Kodi mukukumana ndi zizindikiro zachilendo chifukwa cha kuchepa kwa calcium m'thupi lanu? Zingakhale hypoparathyroidism!

Kodi nthawi zina mumamva kupweteka kwa thupi kosamvetsetseka? Kodi miyendo yanu imazizira? Kapena mumamva ngati khungu lanu likungoyenda? Chimodzi mwa zifukwa za izi chingakhale matenda otchedwa hypoparathyroidism, omwe tikambirane lero. Musadandaule, ngakhale kuti uwu ndi matenda osowa, ukhoza kulamuliridwa ngati udziwika ndikuchiritsidwa bwino. Tiyeni tikambirane za izi mwatsatanetsatane.

Kodi Hypoparathyroidism ndi chiyani?

Mwachidule, hypoparathyroidism imachitika pamene magazi anu amatulutsa Parathyroid Hormone (PTH) yochepa kwambiri kapena osaitulutsa konse. Homoni iyi ndi yofunika kwambiri pokonza kuchuluka kwa calcium ndi phosphorous m'thupi lanu. Chifukwa chake, pamene kuchuluka kwa PTH kuli kochepa, kuchuluka kwa calcium m'magazi mwanu kumatsika - timatcha izi hypocalcemia - ndipo kuchuluka kwa phosphorous m'magazi mwanu kumakwera.

Matendawa nthawi zambiri amakhala osatha , zomwe zikutanthauza kuti amatha kukhala moyo wonse. Komabe, nthawi zina, amathanso kuchira kwakanthawi.

Kodi ma glands a parathyroid awa ndi chiyani?

Tangoganizirani, kutsogolo kwa khosi lathu, monga gulugufe, kuli Chithokomiro cha Chithokomiro. Kumbuyo kwa Chithokomiro cha Chithokomiro chimenecho, kuli tiziwalo tinayi, nthawi zambiri tofanana ndi nandolo yaying'ono. Izi zimatchedwa Parathyroid Glands . Izi ndi gawo la Endocrine System, yomwe imapanga mahomoni m'thupi lathu.

Nthawi zina tinthu tinayi timeneti timapezeka kwina m'khosi, pachifuwa, kapena ngakhale m'mphepete mwa m'mero. Tinthuti timatchedwa ectopic parathyroid glands .

Ntchito yaikulu ya ma thyroid glands amenewa ndi kupanga parathyroid hormone (PTH). PTH iyi ndi yomwe imasunga calcium m'magazi mwathu pamlingo woyenera.

• Ngati PTH yachepa: Calcium m'magazi imachepa (Hypocalcemia).
• Ngati PTH ikuwonjezeka: Calcium m'magazi imawonjezeka (Hypercalcemia).

Si zokhazo, komanso hormone iyi ya PTH imathandizanso kuwongolera kuchuluka kwa phosphorous ndi vitamini D m'magazi ndi m'mafupa.

Kodi calcium ndi chiyani? Kodi imagwira ntchito bwanji m'thupi lathu?

Calcium ndi mchere wofunikira kwambiri m'thupi lathu. Kodi mukudziwa kuti calcium yambiri m'thupi lathu imasungidwa m'mafupa athu? Komabe, payeneranso kukhala calcium ina m'magazi.

Tiyeni tiwone zinthu zina zofunika kupatula calcium m'magazi:

• Zimathandiza kuti mitsempha yathu igwire ntchito bwino .
• Zimathandiza minofu kukokana ndi kupumula . Izi ndi zomwe zimatithandiza kusuntha miyendo ndi miyendo yathu.
• Tikavulala ndi kutuluka magazi, zimathandiza kuti magazi aziundana .
• Ndikofunikira kuti mtima wathu ugwire ntchito bwino .

Tsopano mukumvetsa momwe hypocalcemia (calcium yochepa m'magazi) yomwe imabwera chifukwa cha hypoparathyroidism ingakhudzire zinthu zambiri. Calcium imafunikanso kuti mafupa akhale olimba. Koma hypocalcemia ndi kuchepa kwa calcium m'magazi, osati kuchepa kwa calcium m'mafupa.

