Tose takambonzwa kubva paudiki kuti calcium inokosha pamapfupa akasimba (kusanganisira mazino). Izvozvo ndezvechokwadi. Asi waizviziva here kuti miviri yedu inodawo huwandu hwakati hwecalcium kuti ichengetedze mitsipa yeropa, tsandanyama, uye tsinga? Pamwe bvunzo yako yeropa yazvino yakaratidza kuti calcium yako yakakwira zvakanyanya kana kuti yakaderera zvakanyanya. Kana zvakadaro, chiremba wako anogona kukupa imwe bvunzo yeropa yakakosha. Iyoyo bvunzo inoyera huwandu hwe parathyroid hormone (PTH).

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Sei chiremba ari kukukumbira kuti uite bvunzo iyi yePTH?

Zvichitaurwa zviri nyore, homoni iyi inonzi PTH chinhu chikuru chinodzora huwandu hwecalcium mumuviri wedu. Homoni iyi inogadzirwa nemagland mana madiki ari mumutsipa wedu. Tinodaidza aya magland eparathyroid. Funga nezvayo seine 'masensa' mana madiki mumutsipa wedu anodzora huwandu hwecalcium mumuviri wedu. Aya anoshanda seizvi:

Kana huwandu hwecalcium muropa rako hukadzikira , magland aya anoburitsa hormone PTH muropa rako. Iyi hormone PTH inoenda kumapfupa neitsvo yodzosera calcium muropa rako, zvichiita kuti huwandu hwecalcium hudzokere pahwakajairika.
Kana huwandu hwecalcium muropa rako hukakwira , maronda aya anomira kuburitsa hormone yePTH, iyo inomisa kuunganidzwa kwecalcium muropa.

Zvino wanzwisisa, handiti? Kana paine dambudziko ne calcium level yako, chiremba ari kuita iyi PTH test kuti aone kana chikonzero chiri dambudziko nekushanda kwema parathyroid glands kana kana paine chimwe chikonzero.

Ndezvipi zviratidzo zvekuwedzera nekuderera kwecalcium mumuviri?

Kana calcium yako isina kujairika, zvichireva kuti yakakwira zvakanyanya (Hypercalcemia) kana yakaderera zvakanyanya (Hypocalcemia), unogona kuona zviratidzo zvakasiyana. Tafura iri pazasi ichakubatsira kunzwisisa izvi zvakajeka.

Zviratidzo zve calcium yakawanda muropa (Hypercalcemia)	Zviratidzo zvekushaya calcium muropa (Hypocalcemia)
Kurwadziwa kwedumbu Nyota yakawandisa Kuita weti kakawanda Kusvotwa Kuneta kwakanyanya mumuviri Kurwadziwa kwetsandanyama Kurwadziwa kwemapfupa Matombo eitsvo	Kuora mwoyo uye kuchinja-chinja kwemanzwiro Kurwadziwa kwetsandanyama Kushaya simba mumaoko, tsoka, kana kutenderedza muromo Kusarongeka kwekurova kwemoyo

Chinhu chinonyanya kukosha ndechekuona chiremba nekukasika uye kutsvaga mazano usingaedze kuzviongorora kana uine zviratidzo izvi.

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Ndezvipi zvakanakira uye njodzi dzebvunzo iyi?

Kutaura zvazviri, kuongororwa kweropa kwePTH kuri nyore kwazvo. Hapana chikonzero chekutya. Sekunge kune chero kuongororwa kweropa, kune dzimwe njodzi diki.

Unganzwa kurwadziwa zvishoma painopinzwa tsono.
Nzvimbo yacho inogona kunge yakakuvara zvishoma kana kurwadza mushure mekuongororwa.
Kashoma, hutachiona hunogona kuitika kana kuti unganzwa kupera simba mushure mekutorwa ropa rako.

Asi kana tichienzanisa nenjodzi diki idzi, mabhenefiti ebvunzo iyi akakura zvikuru . Nekuti bvunzo iyi inogona kuudza chiremba wako kana muviri wako uri kugadzira PTH hormone yakawandisa kana kuti shoma. Inogonawo kubatsira kusimbisa kuti dambudziko harisi reparathyroid glands uye kutsvaga zvimwe zvinokonzera calcium yakawanda.

