Chii chinonzi Hyperparathyroidism? Zvinokonzera, Zviratidzo uye Kurapwa

hyperparathyroidismZvinoitika apo parathyroid glands dzinoita yakawandisa parathyroid hormone (PTH). 

The parathyroid glands mana pea-sized endocrine glands ari mumutsipa, pedyo kana kusungirirwa kumashure kwetachiona. 

Endocrine glands inoburitsa mahomoni anodiwa pakushanda kwakajairika kwemuviri.

Pasinei nemazita akafanana uye akabatana nemutsipa, parathyroid glands uye thyroid nhengo dzakasiyana zvikuru. Iyo parathyroid glands inobatsira kudzora calcium, vhitamini D uye phosphorus mazinga mumapfupa neropa.

Vamwe vanhu vane yakawandisa parathyroid hormone havaoni chero zviratidzo uye havadi kurapwa. Vamwe vanogona kuona zviratidzo zvinyoro kana zvakakomba zvingada kuvhiyiwa.

Chii chinonzi Hyperparathyroidism?

hyperparathyroidismChimiro chinoratidzwa nekuwanda kwehomoni yeparathyroid muropa. 

Iyo parathyroid glands inowanikwa yakatenderedza thyroid gland mumutsipa uye inoburitsa hormone inonzi parathyroid hormone. 

Basa guru reparathyroid glands mumuviri calcium ve phosphorus kudzora mazinga. Munhu mumwe nemumwe ane twudiki diki tweparathyroid tunenge tuine saizi yetsanga yemupunga.

Kazhinji, kana mazinga ecalcium adonha, muviri unoburitsa yakawanda parathyroid hormone (PTH) kudzorera mazinga. Kana mazinga ecalcium achiwedzera, muviri unoburitsa mashoma parathyroid hormone saka mazinga anodonha. 

hyperparathyroidism Vanhu vane chirwere cheshuga vane calcium yakawandisa uye pasi-yakajairika (kana dzimwe nguva pedyo-yakajairika) huwandu hwephosphorus muropa ravo.

Parathyroid hormone ine mabasa anokosha akadai se:

- Inosimudzira mapfupa kuburitsa calcium nephosphate muropa.

Inokonzera kuti itsvo dzibudise karusiyamu shoma muweti.

Inokonzera kuti itsvo dzisunungure phosphate yakawanda muropa.

- Inosimudzira digestive system kuti itore yakawanda calcium.

-Inoita kuti itsvo dziite kuti vhitamini D iwedzere, ichibvumira kutora calcium yakawanda. 

Ndeapi Mhando dzeHyperparathyroidism?

Kune marudzi matatu e hyperparathyroidism: primary hyperparathyroidism, secondary hyperparathyroidism uye tertiary hyperparathyroidism.

Primary Hyperparathyroidism

Rudzi urwu runoitika kana paine dambudziko neinenge imwe yeparathyroid glands. Zvinowanzokonzera matambudziko eparathyroid zvinosanganisira benign tumors mugland uye kuwedzera kweanosvika maviri glands. 

Muzviitiko zvisingawanzoitiki, bundu regomarara rinokonzera chirwere ichi. Primary hyperparathyroidism Ngozi yekuzvigadzira zvakare yakakwirira muvanhu vano:

-Kumwe kugarwa nhaka kunokanganisa marara akasiyana mumuviri, akadai seakawanda endocrine neoplasia.

- Nhoroondo yakareba ye calcium uye vitamin D kushomeka.

- Radiation exposure mukurapa cancer.

- bipolar disorder kutora mushonga unonzi lithium unorapa

Secondary Hyperparathyroidism

Rudzi urwu runoitika kana chiitiko chepasi chikaitika chinoita kuti mazinga ecalcium ave akaderera zvakanyanya.

Secondary hyperparathyroidism Zviitiko zvakawanda zvinokonzerwa nekutadza kweitsvo kusingaperi zvichikonzera kuderera kwevhitamini D uye calcium mazinga.

Tertiary Hyperparathyroidism

Rudzi urwu runoitika apo parathyroid glands inoramba ichiita yakawandisa PTH mushure mekunge calcium level yadzokera kune yakajairika. Mhando iyi inowanzoonekwa kune vanhu vane matambudziko eitsvo.

Chii Chinokonzera Hyperparathyroidism?

hyperparathyroidismMukuwedzera, imwe kana akawanda eparathyroid glands anova akawandisa uye anoita yakawandisa PTH. Izvi zvinogona kunge zvakakonzerwa nebundu, kuwedzera kwegland, kana zvimwe zvinetso zvechimiro cheparathyroid glands.

Kana mazinga e calcium akanyanya kuderera, maparathyroid glands anopindura nekuwedzera PTH kugadzirwa. Izvi zvinobvumira itsvo uye matumbo kutora yakawanda calcium.