Kodi hypoparathyroidism ingayambitse kusalinganika kwa electrolyte?

Inde, ndithudi. Calcium ndi Phosphorus ndi mitundu iwiri ya ma electrolyte . Ma electrolyte ndi mchere womwe uli ndi mphamvu zamagetsi m'thupi lathu ndipo umathandizira ntchito zambiri zofunika. Mu hypoparathyroidism, calcium m'magazi imachepa ndipo phosphorous imawonjezeka, zomwe zimapangitsa kuti electrolyte isagwirizane. Ndikofunikira kwambiri kukonza izi.

Palinso chinthu china chofunika. Magnesium ndi electrolyte ina yofunika. Ngati kuchuluka kwa magnesium m'magazi kutsika (Hypomagnesemia) , kungakhalenso chifukwa cha hypoparathyroidism. Chifukwa magnesium ndi yofunika kuti ma glands a parathyroid agwire ntchito bwino.

Kodi pali kusiyana kotani pakati pa Hypoparathyroidism ndi Hyperparathyroidism?

Mayina awiriwa ndi ofanana pang'ono, kotero amatha kusokoneza. Mu zamankhwala, mawu oyamba "Hypo" amatanthauza "zochepa" kapena "zosakwanira." Mawu oyamba "Hyper" amatanthauza "zambiri" kapena "zapamwamba."

• Hypoparathyroidism: Ma glands a parathyroid sapanga mahomoni a parathyroid okwanira (PTH), zomwe zimapangitsa kuti calcium ikhale yochepa m'magazi.
• Hyperparathyroidism: Ma glands a parathyroid amatulutsa PTH yambiri, zomwe zimapangitsa kuti calcium ichuluke m'magazi.

Zosavuta, eti?

Ndani ali ndi vuto limeneli lotchedwa hypoparathyroidism?

Izi zingachitikire akuluakulu komanso ana aang'ono. Koma monga tanenera kale, izi sizichitika kawirikawiri .

• Kwa akuluakulu: Izi nthawi zambiri zimachitika chifukwa cha kuwonongeka mwangozi kwa ma thyroid glands panthawi ya opaleshoni ya khosi - mwachitsanzo, opaleshoni ya thyroid.
• Kwa ana: Izi nthawi zambiri zimachitika chifukwa cha matenda a majini otchedwa DiGeorge Syndrome mwa ana.

Ngakhale m'dziko ngati America, matendawa akuti amakhudza anthu osakwana zikwi mazana awiri. Choncho m'dziko lathu, akhoza kukhala ochepa kwambiri.

Kodi zifukwa zazikulu za hypoparathyroidism ndi ziti?

Pali zifukwa zingapo za izi.

• Kuwonongeka kwa ma gland a parathyroid: Ichi ndiye chifukwa chofala kwambiri. Pafupifupi 75 peresenti (75%) yaOdwala amadwala matendawa akawonongeka mwangozi pamene akuchitidwa opaleshoni ya khosi kapena chithokomiro. Nthawi zina, vutoli limatha kuchitika zaka zambiri pambuyo pa opaleshoni. Koma nthawi zambiri, limayamba mwamsanga pambuyo pa opaleshoni. Hypoparathyroidism yomwe imachitika motere nthawi zambiri imakhala ya kanthawi kochepa, koma kwa anthu ena imatha kukhala yokhazikika. Chithandizo cha radiation sichingathe kuwononga zithokomirozi.

• Matenda a majini: Osakwana khumi pa zana (10%) a matendawa amayamba chifukwa cha matenda a majini. Matenda ofala kwambiri ndi DiGeorge Syndrome . Uwu ndi matenda a majini a chromosome. Ana obadwa ndi matendawa alibe ma thyroid glands a parathyroid. Chifukwa chake, chifukwa sapanga PTH, amakhala ndi hypoparathyroidism yosatha. Pafupifupi 60% ya ana omwe ali ndi hypoparathyroidism akuti ali ndi DiGeorge Syndrome. Ikhozanso kuchitika chifukwa cha matenda ena a majini okhudzana ndi kusamva ndi matenda a impso.

