ʻO ka hoʻāʻo ʻana o ka protein Parathyroid

ʻO ke ana o ka protein parathyroid-protein protein (PTH-RP) e ana i ka pae o kahi hormone i loko o ke koko, i kapa ʻia ʻo protein parathyroid-pili protein.

Pono kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

Hana ʻia kēia hōʻike e ʻike inā ke kumu o ka pae kiʻekiʻe o ke kōkōmika e ka hoʻonui ʻia o ka protein pili iā PTH.

ʻAʻohe ʻike ʻia (a liʻiliʻi paha) PTH-like protein i mea maʻamau.

Hiki i nā wahine e hānai hānai nei i nā koina protein pili i ka PTH.

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 hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO ka piʻi ʻana o ka protein e pili ana i ka PTH me ke kiʻekiʻe o ke kiʻekiʻe o ke kōmika ma muli o ka maʻi ʻaʻai.

Hiki ke hoʻopuka i ka protein pili i ka PTH e nā ʻano like ʻole o nā maʻi ʻaʻai, e like me nā aʻa, ka umauma, ke poʻo, ka ʻāʻī, ka pūpū, a me nā ovaries. Ma kahi o ʻelua hapakolu o ka poʻe me ka maʻi ʻaʻai i loaʻa ka pae calcium kiʻekiʻe, kahi pae kiʻekiʻe o ka protein pili i ka PTH ke kumu. Kāhea ʻia kēia ʻano he hypercalcemia humoral o ka malignancy (HHM) a i ʻole paraneoplastic hypercalcemia.

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, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. 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
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

PTHrp; Peptide pili iā 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.

ʻO Thakker RV. ʻO nā gland parathyroid, hypercalcemia a me hypocalcemia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 232.