Cishe usuvele uyazi ukuthi i-calcium ibaluleke kangakanani ekugcineni amathambo namazinyo ethu eqinile. Kodwa ubuwazi ukuthi i-calcium, iminerali ebalulekile, nayo idinga ukuba semazingeni ajwayelekile ukuze igcine imithambo yegazi, imisipha, kanye nesimiso sezinzwa siphilile? Uma imiphumela yakho yokuhlolwa kwegazi yakamuva ikhombisa ukuthi amazinga akho e-calcium ayephezulu kakhulu noma ephansi kakhulu, udokotela wakho kungenzeka ukuthi ucele olunye ukuhlolwa kwegazi okukhethekile. Yilokho ukuhlolwa esikhuluma ngakho namuhla, okulinganisa amazinga akho e-parathyroid hormone (PTH).
Kalula nje, iyini i-parathyroid hormone (PTH)?
Sinezindlala ezine ezincane kakhulu entanyeni yethu. Zicishe zibe usayizi wama-peas amancane. Lezi yizindlala esizibiza ngokuthi
ama-parathyroid glands . Lezi zindlala zikhiqiza i-parathyroid hormone, noma i-PTH. Umsebenzi oyinhloko waleli hormone ukulawula izinga le-calcium egazini lethu. Luhlelo olumangalisayo kakhulu. Cabanga ngale ndlela:
- Uma amazinga e -calcium egazini lakho ehla , la ma-gland akhipha i-hormone i-PTH egazini lakho. Le PTH izoqoqa i-calcium emathanjeni nasezinso zakho futhi ibuyisele amazinga akho e-calcium esimweni esijwayelekile.
- Uma amazinga e-calcium egazini lakho ekhuphuka , la ma-gland ayayeka ukukhipha i-hormone ye-PTH. Lokhu kulawula amazinga e-calcium egazini lakho.
Ngakho-ke, ukukala izinga lakho le-PTH kuyasiza kakhulu odokotela ukuthola ukuthi yini ngempela ebangela ukuthi i-calcium egazini lakho ibe phansi noma iphezulu.
Kungani udokotela angancoma lolu vivinyo?
Into eyinhloko ukunquma ukuthi imbangela yezinga lakho le-calcium egazini elingavamile iyinkinga ekusebenzeni kwezindlala ze-parathyroid noma enye imbangela. Uma izinga lakho le-PTH lihambisana nezinga lakho le-calcium, kusho ukuthi imbangela yezinga le-calcium elingavamile yinto ehlukile. Ngokuvamile, uma unezimpawu ezilandelayo, udokotela wakho angancoma lolu vivinyo lwe-PTH.
| I-Hypercalcemia - ukwanda kwe-calcium egazini | I-Hypocalcemia - i-calcium ephansi egazini |
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| Ubuhlungu besisu | Ukucindezeleka kanye nokushintshashintsha kwemizwelo njalo |
| Ukoma ngokweqile | Ukuqhaqhazela noma ukuqhaqhazela kwemisipha (Ukuqaqamba) |
| Isidingo sokuphuza njalo | Ukuba ndikindiki noma ukuqaqamba ezandleni, ezinyaweni, nasemlonyeni |
| Isicanucanu nokuhlanza | Ukuphazamiseka kwenhliziyo |
| Ukukhathala | |
| Ubuhlungu bomzimba namathambo | |
| Amatshe ezinso | |
Ingabe zikhona izingozi zalolu vivinyo?
Empeleni
zimbalwa kakhulu izingozi ezihilelekile. Njenganoma yikuphi ukuhlolwa kwegazi, ungase uzwe ubuhlungu lapho kufakwa khona inaliti. Ungase futhi uzwe amanxeba ngemva kwalokho. Abanye abantu bangase bazizwe benesiyezi kancane ngemva kokunikela ngegazi. Kodwa lokhu kuvamile kakhulu.
Inzuzo enkulu yalolu vivinyo ukuthi luvumela udokotela ukuthi azi kahle ukuthi umzimba wakho ukhiqiza i-PTH hormone eningi kakhulu noma encane kakhulu.
Lokhu kungaqinisekisa noma kususe isifo se-parathyroid. Wena nodokotela wakho ningabheka ezinye izimbangela zamazinga akho e-calcium angajwayelekile.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Yebo, udokotela wakho angakucela ukuthi uyeke ukuthatha imithi ethile noma amavithamini (izithasiselo) ngosuku olwandulela noma ngosuku lokuhlolwa. Kodwa
ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubuza udokotela wakho kuqala .
Kwenzekani ngesikhathi sokuhlolwa nangemva kwalokho?
