Ingaba i-calcium yakho iphezulu? Masithethe nge-Hyperparathyroidism ngokulula

Ngaba uhlala uziva ubuthathaka, unentlungu emathanjeni, okanye uphelelwa linkumbulo? Nangona sinokucinga ukuba ezi zizinto eziqhelekileyo, kusenokuba kukho isizathu sezonyango emva koku. Oko kukuthi, inqanaba le-calcium egazini liphezulu. Isizathu esiphambili soku yimeko ebizwa ngokuba yi-Hyperparathyroidism. Nangona igama lisenokuba liyinkimbinkimbi kancinci, ungoyiki. Masithethe ngayo ngokulula.

Yintoni kanye kanye i-hyperparathyroidism?

Ngamafutshane, i-Hyperparathyroidism iyenzeka xa elinye okanye ngaphezulu kwamadlala e-parathyroid emzimbeni wethu lisebenza kakhulu lize livelise i-parathyroid hormone (PTH) eninzi kakhulu.

Khawuthelekelele, entanyeni yethu, emva kwendlala yegilo, kukho amadlala amane amancinci anobukhulu beepizi. La ngamadlala esiwabiza ngokuba yiparathyroid glands. Umsebenzi wawo ophambili kukugcina inqanaba le-calcium egazini lethu kwinqanaba elithile. Akwanciphisa inqanaba le-phosphate egazini.

Ezi glands zivelisa i-hormone i-PTH kwaye zithumela imiyalezo emininzi emzimbeni wethu:

• Amathambo ethu: Igazi liwaxelela ukuba akhuphe i-calcium kunye ne-phosphate.
• Izintso zethu: Zixelelwa ukuba zinciphise ubungakanani bekhalsiyam ephuma kumchamo zize ziyibuyisele emzimbeni. Zixelelwa nokuba zikhuphe iphosphate engaphezulu kumchamo.

Emva koko, izintso zivuselela i-vitamin D zize ziyithumele emathunjini ethu. Emva koko amathumbu afunxa i-calcium ekutyeni esikutyayo.

Nangona kunjalo, xa la madlala e-parathyroid evelisa i-PTH hormone eninzi kakhulu, i-calcium eninzi ikhutshwa emathanjeni ethu, nto leyo eyenza abe buthathaka kwaye abe buthathaka. Kwakhona, le calcium igqithisileyo inokugcinwa kwizintso zethu, kwimithambo yegazi, entliziyweni, nakwezinye iindawo zomzimba. Oku kunyuka kwamanqanaba e-calcium egazini kubizwa ngokuba yi -hypercalcemia .

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, kukho iintlobo ezintathu eziphambili zeHyperparathyroidism. Zahlulwe ngokwendlela ezenzeka ngayo. Masibone ukuba zeziphi ezi.

Zithini iimpawu zoku?

Amaxesha amaninzi, abantu abanale meko abanazo iimpawu. Idla ngokufunyanwa ngengozi ngexesha lovavanyo lwegazi lwenye imeko. Nangona kunjalo, xa amanqanaba e-calcium egazini enyuka kakhulu, iimpawu ezifana nezi:

• Intlungu emathanjeni nasemalungeni
• Ubuthathaka bemisipha
• Ukudinwa nokudinwa rhoqo
• Imvakalelo efana nokudandatheka
• Ubunzima bokunikel' ingqalelo kwinto ethile
• Umnqweno wokutya
• Isicaphucaphu nokuhlanza
• Ukulahlekelwa yinkumbulo okanye ukulibala
• Ndiziva ndinxaniwe ngaphezu kwesiqhelo kwaye ndifuna ukuchama rhoqo
• Ukuqhinwa

Iingozi kunye neengxaki ezinokubakho zale meko

Amanqanaba aphezulu e-calcium egazini ixesha elide anokubangela iingxaki ezahlukeneyo.

• Amatye ezintso: Ukugcinwa kwecalcium kwizintso kunokubangela amatye ezintso.
• I-Osteoporosis: Amathambo aba buthathaka kwaye aphuke lula njengoko i-calcium ilahleka emathanjeni.
• Isifo sentliziyo: Ukufakwa kwecalcium emithanjeni yegazi nasentliziyweni kwandisa umngcipheko wezifo ezifana noxinzelelo lwegazi oluphezulu, ukuhlaselwa yintliziyo, okanye isifo sohlangothi.
• Iingxaki zesikhumba: Ukufakwa kwecalcium eluswini kunokubangela amanxeba kunye nosulelo.

