Kutanga Parathyroidism

Zvemukati

• Ndezvipi zviratidzo zvekutanga hyperparathyroidism?
• Chii chinokonzera primary hyperparathyroidism?
• Adenoma
• Kuwedzera kweparathyroid gland
• Kenza yeParathyroid
• Iyo yekutanga hyperparathyroidism inoonekwa sei?
• Inonyanya kurapwa sei hyperparathyroidism?
• Kutora

Chii chinonzi primary hyperparathyroidism?

Izvo zvipenga zveparathyroid zvidiki zvina zvidiki zviri padyo kana kumashure kweiyo thyroid gland pazasi peapuro yaAdam. (Hongu, vakadzi vane apuro raAdam. Rinongova diki pane remurume.) Izvi zvipenga zvinogadzira parathyroid hormone (PTH).

Iyo parathyroid gland inodzora iwo mazinga e calcium, phosphorus, uye vhitamini D mumuviri. Chinhu chikuru chinokonzera kusunungurwa kana kugadzirwa kwePTH idanho recalcium muropa. PTH inobatsira kudzora huwandu hwecalcium mumuviri. Kana yako calcium level ikave yakanyanya kuderera, PTH inobatsira kuunza yakawanda calcium muropa rako. Inoita izvi nekuwedzera kudzoreredza calcium kubva mumatumbu uye kubva kumapfupa. PTH inoderedzawo huwandu hwecalcium yakarasika mumuti.

Zvipembenene zvako zveparathyroid zvinowanzove zvidiki. Iwo anowanzo kuve akaenzana nehukuru hwetsanga imwe yemupunga. Dzimwe nguva, imwe kana dzakawanda dzegland dzinowedzera. Iyo zvino inoburitsa yakawandisa PTH.Mune zvimwe zviitiko, kukura pane imwe yeaya maronda kunogona kukonzera kuti iburitse yakawedzera huwandu hwePTH.

PTH yakawandisa inotungamira kune yakawandisa calcium muropa rako. Aya mamiriro anonzi hypercalcemia. Inogona kukonzera zviratidzo zvakasiyana, kusanganisira:

• kugara uchiita weti
• matambudziko emudumbu
• kuvhiringidzika
• kuneta

Ndezvipi zviratidzo zvekutanga hyperparathyroidism?

Primary hyperparathyroidism kazhinji haina zviratidzo. Kana zviratidzo zviripo, zvinowanzo nyoro. Primary hyperparathyroidism inonyanya kuwanikwa mumadzimai ekumashure kwemwedzi, sekutsvaga kwakaburitswa muInternational Journal yeEndocrinology. Kuwedzera kweropa kazhinji kunoperekedza hyperparathyroidism. Paunobata yako hyperparathyroidism, yako BP ingangodzika.

Zviratidzo zvinoitika ne hyperparathyroidism zvinowanzo kuve zvisina kujairika. Izvi zvinoreva kuti ivo havasi vega kune ino mamiriro. Semuenzaniso, unogona kusangana:

• kushaya simba kwetsandanyama
• kuneta
• kuneta
• kurwadziwa mumhasuru dzako
• kuora mwoyo

Kana mamiriro ako akanyanya, iwe unogona zvakare kuona:

• itsvo matombo, nekuda kwe
• kugara uchiita weti
• dumbu, kana dumbu, kurwadziwa
• kusvotwa uye kurutsa
• kuvhiringidzika
• kutadza kuyeuka
• hunhu hunochinja
• kuvimbiswa
• pfupa kutsemuka uye kutsemuka
• coma (mune zvisingawanzoitika zviitiko)

Chii chinokonzera primary hyperparathyroidism?

Chekutanga hyperparathyroidism inoitika kana ako maronda eparathyroid aburitsa yakawandisa PTH. Mamiriro ezvinhu akasiyana siyana anogona kukonzera hyperparathyroidism, senge anotevera.

Adenoma

An adenoma ibundu risinganetseke pane rimwe remaronda aya. Aya mamota ndiwo anonyanya kukonzera chikonzero chekutanga hyperparathyroidism.

