Ese ukunze kumva ufite intege nke kandi amagufwa yawe akababara? Cyangwa muganga wawe yarebye raporo y'amaraso maze akavuga ati "Urugero rwa kalisiyumu yawe ruri hejuru gato"? Birashoboka ko impamvu y'ibi ari indwara tutavugaho cyane, ariko ni ingenzi cyane. Uyu munsi, reka tuvuge kuri iyi ndwara yitwa hyperparathyroidism mu buryo bworoshye ushobora gusobanukirwa.
Hyperparathyroidism ni iki?
Muri make, hyperparathyroidism ni igihe imwe cyangwa nyinshi mu ngirabuzimafatizo za parathyroid zikora cyane kandi zigatanga imisemburo myinshi ya parathyroid (PTH). Ibi bituma urugero rwa kalisiyumu mu maraso yawe rwiyongera. Mu buvuzi ibi tubyita hypercalcemia .
Tekereza, inyuma y’agahu ka tiroyide mu ijosi ryacu, hari utunyangingo tune duto tungana n’agace gato k’umuceri. Utwo tunyangingo twitwa parathyroid. Kimwe n’umupira ugenzura urugero rw’amazi mu kigega cyacu cy’amazi mu rugo, akazi k’ingenzi k’utu nyangingo ni ukugenzura urugero rwa kalisiyumu na fosifete mu maraso yacu ku rugero rukwiye.
Uku niko bikora:
- Iyo urugero rwa kalisiyumu mu maraso rugabanutse, izi ngirabuzimafatizo zikora imisemburo ya PTH.
- Iyi hormone ya PTH yohereza ikimenyetso ku magufwa yacu kugira ngo "turekure kalisiyumu mu maraso."
- Ibwira kandi impyiko "kugabanya ingano ya kalisiyumu isohoka mu nkari no kuyigumana mu mubiri."
- Hanyuma, impyiko zikora Vitamine D zikayishyira mu mara yacu . Hanyuma, amara akwinjiza kalisiyumu mu byo turya neza.
Iyi ni sisitemu iringaniye cyane. Ariko, muri hyperparathyroidism, imisemburo ya PTH ikorwa cyane, bigatuma amagufwa ahora asohora kalisiyumu, bigatuma aba magufi kandi acika intege. Byongeye kandi, kalisiyumu yiyongera mu maraso ishobora gushyirwa mu mpyiko (ishobora gukora amabuye), imiyoboro y'amaraso, umutima, n'izindi ngingo, bigatera ibibazo bitandukanye by'ubuzima.
Ni ubuhe bwoko bw'ingenzi bw'iyi ndwara?
Hyperparathyroidism ishobora kugabanywamo ubwoko butatu bw'ingenzi, bugashyirwa mu byiciro hakurikijwe uko bubaho.
| Ubwoko | Mu magambo make ... |
|---|---|
| Hyperparathyroidism y'ibanze | Ikibazo muri iki kibazo kiri kuri parathyroid gland ubwayo. Ikibyimba (ubusanzwe kitari kanseri) mu ngirangingo cyangwa kwaguka kw'ingirangingo bituma umubiri ukora imisemburo ya PTH nubwo utayikeneye. |
| Hyperparathyroidism ya kabiri | Si ikosa ry'uturemangingo hano. Indi ndwara (akenshi ni indwara idakira y'impyiko) ituma urugero rwa kalisiyumu mu mubiri rugabanuka. Kubera iyo mpamvu, uturemangingo twa parathyroid dutangira gukora amasaha menshi kugira ngo twishyure icyo kibazo. |
| Hyperparathyroidism yo mu rwego rwa gatatu | Ibi bibaho iyo indwara ya kabiri imaze igihe kirekire idavuwe. Uturemangingo dukomeza gukora cyane, tugenda twiyongera kandi tugakora imisemburo ya PTH mu buryo budasubirwaho. |
Ibimenyetso ni ibihe?
Abantu benshi bafite iyi ndwara nta bimenyetso bafite . Urugero rwinshi rwa kalisiyumu mu maraso rukunze kugaragara mu buryo bw’impanuka mu gihe cyo gupima amaraso ku yindi mpamvu. Ariko, hari abantu bamwe, cyane cyane iyo urugero rwabo rwa kalisiyumu ruri hejuru cyane, bashobora kugira ibimenyetso bikurikira:
- Ububabare bw'amagufwa n'ingingo
- Intege nke z'imitsi
- Umunaniro n'umunaniro uhoraho
- Ihungabana
- Kugorwa no kwibanda ku kintu kimwe
- Gukunda kurya
- Isesemi no kuruka
- Urujijo, kwibagirwa ibintu
- Kumva ufite inyota nyinshi kandi ukeneye kunyara kenshi
- Impatwe
Wibuke ko ibi bimenyetso ari ibisanzwe cyane. Si abantu bose babibona bafite hyperparathyroidism. Ariko niba ibi bimenyetso bikomeje, ni byiza kujya kwa muganga.
Ni iki gitera ibi?
Reka turebe impamvu z'ubwoko butatu twavuzeho mbere ukwabwo.
Impamvu zitera Hyperparathyroidism y'ibanze
- Adenoma: Iki ni ikibyimba kitari kanseri kiba mu gasabo k'imisemburo ya parathyroid. Iyi ni yo mpamvu ikunze gutera hyperparathyroidism y'ibanze.
- Hyperplasia: Iki ni cyo gihe imwe mu ngirabuzimafatizo za parathyroid iba nini.
