3 1/2 o ngā repe, ka toe he wāhanga iti, nā te mea me toe tonu ētahi kiko parathyroid hei whakahaere i ngā taumata konupūmā o te tinana.
- Ka inehia ngā taumata homoni PTH i te wā o te pokanga. Mēnā ka tangohia te repe tuturu, ka heke tonu ngā taumata homoni mā te 50%.
Pērā i ngā pokanga katoa, he tūponotanga kei reira. Ko te tūponotanga matua ko te hekenga wā poto, wā roa rānei o ngā taumata konupūmā toto (hypocalcemia) i muri i te pokanga. Ka pāngia pea ngā maihao me te waha e te ngoikore, me te wiri o ngā uaua. Hei ārai i tēnei, me tango e koe ngā papa konupūmā me te huaora D mō ētahi wiki i muri i te pokanga, e ai ki te whakahau a tō tākuta.
Tata ki te kotahi marama i muri i te pokanga, ka ngaro katoa ō tohu. Ka piki ake te kiato o tō wheua, ka heke te mōrearea o te pāngia e ngā kōhatu tākihi, ā, ka tino pai ake te kounga o tō oranga.
Karere Tangohia ki te Kāinga
- Ehara te adenoma parathyroid i te mate pukupuku. He pukupuku pai e tupu ana i roto i te repe.
- Ka piki ake ngā taumata o te homoni parathyroid i tēnei, ka piki ake hoki te taumata o te konupūmā i roto i te toto, me te kore e hiahiatia he take.
- Ko ngā tohu o tēnei ko te ngenge, te mamae o te tinana, ngā kōhatu tākihi, me te angiangi o ngā wheua. Heoi anō, kāore pea e kitea he tohu.
- He maha ngā wā ka kitea tēnei āhuatanga mā te whakamātautau toto matapōkere.
- Ko te maimoatanga pai rawa atu, me te maimoatanga pumau rawa atu mō tēnei ko te tango pokanga i te repe, ā, neke atu i te 95% te angitu o tēnei.
- Ki te teitei ake te taumata o te konupūmā i roto i tō toto, kaua e mataku, me toro atu ki tō tākuta tonu mō ētahi tohutohu.
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