Hōʻike koko Calcitonin

Hoʻopili ke kaukā koko i ka pae o ka hormonone i loko o ke koko.

Pono kahi laʻana koko.

ʻAʻohe maʻamau kahi hoʻomākaukau kūikawā e pono ai.

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.

ʻO Calcitonin kahi homone i hana ʻia i nā hunaola C o ka pona thyroid. Aia ka gland thyroid ma loko o ka mua o kou ʻāʻī lalo. Kōkua ʻo Calcitonin i ka mālama ʻana i ka haki a me ke kūkulu hou ʻana o ka iwi.

ʻO kahi kumu maʻamau e loaʻa ai ka hoʻokolohua inā inā ua ʻoki ʻia ʻoe e wehe i kahi tumo thyroid i kapa ʻia he maʻi ʻaʻa medullary. ʻAe ka hōʻike i kāu mea mālama ola e loiloi inā ua laha ka tumo (metastasized) a i ʻole ua hoʻi mai (ka hoʻi hou ʻana o ka tumo).

E kauoha paha kāu mea hāʻawi i kahi hoʻāʻo calcitonin ke loaʻa iā ʻoe nā ʻōuli o ka maʻi ʻaʻai medullary o ka thyroid a i ʻole ka endocrine neoplasia (MEN) syndrome, a i ʻole ka moʻolelo ʻohana o kēia mau ʻano. ʻOi aku paha ke kiʻekiʻe o Calcitonin i nā tumors ʻē aʻe, e like me:

• Insulinoma (ʻōpuʻu i ka pancreas e hoʻohua i ka nui o ka insulin)
• Kanesa maʻi ʻaʻai
• ʻO VIPoma (ka maʻi ʻaʻai e ulu pinepine mai nā hunaola liʻiliʻi i ka pancreas)

ʻOi aku ka waiwai maʻamau ma mua o 10 pg / mL.

Hiki i nā wahine a me nā kāne ke loaʻa nā waiwai maʻamau like ʻole, me nā kāne he kiʻekiʻe ko lākou waiwai.

I kekahi manawa, nānā ʻia ka calcitonin i loko o ke koko i mau manawa ma hope o kou hāʻawi ʻia ʻana i kahi kī (injection) o kahi lāʻau lapaʻau kūikawā e hoʻoulu ai i ka hana ʻana o ka calcitonin.

Pono ʻoe i kēia hoʻāʻo keu inā he maʻamau kāu helu helu palena mua, akā manaʻo ka mea hāʻawi iā ʻoe he maʻi ʻaʻai medullary o ka thyroid.

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 i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

E hōʻike paha kahi pae kiʻekiʻe aʻe ma mua o ka maʻamau:

• ʻO Insulinoma
• Kanesa maʻi ʻaʻai
• Ka maʻi ʻaʻai medullary o thyroid (ʻo ka mea maʻamau)
• VIPoma

Hiki ke piʻi aʻe nā pae ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau i nā kānaka me nā maʻi puʻupaʻa, nā mea puhipaka, a me nā kaumaha o ke kino kiʻekiʻe. Eia kekahi, hoʻonui ia i ka lawe ʻana i kekahi mau lāʻau e hōʻoki i ka hana ʻana o ka ʻōpū o ka ʻōpū.

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
• 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)

ʻO ka calcitonin serum

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.

Chernecky CC, Berger BJ. Calcitonin (thyrocalcitonin) - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 276-277.

Findlay DM, Sexton PM, Martin TJ. Kalepona I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 58.