Tonsefe tamva kuyambira tili ana kuti calcium ndi yofunika kwambiri pa mafupa olimba (kuphatikizapo mano). N’zoona. Koma kodi mumadziwa kuti matupi athu amafunikanso calcium kuti asunge mitsempha yamagazi, minofu, ndi dongosolo lamanjenje labwino? Mwina mayeso anu aposachedwa a magazi adawonetsa kuti calcium yanu inali yokwera kwambiri kapena yotsika kwambiri. Ngati ndi choncho, dokotala wanu angakupatseni mayeso ena apadera a magazi. Umenewo ndi mayeso omwe amayesa kuchuluka kwa parathyroid hormone (PTH).

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N’chifukwa chiyani dokotala akukupemphani kuti muyese PTH?

Mwachidule, hormone iyi yotchedwa PTH ndi chinthu chachikulu chomwe chimayang'anira kuchuluka kwa calcium m'thupi lathu. Homoni iyi imapangidwa ndi tiziwalo tinayi tating'ono kwambiri m'khosi mwathu. Timatcha tiziwalo ta parathyroid. Taganizirani kuti tili ndi 'masensa' anayi ang'onoang'ono m'khosi mwathu omwe amayang'anira kuchuluka kwa calcium m'thupi mwathu. Izi zimagwira ntchito motere:

Pamene calcium m'magazi mwanu imatsika , tiziwalo timeneti timatulutsa hormone ya PTH m'magazi mwanu. Homoni iyi ya PTH imapita ku mafupa ndi impso ndikubwezeretsa calcium m'magazi mwanu, zomwe zimapangitsa kuti calcium ikhale bwino.
Pamene calcium m'magazi mwanu ikwera , tiziwalo timeneti timasiya kutulutsa hormone ya PTH, yomwe imaletsa kusonkhanitsa calcium kosafunikira m'magazi.

Tsopano mwamvetsa, sichoncho? Ngati pali vuto ndi kuchuluka kwa calcium m'thupi lanu, dokotala akuchita mayeso a PTH kuti adziwe ngati chomwe chimayambitsa vutoli ndi vuto ndi kugwira ntchito kwa ma glands a parathyroid kapena ngati pali chifukwa china.

Kodi zizindikiro za kuwonjezeka ndi kuchepa kwa calcium m'thupi ndi ziti?

Ngati calcium yanu siili bwino, kutanthauza kuti ndi yokwera kwambiri (Hypercalcemia) kapena yotsika kwambiri (Hypocalcemia), mutha kukhala ndi zizindikiro zina. Tebulo lomwe lili pansipa likuthandizani kumvetsetsa izi momveka bwino.

Zizindikiro za kuchuluka kwa calcium m'magazi (Hypercalcemia)	Zizindikiro za kuchepa kwa calcium m'magazi (Hypocalcemia)
Kupweteka m'mimba Ludzu lopitirira muyeso Kukodza pafupipafupi Kusanza Kutopa kwambiri kwa thupi Kupweteka kwa minofu Kupweteka kwa mafupa Miyala ya impso	Kuvutika maganizo ndi kusintha kwa maganizo Kupweteka kwa minofu Kusanza m'manja, m'mapazi, kapena mozungulira pakamwa Kusakhazikika kwa mtima

Chofunika kwambiri ndikuonana ndi dokotala nthawi yomweyo ndikupempha upangiri popanda kuyesa kudziyesa nokha ngati muli ndi zizindikiro izi.

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Kodi ubwino ndi zoopsa za mayesowa ndi ziti?

Ndipotu, kuyezetsa magazi kwa PTH kumeneku n'kosavuta. Palibe chifukwa choopera. Monga momwe zimakhalira ndi kuyezetsa magazi kulikonse, pali zoopsa zina zazing'ono.

Mungamve kupweteka pang'ono pamene singano yalowetsedwa.
Malowa akhoza kukhala ovulala pang'ono kapena opweteka pambuyo poyesedwa.
Kawirikawiri, matenda angachitike kapena mungamve kukomoka mukatenga magazi anu.

Koma poyerekeza ndi zoopsa zazing'onozi, ubwino wa mayesowa ndi waukulu kwambiri . Chifukwa mayesowa angadziwitse dokotala wanu ngati thupi lanu likupanga mahomoni a PTH ochuluka kapena ochepa. Zingathandizenso kutsimikizira kuti vuto silili ndi ma thyroid glands ndikuyang'ana zifukwa zina zomwe zimapangitsa kuti calcium ikhale yochuluka.

