A bayyanar cututtuka na hyperparathyroidism, bincike da kuma magance

Popular sau da yawa a cikin marasa lafiya bayan ganewar asali na gano magudi a cikin parathyroid gland. A bayyanar cututtuka na hyperparathyroidism sau da yawa ba zai iya haifar da wani matsala. Lethargy, wani rauni, rage aikinta, da maƙarƙashiya - duk wadannan cuta, sau da yawa mutane zargi a general gajiya da rashin iya rage cin abinci. Saboda haka, likita bi da riga a cikin marigayi matakai na cuta ci gaba.

A wannan batun, mutane da yawa a yau suna sha'awar wannan tambaya na abin da yake hyperparathyroidism. Alamun da kuma lura da hanyar da ƙarin tsanani - yana da muhimmanci lokacin, wanda daraja binciken. Saboda haka abin da ya razana haƙuri da wannan cuta da kuma abin da magani ya bayar da zamani magani?

Brief bayanai game da parathyroid gland da su ayyuka

Hyperparathyroidism, cututtuka da kuma magani ga mata, na biyu hyperparathyroidism, hypercalcemic rikicin - ne sharuddan da sukan samu ta hanyar marasa lafiya. Amma kafin mu magance haddasawa da kuma bayyanar cututtuka da cutar, shi wajibi ne su yi la'akari da wasu sifofin na jikin mutum.

Mafi yawan mutane sun nau'i biyu daga parathyroid gland, wanda yawanci located a kan mayar da surface na thyroid gland shine yake (wani lokacin ma da saka a cikin masana'anta). Af, 15-20% na yawan yana daga 3 zuwa 12 gland. Da lambar kuma wuri su iya bambanta. A gland ne kananan, 'yan millimeters a size, nauyi daga 20 zuwa 70 MG.

Parathyroid gland asirce wani aiki nazarin halittu abu, wato parathyroid hormone, wanda shirya tafiyar matakai na rayuwa na phosphorus da alli a cikin jiki. Tare da kasa adadin alli a cikin jini hormone farawa da aiwatar da ta saki daga kasũsuwa, ashe, da inganta sha na wannan ma'adinai na hanji da nama da kuma ma ta rage yawan wanda aka kullum excreted a cikin fitsari. Parathyroid hormone kuma qara da tukar tumbi da phosphorus daga jiki.

Mene ne hyperparathyroidism? epidemiology

Hyperparathyroidism yake akwai wata cuta a cikin abin da akwai ne ta ƙara mugunya PTH daga parathyroid gland. Yana da wani kullum cutar da endocrine tsarin, wanda aka sau da yawa dangantaka hyperplasia daga cikin mafi gland ko samuwar marurai a cikin kyallen takarda.

An ce da bayyanar cututtuka na hyperparathyroidism a mata rubuce sau uku mafi kusantar fiye da karfi jima'i. Don kwanan wata, a Pathology dauke su sosai na kowa. Idan muka magana game da endocrine cututtuka, da na ruwan dare na hyperparathyroidism ne na uku mafi girma (bayan hyperthyroidism da ciwon sukari mellitus).

Pathological canje-canje a cikin bango da cutar

Kamar yadda aka ambata riga, tare da karuwa a jini matakan parathyroid hormone a take na alli metabolism a cikin jiki - wannan ma'adinai fara zuwa leach daga cikin ƙasusuwansa. A lokaci guda ya karu da matakin na alli a cikin jini. Bony kwarangwal an maye gurbinsu da fibrotic nama, wanda ta halitta take kaiwa zuwa wani nakasawa na goyon bayan na'ura.

A bayyanar cututtuka na hyperparathyroidism ne ba kawai a take hakkin da kashi tsarin. Karuwan alli matakan da jini sau da yawa take kaiwa ga samuwar na calcifications a kyallen takarda da kayan ciki. A farko wuri ta bayyanar da irin wannan marurai sha daga jijiyoyin bugun gini ganuwar da kuma kodan. Bugu da kari, da bango kaltsiemii lura ƙãra jini, ta ƙara mugunya a ciki (sau da yawa take kaiwa zuwa ulceration) da kuma tashin hankali a aiwatar da jijiya kyallen takarda, wadda yana tare da memory hanawa, tsoka rauni da depressive jihohi.

Hyperparathyroidism: cututtuka da kuma Sanadin farko siffofin

A zamani rarrabuwa gane da dama kungiyoyin da wannan cuta. Sau da yawa marasa lafiya suna kamu farko hyperparathyroidism. Alamun hade tare da primary rauni gland, da kuma 85% na hanyar da cuta ne adenoma (benign ƙari).

