Hōʻike koko Parathyroid (PTH) hōʻike koko

Ana ke ana ʻo PTH i ke kiʻekiʻe o ka hormone parathyroid i loko o ke koko.

Kū ka PTH no ka hormone parathyroid. He protein protein ia i hoʻokuʻu ʻia e ka parathyroid gland.

Hiki ke hana i kahi hōʻike hoʻokolohua e ana i ka nui o PTH i kou koko.

Pono kahi laʻana koko.

E noi i kāu mea mālama ola inā pono ʻoe e hōʻoki i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau manawa ma mua o ka hoʻāʻo. ʻO ka pinepine, ʻaʻole pono ʻoe e hoʻokēʻai a oki paha i ka inu ʻana.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

Hoʻokuʻu ʻia ʻo PTH e nā gland parathyroid. Aia nā glands liʻiliʻi 4 ma ka ʻāʻī, kokoke a pili paha i ka ʻaoʻao hope o ka pona thyroid. Aia ka glando thyroid i ka ʻāʻī, ma luna pono o kahi e hui ai kou iwi iwi i waenakonu.

Mālama ʻo PTH i ka pae calcium, phosphorus, a me nā wikamina D i loko o ke koko. He mea nui ia no ka hoʻoponopono ʻana i ka ulu ʻana o ka iwi. E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā:

• Loaʻa iā ʻoe kahi pae calcium kiʻekiʻe a i ʻole pae haʻahaʻa phosphor i kou koko.
• Loaʻa iā ʻoe ka osteoporosis koʻikoʻi ʻaʻole hiki ke wehewehe a pane ʻole paha i ka lāʻau.
• Loaʻa ʻoe i ka maʻi ʻōpū.

I mea e ʻike ai inā he maʻamau kāu PTH, e ana kāu mea hāʻawi i kāu puna calcium i ka manawa like.

ʻO nā kumukūʻai maʻamau he 10 a 55 mau picogram i kēlā me kēia milliliter (pg / mL).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā mea hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hiki ʻole ke kūpono ka PTH waiwai i ka pae maʻamau ke kiʻekiʻe nā pae o ka calcium. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu hopena.

E piʻi aʻe kahi pae kiʻekiʻe aʻe ma mua o ka maʻamau me:

• Nā maʻi e hoʻonui ai i nā pae phosphate a i ʻole phosphorous i ke koko, e like me ka maʻi maʻi lōʻihi (mau)
• Ka pane ʻole o ke kino i ka PTH (pseudohypoparathyroidism)
• Ka nele o ka puna, ʻo ia paha ma muli o ka ʻai ʻole ʻana i ka nui o ka puna, ʻaʻole hoʻi e omo ana i ka puna i loko o ka ʻōpū, a i ʻole nalowale ka nui o ka puna i kāu mimi.
• Hapai a hānai waiu (ʻike ʻole ʻia)
• ʻO ka pehu ʻana i loko o nā gland parathyroid, i kapa ʻia ʻo hyperparathyroidism mua
• ʻO nā tumors i ka gland parathyroid, i kapa ʻia adenomas
• Nā maʻi Wikamina D, me ka lawa ʻole o ka lā o ka poʻe mākua a me nā pilikia e omo ana, wāwahi ʻana, a me ka hoʻohana ʻana i ka wikamina D i loko o ke kino

Hiki ke pae ma lalo o ka maʻamau me:

• Lawe hewa ʻia o nā gland parathyroid i ka wā o ke kahakaha thyroid
• Ka luku ʻia ʻana o ke kino pilikino
• Hoʻomaka ka ʻōpala i kekahi ʻāpana o ke kino (e like me ka umauma, nā akemāmā, a i ʻole kolone) a hohola i ka iwi
• ʻO ka nui o ka calcium ma kahi manawa lōʻihi o ka manawa maʻa mau mai nā mea hoʻopili kalima nui a i ʻole kekahi mau antacids, i loaʻa i ka calcium carbonate a i ʻole sodium bicarbonate (baking soda)
• ʻAʻole hana nā ʻōpala Parathyroid i ka nui o ka PTH (hypoparathyroidism)
• Nā pae haʻahaʻa o ka magnesium i ke koko
• ʻO ka uila i nā ʻōpū parathyroid
• ʻO Sarcoidosis a me ka maʻi kō
• ʻO ka lawe ʻia ʻana o ka wikamina D

ʻO nā kūlana ʻē aʻe e kauoha ʻia ai ka hōʻike me:

• Neoplasia endocrine maha (MEN) I
• Neoplasia endocrine maha (MEN) II

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Parathormone; Pākuʻi paʻa paʻa ʻo Parathormone (PTH); PTH paʻa pono; Hyperparathyroidism - Hōʻoia ke koko PTH; Hypoparathyroidism - hoʻāʻo toto PTH

Bringhurst FR, Demay MB, Kronenberg HM. Hormones a me nā maʻi o ka mineral metabolism. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 28.

Klemm KM, Klein MJ. Nā māka biomimika o ka metabolism iwi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 15.