Kua rongo katoa tātou mai i te tamarikitanga he mea nui te konupūmā mō ngā wheua kaha (tae atu ki ngā niho). He pono tēnā. Engari i mōhio koe me whai anō hoki ō tātou tinana i tētahi nui o te konupūmā hei pupuri i ngā oko toto hauora, ngā uaua, me te pūnaha io? Tērā pea i whakaatuhia e tō whakamātautau toto tata nei he nui rawa, he iti rawa rānei tō taumata konupūmā. Mena koinā, ka tūtohu pea tō tākuta i tētahi atu whakamātautau toto motuhake. He whakamātautau tēnā e ine ana i te taumata o te homoni parathyroid (PTH).

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He aha te take e tono ai te tākuta kia mahia e koe tēnei whakamātautau PTH?

I te whakarapopototanga, ko tēnei homoni e kiia nei ko te PTH he mea nui e whakahaere ana i te taumata konupūmā i roto i tō tātou tinana. Ka hangaia tēnei homoni e ngā repe iti e whā i roto i tō tātou kaki. Ka karangatia ēnei e tātou he repe parathyroid. Whakaarohia he 'pūoko' iti e whā kei roto i tō tātou kaki e whakahaere ana i te taumata konupūmā i roto i tō tātou tinana. Ko tā ēnei mahi penei:

Ina heke te taumata o te konupūmā i roto i tō toto, ka tukuna e ēnei repe te homoni PTH ki roto i ō toto. Ka haere tēnei homoni PTH ki ngā wheua me ngā whatukuhu ka whakahoki i te konupūmā ki roto i ō toto, ka whakahokia ngā taumata konupūmā ki te āhua noa.
Ina piki ake ngā taumata konupūmā i roto i tō toto , ka mutu te tukunga o te homoni PTH i ēnei repe, ka mutu ai te kohikohinga koretake o te konupūmā i roto i te toto.

Kua mārama koe ināianei, āe? Mena he raruraru kei tō taumata konupūmā, kei te whakahaerehia e te tākuta tēnei whakamātautau PTH hei rapu tika mēnā he raruraru kei te mahi a ngā repe parathyroid te take, he take kē atu rānei.

He aha ngā tohu o te piki me te heke o te konupūmā?

Mena he rerekē ō taumata konupūmā, arā, he nui rawa (Hypercalcemia) he iti rawa rānei (Hypocalcemia), tera pea ka pāngia koe e ētahi tohu. Mā te ripanga i raro nei koe e āwhina ki te mārama ake i tēnei.

Ngā tohu o te nui o te konupūmā i roto i te toto (Hypercalcemia)	Ngā tohu o te iti o te konupūmā i roto i te toto (Hypocalcemia)
Mamae puku Te matewai nui Te mimi pinepine Whakapairuaki Te ngenge nui o te tinana Mamae uaua Mamae wheua Ngā kōhatu whatukuhu	Te pouri me ngā huringa wairua Ngā mamae o te uaua Te ngenge o ngā ringa, o ngā waewae, o te waha rānei Ngā rerekētanga o te ngakau

Ko te mea nui ko te toro atu ki te tākuta tonu, me te rapu tohutohu, me te kore e ngana ki te tautuhi i tō mate mēnā kei a koe ēnei tohu.

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He aha ngā painga me ngā mōrearea o tēnei whakamātautau?

He tino māmā noa iho tēnei whakamātautau toto PTH. Kāore he take e mataku ai. Pērā i ngā whakamātautau toto katoa, he iti noa iho ngā mōrearea.

Tērā pea ka pā te mamae iti ki te wāhi e werohia ana te ngira.
Tērā pea ka paku maru, ka mamae rānei te wāhi i muri i te whakamātautau.
He tino onge te pānga o te mate, te ngoikore rānei i muri i te tango toto.

Engari ki te whakaritea ki ēnei mōrearea iti nei, he tino nui ngā painga o tēnei whakamātautau . Nā te mea ka taea e tēnei whakamātautau te whakaatu tika ki tō tākuta mēnā he nui rawa, he iti rawa rānei te homoni PTH e hangaia ana e tō tinana. Ka taea hoki e ia te āwhina ki te whakaū kāore te raruraru i ngā repe parathyroid, me te rapu i ētahi atu take o ngā taumata konupūmā rerekē.

