ʻO ka Parathyroidism kumu

Anter

• He aha nā hōʻailona o ka hyperparathyroidism mua?
• He aha ke kumu o ka hyperparathyroidism mua?
• Adenoma
• Hoʻonui ka hoʻonui gland
• Maʻi ʻaʻai Parathyroid
• Pehea e kuhikuhi ʻia ai ka hyperparathyroidism mua?
• Pehea e mālama ʻia ai ka hyperparathyroidism mua?
• ʻO ka lawe lawe ʻana

He aha ka hyperparathyroidism mua?

ʻO nā glands parathyroid he ʻehā mau gland liʻiliʻi aia ma kahi kokoke a ma hope paha o ka pona thyroid ma lalo o kā Apple apple. (ʻAe, loaʻa i nā wahine kahi ʻāpala a Adam. ʻOi aku ka liʻiliʻi ma mua o ko ke kāne.) Hana kēia mau ʻōpū i ka parathyroid hormone (PTH).

Hoʻopili nā palahalaha parathyroid i nā pae o ka calcium, phosphorus, a me ka wikamina D i loko o ke kino. ʻO ke kumu nui no ka hoʻokuʻu a hana ʻana paha o PTH ka pae o ka puna i loko o ke koko. Kōkua ʻo PTH i ka hoʻoponopono ʻana i ka nui o ka puna i loko o ke kino. Inā haʻahaʻa loa kāu pae calcium, kōkua ʻo PTH e lawe i ka nui o ka calcium i loko o kou koko. Hana ia i kēia me ka hoʻonui ʻana i ka reabsorption o ka puna mai nā ʻōpū a mai nā iwi. Hoʻoemi ka PTH i ka nui o ka calcium i nalowale i ka mimi.

Liʻiliʻi loa kāu mau pākino parathyroid. ʻO lākou maʻamau e pili ana i ka nui o ka palaoa hoʻokahi. I kekahi manawa, hoʻonui ʻia hoʻokahi a ʻoi paha o nā gland. Hoʻopuka ia i PTH nui loa.I nā hihia ʻē aʻe, hiki i ka ulu ʻana ma kekahi o kēia mau gland ke hana iā ia e hoʻonui i ka nui o ka PTH.

ʻO ka nui o ka PTH ke alakaʻi i ka nui o ka calcium i kou koko. Kapa ʻia kēia ʻano he hypercalcemia. Hiki iā ia ke kumu i nā ʻōuli like ʻole, e like me:

• urination pinepine
• pilikia ʻōpū
• huikau
• luhi

He aha nā hōʻailona o ka hyperparathyroidism mua?

ʻAʻohe o nā ʻōuli i ka hyperparathyroidism ma mua. Inā loaʻa nā ʻōuli, maʻa mau lākou. Loaʻa ka hyperparathyroidism mua i nā wahine postmenopausal, e like me ka noiʻi i paʻi ʻia ma ka International Journal of Endocrinology. Hoʻokomo pinepine ke koko kiʻekiʻe i ka hyperparathyroidism. Ke mālama ʻoe i kāu hyperparathyroidism, e iho i lalo kou kaomi koko.

ʻO nā ʻōuli e kū me ka hyperparathyroidism pinepine ʻole i nonspecific. ʻO ke kumu ʻaʻole lākou wale no kēia kūlana. ʻO kahi laʻana, ʻike paha ʻoe:

• nāwaliwali o nā mākala
• lethargy
• luhi
• ʻeha ma kou mau mākala
• kaumaha

Inā ʻoi aku ke koʻikoʻi o kou kūlana, ʻike paha ʻoe:

• pōhaku hakuʻala, ma muli o
• urination pinepine
• ʻeha, ʻōpū paha, ʻeha
• nausea a me ka luaʻi
• huikau
• hoʻomanaʻo hoʻomanaʻo ʻole
• loli ke ʻano
• kōpaʻa
• lahilahi iwi a me nā haki
• koma (i nā hihia kakaikahi)

He aha ke kumu o ka hyperparathyroidism mua?

Kū ka hyperparathyroidism i ka wā e hana ka nui o kāu pathy parathyroid i ka PTH. Hiki i nā ʻano ʻokoʻa ke hopena i ka hyperparathyroidism, e like me kēia.

Adenoma

ʻO kahi adenoma kahi tumo noncancerous ma kekahi o kēia mau glands. ʻO kēia mau tumors ke kumu maʻamau o ka hyperparathyroidism mua.

