Kodi Hyperparathyroidism ndi chiyani? Zomwe Zimayambitsa, Zizindikiro ndi Chithandizo

hyperparathyroidismZimachitika pamene tiziwalo timene timatulutsa timadzi ta parathyroid timapanga timadzi tambiri ta parathyroid (PTH). 

Tizilombo toyambitsa matenda ndi tiziwalo timene timatulutsa tomwe tambirimbiri tomwe timakhala pakhosi, pafupi kapena kumangiriridwa kumbuyo kwa chithokomiro. 

Endocrine glands imatulutsa mahomoni ofunikira kuti thupi lizigwira ntchito bwino.

Ngakhale kuti ali ndi mayina ofanana ndi oyandikana ndi khosi, zotupa za parathyroid ndi chithokomiro ndi ziwalo zosiyana kwambiri. Tizilombo toyambitsa matenda timathandiza kuwongolera calcium, vitamini D ndi phosphorous m'mafupa ndi magazi.

Anthu ena omwe ali ndi mahomoni owonjezera a parathyroid sakhala ndi zizindikiro zilizonse ndipo safuna chithandizo. Ena angakhale ndi zizindikiro zochepa kapena zoopsa zomwe zingafunike opaleshoni.

Kodi Hyperparathyroidism ndi chiyani?

hyperparathyroidismndi mkhalidwe wodziwika ndi kuchuluka kwa timadzi ta parathyroid m'magazi. 

Tizilombo toyambitsa matenda timakhala mozungulira chithokomiro m'khosi ndipo timatulutsa timadzi ta parathyroid. 

Ntchito yaikulu ya parathyroid glands m'thupi kashiamu ve phosphorous kuwongolera milingo. Munthu aliyense amakhala ndi tiziwalo timene timatulutsa timadzi ta m’mutu tomwe timangofanana ndi kambewu ka mpunga.

Nthawi zambiri, calcium ikatsika, thupi limatulutsa timadzi tambiri ta parathyroid (PTH) kuti tibwezeretse milingo. Kashiamu akachuluka, thupi limatulutsa timadzi ta parathyroid tochepa kwambiri kotero kuti mlingo wake umachepa. 

hyperparathyroidism Anthu omwe ali ndi matenda a shuga amakhala ndi calcium yambiri komanso phosphorous yocheperapo (kapena nthawi zina pafupifupi yachibadwa) m'magazi awo.

Homoni ya parathyroid imakhala ndi ntchito zofunika monga:

- Imalimbikitsa mafupa kuti atulutse calcium ndi phosphate m'magazi.

Zimapangitsa impso kutulutsa kashiamu wochepa mumkodzo.

Zimapangitsa kuti impso zitulutse phosphate yambiri m'magazi.

- Imalimbikitsa m'mimba kuti mutenge calcium yambiri.

- Zimapangitsa kuti impso ziyambe kuyambitsa vitamini D wambiri, zomwe zimapangitsa kuti calcium iyambe kuyamwa. 

Kodi Mitundu ya Hyperparathyroidism Ndi Chiyani?

Pali mitundu itatu ya hyperparathyroidism: chachikulu hyperparathyroidism, sekondale hyperparathyroidism ndi tertiary hyperparathyroidism.

Hyperparathyroidism yoyamba

Mtundu uwu umachitika pamene pali vuto ndi chimodzi mwa tiziwalo timene timatulutsa parathyroid. Zomwe zimayambitsa mavuto a parathyroid ndi monga zotupa zabwino kwambiri mu gland komanso kukulitsa kwa ma glands osachepera awiri. 

Nthawi zina, chotupa cha khansa chimayambitsa vutoli. Choyambirira cha hyperparathyroidism Chiwopsezo chokhala ndi matendawa chimakhalanso chachikulu mwa anthu omwe:

- Matenda ena obadwa nawo omwe amakhudza zowawa zosiyanasiyana m'thupi, monga endocrine neoplasia.

- Mbiri yakale ya kuchepa kwa calcium ndi vitamini D.