Inobvisawo calcium yakawanda kubva mumapfupa. Kugadzirwa kwePTH kunodzokera kune zvakajairika kana iyo calcium level yasimuka zvakare.

Ndezvipi Zvikonzero Zvengozi yeHyperparathyroidism?

– Kuve mukadzi nekuti chirwere ichi chinowanzoitika kuvakadzi (kunyanya vakadzi vakasiya kumwedzi) kupfuura varume.

– Kuva munhu mukuru.

-Kuve wakagamuchira radiation kurapwa mumutsipa kurapwa kenza.

– Genetic nhaka kana mhuri hyperparathyroidism nyaya.

-Kuve nenhoroondo yeakawanda endocrine neoplasia, chirwere chisingawanzogarwa nhaka.

- Nhoroondo yechirwere cheitsvo kana kutadza kushanda kweitsvo. Itsvo dzedu dzinoshandura vhitamini D kuita chimiro chinogona kushandiswa nemuviri wedu, uye vhitamini D inodiwa kuenzanisa mazinga ecalcium. Kusashanda zvakanaka kwetsvo, yechipiri hyperparathyroidismndiyo inonyanya kukonzera

- Kushaikwa kwakanyanya kwecalcium.

-Kushaikwa kwakanyanya kwevhitamini D kunokanganisa kutorwa kwecalcium.

-Kutora lithium, mushonga unonyanya kushandiswa kurapa bipolar disorder.

Ndezvipi Zviratidzo zveHyperparathyroidism?

Zviratidzo zvinogona kubva kune zvinyoro kusvika kune zvakanyanya, zvichienderana nerudzi rwako rwe hyperparathyroidism.

Primary Hyperparathyroidism Zviratidzo

Vamwe varwere havana kana zviratidzo. Kana zviratidzo zviripo, zvinogona kubva kune zvinyoro kusvika kune zvakanyanya. Zviratidzo zvakapfava zvinosanganisira:

- Kuneta

- Kushaya simba uye kuneta

- Kushungurudzika

- muviri kurwadza

Zvimwe zviratidzo zvakanyanya zvinosanganisira:

– kurasikirwa nechido

- Kuzvimbirwa

- Kusvipa

- Nausea

- nyota yakanyanyisa

- kuwedzera weti

- kuvhiringidzika mupfungwa

- matambudziko endangariro

- Itsvo ibwe

Dzimwe tsvakurudzo yekutanga hyperparathyroidismvakuru vakawanda vane parathyroidism zvinoratidza kuti vakafuta kupfuura vakuru vezera rimwe chete vasina.

Primary hyperparathyroidism inogonawo kusanganiswa nehuwandu hwehuwandu hwehuwandu hwehutachiona, insulin resistance, lipid / mafuta / cholesterol matambudziko, uye chirwere chemwoyo.

Secondary Hyperparathyroidism Zviratidzo

Mhando iyi inogona kunge iine skeletal abnormalities sekutsemuka, kuzvimba majoini, uye kuremara kwebhonzo. Zvimwe zviratidzo zvinoenderana nechikonzero chinokonzera, sekutadza kweitsvo kusingaperi kana kushomeka kwakanyanya kwevhitamini D.

Hyperparathyroidism Inowanikwa Sei?

Kana nguva dzose kuongororwa kweropa kune yakakwirira ye calcium muropa, chiremba hyperparathyroidismanogona kufungidzira. Kuti asimbise kuongororwa uku, nyanzvi yezvehutano inodawo kuita dzimwe bvunzo.

Ropa Kuongorora

Kuwedzera kuongororwa ropa kuchabatsira chiremba kuti anyatsoongorora. Mupi wehutano acharaira kuongororwa ropa kuti atarise mazinga akakwira ePTH, yakakwira alkaline phosphatase mazinga, uye yakaderera mazinga ephosphorus.

Weti Miyedzo

Kuongororwa weti kunobatsira chiremba kuti aone kuti chirwere chacho chakanyanya kudii uye kuti dambudziko reitsvo ndiro here honzeri. Achatarisawo weti kuti ine calcium yakawanda sei.

Kidney Tests

Chiremba anogona kuita ongororo yeitsvo.

Hyperparathyroidism inorapwa sei?

Primary Hyperparathyroidism

Kana itsvo dziri kushanda zvakanaka, calcium level yakakwira zvishoma, kana kuti mapfupa emapfupa akajairika, kurapwa kungasadiwa.

Muchiitiko ichi, chiremba wako anogona kutarisa mamiriro acho kamwe pagore uye kutarisa mazinga eropa-calcium kaviri pagore.

