Kua mōhio pea koe ki te hiranga o te konupūmā hei pupuri i te kaha o ō tātou wheua me ō tātou niho. Engari i mōhio koe me noho te konupūmā, he kohuke nui, ki ngā taumata noa hei pupuri i te hauora o ngā oko toto, ngā uaua, me te pūnaha io? Mena i whakaatuhia e ngā hua o tō whakamātautau toto tata nei he nui rawa, he iti rawa rānei ō taumata konupūmā, kua whakahaua pea e tō tākuta tētahi atu whakamātautau toto motuhake. Koinei te whakamātautau e kōrerohia ana i tēnei rā, e ine ana i ō taumata homoni parathyroid (PTH).
He aha te homoni parathyroid (PTH)?
E whā ngā repe iti rawa o roto i ō tātou kaki. He rite te rahi ki te pī iti. Koinei ngā mea e kiia nei e tātou
ko ngā repe parathyroid . Ka whakaputahia e ēnei repe te homoni parathyroid, te PTH rānei. Ko te mahi matua o tēnei homoni he whakahaere i te taumata o te konupūmā i roto i ō tātou toto. He pūnaha tino mīharo. Whakaarohia pēnei:
- Ina heke te taumata o te konupūmā i roto i tō toto, ka tukuna e ēnei repe te homoni PTH ki roto i tō toto. Ka haere tēnei PTH ki te kohi i te konupūmā mai i ō wheua me ō whatukuhu, ā, ka whakahokia mai ō taumata konupūmā ki te āhua noa.
- Ina piki ake ngā taumata konupūmā o roto i tō toto , ka mutu te tukunga o te homoni PTH e ēnei repe. Mā tēnei ka whakahaere i ngā taumata konupūmā o roto i tō toto.
Nō reira, he tino āwhina te ine i tō taumata PTH mō ngā tākuta kia kitea ai te take e iti ana, e teitei ana rānei te konupūmā i roto i tō toto.
He aha te take e taunaki ai te tākuta i tēnei whakamātautau?
Ko te mea nui ko te whakatau mēnā he raruraru kei te mahi a ngā repe parathyroid te take o tō taumata konupūmā toto rerekē, he take kē atu rānei. Mēnā he rite tō taumata PTH ki tō taumata konupūmā, ko te tikanga he take kē atu te take o te taumata konupūmā rerekē. I te nuinga o te wā, mēnā kei a koe ēnei tohu e whai ake nei, ka tūtohu pea tō tākuta i tēnei whakamātautau PTH.
| Hypercalcemia - he nui ake te konupūmā i roto i te toto | Hypocalcemia - he iti te konupūmā i roto i te toto |
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| Mamae puku | Te pouri me te huringa o te wairua i ngā wā katoa |
| Te matewai nui | Te wiri, te oho rānei o te uaua (ngā uaua pōrearea) |
| Te hiahia tonu ki te mimi | Te ngenge, te mākūkū rānei i ngā ringa, ngā waewae, me te waha |
| Whakapairuaki me te ruaki | Ngā rerekētanga o te ngakau |
| Ngenge | |
| Mamae tinana me te wheua | |
| Ngā kōhatu whatukuhu | |
He tūponotanga kei roto i tēnei whakamātautau?
He
iti noa iho ngā mōrearea e pā ana. Pērā i ngā whakamātautau toto katoa, tera pea ka mamae koe i te wāhi e werohia ana te ngira. Tērā pea ka pāngia koe e te maru i muri mai. Tērā pea ka pōuri ētahi tāngata i muri i te tuku toto. Engari he mea noa tēnei.
Ko te painga nui o tēnei whakamātautau ko te āheinga o te tākuta ki te mōhio tika mēnā kei te nui rawa, kei te iti rawa rānei te homoni PTH e hangaia ana e tō tinana.
Ka taea e tēnei te whakaū, te whakakore rānei i te mate parathyroid. Kātahi ka taea e kōrua ko tō tākuta te rapu i ētahi atu take o ō taumata konupūmā rerekē.
Me whakarite koe i mua i te whakamātautau?
Ae, ka tono pea tō tākuta kia mutu te tango i ētahi rongoā, i ētahi huaora rānei (tāpiritanga) i te rā i mua atu, i te rā rānei o te whakamātautau. Engari
kaua e mutu te tango i tētahi rongoā me te kore e pātai tuatahi ki tō tākuta .
He aha ngā mea ka tupu i te wā o te whakamātautau, ā, i muri hoki i te whakamātautau?