Kuwedzera kweparathyroid gland

Mune zvimwe zviitiko, kuwedzera kweanenge maviri ako materu eparathyroid kunogona kutungamira ku hyperparathyroidism. Vanachiremba kazhinji havazivi kuti chii chinokonzera kuwedzera uku.

Kenza yeParathyroid

Muzviitiko zvisingawanzoitika, kenza yeparathyroid inogona kukonzera kuwedzera kweimwe kana yakawanda yemaronda eparathyroid. Aya mamota anogona kukonzera hyperparathyroidism.

Iyo yekutanga hyperparathyroidism inoonekwa sei?

Primary hyperparathyroidism inowanzoonekwa kuburikidza nekuongororwa kweropa. Zviratidzo zveichi chiitiko zvinosanganisira:

• yakakwidziridzwa PTH
• yakakwira ropa calcium
• yakakwirira alkaline phosphatase, puroteni inowanikwa mupfupa nechiropa
• yakaderera mazinga e phosphorus

Kana chiremba wako achifungidzira hyperparathyroidism, ivo vangango tarisa yako pfupa density. Kuva nePTH yakawandisa kunokwidza huwandu hwecalcium muropa rako. Mumuviri wako unotora calcium iyi kubva mumapfupa ako. X-ray inogona kubatsira chiremba wako kuti aone matambudziko emapfupa, akadai sekutsemuka uye kuonda.

Inonyanya kurapwa sei hyperparathyroidism?

Kuomarara kwekutanga hyperparathyroidism kunogona kusiyana zvakanyanya. Iko hakuna imwechete nzira yekurapa yakakodzera kune ese kesi. Chiremba wako achashanda newe kuti uone kuti chii chakanakira yako yega kesi.

Kana iwe usina chero zviratidzo, ungangoda kurapwa nekukurumidza. Panzvimbo iyoyo, chiremba wako anogona kungo tarisa mamiriro ako kuti ave nechokwadi chekuti haatowedzera. Ivo vanogona kuongorora:

• calcium mazinga
• itsvo inoshanda
• kuwedzera kwemapfupa
• kunyangwe iwe watanga kugadzira itsvo matombo

Kana iwe uchida kurapwa, kuvhiya ndiyo yakajairika kurapwa sarudzo uye kunotungamira kurapa mune ingangoitika zviitiko zvese. Iwo chete maronda anokanganiswa ndiwo anobviswa. Kana zvese zvipembenene zvina zvikawedzerwa, chikamu cheimwe yehwanhu chinosara mumuviri saka unenge uchinge uchinge uchinge uchinge uine parathyroid tishu iri kushanda.

Chiremba wako anogona kukurudzira kuvhiyiwa kana:

• calcium level yako inodarika 1.0 milligram padesilita (mg / dL) pamusoro peyakajairika renji re8.5-10.2 mg / dL, kunyangwe pasina zviratidzo
• pfupa rako rakanyanya kuderera
• une zviratidzo zvine chekuita necalcium yepamusoro
• uri pasi pemakore makumi mashanu ekuberekwa

Dzimwe nguva mishonga inokurudzirwa kubatsira kudzivirira zvimwe zvezvinetso zvinosanganisirwa neyekutanga hyperparathyroidism. Semuyenzaniso:

• Bisphosphonates, senge alendronate (Fosamax), anobatsira kudzikisa kutendeuka kwemapfupa.
• Cinacalcet (Sensipar) inobatsira kudzikamisa huwandu hwecalcium muropa.

Estrogen kurapa kunogona kupihwa kune vakadzi vanonzi postmenopausal.

Kutora

Hyperparathyroidism chiitiko kana ako maronda eparathyroid aburitsa yakawandisa parathyroid hormone mumuviri wako. Izvi zvinokonzeresa kuti huwandu hwecalcium hukwire, izvo zvinogona kukonzeresa kutetepa kwepfupa uye kutsemuka, matambudziko emimba, uye kushushikana. Kazhinji hapana zviratidzo zvekutanga. Kana kurapwa kuchidikanwa pakurapwa, kuvhiya kunokurudzirwa uye kazhinji kunorapa.