Kodi nthawi zambiri mumamva kufooka, kupweteka kwa mafupa, kapena kuiwala zinthu? Ngakhale tingaganize kuti izi ndi zinthu zachibadwa, pakhoza kukhala chifukwa chachipatala chomwe chikuchititsa izi. Izi zikutanthauza kuti, kuchuluka kwa calcium m'magazi kumakwera. Chifukwa chachikulu cha izi ndi matenda otchedwa Hyperparathyroidism. Ngakhale dzinalo lingakhale lovuta pang'ono, musachite mantha. Tiyeni tikambirane mwachidule.
Kodi hyperparathyroidism kwenikweni ndi chiyani?
Mwachidule, Hyperparathyroidism imachitika pamene gland imodzi kapena zingapo za parathyroid m'thupi lathu zimagwira ntchito mopitirira muyeso ndikupanga hormone ya parathyroid (PTH) yochuluka kwambiri.
Tangoganizirani, m'khosi mwathu, kumbuyo kwa chithokomiro, muli tinthu tina tating'onoting'ono tinayi tofanana ndi nandolo. Izi ndi zomwe timazitcha kuti parathyroid glands. Ntchito yawo yayikulu ndikusunga calcium m'magazi mwathu pamlingo winawake. Amachepetsanso phosphate m'magazi.
Tizilombo timeneti timatulutsa mahomoni otchedwa PTH ndipo timatumiza zizindikiro zingapo m'thupi lathu:
- Mafupa athu: Magazi amawauza kuti atulutse calcium ndi phosphate.
- Impso zathu: Zimauzidwa kuti zichepetse kuchuluka kwa calcium yomwe imatuluka mumkodzo ndikuyibwezeretsanso m'thupi. Zimauzidwanso kuti zitulutse phosphate yochuluka mumkodzo.
Kenako, impso zimayamba kugwira ntchito ndi vitamini D ndikuitumiza m'matumbo athu. Kenako matumbo amatenga calcium kuchokera muzakudya zomwe timadya.
Komabe, pamene ma parathyroid glands awa amatulutsa PTH hormone yochuluka kwambiri, calcium yochuluka imatulutsidwa m'mafupa athu, zomwe zimapangitsa kuti ikhale yofooka komanso yofooka. Komanso, calcium yochulukirapoyi imatha kusungidwa mu impso zathu, mitsempha yamagazi, mtima, ndi ziwalo zina za thupi. Kuwonjezeka kumeneku kwa calcium m'magazi kumatchedwa hypercalcemia .
Kodi pali mitundu yosiyanasiyana ya izi?
Inde, pali mitundu itatu ikuluikulu ya Hyperparathyroidism. Imagawidwa m'magulu malinga ndi momwe imachitikira. Tiyeni tiwone zomwe izi ndi.
| Mtundu wa hyperparathyroidism | Mwachidule, chifukwa chake |
|---|---|
| Hyperparathyroidism Yoyamba | Ili ndi vuto lomwe limapezeka mu parathyroid gland yokha. Izi zikutanthauza kuti, chotupa chosakhala khansa (adenoma) mu gland imodzi kapena kukulirakulira (hyperplasia) kwa gland imodzi kapena zingapo, zomwe zimapangitsa kuti hormone ya PTH ipangidwe mosalamulirika. |
| Hyperparathyroidism yachiwiri | Izi si vuto la tiziwalo timene timatulutsa timadzi ... |
| Hyperparathyroidism Yapamwamba | Ngati hyperparathyroidism yachiwiri ikhala yosachiritsidwa kwa nthawi yayitali, tiziwalo timeneti timakula kosatha ndipo timayamba kupanga PTH mosalamulirika. Mtundu uwu ndi wa matendawa. |
Kodi zizindikiro za izi ndi ziti?
Nthawi zambiri, anthu omwe ali ndi vutoli samakhala ndi zizindikiro zilizonse. Nthawi zambiri amapezeka mwangozi akamayesa magazi kuti adziwe vuto lina. Komabe, pamene calcium m'magazi imakhala yokwera kwambiri, zizindikiro monga:
- Ululu m'mafupa ndi m'malo olumikizirana mafupa
- Kufooka kwa minofu
- Kutopa kosalekeza komanso kutopa
- Maganizo ofanana ndi a kuvutika maganizo
- Kuvuta kulabadira chinthu china
- Chilakolako cha chakudya
- Kusanza ndi kusanza
- Kuiwala kapena kuiwala
- Kumva ludzu kwambiri kuposa masiku onse ndipo kumafuna kukodza pafupipafupi
- Kudzimbidwa
Chofunika kwambiri ndichakuti popeza zizindikirozi n’zofala kwambiri, si aliyense amene ali nazo amene ali ndi vuto la hyperparathyroidism. Choncho, ndikofunikira kwambiri kukaonana ndi dokotala wanu.
Zoopsa ndi zovuta zomwe zingachitike chifukwa cha vutoli
Kuchuluka kwa calcium m'magazi kwa nthawi yayitali kungayambitse mavuto osiyanasiyana.
- Miyala ya impso: Kuchuluka kwa calcium m'thupi kungayambitse miyala ya impso.
- Matenda a Osteoporosis: Mafupa amafooka ndipo amasweka mosavuta pamene calcium imatayika m'mafupa.
- Matenda a Mtima: Kuchuluka kwa calcium m'mitsempha yamagazi ndi mtima kumawonjezera chiopsezo cha matenda monga kuthamanga kwa magazi, matenda a mtima, kapena sitiroko.