- Kuwonekera kwa radiation mu chithandizo cha khansa.

- matenda a bipolar kumwa mankhwala otchedwa lithiamu omwe amachiza

Secondary Hyperparathyroidism

Mtundu uwu umachitika pamene vuto lalikulu lichitika lomwe limapangitsa kuti calcium ikhale yotsika kwambiri.

Secondary hyperparathyroidism Nthawi zambiri zimachitika chifukwa cha kulephera kwa impso kosatha komwe kumabweretsa kuchepa kwa vitamini D ndi calcium.

Tertiary Hyperparathyroidism

Mtundu uwu umapezeka pamene tiziwalo timene timatulutsa timadzi ta parathyroid timapitiriza kupanga PTH yochuluka kwambiri pambuyo poti mulingo wa calcium ubwerera mwakale. Mtundu uwu nthawi zambiri umapezeka mwa anthu omwe ali ndi vuto la impso.

Kodi Chimayambitsa Hyperparathyroidism Ndi Chiyani?

hyperparathyroidismKuonjezera apo, chimodzi kapena zingapo za glands za parathyroid zimakhala zowonjezereka ndipo zimapangitsa PTH yambiri. Izi zitha kukhala chifukwa cha chotupa, kukula kwa gland, kapena zovuta zina zamapangidwe a glands za parathyroid.

Pamene ma calcium ali otsika kwambiri, glands za parathyroid zimayankha mwa kuwonjezera kupanga PTH. Izi zimathandiza kuti impso ndi matumbo azitha kuyamwa calcium yambiri.

Amachotsanso calcium yambiri m'mafupa. Kupanga kwa PTH kumabwerera mwakale pamene mulingo wa calcium umakweranso.

Kodi Zowopsa Zotani za Hyperparathyroidism?

- Kukhala mkazi chifukwa vutoli limapezeka kwambiri mwa amayi (makamaka omwe asiya kusamba) kusiyana ndi amuna.

- Kukhala wamkulu wamkulu.

- Kulandila chithandizo cha radiation pakhosi pochiza khansa.

- Cholowa kapena banja hyperparathyroidism nkhani.

- Kukhala ndi mbiri yambiri ya endocrine neoplasia, matenda osowa cholowa.

- Mbiri ya matenda a impso kapena kulephera kwa impso. Impso zathu zimatembenuza vitamini D kukhala mawonekedwe omwe thupi lathu lingagwiritse ntchito, ndipo vitamini D amafunikira kuti asamayende bwino. Kulephera kwaimpso kosatha, hyperparathyroidism yachiwirindiye chifukwa chofala kwambiri

- Kuperewera kwambiri kwa calcium.

- Kuperewera kwakukulu kwa vitamini D komwe kumakhudza kuyamwa kwa calcium.

- Kutenga lithiamu, mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza matenda a bipolar.

Kodi Zizindikiro za Hyperparathyroidism Ndi Ziti?

Zizindikiro zimatha kukhala zofatsa mpaka zovuta, kutengera mtundu wanu wa hyperparathyroidism.

Zizindikiro zoyambirira za Hyperparathyroidism

Odwala ena alibe zizindikiro. Ngati zizindikiro zilipo, zimatha kukhala zofatsa mpaka zowopsa. Zizindikiro zocheperako ndizo:

- Kutopa

- Kufooka ndi kutopa

- Matenda okhumudwa

- kuwawa kwa thupi

Zizindikiro zowopsa kwambiri ndi izi:

- kusowa kwa njala

- Kudzimbidwa

- Kusanza

-Nseru

- ludzu lalikulu

- kuchuluka kukodza

- kusokonezeka maganizo

- mavuto a kukumbukira

- Mwala wa impso

Kafukufuku wina hyperparathyroidism yoyambaakuluakulu ambiri ndi parathyroidism amasonyeza kuti ali onenepa kwambiri kuposa akuluakulu a msinkhu womwewo omwe sali onenepa.

