Yintoni iHyperparathyroidism? Oonobangela, Iimpawu kunye noNyango

hyperparathyroidismKwenzeka xa amadlala eparathyroid enza kakhulu ihomoni yeparathyroid (PTH). 

Amadlala e-parathyroid angamadlala e-endocrine anobungakanani be-pea abekwe entanyeni, kufutshane okanye encanyathiselwe ngasemva kwegilo. 

Amadlala e-Endocrine akhupha iihomoni eziyimfuneko ekusebenzeni okuqhelekileyo komzimba.

Nangona inamagama afanayo kunye nentamo edibeneyo, amadlala e-parathyroid kunye ne-thyroid ngamalungu ahluke kakhulu. Amadlala eparathyroid anceda ukulawula icalcium, ivithamin D kunye namanqanaba ephosphorus emathanjeni nasegazini.

Abanye abantu abane-hormone ye-parathyroid engaphezulu abafumani zimpawu kwaye abafuni unyango. Abanye basenokuba neempawu ezibuthathaka okanye eziqatha ezisenokufuna utyando.

Yintoni iHyperparathyroidism?

hyperparathyroidismyimeko ebonakala ngokugqithisileyo kwehomoni yeparathyroid egazini. 

Amadlala e-parathyroid ahlala ejikeleze i-thyroid gland entanyeni kwaye akhuphe ihomoni ebizwa ngokuba yi-hormone ye-parathyroid. 

Umsebenzi ophambili we-parathyroid glands emzimbeni calcium ve ifosforasi amanqanaba okulawula. Mntu ngamnye unamadlala amancinane amane eparathyroid ngokuqhelekileyo alingana nokhozo lwerayisi kuphela.

Ngokuqhelekileyo, xa amanqanaba e-calcium ehla, umzimba uvelisa i-hormone ye-parathyroid (PTH) ukubuyisela amanqanaba. Xa amanqanaba e-calcium enyuka, umzimba uvelisa ihomoni encinci ye-parathyroid ukuze amanqanaba ehla. 

hyperparathyroidism Abantu abanesifo seswekile bane-calcium eninzi kakhulu kunye nezixa ezingaphantsi-zesiqhelo (okanye ngamanye amaxesha ezikufutshane-eziqhelekileyo) ze-phosphorus egazini labo.

Ihomoni yeParathyroid inemisebenzi ebalulekileyo efana nale:

– Ivuselela amathambo ukuba akhulule icalcium kunye nephosphate egazini.

Ibangela ukuba izintso zikhuphe i-calcium encinci kumchamo.

Ibangela ukuba izintso zikhuphe iphosphate eninzi egazini.

-Ivuselela inkqubo yokwetyisa ukuba ifunxe icalcium eninzi.

-Ibangela ukuba izintso zisebenze ngakumbi i-vitamin D, ivumela ukufunxa ngakumbi kwe-calcium. 

Ziziphi iintlobo zeHyperparathyroidism?

Kukho iintlobo ezintathu ze-hyperparathyroidism: i-hyperparathyroidism yokuqala, i-hyperparathyroidism yesibini kunye ne-tertiary hyperparathyroidism.

I-Hyperparathyroidism yokuqala

Olu hlobo lwenzeka xa kukho ingxaki ubuncinane enye yamadlala e-parathyroid. Izizathu eziqhelekileyo zeengxaki ze-parathyroid ziquka i-benign tumors kwi-gland kunye nokwandiswa ubuncinane kwamadlala amabini. 

Kwiimeko ezinqabileyo, i-tumor enomhlaza ibangela le meko. I-hyperparathyroidism yokuqala Umngcipheko wokukhula uphezulu nakubantu:

-Iziphazamiso ezithile ezizuzwe njengelifa ezichaphazela amadlala ahlukeneyo emzimbeni, njenge-endocrine neoplasia.

- Imbali ende yokunqongophala kwe-calcium kunye ne-vitamin D.

- Ukuvezwa kwemitha kunyango lomhlaza.

- ukuxhuzula ukuthatha iyeza elibizwa ngokuba yi-lithium elinyangayo

I-Hyperparathyroidism yesibini

Olu hlobo lwenzeka xa imeko esisiseko isenzeka ebangela ukuba amanqanaba e-calcium abe phantsi ngokungaqhelekanga.

