Hypoparathyroidism ndizosazolowereka kwambiri pamene zilonda za parathyroid (zing'onoting'ono zazing'ono za endocrine pafupi ndi chithokomiro ) zimagwira ntchito. Zikapanda kugwira bwino ntchito, matenda a parathyroid amachititsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa tizilombo toyambitsa matenda.
Kuperewera kwa hormone ya parathyroid kumabweretsa ma calcium m'munsi mwazi - wotchedwa hypocalcemia.
Ntchito ya mahomoni otchedwa parathyroid ndiyo kusunga magazi a calcium ndi phosphorous muyezo wolondola. Mankhwala otsika a calcium ndi phosphorous angayambitse mavuto ndi minofu, mapeto a mitsempha, mafupa ndi khungu.
Nchiyani Chimachititsa Hypoparathyroidism?
Hypoparathyroidism ili ndi zifukwa zingapo:
- Kuvulala kumutu kapena kumutu
- Kuvulala opaleshoni, pa opaleshoni ya mutu / khosi. Hypoparathyroidism ndi chimodzi mwa mavuto omwe anthu ambiri amachititsa pambuyo pa opaleshoni ya chithokomiro pa khansa ya chithokomiro, goiter, mitsempha, kapena hyperthyroidism. (Zindikirani: chiwerengero cha chithandizo chotsatira chithandizo cha mankhwala pambuyo pa opaleshoni chimatsimikizira nthawi.)
- Congenital hypoparathyroidism, pamene mwana wabadwa ali ndi vuto lopweteketsa, lopweteka, kapena akusowa gland
- Ma magnesium otsika kwambiri angapangitse hypoparathyroidism, chifukwa chakuti magnesium ndi yofunikira kuti mahomoni a parathyroid ayambe kusungidwa ndi zipangizo za parathyroid.
- Hypoparathyroidism ikhoza kukhala yodziwika yekha - yotchedwa Autoimmune Hypoparathyroidism. Pachifukwachi, ma antibodies amenyana ndi minofu ya parathyroid ndipo matendawa amasiya kupanga hormone ya parathyroid.
- Nthawi zina, mankhwala opatsirana kwambiri a khansa pamutu ndi pamutu amatha kuwonongera glands za parathyroid.
- Hemochromatosis ndi thalassemia, zifukwa ziwiri zomwe zimayambitsa chitsulo kulemera
- Matenda a Wilson - matenda omwe angapangitse mkuwa wambiri
Zizindikiro ndi Zizindikiro za Hypoparathyroidism
Pali zizindikiro zingapo za hypoparathyroidism, kuphatikizapo:
- Tsitsi louma, tsitsi lomwe limathyoka mosavuta, kutaya tsitsi
- Misomali yambiri, misomali mu misomali
- Wouma, wonyezimira kapena wandiweyani khungu
- Kugwiritsa ntchito zala zala / zala / milomo - yotchedwa parathesia
- Matenda a maso, makamaka matenda a nthenda
- Mitsempha ya minofu
- Mitundu ya misampha
- Ululu miyendo / mapazi / manja / nkhope
- Matenda a mano
- Zozizira
- Mutu
- Kutaya kwaiwala
- Nkhawa / kupanikizika
- Kugonjetsa
- Kutopa
Kodi Hypoparathyroidism Imapezeka Bwanji?
Dokotala adziwerenganso mbiri yanu ya uphungu ndi opaleshoni, kenaka mutsirize kaye thupi kuti muwone zizindikiro. Kwa ana, dokotala adzayang'ana zochitika zazikulu zochedwa ndi kukula kwa dzino. Kuyesedwa magazi kudzaperekedwa kuti tiwone ma phosphorous, magnesium ndi mahomoni a parathyroid. Mayesero ena ndi awa:
- Kuyezetsa mafupa ndi x-ray kuti mudziwe ngati ma calcium otsika amakhudza mafupa
- Kuyezetsa kashiamu yamakina, kuyang'ana mmwamba
- Electrocardiogram (ECG) kuyang'ana chiyero chosadziwika, chomwe chingayambitse kusowa kwa calcium
Kodi Hypoparathyroidism Imachitidwa Bwanji?
Chithandizo cha hypoparathyroidism ndi mavitamini D othandizira komanso calcium carbonate. Vitamini D imathandiza thupi kutenga kashiamu ndi kuchotsa phosphorous. Kuchuluka kwa supplementation kudzatsimikiziridwa ndi dokotala. Mipata idzayang'aniridwa nthawi zonse kuti ikhale yoyenera.
Kawirikawiri, mankhwalawa amatengedwa tsiku lonse kuti athandizidwe kukhala ndi mankhwala a kashiamu. Kugwiritsa ntchito mapiritsi onse nthawi imodzi ya tsiku sikuthandiza pamene magulu amatha kupita mwamsanga, kenako amatsika kwambiri.
Nthawi zina, ngati mlingo wa calcium uli wotsika kwambiri, IV calcium idzalamulidwa. Izi zimachitidwa kuti mwamsanga mupeze kashiamu m'magazi, kuti zizindikiro zikhoza kumasulidwa mofulumira.
Nthawi zina, odwala sangathe kulekerera calcium ndi vitamini D kuti athetse vuto la hypoparathyroidism. Njira yachiwiri ya chithandizo cha mankhwala ndi ntchito ya PTH yowonjezera, yomwe imaperekedwa kudzera mu jakisoni kawiri kapena tsiku kapena mpweya, wofanana ndi mpweya wa insulini.
Kutuluka kwa dzuwa kumathandizanso mavitamini D. Zokonzedweratu ndalamazo ndi 10-15 mphindi ya dzuwa - mwachisawiri kawiri pa sabata. (Musagwiritse ntchito nthawi yochuluka pa dzuwa chifukwa izi zingawonjezere ngozi yanu ya khansa yapakhungu.)
Kudya zakudya zamtundu wa calcium komanso phosphorous ndi njira yothandizira kutengera matenda a hypoparathyroidism. Zakudya zabwino za calcium ndizo:
- amondi
- apricots
- nyemba
- cod mafuta a chiwindi
- mkaka
- Zomera zobiriwira zakuda (sipinachi / kale / broccoli)
- nsomba (oysters / saumoni)
- malo odyetserako chakudya cham'mawa
- Madzi a lalanje olimbikitsidwa
- bowa
- oats
- prunes
Dokotala wanu angakulimbikitseni kuti mupewe zakudya zopangira phosophorus:
- khofi
- mazira
- chakudya chamadzulo
- nyama yofiira
- zakudya zoyengedwa (mkate woyera, pasta)
- soseji
- zakumwa zofewa
- Mafuta opangidwa (omwe amapezeka m'mabotolo amapanga ndifupikitsa, zakudya zopanda zakudya, zakudya zokazinga, margarine)