Choyambirira cha hyperparathyroidism Zingakhalenso zogwirizana ndi kuchuluka kwa matenda oopsa, kukana insulini, mavuto a lipid / mafuta / cholesterol, ndi matenda a mtima.

Sekondale Hyperparathyroidism Zizindikiro

Mtundu uwu ukhoza kukhala ndi vuto la chigoba monga fractures, kutupa mafupa, ndi kupunduka kwa mafupa. Zizindikiro zina zimadalira chomwe chimayambitsa, monga kulephera kwa impso kapena kuchepa kwakukulu kwa vitamini D.

Kodi Hyperparathyroidism Imazindikiridwa Bwanji?

Pamene chizolowezi magazi ndi mkulu milingo kashiamu m`magazi, dokotala hyperparathyroidismakhoza kukayikira. Kuti atsimikizire izi, katswiri wazachipatala adzafunikanso kuyesa zina.

Kuyeza Magazi

Kuyeza magazi owonjezera kudzathandiza dokotala kuti adziwe bwino. Wothandizira zaumoyo adzayitanitsa kuyezetsa magazi kuti awone kuchuluka kwa PTH, kuchuluka kwa alkaline phosphatase, komanso kuchepa kwa phosphorous.

Mayeso a Mkodzo

Kuyezetsa mkodzo kumathandiza dokotala kudziwa kuti vutoli ndi loopsa bwanji komanso ngati vuto la impso ndilomwe limayambitsa. Adzayang'ananso mkodzo kuti awone kuchuluka kwa calcium yomwe ili nayo.

Kuyeza Impso

Dokotala akhoza kuyesa kujambula kwa impso.

Kodi Hyperparathyroidism Imathandizidwa Bwanji?

Hyperparathyroidism yoyamba

Ngati impso zikugwira ntchito bwino, mulingo wa calcium umakhala wokwera pang'ono, kapena kuchulukitsidwa kwa mafupa kumakhala koyenera, chithandizo sichingafunike.

Pankhaniyi, dokotala wanu akhoza kuyang'anitsitsa mkhalidwewo kamodzi pachaka ndikuyang'ana kuchuluka kwa calcium m'magazi kawiri pachaka.

Dokotala amakulangizani kuti muyang'anire kadyedwe ka calcium ndi vitamini D. Zidzakhala zofunikira kumwa madzi ambiri kuti muchepetse chiopsezo cha miyala ya impso. Kuchita masewera olimbitsa thupi nthawi zonse n'kofunika kuti mafupa akhale olimba.

Ngati chithandizo chili chofunikira, opaleshoni ndi njira yomwe imagwiritsidwa ntchito kwambiri. Opaleshoni imaphatikizapo kuchotsa zotupa za parathyroid kapena zotupa m'matumbo.

Zovuta ndizosowa ndipo zimaphatikizapo minyewa yapakhosi yowonongeka komanso kuchuluka kwa kashiamu kwanthawi yayitali.

Calcimimetics, yomwe imakhala ngati calcium m'magazi, ndi mankhwala ena. Mankhwalawa amakakamiza ma glands kupanga PTH yochepa. Dokotala nthawi zina amawalembera opaleshoni ikalephera kapena ayi.

Mwa kuteteza mafupa kuti asatayike kashiamu, ma bisfonates angathandize kuchepetsa chiopsezo cha osteoporosis.

Chithandizo cha mahomoni chimathandizira kuti mafupa agwire calcium. Ngakhale kuti mankhwalawa ali ndi zoopsa zomwe zimagwirizanitsidwa ndi kugwiritsidwa ntchito kwa nthawi yaitali, amatha kuchiza amayi omwe ali ndi matenda osteoporosis. Izi zimawonjezera chiopsezo cha matenda amtima ndi khansa zina.

Secondary Hyperparathyroidism

Chithandizo chimaphatikizapo kukonza zomwe zimayambitsa ndikubwezeretsa mlingo wa PTH kukhala wabwinobwino. Njira zochiritsira zimaphatikizapo kugwiritsa ntchito mankhwala a vitamini D chifukwa chosowa kwambiri, calcium ndi vitamini D chifukwa cha kulephera kwa impso. Ngati pali kulephera kwa impso, mankhwala ndi dialysis zingafunikenso.