He tikanga tino māmā tēnei. Ka tangohia he toto iti mai i tētahi uaua i roto i tō ringa. Ka whakatakotoria tuatahitia e te tangata e tango ana i te toto he here rapa ki te tihi o tō ringa, ka whakau. Ina pēhia e koe tō ringa, ka kitea mārama ngā uaua toto. Kātahi, mā te whakamahi i tētahi ngira iti, ka tangohia he toto iti ki roto i tētahi ngongo whakamātautau. Kāore e hiahiatia he toto nui. Ina tangohia te toto, ka tangohia te ngira, ā, ka pania he paraikete iti ki te wāhi. Kātahi ka tukuna tēnei tauira toto ki tētahi taiwhanga hei whakamātautau i ngā taumata o te PTH, te konupūmā, me ētahi atu homoni me ngā kohuke pea.
Me pēhea te mārama ki ngā hua?
E rua pea ngā rā ka puta mai ngā hua o te whakamātautau. Heoi, i ētahi wā ka tere ake te whiwhi hua, i runga i te taiwhanga me ngā hiahia o te tākuta. Ka whakaatuhia ngā hua i roto i ngā pikokaramu ia miririta (pg/mL). Ka rerekē pea te awhe noa mō te PTH i ia taiwhanga ki ia taiwhanga. Ko te awhe hauora mō te momo PTH 'untact molecule' kei waenganui i
te 10 - 65 pg/mL .
Ko te mea nui ko te kōrero ki tō tākuta kia mārama ai koe ki te tikanga o ngā tau kei roto i ngā hua o tō whakamātautau.
Ngā taumata PTH me ō rātou take Ngā mea ka piki ake ai ngā taumata PTH (Hyperparathyroidism): Ngā mea ka iti ai ngā taumata PTH (Hypoparathyroidism):
- Te nui o te mahi a ngā repe parathyroid.
- Ngā taumata huaora D iti.
- Te iti o te konupūmā i roto i te toto nā te mea kāore he pānga ki ngā repe parathyroid.
- Te mate whatukuhu mau tonu .
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- Te whakaiti i te mahi a ngā repe parathyroid.
- He pokanga e pā ana ki te repe tairoi.
- Te pānga ki te irahiko .
- Te nui rawa o te rino .
- Te pikinga o ngā taumata konupūmā i roto i te toto.
- Ngā mate pūnaha ārai mate .
- Ngā taumata konupora iti.
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Me mahi anō ahau i ētahi atu whakamātautau?
Āe, ka tūtohu pea tō tākuta i ētahi atu whakamātautau i runga i tō PTH me te taumata konupūmā.
- Hei tauira, ki te teitei ō taumata PTH engari he iti ō taumata konupūmā, tera pea kei te mahi tika ō repe parathyroid. Kātahi ka tirohia e tō tākuta ō taumata huaora D, whākōkī, me te konupūmā kia kite ai mēnā kei te pāngia ō taumata konupūmā.
- I tētahi atu taha, ki te nui tō taumata konupūmā, ā, ki te nui ake tō taumata PTH i te mea noa, tera pea he hyperparathyroidism tōu. Mēnā koinei te āhua, ka whakahaerehia e tō tākuta he whakamātautau X-ray, he whakamātautau whakaahua rānei hei tirotiro i ō repe parathyroid.
Mena kei te pupuhi ngā repe, kei te whai pukupuku rānei, ka taea te mahi pokanga hei tango i ngā repe. Heoi, ki te kore tō āhua e kino rawa, ā, kāore he tohu pēnei i ngā raruraru tākihi, i ngā wheua ngoikore rānei, ka hiahia pea tō tākuta ki te tirotiro i ō taumata konupūmā me te PTH i ia wā. Ka tohua pea e rātou he rongoā pēnei i te Cinacalcet (Sensipar). I ēnei āhuatanga, kāore pea e hiahiatia he pokanga.
Karere Tangohia ki te Kāinga
- He mea nui te whakamātautau toto PTH hei kimi i te pūtake o ngā taumata konupūmā rerekē i roto i tō toto.
- He whakamātautau toto noa tēnei, he iti noa te mōrearea, nō reira kāore he take e mataku ai.
- Mā tō tākuta e whakatau te mea ka mahia i muri mai i runga i ō tohumate, ngā taumata konupūmā, me ngā taumata PTH.
- Ina whiwhi koe i ngā hua o tō whakamātautau, me kōrero koe ki tō tākuta kia tino mārama ai koe ki aua hua.
- Kaua rawa e mutu te tango i ō rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu a tō tākuta.
Te homoni parathyroid, te whakamātautau PTH, te konupūmā, te whakamātautau toto, te hypercalcemia, te hypocalcemia, te mate tākihi
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