Unowanzonzwa usina simba, uine kurwadziwa kwemapfupa, kana kuti une dambudziko rekuyeuka here? Kunyangwe tingafunga kuti izvi zvinhu zvakajairika, panogona kunge paine chikonzero chekurapa chiri shure kweizvi. Kureva kuti, huwandu hwecalcium muropa hwakakwira. Chikonzero chikuru cheizvi chirwere chinonzi Hyperparathyroidism. Kunyangwe zita racho ringave rakaoma zvishoma, usatya. Ngatitaurei nezvazvo zviri nyore.
Chii chinonzi hyperparathyroidism?
Zvichitaurwa zviri nyore, Hyperparathyroidism inoitika kana rimwe kana akawanda emagland eparathyroid mumuviri wedu achishanda zvakanyanya uye achigadzira parathyroid hormone (PTH) yakawandisa.
Fungidzira, mumutsipa medu, kuseri kwegland re thyroid, kune magland mana madiki ane saizi ye pizi. Aya ndiwo atinodaidza kuti magland e parathyroid. Basa rawo guru nderekuchengetedza huwandu hwecalcium muropa redu pane imwe nhanho. Anoderedzawo huwandu hwe phosphate muropa.
Matumbu aya anogadzira hormone inonzi PTH uye anotumira zviratidzo zvakasiyana-siyana kumuviri wedu:
- Mapfupa edu: Ropa rinoaudza kuti abudise calcium nephosphate.
- Itsvo dzedu: Dzinoudzwa kuti dzideredze huwandu hwecalcium inobuda muweti uye dzoidzorere mumuviri. Dzinoudzwawo kuti dzibudise phosphate yakawandisa muweti.
Zvadaro, itsvo dzinoita kuti vhitamini D ishande uye dzinoitumira muura hwedu. Matumbu acho anobva atora calcium kubva muchikafu chatinodya.
Zvisinei, kana magland aya eparathyroid achiburitsa hormone yePTH yakawandisa, calcium yakawandisa inoburitswa mumapfupa edu, zvichiita kuti asave nesimba uye asave nyore. Zvakare, iyi calcium yakawandisa inogona kuiswa muitsvo dzedu, mitsipa yeropa, mwoyo, nedzimwe nhengo dzemuviri. Kuwedzera uku kwecalcium muropa kunonzi hypercalcemia .
Kune mhando dzakasiyana dzeizvi here?
Ehe, kune mhando nhatu huru dzeHyperparathyroidism. Dzinorongwa zvichienderana nekuti dzinoitika sei. Ngationei kuti idzi ndedzipi.
| Rudzi rwe hyperparathyroidism | Zvichitaurwa zviri nyore, chikonzero |
|---|---|
| Hyperparathyroidism Yekutanga | Iri idambudziko rinowanzoitika muparathyroid gland pachayo. Kureva, bundu risiri rekenza (adenoma) mune rimwe remagland kana kukura (hyperplasia) kwegland rimwe kana akawanda, zvichikonzera kugadzirwa kusingadzoreki kwehomoni yePTH. |
| Hyperparathyroidism yechipiri | Iyi haisi mhosva yemagland. Idambudziko riri mumuviri, kunyanya chirwere cheitsvo chisingaperi (CKD), chinokonzera calcium shoma kana kuti phosphate yakawanda mumuviri, uye magland acho anotanga kushanda zvakanyanya. |
| Higher parathyroidism | Kana hyperparathyroidism yechipiri ikasiyiwa isina kurapwa kwenguva yakareba, maronda anokura zvachose uye anotanga kugadzira PTH zvisingadzoreki. Urwu ndirwo rudzi rwechirwere. |
Ndezvipi zviratidzo zveizvi?
Kazhinji, vanhu vane chirwere ichi havana zviratidzo. Chinowanzoonekwa netsaona panguva yekuongororwa kweropa kwechimwe chirwere. Zvisinei, kana calcium yakawanda muropa yakwira zvakanyanya, zviratidzo zvakaita se:
- Kurwadziwa mumapfupa nemajoini
- Kushaya simba kwetsandanyama
- Kuneta nguva dzose uye kuneta
- Manzwiro akafanana nekuora mwoyo
- Kuoma kuteerera chimwe chinhu
- Kuda kudya
- Kusvotwa nekurutsa
- Kurasikirwa nendangariro kana kukanganwa
- Kunzwa nyota kupfuura nguva dzose uye kuda kuita weti kakawanda
- Kuzvimba
Chinhu chakakosha ndechekuti sezvo zviratidzo izvi zvichiwanzoitika, havasi vese vane zviratidzo izvi vane hyperparathyroidism. Saka, zvakakosha kubvunza chiremba wako.
Njodzi nematambudziko angangoitika echirwere ichi
Kuwanda kwecalcium muropa kwenguva yakareba kunogona kukonzera matambudziko akasiyana-siyana.
- Matombo eitsvo: Kuwanda kwecalcium muitsvo kunogona kukonzera matombo eitsvo.
- Osteoporosis: Mapfupa anoshaya simba uye anotyoka nyore nyore sezvo calcium inorasika kubva mumapfupa.
- Chirwere chemwoyo: Kuwanda kwecalcium mutsinga dzeropa nemwoyo kunowedzera njodzi yezvirwere zvakaita seBP, chirwere chemwoyo, kana sitiroko.
- Matambudziko eganda: Kuwanda kwecalcium paganda kunogona kukonzera maronda nehutachiona.
