He aha ka Hyperparathyroidism a pehea e mālama ai
Anter
ʻO Hyperparathyroidism kahi maʻi e kumu i ka overproduction o ka hormone PTH, i hoʻokuʻu ʻia e nā parathyroid glands, aia i ka ʻāʻī ma hope o ka thyroid.
Kōkua ka hormone PTH i ka mālama ʻana i nā pae calcium i loko o ke koko a, no ka mea, ʻo nā hopena nui me ka reabsorption o ka puna i loko o nā puʻupaʻa, kahi omo nui ʻia o ka calcium mai ka meaʻai i loko o ka ʻōpū, a me ka lawe ʻia ʻana o ka calcium i mālama ʻia i nā iwi. e hoʻokuʻu i ke kahe o ke koko.
Hiki i ka Hyperparathyroidism ke ala aʻe i 3 ala:
- ʻO ka hyperparathyroidism kumu: ke hana ʻia kahi maʻi o nā parathyroids iā lākou iho i kahi hypersecretion o ka hormone PTH, ma muli o kahi adenoma a hyperplasia paha o kēia mau glands;
- Hyperparathyroidism kiʻekiʻe: kū aʻe ma muli o ka haunaele o ke kino ka metabolism, i stimulate parathyroid glands, o ka oi aku ma muli o ka hakuʻala hoʻokō 'ole, a me ke kumu o ka hoemiia pae o ka kalipuna a me ka phosphore i ka holo;
- Hyperparathyroidism kiʻekiʻe: ʻoi aku ka liʻiliʻi loa, ʻike ʻia ia ke hoʻomaka ka huna o nā pathy parathyroid i kā lākou iho ponoʻī, a hiki ke hōʻike ʻia ma hope o kekahi manawa o ka hyperparathyroidism lua, ʻo kahi laʻana.
Ke ʻike ʻia, pono e mālama koke ʻia ka hyperparathyroidism, no ka mea he hopena maikaʻi ʻole ia, e like me ka nāwaliwali ʻana o nā iwi, e hoʻonui ana i ka maka o nā haki. Eia hou, hiki i ka nui o ka calcium i loko o ke koko ke hoʻololi i ka hana o nā mākala, nā pōhaku hakuʻala, hoʻonui i ke kahe o ke koko a me nā pilikia o ka maʻi puʻuwai.
Hiki ke hoʻōla ʻia kēia maʻi ke hana ʻia ke ʻoki e wehe i ka gland, eia naʻe, ma mua o kēlā, hiki ke hōʻike ʻia nā lāʻau i hiki ke hoʻohana ʻia e kāohi ai i nā ʻōuli.
Nā hōʻailona nui
ʻO kekahi o nā hōʻailona a me nā ʻōuli maʻamau o nā hihia o hyperparathyroidism:
- Iwi iwi a me kahi kiʻekiʻe o ka haki o nā haki;
- Nāwaliwali o ka ʻiʻo;
- Hoʻomohala o nā pōhaku hakuʻala;
- Hoʻonui i ka makemake e mimi;
- ʻEha mau i loko o ka ʻōpū;
- Luhi nui loa;
- Ka hoʻomohala ʻana o nā kō ʻole a i ʻole pancreatitis;
- Nusea, luaʻi a me ka nalo o ka makemake.
ʻAʻole kumu pinepine ʻo Hyperparathyroidism i nā ʻōuli, keu hoʻi i nā wā mua, no laila he mea maʻamau kēia maʻi e ʻike ʻia i nā hoʻokolohua koko maʻamau, e hōʻike ana i nā loli i ke kiʻekiʻe o ka calcium i loko o ke koko.
Pehea e kuhikuhi ai
Hana ʻia ke kuhi o hyperparathyroidism me ke ana o ka hormone PTH, i hoʻonui ʻia i nā ʻano maʻi āpau. A laila, e kauoha ka endocrinologist i nā hoʻokolohua ʻē aʻe e kōkua e ʻike i ke kumu o ka pilikia, e like me ka calcium, ʻo ia ke kiʻekiʻe o ka hyperparathyroidism mua a hoʻemi ʻia i ke kula kiʻekiʻe, me ka hoʻohui ʻana i nā hoʻokolohua e like me ka calcium a me ka phosphore i ka mimi, no ka laʻana.
Hiki i nā loiloi radiographic ke kōkua i ka ʻike ʻana i ka maʻi, ʻoiai e hōʻike ana i nā iwi me ka demineralization a me ka osteoporosis. I nā hihia holomua loa, hiki i kēia hoʻokolohua ke hōʻike i ke ʻano o ka ʻeli ʻana a me ka hoʻonui ʻana o nā aʻa a me nā moku i nā iwi, kahi i ʻike ʻia he "tumor ʻeleʻele".
Hoʻohui ʻia, nā hōʻike kiʻi ʻana o ka ʻāʻī o ka ʻāʻī, me ka ultrasound, scintigraphy a i ʻole ke kiʻi ʻana i ka resonance ʻumeʻume, e like me ka laʻana, hiki ke kōkua i ka ʻike ʻana i nā loli i nā gland parathyroid.
Pehea e hana ai i ka lāʻau
ʻO ka hana mua i ka mālama ʻana i ka hyperparathyroidism mua ka hoʻoponopono ʻana i nā pae calcium, a inā lākou i hoʻololi nui ʻia, hiki ke lilo i kumu nui o nā ʻōuli. No kēia, aia kekahi mau koho ʻokoʻa, i komo pū me ka hakahaka o ka hormone, i hana nui ʻia i nā wahine ma hope o ka menopause, ʻo ka mea i pani ʻia i kekahi mau hormones e kōkua i ka mālama ʻana i nā pae calcium i nā iwi. ʻO nā lāʻau Bisphosphonate, ma ka ʻaoʻao ʻē aʻe, kōkua pū kekahi e hoʻonui i ka waiho ʻana o ka calcium i loko o nā iwi, e hoʻēmi nei i ka calcium i loko o ke koko. E nānā i nā kumu ʻē aʻe o ka nui o ka calcium i loko o ke koko a pehea e mālama ai.
Hiki ke kuhikuhi ʻia ke kaha ma ka hihia o ka hyperparathyroidism mua, no ka mea, hemo ia i nā glands i hoʻopili ʻia, e hoʻōla ana i ka maʻi. Eia nō naʻe, aia kekahi mau pilikia e like me ka hōʻino ʻana i nā ʻalolo e kaohi ana i nā kaula leo a i ʻole ka hōʻemi ʻia ʻana o nā pae calcium.
I ke kumu o ka hyperparathyroidism lua, pono e hana i ka nānā pono ʻana a me ka mālama ʻana i ka maikaʻi ʻole o ka puʻuwai, ka hoʻololi ʻana i nā pae o ka huaola D a me ka calcium, i hoʻemi ʻia. Loaʻa ka hopena o Calcimimetic remedies i ka calcium, e hana ana i nā glands e hana i nā hormona liʻiliʻi. ʻO kahi laʻana o kēia mau hoʻoponopono ʻo cinacalcete.