Kuyezetsa magazi kwa Parathyroid hormone (PTH)

Kuyesa kwa PTH kumayeza kuchuluka kwa mahomoni otchedwa parathyroid m'magazi.

PTH imayimira mahomoni osakanikirana. Ndi hormone ya protein yotulutsidwa ndi gland ya parathyroid.

Kuyesa kwa labotale kungachitike kuti muyese kuchuluka kwa PTH m'magazi anu.

Muyenera kuyesa magazi.

Funsani wothandizira zaumoyo wanu ngati muyenera kusiya kudya kapena kumwa kwa nthawi yayitali musanayese. Nthawi zambiri, simusowa kusala kapena kusiya kumwa.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

PTH imatulutsidwa ndimatenda a parathyroid. Tizilombo tating'onoting'ono tating'onoting'ono tina tomwe timapezeka m khosi, pafupi kapena kumbuyo kwa chithokomiro. Chithokomiro chimakhala pakhosi, pamwambapa pomwe makola anu amakumana pakati.

PTH imayang'anira calcium, phosphorus, ndi mavitamini D m'magazi. Ndikofunikira pakuwongolera kukula kwa mafupa. Wothandizira anu atha kuyitanitsa mayeso ngati:

• Muli ndi calcium yokwanira kapena phosphorous yotsika m'magazi anu.
• Muli ndi matenda ofooka kwa mafupa omwe sangathe kufotokozedwa kapena samayankha chithandizo.
• Muli ndi matenda a impso.

Pofuna kuthandizira kumvetsetsa ngati PTH yanu ndiyabwino, omwe amakupatsirani muyeso nthawi yomweyo amayesa calcium yanu yamagazi.

Makhalidwe abwinobwino ndi ma picogramu 10 mpaka 55 pa mamililita (pg / mL).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Phindu la PTH pamtundu woyenera likhoza kukhala losayenera pamene ma calcium a seramu ali okwera. Lankhulani ndi omwe amakupatsani zomwe zotsatira zanu zikutanthauza.

Mulingo woposa wabwinobwino ukhoza kuchitika ndi:

• Zovuta zomwe zimawonjezera phosphate kapena phosphorous m'magazi, monga matenda a impso a nthawi yayitali (aakulu)
• Kulephera kwa thupi kuyankha ku PTH (pseudohypoparathyroidism)
• Kuperewera kwa calcium, komwe kumachitika chifukwa chosadya calcium yokwanira, osamwa calcium m'matumbo, kapena kutaya kashiamu wambiri mumkodzo wanu
• Mimba kapena kuyamwitsa (zachilendo)
• Kutupa m'matumbo a parathyroid, otchedwa primary hyperparathyroidism
• Zotupa m'matumbo a parathyroid, otchedwa adenomas
• Matenda a Vitamini D, kuphatikiza kuchepa kwa dzuwa kwa okalamba komanso mavuto oyamwa, kuwonongeka, komanso kugwiritsa ntchito vitamini D mthupi

Mulingo wotsika kuposa wabwinobwino ukhoza kuchitika ndi:

• Kuchotsa mwangozi zotupa za parathyroid panthawi yochita opaleshoni ya chithokomiro
• Autoimmune chiwonongeko cha parathyroid England
• Khansa yomwe imayamba mgulu lina la thupi (monga bere, mapapo, kapena kholoni) ndipo imafalikira mpaka fupa
• Kashiamu wochuluka kwa nthawi yayitali nthawi zambiri amachokera ku zowonjezera zowonjezera calcium kapena maantibayotiki ena, omwe amakhala ndi calcium carbonate kapena sodium bicarbonate (soda)
• Matenda a parathyroid samatulutsa PTH yokwanira (hypoparathyroidism)
• Magazi otsika m'magazi
• Kutentha kwa ma gland a parathyroid
• Sarcoidosis ndi chifuwa chachikulu
• Kudya mavitamini D owonjezera

Zina mwazomwe mayeso angayitanitsidwe ndi monga:

• Angapo endocrine neoplasia (MEN) I
• Angapo endocrine neoplasia (MEN) II

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Ma punctures angapo kuti mupeze mitsempha
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Parathormone; Parathormone (PTH) molekyulu yolimba; Wokwanira PTH; Hyperparathyroidism - PTH kuyesa magazi; Hypoparathyroidism - PTH kuyesa magazi

Wotsutsa FR, Demay MB, Kronenberg HM. Mahomoni ndi zovuta zama metabolism amchere. Mu: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, olemba. Buku la Williams la Endocrinology. Wolemba 13. Philadelphia, PA: Elsevier; 2016: chap 28.

Klemm KM, Klein MJ. Zolemba zamankhwala am'mafupa. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. Philadelphia, PA: Elsevier; 2017: mutu 15.