Ushobora kuba usanzwe uzi akamaro ka calcium mu gukomeza amagufwa n'amenyo yacu. Ariko se wari uzi ko calcium, imyunyungugu y'ingenzi, igomba no kuba ku rugero rusanzwe kugira ngo imiyoboro y'amaraso, imitsi, n'imitsi bikomeze kugira ubuzima bwiza? Niba ibisubizo by'ibizamini by'amaraso byawe byagaragaje ko urugero rwa calcium mu maraso yawe ruri hejuru cyane cyangwa ruri hasi cyane, muganga wawe ashobora kuba yaragutegetse ikindi kizamini cyihariye cy'amaraso. Icyo ni cyo kizamini tuvuga uyu munsi, gipima urugero rwa hormone ya parathyroid (PTH).
Mu magambo make, imisemburo ya parathyroid (PTH) ni iki?
Dufite uturemangingo tune duto cyane mu ijosi ryacu. Dufite ingano nk'udushaza duto. Utwo dusebe twitwa
parathyroid . Utwo dusebe dukora imisemburo ya parathyroid, cyangwa PTH. Akamaro k'iyi misemburo ni ukugenzura urugero rwa kalisiyumu mu maraso yacu. Ni sisitemu itangaje cyane. Tekereza kuri ubu buryo:
- Iyo urugero rwa kalisiyumu mu maraso yawe rugabanutse , utwo turemangingo dusohora imisemburo ya PTH mu maraso yawe. Iyi PTH ikora ikusanya kalisiyumu mu magufwa no mu mpyiko hanyuma ikagarura urugero rwa kalisiyumu mu maraso yawe uko rumeze.
- Iyo urugero rwa kalisiyumu mu maraso yawe rwiyongereye , izi ngirabuzimafatizo zihagarika gusohora imisemburo ya PTH. Ibi bigenzura urugero rwa kalisiyumu mu maraso yawe.
Rero, gupima urugero rwa PTH yawe ni ingirakamaro cyane ku baganga kugira ngo bamenye neza impamvu ituma kalisiyumu mu maraso yawe iba nke cyangwa hejuru.
Kuki muganga yagira inama yo gupima iki gipimo?
Igikuru ni ukumenya niba impamvu y’urugero rudasanzwe rwa kalisiyumu mu maraso yawe ari ikibazo mu mikorere y’uturemangingo twa parathyroid cyangwa indi mpamvu. Niba urugero rwa PTH rwawe rujyanye n’urugero rwa kalisiyumu mu maraso yawe, bivuze ko impamvu y’urugero rudasanzwe rwa kalisiyumu ari ikindi kintu. Ubusanzwe, niba ufite ibimenyetso bikurikira, muganga wawe ashobora kukugira inama yo gupima PTH.
| Hypercalcemia - kwiyongera kwa kalisiyumu mu maraso | Hypocalcemia - kalisiyumu nke mu maraso |
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| Kubabara mu gifu | Kwiheba no guhindagurika kenshi mu byiyumvo |
| Inyota ikabije | Kunyeganyega cyangwa kunyaragura imitsi (Spasms) |
| Gukenera kunyara kenshi | Kubabara cyangwa gucika intege mu biganza, ibirenge, no mu kanwa |
| Isesemi no kuruka | Ugutera k'umutima kudasanzwe |
| Umunaniro | |
| Ububabare bw'umubiri n'amagufwa | |
| Amabuye mu mpyiko | |
Ese hari ingaruka zishobora guterwa n'iki kizamini?
Mu by’ukuri
ingaruka nke cyane ni izi. Nk’uko bigenda ku isuzuma ry’amaraso, ushobora kumva ububabare aho urushinge rushyizwe. Ushobora no kugira ibisebe nyuma yaho. Hari abantu bashobora kumva bameze nk’izuba nyuma yo gutanga amaraso. Ariko ibi ni ibisanzwe cyane.
Akamaro gakomeye k'iki kizamini ni uko gituma muganga amenya neza niba umubiri wawe ukora imisemburo ya PTH myinshi cyane cyangwa mike cyane.
Ibi bishobora kwemeza cyangwa bigakuraho indwara ya parathyroid. Wowe na muganga wawe mushobora gushaka izindi mpamvu zitera urugero rudasanzwe rwa kalisiyumu mu mubiri wawe.
Ese ugomba kwitegura mbere yo gukora ikizamini?
Yego, muganga wawe ashobora kugusaba guhagarika gufata imiti imwe n'imwe cyangwa vitamine (inyongera) umunsi umwe mbere cyangwa ku munsi wo gupimwa. Ariko
ntugahagarike gufata imiti iyo ari yo yose utabanje kubibaza muganga .
Ni iki kibaho mu gihe cyo gupimwa na nyuma yacyo?