Da yawa kasa ila za a samu a cikin ganewar asali na mahara siffofin maruran. Lokaci-lokaci sa disturbances na mugunya ne mai ciwon daji da cewa tasowa a mafi yawan lokuta, bayan sakawa a iska mai guba da kai da wuya yankin. A matakin farko na cutar suna tare da nonspecific cututtuka - wani rauni, gajiya, drowsiness, irritability. Wannan shi ne dalilin da ya sa marasa lafiya da wuya neman taimako. Da cutar zai iya ci gaba a tsawon shekaru. Bisa kididdigar da, da farko nau'i na cutar a mafi yawan lokuta yakan faru a cikin mata a kan bango na menopause, kazalika a cikin tsofaffi.

A sakandare nau'i na cutar da ta siffofin

Secondary hyperparathyroidism - wata cuta da cewa da farko tasowa a cikin lafiya gland shine yake. Tabbatarwa daga parathyroid hormone mugunya auku saboda ƙananan matakai na alli a cikin jini, wanda mafi yawa ana hade da sauran pathologies.

A mafi yawan lokuta, hypocalcemia ko dangantaka da m kullum koda cuta ko da malabsorption na gina jiki (ciki har da alli), da na hanji da bango. PTH matakan kara bayan na ciki da resection, kazalika a kan bango na hemodialysis. A Sanadin hada da rickets da kuma mai tsanani lalacewar da hanta, wanda suna tare da wani canji na bitamin D.

manyan cuta

Manyan hyperparathyroidism auku a marasa lafiya da suke canjawa wuri a koda dashi, da kuma dashi aka ci nasara.

Kamar yadda aka ambata riga, da koda cutar sau da yawa tare da kara matakan PTH. Gaskiyar cewa irin wannan Pathology yana tare da ƙara alli tukar tumbi. Tsawo hypocalcemia iya haifar da wadanda ba Negotiable canje-canje a cikin parathyroid gland. Ko bayan da cikakken maido da na koda sigogi a marasa lafiya har yanzu kiyaye rushewa daga gland, kuma Ya ƙãra mugunya parathyroid hormone.

The asibiti hoto a hyperparathyroidism

A bayyanar cututtuka na hyperparathyroidism ne bambancin, saboda shi rinjayar da yawa sashin jiki tsarin. Bugu da ƙari, na asibiti hoto da cutar dogara a kan jinsi, ta mataki na ci gaba, gaban comorbidities, shekaru da kuma ko jinsi na haƙuri.

A farko cututtuka su ne yawanci nonspecific. Marasa lafiya ruwaito bayyanar lethargy da wani rauni, asarar ci, intermittent tashin zuciya bayyanar. Yanzu da kuma taushi a gidajen abinci. Tun da karuwa a matakin na alli ya musanya masa a watsa neuromuscular turu, marasa lafiya bayyana da tsoka zafi - don haka tasowa hyperparathyroidism. Bayyanar cututtuka na tsofaffi da marasa lafiya ayan hada da, da kuma tsoka rauni. Marasa lafiya wuya tashi daga kujera, da suka yi tuntuɓe a lokacin tafiya, sau da yawa fada.

Saboda da wani rauni na tsokoki na kafa sau da yawa ci gaba lebur feet, zafi a kafafu a lokacin tafiya. Saboda lalacewar na koda tubules da sauran yiwu disturbances, musamman, kara yawan fitsari. A tsanani marasa lafiya rasa nauyi hanzari saboda matalauta ci da dehydration. Rashin ruwa a jiki rinjayar da yanayin fata - shi ya zama bushe, samun wani earthy launi. alli asarar sau da yawa take kaiwa zuwa loosening da kuma asarar da lafiya hakora.

A kasusuwa ne kullum rasa alli da phosphorus. Haka kuma, kan bango da cutar lura kunnawa da osteoclasts, da Kwayoyin cewa suna iya soke kashi. A sakamakon kara matakin parathyroid hormone ne m osteoporosis.

Saboda da rage a cikin kashi yawa, samu karaya ga marasa lafiya ba nadiri. Bugu da ƙari, ko da kananan jiki exertion ko danniya iya cuta da kashi. A kasusuwa ne sau da yawa ba su cikakken Fused, forming wani da ake kira "ƙarya gidajen abinci." Lura kwarangwal musakai, musamman na kashin baya (kyphosis, scoliosis), da thorax da kafafuwa. Wannan, ba shakka, rinjayar da walwala da kuma adam motsi. Hyperparathyroidism ne sau da yawa tare da shaida na uric acid lu'ulu'u a cikin gidajen abinci (gout).

