Kia ako tātou mō ō repe parathyroid. Te mahi nui a ēnei toa iti!

I tēnei rā ka kōrero tātou mō ētahi repe iti rawa, engari he mea nui rawa atu i roto i tō tātou tinana. Kāore pea koe i rongo nui mō rātou. Ko ēnei e kiia ana ko ngā repe parathyroid. Ahakoa he rite te rahi ki te pī, he rite ēnei repe ki ngā toa e whakahaere ana i ngā taumata konupūmā i roto i tō tātou tinana. Kia titiro tātou he aha rātou, he aha tā rātou mahi, me ngā raruraru ka pā mai.

He aha ēnei repe parathyroid?

Ki te whakarapopoto, ko ō repe parathyroid he repe endocrine iti e whā, he rite te rahi ki te pīni, e piri ana ki muri o tō repe tairoiro i roto i tō kaki. Ka whakaputahia, ka tukuna hoki e ēnei repe he homoni nui e kiia nei ko te Parathyroid Hormone (PTH) . Ka āwhina tēnei homoni ki te whakahaere i te taumata o te konupūmā i roto i ō toto. Kāore i te mea nui tēnā?

E hia ā tātou repe parathyroid?

E whā ngā repe parathyroid o te nuinga o te tangata. Engari kua whakaatuhia e ētahi rangahau he iti iho, he nui ake rānei i te whā ō ētahi tāngata. Ehara i te mea nui, ahakoa te maha, mena kei te mahi tika rātou.

He aha te mea ka tupu ki ēnei repe parathyroid?

Kotahi te mahi matua a ō repe parathyroid: te hanga i te homoni parathyroid (PTH) me te tuku ki roto i ō toto. Ko tēnei homoni, me tētahi atu homoni e kiia nei ko te calcitonin (i hangaia e te repe tairoiti), ka mahi ki te whakahaere tika i te nui o te konupūmā i roto i ō toto. Whakaarohia, ko te nui rawa o te konupūmā i roto i ō toto ka pāngia e ngā raruraru, ā, ko te iti rawa ka pāngia e ngā raruraru. Nō reira, me mahi tika tēnei pūnaha.

He aha te hiranga o te konupūmā mō ō tātou tinana?

He kohuke tino nui te konupūmā, he mea noa hoki i roto i tō tātou tinana. E 99% o te konupūmā katoa i roto i tō tinana e rongoa ana i roto i ō wheua me ō niho . Ko te toenga 1% ka rere i roto i te toto. Ahakoa he iti noa iho tēnei, he mea tino nui tēnei konupūmā i roto i te toto. E mōhio ana koe he aha?

• Me mahi tika ō io . Whakaarohia, ina hiahia koe ki te pā atu ki tētahi mea, ka puta taua karere mā roto i ngā io. Me whai konupūmā tēnā.
• Āwhina i ō uaua kia whakawhāiti, kia neke hoki . Ina hapai koe i tō ringa, ina hikoi rānei, ka mahi ngā uaua. He mea nui hoki te konupūmā mō tēnā.
• Ki te pāngia koe e te patunga, ā, kei te toto koe, āwhinahia te toto kia piri . Ki te kore, ahakoa he patunga iti noa iho ka noho hei raruraru nui.
• Me whai konupūmā tō ngākau kia pai ai te mahi . Me whai konupūmā anō hoki te uaua o te ngākau kia tika ai te patu.

Tirohia te nui o te mahi a tēnei iti o te konupūmā! He mea nui hoki te Huaora D mō te pupuri i ngā taumata konupūmā i roto i te toto. Nā te mea me whiwhi te tinana i te huaora D hei mimiti i te konupūmā mai i te kai. Ka whiwhi tātou i te huaora D mai i te rā, ā, ka kitea anō hoki i roto i ētahi kai.

Kei hea ēnei repe parathyroid?

Mō te nuinga o te tangata (tata ki te 80%), kei roto i tō kaki ēnei repe parathyroid e whā i te āhua o te pūrerehua, e piri ana ki muri. I te nuinga o te wā, e rua ngā repe i ia taha o ngā "parirau" e rua o te repe thyroid.