Chiremba anokupa zano kuti utarise mashandisirwo ecalcium uye vhitamini D. Zvinenge zvakakodzera kunwa mvura yakawanda kuderedza dambudziko rematombo eitsvo. Kuita maekisesaizi nguva dzose kwakakosha kusimbisa mapfupa.

Kana kurapwa kuchidikanwa, kuvhiyiwa ndiko kurapwa kunowanzoshandiswa. Maitiro ekuvhiya anosanganisira kubvisa akawedzera parathyroid glands kana mamota mumatumbu.

Matambudziko haawanzo uye anosanganisira kukuvadzwa kwevocal cord nerve uye kwenguva refu, yakaderera mazinga e calcium.

Calcimimetics, iyo inoshanda se calcium muropa, ndeimwe kurapwa. Mishonga iyi inomanikidza matinji kuita PTH shoma. Chiremba dzimwe nguva anozvirayira kana kuvhiyiwa kusingabudiriri kana kusiri sarudzo.

Nokudzivirira mapfupa kubva pakurasikirwa necalcium, bisfonates inogona kubatsira kuderedza njodzi yeosteoporosis.

Hormone replacement therapy inobatsira mapfupa kubatirira pane calcium. Kunyangwe kurapa uku kuine njodzi dzine chekuita nekushandiswa kwenguva refu, kunogona kurapa vakadzi vepashure vane osteoporosis. Izvi zvinowedzera njodzi yechirwere chemoyo uye mamwe magomarara.

Secondary Hyperparathyroidism

Kurapa kunosanganisira kugadzirisa chikonzero uye kudzorera iyo PTH level kune yakajairika. Nzira dzekurapa dzinosanganisira kushandisa mishonga yevhitamini D yekushomeka kwakanyanya, calcium uye vhitamini D yekutadza kweitsvo kusingaperi. Kana pane kutadza kushanda kweitsvo kusingaperi, mushonga uye dialysis zvinogona kudiwa zvakare.

Ndezvipi Zvinetso Zvinosanganiswa neHyperparathyroidism?

hyperparathyroidism Avo vanorarama vanogona kunge vane chirwere chinonzi osteoporosis, iyo inonziwo "kuonda" kwebhonzo.

Zviratidzo zvakajairika zvinosanganisira kuputsika kwemapfupa uye kurasikirwa kwekukwirira nekuda kwe vertebral body (spinal column) fractures.

Izvi zvinogona kukura kana yakawandisa PTH kugadzirwa kunotungamirira kune yakawandisa calcium kurasikirwa mumapfupa, izvo zvinovanetesa.

Osteoporosis inowanzoitika kana paine calcium yakawandisa muropa uye calcium isingarambi mumapfupa kwenguva yakareba.

Osteoporosis inoisa njodzi yakakura yekutyoka kwemapfupa. Chiremba anotarisa zviratidzo zveosteoporosis nekutora bhonzo X-rays kana kuita bvunzo yemamineral density test. Uyu muedzo unoyera calcium uye bhonzo mineral level uchishandisa yakakosha X-ray zvishandiso.

Mishonga Yakasikwa yeHyperparathyroidism Kurapa

Tevera Hyperparathyroidism Diet

Hyperparathyroidism zviratidzoZvakakosha kudya zvokudya zvakakwirira mu calcium kudzivirira kushayikwa kwe calcium, izvo zvinogona kuwedzera kurwara uye zvinetso zvayo.  

Vakuru vane makore 10-50, vakadzi vane makore 51 zvichikwira, uye varume vane makore 71 zvichikwira vanoda anenge 1.000 milligrams ecalcium pazuva, kana 1.200 milligrams pazuva.

Nzvimbo dzakanakisa dzecalcium ndeidzi: zvigadzirwa zvemukaka (mukaka mbishi, mukaka wembudzi, kefir, yoghurt kana cheeses achembera), miriwo yemashizha egirinhi, okra, chard, green beans, karoti, turnips uye watercress, almonds, navy beans, black-eyed peas, organic edamame, sardines, oyster, seaweed, sesame, mhodzi dzesunflower, manhanga, mbatatisi, sitirobheri, maonde uye maranjisi.

hyperparathyroidism Zvimwe zvekudya zvinogona kubatsira kubata zvinosanganisira: marudzi ese emashizha ane mashizha, cocoa, avocados, mabhanana, mafuta ane hutano semafuta emuorivhi nekokonati mafuta, nyama inodyiswa uswa, miriwo mitsva nezvinonhuwira. magnesium zvokudya zvine zvakakwirira.

Inwa mvura yakawanda kubatsira kudzivirira matombo eitsvo. Zvakanakisisa kunwa anenge magirazi matanhatu kusvika masere emvura zuva rega rega kubatsira kudzivirira itsvo dzako.

