ʻO Osteitis Fibrosa Cystica

Anter

• He aha ka osteitis fibrosa cystica?
• He aha nā kumu?
• He aha nā hōʻailona?
• Pehea ia ʻike?
• Nā koho lapaʻau
• He aha ke kuanaʻike?
• Kāohi a lawe aku

He aha ka osteitis fibrosa cystica?

He koʻikoʻi koʻikoʻi ʻo Osteitis fibrosa cystica i kahi ʻano olakino i hopena ʻia mai ka hyperparathyroidism.

Inā loaʻa iā ʻoe ka hyperparathyroidism, ʻo ia hoʻi ma ka liʻiliʻi o kekahi o kāu mau parathyroid e hana nei i ka nui o ka hormone parathyroid (PTH). Pono ka hormona i ke olakino iwi, akā hiki i ka nui loa ke hoʻonāwaliwali i kou mau iwi a hana i ke kino.

ʻO ka Osteitis fibrosa cystica kahi mea paʻakikī loa o ka hyperparathyroidism, e hoʻopili ana ma lalo o 5 pākēneka o nā kānaka me ka maʻi hormone.

He aha nā kumu?

ʻEhā ou mau puʻuwai parathyroid i kou ʻāʻī. Hana lākou i PTH, i kōkua i kou kino e mālama i nā pae olakino o ka calcium a me ka phosphorous i kou kahe o ke koko a me nā mea i loko o kou kino. Ke piʻi a kiʻekiʻe ke kiʻekiʻe o ka calcium, hoʻemi ka PTH i nā glands parathyroid. Inā hāʻule nā ​​pae o ka calcium, hoʻonui nā glands i kā lākou hana PTH.

Hiki i nā iwi ke pane i ka PTH ʻokoʻa. I kekahi mau hihia, ʻaʻole lawa ka PTH e lanakila i nā pae calcium liʻiliʻi. Loaʻa paha i kekahi mau iwi nā wahi nāwaliwali me ka liʻuliʻu ʻole o ka puna.

Aia he kumu nui ʻelua o ka osteitis fibrosa cystica: hyperparathyroidism mua a me ka hyperparathyroidism lua. Me ka hyperparathyroidism mua, aia kekahi pilikia me nā ʻōpū parathyroid. ʻO kahi ulu maʻi kanesa a i ʻole noncancerous e ulu ana ma kekahi o kēia mau glands hiki ke hana ia mea maʻamau ʻole. ʻO nā kumu ʻē aʻe o ka hyperparathyroidism mua me ka hyperplasia a i ʻole ka hoʻonui ʻana o ʻelua mau gland hou.

Kū ka hyperparathyroidism lua inā loaʻa iā ʻoe kekahi ʻano olakino ʻē aʻe e hōʻemi i kāu mau pae calcium. A ʻo kahi hopena, ʻoi aku ka ikaika o ka hana o ka parathyroid glands e hoʻāʻo e hoʻonui i kāu puna. ʻElua mau mea nui e hoʻonāukiuki i ka calcium liʻiliʻi ʻo ka lawa ʻole ka wikamina D a me ka maʻi calcium.

Kōkua ka Vitamin D i ke kaulike i kāu mau pae calcium. Inā ʻaʻole lawa ʻoe i ka wikamina D i kāu papaʻai a i ʻole loaʻa ʻole ka lawa ʻana o ka lā (hoʻololi kou kino i ka lā i ka wikamina D), hiki i kāu mau pae calcium ke hāʻule nui. Pēlā nō, inā ʻaʻole ʻoe e ʻai i nā kumu meaʻai he nui o ka calcium (milo, waiū, soybeans, a me nā mea ʻē aʻe), hiki i nā pae calcium liʻiliʻi ke hoʻoulu i kahi hana nui o PTH.

He aha nā hōʻailona?

ʻO ka hōʻailona koʻikoʻi loa o ka osteitis fibrosa cystica kahi haʻihaʻi iwi maoli. Akā ma mua o ka hana ʻia ʻana, ʻike paha ʻoe i ka ʻeha o ka iwi a me ka palupalu, a me kēia mau ʻōuli.

• nausea
• kōpaʻa
• urination pinepine
• luhi
• nāwaliwali

Pehea ia ʻike?

