E mōhio ana tātou katoa ki te hiranga o te konupūmā mō ō tātou tinana, inā koa ō tātou wheua me ō tātou niho. Engari i mōhio koe ki te 'kaiwhakahaere' iti i roto i ō tātou tinana e whakahaere tika ana i te nui o te konupūmā i roto i ō tātou toto? Ko taua wāhanga iti, engari he tino kaha, ko ngā repe parathyroid. Kei te kōrero tātou mō ēnei mea ririki i tēnei rā.
He whakarāpopototanga, he aha ēnei repe parathyroid?
Whakaarohia, kua rongo koe i te repe tairoiti āhua pūrerehua i roto i tō kaki. Kei muri i te repe tairoiti, i roto tonu i a ia, e whā ngā repe iti e rite ana ki te rahi o ngā pī e whā . He wāhanga ēnei o te pūnaha endocrine o tō tātou tinana.
I te nuinga o te wā, e whā ēnei repe o te katoa. Heoi, tera pea ētahi tāngata he iti iho, he nui ake rānei i te whā. He mea noa tēnā.
He aha rawa te mea e tupu ana ki ēnei repe iti?
Kotahi anake te mahi a ēnei repe parathyroid, engari he mea tino nui. Ko te whakaputa me te tuku i te homoni parathyroid, (PTH) rānei, ki roto i te tinana.
Ko tēnei homoni (PTH) te mea e pupuri ana i te taumata konupūmā i roto i ō tātou toto ki te taumata tika. Pērā i te whakamahana hauhautanga o te whare. Ina piki te pāmahana, ka whakahekehia, ā, ina heke, ka whakanuia. Ina heke te taumata konupūmā i roto i te toto, ka tukuna te homoni (PTH) ka whakanuia. Ina piki te taumata konupūmā, ka heke te tukunga o (PTH).
Nā te aha i tino hira ai tēnei taumata konupūmā i roto i te toto?
E 99% o te konupūmā katoa o roto i tō tātou tinana kei roto i ō tātou wheua me ō tātou niho. Ko te 1% e toe ana kei roto i ō tātou toto. Mā taua nui iti nei ka mahi i ēnei mea katoa:
- Te mahi a te pūnaha io: He mea nui te konupūmā mō te tuku karere mā roto i ō tātou io.
- Te whakahekenga uaua: Ka nekehia e tātou ō tātou waewae, ka hikoi tātou, me whakahekenga uaua ēnei katoa. Me whai konupūmā tēnā.
- Te toto totoka: Ina whara koe, me totoka ō toto kia mutu ai te toto. Ka āwhina hoki te konupūmā i taua tukanga.
- Mō te mahi a te ngākau: He mea tino nui te taumata o te konupūmā i roto i te toto kia tika ai te pao o te ngākau.
Kia maumahara, he mea nui hoki te huaora D mō te mimiti o te konupūmā e ō tātou tinana. Nō reira, he tautoko nui hoki te huaora D mō te mahi a ngā repe parathyroid.
Ngā mate nui e pā ana ki ngā repe parathyroid
He raruraru kei roto i te mahi a ēnei repe, ahakoa he nui rawa, he kore rawa hoki. E rua ngā āhuatanga hauora e kōrerohia ana e tātou.
1. Hyperparathyroidism - te nui rawa o te whakaputanga o te homoni
Ka puta tēnei ina kaha rawa te mahi a tētahi, neke atu rānei o ngā repe parathyroid, ā, ka nui rawa te homoni parathyroid (PTH) e whakaputaina ana. Ka piki haere te taumata konupūmā i roto i te toto, ā, ka tino teitei rawa. Ka kiia tēnei he hypercalcemia .
Tērā pea he maha ngā take mō tēnei:
- Te Hiperparatiroitia Tuatahi: I tēnei wā, kei roto i ngā repe tonu te raruraru. Ko te tino take he pukupuku kore-matepukupuku e kiia nei ko te adenoma parathyroid i roto i tētahi o ngā repe. He tino onge, ka taea hoki tēnei āhuatanga te puta mai i te matepukupuku parathyroid. Engari he tino onge tēnā, nō reira kaua e manukanuka.