Pane zvinhu zvakawanda zvinowedzera njodzi yekuva nechirwere ichi. Chinonyanya kukosha ndechekuti wakarapwa nemwaranzi yemutsipa, kushomeka kwecalcium kana vhitamini D, chirwere cheitsvo, uye kuva mukadzi.
Nzira yekuziva sei chirwere ichi?
Kana chiremba wako achifungidzira kuti une chirwere ichi, acharaira bvunzo dzakawanda kuti asimbise.
- Kuongororwa kweropa: Izvi zvinoyera huwandu hwecalcium, parathyroid hormone (PTH), vhitamini D, uye phosphate muropa rako.
- Kuongororwa kweweti kwemaawa makumi maviri nemana: Muenzaniso weweti unotorwa mukati mezuva unoshandiswa kuyedza huwandu hwecalcium muweti.
- Kuongororwa kweparathyroid: Kuongororwa uku kunogona kuona kuti ndeipi pamasero mana ari kushanda zvakanyanya.
- Zvimwe zvinoongororwa: Kuongororwa kweitsvo ne ultrasound kana kuongororwa kwehuwandu hwemapfupa kunogona kuitwawo.
Inorapwa sei?
Nzira dzekurapa dzinoenderana nekuti une rudzi rwekutanga here kana kuti rwechipiri uye kuti chirwere chacho chakakomba zvakadini.
Kurapa kwePrimary Hyperparathyroidism
- Kuvhiyiwa: Mushonga wakanakisisa uye unogara kwenguva refu weizvi ndeyekubvisa gland kana magland ane dambudziko nekuvhiyiwa. Kuvhiyiwa uku kunonzi parathyroidectomy . Chiremba wako angangokurudzira kuvhiyiwa, kunyanya kana uri pasi pemakore makumi mashanu, uine zviratidzo zvakakomba, kana uine matombo muitsvo kana osteoporosis.
- Mishonga: Kana kuvhiyiwa kusingakoshi kana kuti kusingagoneki, chiremba anogona kunyora mishonga.
- Bisphosphonates: Izvi zvinodzivirira calcium kubva mumapfupa.
- Calcimimetics: Mishonga iyi inonyengera magland eparathyroid kuti aderedze kugadzirwa kwehomoni yePTH.
- Kuchinja mararamiro: Mimwe mishonga (semuenzaniso, Thiazide diuretics, Lithium) inogona kuwedzera calcium. Saka, ungangoda kuidzivisa sekurairwa nachiremba wako.
Kurapa kweSecondary Hyperparathyroidism
Chinhu chikuru mune izvi kurapa chikonzero chikuru chechirwere ichi.
- Kana uine chirwere cheitsvo chisingaperi, ungangoda dialysis kana kuisirwa itsvo .
- Kuchinja zvekudya, kunyanya kuderedza chikafu chine phosphorus yakawanda, kunogona kukurudzirwa.
- Zvinosunga zvephosphateMishonga yakaita se phosphatidylcholinesterase inhibitors (mishonga inoderedza phosphate muropa), vhitamini D supplements, uye calcimimetics inogona kunyorerwa.
Kana kurapwa uku kukasakwanisa kudzora dambudziko racho, kubviswa kwemagland ekuvhiya kunogona kukurudzirwa.
Zvinhu zvekufunga nezvazvo kana uchirarama nechirwere ichi
Kana uine hyperparathyroidism, zvinhu izvi zvinogona kukubatsira kuti urambe uine hutano hwakanaka:
- Inwa mvura yakawanda: Kuchengetedza muviri uine mvura yakakwana kwakanakira itsvo.
- Ramba uchiita maekisesaizi: Kurovedza muviri kunogona kuchengetedza mapfupa ako akasimba.
- Chenjerera kudya kwako: Kana chiremba wako akakukurudzira kuti uderedze kudya kwako phosphorus, dzivisa kudya kunoguma ne "-phos" (semuenzaniso, calcium phosphate) pamapakeji ezvekudya.
- NezveVitamin D: Vanhu vasina Vitamin D yakakwana vanogona kukurudzirwa kutora mishonga yekuwedzera. Zvisinei, musambotora vhitamini kana imwe mishonga yekuwedzera musina kubvunza chiremba wenyu.
Chiremba wako achaongorora huwandu hwecalcium muropa rako, BP, mashandiro eitsvo, uye kuwanda kwemapfupa ako nguva nenguva (zvichida kamwe chete kana kaviri pagore).
Mharidzo Yekuenda Nayo Kumba
- Hyperparathyroidism chirwere chinokonzerwa nekuwedzera kwecalcium muropa nekuda kwekugadzirwa kwakanyanya kwehomoni yePTH neparathyroid glands.
- Zviratidzo zvakaita sekuneta nguva dzose uye kurwadziwa kwemapfupa zvinogona kuitika, uye vamwe vanhu vanogona kunge vasina zviratidzo zvachose.
- Chikonzero cheizvi chingave dambudziko negland pacharo (rekutanga) kana chimwe chirwere chakadai sechirwere cheitsvo (chechipiri).
- Nzira dzekurapa dzinosanganisira kuvhiyiwa, mishonga, uye kuchinja mararamiro. Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira.
- Kana muine kusava nechokwadi kana zviratidzo pamusoro peizvi, kurumidzai kuonana nachiremba wenyu kuti akupei mazano.
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