I-Parathyroidism eyinhloko

-Delile

• Ziyini izimpawu ze-hyperparathyroidism eyinhloko?
• Yini ebangela i-hyperparathyroidism eyinhloko?
• Adenoma
• Ukwandiswa kwe-Parathyroid gland
• Umdlavuza weParathyroid
• Itholakala kanjani i-hyperparathyroidism eyinhloko?
• Yelashwa kanjani ngokuyinhloko i-hyperparathyroidism?
• Ukuthatha

Yini i-hyperparathyroidism eyinhloko?

Izindlala ze-parathyroid yizindlala ezine ezincane eziseduze noma ngemuva kwendlala yegilo engezansi kwe-apula lika-Adam. (Yebo, abesifazane banalo i-aphula lika-Adam. Lincane nje kunelowesilisa.) Lezi zindlala zikhiqiza i-hormone ebizwa ngokuthi yi-parathyroid hormone (PTH).

Izindlala ze-parathyroid zilawula amazinga we-calcium, i-phosphorus, ne-vitamin D emzimbeni. Isisusa esiyinhloko sokukhishwa noma ukukhiqizwa kwe-PTH yizinga le-calcium egazini. I-PTH isiza ukulawula inani le-calcium emzimbeni. Uma izinga lakho le-calcium liba liphansi kakhulu, i-PTH isiza ukuletha i-calcium eningi egazini lakho. Lokhu ikwenza ngokwandisa ukubuyiselwa kabusha kwe-calcium emathunjini nasemathanjeni. I-PTH ibuye inciphise inani le-calcium elahlekile emchameni.

Izindlala zakho ze-parathyroid ngokuvamile zincane kakhulu. Ngokuvamile cishe alingana nohlamvu olulodwa lwelayisi. Kwesinye isikhathi, eyodwa noma ngaphezulu yezindlala iyakhuliswa. Bese ikhiqiza i-PTH eningi kakhulu. Kwezinye izimo, ukukhula kwesinye salezi zindlala kungadala ukuthi ikhiqize inani lenyukile le-PTH.

I-PTH eningi iholela ku-calcium eningi egazini lakho. Lesi simo sibizwa ngokuthi yi-hypercalcemia. Kungadala izimpawu ezahlukahlukene, kufaka phakathi:

• ukuchama kaningi
• izinkinga zesisu
• ukudideka
• ukukhathala

Ziyini izimpawu ze-hyperparathyroidism eyinhloko?

I-hyperparathyroidism eyinhloko kaningi ayinazo izimpawu. Uma izimpawu zikhona, ngokuvamile zimnene kakhulu. I-hyperparathyroidism eyinhloko itholakala ikakhulukazi kwabesifazane be-postmenopausal, ngokusho kocwaningo olushicilelwe ku-International Journal of Endocrinology.Umfutho wegazi ophakeme uvame ukuhambisana ne-hyperparathyroidism. Uma welapha i-hyperparathyroidism yakho, umfutho wegazi lakho kungenzeka wehle.

Izimpawu ezenzeka nge-hyperparathyroidism ngokuvamile azicacisi. Lokhu kusho ukuthi abakhethi kulesi simo kuphela. Isibonelo, ungahlangabezana:

• ubuthakathaka bemisipha
• ukukhathala
• ukukhathala
• ubuhlungu emisipheni yakho
• ukudana

Uma isimo sakho sinzima kakhulu, ungahle uhlangabezane nalokhu:

• amatshe ezinso, ngenxa
• ukuchama kaningi
• isisu, noma isisu, ubuhlungu
• isicanucanu nokuhlanza
• ukudideka
• inkumbulo engasebenzi kahle
• izinguquko zobuntu
• ukuqunjelwa
• ukuncipha kwamathambo nokuqhekeka
• ikhoma (ezimweni ezingavamile)

Yini ebangela i-hyperparathyroidism eyinhloko?

I-hyperparathyroidism eyinhloko ivela lapho izindlala zakho ze-parathyroid zikhiqiza i-PTH eningi kakhulu. Izimo ezahlukahlukene zingaholela ku-hyperparathyroidism, njengokulandelayo.

Adenoma

I-adenoma iyisimila esingenomdlavuza kwesinye salezi zindlala. Lezi zicubu ziyimbangela ejwayelekile kakhulu ye-hyperparathyroidism eyinhloko.