Hoʻonui ka hoʻonui gland

I nā hihia ʻē aʻe, hoʻonui i ka liʻiliʻi o ʻelua o kāu mau pākē parathyroid hiki ke alakaʻi i ka hyperparathyroidism. ʻAʻoleʻike pinepine nā kauka i ke kumu o kēia hoʻonui.

Maʻi ʻaʻai Parathyroid

I nā hihia maʻamau, hiki i ka maʻi ʻaʻai parathyroid ke hoʻonui i kahi o hoʻokahi a ʻoi paha o nā gland parathyroid. Hiki i kēia mau tumors ke kumu i ka hyperparathyroidism.

Pehea e kuhikuhi ʻia ai ka hyperparathyroidism mua?

Hoʻomaopopo pinepine ʻia ka hyperparathyroidism ma o nā hoʻokolohua koko. ʻO nā hōʻailona o kēia ʻano me:

• hoʻokiʻekiʻe PTH
• kiʻekiʻena koko kiʻekiʻe
• hoʻokiʻekiʻe alkaline phosphatase, kahi protein i loaʻa i ka iwi a me ke ake
• nā pae haʻahaʻa o ka phosphore

Ke kānalua kāu kauka hyperparathyroidism, e nānā paha lākou i ka nui o kou iwi. Hāpai ka nui o ka PTH i nā kiʻekiʻe o ka calcium i loko o kou koko. Kuhi kou kino i kēia calcium mai kou mau iwi. Hiki i nā kukuna X ke kōkua i kāu kauka e hoʻomaopopo i nā pilikia iwi, e like me ka haki a me ka lahilahi.

Pehea e mālama ʻia ai ka hyperparathyroidism mua?

Hiki ke loli ka nui o ka hyperparathyroidism mua. ʻAʻohe papa o ka lapaʻau kūpono i nā hihia āpau. E hana pū ana kāu kauka me ʻoe e ʻike i ka mea ʻoi loa no kāu hihia pākahi.

Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole pono ʻoe e lapaʻau koke. Ma kahi o, e nānā wale paha kāu kauka i kou kūlana e hōʻoia ʻaʻole e ʻoi aku ka maikaʻi. E nānā paha lākou:

• pae kalipuna
• hana hakuʻala
• nuʻa iwi
• inā ua hoʻomaka ʻoe e hoʻomohala i nā pōhaku hakuʻala

Inā makemake ʻoe i ka lāʻau, ʻo ke ʻoki ke koho maʻamau maʻamau a alakaʻi i kahi lāʻau i aneane o nā hihia. Wehe wale ʻia nā glande e hoʻopili ʻia. Inā hoʻonui ʻia nā glands ʻehā, e waiho ana kahi ʻāpana o kekahi o nā gland i loko o ke kino no laila e loaʻa mau ana ʻoe i nā kino parathyroid e holo nei.

E ʻōlelo paha kāu kauka i ke ʻoki ʻana inā:

• ʻoi aku ka nui o kāu pae calcium ma mua o 1.0 milligram no deciliter (mg / dL) ma luna o ke kaha maʻamau o 8.5-10.2 mg / dL, ʻoiai ʻaʻohe ʻōuli.
• haʻahaʻa loa kou iwi iwi
• Loaʻa iā ʻoe nā ʻōuli e pili ana i kahi pae calcium kiʻekiʻe
• aia ʻoe ma lalo o 50 mau makahiki

I kekahi manawa koi ʻia nā lāʻau e kōkua i ka pale ʻana i kekahi o nā pilikia e pili ana i ka hyperparathyroidism mua. O kahi laʻana:

• Bisphosphonates, e like me alendronate (Fosamax), kōkua i ka hoʻēmi ʻana i ka huli ʻana o ka iwi.
• Kōkua ʻo Cinacalcet (Sensipar) i nā pae calcium i loko o ke koko.

Kau ʻia ka lāʻau Estrogen therapy no nā wahine postmenopausal.

ʻO ka lawe lawe ʻana

ʻO kahi Hyperparathyroidism kahi kūlana ke hana nui kāu mau parathyroid glands i ka nui o ka hormone parathyroid i kou kino. ʻO kēia ke kumu e piʻi aʻe ai kāu mau pae calcium, a hiki i ka lahilahi ʻana o ka iwi a me nā haʻi, nā pilikia o ka ʻōpū, a me ke kaumaha. ʻAʻole pinepine nā ʻōuli. Inā pono ka lāʻau, pono ʻia ke ʻoki a ʻoi loa ka mālama.