I-Osteitis Fibrosa Cystica

-Delile

• Kuyini i-osteitis fibrosa cystica?
• Ziyini izimbangela?
• Ziyini izimpawu?
• Kutholakala kanjani?
• Izinketho zokwelashwa
• Uyini umbono?
• Ukuvimbela nokuthatha

Kuyini i-osteitis fibrosa cystica?

I-Osteitis fibrosa cystica iyinkinga enkulu yezokwelapha ebangelwa yi-hyperparathyroidism.

Uma une-hyperparathyroidism, kusho ukuthi okungenani eyodwa yezindlala zakho ze-parathyroid yenza i-hormone enkulu kakhulu ye-parathyroid (PTH). I-hormone ibalulekile empilweni yethambo, kepha okuningi kakhulu kungenza buthakathaka amathambo akho futhi kuwenze akhubazeke.

I-Osteitis fibrosa cystica iyinkinga engajwayelekile ye-hyperparathyroidism, ethinta abantu abangaphansi kwamaphesenti ama-5 abanenkinga ye-hormone.

Ziyini izimbangela?

Unezindlala ezine ezincane ze-parathyroid entanyeni yakho. Akhiqiza i-PTH, esiza umzimba wakho ukugcina amazinga enempilo e-calcium ne-phosphorus egazini lakho nasezicutshini emzimbeni wakho wonke. Lapho amazinga e-calcium ephakeme kakhulu, izindlala ze-parathyroid zenza i-PTH encane. Uma amazinga e-calcium ehla, izindlala zandisa ukukhiqizwa kwazo kwe-PTH.

Amathambo angaphendula i-PTH ngokuhlukile. Kwezinye izimo, i-PTH ayanele ukunqoba amazinga aphansi e-calcium. Amanye amathambo angaba nezindawo ezibuthakathaka ezine-calcium encane noma engenayo nhlobo.

Kubonakala kunezimbangela ezimbili ezinkulu ze-osteitis fibrosa cystica: i-hyperparathyroidism eyinhloko kanye ne-hyperparathyroidism yesibili. Nge-hyperparathyroidism eyinhloko, kunenkinga ngezindlala ze-parathyroid. Ukukhula komdlavuza noma okungenomdlavuza kolunye lwalezi zindlala kungadala ukuthi kusebenze ngokungajwayelekile. Ezinye izimbangela ze-hyperparathyroidism eyinhloko zibandakanya i-hyperplasia noma ukukhulisa ezinye izindlala ezimbili.

I-hyperparathyroidism yesibili ivela uma unesinye isimo sempilo esinciphisa amazinga akho e-calcium. Ngenxa yalokhu, izindlala ze-parathyroid zisebenza kanzima ukuzama ukukhulisa i-calcium yakho. Izimbangela ezimbili ezibalulekile ze-calcium ephansi ukuswelakala kukavithamini D kanye nokushoda kwe-calcium yokudla.

UVitamin D usiza ukulinganisela amazinga akho e-calcium. Uma ungatholi uvithamini D owanele ekudleni kwakho noma ungatholi ukukhanya kwelanga okwanele (umzimba wakho uguqula ukukhanya kwelanga kube uvithamini D), amazinga akho e-calcium angahla kakhulu. Ngokufanayo, uma ungadli imithombo yokudla eyanele ye-calcium (isipinashi, ubisi, ubhontshisi, phakathi kokunye), amazinga aphansi e-calcium angadala ukukhiqizwa ngokweqile kwe-PTH.

Ziyini izimpawu?

Uphawu olubi kakhulu lwe-osteitis fibrosa cystica ukuqhekeka kwangempela kwethambo. Kodwa ngaphambi kokuba lokho kwenzeke, ungabona ubuhlungu besithambo nobumnene, kanye nalezi zimpawu:

• isicanucanu
• ukuqunjelwa
• ukuchama kaningi
• ukukhathala
• ubuthakathaka

Kutholakala kanjani?

