Ka mamae ō hononga i ētahi wā, kāore he take? Ka rite ki te kore o te kaha, he ngenge noa iho? Ka whakapairuaki koe i ētahi wā, ka pōuri, ka uaua rānei te whakaaro? He maha ngā wā ka whakakorea e tātou ēnei tohu hei mea noa. Engari kua whakaaro kē koe ko te take o ēnei mea katoa he repe iti, pērā i ngā wheua e whā i roto i tō tātou kaki? Koinei tā tātou e kōrero nei i tēnei rā.
He aha ēnei repe parathyroid?
He māmā noa iho, ko ngā repe parathyroid he repe iti e whā kei roto i tō tātou kaki, i muri i te repe tairoiti. Tērā pea he nui ake, he iti iho rānei i te whā ā ētahi tāngata. Ko tā rātou mahi matua he whakahaere i te taumata o te konupūmā i roto i ō tātou toto. He mea nui tēnei konupūmā hei pupuri i te kaha o ō tātou wheua, hei whakahaere hoki i te pūnaha io me ngā uaua kia tika ai te mahi. Nō reira, he tino nui te mahi a ēnei repe iti ki te pupuri i te taurite o te konupūmā i roto i tō tātou tinana.
He aha i hiahiatia ai te pokanga hei tango i ēnei repe?
I ētahi wā ka kaha rawa te mahi a tētahi, neke atu rānei o ēnei repe parathyroid. Kātahi ka nui rawa te homoni parathyroid (PTH) e whakaputaina ana e rātou. Ka kiia tēnei āhuatanga ko te hyperparathyroidism . Ina tupu tēnei, ka tino teitei te taumata konupūmā i roto i te toto. Koinei te wā e hiahiatia ai he pokanga e kiia nei ko te parathyroidectomy, he tikanga pokanga hei tango i te repe, i ngā repe rānei e kaha rawa ana te mahi.
Tērā pea he maha ngā take matua mō tēnei:
| Take | He whakamārama māmā |
|---|---|
| Adenoma parathyroid | He pukupuku kore-matepukupuku tēnei e puta mai ana i roto i te repe parathyroid. Koinei te mate e tino kitea ana. |
| Te whakanui ake i te parathyroid | I konei, ka nui haere ētahi, ngā repe katoa rānei e whā, ā, ka nui rawa ngā homoni e whakaputaina ana. |
| Matepukupuku parathyroid | He āhuatanga tino onge tēnei. |
I ētahi wā, ka puta te hyperparathyroidism i tētahi atu mate hauora, pērā i te mate tākihi. Ka kiia tēnei e ngā tākuta ko te hyperparathyroidism tuarua.
Me pēhea te whakarite i mua i te pokanga?
I mua i te pokanga, ka hoatu e tō tākuta ngā tohutohu katoa e hiahiatia ana e koe. Heoi, he mea tino nui kia pātaihia e koe ō pātai katoa. Hei tauira, kaua e wareware ki te pātai mō:
- Me nohopuku ahau i te ata o te pokanga?
- Me tango e au aku rongoā me aku huaora o ia rā, kāore rānei?
- Me hiahia tētahi hei kawe i ahau ki te kāinga i muri i te pokanga?
He mea tino whai hua ki a koe te mōhio ki ēnei mea i mua i te wā.
Te āhua o te mahi pokanga me ōna painga
I ēnei rā, he rerekē ngā tikanga e whakamahia ana e ngā taote pokanga hei mahi i tēnei mahi. He tikanga tuku iho, he tikanga iti rawa te whakaekenga , ā, i ētahi wā he tikanga kore-ira, arā, ka tapahia he kōhao ki roto i te waha, ā, kāore e kitea te kōhao i waho . Mā tō tākuta koe e whakamārama ki te tikanga e pai ana mōu. Mena ka tapahia he kōhao ki te kaki, ka whakatakotoria ki te taha o te piko o te kaki, kia kore ai e kitea te kōhao i muri mai.
I te wā e pokangahia ana, ka noho koe i raro i te rongoā whakamoe, nō reira kāore koe e pāngia e te mamae. Ka tangohia e te tākuta te repe, ngā repe rānei kua pāngia, ka tuia te tapahi kia rua. Ko te tikanga ka roa te pokanga mō te haora.
