Mhlawumbi sele uyazi ukuba i-calcium ibaluleke kangakanani ekugcineni amathambo namazinyo ethu eqinile. Kodwa ubusazi na ukuba i-calcium, iminerali ebalulekileyo, nayo kufuneka ibe kumanqanaba aqhelekileyo ukugcina imithambo yegazi esempilweni, izihlunu kunye nenkqubo yemithambo-luvo? Ukuba iziphumo zakho zamva nje zovavanyo lwegazi zibonise ukuba amanqanaba akho e-calcium aphezulu kakhulu okanye aphantsi kakhulu, ugqirha wakho usenokuba ucele olunye uvavanyo lwegazi olukhethekileyo. Olu luvavanyo esithetha ngalo namhlanje, olulinganisa amanqanaba akho e-parathyroid hormone (PTH).
Ngamafutshane, yintoni i-parathyroid hormone (PTH)?
Sinee-glands ezine ezincinci kakhulu entanyeni zethu. Zilingana nobukhulu bee-peas ezincinci. Ezi zizinto esizibiza ngokuba
zii-parathyroid glands . Ezi glands zivelisa i-parathyroid hormone, okanye i-PTH. Umsebenzi ophambili wale hormone kukulawula inqanaba le-calcium egazini lethu. Yinkqubo emangalisayo kakhulu. Cinga ngayo ngale ndlela:
- Xa amanqanaba e-calcium egazini lakho ehla , la madlala akhupha i-hormone i-PTH egazini lakho. Le PTH iya kuqokelela i-calcium emathanjeni nasezintsoni zakho ize ibuyisele amanqanaba akho e-calcium kwisiqhelo.
- Xa amanqanaba e-calcium egazini lakho enyuka , la madlala ayayeka ukukhupha i-PTH hormone. Oku kulawula amanqanaba e-calcium egazini lakho.
Ngoko ke, ukulinganisa inqanaba le-PTH yakho kunceda kakhulu oogqirha ukuze bafumane kanye kanye ukuba yintoni ebangela ukuba i-calcium egazini lakho ibe phantsi okanye iphezulu.
Kutheni ugqirha angacebisa olu vavanyo?
Eyona nto iphambili kukufumanisa ukuba ingaba imbangela yenqanaba lakho le-calcium egazini elingaqhelekanga yingxaki yokusebenza kwamadlala e-parathyroid okanye yenye imbangela. Ukuba inqanaba lakho le-PTH lihambelana nenqanaba lakho le-calcium, oko kuthetha ukuba imbangela yenqanaba le-calcium elingaqhelekanga yinto eyahlukileyo. Ngokwesiqhelo, ukuba uneempawu ezilandelayo, ugqirha wakho unokucebisa olu vavanyo lwe-PTH.
| I-Hypercalcemia - ukwanda kwe-calcium egazini | I-Hypocalcemia - i-calcium ephantsi egazini |
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| Intlungu yesisu | Ukudakumba kunye nokutshintshatshintsha kweemvakalelo rhoqo |
| Ukoma okugqithisileyo | Ukuxhuzula okanye ukuxhuzula kwemisipha (iiSpasms) |
| Ukudinga rhoqo ukuchama | Ukuba ndindisholo okanye ukurhawuzelela ezandleni, ezinyaweni, nasemlonyeni |
| Isicaphucaphu nokuhlanza | Ukuphazamiseka kwentliziyo |
| Ukudinwa | |
| Intlungu yomzimba namathambo | |
| Amatye ezintso | |
Ngaba kukho naziphi na iingozi kolu vavanyo?
Zimbalwa kakhulu iingozi ezibandakanyekileyo. Njengakuvavanyo lwegazi, ungaziva iintlungu ezithile apho kufakwa khona inaliti. Ungaziva nemikrwelo emva koko. Abanye abantu banokuziva benesiyezi emva kokunikela ngegazi. Kodwa oku kuqhelekile kakhulu.
Eyona nzuzo inkulu yolu vavanyo kukuba ivumela ugqirha ukuba azi kakuhle ukuba umzimba wakho uvelisa i-PTH hormone eninzi kakhulu okanye encinci kakhulu.
Oku kunokuqinisekisa okanye kuthintele isifo se-parathyroid. Wena kunye nogqirha wakho ninokukhangela ezinye izizathu zokuba amanqanaba e-calcium angaqhelekanga asebenze.
Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?
Ewe, ugqirha wakho angakucela ukuba uyeke ukuthatha amayeza athile okanye iivithamini (izongezo) ngosuku olungaphambi okanye ngosuku lovavanyo. Kodwa
ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kokubuza ugqirha wakho kuqala .
Kwenzeka ntoni ngexesha nasemva kovavanyo?
