Ole a le Hyperparathyroidism ma faʻafefea ona togafitia

Anotusi

• Faailoga autu
• Faʻafefea ona iloa faʻamaoniga
• Faʻafefea ona fai le togafitiga

Hyperparathyroidism o se faʻamaʻi e mafua ai le soona gaosia o le homone PTH, faʻasaʻolotoina e le parathyroid glands, o loʻo tu i le ua i tua atu o le thyroid.

O le homone PTH e fesoasoani e faʻatumauina le maualuga o le calcium i le toto ma, mo lena mea, o ona aʻafiaga autu e aofia ai le reabsorption o kalisiu i fatugaʻo, o se sili atu faʻaaogaina o kalisiu mai meaai i totonu o le manava, faʻapea foi ma le aveʻesea o kalisiu o loʻo teuina i ponaivi. e faʻamatuʻu atu i le alatoto.

Hyperparathyroidism mafai tulaʻi mai i le 3 auala:

• Peraimeri hyperparathyroidism: tupu pe a o se faʻamaʻi o le parathyroids latou lava mafua ai le hypersecretion o le homone PTH, mafua tele ona o le adenoma poʻo hyperplasia o nei glands;
• Maualuga hyperparathyroidism: tulaʻi mai ona o se faʻalavelave i le tino o le tino, lea e faʻaosofia ai le tino parathyroid, aemaise lava ona o le fatugaʻo faʻaletonu, ma mafua ai le faʻaititia o tulaga o le calcium ma le phosphore i le taamilosaga;
• Tertiary hyperparathyroidism: e seasea maua, e faʻailoaina pe a amata le pupuni o le parathyroid sili atu PTH na o latou, ma mafai ona aliaʻe mai pe a maeʻa sina taimi o le tulaga lua hyperparathyroidism, mo se faʻataʻitaʻiga.

A faʻailoa mai, hyperparathyroidism manaʻomia vave ona togafitia, aua e mafai ona i ai leaga faʻaletonu, pei o le faʻavaivaia o ponaivi, faʻateleina le ono aʻafia o malepe. I se faʻaopopoga, sili atu kalisiu i le toto mafai foi mafua ai suiga i le faʻagaioiga o maso, fatugaʻo maʻa, faʻateleina le toto maualuga ma isi faʻamaʻi fatu fatu.

O lenei maʻi e mafai ona togafitia pe a fai se taotoga e aveʻese ai le laʻau, peitaʻi, i luma atu o lena, mafai ona faʻailoaina ni fofo e mafai ona faʻaaogaina e faʻatonutonu ai faʻailoga.

Faailoga autu

O nisi o faʻailoga ma faʻailoga masani i mataupu ole hyperparathyroidism o:

• Ponaivi ponaivi ma faatasi ai ma le maualuga lamatiaga o le gau;
• Vaivai maso;
• Atinaʻeina o fatugaʻo maʻa;
• Faateleina le naunautai e urination;
• Paʻu tumau i le manava;
• Ua soona lelava;
• Atinaʻe o le fatugaʻo toilalo po o pancreatitis;
• Faanoi, puaʻi ma le leai o se fiaai.

O le hyperparathyroidism e le o taimi uma e mafua ai faʻailoga, ae maise lava i le amataga o laʻasaga, o lea e masani ai ona faʻamaonia lenei faʻamaʻi i suʻesuʻega masani o le toto, e faʻaalia ai suiga o le maualuga o le suka i le toto.

Faʻafefea ona iloa faʻamaoniga

O le faʻamaoniga o le hyperparathyroidism e faia i le fuaina o le homone PTH, lea e faʻateleina i ituaiga uma o faʻamaʻi. Ma, o le endocrinologist o le a okaina isi suʻesuʻega e fesoasoani e faʻailoa ai le mafuaʻaga o le faʻafitauli, pei o le kalasi fualaʻau, lea e maualuga i le muamua hyperparathyroidism ma faʻaititia i le tulaga lua, faʻaopopo i suʻega e pei o kalisiu ma phosphorus i miaga, mo se faʻataʻitaʻiga.

E mafai foʻi ona fesoasoani suʻesuʻega faʻapitoa e faʻailoa ai le faʻamaʻi, e pei ona faʻaalia ai ponaivi ma le demineralization ma le osteoporosis. I tulaga sili ona alualu i luma, o lenei suʻega e mafai ona faʻaalia ai le fausiaina o eli ma le faʻateleina o aano o le tino ma vaʻa i ponaivi, lea e taʻua o le "brown tumor".

I se faʻaopopoga, faʻataʻitaʻiga ata o le ua ua, ma le ultrasound, scintigraphy poʻo le maneta resonance imaging, mo se faʻataʻitaʻiga, e mafai ona fesoasoani e faʻailoa suiga i parathyroid glands.

Faʻafefea ona fai le togafitiga

Ole laʻasaga muamua ile togafitia ole muamua hyperparathyroidism ole faʻasaʻosaʻoina ole maualuga ole kalasi, pe a fai e matua suia, e mafai ona avea ma mafuaʻaga autu o faʻailoga. Mo lenei, e i ai ni eseʻese filifiliga, e aofia ai homone suia, faia faʻapitoa i fafine pe a maeʻa menopause, ona o le suia o nisi homone fesoasoani e faʻatumauina le calcium tulaga i ponaivi. O vailaʻau Bisphosphonate, i le isi itu, e fesoasoani foi e faʻateleina le teuina o le calcium i ponaivi, ma faʻaititia ai le calcium i le toto. Siaki isi mafuaʻaga o sili atu kalisiu i le toto ma faʻafefea ona togafitia.

O taʻotoga e mafai foi ona faʻaalia i le tulaga o le hyperparathyroidism muamua, ona e aveʻesea le afaina o glands, faʻamaloloina le faʻamaʻi. Peitaʻi, e i ai ni mea faʻafitauli e pei o le faʻaleagaina o neula e faʻatonutonuina leo leo poʻo se faʻaititia o le paʻu o le suka.

I le tulaga o le lua hyperparathyroidism, e tatau ona faia le saʻo mataʻituina ma togafitiga o le fatugaʻo toilalo, suia o tulaga o vitamini D ma kalisiu, lea ua faʻaititia. Calcimimetic remedies e i ai le tutusa aʻafiaga i kalisiu, mafua ai gaʻoni i gaosia laʻititi ni homone. O se faʻataʻitaʻiga o nei vaifofo o le cinacalcete.