I-Hypoparathyroidism yisimo esingavamile lapho izilonda ze-parathyroid (izilonda ezine ezincane ze-endocrine eziseduze ne-gland gland) zingasebenzi. Uma zingasebenzi ngendlela efanele, izilonda ze-parathyroid zikhiqiza i-hormone encane kakhulu, eyaziwa nge-parathormone, noma i-PTH.
Ukuntuleka kwehomoni ye-parathyroid kuphumela kumazinga aphansi e-calcium egazini - eyaziwa njenge-hypocalcemia.
Umsebenzi we-hormone ephathekayo ukugcina ama-calcium ne-phosphorus amazinga ebhalansi elungile. Amazinga aphansi e-calcium ne-phosphorus angabangela izinkinga ngemisipha, ukuphela kwezinzwa, amathambo nesikhumba.
Yini Ebangelwa Hypoparathyroidism?
I-Hypoparathyroidism inezimbangela eziningi:
- Ukulimala kwekhanda noma kwentamo
- Ukulimala kokuhlinzwa, ngesikhathi sokuhlinzwa kwekhanda / kwentamo. I-Hypoparathyroidism ingenye yezinkinga ezivame kakhulu ngemva kokuhlinzwa kwe-thyroid for umdlavuza wegciwane, goiter, nodules, noma hyperthyroidism. (Qaphela: iphesenti ye-hypoparathyroidism emva kokuhlinzwa ixazulula isikhathi.)
- I-hypoparathyroidism ekhulile, lapho ingane izalwa ingasebenzi kahle, i-malformed, noma ilahlekile
- I-magnesium encane kakhulu ingabangela i-hypoparathyroidism, ngenxa yokuthi i-magnesium iyadingeka ukuze i-hormone ephathekayo igcinwe yizigulane ezibuhlungu.
- I-Hypoparathyroidism ingaba yi-autoimmune - eyaziwa njenge-Autoimmune Hypoparathyroidism. Kulesi simo, ama-antibodies ahlasele izicubu ezibuhlungu futhi izigulane zizoyeka ukukhiqiza i-hormone ye-parathyroid.
- Ngesinye isikhathi, ukwelashwa ngokweqile kwama-radiation ekhanda nasentanyeni kungabangela umonakalo kumagundane we-parathyroid.
- I-Hemochromatosis ne-thalassemia, izimo ezimbili ezibangela ukungena kwensimbi
- Isifo se-Wilson - isimo esingabangela amazinga amaningi oketshezi
Izimpawu nezimpawu ze-Hypoparathyroidism
Kunezinhlobo eziningi zezimpawu nezimpawu ze-hypoparathyroidism, kufaka phakathi:
- Izinwele ezimile, izinwele eziphuka kalula, ukulahlekelwa izinwele
- Izipikili zezinyosi, izigqoko ezipikili
- Isikhumba, isikhumba esinamafutha noma esiqinile
- Ukulinganisa iminwe / izinzwane / izindebe - owaziwa ngokuthi i-parathesia
- Izinkinga zamehlo, ikakhulukazi izilonda
- Ama-cramp muscle
- Ama-spasms we-muscle
- Ubuhlungu emilenzeni / izinyawo / izandla / ubuso
- Izinkinga zamazinyo
- I-cataract
- Izinsizwa
- Ukulahlekelwa kwememori
- Ukukhathazeka / ukucindezeleka
- Ukuzizwa
- Ukukhathala
I-Hypoparathyroidism ihlolwe kanjani?
Udokotela uzobukeza umlando wakho wezempilo nempilo, bese uqeda ukuhlola ngokomzimba ukuhlola izimpawu. Ezinganeni, udokotela uzobheka izinyathelo ezibambezelekile nokuthuthukiswa kwezinyo okungavamile. Ukuhlolwa kwegazi kuyothathwa ukuze kuhlolwe ama-hormone ama-phosphorus, magnesium nama-parathyroid. Okunye ukuhlolwa kuhlanganisa:
- Ukuhlolwa kwe-Bone ukuqina kanye nama-x-ray ukubona ukuthi amazinga aphansi e-calcium asithinte kanjani amathambo
- Ukuhlolwa kwe-calcium ye-urinary, ukubuka amazinga aphakanyisiwe
- I-electrocardiogram (ECG) ukubuka isigqi esingavamile, esingabangelwa ukuntuleka kwe-calcium
I-Hypoparathyroidism iphathwa kanjani?
Ukwelashwa kwe-hypoparathyroidism kuhambisana ne-vitamin D ne-calcium carbonate. I-Vitamin D isisiza umzimba ukuba uthathe i-calcium futhi isuse i-phosphorus eyedlulele. Inani le-supplementation lizonqunywa udokotela. Amazinga azobe ahlolwe ngezikhathi ezithile ukuqinisekisa ukuthi asezingeni elivamile.
Ngokuvamile, izithako zithathwa nsuku zonke ukusiza ukugcina amazinga we-calcium yokwelapha. Ukuthatha wonke amaphilisi ngesikhathi esisodwa sosuku akusizi njengoba amazinga ekhuphuka ngokushesha, bese wehla kakhulu kakhulu.
Ngezinye izikhathi, uma izinga le-calcium liphansi kakhulu, i-IV calcium izoyalulwa. Lokhu kwenziwa ukuze uthole ngokushesha i-calcium egazini, ukuze izimpawu zingakwazi ukukhululeka ngokushesha.
Kwezinye izimo, iziguli zingase zingakwazi ukubekezelela inani le-calcium ne-vitamin D edingekayo ukuxazulula i-hypoparathyroidism. Inketho yokwelashwa kwemigqa yesibili isebenzisa i-PTH ephindaphindiwe, evame ukuhanjiswa nge-injection kabili ngosuku noma ipompo, efana ne-insulin pump.
Ukushisa kwelanga kusisiza amazinga e-Vitamin D. Inani eliphakanyisiwe liyi-10-15 imizuzu yelanga eliqondile - okungenani kabili ngesonto. (Musa ukuchitha isikhathi esiningi kakhulu elangeni njengoba lokhu kungandisa ingozi yomdlavuza wesikhumba.)
Ukudla ukudla okune-calcium ephansi futhi ephansi kwe-phosphorous kuyindlela yokusiza ukuphatha i-hypoparathyroidism. Ukudla okune-calcium kuhlanganisa:
- ama-alimondi
- ama-apricot
- ubhontshisi
- i-cod amafutha esibindi
- imikhiqizo yobisi
- imifino eluhlaza emifino eluhlaza (isipinashi / kale / broccoli)
- inhlanzi (i-oysters / i-salmon)
- okuqinisekisiwe okusanhlamvu kwasekuseni
- ijusi le-orange eliqinile
- amakhowe
- oats
- umlimi
Udokotela wakho angancoma ukuthi ugweme lezi zokudla ezicebile ze-phosophorus:
- ikhofi
- amaqanda
- ukudla kwasemini
- inyama ebomvu
- ukudla okuhlanziwe (isinkwa esimhlophe, pasta)
- isoseji
- iziphuzo ezithambile
- amafutha esitokisini (atholakalayo kwizimpahla ezibhakiwe enza ngokunciphisa, ukudla okulula, ukudla okuthosiwe, ama-creamer, igargarine)