Me pēhea tāu whakarite i mua i te whakamātautau?

Tērā pea ka tono atu tō tākuta kia mutu te tango i ētahi rongoā, tāpiringa rānei, pērā i ngā huaora me te konupūmā, i te rā, i ngā rā e rua rānei i mua i te whakamātautau. Heoi, kaua rawa e mutu te tango i tētahi rongoā me te kore e kōrero tuatahi ki tō tākuta. Me kōrero tonu koe ki tō tākuta, inā koa mēnā kei te tango koe i ngā rongoā mō ētahi atu mate.

Me pēhea te mārama ki ngā hua?

I muri i te tukunga o te tauira toto ki te taiwhanga, ka roa pea ētahi rā ka puta mai ngā hua. Ka rerekē pea tēnei wā i runga i te taiwhanga me ngā hiahia o tō tākuta. Ko ngā taumata PTH ka inehia i roto i ngā pikokaramu ia miririta (pg/mL). Ka rerekē pea te awhe noa i waenga i tētahi taiwhanga ki tētahi taiwhanga. Ko te taumata PTH o te tangata hauora kei waenga i te 10-65 pg/mL. Heoi, kaua e whakatau tere i runga i ngā tau kei runga i ngā hua o tō whakamātautau.Ko tō tākuta anake ka taea te whakarite i aua uara ki ō taumata konupūmā, me te whakamārama tika i te tikanga. Kei te ripanga i raro nei he whakaaro mō ētahi o ngā take noa o ngā taumata PTH teitei, iti rānei.

Āhua	Ngā Take Pea
Ngā taumata PTH kua piki ake	Te hyperparathyroidism Te korenga o te huaora D Mate tākihi mau tonu Ngā taumata konupūmā iti nā te mea ehara i te take o te parathyroid
Ngā taumata PTH kua heke	Te ngoikore o te roro Pokanga tairoi Te rongoā irahiko Te nui rawa o te rino Ngā mate pūnaha ārai mate Ngā taumata konupora iti

He maha atu anō ngā whakamātautau ka mahia i muri mai?

Āe, i runga i ngā hua o te whakamātautau PTH, me whai pea koe i ētahi atu whakamātautau. He rite ki te kaitirotiro e whai ana i tētahi tohu i muri i tētahi.

Hei tauira, ki te teitei tō taumata PTH engari he iti tō taumata konupūmā , ko te tikanga kei te mahi ō repe parathyroid, engari mō tētahi atu take kāore ō taumata konupūmā e piki ake ana. Kātahi ka tirohia pea e tō tākuta ō taumata huaora D, whākōkī, me te konupora.

I tētahi atu taha, ki te nui tō taumata konupūmā, ā, ki te nui hoki tō taumata PTH , tera pea he hyperparathyroidism tōu. Kātahi ka whakahaerehia e tō tākuta he whakamātautau X-ray, he whakamātautau whakaahua rānei hei tirotiro i ō repe parathyroid. Tērā pea ka rapua e rātou he pupuhi, he pukupuku rānei.

Ko te rongoā mō tēnei mate he pokanga hei tango i te repe. Heoi, ki te kore te mate e tino kino, ki te kore rānei he tohu nui pēnei i te kino o te whatukuhu, te ngoikore rānei o te wheua, ka tohua pea e tō tākuta he rongoā (pēnei i te Cinacalcet (Sensipar) ā, me aroturuki tonu e koe ō taumata konupūmā me te PTH.

Karere Tangohia ki te Kāinga

He mea tino nui te whakamātautau toto PTH hei kimi i te pūtake o ngā taumata konupūmā rerekē i roto i tō toto.
He whakamātautau toto tino māmā tēnei, he iti te mōrearea, nō reira kaua e mataku noa.
I mua i te whakamātautau, me kōrero ki tō tākuta mō ngā rongoā me ngā tāpiringa e tangohia ana e koe. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu hauora.
Kia whiwhi koe i ngā hua o te whakamātautau, kōrero ki tō tākuta mō te tikanga o aua uara me ngā mahi e whai ake nei hei mahi māu.