Calcium yako yakakwira here? Ingava parathyroid adenoma here?

Pawakatarisa mhinduro dzeropa rako munguva pfupi yapfuura, chiremba wako akakuudza here kuti huwandu hwecalcium mumuviri wako hwaive hwakakwira zvishoma? Ungave usina kuona chimwe chinhu chisina kujairika kana chakasiyana mumuviri wako. Ungave wakafunga kuti, "Ndiri bho, sei calcium iyi yakakwira chete?" Kutaura zvazviri, vanhu vazhinji vanosvika pakuziva nezvechirwere ichi netsaona. Saka, munyaya ino nhasi, tichataura nezvezvikonzero zvikuru uye zvakajairika zvekuwedzera kwehuwandu hwecalcium muropa nenzira iri nyore uye inonzwisisika.

Kutanga, ngationei, chii chinonzi parathyroid glands idzi?

Paunonzwa zita iri, vamwe vanhu vanofunga kuti iri chikamu chegland re thyroid pacharo. Asi handizvo zvazviri. Idzi imhando yakasiyana yegland. Dziri mumutsipa wedu, dzakatenderedza gland re thyroid, sekunge dziri kurimbundira. Vanhu vazhinji vane ina dzadzo. Gland ina dzakaita sedenderedzwa reovheni, dzine saizi yepizi diki.

Saka magland aya mana madiki anoitei kumiviri yedu? Aya ndiwo magadzirirwo ecalcium mumuviri wedu. Anoshanda sebhora rinodzora huwandu hwemvura mutangi redu remvura kumba. Kana huwandu hwecalcium muropa redu hwaderera, magland aya anoburitsa kemikari inonzi Parathyroid Hormone (PTH) . Iyi hormone inoudza mapfupa edu kuti, "Zvakanaka, ipai calcium muropa." Inoudzawo itsvo dzedu neura kuti zvitorezve calcium mumuviri pane kuiparadza. Kana huwandu hwecalcium muropa redu hwadzokera padanho rakakodzera, magland aya anorega kuburitsa hormone. Hazvisi zvinhu zvinoshamisa here?

Calcium inokosha kuti sero rega rega riri muuropi hwedu, mwoyo, tsinga, mapfupa, uye kugaya chikafu zvishande zvakanaka. Saka kuchengetedza huwandu hwecalcium hwakakodzera ndiro basa guru remagland aya mana madiki.

Saka chii chinonzi parathyroid adenoma iyi?

Zvichitaurwa zviri nyore, adenoma ibundu diki, risiri rekenza (risina njodzi) . Rudzi urwu rwebundu runogona kuitika mune rimwe remagland mana eparathyroid atakataura nezvaro kare (dzimwe nguva anopfuura rimwe chete).

Fungidzira zvinoitika kana bundu rakadai rikabuda mune rimwe rema glands mana iwayo. Gland rine bundu rinotanga kushanda zvisingadzoreki, richiita basa rakawandisa. Zvakafanana nemuchina une switch yakatyoka yekudzima/kudzima iyo inoramba ichibatidzwa nguva dzese. Ipapo gland rinoburitsa parathyroid hormone yakawandisa (PTH). Mukurapa, tinodana chirwere ichi kuti Primary Hyperparathyroidism .

Kana hormone iyi ikagadzirwa yakawandisa, inogara ichitora calcium kubva mumapfupa yoiisa muropa. Inowedzerawo kunyudzwa kwecalcium kubva muitsvo nemuura. Mugumisiro wekupedzisira ndewekuti huwandu hwecalcium muropa hunogara hwakakwira kupfuura zvinodiwa. Tinoti izvi hypercalcemia .

Ndezvipi zviratidzo zve hypercalcemia (calcium yakawanda muropa)?

Kazhinji, hapana zviratidzo zvinoonekwa pakutanga. Ndosaka takatanga tati vanhu vazhinji vanozviwana netsaona. Asi kana huwandu hwecalcium muropa hwakwira kwenguva yakareba, zviratidzo zvakasiyana-siyana zvinogona kuoneka. Ngationei kuti chii.

Kana uine chimwe chezviratidzo izvi kana kupfuura, usafunge kuti i parathyroid adenoma. Zviratidzo izvi zvinogonawo kukonzerwa nezvimwe zvirwere. Saka, chinhu chakakosha ndechekuona chiremba wako wotaura nezvazvo.

Sei mabundu aya achiitika? Ndiani ari panjodzi huru?

Kutaura zvazviri, mu90% yezviitiko , hapana chikonzero chakajeka chakawanikwa chekukura kweadenomas idzi. Zvinongoitika chete. Asi muchikamu chidiki, chinenge 10%, izvi zvinogona kukonzerwa nechikonzero chemajini chinopfuudzwa nezvizvarwa.

Pamusoro pezvo, zvimwe zvinhu zvakawanikwa zvichiwedzera njodzi:

• Zera: Chirwere ichi chinowanzoitika kuvanhu vane makore ari pakati pe50 ne70.
• Murume kana Mukadzi: Vakadzi vane mukana wekuwana chirwere ichi kanenge katatu kupfuura varume.
• Kusangana nemwaranzi: Kana wakamborapwa nemwaranzi mumutsipa nemumusoro uri mwana kana kuti uri mudiki, njodzi yako inogona kuwedzera zvishoma.
• Kushaikwa kwecalcium: Kusawana calcium yakakwana kubva mukudya kwenguva yakareba kunoonekwawo senjodzi.

Chii chinoitika kana chirwere ichi chikasarapwa?