• Matenda Odziteteza Kuthupi: Nthawi zina chitetezo chathu chamthupi chimaukira molakwika tiziwalo ta parathyroid. Mtundu woyamba wa autoimmune polyglandular syndrome ndi umodzi mwa matenda otere. Izi zimayambitsa hypoparathyroidism yosatha. Ikhozanso kuyambitsidwa ndi matenda otchedwa Addison's disease ndi pernicious anemia .

• Matenda Olowa M'thupi: Mu matenda ena, zinthu monga chitsulo (monga momwe zimakhalira ndi hemochromatosis) ndi mkuwa (monga momwe zimakhalira ndi matenda a Wilson) zimatha kudziunjikira m'matenda a parathyroid. Komanso, matenda ena a khansa amatha kusokoneza ntchito ya ma glands awa, zomwe zimayambitsa hypoparathyroidism.

• Kuchepa kwa Magnesium: Monga tanenera kale, magnesium ndi yofunika kwambiri kuti tiziwalo ta parathyroid tigwire ntchito bwino. Kuchepa kwa magnesium m'magazi (hypomagnesemia) kungayambitse hypoparathyroidism. Izi zimatchedwa functional hypoparathyroidism . Matendawa nthawi zambiri amatha pamene magnesium yabwezeretsedwa.

Kodi zizindikiro za hypoparathyroidism ndi ziti?

Kawirikawiri, vutoli limayamba pang'onopang'ono kwambiri. Chifukwa chake, zizindikiro zake zimakhala zosaonekera bwino. Anthu ena sadziwa ngakhale kuti ali ndi vutoli kwa zaka zambiri.

Zizindikiro zomwe zingawonekere nthawi zambiri ndi izi:

• Kulira m'milomo, m'manja, ndi m'mapazi.
• Kupweteka kwa minofu.Kodi mukukumbukira nthawi zina mumakhala ndi tsitsi pa miyendo yanu usiku? Zinthu ngati zimenezo, koma ngati zimachitika kawirikawiri, zingakhale chizindikiro cha kusowa kwa calcium.
• Kupweteka kwa minofu (Tetany).
• Kupweteka m'mimba.
• "Ubongo wa chifunga" ndi vuto lomwe limakuvutani kuyang'ana kwambiri ndipo mumamva kusokonezeka pang'ono.
• Kusakhazikika kwa kugunda kwa mtima (arrhythmia).
• Misomali yofooka.
• Tsitsi louma komanso khungu louma komanso lokhala ndi zipsera.
• Kuwoneka kwa ma cataract.
• Kufooka kwa enamel ya dzino mwa ana.

Kodi madokotala amazindikira bwanji vutoli?

Hypoparathyroidism nthawi zambiri imakayikiridwa ndi kutsimikiziridwa pamene mayeso akuwonetsa kuti calcium ndi parathyroid hormone (PTH) m'magazi mwa munthu ndi otsika.

Chifukwa zizindikiro zake sizimaonekera bwino, madokotala nthawi zina amapeza vutoli "mwangozi." Izi zikutanthauza kuti amayamba kulifunafuna akawona calcium yochepa m'magazi panthawi yoyezetsa magazi nthawi zonse kuti adziwe vuto lina.

Ngati munthu watsimikizika kuti ali ndi PTH hormone yochepa komanso calcium m'magazi mwake kawiri mkati mwa miyezi isanu ndi umodzi, izi zimaonedwa kuti ndi hypoparathyroidism yosatha .

Ndi mayeso amtundu wanji omwe amachitidwa pa izi?

Ngati muli ndi zizindikiro izi, dokotala wanu adzakuyezani thupi lanu ndikufunsani za zizindikiro zanu, mbiri ya matenda a m'banja lanu, komanso mankhwala omwe mumamwa.