Ubu buryo bworoshye cyane. Amaraso make akurwa mu mutsi uri mu kuboko kwawe. Umuntu ufata amaraso abanza gushyira agapira ku ruhande rwo hejuru rw'ukuboko kwawe maze akagafunga. Iyo ukanda ukuboko kwawe, imiyoboro y'amaraso izagaragara neza. Hanyuma, hakoreshejwe urushinge ruto, amaraso make azakurwa mu muyoboro w'isuzuma. Ibi ntibisaba amaraso menshi. Iyo amaraso afashwe, urushinge rurakurwaho hanyuma hagashyirwa plaster nto aho hantu. Aya maraso yoherezwa muri laboratwari kugira ngo hasuzumwe urugero rwa PTH, kalisiyumu, ndetse n'indi misemburo n'imyunyu ngugu.
Ni gute wasobanukirwa ibisubizo?
Bishobora gufata iminsi mike kugira ngo ibisubizo by'ibizamini bigaruke. Ariko, rimwe na rimwe ibisubizo bishobora kuboneka vuba, bitewe n'ibyo muganga akeneye n'ibyo muganga akeneye. Ibisubizo bigaragara muri picograms kuri mililitiro (pg/mL). Ingano isanzwe ya PTH ishobora gutandukana gato bitewe na laboratwari. Ingano nziza ya PTH yo mu bwoko bwa `molecule ikora` akenshi iba iri hagati ya
10 - 65 pg/mL .
Igikuru ni ukuganira na muganga wawe kugira ngo wumve neza icyo imibare iri mu bisubizo byawe isobanura.
Igipimo cya PTH n'impamvu zacyo Ibintu bishobora gutera igipimo cya PTH cyiyongera (Hyperparathyroidism): Ibintu bishobora gutera igipimo cya PTH gito (Hypoparathyroidism):
- Gukora cyane kw'uturemangingo twa parathyroid.
- Urugero rwa Vitamine D ruto.
- Umunyu ngugu wa kalisiyumu mu maraso uterwa n'impamvu idafitanye isano n'uturemangingo twa parathyroid.
- Indwara y'impyiko idakira .
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Ese ngomba gukora ibizamini byinshi?
Yego, muganga wawe ashobora kukugira inama yo gukomeza gupima bitewe n'urugero rw'amaraso mu mubiri wawe (PTH) n'ingano ya kalisiyumu.
- Urugero, niba urugero rwa PTH rwawe ruri hejuru ariko urugero rwa kalisiyumu rwawe rukaba ruri hasi, bishobora gusobanura ko uturemangingo twa parathyroid dukora neza. Nyuma yaho, muganga wawe azasuzuma urugero rwa vitamine D, fosifore, na manyeziyumu yawe kugira ngo arebe niba bigira ingaruka ku rugero rwa kalisiyumu rwawe.
- Ku rundi ruhande, niba urugero rwa kalisiyumu mu mubiri wawe ruri hejuru kandi urugero rwa PTH mu mubiri wawe ruri hejuru y’ibisanzwe, ushobora kuba ufite hyperparathyroidism. Muri icyo gihe, muganga wawe azakora ikizamini cya X-ray cyangwa ikindi gipimo cy’amashusho kugira ngo asuzume imiyoboro ya parathyroid mu mubiri wawe.
Iyo imitsi yabyimbye cyangwa ifite ikibyimba, kubagwa kugira ngo ikuremo iyo mitsi bishobora gukorwa. Ariko, niba indwara yawe idakomeye kandi udafite ibimenyetso nk'ibibazo by'impyiko cyangwa amagufwa adakomeye, muganga wawe ashobora gushaka kugenzura urugero rwa kalisiyumu na PTH buri gihe. Ashobora kandi kukwandikira umuti nka Cinacalcet (Sensipar). Muri ibyo bihe, kubagwa bishobora kuba atari ngombwa.
Ubutumwa bwo kujyana mu rugo
- Gupima amaraso ya PTH ni ikizamini cy'ingenzi kugira ngo hamenyekane impamvu y'urugero rudasanzwe rwa kalisiyumu mu maraso yawe.
- Iki ni ikizamini cy’amaraso gisanzwe gifite ibyago bike cyane, bityo nta mpamvu yo gutinya.
- Muganga wawe azafata icyemezo cy'icyo ugomba gukora nyuma hashingiwe ku bimenyetso byawe, urugero rwa kalisiyumu, n'urugero rwa PTH.
- Iyo ubonye ibisubizo by'ibizamini byawe, menya neza ko uganira na muganga wawe kugira ngo agusobanukirwe neza.
- Ntukareke gufata imiti yawe cyangwa ngo uhindure ingano yayo utabanje kugisha inama muganga wawe.
Imisemburo ya parathyroid, ikizamini cya PTH, kalisiyumu, ikizamini cy'amaraso, hypercalcemia, hypocalcemia, indwara z'impyiko
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.