He aha ngā painga o tēnei pokanga?
Ka taea e tēnei pokanga te whakapai ake i te kounga o tō oranga. Kia hoki anō te taumata o te konupūmā i roto i tō toto ki te āhua noa, ka ngaro atu ngā tohumate o mua.
| Te whakapai ake i ngā tohu | Ngā āhuatanga mōrearea mō te mate |
|---|---|
| Mamae hononga | Ngā kōhatu whatukuhu |
| ngoikore o te uaua | Osteoporosis |
| Whakapairuaki me te ngenge | Ngā raruraru ngākau |
| Te pōhēhē o te hinengaro | - |
I muri i te pokanga me ōna mōrearea
Ka taea e koe te hoki ki te kāinga i taua rā anō, i te rā i muri mai rānei i te pokanga. Ka taea e koe te kai me te inu i te āhua noa, engari ki te mamae tō korokoro, he pai ake te kai i ngā wai, i ngā kai ngohengohe rānei mō te rā kotahi, e rua rānei. He pai te hikoi, engari kaua e whakakorikori tinana kia whakaaetia rā anō koe e tō tākuta.
Me tango pea e koe ngā pire konupūmā mō tētahi wā kia tīmata rā anō te mahi tika a ngā repe e toe ana i muri i te tangohanga o ngā repe.
He tūponotanga kei roto i te pokanga?
He tino haumaru te tango i te parathyroidectomy, engari, pērā i ngā pokanga katoa, tera pea ētahi mōrearea.
- Ngā mōrearea poto: Te korokoro mamae, te reo pāorooro, te mate, me te kohi toto i raro i te kiri e tata ana ki te wāhi i tapahia (hematoma). Mēnā ka puta ēnei, ka taea e tō tākuta te rongoā ngāwari.
- Ngā mōrearea mō te wā roa: Ahakoa he onge, ka pāngia pea ētahi tāngata e ngā raruraru mō te wā roa.
- Te mate wheua hiakai: Ki te kore e mahi tika ngā repe e toe ana i muri i te pokanga, ka puta pea he āhuatanga e iti tonu ai ngā taumata konupūmā i roto i te toto (he 'hypocalcemia' mau tonu).
- Te hyperparathyroidism auau: Ka hoki anō pea tēnei mate nā te kaha o te mahi a tētahi atu repe e toe ana i muri i te pokanga.
Engari kia maumahara, neke atu i te 95% te angitu o tēnei pokanga. Koinei anake te rongoā whakaora mō te hyperparathyroidism.
Āhea te wā e kite ai i te tākuta
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, waea atu ki tō tākuta tonu atu.
- He kirika neke atu i te 38.3 Celsius (101 Fahrenheit).
- Te mamae kāore e memeha ahakoa kua tangohia te rongoā.
- Te uaua ki te horomi i te kai, i te wai rānei.
- Ngā tohu o te mate urutā, pērā i te whero, te pupuhi, te mahana rānei huri noa i te wāhi i tapahia.
- Ngā tohu o te korenga o te konupūmā, pērā i te ngoikore o te tinana, te wiri o ngā uaua, te ngenge nui rānei.
Ko te mea nui: Ki te pāngia koe e te uaua ki te manawa, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu.
Tērā pea ka roa te kotahi ki te toru wiki hei whakaora katoa, engari me taea e koe te hoki ki ngā mahi o ia rā i roto i ētahi rā. Me whai tonu i ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- He pokanga haumaru, he tino angitu hoki te parathyroidectomy e tango ana i ngā repe parathyroid e kaha rawa ana te mahi e piki ai ngā taumata konupūmā i roto i tō tinana.
- Ka āwhina tēnei pokanga ki te whakamamae i ngā tohu pēnei i te mamae o ngā hononga, te ngenge, me te pōhēhē, ā, ka whakaiti i te mōrearea o ngā mate pēnei i te kōhatu tākihi me te angiangi o te wheua.
- Ehara tēnei i te pokanga nui, ā, he poto te wā whakaora.
- Ki te pā mai ētahi raruraru i muri i te pokanga, pērā i te kirika, te uaua ki te horomi, te uaua rānei ki te manawa, rapua tonutia he tohutohu hauora.
- I mua i te whakatau i tētahi mea e pā ana ki tō hauora, me kōrero tonu ki tō tākuta.
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