Le yindlela elula kakhulu. Kuthathwa igazi elincinci kumthambo osengalweni yakho. Umntu othatha igazi uya kuqala abeke irabha ejikeleze ingalo yakho aze ayiqinise. Xa ucinezela ingalo yakho, imithambo yegazi iya kubonakala ngokucacileyo. Emva koko, kusetyenziswa inaliti encinci, igazi elincinci liya kutsalwa kwityhubhu yovavanyo. Oku akufuni gazi lininzi. Xa igazi litsalwa, inaliti iyasuswa kwaye kufakwa iplasta encinci kuloo ndawo. Le sampulu yegazi emva koko ithunyelwa kwilabhoratri ukuze kuvavanywe amanqanaba e-PTH, i-calcium, kwaye mhlawumbi nezinye iihomoni kunye neeminerali.
Ungaziqonda njani iziphumo?
Kungathatha iintsuku ezimbalwa ukuba iziphumo zovavanyo zibuye. Nangona kunjalo, ngamanye amaxesha iziphumo zinokufunyanwa ngokukhawuleza, kuxhomekeke kwilebhu kunye neemfuno zikagqirha. Iziphumo zibonakaliswa kwii-picograms nge-milliliter (pg/mL). Uluhlu oluqhelekileyo lwe-PTH lunokwahluka kancinci kwilebhu nganye. Uluhlu olusempilweni lohlobo lwe-'molecule' olupheleleyo lwe-PTH ludla ngokuba phakathi kwe
-10 - 65 pg/mL .
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ukuze uqonde kakuhle ukuba amanani akwiziphumo zakho athetha ukuthini.
Amanqanaba e-PTH kunye nezizathu zawo Izinto ezinokubangela amanqanaba aphezulu e-PTH (Hyperparathyroidism): Izinto ezinokubangela amanqanaba aphantsi e-PTH (Hypoparathyroidism):
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- Ukungasebenzi kakuhle kweendlala ze-parathyroid.
- Ukuba notyando olunxulumene ne-thyroid gland.
- Ukuvezwa kwimitha yelanga .
- Ukugqithisa kakhulu isinyithi .
- Ukwanda kwamanqanaba e-calcium egazini.
- Izifo ezizikhusela ngokwazo emzimbeni .
- Amanqanaba aphantsi e-magnesium.
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Ngaba kuya kufuneka ndenze iimvavanyo ezingaphezulu?
Ewe, ugqirha wakho unokucebisa uvavanyo olongezelelweyo ngokuxhomekeke kumanqanaba e-PTH kunye ne-calcium yakho.
- Umzekelo, ukuba amanqanaba akho e-PTH aphezulu kodwa amanqanaba akho e-calcium aphantsi, oko kuthetha ukuba amadlala akho e-parathyroid asebenza kakuhle. Ugqirha wakho uya kujonga amanqanaba akho e-vitamin D, i-phosphorus, kunye ne-magnesium ukuze abone ukuba ayawachaphazela na amanqanaba akho e-calcium.
- Kwelinye icala, ukuba inqanaba lakho le-calcium liphezulu kwaye inqanaba lakho le-PTH liphezulu kunesiqhelo, usenokuba ne-hyperparathyroidism. Kwimeko enjalo, ugqirha wakho uya kwenza uvavanyo lwe-X-ray okanye olunye uvavanyo lomfanekiso ukuze ahlole amadlala akho e-parathyroid.
Ukuba amadlala adumbile okanye anethumba, utyando lokususa amadlala lunokwenziwa. Nangona kunjalo, ukuba imeko yakho ayinzima kwaye awunazo iimpawu ezifana neengxaki zezintso okanye amathambo abuthathaka, ugqirha wakho unokufuna ukujonga amanqanaba akho e-calcium kunye ne-PTH rhoqo. Banokukunika amayeza afana neCinacalcet (Sensipar). Kwimeko ezinjalo, utyando lusenokungabi yimfuneko.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwegazi lwe-PTH luvavanyo olubalulekileyo lokufumanisa unobangela wamanqanaba e-calcium angaqhelekanga egazini lakho.
- Olu luvavanyo lwegazi oluqhelekileyo olungenamngcipheko mkhulu, ngoko ke akukho mfuneko yokoyika.
- Ugqirha wakho uya kugqiba ukuba uza kwenza ntoni ngokulandelayo ngokusekelwe kwiimpawu zakho, amanqanaba e-calcium, kunye namanqanaba e-PTH.
- Xa ufumana iziphumo zovavanyo lwakho, qiniseka ukuba uthetha nogqirha wakho ukuze uziqonde ngokupheleleyo.
- Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
Ihomoni ye-parathyroid, uvavanyo lwe-PTH, i-calcium, uvavanyo lwegazi, i-hypercalcemia, i-hypocalcemia, isifo sezintso
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