Ese urugero rwa kalisiyumu mu mubiri wawe ruri hejuru? Reka tuvuge kuri Hyperparathyroidism mu magambo make

Ese ukunze kumva ufite intege nke, ubabara amagufwa, cyangwa ukagira ikibazo cyo kwibagirwa? Nubwo dushobora gutekereza ko ibi ari ibintu bisanzwe, hashobora kuba hari impamvu y’ubuvuzi inyuma y’ibi. Ni ukuvuga ko urugero rwa kalisiyumu mu maraso ruri hejuru. Impamvu nyamukuru ibitera ni indwara yitwa Hyperparathyroidism. Nubwo izina rishobora kuba rigoye gato, ntugire ubwoba. Reka tubiganireho mu buryo bworoshye.

Hyperparathyroidism ni iki mu by'ukuri?

Muri make, Hyperparathyroidism ni igihe imwe cyangwa nyinshi mu ngirabuzimafatizo za parathyroid mu mubiri wacu zikora cyane kandi zigatanga imisemburo myinshi ya parathyroid (PTH).

Tekereza, mu ijosi ryacu, inyuma ya tiroyide, hari utunyangingo tune duto duto nk'udushaza. Utu ni two twita utunyangingo twa parathyroid. Akazi kabo nyamukuru ni ugukomeza urugero rwa kalisiyumu mu maraso yacu ku rugero runaka. Nanone bigabanya urugero rwa fosifate mu maraso.

Izi ngirabuzimafatizo zikora imisemburo ya PTH kandi zohereza ibimenyetso byinshi ku mubiri wacu:

• Amagufwa yacu: Amaraso ababwira kurekura kalisiyumu na fosifeti.
• Impyiko zacu: Zibwirwa kugabanya ingano ya kalisiyumu isohoka mu nkari no kongera kuyigarura mu mubiri. Zibwirwa kandi gusohora fosifeti nyinshi mu nkari.

Hanyuma, impyiko zikora Vitamine D zikayohereza mu mara yacu. Hanyuma amara akuramo kalisiyumu mu byo turya.

Ariko, iyo izi ngirabuzimafatizo za parathyroid zikora imisemburo ya PTH nyinshi cyane, kalisiyumu nyinshi iva mu magufwa yacu, bigatuma acika intege kandi agacika intege. Nanone, iyi kalisiyumu irenze urugero ishobora kwinjizwa mu mpyiko zacu, imiyoboro y'amaraso, umutima, n'ibindi bice by'umubiri. Uku kwiyongera kwa kalisiyumu mu maraso byitwa hypercalcemia .

Ese hari ubwoko butandukanye bw'ibi?

Yego, hari ubwoko butatu bw'ingenzi bwa Hyperparathyroidism. Bushyirwa mu byiciro hakurikijwe uko bubaho. Reka turebe ibyo ari byo.

Ni ibihe bimenyetso by'ibi?

Incuro nyinshi, abantu bafite iyi ndwara nta bimenyetso bagira. Ikunze kugaragara mu buryo bw’impanuka mu gihe cyo gupima indi ndwara mu maraso. Ariko, iyo urugero rwa kalisiyumu mu maraso rubaye rwinshi cyane, ibimenyetso nka:

• Ububabare mu magufwa no mu ngingo
• Intege nke z'imitsi
• Umunaniro n'umunaniro uhoraho
• Amarangamutima ameze nk'ay'ihungabana
• Kugorwa no kwita ku kintu runaka
• Gukunda kurya
• Isesemi no kuruka
• Gutakaza kwibuka cyangwa kwibagirwa
• Kumva ufite inyota kurusha uko bisanzwe kandi ukeneye kunyara kenshi
• Impatwe

Ingaruka n'ingorane zishobora guterwa n'iki kibazo

Umunyu mwinshi wa kalisiyumu mu maraso mu gihe kirekire ushobora gutera ingorane zitandukanye.

• Amabuye mu mpyiko: Kubika kalisiyumu mu mpyiko bishobora gutera amabuye mu mpyiko.
• Osteoporosis: Amagufwa acika intege kandi byoroshye kuyavunika kuko kalisiyumu iva mu magufwa.
• Indwara z'umutima: Kubika kalisiyumu mu mitsi y'amaraso no mu mutima byongera ibyago byo kurwara indwara nko kuzamuka k'umuvuduko w'amaraso, indwara z'umutima, cyangwa gucika imitsi.
• Ibibazo by'uruhu: Kuzura kwa kalisiyumu ku ruhu bishobora gutera ibikomere n'indwara.