Inā kānalua kāu kauka i ke kaulike ʻole o nā minelala, e kauoha maʻamau lākou i kahi hōʻoia koko. Hiki i kāu kauka ke nānā no nā pae o ka calcium, phosphorous, PTH, a me nā alkaline phosphatase, kahi kemika iwi a me kahi māka o ke olakino iwi.

Hiki i kahi X-ray ke hōʻike i nā haʻi iwi a i ʻole nā ​​wahi o ka iwi lahilahi. Hiki i kēia mau kiʻi ke hōʻike inā kūlou nā iwi a i ʻole e hōʻino ʻia i kekahi ʻano ʻē aʻe. Inā loaʻa iā ʻoe ka hyperparathyroidism, makaʻu ʻoe i ka osteoporosis, kahi ʻano e mānoanoa ai nā iwi.Pili pinepine ia i nā hoʻololi hormonal i lawe ʻia e ka menopause a me ka ʻelemakule.

Nā koho lapaʻau

Inā ʻo kāu osteitis fibrosa cystica ka hopena o kahi gland parathyroid abnormal, hiki i kāu koho lapaʻau maikaʻi loa ke hoʻoneʻe ʻia ia me ke kaʻi. Hiki ke hana pinepine ʻia kēia me ka palekana a me ka maikaʻi. Hiki i nā gland parathyroid ke hana i nā pae kūpono o PTH e uku no ka nalo ʻana o hoʻokahi gland.

Inā ʻaʻole koho kahi ʻoki a makemake ʻole ʻoe e hemo i ka gland, lawa paha nā lāʻau e mālama ai i kou ʻano. ʻO Calcimimetics nā lāʻau e mimic i ka calcium i loko o ke koko. Kōkua lākou i ka "hoʻopunipuni" i ka gland parathyroid i ka hana ʻana i ka PTH liʻiliʻi. Kau ʻia nā Bisphosphonates i ka poʻe e ʻike nei i ka pohō o ka iwi, akā no ka hoʻohana pōkole wale nō ia mau mea.

Hiki paha i ka Hormone replacement therapy ke kōkua i nā iwi e mālama i ka nui o ka calcium i nā wahine e hele nei a i hala a hala i ka menopause.

He aha ke kuanaʻike?

Hoʻomaopopo ʻia a mālama ʻia ka hyperparathyroidism ma mua, ʻo ka ʻoi aku ka nui o ka palena ʻana o ka pōʻino i hoʻokumu ʻia e osteitis fibrosa cystica. ʻO ka lawe ʻana i nā lāʻau e hoʻomaikaʻi ai i ka ikaika o ka iwi hiki ke kōkua maikaʻi. Inā ʻoe e hana i nā hana ʻē aʻe, e like me ka hana ʻana i nā hana kaumaha a hoʻonui i kāu calcium a me ka lawe ʻana i ka huaora D, hiki iā ʻoe ke lanakila i nā pilikia pili i ka iwi me ka hyperparathyroidism.

Kāohi a lawe aku

Inā manaʻo ʻoe ua nele kāu papaʻai i ka wikamina D a i ʻole ka calcium, e kamaʻilio me kāu kauka a i ʻole kahi mea hānai e pili ana pehea e hoʻololi ai i kāu kaila ʻai. Pono ʻoe e kūkākūkā me ka hōʻike ʻana o ka lā me kāu kauka, keu hoʻi inā ʻoe e noho ana ma kahi ʻākau ma kahi o ka liʻiliʻi o ka lā hoʻoilo.

Hiki iā ʻoe ke lawe i kahi ʻanuʻu hou aku i ka mālama ʻana i kāu pae calcium ma o ka hana ʻana i ka hana maʻamau o ke koko. ʻO kahi hoʻokolohua koko e hōʻike ana i nā pae calcium liʻiliʻi hiki ke hoʻolalelale i kāu kauka e paipai i nā pākuʻi kalipona a me ka wikamina D a i ʻole e hana hou i ka hōʻoia o kou ola iwi.

E ʻike ʻoe i kāu kauka ke ʻike ʻoe i kahi ʻeha a palupalu paha i kou mau iwi. He mau koho kāu e mālama ai i kou olakino iwi a hoʻomaikaʻi i kāu pae calcium. Inā hoʻoikaika ʻoe e pili ana i kēia mau mea, hiki iā ʻoe ke pale i nā haki a me nā pilikia ʻē aʻe i hiki ke kaupalena i kāu neʻe a me kou ʻano o ke ola.