Pulayimale Parathyroidism

Zamkati

• Kodi Zizindikiro za Hyperparathyroidism Yoyamba Ndi Ziti?
• Nchiyani chimayambitsa hyperparathyroidism yoyambirira?
• Adenoma
• Kukulitsa kwa parathyroid
• Khansa ya parathyroid
• Kodi hyperparathyroidism yoyamba imapezeka bwanji?
• Kodi hyperparathyroidism yoyamba imathandizidwa bwanji?
• Kutenga

Kodi chachikulu cha hyperparathyroidism ndi chiyani?

Zilonda za parathyroid ndizigawo zinayi zazing'ono zomwe zili pafupi kapena kumbuyo kwa chithokomiro pansi pa apulo la Adam. (Inde, azimayi ali ndi apulo ya Adam. Ndi yaying'ono kwambiri kuposa yamwamuna.) Izi zimatulutsa timadzi ta parathyroid (PTH).

Matenda a parathyroid amawongolera calcium, phosphorous, ndi vitamini D mthupi. Chimene chimayambitsa kutulutsa kapena kupanga PTH ndi mulingo wa calcium m'magazi. PTH imathandizira kuwongolera kuchuluka kwa calcium m'thupi. Ngati calcium yanu imakhala yotsika kwambiri, PTH imathandizira kubweretsa calcium yambiri m'magazi anu. Imachita izi powonjezera kuyambiranso kashiamu kuchokera m'matumbo komanso m'mafupa. PTH imachepetsanso kuchuluka kwa calcium yomwe yatayika mumkodzo.

Matenda anu a parathyroid nthawi zambiri amakhala ochepa kwambiri. Amakhala pafupifupi kukula kwa njere imodzi ya mpunga. Nthawi zina, gland imodzi kapena zingapo zimakulitsidwa. Kenako imatulutsa PTH yochulukirapo.Nthawi zina, kukula pamatendawa kumatha kuyambitsa kuchuluka kwa PTH.

Kuchuluka kwa PTH kumabweretsa calcium yambiri m'magazi anu. Matendawa amatchedwa hypercalcemia. Zitha kuyambitsa zizindikilo zosiyanasiyana, kuphatikiza:

• kukodza pafupipafupi
• mavuto am'mimba
• chisokonezo
• kutopa

Kodi Zizindikiro za Hyperparathyroidism Yoyamba Ndi Ziti?

Pulayimale hyperparathyroidism nthawi zambiri imakhala yopanda zisonyezo. Ngati zizindikiro zilipo, nthawi zambiri zimakhala zofatsa kwambiri. Pulayimale hyperparathyroidism imapezeka makamaka mwa amayi omwe atha msinkhu, malinga ndi kafukufuku wofalitsidwa mu International Journal of Endocrinology. Kuthamanga kwa magazi nthawi zambiri kumatsagana ndi hyperparathyroidism. Mukamachiza matenda anu a hyperparathyroidism, kuthamanga kwa magazi kwanu kumatha kutsika.

Zizindikiro zomwe zimachitika ndi hyperparathyroidism nthawi zambiri sizodziwika. Izi zikutanthauza kuti samangokhala pachikhalidwe ichi. Mwachitsanzo, mutha kukhala ndi:

• kufooka kwa minofu
• ulesi
• kutopa
• kupweteka kwa minofu yanu
• kukhumudwa

Ngati matenda anu ali ovuta kwambiri, mungakhalenso ndi:

• impso miyala, chifukwa cha
• kukodza pafupipafupi
• m'mimba, kapena m'mimba, kupweteka
• nseru ndi kusanza
• chisokonezo
• kukumbukira kukumbukira
• kusintha kwa umunthu
• kudzimbidwa
• kupatulira mafupa ndi kupasuka
• chikomokere (nthawi zina)

Nchiyani chimayambitsa hyperparathyroidism yoyambirira?

Pulayimale hyperparathyroidism imachitika pomwe tiziwalo tanu ta parathyroid timatulutsa PTH yochulukirapo. Zinthu zosiyanasiyana zimatha kubweretsa hyperparathyroidism, monga izi.

