Sonke sizwile kusukela ebuntwaneni ukuthi i-calcium ibalulekile emathanjeni aqinile (kufaka phakathi amazinyo). Kuyiqiniso lokho. Kodwa bewazi ukuthi imizimba yethu idinga nenani elithile le-calcium ukuze igcine imithambo yegazi enempilo, imisipha, kanye nesimiso sezinzwa? Mhlawumbe ukuhlolwa kwakho kwegazi kwakamuva kubonise ukuthi izinga lakho le-calcium laliphezulu kakhulu noma liphansi kakhulu. Uma kunjalo, udokotela wakho angase aphakamise okunye ukuhlolwa kwegazi okukhethekile. Lokho ukuhlolwa okulinganisa izinga le-parathyroid hormone (PTH).
Kungani udokotela ekucela ukuthi wenze lolu vivinyo lwe-PTH?
Kalula nje, le hormone ebizwa ngokuthi i-PTH iyisici esiyinhloko esilawula izinga le-calcium emzimbeni wethu. Le hormone ikhiqizwa yizindlala ezine ezincane kakhulu entanyeni yethu. Sizibiza ngokuthi lezi zindlala ze-parathyroid. Cabanga ngayo njengenezinzwa ezine ezincane entanyeni yethu ezilawula izinga le-calcium emizimbeni yethu. Lezi zisebenza kanje:
- Uma amazinga e -calcium egazini lakho ehla , la ma-gland akhipha i-hormone i-PTH egazini lakho. Le hormone i-PTH iya emathanjeni nasezinso bese ibuyisela i-calcium egazini lakho, ibuyisele amazinga e-calcium esimeni esijwayelekile.
- Uma amazinga e-calcium egazini lakho ekhuphuka , la ma-gland ayayeka ukukhipha i-hormone ye-PTH, evimba ukunqwabelana kwe-calcium okungadingekile egazini.
Manje usuyaqonda, akunjalo? Uma kunenkinga ngezinga lakho le-calcium, udokotela wenza lolu vivinyo lwe-PTH ukuthola ukuthi imbangela iyinkinga yini ekusebenzeni kwezindlala ze-parathyroid noma kukhona esinye isizathu.
Ziyini izimpawu zokwanda nokuncipha kwe-calcium emzimbeni?
Uma amazinga akho e-calcium engajwayelekile, okusho ukuthi aphezulu kakhulu (i-Hypercalcemia) noma aphansi kakhulu (i-Hypocalcemia), ungase ube nezimpawu ezithile. Ithebula elingezansi lizokusiza ukuqonde lokhu ngokucacile.
| Izimpawu ze-calcium ephezulu egazini (i-Hypercalcemia) | Izimpawu ze-calcium ephansi egazini (i-Hypocalcemia) |
|---|
| - Ukucindezeleka kanye nokushintshashintsha kwemizwelo
- Ukuqaqamba kwemisipha
- Ukuba ndikindiki ezandleni, ezinyaweni, noma emlonyeni
- Ukuphazamiseka kwenhliziyo
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Into ebaluleke kakhulu ukubonana nodokotela ngokushesha bese ucela iseluleko ngaphandle kokuzama ukuzihlola uma unalezi zimpawu.
Yiziphi izinzuzo nezingozi zalolu vivinyo?
Empeleni, lokhu kuhlolwa kwegazi kwe-PTH kulula kakhulu.
Asikho isizathu sokwesaba. Njenganoma yikuphi ukuhlolwa kwegazi, kunezingozi ezincane.
- Ungase uzwe ubuhlungu obuncane lapho kufakwa khona inaliti.
- Indawo ingase ibe nemihuzuko noma ibe buhlungu kancane ngemva kokuhlolwa.
- Akuvamile kakhulu ukuthi kube nokutheleleka noma ungase uzizwe ubuthakathaka ngemva kokukhipha igazi lakho.
Kodwa uma kuqhathaniswa nalezi zingozi ezincane,
izinzuzo zalolu vivinyo zinkulu kakhulu . Ngoba lolu vivinyo lungatshela udokotela wakho ngqo ukuthi umzimba wakho ukhiqiza i-PTH hormone eningi kakhulu noma encane kakhulu. Kungasiza futhi ukuqinisekisa ukuthi inkinga ayikho ngezindlala ze-parathyroid futhi kubhekwe ezinye izimbangela zamazinga e-calcium angajwayelekile.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Udokotela wakho angase akucele ukuthi uyeke okwesikhashana ukuthatha imithi ethile noma izithasiselo, njengevithamini ne-calcium, usuku noma ezimbili ngaphambi kokuhlolwa. Kodwa-ke,
ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho kuqala. Kufanele nakanjani utshele udokotela wakho, ikakhulukazi uma uthatha imithi yezinye izimo.