Kunyangwe iyi isiri kenza, kana ikasiyiwa isina kurapwa kwenguva yakareba, matambudziko akasiyana-siyana anogona kuitika nekuda kwekuwedzera kuri kuramba kuripo kwecalcium muropa.

• Cardiac Arrhythmia: Kurova kwemoyo kunogona kutadza kurongeka.
• Dambudziko reParathyroid: Ichi chirwere chisingawanzoitiki asi chakakomba. Calcium muropa inokwira zvakanyanya, zvichiita kuti munhu avhiringidzike mupfungwa uye ave pakoma.
• Pamusoro pezvo, kune matambudziko enguva refu akadai sematombo eitsvo uye kutyoka kwemapfupa, zvatakakurukura kare.

Saka, kunyangwe pasina zviratidzo, kana chiremba akaona chirwere ichi, zvakakosha kuti chirapwe nemazvo.

Vanachiremba vanoongorora sei izvi? (Kuongororwa)

Maitiro ekuongorora chirwere ichi ari nyore kwazvo.

1. Kuongororwa kweropa: Chinhu chekutanga chekuita ndechekuongorora huwandu hwecalcium muropa. Kana yakakwira, ipapo huwandu hweparathyroid hormone (PTH) muropa hunoongororwa. Kana zvese zviri zviviri zvakakwirira, kuongororwa kweropa kunova nechokwadi che99%. Kunyangwe paine zviratidzo kana kwete, kuongororwa kweropa uku ndiko kukuru kusimbisa chirwere.

2. Mimwe miedzo:Kana chirwere chacho changosimbiswa, chiremba anogona kukurudzira kuti pave neongororo dzakawanda. Izvi zvinoitirwa kutarisa zvimwe zvinetso uye kuronga kuvhiyiwa pachine nguva.

• Kuongororwa kwemutsipa neultrasound: Izvi zvinoshandiswa kuyedza kuwana gland rakakura rinoshanda zvakanyanya.
• Sestamibi Scan: Iyi imhando yescan yakasarudzika. Kemikari shoma inopinzwa mumuviri, uye nzvimbo chaiyo yebundu inoonekwa nekutarisa kuti rinobatana sei negland rinoita basa.
• Kuongororwa kweBone Densitometry (DEXA scan): Kunoongorora kuti mapfupa haana simba zvakadii.
• Kuongororwa kweweti kwemaawa makumi maviri nemana: Izvi zvinoyera huwandu hwecalcium inobuda muweti.

Mishonga yacho ndeipi? Ndeipi mhinduro yakanakisisa?

Kurapa kwakanakisa, kunoshanda zvikuru, uye kwechigarire kwechirwere ichi kuvhiyiwa kubvisa gland kana glands zvisina kujairika. Kuvhiyiwa uku kunonzi parathyroidectomy . Mushure mekuvhiyiwa, chirwere chinorapwa zvachose muzviitiko zvinopfuura 95%.

Kana ndisina zviratidzo, ndichiri kuda kuvhiyiwa here?

Uyu mubvunzo unowanzo bvunzwa nevanhu vazhinji. Ehe, kuvhiyiwa kunowanzo kurudzirwa kunyangwe pasina zviratidzo. Sei zvakadaro? Nekuti kunyangwe pasina zviratidzo, kuwedzera kwecalcium muropa kunokonzera kukuvara kwemuviri kubva mukati. Kuvhiyiwa ndiyo mhinduro yakanakisisa yekudzivirira matombo eitsvo uye osteoporosis mune ramangwana.

Kuvhiyiwa uku kunoitwa sei?

Izvi hazviwanzo kuva basa guru, rakaoma.

• Pasi pekunzwa kuneta kwakazara, kucheka kudiki kunogadzirwa pamberi pemutsipa.
• Chiremba anoongorora magland ese mana, owana gland rakakura, risina kujairika, obva aribvisa.
• Dzimwe nguva panogona kunge paine bundu mumasero maviri. Kana zvakadaro, ese ari maviri anobviswa. Kana masero ese mana akakura (izvi zvinonzi hyperplasia), masero matatu nehafu anobviswa uye hafu yasara inosara mumuviri. Izvi zvinodaro nekuti muviri unoda chidimbu chidiki che parathyroid tissue kuti udzore calcium.
• Huwandu hwehomoni yePTH muropa hunoongororwa panguva yekuvhiyiwa. Kana huwandu hwacho hukadzikira ne50% mushure mekunge gland risina kunaka rabviswa, zvinoreva kuti kuvhiyiwa kwacho kwakabudirira.

Pane njodzi here pakuvhiyiwa?

Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi diki. Chinhu chikuru ndechekudzikira kwechinguva kwehuwandu hwecalcium muropa (hypocalcemia) mushure mekuvhiyiwa.Izvi zvinogona kukonzera kusanzwa zvakanaka muminwe nemuromo, uye kunzwa sekunge tsandanyama dziri kudhonzwa. Asi hapana chekunetseka nazvo. Chiremba achakupa mapiritsi ecalcium nevhitamini D kwemavhiki mashoma. Kana ukaanwa nemazvo, dambudziko iri richadziviswa.

Chii chinoitika mushure mekuvhiyiwa?

Mwedzi mumwe chete mushure mekuvhiyiwa, zviratidzo zvako (zvakadai sekuneta nekurwadziwa kwemuviri) zvinenge zvapera zvachose. Uchatanga kunzwa zororo guru uye kudzorerwa kwesimba rako.

Mabhenefiti enguva refu ekuvhiyiwa ndeaya:

• Kuwanda kwemapfupa kunodzoka.
• Kuderedzwa kwenjodzi yekutyoka kwemapfupa.
• Inobvisa njodzi yematombo eitsvo.