Unogadzirira sei bvunzo isati yaitwa?

Chiremba wako anogona kukukumbira kuti urege kutora mimwe mishonga kana zvimwe zvinovaka muviri, zvakaita semavhitamini necalcium, zuva rimwe kana maviri bvunzo isati yaitwa. Zvisinei, usamborega kutora chero mushonga usati watanga wabvunza chiremba wako. Unofanira kuudza chiremba wako, kunyanya kana uri kutora mishonga yemamwe matambudziko.

Nzira yekunzwisisa sei mhedzisiro?

Mushure mekunge ropa ratumirwa kurabhoritari, zvinogona kutora mazuva mashoma kuti mhinduro dzidzoke. Nguva ino inogona kusiyana zvichienderana nerabhoritari uye zvinodiwa nachiremba wako. Mazinga ePTH anowanzo kuyerwa mu picograms pa milliliter (pg/mL). Huwandu hwakajairika hunogona kusiyana zvishoma kubva kurabhoritari imwe kuenda kune imwe. Huwandu hwePTH hwemunhu ane hutano hunowanzova pakati pe10-65 pg/mL. Zvisinei, usakurumidza kusvika pamhedziso zvichibva panhamba dziri pamhedzisiro yako yekuyedzwa.Chiremba wako chete ndiye anogona kuenzanisa kukosha ikoko nemazinga ako ecalcium uye kutsanangura chaizvo zvazvinoreva. Tafura iri pazasi inopa pfungwa yezvimwe zvezvikonzero zvinowanzoita kuti PTH ive yakakwira kana yakaderera.

Mamiriro	Zvinogona Kukonzera
Kuwedzera kwePTH mazinga	Hyperparathyroidism Kushaikwa kweVitamin D Chirwere cheitsvo chisingaperi Kuderera kwecalcium mumuviri nekuda kwechimwe chikonzero chisiri parathyroid glands
Kuderera kwemazinga ePTH	Hypoparathyroidism Kuvhiyiwa kwegland Kurapa nemwaranzi Kuwanda kwesimbi Zvirwere zve autoimmune Mazinga emagnesium akaderera

Pachava nemimwe miedzo ichaitwa here inotevera?

Ehe, zvichienderana nemhedzisiro yebvunzo yePTH, ungangoda kuita mimwe miedzo yakati wandei. Zvakafanana nemupurisa anotevera imwe nzira mushure meimwe.

Semuenzaniso, kana huwandu hwePTH yako hwakakwira asi huwandu hwecalcium yako hwakaderera , zvinoreva kuti parathyroid glands yako iri kushanda, asi nekuda kwechimwe chikonzero huwandu hwecalcium yako hausi kukwira. Chiremba wako anogona kuzoongorora huwandu hwevhitamini D, phosphorus, uye magnesium yako.

Kune rumwe rutivi, kana calcium yako yakakwira uye PTH yako yakakwira , unogona kunge uine hyperparathyroidism. Chiremba wako achaita X-ray kana imwe bvunzo yemifananidzo kuti aongorore parathyroid glands yako. Vanogonawo kutsvaga kuzvimba kana bundu.

Kurapa kwechirwere ichi kunoitwa nekuvhiyiwa kubvisa gland. Zvisinei, kana chirwere chacho chisina kunyanya kuipa, kana pasina zviratidzo zvikuru zvakaita sekukuvara kweitsvo kana kushaya simba kwemapfupa, chiremba wako anogona kukupa mishonga (yakadai seCinacalcet (Sensipar) uye kukuita kuti utarise huwandu hwecalcium nePTH yako nguva nenguva .

Mharidzo Yekuenda Nayo Kumba

Kuongororwa kweropa rePTH inzira yakakosha yekuwana chikonzero chemazinga asina kujairika ecalcium muropa rako.
Iyi iongororo yeropa iri nyore kwazvo, ine njodzi shoma, saka usatye zvisina kufanira.
Usati waongororwa, udza chiremba wako nezvemishonga kana zvimwe zvinovaka muviri zvauri kutora. Usarega kutora mishonga usina kupiwa mazano nachiremba.
Kana wangowana mhinduro dzako dzebvunzo, taura nachiremba wako nezvezvinorehwa nepfungwa idzodzo uye matanho anotevera ekutora.