Kodi mumakonzekera bwanji mayeso asanayambe?

Dokotala wanu angakupempheni kuti musiye kumwa mankhwala enaake kapena zowonjezera zina, monga mavitamini ndi calcium, tsiku limodzi kapena awiri musanayesedwe. Komabe, musasiye kumwa mankhwala aliwonse popanda kufunsa dokotala wanu kaye. Muyenera kuuza dokotala wanu, makamaka ngati mukumwa mankhwala a matenda ena.

Kodi mungamvetse bwanji zotsatira zake?

Pambuyo poti magazi atumizidwa ku labu, zingatenge masiku angapo kuti zotsatira zibwerere. Nthawi ino ikhoza kusiyana malinga ndi labu komanso zosowa za dokotala wanu. Miyezo ya PTH nthawi zambiri imayesedwa mu ma picogram pa milliliter (pg/mL). Mlingo wabwinobwino ukhoza kusiyana pang'ono kuchokera ku labu imodzi kupita ku ina. Mlingo wa PTH wa munthu wathanzi nthawi zambiri umakhala pakati pa 10-65 pg/mL. Komabe, musafulumire kuganiza mozama kutengera manambala omwe ali pa zotsatira zanu zoyesa.Dokotala wanu yekha ndi amene angayerekezere kuchuluka kwa calcium m'thupi lanu ndikufotokozera tanthauzo lake. Gome ili m'munsimu likupereka lingaliro la zina mwa zifukwa zomwe zimayambitsa kuchuluka kwa PTH m'thupi.

Mkhalidwe	Zifukwa Zomwe Zingatheke
Kuwonjezeka kwa PTH	Hyperparathyroidism Kusowa kwa Vitamini D Matenda a impso osatha Kuchepa kwa calcium chifukwa cha chifukwa china kupatula parathyroid glands
Kuchepa kwa PTH	Hypoparathyroidism Opaleshoni ya chithokomiro Chithandizo cha radiation Kuchuluka kwa chitsulo Matenda a autoimmune Ma magnesium ochepa

Kodi padzakhala mayeso ena oti achitike mtsogolo?

Inde, kutengera zotsatira za mayeso a PTH, mungafunike mayeso ena angapo. Zili ngati wapolisi wofufuza yemwe akutsatira njira imodzi pambuyo pa ina.

Mwachitsanzo, ngati mulingo wa PTH wanu uli wokwera koma mulingo wa calcium uli wochepa , zikutanthauza kuti ma thyroid glands anu a parathyroid akugwira ntchito, koma pazifukwa zina mulingo wa calcium wanu sukukwera. Dokotala wanu angayang'ane mulingo wa vitamini D, phosphorous, ndi magnesium.

Kumbali inayi, ngati muli ndi calcium yambiri ndipo PTH yanu ili pamwamba , mwina muli ndi hyperparathyroidism. Dokotala wanu adzakujambulani X-ray kapena mayeso ena kuti awone ngati pali matenda a parathyroid glands. Angayang'anenso kutupa kapena zotupa.

Chithandizo cha vutoli ndi opaleshoni yochotsa chiwalocho. Komabe, ngati vutoli sili lalikulu kwambiri, kapena ngati palibe zizindikiro zazikulu monga kuwonongeka kwa impso kapena kufooka kwa mafupa, dokotala wanu angakupatseni mankhwala (monga Cinacalcet (Sensipar) ndikukuthandizani kuyang'anira kuchuluka kwa calcium ndi PTH nthawi ndi nthawi .

Uthenga Wopita Nawo Kunyumba

Kuyezetsa magazi kwa PTH ndi njira yofunika kwambiri yodziwira chomwe chimayambitsa kuchuluka kwa calcium m'magazi anu.
Iyi ndi njira yosavuta komanso yochepetsera chiopsezo cha magazi, choncho musachite mantha kwambiri.
Musanayesedwe, uzani dokotala wanu za mankhwala aliwonse kapena zowonjezera zomwe mukumwa. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala.
Mukalandira zotsatira za mayeso anu, lankhulani ndi dokotala wanu za tanthauzo la mfundo zimenezo ndi njira zotsatirazi zoti muchite.