Uri kunetseka here nekushaya calcium yakawanda mushure mekuvhiyiwa? Inogona kunge iri 'Hungry Bone Syndrome'!

Sezvamungangoziva, mushure mekuvhiyiwa kumwe, kunyanya uko kunobvisa thyroid gland mumutsipa kana parathyroid glands dziri pedyo, muviri unogona kusangana nemarudzi akasiyana-siyana ekusagadzikana. Vamwe vanhu vanogona kunzwa kuneta kusingafungidzike, kurwadziwa kwemuviri, kana kunzwa kuvhiringidzika zvishoma. Saka kana iwe kana mumwe munhu waunoziva ari kusangana nechimwe chinhu chakadai, zvinogona kunge zvichikonzerwa nechirwere chatiri kutaura nezvacho nhasi chinonzi 'Hungry Bone Syndrome'. Zita racho rinonzwika serisinganzwisisike, handiti? Ungave uchifunga kuti, "Zvinorevei kuva nemapfupa ane nzara?" Ngatitarisei kuti chii, muchidimbu.

Chii chinonzi 'Hungry Bone Syndrome'?

Zvichitaurwa zviri nyore, Hungry Bone Syndrome chirwere apo huwandu hwecalcium muropa rako hunongoerekana hwadzikira zvakanyanya. Vanachiremba vanoti izvi "Hypocalcemia". Chirwere ichi chinowanzoonekwa mushure mekuvhiyiwa kwemagland eparathyroid. Waizviziva here kuti magland eparathyroid akakosha zvikuru mukudzora calcium mumuviri wedu?

Vanhu vane chirwere ichi che 'hungry bone syndrome' vangasangova necalcium shoma chete, asi dzimwe nguva vangavawo nemagnesium shoma (`(Hypomagnesemia)`) uye phosphorus (`(Hypophosphatemia)`) muropa ravo. Izvi zvakare zvicherwa zvakakosha zvinodiwa nemiviri yedu.

Asi hapana chekunetseka nacho. 'Hungry Bone Syndrome' chirwere chinogona kurapwa uye kurapwa . Chinhu chakakosha ndechekuzviziva nenguva uye kutanga kurapwa.

Dambudziko iri rakajairika zvakadii?

Vaongorori havana ruzivo rwakakwana rwekuti chirwere ichi chinonzi 'hungry bone syndrome' chakajairika sei, sezvo chichigona kusiyana kubva pamunhu kuenda kumunhu.

Zvisinei, zvimwe zvidzidzo zvakaratidza kuti vanhu vari pakati pe4 ne13 pavanhu 100 vakavhiyiwa parathyroidectomy nekuda kwechirwere chinonzi primary hyperparathyroidism vanova nechirwere ichi. Zvakare, mimwe mishumo inoti mushure mekuvhiyiwa kwechipiri nechitatu hyperparathyroidism, mukana wekuti chirwere ichi chiitike unogona kusvika pa20 kusvika 70 pavanhu 100. Saka, unogona kuona, zvinogona kuitika kakawanda mune dzimwe nguva.

Ndezvipi zviratidzo zve 'Hungry Bone Syndrome'?

Zviratidzo zve'Hungry Bone Syndrome' zvakafanana zvikuru nezvinokonzerwa nekushaya calcium mumuviri (Hypocalcemia). Izvi zvinogona kuva zvidiki sebundu diki mune vamwe vanhu, kusvika zvakanyanya sekuvhiringidzika kana pfari mune vamwe. Heano mamwe ezviratidzo:

• Kukungurutsa kana kudhonza nyama: Kunzwa sekunge nyama iri mumakumbo kana mumaoko iri kungokunguruka.
• Kushaya simba kwetsandanyama: Kunzwa semunhu asina hupenyu uye aneta zvekusagona kuita chero chinhu.
• Kurwadziwa kwemapfupa: Kunzwa sekunge mapfupa ari mumuviri ari kurwadza.
• Kuneta kwakanyanya: Kuneta kusingapere kunyangwe mushure mekurara.
• Kuvhiringidzika: Kuomerwa nekuisa pfungwa pane chimwe chinhu, kusaziva zvekuita.
• Matambudziko ekurangarira: Kukanganwa zvinhu.
• Kutsamwa kana kushatirwa: Kutsamwa nezvinhu zvidiki, kunzwa kusagadzikana.
• Kuora mwoyo: Kunzwa kusuruvara uye kushaya tariro.
• Kushaya simba mumiromo, rurimi, minwe, uye/kana tsoka: Nzvimbo idzi dzinonzwa sedzisina simba, kana kuti semasvosve ari kumhanya-mhanya.
• Kutadza kufema nekuda kwekupwanyika kwetsandanyama dzepahuro (`(Laryngospasm)`): Izvi zvine njodzi zvishoma, zvinoita kuti zviome kufema.
• Kuomarara kwetsandanyama uye kugwinha (`(Tetany)`): Mamiriro ezvinhu apo tsandanyama dzemuviri dzinoomarara uye dzinogwinha.
• Kubatwa nepfari: Ichi chiratidzo chakakombawo.

