Xa ubusandula ukujonga iziphumo zovavanyo lwakho lwegazi, ngaba ugqirha wakho ukuxelele ukuba inqanaba lakho le-calcium liphezulu kancinci? Usenokuba awuzange uqaphele nto ingaqhelekanga okanye eyahlukileyo emzimbeni wakho. Usenokuba ucinge, "Ndiphilile, kutheni le calcium iphezulu kuphela?" Enyanisweni, abantu abaninzi bayazi ngale meko ngengozi. Ke, kweli nqaku namhlanje, siza kuthetha ngezizathu eziphambili neziqhelekileyo zokunyuka kwamanqanaba e-calcium egazini ngendlela elula neqondakalayo.
Okokuqala, masibone, zithini ezi glands ze-parathyroid?
Xa usiva eli gama, abanye abantu bacinga ukuba le yinxalenye ye-thyroid gland ngokwayo. Kodwa akunjalo. Ezi luhlobo olwahlukileyo lwe-gland. Zifumaneka entanyeni yethu, zijikeleze i-thyroid gland, ngokungathi ziyayibamba. Uninzi lwabantu lunezi ezine. Ii-gland ezine ezimile okweqanda, ezinobukhulu obufana ne-pea encinci.
Ngoko ke ezi glands zine zincinci zenza ntoni emizimbeni yethu? Ezi zilawula i-calcium emzimbeni wethu. Zisebenza njengebhola elawula inqanaba lamanzi kwitanki yethu yamanzi ekhaya. Xa inqanaba le-calcium egazini lethu lehla, ezi glands zikhupha ikhemikhali ebizwa ngokuba yiParathyroid Hormone (PTH) . Le hormone ixelela amathambo ethu, "Kulungile, ngoku nika i-calcium egazini." Ikwaxelela izintso zethu namathumbu ukuba aphinde afunxe i-calcium emzimbeni endaweni yokuyichitha. Xa inqanaba le-calcium egazini lethu libuyela kwinqanaba elifanelekileyo, ezi glands ziyayeka ukukhupha i-hormone. Ayisiyondlela imangalisayo na le?
I-calcium ibalulekile kwiseli nganye engqondweni yethu, entliziyweni, kwimithambo-luvo, emathanjeni, nakwinkqubo yokugaya ukutya ukuze isebenze kakuhle. Ngoko ke ukugcina loo nqanaba le-calcium lilungile lolona xanduva lukhulu lwala madlala mane mancinci.
Ngoko ke yintoni le parathyroid adenoma?
Ngamafutshane, i-adenoma sisimila esincinci, esingengomhlaza (esingenobungozi) . Olu hlobo lwesimila lunokwenzeka kwenye yee-gland ezine ze-parathyroid esithethe ngazo ngaphambili (ngamanye amaxesha ezingaphezu kwesinye).
Ngoku khawucinge ngento eyenzekayo xa kuvela ithumba elinje kwelinye lala madlala mane. Idlala elinethumba liqala ukusebenza ngokungalawulekiyo, lisebenza kakhulu. Lifana nomatshini oneswitshi yokuvula/yokucima ephukileyo ehlala ivula ngalo lonke ixesha. Emva koko idlala livelisa i-parathyroid hormone (PTH) eninzi kakhulu. Kwizonyango, le meko siyibiza ngokuba yiPrimary Hyperparathyroidism .
Xa le hormone iveliswa ngokugqithisileyo, ihlala ithatha i-calcium emathanjeni ize iyifake egazini. Ikwanyusa ukufunxwa kwe-calcium kwizintso nasemathunjini. Isiphumo kukuba amanqanaba e-calcium egazini ahlala ephezulu kunokuba kufuneka. Oku sikubiza ngokuba yi -hypercalcemia .
Eyona nto ibalulekileyo kukuba le adenoma ayingomhlaza. Ngoko ke akukho mfuneko yokuba uyoyike kakhulu. Nangona kunjalo, ukwanda kwe-calcium ebangelwa yiyo akulunganga kakhulu emizimbeni yethu.
Zithini iimpawu ze-calcium ephezulu egazini (i-Hypercalcemia)?