- Kanseri:Kanseri y'udukoko twa parathyroid ni intandaro idakunze kugaragara.
Impamvu zitera Hyperparathyroidism ya kabiri
Impamvu nyamukuru ibitera ni indwara idakira y’impyiko (CKD) . Iyo impyiko zidakora neza, urugero rwa fosifate mu mubiri ruriyongera kandi urugero rwa vitamine D rukagabanuka. Ibi bituma urugero rwa kalisiyumu mu maraso rugabanuka. Rero, kugira ngo icyibagirwe ibura rya kalisiyumu, uturemangingo twa parathyroid dukora imisemburo myinshi ya PTH.
Byongeye kandi, kubura vitamine D cyane (kubera kutagira izuba cyangwa kubura intungamubiri) nabyo bishobora kubitera.
Ni gute wamenya iyi ndwara?
Muganga wawe azagutega amatwi, agusuzume, kandi akwohereze ibizamini bimwe na bimwe niba akeka ko ufite iyi ndwara.
| Ikizamini | Urimo kureba iki? |
|---|---|
| Ibipimo by'amaraso | Ingano ya kalisiyumu mu maraso, imisemburo ya PTH, vitamine D, fosfeti, n'imikorere y'impyiko (Creatinine) iragenzurwa. |
| Isuzuma ry'inkari ry'amasaha 24 | Ingano ya kalisiyumu mu nkari yakusanyijwe mu masaha 24 irapimwa. |
| Gupima Parathyroid | Ibi bishobora gufasha kumenya neza imvubura ikora cyane. Ibi ni ingenzi cyane mbere yo kubagwa. |
| Gupima hakoreshejwe ikoranabuhanga rya Ultrasound | Ikoreshwa mu gusuzuma imiterere y'uturemangingo n'impyiko mu ijosi. |
| Gupima ubucucike bw'amagufwa | Iki kizamini gikorwa kugira ngo harebwe niba amagufwa yatakaje kalisiyumu kandi yananutse (Osteoporosis). |
Ivurwa ite?
Uburyo bwo kuvura buterwa n'uko ufite ubwoko bw'ibanze cyangwa ubwa kabiri ndetse n'uburemere bw'indwara.
Uburyo bwo kuvura hyperparathyroidism y'ibanze
Igisubizo cyiza kandi kirambye kuri ibi ni ukubaga (parathyroidectomy) kugira ngo bakurweho ingirabuzimafatizo cyangwa imiyoboro ikora cyane. Nyuma y'uku kubaga, abantu barenga 90% basubira ku rugero rusanzwe rwa kalisiyumu mu maraso.
Niba uri munsi y'imyaka 50, ufite ibimenyetso, ufite kalisiyumu nyinshi cyane, ufite amabuye mu mpyiko, cyangwa ufite amagufwa yoroshye, muganga wawe azagusaba kubagwa nta kabuza.
Mu bihe bitari bikomeye kandi bidasaba kubagwa, muganga wawe azakurikirana ikibazo cyawe buri gihe. Ashobora kandi:
- Bisphosphonates: Iyi miti ibuza irekurwa rya kalisiyumu mu magufwa no kuyakomeza.
- Calcimimetics: Iyi miti "ishuka" imiterere y'uturemangingo twa parathyroid mu kugabanya ikorwa rya hormone PTH.
- Guhindura imibereho: Ushobora kugirwa inama yo kureka gufata imiti imwe n'imwe (urugero: imiti igabanya ubukana bwa thiazide, lithium) no guhindura imirire.
Uburyo bwo kuvura hyperparathyroidism ya kabiri
Ikintu cy'ingenzi hano ni ukuvura impamvu nyamukuru , nko kurwanya indwara z'impyiko no kuvura ibura rya Vitamine D.
- Umuntu urwaye impyiko ashobora gukenera dialyse cyangwa gusimbuzwa impyiko.
- Imiti nka fosfeti ifata itangwa kugira ngo igabanye urugero rwa fosfeti mu maraso.
- Vitamine D n'imiti ya calcium nayo ikoreshwa muri iki gikorwa.
Niba ubu buryo bwo kuvura budashobora kugenzura iyo ndwara, kubagwa bishobora kuba ngombwa.
Igikuru ni uko, ntugafate ibinini bya Vitamine D cyangwa kalisiyumu wenyine gusa. Buri gihe banza uganire na muganga wawe kandi ubikoreshe uko wabitegetswe gusa. Hari igihe ibi bishobora gutuma ibintu birushaho kuba bibi.
Ubutumwa bwo kujyana mu rugo
- Hyperparathyroidism ni indwara aho urugero rwa kalisiyumu mu maraso rwiyongera bitewe n’umusemburo wa PTH ukabije ukorwa n’uturemangingo twa parathyroid.
- Akenshi, nta bimenyetso byihariye bibaho. Ushobora kugira ibimenyetso rusange nko kunanirwa no kubabara amagufwa.
- Ubwoko bw'ibanze buterwa n'ikibazo kiri mu ngirangingo ubwayo, mu gihe impamvu nyamukuru y'ubwoko bwa kabiri ari indwara idakira y'impyiko.
- Iyi ndwara ipimwa hakoreshejwe amaraso, ibizamini by'inkari, n'ibipimo by'indwara.
- Uburyo bwiza bwo kuvura ubwoko bw'ibanze ni ukubaga gukuraho ingirabuzimafatizo yangiritse.
- Buri gihe banza uganire na muganga wawe mbere yo gukoresha umuti uwo ari wo wose cyangwa vitamine.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.