Pamwe chete nezviratidzo izvi, sezvambotaurwa, huwandu hwakaderera hwemagnesium nephosphorus muropa (`(Hypomagnesemia)` uye `(Hypophosphatemia)`) hunogonawo kuitika. Zviratidzo zvezvirwere izvi zvakafanana zvikuru nezviya zvecalcium shoma. Zvinogonawo kukonzera matambudziko emhasuru, pfari, uye kurova kwemoyo zvisina kurongeka (`(Arrhythmia)`).

Hungry bone syndrome inowanzo itika mukati memaawa gumi nemasere mushure mekuvhiyiwa kweparathyroid kana thyroid .

Sei chirwere ichi chinonzi 'Hungry Bone Syndrome' chichiitika?

Kune zvikonzero zvakawanda zve 'Hungry Bone Syndrome':

• Mushure mekuvhiyiwa kweparathyroid (Parathyroidectomy) ye hyperparathyroidism yekutanga kana yechipiri.
• Thyrotoxicosis chirwere chinoitika mushure mekuvhiyiwa kwe thyroid yese.
• Kana kenza yeprostate yapararira kumapfupa (metastasized).

Kuti tinzwisise kuti nei izvi zvichiitika, zvakakosha kunzwisisa zvishoma nezvekuti calcium yakawanda sei inodzorwa sei mumiviri yedu.

Fungidzira, kuseri kwegland rako re thyroid mumutsipa mako, kune magland mana madiki anonzi parathyroid glands. Magland aya anogadzira hormone inonzi parathyroid hormone (PTH) . Basa guru reiyi PTH hormone nderekudzora huwandu hwecalcium muropa (kwete mumapfupa, asi muropa). PTH inobatsirawo kudzora huwandu hwephosphorus (zvakare mineral) uye vhitamini D (zvakare hormone) muropa nemapfupa.

Saka, kana muviri wako ukanzwa kuti calcium muropa rako yaderera, parathyroid glands inoburitsa hormone PTH. PTH iyi inoburitsa calcium shoma kubva mumapfupa yoiwedzera muropa. Zvadaro calcium muropa inodzokera pakuva yakajairika.

Zvino, fungidzira kuti mumwe munhu ane parathyroid glands inoshanda zvakanyanya, uye vanovhiyiwa kuti vabviswe. Chinoitika ndechekuti huwandu hwePTH hormone hwaimbova hwakakwira zvikuru hunodzikira kamwe kamwe. Dzimwe nguva, kana kuvhiyiwa kwethyroid glands kuri pedyo kukanganisika netsaona, huwandu hwePTH hunogonawo kudzikira.

Kana huwandu hwePTH hukadzikira kamwe kamwe, huwandu hwecalcium mumapfupa ekare hunodzoserwa muropa (`(Resorption)`) hunoderera, uye huwandu hwekuumbwa kwemapfupa matsva (`(Bone Formation)`) hunowedzera. Izvi zvinoita kuti mapfupa "ashaye" calcium. Ndosaka izvi zvichinzi 'hungry bone syndrome'.

Izvi ndizvo zvinoitika kana kenza yeprostate ikapararira kumapfupa. Ipapo, mashandiro emasero ekuvaka mapfupa (`(Osteoblastic activity)`) anowedzera, saka mapfupa anoda calcium yakawanda.

Ndiani ari panjodzi huru yekubatwa ne'Hungry Bone Syndrome'?

