Osteitis Fibrosa Cystica

Zamkati

• Kodi osteitis fibrosa cystica ndi chiyani?
• Zimayambitsa ndi chiyani?
• Zizindikiro zake ndi ziti?
• Kodi amapezeka bwanji?
• Njira zothandizira
• Maganizo ake ndi otani?
• Kupewa ndi kutenga

Kodi osteitis fibrosa cystica ndi chiyani?

Osteitis fibrosa cystica ndi vuto lalikulu lachipatala lomwe limabwera chifukwa cha hyperparathyroidism.

Ngati muli ndi hyperparathyroidism, zikutanthauza kuti chimodzi mwazilonda zanu zopanga parathyroid chimapanga mahomoni ambiri a parathyroid (PTH). Mahomoniwa ndi ofunikira pa thanzi la mafupa, koma zochulukirapo zimatha kufooketsa mafupa anu ndikuwapangitsa kukhala opunduka.

Osteitis fibrosa cystica ndizovuta zachilendo za hyperparathyroidism, zomwe zimakhudza anthu ochepera 5% omwe ali ndi vuto la mahomoni.

Zimayambitsa ndi chiyani?

Muli ndi tiziwalo ting'onoting'ono ting'onoting'ono tating'onoting'ono m'khosi mwanu. Amapanga PTH, yomwe imathandizira thupi lanu kukhala ndi calcium komanso phosphorous m'magazi anu komanso mthupi lanu lonse. Mlingo wa calcium ikakwera kwambiri, ma gland a parathyroid amachepetsa PTH. Ngati calcium ikuchepa, tiziwalo timene timatulutsa timatulutsa kuchuluka kwa PTH.

Mafupa amatha kuyankha PTH mosiyana. Nthawi zina, PTH sikokwanira kuthana ndi calcium yotsika. Mafupa ena amatha kukhala ndi malo ofooka opanda calcium kapena ochepa.

Zikuwoneka kuti pali zifukwa ziwiri zazikuluzikulu za osteitis fibrosa cystica: chachikulu hyperparathyroidism ndi yachiwiri hyperparathyroidism. Ndi vuto la hyperparathyroidism, pali vuto ndi zopangitsa za parathyroid. Kukula kwa khansa kapena khansa pachimodzi mwazifukwazi kumatha kuyipangitsa kuti igwire bwino ntchito. Zina mwazomwe zimayambitsa hyperparathyroidism zimaphatikizapo hyperplasia kapena kukulitsa kwamatenda ena awiri.

Secondary hyperparathyroidism imachitika mukakhala ndi thanzi lina lomwe limachepetsa calcium yanu. Zotsatira zake, ma gland a parathyroid amagwira ntchito molimbika kuti athe kukulitsa calcium yanu. Zina mwazomwe zimayambitsa calcium yocheperako ndi kuchepa kwa vitamini D komanso kuchepa kwa calcium.

Vitamini D imathandizira kuchepetsa calcium yanu. Ngati simupeza vitamini D wokwanira pazakudya zanu kapena simukhala ndi dzuwa lokwanira (thupi lanu limasintha dzuwa kukhala vitamini D), calcium yanu imatha kutsika kwambiri. Momwemonso, ngati simukudya chakudya chokwanira cha calcium (sipinachi, mkaka, soya, pakati pa ena), kuchepa kwa calcium kumatha kuyambitsa kuchuluka kwa PTH.

Zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha osteitis fibrosa cystica ndikuphwanya kwenikweni kwa mafupa. Koma izi zisanachitike, mutha kuwona kupweteka kwa mafupa ndi kukoma mtima, komanso izi:

• nseru
• kudzimbidwa
• kukodza pafupipafupi
• kutopa
• kufooka

Kodi amapezeka bwanji?

Ngati dokotala akukayikira kuchepa kwa mchere, nthawi zambiri amayitanitsa kuyesa magazi. Dokotala wanu amatha kuwona kuchuluka kwa calcium, phosphorous, PTH, ndi alkaline phosphatase, mankhwala am'mafupa komanso chikhomo cha mafupa.

X-ray imatha kuwulula mafupa kapena mafupa. Zithunzizi zitha kuwonetsanso ngati mafupa akugwada kapena kukhala olumala. Ngati muli ndi hyperparathyroidism, muli pachiwopsezo chachikulu cha kufooka kwa mafupa, komwe mafupa amakhala owopsa.Kawirikawiri zimakhudzana ndi kusintha kwa mahomoni komwe kumabwera chifukwa cha kusamba ndi ukalamba.

Njira zothandizira

Ngati matenda anu a osteitis fibrosa cystica amayamba chifukwa cha matenda amtundu wa parathyroid, njira yabwino kwambiri yothandizira mwina ndi kuchotsedwa opaleshoni. Izi nthawi zambiri zimatheka mosamala komanso moyenera. Matenda ena oterewa amatha kutulutsa PTH yokwanira kubwezera vuto limodzi.

Ngati opaleshoni siyosankha kapena simukufuna kuchotsa gland, mankhwala akhoza kukhala okwanira kuthana ndi vuto lanu. Calcimetics ndi mankhwala omwe amatsanzira calcium m'magazi. Amathandizira "kunyengerera" gland wothandizira kuti apange PTH yochepa. Bisphosphonates amaperekedwanso kwa anthu omwe akuwonongeka ndi mafupa, koma amangogwiritsidwa ntchito kwakanthawi kochepa.

Mankhwala obwezeretsa mahormone amathanso kuthandizira mafupa kusunga calcium yambiri mwa amayi omwe akudutsa kapena omwe atha kumene kusamba.

Maganizo ake ndi otani?

Matenda a hyperparathyroidism am'mbuyomu amapezeka ndipo amachiritsidwa, amakhala ndi mwayi wochepetsa zovuta zomwe zimayambitsidwa ndi osteitis fibrosa cystica. Kumwa mankhwala kuti mukhale ndi mphamvu zamafupa kungakuthandizeni kwambiri. Ngati mungachitepo zina, monga kuchita masewera olimbitsa thupi komanso kupititsa patsogolo calcium ndi vitamini D, mutha kuthana ndi zovuta zokhudzana ndi mafupa zomwe zimakhudzana ndi hyperparathyroidism.

Kupewa ndi kutenga

Ngati mukuwona kuti chakudya chanu chikusowa vitamini D kapena calcium, kambiranani ndi dokotala wanu kapena katswiri wazakudya za momwe mungasinthire momwe mumadyera. Muyeneranso kukambirana za kupezeka kwa dzuwa ndi dokotala wanu, makamaka ngati mumakhala kumpoto komwe kuwala kwa dzuwa kumakhala kochepa.

Mutha kuchitapo kanthu poyeserera kuchuluka kwama calcium mwakukhala ndi magazi nthawi zonse. Kuyezetsa magazi komwe kumawonetsa kuchepa kwa calcium kumatha kupangitsa dokotala wanu kuti akupatseni zowonjezera mavitamini ndi vitamini D kapena kupitiliza kuyesa mafupa anu.

Muyeneranso kukaonana ndi dokotala mukangomva kupweteka kapena kukoma m'mafupa anu. Muli ndi mwayi wosamalira thanzi lanu komanso kukonza kashiamu. Ngati mukuchita chidwi ndi zinthu izi, mutha kupewa kuphulika komanso zovuta zina zomwe zingachepetse kuyenda kwanu komanso moyo wanu wabwino.