Kukho izinto ezininzi ezibangela umngcipheko wokuba nale meko. Ezona zibalulekileyo kwezi kukufumana unyango lwemitha entanyeni, ukungabikho kwe-calcium okanye i-vitamin D, isifo sezintso, nokuba ngumfazi.

Indlela yokuxilonga esi sifo?

Ukuba ugqirha wakho urhanela esi sifo, uya kuyalela iimvavanyo ezininzi ukuze asiqinisekise.

• Uvavanyo lwegazi: Olu vavanyo lulinganisa amanqanaba e-calcium, i-parathyroid hormone (PTH), i-vitamin D, kunye ne-phosphate egazini lakho.
• Uvavanyo lomchamo lweeyure ezingama-24: Isampulu yomchamo eqokelelwe imini yonke isetyenziselwa ukuvavanya ubungakanani bekhalsiyam kumchamo.
• Iskeni ye-Parathyroid: Olu skeni lunokumisela ngqo ukuba yeyiphi kwezi gland zine esebenza kakhulu.
• Ezinye iiskeni: Kunokwenziwa i-ultrasound scan yezintso okanye i-bone density scan.

Iphathwa njani?

Iindlela zonyango zixhomekeke ekubeni unesifo esiphambili okanye sesibini na kunye nobunzima besifo.

Unyango lwe-Primary Hyperparathyroidism

• Utyando: Unyango olungcono noluhlala luhleli koku kukususa i-gland okanye amadlala anengxaki ngotyando. Olu tyando lubizwa ngokuba yi-parathyroidectomy . Ugqirha wakho unokuthi akucebise utyando, ingakumbi ukuba ungaphantsi kweminyaka engama-50, uneempawu eziqatha, okanye unamatshe ezintso okanye i-osteoporosis.
• Amayeza: Kwimeko apho utyando lungafunekiyo okanye lungenakwenzeka, ugqirha angakunika amayeza.
• IiBisphosphonates: Ezi zithintela i-calcium ekukhutshweni emathanjeni.
• I-Calcimimetics: La mayeza akhohlisa amadlala e-parathyroid ukuba anciphise ukuveliswa kwe-PTH hormone.
• Utshintsho kwindlela yokuphila: Amanye amayeza (umz., i-Thiazide diuretics, i-Lithium) anokunyusa amanqanaba e-calcium. Ke ngoko, unokufuna ukuwaphepha njengoko ugqirha wakho ekucebisa.

Unyango lwe-Secondary Hyperparathyroidism

Eyona nto iphambili koku kukuphatha unobangela wale meko.

• Ukuba unesifo sezintso esinganyangekiyo, ungadinga i-dialysis okanye ukufakelwa izintso .
• Utshintsho kwindlela yokutya, ingakumbi ukunciphisa ukutya okune-phosphorus eninzi, lunokucetyiswa.
• Izibopheleli zePhosphateAmayeza anjenge-phosphatidylcholinesterase inhibitors (amayeza anciphisa i-phosphate egazini), izongezo ze-vitamin D, kunye ne -calcimimetics zinokunikwa.

Ukuba olu nyango alukwazi ukulawula imeko, ukususwa kwamadlala ngotyando kunokucetyiswa.

Izinto ekufuneka uziqwalasele xa uphila nale meko

Ukuba une-hyperparathyroidism, ezi zinto zinokukunceda uhlale usempilweni:

• Sela amanzi amaninzi: Ukugcina umzimba umanzi kulungele izintso.
• Hlala ukhuthele: Ukuzilolonga kunokugcina amathambo akho omelele.
• Lumka ngokutya kwakho: Ukuba ugqirha wakho ukucebisa ukuba unciphise ukutya kwakho i-phosphorus, kuphephe ukutya okuphelela kwi-"-phos" (umz., i-calcium phosphate) kwiipakethe zokutya.
• Malunga neVithamin D: Abantu abaswele iVithamin D banokucetyiswa ukuba bathathe izongezo. Nangona kunjalo, ungaze uthathe naziphi na izongezo zeVithamin okanye ngaphandle kokubonisana nogqirha wakho.

Ugqirha wakho uza kujonga amanqanaba e-calcium egazini lakho, uxinzelelo lwegazi, ukusebenza kwezintso, kunye noxinano lwamathambo ngamaxesha athile (mhlawumbi kanye okanye kabini ngonyaka).