Heoi, i ētahi wā ka kitea pea ō repe parathyroid i roto i tō kaki, i te taha o te esophagus, i roto rānei i tō uma (he tika ake , i roto i te mediastinum, te wāhanga waenga o te uma). Ka tapaina ēnei e ngā tākuta he repe parathyroid 'ectopic' , ko tōna tikanga "kei tētahi wāhi rerekē." Tata ki te 16% o te tangata kei a rātou ēnei repe 'ectopic'.

Kāore he take e manukanuka ai mēnā he 'ectopic' parathyroid repe. Heoi, ki te nui rawa te PTH e whakaputaina ana e tētahi, e ētahi rānei o aua repe, tera pea ka uaua ki tō tākuta te kimi i aua repe mēnā me tango mā te pokanga.

He aha te āhua o ngā repe parathyroid?

He tino iti ngā repe parathyroid – he rite te rahi me te āhua o ia repe ki te pī . Engari i ētahi tāngata, ka kaha rawa te mahi a ēnei repe, ka nui haere hoki.

He aha ngā āhuatanga ka pā ki ngā repe parathyroid?

E rua ngā mate matua e pā ana ki ngā repe parathyroid: te hyperparathyroidism me te hypoparathyroidism . Me kōrero tātou mō ia mate.

He aha te hyperparathyroidism?

Ka puta tēnei ina kaha rawa te mahi a tētahi, ētahi rānei o ō repe parathyroid, ā, ka nui rawa te homoni parathyroid (PTH) e tukuna ana. Ka piki ake te taumata konupūmā i roto i tō toto i te taumata noa. Ka kiia tēnei he hypercalcemia .

Tērā ētahi huarahi ka taea e ō repe parathyroid te whakaputa i ngā homoni ake:

• Hei urupare ki ētahi mate.
• Mena kei te ngoikore koe i te Huaora D.
• Mena he raruraru mahi tākihi tōu, hei āwhina i te pupuri i ngā taumata konupūmā toto kia noa.

Ka tapaina tēnei āhuatanga e ngā tākuta ko te hyperparathyroidism tuarua . Mēnā ka roa te wā e haere tonu ai tēnei tukanga, ka ara ake pea ētahi atu raruraru hauora, pērā i te ngoikore o te wheua.

I tētahi atu ringa, i ētahi wā he raruraru kei roto i ō repe parathyroid (he mea e pā tika ana ki ngā repe) ka taea ai e rātou te mahi nui rawa, ka piki ake ai ngā taumata konupūmā o roto i tō toto. Koinei te mea e kīia ana e ngā tākuta ko te hyperparathyroidism tuatahi .

Ko te nuinga o te hunga e pāngia ana e te hyperparathyroidism tuatahi kāore e pāngia e ngā tohu nā te mea ka kitea wawetia te hypercalcemia, pērā i te wā e mahia ana he whakamātautau toto mō tētahi atu take.

Heoi, i roto i ngā take kino rawa atu, me/ranei mō te wā roa o te hypercalcemia, ka puta ngā tohu pēnei i:

• Te mimi pinepine.
• Te matewai nui (polydipsia).
• Te ngenge .
• Mamae wheua.
• Ngā mamae o te upoko.
• Whakapairuaki me te ruaki.
• Te mate kōroke.
• Te hekenga o te hiahia kai.
• Te warewaretanga, te pouri, te pukuriri rānei .
• Ngā mamae uaua, te ngoikore, te kōpiripiri me/ranei te wiriwiri.

He aha te adenoma parathyroid?

Ko te adenoma parathyroid he tipu pai/kore-matepukupuku , he rite ki tētahi pukupuku iti, e tupu ana i runga i tētahi, i ētahi rānei o ō repe parathyroid. Koinei te tino take o te hyperparathyroidism tuatahi. Kaua e manukanuka, ehara i te matepukupuku. I te nuinga o te wā, ka whakatauhia te raruraru mā te tango i te pukupuku mā te pokanga.

Me ako anō hoki tātou mō te mate pukupuku parathyroid.

Ka taea hoki e te mate pukupuku parathyroid te whakaputa i te hyperparathyroidism tuatahi. Heoi, he tino onge tēnei . Ko te mate pukupuku parathyroid anake te take o te 0.005% o ngā mate pukupuku katoa. Waihoki, ko ēnei mate pukupuku te take o te 0.5% me te 1% o ngā āhuatanga katoa e pā ana ki ngā repe parathyroid.