Adenoma

Adenoma ndi chotupa chosagwidwa ndi khansa pa umodzi mwazomwezi. Zotupa izi ndizomwe zimayambitsa matenda a hyperparathyroidism.

Kukulitsa kwa parathyroid

Nthawi zina, kukulitsa kwamatenda anu osachepera awiri kumatha kubweretsa ku hyperparathyroidism. Madokotala nthawi zambiri samadziwa chomwe chimapangitsa kukulitsa uku.

Khansa ya parathyroid

Nthawi zambiri, khansa ya parathyroid imatha kukulitsa chithokomiro chimodzi kapena zingapo. Zotupa izi zimatha kuyambitsa hyperparathyroidism.

Kodi hyperparathyroidism yoyamba imapezeka bwanji?

Pulayimale hyperparathyroidism nthawi zambiri imapezeka kudzera m'mayeso amwazi. Zizindikiro za vutoli ndi monga:

• okwera PTH
• okwera magazi calcium
• okwera amchere phosphatase, mapuloteni omwe amapezeka m'mafupa ndi chiwindi
• otsika phosphorous

Dokotala wanu akakayikira za hyperparathyroidism, mwina adzawona kuchuluka kwa mafupa anu. Kukhala ndi PTH wambiri kumakweza calcium m'magazi anu. Thupi lanu limatulutsa calcium iyi m'mafupa anu. X-ray ingathandize dokotala wanu kuzindikira mavuto a mafupa, monga kuphulika ndi kupatulira.

Kodi hyperparathyroidism yoyamba imathandizidwa bwanji?

Kukula kwa hyperparathyroidism koyambirira kumatha kusiyanasiyana. Palibe njira imodzi yokha yothandizira yoyenera milandu yonse. Dokotala wanu adzagwira nanu ntchito kuti mudziwe zomwe zingakuthandizeni payekha.

Ngati mulibe zizindikiro zilizonse, simukufunika kuthandizidwa mwachangu. M'malo mwake, dokotala wanu amangoyang'anira momwe zinthu ziliri kuti awonongeke. Atha kuwunika:

• misinkhu kashiamu
• ntchito ya impso
• kachulukidwe ka mafupa
• kaya mwayamba kupanga miyala ya impso

Ngati mukufuna chithandizo, opaleshoni ndiyo njira yodziwika bwino kwambiri yothandizira ndipo imapangitsa kuchiritsidwa pafupifupi nthawi zonse. Zilonda zokha zomwe zakhudzidwa zimachotsedwa. Ngati minyewa yonse inayi ikukulitsidwa, gawo limodzi mwazomwezi limatsalira mthupi kotero kuti mudzakhalabe ndi minofu ya parathyroid yomwe ikugwira ntchito.

Dokotala wanu angakuuzeni opaleshoni ngati:

• mulingo wanu wa calcium ndi wopitilira 1.0 milligram pa desilita (mg / dL) pamwamba pa mulingo wabwinobwino wa 8.5-10.2 mg / dL, ngakhale wopanda zisonyezo
• mafupa anu ndi otsika kwambiri
• muli ndi zizindikiro zokhudzana ndi calcium yokwanira
• ndinu ochepera zaka 50

Nthawi zina mankhwala amalimbikitsidwa kuti athetse mavuto ena omwe amabwera chifukwa cha hyperparathyroidism. Mwachitsanzo:

• Bisphosphonates, monga alendronate (Fosamax), amathandizira kuchepa kwa mafupa.
• Cinacalcet (Sensipar) imathandizira kukhazikika kwama calcium m'magazi.

Mankhwala a Estrogen amatha kuperekedwa kwa azimayi omwe atha msambo.

Kutenga

Hyperparathyroidism ndimkhalidwe pomwe matumbo anu a parathyroid amatulutsa timadzi tambiri tambiri m'thupi lanu. Izi zimapangitsa kuchuluka kwa calcium yanu kukwera, komwe kumatha kubweretsa mafupa ndi mafupa, mavuto am'mimba, komanso kukhumudwa. Nthawi zambiri sipakhala zizindikiro zoyambirira. Ngati mankhwala ndi ofunikira kuchipatala, opareshoni amalimbikitsidwa ndipo nthawi zambiri amachiritsa.