I-hyperparathyroidism yesibini Uninzi lweemeko zibangelwa kukusilela kwezintso okungapheliyo okukhokelela kumanqanaba asezantsi evithamin D kunye namanqanaba e-calcium.

Inqanaba eliphezulu Hyperparathyroidism

Olu hlobo lwenzeka xa amadlala e-parathyroid eqhubeka nokwenza i-PTH eninzi emva kokuba izinga le-calcium libuyele kwisiqhelo. Olu hlobo ludla ngokubonwa kubantu abaneengxaki zezintso.

Yintoni ebangela i-Hyperparathyroidism?

hyperparathyroidismUkongeza, enye okanye ngaphezulu kwamadlala e-parathyroid asebenza ngokugqithisileyo kwaye enze i-PTH eninzi kakhulu. Oku kusenokuba ngenxa yethumba, ukwanda kwedlala, okanye ezinye iingxaki zesakhiwo sedlala lengqula.

Xa amanqanaba e-calcium ephantsi kakhulu, i-parathyroid glands isabela ngokunyusa imveliso ye-PTH. Oku kuvumela izintso kunye namathumbu ukuba afunxe i-calcium eninzi.

Ikwasusa i-calcium eninzi emathanjeni. Imveliso ye-PTH ibuyela kwisiqhelo xa izinga le-calcium liphakama kwakhona.

Ziziphi izinto ezinobungozi kwi-Hyperparathyroidism?

- Ukuba ngumfazi ngenxa yokuba le meko ixhaphake kakhulu kubasetyhini (ingakumbi abafazi be-postmenopausal) kunamadoda.

– Ukuba ngumntu omdala omdala.

- Ukuba ufumene unyango ngemitha entanyeni kunyango lomhlaza.

– Ilifa lemfuzo okanye usapho hyperparathyroidism ibali.

-Ukuba nembali ye-endocrine neoplasia eninzi, isifo esinqabileyo esizuzwe njengelifa.

– Imbali yesifo sezintso okanye ukungaphumeleli kwezintso. Izintso zethu ziguqula i-vitamin D ibe yifomu umzimba wethu onokuyisebenzisa, kwaye i-vitamin D iyadingeka ukulungelelanisa amanqanaba e-calcium. Ukungaphumeleli kwezintso okungapheliyo, hyperparathyroidism yesibiningoyena nobangela uxhaphakileyo we

-Ukunqongophala okukhulu kwe-calcium.

-Ukunqongophala okukhulu kwe-vitamin D echaphazela ukufunxa kwe-calcium.

-Ukuthatha i-lithium, esona silwanyana sisetyenziswa ngokuqhelekileyo ukunyanga i-bipolar disorder.

Ziziphi iimpawu ze-Hyperparathyroidism?

Iimpawu zinokuhluka ukusuka komncinci ukuya kobunzima, kuxhomekeke kuhlobo lwakho lwe-hyperparathyroidism.

Iimpawu eziphambili ze-Hyperparathyroidism

Ezinye izigulane azinazo naziphi na iimpawu. Ukuba iimpawu zikhoyo, zinokusuka kumbi ukuya kobukhali. Iimpawu ezibuthathaka ziquka:

- Ukudinwa

- Ubuthathaka kunye nokudinwa

- Uxinzelelo

- umzimba ubuhlungu

Iimpawu ezinzima ngakumbi ziquka:

– ukulahlekelwa ngumdla wokutya

- Ukuqunjelwa

- Ukuhlanza

- Isicaphucaphu

- unxano olugqithisileyo

- ukwanda kokuchama

- ukudideka kwengqondo

- iingxaki zememori

- Ilitye lezintso

Olunye uphando i-hyperparathyroidism yokuqalaabantu abadala abaninzi kunye i-parathyroidism zibonisa ukuba batyebe kakhulu kunabantu abadala abakwiminyaka efanayo nabangenjalo.