- Mavuto a pakhungu: Kuchuluka kwa calcium pakhungu kungayambitse mabala ndi matenda.
Pali zinthu zingapo zomwe zimawonjezera chiopsezo chotenga matendawa. Chofunika kwambiri mwa izi ndi kulandira chithandizo cha radiation kudera la khosi, kusowa kwa calcium kapena vitamini D, matenda a impso, komanso kukhala mkazi.
Kodi mungazindikire bwanji matendawa?
Ngati dokotala wanu akukayikira kuti muli ndi matendawa, adzalamula kuti muyesedwe kangapo kuti atsimikizire kuti ali ndi matendawa.
- Mayeso a magazi: Izi zimayesa kuchuluka kwa calcium, parathyroid hormone (PTH), vitamini D, ndi phosphate m'magazi anu.
- Kuyesa mkodzo kwa maola 24: Chitsanzo cha mkodzo chomwe chimasonkhanitsidwa tsiku lonse chimagwiritsidwa ntchito kuyesa kuchuluka kwa calcium mu mkodzo.
- Kujambula kwa parathyroid: Kujambula kumeneku kungathe kudziwa bwino lomwe kuti ndi tinthu ting'ono ...
- Ma scan ena: Kujambula impso ndi ultrasound kapena kujambulidwa kwa mafupa kungachitikenso.
Kodi imachiritsidwa bwanji?
Njira zochiritsira zimadalira ngati muli ndi mtundu woyamba kapena wachiwiri komanso kuopsa kwa matendawa.
Chithandizo cha Hyperparathyroidism Yoyamba
- Opaleshoni: Chithandizo chabwino komanso chokhalitsa cha izi ndikuchotsa gland kapena glands zomwe zili ndi vuto. Opaleshoni iyi imatchedwa parathyroidectomy . Dokotala wanu nthawi zambiri amakulangizani opaleshoni, makamaka ngati muli ndi zaka zosakwana 50, muli ndi zizindikiro zoopsa, kapena muli ndi miyala ya impso kapena osteoporosis.
- Mankhwala: Ngati opaleshoni sikofunikira kapena sikungatheke, dokotala angakupatseni mankhwala.
- Ma Bisphosphonates: Izi zimaletsa calcium kutuluka m'mafupa.
- Calcimimetics: Mankhwalawa amapusitsa tiziwalo ta parathyroid kuti tichepetse kupanga kwa hormone ya PTH.
- Kusintha kwa moyo: Mankhwala ena (monga Thiazide diuretics, Lithium) amatha kuwonjezera calcium m'thupi. Chifukwa chake, mungafunike kuwapewa monga momwe dokotala wanu walangizira.
Chithandizo cha Hyperparathyroidism Yachiwiri
Chofunika kwambiri pa izi ndi kuchiza chomwe chimayambitsa vutoli.
- Ngati muli ndi matenda a impso osatha, mungafunike dialysis kapena kuikidwa impso ina .
- Kusintha zakudya, makamaka kuchepetsa zakudya zokhala ndi phosphorous yambiri, kungalangizedwe.
- Zomangira za phosphateMankhwala monga phosphatidylcholinesterase inhibitors (mankhwala omwe amachepetsa phosphate m'magazi), mavitamini D owonjezera, ndi calcimimetics angaperekedwe.
Ngati mankhwala awa alephera kulamulira vutoli, opaleshoni yochotsa tiziwalo timene timatulutsa matenda ingakulimbikitseni.
Zinthu zofunika kuziganizira mukakhala ndi vutoli
Ngati muli ndi hyperparathyroidism, zinthu izi zingakuthandizeni kukhala ndi thanzi labwino:
- Imwani madzi ambiri: Kusunga madzi m'thupi kumathandiza impso.
- Khalani otanganidwa: Kuchita masewera olimbitsa thupi kungathandize kuti mafupa anu akhale olimba.
- Samalani ndi zakudya zanu: Ngati dokotala wanu akulangizani kuti muchepetse kudya phosphorous, pewani zakudya zomwe zimakhala ndi "-phos" (monga calcium phosphate) m'maphukusi a chakudya.
- Zokhudza Vitamini D: Anthu omwe ali ndi vuto la Vitamini D angalangizidwe kuti atenge zowonjezera. Komabe, musamwe vitamini kapena zowonjezera popanda kufunsa dokotala.
Dokotala wanu adzayang'ana kuchuluka kwa calcium m'magazi mwanu, kuthamanga kwa magazi, momwe impso zanu zimagwirira ntchito, komanso kuchuluka kwa mafupa nthawi ndi nthawi (mwina kamodzi kapena kawiri pachaka).
Uthenga Wopita Nawo Kunyumba
- Hyperparathyroidism ndi vuto lomwe calcium m'magazi imawonjezeka chifukwa cha kupanga kwambiri kwa PTH ndi ma thyroid glands.
- Zizindikiro monga kutopa kosalekeza ndi kupweteka kwa mafupa zimatha kuchitika, ndipo anthu ena sangakhale ndi zizindikiro konse.
- Chifukwa cha izi chingakhale vuto la gland palokha (loyamba) kapena matenda ena monga matenda a impso (achiwiri).
- Njira zochiritsira zimaphatikizapo opaleshoni, mankhwala, ndi kusintha moyo. Dokotala wanu adzasankha chithandizo chomwe chili chabwino kwa inu.
- Ngati muli ndi kukayikira kapena zizindikiro zilizonse zokhudzana ndi izi, pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri.
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