Uninzi lwexesha, akukho zimpawu kwizigaba zokuqala. Yiyo loo nto sithe kuqala abantu abaninzi bafumanisa oku ngengozi. Kodwa xa amanqanaba e-calcium egazini ephezulu ixesha elide, iimpawu ezahlukeneyo zinokuvela. Masibone ukuba zithini.
| Iimpawu zomzimba ezibangela | Izinto ezinokuviwa |
|---|---|
| Iimpawu ngokubanzi nezengqondo |
|
| Izintso kunye nenkqubo yomchamo | |
| Amathambo kunye namalungu | |
| Inkqubo yokugaya ukutya | |
| Ezinye iimpawu |
Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukucinga ukuba ngokuqinisekileyo yi-parathyroid adenoma. Ezi mpawu zinokubangelwa nazezinye iimeko. Ke ngoko, eyona nto ibalulekileyo kukubona ugqirha wakho uze uthethe naye.
Kutheni ezi thumba zenzeka? Ngubani osengozini enkulu?
Enyanisweni, kwi-90% yamatyala , akukho sizathu sicacileyo esifunyenweyo sokuphuhliswa kwezi adenomas. Kwenzeka nje. Kodwa kwipesenti encinci, malunga ne-10%, oku kunokubangelwa sisizathu semfuza esidluliselwa kwizizukulwana ngezizukulwana.
Ukongeza, kufunyenwe nezinye izinto ezininzi ezibangela umngcipheko:
- Ubudala: Le meko ixhaphake kakhulu kubantu abaneminyaka ephakathi kwama-50 nama-70 ubudala.
- Isini: Abafazi banamathuba aphindwe kathathu okufumana le meko kunamadoda.
- Ukuvezwa kwimitha: Ukuba ukhe wanyangwa ngemitha entanyeni nasentloko njengomntwana okanye uselula, umngcipheko wakho unokwanda kancinci.
- Ukunqongophala kwe-calcium: Ukungafumani i-calcium eyaneleyo ekutyeni ixesha elide nako kuthathwa njengengozi.
Kuza kwenzeka ntoni ukuba le meko ayinyangwa?
Nangona oku kungengomhlaza, ukuba akunyangwa ixesha elide, iingxaki ezahlukeneyo zinokwenzeka ngenxa yokwanda okuqhubekayo kwamanqanaba e-calcium egazini.
- I-Cardiac Arrhythmia: Ukubetha kwentliziyo kunokuba yinto engaqhelekanga.
- Ingxaki yeParathyroid: Le yimeko engaqhelekanga kodwa imbi kakhulu. Inqanaba le-calcium egazini liba phezulu kakhulu, nto leyo ekhokelela ekudidekeni kwengqondo nasekufeni.
- Ukongeza, kukho iingxaki ezihlala ixesha elide ezifana namatye ezintso kunye nokuqhekeka kwamathambo, esixoxe ngazo ngaphambili.
Ngoko ke, nokuba akukho zimpawu, ukuba ugqirha uyayibona le meko, kubaluleke kakhulu ukuyinyanga ngokufanelekileyo.
Oogqirha bayixilonga njani le nto? (Ukuxilongwa)
Inkqubo yokuxilonga esi sifo ilula kakhulu.
1. Uvavanyo lwegazi: Into yokuqala ekufuneka yenziwe kukujonga inqanaba le-calcium egazini. Ukuba liphezulu, kuya kuhlolwa inqanaba le-parathyroid hormone (PTH) egazini. Ukuba zombini ziphezulu, ukuxilongwa kuqinisekisiwe ngama-99%. Nokuba kukho iimpawu okanye akunjalo, ezi vavanyo zimbini zezona ziphambili zokuqinisekisa isifo.
2. Ezinye iimvavanyo:Nje ukuba uxilongo luqinisekisiwe, ugqirha angacebisa ukuba kwenziwe olunye uvavanyo. Olu lwenziwa ukujonga ezinye iingxaki kunye nokuceba kwangaphambili utyando.
- I-ultrasound scan yentamo: Oku kusetyenziswa ukuzama ukufumana i-gland ekhulisiweyo esebenza kakhulu.
- I-Sestamibi Scan: Olu luhlobo olukhethekileyo lwe-scan. Inani elincinci leekhemikhali lifakwa emzimbeni, kwaye indawo echanekileyo yethumba imiselwa ngokujonga indlela elibopha ngayo kwi-gland esebenzayo.
- I-Bone Densitometry (i-DEXA scan): Ilinganisa ubuthathaka bamathambo.
- Uvavanyo lomchamo lweeyure ezingama-24: Olu vavanyo lulinganisa ukuba ingakanani i-calcium ekhutshwayo kumchamo.