I-hyperparathyroidism yokuqala inokuthi idibaniswe nokunyuka koxinzelelo lwegazi, ukunganyangeki kwe-insulin, iingxaki ze-lipid / fat / cholesterol, kunye nesifo senhliziyo.

Iimpawu zeSecond Hyperparathyroidism

Olu hlobo lunokuba ne-skeletal abnormalities njengokuqhekeka, amajoyinti adumbileyo, kunye nokukhubazeka kwamathambo. Ezinye iimpawu zixhomekeke kunobangela osisiseko, njengokungaphumeleli kwezintso ezingapheliyo okanye ukunqongophala okukhulu kwevithamin D.

Ifunyaniswa njani i-Hyperparathyroidism?

Xa iimvavanyo zegazi eziqhelekileyo zinezinga eliphezulu le-calcium egazini, ugqirha hyperparathyroidismunokukrokra. Ukuqinisekisa olu xilongo, ingcali yokhathalelo lwempilo iya kufuneka kananjalo yenze olunye uvavanyo.

Uvavanyo Lwegazi

Uvavanyo olongezelelweyo lwegazi luya kunceda ugqirha ukuba enze ukuxilongwa ngokuchanekileyo. Umboneleli wezempilo uya kuyalela uvavanyo lwegazi ukujonga amanqanaba aphezulu e-PTH, amanqanaba aphezulu e-alkaline phosphatase, kunye namanqanaba aphantsi e-phosphorus.

Iimvavanyo zomchamo

Uvavanyo lomchamo lunceda ugqirha ukuba abone ukuba imeko imbi kangakanani kwaye ingaba iingxaki zezintso zingunobangela. Uya kuwujonga kwakhona umchamo ukuba uqulethe i-calcium engakanani.

Iimvavanyo zezintso

Ugqirha unokwenza uvavanyo lwemifanekiso yezintso.

Iphathwa njani iHyperparathyroidism?

I-Hyperparathyroidism yokuqala

Ukuba izintso zisebenza kakuhle, inqanaba le-calcium liphezulu kancinane, okanye ukuxinana kwamathambo kuqhelekile, unyango lusenokungafuneki.

Kule meko, ugqirha wakho unokubeka iliso kwimeko kanye ngonyaka kwaye ajonge amanqanaba egazi-calcium kabini ngonyaka.

Ugqirha ukucebisa ukuba ujonge ukusetyenziswa kwe-calcium kunye ne-vitamin D. Kuya kufuneka ukusela amanzi amaninzi ukunciphisa umngcipheko wamatye ezintso. Ukuzilolonga rhoqo kubalulekile ukuqinisa amathambo.

Ukuba unyango luyimfuneko, utyando lolona nyango lusetyenziswayo. Iinkqubo zotyando zibandakanya ukususa amadlala eparathyroid awandisiweyo okanye amathumba kumadlala.

Iingxaki zinqabile kwaye ziquka i-vocal cord nerves ezonakalisiweyo kunye nexesha elide, eliphantsi le-calcium.

I-Calcimimetics, esebenza njenge-calcium egazini, yolunye unyango. La machiza anyanzela amadlala ukuba enze iPTH encinci. Ngamanye amaxesha ugqirha ubamisela xa utyando lungaphumeleli okanye lungekho ukhetho.

Ngokukhusela amathambo ekulahlekelweni kwecalcium, i-bisfonates inokunceda ukunciphisa umngcipheko we-osteoporosis.

Unyango lokubuyisela ihomoni lunceda amathambo ukuba abambelele kwicalcium. Nangona olu nyango lunomngcipheko onxulumene nokusetyenziswa kwexesha elide, lunokunyanga abasetyhini be-postmenopausal abane-osteoporosis. Oku konyusa umngcipheko wesifo sentliziyo kunye neminye imihlaza.

I-Hyperparathyroidism yesibini

Unyango lubandakanya ukulungisa unobangela osisiseko kunye nokubuyisela inqanaba le-PTH kwimeko yesiqhelo. Iindlela zonyango ziquka ukusebenzisa i-vitamin D echazwe ngugqirha ngenxa yokusilela okukhulu, i-calcium kunye ne-vitamin D yokusilela kwezintso ezingapheliyo. Ukuba kukho ukusilela kwezintso okungapheliyo, amayeza kunye ne-dialysis zinokufuneka.