Ndi Mavuto Otani Ogwirizana ndi Hyperparathyroidism?

hyperparathyroidism Anthu omwe ali ndi moyo angakhale ndi matenda otchedwa osteoporosis, omwe amatchedwanso "kuwonda" kwa fupa.

Zizindikiro zodziwika bwino zimaphatikizapo kusweka kwa fupa ndi kutayika kwa kutalika chifukwa cha fupa la msana (msana wa msana) fractures.

Izi zitha kuchitika pamene kuchuluka kwa PTH kumabweretsa kutayika kwa calcium yambiri m'mafupa, zomwe zimawafooketsa.

Osteoporosis imachitika mukakhala kuti muli calcium yambiri m'magazi ndipo kashiamu sakhala m'mafupa kwa nthawi yayitali.

Osteoporosis imabweretsa chiopsezo chachikulu cha kuthyoka kwa mafupa. Dokotala amayang'ana zizindikiro za osteoporosis potenga fupa la X-ray kapena kuyesa fupa la mchere wambiri. Mayesowa amayesa kuchuluka kwa calcium ndi mafupa amchere pogwiritsa ntchito zida zapadera za X-ray.

Mankhwala Achilengedwe Ochizira Hyperparathyroidism

Tsatirani Zakudya za Hyperparathyroidism

Zizindikiro za hyperparathyroidismNdikofunikira kudya zakudya zokhala ndi kashiamu wambiri kuti tipewe kuchepa kwa kashiamu, zomwe zimatha kukulitsa matendawa ndi zovuta zake.  

Akuluakulu azaka zapakati pa 10-50, amayi azaka zapakati pa 51 ndi akulu, ndi amuna azaka 71 ndi akulu amafunikira mamiligalamu 1.000 a calcium patsiku, kapena mamiligalamu 1.200 patsiku.

Magwero abwino kwambiri a calcium ndi awa: mkaka (mkaka wosaphika, mkaka wa mbuzi, kefir, yoghurt kapena tchizi zakale), masamba obiriwira, therere, chard, nyemba zobiriwira, kaloti, turnips ndi watercress, amondi, navy nyemba, navy maso akuda, organic edamame, sardines, oyster, nyanja, sesame, mbewu mpendadzuwa, dzungu, mbatata, sitiroberi, nkhuyu ndi malalanje.

hyperparathyroidism Zakudya zina zomwe zingathandize kusamalira ndi monga: mitundu yonse ya masamba obiriwira, koko, mapeyala, nthochi, mafuta athanzi monga mafuta a azitona ndi kokonati, nyama zodyetsedwa ndi udzu, zitsamba zatsopano ndi zonunkhira. magnesium zakudya zokhala ndi zambiri.

Imwani madzi ambiri kuti muteteze miyala ya impso. Ndi bwino kumwa madzi osachepera magalasi asanu ndi limodzi kapena asanu ndi atatu tsiku lililonse kuti muteteze impso zanu.

Ndikofunika kupewa zakudya zomwe zimayambitsa kutupa. Zakudya zopatsirana zopewera ndizowonjezera shuga, mbewu zokonzedwa bwino, mafuta amasamba oyengedwa bwino, ndi zakudya zokhala ndi zopangira zopangira.

Chepetsani Kupweteka kwa Mafupa ndi Mafupa

Yesetsani kukhala achangu ndi kutambasula tsiku lililonse, ngati n'kotheka, kuti mukhalebe osinthasintha komanso kuchepetsa kuuma. Kuchita masewera olimbitsa thupi nthawi zonse, makamaka kukweza zolemera ndi kuphunzitsa mphamvu, ndizofunikira kuti mafupa akhale olimba. 