Khumbula, nokuba iskeni ayibonisi thumba, ukuba uvavanyo lwegazi luqinisekisa isifo, kufuneka unyango. Ngamanye amaxesha la mathumba mancinci kangangokuba awanakubonwa kwiskeni.
Zithini iindlela zonyango? Sesiphi isisombululo esingcono?
Unyango olungcono, olusebenzayo, noluhlala luhleli lwale meko kukuhlinzwa ukususa i-gland okanye amadlala angaqhelekanga. Olu tyando lubizwa ngokuba yi-parathyroidectomy . Emva kotyando, esi sifo siyanyangeka ngokupheleleyo kwiimeko ezingaphezu kwama-95%.
Ukuba andinazo iimpawu, ngaba kusafuneka ndityandwe?
Lo ngumbuzo abantu abaninzi abanawo. Ewe, utyando ludla ngokucetyiswa nokuba akukho zimpawu. Kutheni kunjalo? Kuba nokuba akukho zimpawu, ukwanda kwe-calcium egazini kubangela umonakalo emzimbeni ngaphakathi. Utyando sesona sisombululo silungileyo sokuthintela amatye ezintso kwixesha elizayo kunye ne-osteoporosis.
Lwenziwa njani olu tyando?
Oku akusoloko kuyinto enkulu neyinkimbinkimbi.
- Phantsi kwe-anesthesia epheleleyo, kwenziwa umsikelo omncinci kakhulu ngaphambili entanyeni.
- Ugqirha uhlola zonke ii-gland ezine, afumane i-gland ekhulisiweyo nengaqhelekanga, aze ayisuse.
- Ngamanye amaxesha kunokubakho iithumba kwi-glands ezimbini. Kwimeko enjalo, zombini ziyasuswa. Ukuba zonke ii-glands ezine zandisiwe (oku kubizwa ngokuba yi-hyperplasia), i-3 1/2 ye-glands iyasuswa kwaye isiqingatha esiseleyo sishiywe emzimbeni. Oku kungenxa yokuba umzimba udinga inani elincinci lezicubu ze-parathyroid ukulawula i-calcium.
- Inqanaba lehomoni ye-PTH egazini liyajongwa ngexesha lotyando. Ukuba inqanaba lehla malunga ne-50% emva kokuba indlala engaqhelekanga isusiwe, oko kuthetha ukuba utyando luphumelele.
Ngaba kukho naziphi na iingozi zotyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci. Eyona iphambili kukwehla okwethutyana kwamanqanaba e-calcium egazini (hypocalcemia) emva kotyando.Oku kunokubangela ukungaziva kakuhle kwiminwe yakho nasemlonyeni, kunye nokuziva ngathi izihlunu ziyashukuma. Kodwa akukho nto inokubangela ukukhathazeka ngayo. Ugqirha uza kukunika iipilisi ze-calcium kunye ne-vitamin D kangangeeveki ezimbalwa. Ukuba uzithatha ngokuchanekileyo, le meko iya kuthintelwa.
Kwenzeka ntoni emva kotyando?
Emva kwenyanga emva kotyando, iimpawu zakho (ezifana nokudinwa kunye neentlungu zomzimba) ziya kuba ziphelile ngokupheleleyo. Uza kuqala ukuziva ukhululekile kwaye uhlaziyekile.
Iingenelo zexesha elide zotyando zezi:
- Ubunzima bamathambo buyabuya.
- Umngcipheko oncitshisiweyo wokuqhekeka kwamathambo.
- Isusa umngcipheko wamatye ezintso.
Umyalezo Wokuya Ekhaya
- Ukuba uvavanyo lwakho lwegazi lubonisa amanqanaba aphezulu e-calcium, musa ukoyika uze ubone ugqirha. Eyona nto ixhaphakileyo yi-parathyroid adenoma.
- Le adenoma ayingomhlaza , ngoko ke musa ukuyisoyika ngokungeyomfuneko.
- Ukuxilongwa kwenziwa ngovavanyo lwegazi oluphindwe kabini. Ukubakho okanye ukungabikho kweempawu akubalulekanga ekuxilongweni.
- Unyango olungcono noluhlala luhleli koku kukususa idlala elingaqhelekanga ngotyando. Olu lunyango oluphumelele kakhulu.
- Nokuba akukho zimpawu, utyando lubalulekile ukuthintela iingxaki ezizayo ezifana namatye ezintso kunye ne-osteoporosis.
- Ukuba unemibuzo malunga noku, okanye ukuba kukho into engacacanga, thetha ngayo ngokukhululekileyo nogqirha wakho.
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