Ziziphi iingxaki ezinxulumene ne-Hyperparathyroidism?

hyperparathyroidism Abo baphilayo banokuba nemeko ebizwa ngokuba yi-osteoporosis, ebizwa ngokuba "yi-thinning" yethambo.

Iimpawu eziqhelekileyo ziquka ukuphuka kwamathambo kunye nokulahleka kobude ngenxa ye-vertebral body (ikholomu yomgogodla) iifractures.

Oku kunokukhula xa ukuveliswa kwe-PTH engaphezulu kukhokelela ekulahlekelweni kwe-calcium eninzi emathanjeni, okuba buthathaka.

I-Osteoporosis yenzeka xa kukho i-calcium eninzi egazini kwaye i-calcium ayihlali emathanjeni ixesha elide.

I-Osteoporosis ibeka umngcipheko ophezulu wokuqhekeka kwamathambo. Ugqirha ujonga iimpawu ze-osteoporosis ngokuthatha i-X-reyi yethambo okanye enze uvavanyo lwe-bone mineral density. Olu vavanyo lulinganisa amanqanaba e-calcium kunye neeminerali zethambo kusetyenziswa izixhobo ezikhethekileyo ze-X-reyi.

Amayeza endalo oNyango lweHyperparathyroidism

Landela i-Hyperparathyroidism Diet

Iimpawu zeHyperparathyroidismKubalulekile ukutya ukutya okuphezulu kwi-calcium ukukhusela ukunqongophala kwe-calcium, enokuthi iqhube ngakumbi isifo kunye neengxaki zaso.  

Abantu abadala abaneminyaka eyi-10-50, abafazi abaneminyaka eyi-51 nangaphezulu, kunye namadoda aneminyaka eyi-71 nangaphezulu badinga malunga ne-1.000 milligrams ye-calcium ngosuku, okanye i-1.200 milligrams ngosuku.

Eyona mithombo ilungileyo ye-calcium yile: iimveliso zobisi (ubisi olukrwada, ubisi lwebhokhwe, ikefir, iyogathi okanye itshizi ezindala), imifuno enamagqabi aluhlaza, i-okra, i-chard, iimbotyi eziluhlaza, i-carrots, i-turnips kunye ne-watercress, i-almonds, iimbotyi ze-navy, i-black-eyed peas, i-organic edamame, i-sardines, i-oyster, i-seaweed, i-sesame, imbewu ye-sunflower, ithanga, iitapile, i-strawberries, amakhiwane kunye neeorenji.

hyperparathyroidism Okunye ukutya okunokunceda ukulawula kubandakanya: zonke iintlobo zemifuno enamagqabi, i-cocoa, i-avocados, iibhanana, amafutha anempilo afana neoli yeoli kunye neoli yekakhukhunathi, inyama enotshani, imifuno entsha kunye neziqholo. nemagniziyam ukutya okunomxholo ophezulu.

Sela amanzi amaninzi ukunceda ukuthintela amatye ezintso. Kungcono ukusela ubuncinane iiglasi ezintandathu ukuya kwezisibhozo zamanzi suku ngalunye ukunceda ukukhusela izintso zakho.

Kubalulekile ukuphepha ukutya okubangela ukuvuvukala. Ukutya okuvuthayo ukuphepha kongezwa iswekile, iinkozo ezicutshungulwayo, ioli yemifuno ecocekileyo, kunye nokutya okunezithako zokwenziwa.

Nciphisa iBone kunye neentlungu ezidibeneyo

Zama ukuhlala usebenza kwaye ulula yonke imihla, ukuba kunokwenzeka, ukugcina ukuguquguquka nokunciphisa ukuqina. Ukuzivocavoca rhoqo, ngakumbi ukuphakamisa ubunzima kunye nokuqeqeshwa kwamandla, kubalulekile ukugcina amathambo omelele. 