Ungayiqonda kanjani imiphumela?
Ngemva kokuba isampula yegazi selithunyelwe elabhorethri, kungathatha izinsuku ezimbalwa ukuthi imiphumela ibuye. Lesi sikhathi singahluka kuye ngelebhu kanye nezidingo zikadokotela wakho. Amazinga e-PTH avame ukulinganiswa ngama-picograms nge-milliliter (pg/mL). Ububanzi obujwayelekile bungahluka kancane kusuka elabhorethri eyodwa kuya kwenye. Izinga le-PTH lomuntu ophilile ngokuvamile liphakathi kuka-10-65 pg/mL. Kodwa-ke,
ungasheshi ufinyelele eziphethweni ngokusekelwe ezinombolweni ezisemiphumeleni yakho yokuhlolwa.Udokotela wakho kuphela ongaqhathanisa lawo manani namazinga akho e-calcium futhi achaze kahle ukuthi asho ukuthini. Ithebula elingezansi linikeza umbono wezinye zezimbangela ezivamile zamazinga aphezulu noma aphansi e-PTH.
| Isimo | Izimbangela Ezingaba Khona |
|---|
| Amazinga e-PTH akhuphukile | - I-Hyperparathyroidism
- Ukuntuleka kwevithamini D
- Isifo sezinso esingamahlalakhona
- Amazinga aphansi e-calcium ngenxa yesizathu esingesona i-parathyroid glands
|
| Amazinga e-PTH anciphile | - I-Hypoparathyroidism
- Ukuhlinzwa kwe-thyroid
- Ukwelashwa ngemisebe
- Ukweqisa kwensimbi
- Izifo ezizenzakalelayo
- Amazinga aphansi e-magnesium
|
Ingabe kuzoba nokuhlolwa okwengeziwe okuzokwenziwa ngokulandelayo?
Yebo, kuye ngemiphumela yokuhlolwa kwe-PTH, kungadingeka ukuthi wenze ezinye izivivinyo eziningana. Kufana nomseshi olandela umkhondo ngamunye ngemva komunye.
- Isibonelo, uma izinga lakho le-PTH liphezulu kodwa izinga lakho le-calcium liphansi , kusho ukuthi izindlala zakho ze-parathyroid ziyasebenza, kodwa ngesizathu esithile amazinga akho e-calcium awakhuphuki. Udokotela wakho angase ahlole amazinga akho e-vitamin D, i-phosphorus, kanye ne-magnesium.
- Ngakolunye uhlangothi, uma izinga lakho le-calcium liphezulu kanti izinga lakho le-PTH liphezulu , ungase ube ne-hyperparathyroidism. Udokotela wakho uzobe esekwenza i-X-ray noma olunye ukuhlolwa kwezithombe ukuhlola izindlala zakho ze-parathyroid. Bangase futhi babheke ukuvuvukala noma izimila.
Ukwelashwa kwalesi simo ukuhlinzwa ukuze kususwe indlala. Kodwa-ke, uma isimo singesibi kakhulu, noma uma kungekho zimpawu ezinkulu njengokulimala kwezinso noma ubuthakathaka bamathambo, udokotela wakho angase akunikeze imithi (njengeCinacalcet (Sensipar)) futhi akuvumele ukuthi uqaphe amazinga akho e-calcium ne-PTH
ngezikhathi ezithile .
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi le-PTH kuyindlela ebaluleke kakhulu yokuthola imbangela yamazinga e-calcium angajwayelekile egazini lakho.
- Lokhu ukuhlolwa kwegazi okulula kakhulu, okunengozi encane, ngakho-ke ungakwesabi ngokungadingekile.
- Ngaphambi kokuhlolwa, tshela udokotela wakho nganoma yimiphi imithi noma izithasiselo ozithathayo. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela.
- Uma usuthole imiphumela yokuhlolwa kwakho, khuluma nodokotela wakho ngencazelo yalezo zindinganiso kanye nezinyathelo ezilandelayo okufanele uzithathe.
I-PTH, i-Parathyroid Hormone, i-Calcium, Ukuhlolwa Kwegazi, i-Hypercalcemia, i-Hypocalcemia, i-Parathyroid, i-Hormone, Isifo Sezinso
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