Gịnị bụ Hyperparathyroidism na otu esi emeso ya

Ndinaya

• Isi mgbaàmà
• Otu esi achọpụta
• Otu esi eme ọgwụgwọ ahụ

Hyperparathyroidism bụ ọrịa na-akpata oke mmepụta nke hormone PTH, nke wepụtara site na parathyroid glands, nke dị n'olu n'azụ thyroid.

Hormone PTH na-enyere aka ịchekwa ọkwa calcium n'ime ọbara na, maka nke ahụ, mmetụta ya bụ isi gụnyere reabsorption nke akụrụ na akụrụ, mmụba nke calcium site na nri n'ime eriri afọ, yana mwepụ nke calcium echekwara na ọkpụkpụ ịhapụ n'ime ọbara.

Hyperparathyroidism nwere ike ibilite n'ụzọ 3:

• Isi hyperparathyroidism: na - eme mgbe ọrịa nke parathyroid n'onwe ha na - akpata hypersecretion nke hormone PTH, tumadi n'ihi adenoma ma ọ bụ hyperplasia nke glands ndị a;
• Secondary hyperparathyroidism: na-ebilite n'ihi ọgba aghara na metabolism nke ahụ, nke na-akpali gland parathyroid, karịsịa n'ihi ọdịda akụrụ, na nke na-akpata ọkwa dị ala nke calcium na phosphorus na mgbasa;
• Hyperzọ hyperparathyroidism dị iche iche: ọ bụ ihe na-adịghị ahụkebe, a na-ahụ ya mgbe akụkụ parathyroid na-amalite ịzobe PTH ọzọ n'onwe ha, ọ nwere ike ịpụta mgbe oge ụfọdụ nke hyperparathyroidism nke abụọ gasịrị, dịka ọmụmaatụ.

Mgbe a chọpụtara ya, ọ dị mkpa ka a gwọọ hyperparathyroidism ngwa ngwa, n'ihi na ọ nwere ike inwe nsonaazụ na-adịghị mma, dị ka ike ọkpụkpụ, ịba ụba nke mgbawa. Tụkwasị na nke ahụ, calcium n'ụba n'ọbara nwekwara ike ịkpata mgbanwe na arụmọrụ nke akwara, akụrụ akụrụ, ọbara mgbali elu na nsogbu ndị ọzọ gbasara obi.

Ọrịa a nwere ike ịgwọ ọrịa mgbe emere ịwa ahụ iji wepụ gland, agbanyeghị, tupu nke ahụ, enwere ike igosi ọgwụgwọ ndị enwere ike iji chịkwaa mgbaàmà ahụ.

Isi mgbaàmà

Fọdụ n'ime ihe ịrịba ama na mgbaàmà ndị a na-ahụkarị na hyperparathyroidism bụ:

• Ọkpụkpụ na-emebi emebi ma nwee ihe egwu dị elu nke mgbaji ọkpụkpụ;
• Ike adịghị ike;
• Mmepe nke akụrụ;
• Enwekwu mmasi nke urinate;
• Afọ na-aga n'ihu n'ime afọ;
• Ike gwụrụ;
• Mmepe nke akụrụ odida ma ọ bụ pancreatitis;
• Ọgbụgbọ, vomiting na agụụ nke agụụ.

Hyperparathyroidism anaghị ebute mgbaàmà mgbe niile, ọkachasị na mbido, ya mere, ọ bụ ihe a na-ahụkarị maka ọrịa a na nyocha ọbara oge niile, nke na-egosi mgbanwe n'ọbara calcium.

Otu esi achọpụta

A na-achọpụta nchoputa nke hyperparathyroidism na mmụba nke hormone PTH, nke na-abawanye na ụdị ọrịa niile. Mgbe ahụ, endocrinologist ga-enye iwu nyocha ndị ọzọ nke na-enyere aka ịchọpụta ihe kpatara nsogbu ahụ, dị ka usoro ọgwụgwọ calcium, nke dị elu na hyperparathyroidism mbụ ma belata na nke abụọ, na mgbakwunye na nyocha dị ka calcium na phosphorus na mmamịrị, dịka ọmụmaatụ.

Nyocha nke redio nwere ike inye aka ịchọpụta ọrịa ahụ, ebe ọ na-egosipụta ọkpụkpụ na demineralization na osteoporosis. N’okwu kachasị dị elu, nnwale a nwere ike igosipụta ngwupụta ihe na mmụba nke anụ ahụ na arịa n’ọkpụkpụ, nke a maara dịka “etuto aja aja”.

Na mgbakwunye, nyocha ihe onyonyo nke mpaghara olu, yana ultrasound, scintigraphy ma ọ bụ ima ima ihe magnetik, dịka ọmụmaatụ, nwere ike inye aka ịchọpụta mgbanwe na gland parathyroid.

Otu esi eme ọgwụgwọ ahụ

Nzọụkwụ mbụ n'ịgwọ ọrịa hyperparathyroidism bụ isi bụ mgbazi nke calcium, nke, ọ bụrụ na agbanwee ha nke ukwuu, nwere ike ịbụ isi ihe kpatara mgbaàmà. Maka nke a, enwere ụfọdụ nhọrọ dị iche iche, nke gụnyere ngbanwe nke homonụ, emere ọkachasị na ụmụ nwanyị mgbe ha kwụsịchara, ebe nnọchi nke homonụ ụfọdụ na-enyere aka ịchekwa ọkwa calcium na ọkpụkpụ. N'aka nke ọzọ, ọgwụ Bisphosphonate na-enyekwa aka ịbawanye calcium na ọkpụkpụ, na-ebelata calcium n'efu n'ọbara. Chọpụta ihe ndị ọzọ na-eme ka calcium n'ụba na ọbara na otu esi emeso ya.

A pụkwara igosi ịwa ahụ n'ihe banyere hyperparathyroidism bụ isi, ebe ọ na-ewepụ gland metụtara, na-agwọ ọrịa ahụ. Agbanyeghị, ọ nwere ụfọdụ ihe egwu dị ka mmebi nke irighiri akwara na-achịkwa akwara ụda olu ma ọ bụ mbelata pụtara oke na ọkwa calcium.

N'ihe banyere hyperparathyroidism nke abụọ, ọ dị mkpa iji nlezianya nyocha na ọgwụgwọ nke ọdịda akụrụ, ngbanwe nke ọkwa nke vitamin D na calcium, nke belatara. Usoro ọgwụgwọ Calcimimetic nwere mmetụta yiri nke calcium, na-eme ka glands mepụta obere homonụ. Ihe atụ nke ọgwụgwọ ndị a bụ cinacalcete.