Ukongezelela, ukuzivocavoca kunokunceda ukunciphisa umngcipheko weengxaki ezifana nesifo senhliziyo. Ezinye iindlela zokunceda ukulawula ithambo kunye neentlungu ezidibeneyo ziquka:

– Ukufaka ioli yepepilemint kwiindawo ezibuhlungu

-Yenza i-yoga

– Ukuhlamba ngamanzi ashushu ngetyuwa ye-Epsom

– Unyango lokuphulula umzimba okanye iacupuncture

-Ukuthatha izongezo ezichasayo, kubandakanya i-turmeric kunye ne-omega 3 fatty acids

- lala ngokwaneleyo

– Ukutya into echasene nokudumba

Ukulwa neNausea kunye nokulahleka kokutya

Kwabo bafumana isicaphucaphu, ukuhlanza, okanye ukuphelelwa ngumdla, la macebiso aya kunceda:

Gwema ukutya okunokwenza imiba yokugaya ibe yimbi ngakumbi, njengokutya okunamafutha, ukutya okunomxholo ophezulu we-sodium, imifuno enevumba elinamandla, iprotheni yezilwanyana ezininzi, iziqholo, ioli okanye i-cheeses. Yitya ukutya okuncinci okanye amashwamshwam imini yonke endaweni yezidlo ezintathu ezinkulu.

– Gcina umzimba umanzi ngokusela amanzi okanye iti herbal nokutya iziqhamo kunye nemifuno.

– Yongeza i-lemon kunye nejusi yekalika emanzini omkhenkce kwaye uwasele imini yonke.

– Zama ukusela iti yejinja okanye uthathe iicapsules zejinja amaxesha amaninzi ngemini. Ukuthatha i-vitamin B6 enye ukuya kathathu ngemini nako kunokunciphisa isicaphucaphu.

– Thatha uhambo ngaphandle kwaye ufumane umoya omtsha. Zama ukwenza umthambo olula ixesha elide kangangoko, njengoko oku kunokunceda ukulawula umdla wokutya.

– Lala ngokwaneleyo kuba ukudinwa kunokukwenza uzive kakubi.

Lawula ukudakumba kunye nokudinwa

Iindlela zokulawula uxinzelelo kunye nokudakumba kunye nokuxhasa impilo yengqondo ziquka: umthambo, ukulala ngokwaneleyo, inkxaso yentlalontle, ukuchitha ixesha ngaphandle, ukucamngca, i-acupuncture, i-journaling, kunye nokufunda.

Thintela ukunqongophala kweVithamini D

Ivithamin D Inceda ukugcina amanqanaba e-calcium afanelekileyo egazini kwaye ivumela inkqubo yokugaya ukuba ithathe i-calcium ekudleni. 

Isincomo esisemgangathweni sokuthatha i-vitamin D yi-1 iiyunithi zamazwe ngamazwe (IU) ngosuku kubantu abaneminyaka eyi-70-600 kunye ne-71 IU ngosuku kubantu abadala be-800 nangaphezulu.

Eyona ndlela ilungileyo yokuthintela ukunqongophala kwevithamin D kukuvela elangeni ngqo. Umzimba uvelisa ivithamin D xa ulusu lubekwe elangeni. Kancinane, sinokufumana ivithamin D ekutyeni esikutyayo. 

Thetha ugqirha malunga nokufuna i-vitamin D kunye ne-calcium supplement, njengoko kudla ngokuyimfuneko ukugcina amanqanaba aqhelekileyo.

Kuphephe ukutshaya kunye namayeza athile

Ukutshaya kunokukhokelela kwiingxaki zempilo ezahlukeneyo, kuquka ubuthathaka bamathambo kunye nokuba negalelo kwiingxaki zentliziyo. 

Thetha nogqirha malunga nendlela engcono yokuyeka ukutshaya, njengokujoyina iqela lokuyeka ukutshaya, ukusebenzisa i-nicotine patch, okanye ukuzama i-hypnosis, ukucamngca, okanye ezinye iindlela.

Kufuneka kwakhona ugweme ukusela utywala obuninzi okanye ukuthatha amayeza okunyusa i-calcium, kuquka i-diuretics kunye ne-lithium.

hyperparathyroidismIchaphazela kakhulu umzimba. Ngaba kukho umntu one-hyperparathyroidism? Ungabhala izimvo.