Ukuhlolwa kwe-PTH (parathormone): ukuthi kuyini nokuthi kusho ukuthini umphumela

-Delile

• Kwenziwa kanjani ukuhlolwa
• Ungasho ukuthini umphumela

Ukuhlolwa kwe-PTH kuyacelwa ukuze kuhlolwe ukusebenza kwezindlala ze-parathyroid, okuyizindlala ezincane ezitholakala ku-thyroid ezinomsebenzi wokukhiqiza i-hormone ye-parathyroid (PTH). I-PTH ikhiqizwa ukuvikela i-hypocalcemia, okungukuthi, ukugxila okuphansi kwe-calcium egazini, okungaholela ekuqulekeni nasekuhlulekeni kwenhliziyo ezimweni ezinzima kakhulu futhi lapho kungekho ukwelashwa. Funda kabanzi mayelana nokuthi yini i-hypocalcemia nokuthi ingabangelwa yini.

Lokhu kuhlolwa akudingi ukuzila ukudla futhi kwenziwa ngesampula segazi elincane. Umthamo we-PTH ucelwa ikakhulukazi ukuxilonga i-hypo noma i-hyperparathyroidism, kodwa futhi kuyadingeka ekulandeleni iziguli ezinokwehluleka okungapheli kwezinso, futhi kuvame ukucelwa kanye nomthamo we-calcium egazini. Kubantu abangenalo ushintsho ekukhiqizeni i-parathyroid hormone, amanani ajwayelekile egazini kumele kube phakathi kuka-12 no-65 pg / mL, zingahluka ngokuya kwelabhorethri.

Yize ukulungiselela kungadingeki ngaphambi kokuhlolwa, kubalulekile ukwazisa udokotela ngokusetshenziswa kwanoma imuphi umuthi, ikakhulukazi imishanguzo yokuthambisa, njengePropofol, ngokwesibonelo, njengoba inganciphisa ukuhlushwa kwe-PTH, ngaleyo ndlela iphazamise ukutolikwa komphumela ngudokotela. Ngaphezu kwalokho, kunconywa ukuthi ukuqoqwa kwenziwe elabhoratri enokwethenjelwa noma esibhedlela enabachwepheshe abaqeqeshiwe, ngoba i-hemolysis, evame ukubangelwa amaphutha eqoqweni, ingaphazamisa umphumela wokuhlolwa.

Kwenziwa kanjani ukuhlolwa

Ukuhlolwa akudingi ukulungiswa, noma kunjalo kuyanconywa ukuthi iqoqo lenziwe ekuseni, ngoba ukuhlungwa kwalo kungahluka usuku lonke. Igazi eliqoqiwe lithunyelwa elabhorethri, lapho licutshungulwa futhi lifakwe kudivayisi lapho kwenziwa khona ukuhlaziywa. Umphumela uvame ukukhishwa cishe emahoreni angama-24 ngemuva kokuqoqwa.

I-Parathyroid hormone ikhiqizwa ngokuphendula kokugxila kwe-calcium ephansi. Isebenza emathanjeni, ezinso nasemathunjini ukwengeza ukutholakala kwe-calcium egazini nokuvikela i-hypocalcemia. Ngaphezu kwalokho, i-PTH inesibopho sokwandisa ukumuncwa kwe-vitamin D kusuka emathunjini.

Umsebenzi we-PTH ulawulwa enye i-hormone, i-calcitonin, eqala ukukhiqizwa lapho amazinga e-calcium ephezulu kakhulu, ngaleyo ndlela kunciphisa ukukhiqizwa kwe-PTH futhi kuvuselele ukukhishwa kwe-calcium emchameni, isibonelo. Qonda ukuthi kwenziwa kanjani nokuthi ukuhlolwa kwe-calcitonin kwenzelwe ini.

Ungasho ukuthini umphumela

Umphumela wokuhlolwa uhunyushwa udokotela kanye nomthamo we-calcium, ngoba ukukhiqizwa kwe-parathormone kuncike ekugxileni kwe-calcium egazini.

• I-hormone ephezulu ye-parathyroid: Imvamisa kuyinkomba ye-hyperparathyroidism, ikakhulukazi uma izinga le-calcium egazini liphezulu. Ngaphezu kwe-hyperparathyroidism, i-PTH ingaphakanyiswa esimweni sokuhluleka kwezinso okungamahlalakhona, ukushoda kukavithamini D kanye ne-hypercalciuria. Qonda ukuthi i-hyperparathyroidism iyini nokuthi ungayelapha kanjani.
• I-hormone ephansi ye-parathyroid: Kuyinkomba ye-hypoparathyroidism, ikakhulukazi uma amazinga e-calcium egazi ephansi. I-PTH ephansi noma engatholakali nayo ingakhombisa isifo se-autoimmune, ukukhula okungalungile kwezindlala noma ngemuva kwezinqubo zokuhlinzwa. Bona ukuthi yini i-hypoparathyroidism nokuthi ungayibona kanjani.

Ukuhlolwa kwe-PTH kucelwa ngudokotela lapho kusolwa i-hypo noma i-hyperparathyroidism, ngaphambi nangemva kokwenza izinqubo zokuhlinza ezibandakanya i-thyroid noma lapho kunezimpawu ze-hypo noma i-hypercalcemia, njengokukhathala nobuhlungu besisu, ngokwesibonelo. Thola ukuthi yiziphi izimbangela ezinkulu ze-calcium eyeqile egazini nokuthi uyelapha kanjani.