Uma udokotela wakho esola ukungalingani kwamaminerali, ngokujwayelekile bazo-oda ukuhlolwa kwegazi. Udokotela wakho angahlola amazinga e-calcium, i-phosphorus, i-PTH, ne-alkaline phosphatase, ikhemikhali lamathambo kanye nomaka wempilo yethambo.

I-X-ray ingadalula ukuqhekeka kwamathambo noma izindawo zokuncipha kwamathambo. Lezi zithombe zingakhombisa nokuthi amathambo ayakhothama noma akhubazeka ngenye indlela. Uma une-hyperparathyroidism, usengozini enkulu ye-osteoporosis, okuyisimo lapho amathambo eba mancane khona. Imvamisa ihlobene nezinguquko zamahomoni ezilethwa ukunqamuka kokuya esikhathini nokuguga.

Izinketho zokwelashwa

Uma i-osteitis fibrosa cystica yakho ingumphumela wendlala engajwayelekile ye-parathyroid, inketho yakho yokwelashwa engcono kakhulu kungaba ukuthi isuswe ngokuhlinzwa. Lokhu kaningi kungenziwa ngokuphepha nangempumelelo. Ezinye izindlala ze-parathyroid zingakwazi ukukhiqiza amazinga anele we-PTH ukukhokhela ukulahleka kwendlala eyodwa.

Uma ukuhlinzwa kungeyona inketho noma ungafuni ukukhishwa indlala, imishanguzo inganele ukwelapha isimo sakho. I-Calcimetics yizidakamizwa ezilingisa i-calcium egazini. Basiza "ukukhohlisa" indlala ye-parathyroid ukuthi ikhiqize i-PTH encane. Ama-bisphosphonates nawo anqunyelwe kubantu ababhekene nokulahleka kwamathambo, kepha enzelwe ukusetshenziswa kwesikhashana nje.

Ukwelashwa kokufaka esikhundleni seHormone kungasiza futhi amathambo ukuthi agcine i-calcium eningi kwabesifazane abadlulayo noma abasanda kudlula esikhathini sokuya esikhathini.

Uyini umbono?

I-hyperparathyroidism yangaphambilini itholakala futhi yelashwe, kukhulu amathuba okunciphisa umonakalo odalwe yi-osteitis fibrosa cystica. Ukuthatha imishanguzo ukuze uthuthukise amandla amathambo kungaba usizo olukhulu. Uma uthatha ezinye izinyathelo, njengokuzivocavoca okunesisindo nokukhulisa ukudla kwakho kwe-calcium nevithamini D, ungakwazi ukunqoba izinkinga ezihlobene namathambo ezihambisana ne-hyperparathyroidism.

Ukuvimbela nokuthatha

Uma uzizwa ukuthi ukudla kwakho akunalo uvithamini D noma i-calcium, khuluma nodokotela wakho noma isazi sokudla mayelana nokuthi ungasishintsha kanjani isitayela sakho sokudla. Kufanele futhi uxoxe nodokotela wakho ngokushiswa yilanga, ikakhulukazi uma uhlala endaweni esenyakatho lapho ukukhanya kwelanga ebusika kukuncane.

Ungathatha isinyathelo esisebenzayo ngokwengeziwe ekuphatheni amazinga akho e-calcium ngokuba nomsebenzi wegazi ojwayelekile. Ukuhlolwa kwegazi okukhombisa amazinga aphansi e-calcium kungashukumisela udokotela wakho ukuthi ancome izithasiselo ze-calcium novithamini D noma aqhubeke nokuhlola impilo yakho yethambo.

Kufanele futhi ubone udokotela wakho ngokushesha nje lapho uzwa noma yibuphi ubuhlungu noma isisa emathanjeni akho. Unokukhetha ukuphatha impilo yakho yethambo futhi uthuthukise amazinga akho e-calcium. Uma usebenze ngalezi zinto, ungagwema ukuphuka nezinye izinkinga ezingakhawulela ukuhamba kwakho nekhwalithi yakho yempilo.