Hari ibintu byinshi byongera ibyago byo kurwara iyi ndwara. Iby'ingenzi muri byo ni ukuba warahawe imiti ivura imirasire mu ijosi, kubura kalisiyumu cyangwa vitamine D, indwara z'impyiko, no kuba umugore.

Ni gute wasuzuma iyi ndwara?

Niba umuganga wawe akeka ko afite iyi ndwara, azagutegeka ibizamini byinshi kugira ngo yemeze ko ari yo.

• Ibipimo by'amaraso: Ibi bipima urugero rwa kalisiyumu, imisemburo ya parathyroid (PTH), vitamine D, na fosifate mu maraso yawe.
• Ikizamini cy'inkari mu masaha 24: Icyitegererezo cy'inkari cyakusanyijwe mu gihe cy'umunsi gikoreshwa mu gupima ingano ya kalisiyumu mu nkari.
• Gupima parathyroid: Iyi scan ishobora kugaragaza neza iyo ari yo gland muri enye ikora cyane.
• Izindi scan: Hashobora no gukorwa scan ya ultrasound y'impyiko cyangwa scan y'ubucucike bw'amagufwa.

Ivurwa ite?

Uburyo bwo kuvura buterwa n'uko ufite ubwoko bw'ibanze cyangwa ubwa kabiri ndetse n'uburemere bw'indwara.

Uburyo bwo kuvura indwara ya hyperparathyroidism y'ibanze

• Kubagwa: Uburyo bwiza kandi buhoraho bwo kuvura ibi ni ukubaga no gukuraho ingirangingo cyangwa imitsi ifite ikibazo. Ubu buryo bwitwa parathyroidectomy . Muganga wawe ashobora kukugira inama yo kubagwa, cyane cyane niba uri munsi y'imyaka 50, ufite ibimenyetso bikomeye, cyangwa ufite amabuye mu mpyiko cyangwa osteoporosis.
• Imiti: Mu gihe kubagwa bidakenewe cyangwa bidashoboka, muganga ashobora kukwandikira imiti.
• Bisphosphonates: Izi zirinda kalisiyumu gusohoka mu magufwa.
• Calcimimetics: Iyi miti ishuka imiterere y'uturemangingo twa parathyroid kugira ngo igabanye ikorwa ry'imisemburo ya PTH.
• Guhindura imibereho: Imiti imwe n'imwe (urugero: Thiazide diuretics, Lithium) ishobora kongera urugero rwa kalisiyumu. Kubwibyo, ushobora kubyirinda nk'uko muganga yabigutegetse.

Uburyo bwo kuvura indwara ya Secondary Hyperparathyroidism

Ikintu cy'ingenzi muri ibi ni ukuvura impamvu nyamukuru y'iki kibazo.

• Niba ufite indwara y'impyiko idakira, ushobora gukenera dialyse cyangwa gusimbuzwa impyiko .
• Guhindura imirire, cyane cyane kugabanya ibiryo birimo fosifore nyinshi, bishobora kugirwa inama.
• Ibikoresho bifunga fosfetiImiti nka fosphatidylcholinesterase inhibitors (imiti igabanya fosfeti mu maraso), inyongeramusaruro za vitamine D, na calcimimetics ishobora gutangwa.

Iyo ubu buryo bwo kuvura bunaniwe kugenzura icyo kibazo, hashobora kubagwa uburyo bwo gukuraho imisemburo.

Ibintu ugomba kuzirikana mu gihe ubana n'iki kibazo

Niba ufite hyperparathyroidism, ibi bintu bishobora kugufasha kugira ubuzima bwiza:

• Nywa amazi menshi: Gukomeza kugira amazi mu mubiri ni byiza ku mpyiko.
• Komeza gukora siporo: Imyitozo ngororamubiri ishobora gukomeza amagufwa yawe.
• Witondere indyo yawe: Niba muganga wawe akugira inama yo kugabanya fosifore ufata, irinde ibiryo bihera kuri "-phos" (urugero: fosifore ya kalisiyumu) ​​ku bipaki by'ibiribwa.
• Ku bijyanye na Vitamine D: Abantu badafite Vitamine D ihagije bashobora kugirwa inama yo gufata inyongeramusaruro. Ariko, ntuzigere ufata vitamine cyangwa inyongeramusaruro iyo ari yo yose utabanje kugisha inama muganga wawe.

Muganga wawe azasuzuma urugero rwa kalisiyumu mu maraso yawe, umuvuduko w'amaraso, imikorere y'impyiko, n'ubucucike bw'amagufwa yawe buri gihe (wenda rimwe cyangwa kabiri mu mwaka).