Kuphatikiza apo, mayeso amodzi kapena angapo otsatirawa akhoza kuchitidwa:

• Kuyezetsa magazi kwa parathyroid hormone (PTH).
• Kuyezetsa magazi a calcium.
• Kuyezetsa magazi a phosphorous.
• Kuyezetsa magazi a magnesium.
• Kuyesa mkodzo kwa maola 24: Izi zimayesa kuchuluka kwa calcium yomwe imatuluka mu mkodzo.

Nthawi zina, dokotala wanu angakupatseni mayeso ena kuti awone ngati pali zotsatirapo zina zoopsa zomwe zingachitike chifukwa cha vutoli. Mwachitsanzo:

• Electrocardiogram (ECG kapena EKG): Kufufuza ngati pali kusintha kwa kagwiridwe ka mtima.
• Kujambula kwa CT (computed tomography): Kuyang'ana kuchuluka kwa calcium mu ubongo (Brain Calcifications).

Kodi izi zimachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo cha hypoparathyroidism ndikuchepetsa zizindikiro ndikubwezeretsa calcium ndi michere ina m'thupi lanu kufika pamlingo woyenera.

Zotsatirazi zitha kuchitika ngati chithandizo:

• Kupereka Calcium Carbonate ndi Vitamini D zowonjezera:Anthu ambiri omwe ali ndi hypoparathyroidism adzafunika kumwa mapiritsi kapena zakumwa za calcium ndi vitamini D moyo wawo wonse. Uwu ndiye njira yayikulu komanso yoyamba yothandizira vutoli. Vitamini D ndi wofunikira kuti matupi athu azitha kuyamwa bwino calcium. Chifukwa chake ngati muli ndi hypoparathyroidism, muyenera kumwa zowonjezera zonsezi.
• Zakudya zokhala ndi calcium yambiri komanso phosphorous yochepa: Dokotala wanu angakulangizeni kudya zakudya zokhala ndi calcium yambiri (mkaka, tchizi, yogati, ndiwo zamasamba zobiriwira) ndikuchepetsa zakudya zokhala ndi phosphorous yambiri (nyama zokonzedwa, zakumwa monga cola). Komabe, popeza n'zovuta kupeza calcium yokwanira kuchokera ku chakudya chokha, kumwa mankhwala owonjezera kungakhale kofunikira.
• Jakisoni wa parathyroid hormone (PTH): Ngati calcium ndi vitamini D zowonjezera zokha sizikulamulira vuto lanu, dokotala wanu angasankhe kukupatsani jakisoni wa parathyroid hormone (PTH).

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Inde, nthawi zina ngati kuchuluka kwa vitamini D ndi calcium komwe kumaperekedwa ngati chithandizo kuli kokwera kwambiri, kuchuluka kwa calcium m'magazi kumatha kukwera kwambiri. Izi zimatchedwa hypercalcemia . Izi zimavulazanso thupi. Chifukwa chake, muyenera kuyezetsa magazi nthawi zonse kuti muwone ngati chithandizo chanu chikugwira ntchito bwino komanso ngati calcium yanu ndi yolondola.

Pali chiopsezo chochepa kwambiri chotenga khansa ya mafupa yotchedwa osteosarcoma pogwiritsa ntchito jakisoni wa parathyroid hormone (PTH) kwa nthawi yayitali. Chifukwa chake, madokotala amalimbikitsa jakisoni iyi pokhapokha ngati pali zovuta kwambiri, pamene mankhwala ena sanagwire ntchito bwino.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Pali zinthu zingapo zomwe zimawonjezera chiopsezo cha hypoparathyroidism:

• Atachitidwa opaleshoni ya khosi kapena chithokomiro posachedwapa.
• Mbiri ya banja la matenda a parathyroid gland.
• Kukhala ndi matenda enaake a autoimmune omwe amakhudza dongosolo la endocrine, monga matenda a Addison.

Kodi zizindikiro za matendawa ndi ziti?