- Te Hyperparathyroidism Tuarua: I roto i tēnei āhuatanga, ka nui rawa te mahi a ngā repe nā tētahi atu āhuatanga. Hei tauira, ko te tangata he ngoikore ōna whatukuhu, he ngoikore rānei ōna huaora D, tera pea he iti te taumata o te konupūmā i roto i tōna tinana. Hei whakautu, ka tīmata ngā repe parathyroid ki te whakaputa i ngā homoni maha atu.
| Ngā tohu o te hyperparathyroidism (te nui haere o te konupūmā i roto i te toto) | |
|---|---|
| Te mimi pinepine me te matewai nui | Te ngenge nui me te ngenge o te tinana |
| Te mamae o ngā wheua me ngā hononga | Te ānini, te whakapairuaki, me te ruaki |
| Te koretake o te kai me te ngaro o te hiahia kai | Te warewaretanga, te pouri, me te riri |
| Te mamae o te uaua, te ngoikore, me te kikī | Te tūponotanga o ngā kohatu whatukuhu |
2. Hypoparathyroidism - kāore i te rawaka te homoni
He onge ake tēnei mate i tērā o mua. Ka puta mai ina kore e nui te homoni (PTH) e whakaputaina e ngā repe parathyroid.Ka heke te taumata o te konupūmā i roto i te toto i tēnei āhua tino iti rawa. Ka kiia tēnei he hypocalcemia .
Ko te tino take o tēnei āhua ko te pakaru tūpono, te tango rānei i ngā repe parathyroid i te wā o te pokanga kaki, inā koa ko te tango i te thyroid. Hei tāpiri, ka taea hoki tēnei āhua te puta mai i ētahi āhuatanga ira me ngā āhuatanga pūnaha ārai mate.
| Ngā tohu o te Hypoparathyroidism (te iti o te konupūmā toto) | |
|---|---|
| Te ngenge o ngā ngutu, ngā matimati, me ngā waewae | Ngā mamae me ngā kōpeketanga o te uaua |
| Mamae puku | Kohu roro me te pōhēhē |
| Ngā rerekētanga o te pā o te ngakau (Arrhythmia) | Ngā whao pakarukaru, ngā makawe maroke me te kiri |
| Ngā katarata | Te ngoikore o te enamel niho i roto i ngā tamariki nohinohi |
Me pēhea te pupuri i te hauora o ēnei repe?
Kei roto rawa i te kaki ngā repe parathyroid, ā, he pai te tiaki. Nō reira, kāore e ngāwari te pakaru i ngā āhuatanga kino o waho. Engari, he iti noa ngā mea ka taea e tātou te mahi hei āwhina i ēnei repe kia mahi tika i tā rātou mahi.
- Kia nui te huaora D: He mea nui te huaora D hei pupuri i te pumau o ngā taumata konupūmā toto. I tō tātou whenua, he nui te huaora D e whiwhihia ana e tātou mai i te rā. He tino pai te noho ki raro i te rā mō te wā poto i te ata. Kōrero ki tō tākuta ka whakatau mēnā me whai tāpiringa huaora D koe.
- Tāpirihia he nui te konupūmā ki tāu kai:He mea tino nui te kai taurite. Ko ngā puna pai o te konupūmā ko te miraka, te miraka kawa, te tiihi, ngā ika ririki (tae atu ki te makarela), me ngā huawhenua matomato (pīnihi, kāre). Mena he pātai āu mō tō kai, whakapā atu ki te tākuta.
Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai mēnā kei a koe tētahi o ngā tohu kua whakahuatia ake nei. Mā te whakamātautau toto ngāwari ka taea te kite ngāwari mēnā he raruraru mā te tirotiro i ngā taumata konupūmā me te (PTH) i roto i te toto.
Ahakoa ko ngā repe parathyroid tētahi o ngā okana iti rawa o te tinana, kua mārama pea koe ināianei ki te nui o tā rātou pānga ki te mahi a tō tātou tinana katoa. Koia te mea nui kia aro atu ki ō tātou tinana.
Karere Tangohia ki te Kāinga
- Ko ngā repe parathyroid he repe iti e whā i roto i tō tātou kaki e whakahaere ana i te taumata o te konupūmā i roto i te toto.
- Ki te piki ake, ki te heke rānei te homoni parathyroid (PTH) e hangaia ana e ēnei repe (hyperparathyroidism), ka pā mai pea ngā raruraru hauora.
- Ko ngā tohu o te konupūmā nui i roto i te toto ko te ngenge nui, te mamae o te wheua, me te mimi pinepine.
- Ko te ngenge o ngā maihao me te wiri o ngā uaua he tohu pea nō te iti o te konupūmā i roto i te toto.
- He mea nui te whiwhi i te nui o te huaora D me te konupūmā mō te mahi hauora o te parathyroid.
- Mena he tohu kei a koe, he feaa rānei mō tēnei mea, me toro atu ki tō tākuta tonu mō ētahi tohutohu.
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