Ukwandiswa kwe-Parathyroid gland

Kwezinye izimo, ukukhuliswa okungenani kwezindlala zakho ezimbili ezi-parathyroid kungaholela ku-hyperparathyroidism. Odokotela kaningi abazi ukuthi yini ebangela lokhu kunwetshwa.

Umdlavuza weParathyroid

Ezimweni ezingavamile, umdlavuza we-parathyroid ungadala ukwandiswa kwesinye sezindlala ze-parathyroid. Lezi zicubu zingadala i-hyperparathyroidism.

Itholakala kanjani i-hyperparathyroidism eyinhloko?

I-hyperparathyroidism eyinhloko ivame ukutholakala ngokuhlolwa kwegazi. Izimpawu zalesi simo zifaka:

• i-PTH ephakeme
• i-calcium ephakeme yegazi
• i-alkaline phosphatase ephakeme, iphrotheni etholakala ethanjeni nasesibindi
• amazinga aphansi we-phosphorus

Lapho udokotela wakho esola i-hyperparathyroidism, mhlawumbe bazohlola ukuminyana kwethambo lakho. Ukuba ne-PTH eningi kukhuphula amazinga e-calcium egazini lakho. Umzimba wakho udonsa le calcium emathanjeni akho. Ama-X-ray angasiza udokotela wakho ukuthi abone izinkinga zamathambo, njengokuqhekeka nokuncipha.

Yelashwa kanjani ngokuyinhloko i-hyperparathyroidism?

Ubukhulu be-hyperparathyroidism eyinhloko bungahluka kakhulu. Ayikho indlela eyodwa yokwelashwa efanelekile kuwo wonke amacala. Udokotela wakho uzosebenzisana nawe ukuthola ukuthi yini okungcono kakhulu ecaleni lakho.

Uma ungenazo izimpawu, ungahle ungadingi ukwelashwa ngokushesha. Esikhundleni salokho, udokotela wakho angavele aqaphe isimo sakho ukuze aqiniseke ukuthi asibi sibi. Bangase baqaphe:

• amazinga e-calcium
• ukusebenza kwezinso
• ukuminyana kwamathambo
• noma ngabe usuqalile ukuthuthukisa amatshe ezinso

Uma udinga ukwelashwa, ukuhlinzwa kuyindlela yokwelashwa ejwayelekile kakhulu futhi kuholela ekwelapheni cishe kuzo zonke izimo. Kususwa izindlala ezithintekile kuphela. Uma zonke izindlala ezine zikhulisiwe, ingxenye yesinye sezindlala izosala emzimbeni ngakho-ke usazoba nezicubu ze-parathyroid ezisebenzayo.

Udokotela wakho angase asikisele ukuhlinzwa uma:

• ileveli yakho ye-calcium ingaphezu kwe-1.0 milligram nge-desilitha ngayinye (mg / dL) ngaphezu kwebanga elijwayelekile elingu-8.5-10.2 mg / dL, ngaphandle kwezimpawu
• ubukhulu bamathambo akho buphansi kakhulu
• unezimpawu ezihlobene nezinga eliphezulu le-calcium
• ungaphansi kweminyaka engama-50 ubudala

Kwesinye isikhathi kunconywa imithi yokusiza ukuvimbela ezinye zezinkinga ezihambisana ne-hyperparathyroidism eyinhloko. Ngokwesibonelo:

• Ama-bisphosphonates, afana ne-alendronate (Fosamax), asiza ukunciphisa ukwehla kwamathambo.
• ICinacalcet (iSensipar) isiza ukulinganisa amazinga e-calcium egazini.

Ukwelashwa kwe-Estrogen kungabekwa kwabesifazane be-postmenopausal.

Ukuthatha

I-Hyperparathyroidism yisimo lapho izindlala zakho ze-parathyroid zikhiqiza i-hormone eningi kakhulu emzimbeni wakho. Lokhu kubangela ukuthi amazinga akho e-calcium akhuphuke, okungaholela ekunciphiseni kwamathambo nokuqhekeka, izinkinga zesisu, nokudangala. Imvamisa azikho izimpawu zokuqala. Uma ukwelashwa kudingekile ngokwezokwelapha, kunconywa ukuhlinzwa futhi kuvame ukwelashwa.