Vamwe vanhu vane mukana mukuru wekuwana chirwere ichi. Ngationei kuti ndivanaani:

• Mahomoni eparathyroid (PTH) akawandisa muropa.
• Kuwedzera kwehuwandu hwealkaline phosphatase muropa.
• Mazinga ecalcium muropa anowanzova mashoma.
• Kushaya Vitamin D.
• Kuita maoparesheni e thyroid ne parathyroid panguva imwe chete.
• Kuwedzera kwehuwandu hweurea nitrogen muropa (BUN).
• Kufuta zvakanyanya, kureva kuti, kufuta zvakanyanya.
• Kubviswa kwegland reparathyroid rakakura kupfuura rakajairika pakuvhiyiwa.
• Kupararira kwemasero egomarara kumapfupa (Metastatic bundu remapfupa).
• Kuvapo kwezvirwere zvine chekuita nemapfupa zvakaita semabundu ebrown uye osteitis fibrosa cystica.

Vanhu vane zvinhu izvi zvinogona kukonzera njodzi vanowanzobatwa ne 'hungry bone syndrome'.

Vanachiremba vanozviwana sei izvi?

Chiremba anowanzo tanga aona kana uine 'hungry bone syndrome' nekuita bvunzo yeropa recalcium. Kazhinji, kana huwandu hwecalcium muropa rako huri pasi pe8.4 mg/dL kwemazuva anopfuura mana, inoonekwa senjodzi ye 'hungry bone syndrome'.

Kwete izvozvo chete, asi chiremba wako anogonawo kuita mimwe miedzo kuti aone kana chirwere ichi chakanganisa zvimwe zvinhu zvehutano hwako:

• Kumwe kuongororwa kweropa: Ropa rako rinogona kuongororwa mazinga emagnesium, phosphorus, parathyroid hormone (PTH), uye/kana mazinga evhitamini D.
• EKG (Electrocardiogram): Kuongororwa uku kunoyera mutinhimira wemwoyo wako nekubatanidza maelectrode pachipfuva chako. Izvi zvakakosha nekuti calcium shoma muropa (hypocalcemia) uye 'hungry bone syndrome' zvinogona kukonzera kurova kwemoyo kusina kurongeka.
• Kuongororwa kwemapfupa: Kuongororwa uku kunogona kutarisa matambudziko emapfupa ako, akadai sekutyoka, kuremara, kana bundu.

Ndeipi mishonga yekurapa chirwere che'Hungry Bone Syndrome'?

Usazvidya moyo, kune mishonga yakanaka yekurapa izvi. Chinangwa chikuru chekurapa ndechekudzosera huwandu hwecalcium muropa rako padanho rakanaka. Kazhinji, uchawana kurapwa uku uri muchipatara. Kurapa kunogona kusanganisira:

• Kupa calcium kuburikidza netsinga (`(IV Calcium - Calcium Gluconate)`): Izvi zvinobatsira kukurumidza kudzoreredza huwandu hwecalcium.
• Mishonga yeCalcium inonwiwa (Calcium Citrate kana Calcium Carbonate): Izvi zvinopihwa kuchengetedza huwandu hwecalcium mumuviri.
• Zvinowedzerwa neVitamin D: Vitamin D inokosha kuti muviri ukwanise kunwa calcium.
• Kutsiva Magnesium: Kana mazinga emagnesium akaderera, izvozvowo zvinofanira kugadziriswa.

Vanachiremba vachaongorora mamiriro ako ezvinhu vosarudza mushonga wakakodzera iwe.

Zvinotora nguva yakareba sei kuti munhu apore kubva mudambudziko iri? Remangwana rakaita sei?

Mashoko akanaka ndeekuti chirwere ichi, 'Hungry Bone Syndrome', chinogona kurapwa zvachose . Izvi zvinoreva kuti fungidziro yacho yakanaka kwazvo.

Zvisinei, kunyangwe nekurapwa, nguva inotora kuti chirwere ichi chipere inogona kusiyana. Vamwe vanhu vanopora mumazuva mashoma, nepo vamwe vanogona kutora mwedzi yakati wandei. Muzviitiko zvisingawanzoitiki, chinogona kugara kusvika gore.

Chinonyanya kukosha ndechekuti, kana ikasarapwa, kushaya calcium zvakanyanya kunogona kukonzera matambudziko anotyisidzira hupenyu akadai sepfari. Saka, zvakakosha kutsvaga kurapwa nekukurumidza kana zviratidzo zvikaonekwa.

'Hungry Bone Syndrome' inogona kudzivirirwa here?