Chiyembekezo cha hypoparathyroidism nthawi zambiri chimakhala chabwino, makamaka ngati vutoli ladziwika msanga ndipo chithandizo choyenera chayamba.

Komabe, ngati vutoli limayambitsa zinthu monga matenda a maso, kusokonekera kwa ubongo, komanso kusintha kwa mano, zimakhala zovuta kuzisintha. Ichi ndichifukwa chake kuzizindikira msanga ndikofunikira.

Kodi vutoli lidzatha liti?

Nthawi zambiri, hypoparathyroidism ndi matenda osatha, zomwe zikutanthauza kuti amakhalapo kwa moyo wonse. Komabe, hypoparathyroidism ingakhalenso kwakanthawi chifukwa cha zifukwa zina (monga kusowa kwa magnesium, kwakanthawi pambuyo pa opaleshoni).

Kodi ndi mavuto otani omwe angabwere chifukwa cha izi?

Ngati hypoparathyroidism sichitha kuchiritsidwa bwino, mavuto osiyanasiyana a nthawi yayitali angachitike:

• Mavuto a ntchito ya impso.
• Miyala ya impso.
• Ma cataract.
• Kuchuluka kwa calcium m'magawo osiyanasiyana a ubongo.

Vutoli, makamaka kwa ana, lingayambitse mavuto monga:

• Kukula koyipa.
• Mavuto a mano.
• Kukula pang'onopang'ono kwa maganizo.

Ndikofunikira kwambiri kudziwa kuti ngati kuchuluka kwa calcium m'magazi kwatsika mwadzidzidzi komanso moopsa (Acute Hypocalcemia), ngati sikuthandizidwa mwachangu, kungayambitse matenda oopsa monga khunyu ndi kuvutika kupuma chifukwa cha kutsekeka kwa m'mero . Ngati mukukumana ndi zizindikiro izi (monga kugwedezeka kwambiri kwa minofu, kugwedezeka), muyenera kupita kuchipatala chapafupi nthawi yomweyo.

Kodi muyenera kupita kwa dokotala liti?

• Ngati muli ndi zizindikiro zomwe mukuganiza kuti zingakhale hypoparathyroidism, onetsetsani kuti mwawonana ndi dokotala.
• Ngati mwapezeka kale ndi hypoparathyroidism, muyenera kuyang'aniridwa ndi dokotala wanu pafupipafupi kuti muwone ngati mukulandira chithandizo choyenera.
• Monga tanenera kale, ngati mukuona zizindikiro za kuchepa kwa kagayidwe kachakudya m'thupi (acute hypocalcemia), monga kugwedezeka kwa minofu mwadzidzidzi kapena kukomoka , pitani kuchipatala chapafupi nthawi yomweyo.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Hypoparathyroidism ndi matenda osowa kwambiri, koma amatha kuchiritsidwa komanso kuthetsedwa . Zizindikiro zake nthawi zina zimakhala zosawoneka bwino komanso zovuta kuzizindikira. Chifukwa chake, ndikofunikira kuuza dokotala wanu ngati muli ndi zinthu zomwe zimayambitsa vutoli (monga, ngati mwachitidwa opaleshoni ya khosi posachedwa kapena ngati wina m'banja mwanu ali ndi matenda a parathyroid).

Kuyezetsa magazi pang'ono kungathandize kuwona kuchuluka kwa parathyroid hormone (PTH) ndi calcium m'magazi mwanu. Ngati mwazindikira vutoli msanga, mutha kuyamba chithandizo choyenera, kupewa zovuta, ndikukhala ndi moyo wathanzi. Chifukwa chake, musachite mantha, koma dziwani izi. Ngati muli ndi nkhawa iliyonse, musazengereze kulankhula ndi dokotala wanu.

Hypoparathyroidism , Hypoparathyroidism, Parathyroid glands, Parathyroid hormone, PTH, Calcium, Hypocalcemia, Phosphorus, Vitamini D, Electrolytes, Zizindikiro, Chithandizo