Kuonjezera apo, kuchita masewera olimbitsa thupi kungathandize kuchepetsa chiopsezo cha mavuto monga matenda a mtima. Njira zina zothandizira kupweteka kwa mafupa ndi mafupa ndi monga:

- Kupaka mafuta a peppermint kumalo opweteka

- Kuchita yoga

– Kusamba madzi otentha ndi mchere wa Epsom

-Kutikita minofu kapena kutema mphini

- Kumwa mankhwala oletsa kutupa, kuphatikiza ma turmeric ndi omega 3 mafuta acids

- kugona mokwanira

- Kudya mankhwala oletsa kutupa

Kulimbana ndi Mseru ndi Kutaya Chilakolako

Kwa iwo omwe ali ndi nseru, kusanza, kapena kusafuna kudya, malangizo awa angathandize:

- Pewani zakudya zomwe zingapangitse kuti kugaya chakudya kuipire kwambiri, monga zakudya zamafuta, zakudya zokhala ndi sodium wambiri, masamba onunkhira kwambiri, zomanga thupi zanyama, zokometsera, mafuta kapena tchizi. Idyani zakudya zing'onozing'ono kapena zokhwasula-khwasula tsiku lonse m'malo mwa zakudya zazikulu zitatu.

- Sungani thupi mwakumwa madzi kapena tiyi wa zitsamba ndikudya zipatso ndi ndiwo zamasamba.

- Thirani madzi a mandimu ndi mandimu m'madzi oundana ndikumwa tsiku lonse.

- Yesani kumwa tiyi wa ginger kapena makapisozi a ginger kangapo patsiku. Kutenga vitamini B6 kamodzi kapena katatu patsiku kumachepetsanso nseru.

- Yendani panja ndikupeza mpweya wabwino. Yesetsani kuchita masewera olimbitsa thupi kwa nthawi yayitali, chifukwa izi zingathandize kuchepetsa chilakolako.

- Muzigona mokwanira chifukwa kutopa kumatha kukukhumudwitsani.

Sinthani Kukhumudwa ndi Kutopa

Njira zothanirana ndi kupsinjika ndi kukhumudwa komanso kuthandizira thanzi lamaganizidwe ndi izi: kuchita masewera olimbitsa thupi, kugona mokwanira, kuthandizira pagulu, kukhala panja, kusinkhasinkha, kutema mphini, kulemba zolemba, komanso kuwerenga.

Pewani Kusowa kwa Vitamini D

Vitamini D Imathandiza kukhalabe ndi kashiamu yoyenera m'magazi ndipo imalola kuti m'mimba mutenge kashiamu kuchokera ku chakudya. 

Malingaliro ovomerezeka a vitamini D ndi mayunitsi 1 apadziko lonse (IU) patsiku kwa anthu azaka zapakati pa 70-600 ndi 71 IU patsiku kwa akulu azaka 800 ndi kupitilira apo.

Njira yabwino yopewera kusowa kwa vitamini D ndiyo kutetezedwa ndi dzuwa. Thupi limapanga vitamini D pamene khungu limayang'aniridwa ndi dzuwa. Pamlingo wocheperako, titha kupeza vitamini D kuchokera ku zakudya zomwe timadya. 

Lankhulani ndi dokotala za kufunikira kwa vitamini D ndi calcium yowonjezera, chifukwa nthawi zambiri zimakhala zofunikira kuti mukhalebe wathanzi.

Pewani Kusuta ndi Mankhwala Ena

Kusuta kungayambitse matenda osiyanasiyana, kuphatikizapo kufooka kwa mafupa komanso kungayambitse matenda a mtima. 

Lankhulani ndi dokotala za njira yabwino yosiyira kusuta, monga kulowa m'gulu losiya kusuta, kugwiritsa ntchito chikonga, kapena kuyesa hypnosis, kusinkhasinkha, kapena njira zina.

Muyeneranso kupewa kumwa mowa wambiri kapena kumwa mankhwala olimbikitsa calcium, kuphatikizapo okodzetsa ndi lithiamu.

hyperparathyroidismZimakhudza kwambiri thupi. Kodi wina ali ndi hyperparathyroidism? Mutha kulemba ndemanga.