Sezvo 'hungry bone syndrome' ichigona kuitika mushure mekuvhiyiwa kweparathyroid (`(Parathyroidectomy)`) kana kuvhiyiwa kwethyroid (`(Thyroidectomy)`), vanachiremba vanoedza kutora matanho ekudzivirira kunyangwe kuvhiyiwa kusati kwaitwa. Ngationei kuti chii:

• Kuongororwa kwemuviri usati wavhiyiwa: Chiremba wako achaongorora huwandu hwemaminerari mumapfupa ako, huwandu hwecalcium muropa, huwandu hwephosphate, huwandu hwePTH, uye huwandu hwevhitamini D. Miedzo iyi inogona kubatsira chiremba wako kuona kana uri panjodzi yekubatwa ne'hungry bone syndrome'.
• Matanho ekudzivirira:Kana uri panjodzi yakakura yekubatwa ne 'hungry bone syndrome', chiremba wako anogona kukukurudzira kuti utore mishonga yekuwedzera kana mishonga yekuchengetedza huwandu hwevhitamini D necalcium mumuviri wako usati wavhiyiwa. Izvi zvinogona kubatsira kuderedza mukana uye/kana kuoma kwe 'hungry bone syndrome'.
• Kuongororwa mushure mekuvhiyiwa: Mushure mekuvhiyiwa, timu yechipatara ichagara ichiongorora huwandu hwecalcium, phosphate, magnesium, uye PTH muropa rako. Izvi zvinoitirwa kuti kana ukatanga 'hungry bone syndrome', ikwanise kuonekwa nekukurumidza uye kurapwa kunogona kutanga nekukasika.

Zvisinei, pasinei nematanho ese aya, dzimwe nguva 'hungry bone syndrome' inogona kuitika. Vaongorori havasati vaziva kuti sei izvi zvichiitika.

Ndinofanira kuona chiremba nguvai?

Kana wakambovhiyiwa parathyroid kana thyroid wozopedzisira wava nezviratidzo zve calcium shoma muropa (`(Hypocalcemia)`) zvatakambotaura nezvazvo, zvakaita sekurwadziwa kwemhasuru, kunzwa kushaya simba, kuchinja kwekuziva (sekuvhiringidzika), uye kusanzwa simba kwemiromo neminwe, unofanira kuona chiremba nekukurumidza.** 'Hungry bone syndrome' uye '(Hypocalcemia)` zvinogona kuitika mushure mekuvhiyiwa parathyroid uye/kana thyroid, zvinogona kudzikira mushure memazuva mashoma, uye zvozoonekwazve. Saka, zvakakosha kutarisisa kunyangwe chiratidzo chidiki diki.

'Hungry bone syndrome' chirwere chinogona kuitika mushure mekuvhiyiwa kubvisa parathyroid kana thyroid glands. Mashoko akanaka ndeekuti chinogona kurapwa uye kurapwa. Zvisinei, zvinogona kutora nguva kuti chidzoke zvizere. Sezvo kudzikira kwakanyanya kwecalcium muropa kuchigona kuva nengozi kuhutano hwako, zvakanaka kuti uone chiremba kana wangoona zviratidzo.

Tora meseji kumba

Saka, muchidimbu, 'Hungry Bone Syndrome' chirwere chinogona kuitika mushure mekuvhiyiwa kweparathyroid kana thyroid gland. Chinonyanya kukosha ndechekuti huwandu hwecalcium muropa remuviri hunodzikira kamwe kamwe. Izvi zvinodaro nekuti huwandu hwe parathyroid hormone (`(PTH)`) hunodzikira mushure mekuvhiyiwa, zvichiita kuti mapfupa "ade" calcium.

Usatya kunzwa izvi, nekuti 'Hungry Bone Syndrome' chirwere chinogona kurapwa uye kurapwa zvakanaka.

Chinhu chinonyanya kukosha ndechekuti kana uine chimwe chezviratidzo izvi (zvakaita sekugwinha kwetsandanyama, kuneta, kusanzwa), usapedza nguva woenda kuna chiremba nekukurumidza. Nenzira iyi, unogona kuona chirwere ichi nekukurumidza, kutanga kurapwa kwakakodzera nekukurumidza, uye kuchirapa chisati chave dambudziko guru. Yeuka, kutarisira hutano hwako kuri mumaoko ako wega.

'Hungry Bone Syndrome, Hungry Bone Syndrome, Calcium, Hypocalcemia, Parathyroid, Kuvhiyiwa kweThyroid, PTH