Zvakakosha kudzivisa zvokudya zvinokonzera kuzvimba. Zvokudya zvinopisa zvinodzivirira zvinowedzerwa shuga, zviyo zvakagadzikiswa, mafuta emiriwo akacheneswa, uye zvikafu zvine zvinogadzirwa.

Deredza Bone uye Joint Pain

Edza kugara uchishanda uye kutambanudza zuva rega rega, kana zvichibvira, kuchengetedza kushanduka uye kuderedza kuoma. Kugara uchirovedza muviri, kunyanya kusimudza uremu uye kurovedza simba, kwakakosha pakuchengetedza mapfupa akasimba. 

Uyezve, kurovedza muviri kunogona kubatsira kuderedza njodzi yezvinetso zvakadai sechirwere chemwoyo. Dzimwe nzira dzekubatsira kubata marwadzo emapfupa uye majoini anosanganisira:

-Kuzora peppermint mafuta kunzvimbo dzinorwadza

- Ita yoga

– Kugeza inodziya neEpsom munyu

-Massage therapy kana acupuncture

-Kutora anti-inflammatory supplements, kusanganisira turmeric uye omega 3 fatty acids

- kurara zvakakwana

- Kudya anti-inflammatory

Kurwisa Nausea uye Kurasikirwa Kwekudya

Kune avo vane kusvotwa, kurutsa, kana kurasikirwa nechido, aya matipi achabatsira:

- Dzivisa kudya izvo zvinogona kuita kuti nyaya dzekugaya dziwedzere, zvakadai sezvokudya zvine mafuta, zvokudya zvine sodium yakawanda, miriwo ine kunhuhwirira kwakasimba, mapuroteni emhuka akawandisa, zvinonhuwira, mafuta kana cheese. Idya zvidiki zvidiki kana svutugadzike zuva rese pane kudya kukuru kutatu.

- Chengetedza muviri uzere nemvura nekunwa mvura kana herbal tea uye kudya michero nemiriwo mitsva.

- Wedzera imwe remoni neraimu muto mumvura yeaizi wonwa zuva rese.

- Edza kunwa ginger tii kana kutora ginger capsules kakawanda pazuva. Kutora vhitamini B6 kamwe chete kusvika katatu pazuva kunogonawo kuderedza kusvotwa.

- Famba-famba panze uye uwane mweya mutsva. Edza kuita maekisesaizi akareruka kwenguva yakareba sezvinobvira, sezvo izvi zvingabatsira kudzora chido.

- Wana nguva yakakwana yekurara nekuti kuneta kunogona kuita kuti unzwe wakashata.

Gadzirisa Kuora Mwoyo uye Kuneta

Nzira dzekugadzirisa kushushikana uye kuora mwoyo uye kutsigira hutano hwepfungwa dzinosanganisira: kurovedza muviri, kurara kwakakwana, rutsigiro rwemagariro, kupedza nguva kunze, kufungisisa, acupuncture, kunyora, uye kuverenga.

Dzivirira Kushaikwa kweVitamin D

Vitamin D Inobatsira kuchengetedza yakakwana calcium mazinga muropa uye inobvumira chirongwa chekudya kutora calcium kubva muchikafu. 

Iyo yakajairwa kurudziro yekudyiwa kwevhitamini D ndeye mazana matanhatu epasi rose maunits (IU) pazuva kune vanhu vane makore 1-70 uye 600 IU pazuva kune vakuru 71 zvichikwira.

Nzira yakanakisa yekudzivirira kushaikwa kwevhitamini D ndeyekuratidzwa kwezuva kwakananga. Muviri unoburitsa vhitamini D kana ganda richinge rave nechiedza chezuva. Kusvikira pamwero muduku, tinogona kuwana imwe vhitamini D kubva muzvokudya zvatinodya. 

Taura nachiremba nezvekuda vhitamini D uye calcium supplement, sezvo zvichiwanzodikanwa kuchengetedza mazinga akajairika.

Dzivisa Kusvuta uye Mimwe Mishonga

Kusvuta kunogona kutungamirira kumatambudziko akasiyana-siyana ehutano, kusanganisira kupera simba kwemapfupa uye zvinogona kukonzera matambudziko emwoyo. 

Taura nachiremba nezve nzira yakanakisisa yekurega kusvuta, zvakadai sekubatana neboka rekurega kusvuta, kushandisa nicotine patch, kana kuedza hypnosis, kufungisisa, kana dzimwe nzira.

Iwe unofanirwawo kudzivisa kunwa doro rakawanda kana kutora calcium-boosting mishonga, kusanganisira mamwe diuretics uye lithium.

hyperparathyroidismZvinokanganisa muviri zvakanyanya. Pane munhu ane hyperparathyroidism? Unogona kunyora makomendi.