Lena inqubo elula kakhulu. Kuthathwa igazi elincane emthanjeni osengalweni yakho. Umuntu othatha igazi uzoqala ngokubeka ibhande lerabha phezulu kwengalo yakho bese eliqinisa. Uma ucindezela ingalo yakho, imithambo yegazi izobonakala kahle. Ngemuva kwalokho, kusetshenziswa inalithi encane, kuzodonswa igazi elincane epayipini lokuhlola. Lokhu akudingi igazi eliningi. Lapho igazi lidonswa, inalithi iyasuswa bese kufakwa iplasta encane endaweni. Leli sampula legazi libe selithunyelwa elabhorethri ukuze kuhlolwe amazinga e-PTH, i-calcium, kanye namanye ama-hormone namaminerali.
Ungayiqonda kanjani imiphumela?
Kungathatha izinsuku ezimbalwa ukuthi imiphumela yokuhlolwa ibuye. Kodwa-ke, ngezinye izikhathi imiphumela ingatholakala ngokushesha, kuye ngelebhu kanye nezidingo zikadokotela. Imiphumela ivezwa ngama-picograms nge-milliliter (pg/mL). Ububanzi obujwayelekile be-PTH bungahluka kancane kusuka kwelebhu kuya kwelebhu. Ububanzi obunempilo bohlobo lwe-'molecule engasebenzi' lwe-PTH ngokuvamile buphakathi kuka
-10 - 65 pg/mL .
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ukuze uqonde kahle ukuthi izinombolo ezisemiphumeleni yakho zisho ukuthini.
Amazinga e-PTH kanye nezimbangela zawo Izinto ezingabangela amazinga aphezulu e-PTH (Hyperparathyroidism): Izinto ezingabangela amazinga aphansi e-PTH (Hypoparathyroidism):
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- Ukwehla kokusebenza kwezindlala ze-parathyroid.
- Ukuhlinzwa okuhlobene nendlala yegilo.
- Ukuchayeka emisebeni .
- Ukweqisa kwensimbi .
- Amazinga e-calcium akhuphukile egazini.
- Izifo ezizenzakalelayo .
- Amazinga aphansi e-magnesium.
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Ingabe kuzodingeka ngenze izivivinyo ezengeziwe?
Yebo, udokotela wakho angase ancome ukuhlolwa okwengeziwe kuye ngamazinga akho e-PTH kanye ne-calcium.
- Isibonelo, uma amazinga akho e-PTH ephezulu kodwa amazinga akho e-calcium ephansi, kungasho ukuthi izindlala zakho ze-parathyroid zisebenza kahle. Udokotela wakho uzobe esehlola amazinga akho e-vitamin D, i-phosphorus, kanye ne-magnesium ukuze abone ukuthi ayawathinta yini amazinga akho e-calcium.
- Ngakolunye uhlangothi, uma izinga lakho le-calcium liphezulu futhi izinga lakho le-PTH liphakeme kunokuvamile, ungase ube ne-hyperparathyroidism. Kuleso simo, udokotela wakho uzokwenza i-X-ray noma olunye ukuhlolwa kwesithombe ukuze ahlole izindlala zakho ze-parathyroid.
Uma izindlala zivuvukele noma zinesimila, ukuhlinzwa kokususa izindlala kungenziwa. Kodwa-ke, uma isimo sakho singesibi kakhulu futhi ungenazo izimpawu ezifana nezinkinga zezinso noma amathambo abuthakathaka, udokotela wakho angase afune ukuhlola amazinga akho e-calcium ne-PTH njalo. Bangase futhi bakunikeze umuthi ofana ne-Cinacalcet (Sensipar). Ezimweni ezinjalo, ukuhlinzwa kungase kungadingeki.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi le-PTH kuyindlela ebalulekile yokuthola imbangela yamazinga e-calcium angajwayelekile egazini lakho.
- Lokhu ukuhlolwa kwegazi okuvamile okunengozi encane kakhulu, ngakho-ke asikho isidingo sokwesaba.
- Udokotela wakho uzonquma ukuthi yini okufanele ayenze ngokulandelayo ngokusekelwe ezimpawini zakho, amazinga e-calcium, kanye namazinga e-PTH.
- Uma uthola imiphumela yakho yokuhlolwa, qiniseka ukuthi ukhuluma nodokotela wakho ukuze uyiqonde ngokugcwele.
- Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
I-hormone ye-parathyroid, ukuhlolwa kwe-PTH, i-calcium, ukuhlolwa kwegazi, i-hypercalcemia, i-hypocalcemia, isifo sezinso
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