He aha te Hypoparathyroidism?

He tino onge tēnei āhuatanga. Ko te mea ka tupu, ka heke te nui o te homoni parathyroid `(PTH)` i roto i te toto. Ka heke te nui o te konupūmā i roto i te toto – ka kiia e mātou ko te hypocalcemia – ā, ka piki ake te nui o te phosphorus i roto i te toto – ka kiia e mātou ko te hyperphosphatemia .

Tata ki te 75% o ngā take o te hypoparathyroidism ka puta mai i te pakaru ohorere o ngā repe parathyroid i te wā o te pokanga kaki, te pokanga tairoi rānei . Hei tāpiri, ka taea hoki te puta mai i ētahi āhuatanga ira me ngā āhuatanga pūnaha ārai mate.

Ki te kore te take he pokanga, ka puta mārire te hypoparathyroidism, nō reira he ngawari noa iho ngā tohu. Ko ētahi o ngā tohu ko:

• Te wiriwiri i ngā ngutu, i ngā pito o ngā mātā me ngā matimati .
• Ngā mamae o te uaua.
• Ngā uaua e pupuhi ana.
• Mamae puku.
• "Kohu roro" te pōhēhē rānei.
• Te manawataki o te ngakau rerekē / te arrhythmia.
• Ngā whao pakarukaru.
• He makawe maroke me te kiri maroke, he kiri unahi.
• Ngā katarata.
• Te ngoikore o te enamel niho (i roto i ngā tamariki).

He aha taku e taea ai te mahi hei pupuri i te hauora o aku repe parathyroid?

Nā te mea kei muri i tō repe tairoiti ō repe parathyroid e tiakina pai ana, kāore e ngawari te pakaru. Kāore koe e hiahia ki te mahi i tetahi mea motuhake hei pupuri i te hauora o ēnei repe. Heoi, he iti noa ngā mea ka taea e koe te mahi hei āwhina i ō repe parathyroid kia mau tonu ō taumata konupūmā toto ki te awhe hauora:

• Kia tino whiwhi koe i te nui o te huaora D: He mea nui te huaora D hei pupuri i te pumau o ngā taumata konupūmā toto. Pātai atu ki tō tākuta mēnā me tango e koe he tāpiringa huaora D. He maha ngā wā ka taea tēnei mā te noho i raro i te rā i te awatea.
• Kia tino mohio kei te nui te konupūmā i roto i tō kai: Mā te kore o te konupūmā i roto i tō tinana ka pāngia e ngā raruraru konupūmā i roto i te toto. Ko ngā puna pai o te konupūmā ko te miraka, te miraka kawa, te tiihi, ngā huawhenua matomato, me ngā ika ririki (ka kainga me ngā wheua). Mēnā kāore koe i te tino mōhio kei te nui te konupūmā i roto i tō kai o ia rā, kōrero ki tō tākuta, ki tētahi tohunga kai rānei.

Kia maumahara, he torutoru noa iho ēnei tohutohu. Mēnā he tohu kei a koe, me rapu tohutohu hauora koe. Kaua e rongoā i a koe anō.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He iti ngā repe parathyroid, engari he kaha, ā, he mea nui ēnei hei pupuri i te pumau o ngā taumata konupūmā o roto i tō toto. Ko te nuinga o te tangata kāore e whakaaro ki a rātou – kāore hoki e rongo mō rātou – kia puta rā anō he hapa. Mena kei a koe ngā tohu o te taumata konupūmā toto tiketike (hypercalcemia) te taumata konupūmā toto iti rānei (hypocalcemia), me kōrero tonu atu ki tō tākuta . Ka taea e rātou te mahi i ngā whakamātautau toto māmā hei kimi i te take me te tohu i te maimoatanga e tika ana.

He mea tino nui te mōhio ki ēnei repe iti mō tō hauora whānui. Nā te mea he nui te mahi e mahia pukutia ana e rātou! Kia ora tonu!

` Ngā repe parathyroid, konupūmā, homoni parathyroid, hyperparathyroidism, hypoparathyroidism, huaora D, ngā homoni