Rarar alli shafi kodan. Sau da yawa a cikin pyelocaliceal tsarin da aka kafa staghorn duwatsu. Idan untreated, akai-akai ci gaba na koda gazawar, wanda, da rashin alheri, shi ne komowar - sau da yawa haƙuri bukatar a koda dashi.

Haka kuma cutar rinjayar da narkewa kamar fili da kuma. Marasa lafiya koka asarar ci, bloating, maƙarƙashiya, tashin zuciya, ciwon mara. Lokacin da wani wuce haddi na alli a cikin jini Ba a cire samuwar gallstones da pancreatic ducts, wadda take kaiwa zuwa cin gaban pancreatitis da cholecystitis. Af, hyperparathyroidism cututtuka a mata sukan dada tabarbare a lokacin daukar ciki, yana da matukar hatsari ba kawai domin uwar amma kuma ga yaro.

Kara alli matakan rinjayar da juyayi tsarin da kuma sau da yawa yana sa shafi tunanin mutum da canje-canje. Marasa lafiya na iya lura da lethargy, juyayi da kuma wani lokacin ciki, yana mai sãɓãnin mai tsanani. Somnolence, illa ƙwaƙwalwar ajiya da kuma fahimi damar iya yin komai. A mafi tsanani lokuta, cutar yana tare da rikice da kuma m psychosis.

Iyaye sau da yawa tambayoyi game da yadda za a duba hyperparathyroidism a yara. Alamun, magani da kuma rikitarwa a cikin wannan yanayin ne guda. Amma idan muna magana ne game da farko nau'i na cuta, shi mafi yawa ana hade tare da kwayoyin al'adunmu. Idan cutar ta bayyana a cikin watannin farko, ko shekaru na rayuwa, akwai wani bata lokaci ba a jiki da hankulansu ci gaban da yaro.

Hyperparathyroidism: ganewar asali

A wannan yanayin, yana da muhimmanci ganewar asali. A bayyanar cututtuka na hyperparathyroidism suna girma sannu a hankali, da kuma wani lokacin ba babu. Wannan shi ne dalilin da ya sa na farko da za'ayi dakin gwaje-gwaje gwaje-gwaje na jini da kuma fitsari. A lokacin da karatu a jini samfurori za a iya gani da kara alli matakan da raguwa a adadin phosphates. Lokacin da urinalysis saukar da wani ya karu adadin biyun abubuwa. Wannan binciken da aka gudanar sau biyu - idan suka bayar da wannan sakamakon, da za'ayi a jini gwajin for parathyroid hormone.

Kara hormone matakin nuna gaban hyperparathyroidism, amma saboda yana da muhimmanci ba kawai don tabbatar da kasancewar cutar, amma kuma sanin da hanyar. Don fara, kai duban dan tayi, wanda taimaka wani gwani a ga wata karuwa a cikin size na parathyroid gland shine yake ko gaban siffofin maruran. Bugu da gudanar da Magnetic rawa da kuma lissafta tomography - wadannan hanyoyin samar da mafi m bayanai.

Tabbata, don su bincika koda kuma kwarangwal tsarin to gano ko haƙuri yana da rikitarwa.

Hypercalcemic rikicin da magani

Hypercalcemic rikicin - wani m yanayin wadda tasowa a lokacin da wani kaifi karuwa a matakin na alli a cikin jini. Irin wannan Pathology take kaiwa zuwa da hatsarin na jiki da kuma a 50-60% na lokuta kai ga mutuwa.

Sa'a, da rikicin yana dauke da wani m wahala na hyperparathyroidism. Yana iya tsokana da dama dalilai, ciki har da cututtuka, m kashi samu karaya, ciwon ya kama, su buguwa. Hadarin dalilai sun hada da ciki, dehydration na jiki, da kuma shan wasu magunguna, ciki har da kayayyakin dake dauke da alli da kuma bitamin D, thiazide diuretics. Marasa lafiya da hyperparathyroidism yi a hankali bi rage cin abinci, kawar da abinci da suke da high a alli da kuma bitamin D. A rawa wajen ci gaban na rikicin taka wata rashin isasshen magani da kuma erroneous ganewar asali.

Hyperkalemic rikicin tasowa da sauri. Da farko, marasa lafiya bayyana cuta na narkewa kamar tsarin, ciki har da m kaifi ciki zafi, amai, m. Akwai wani karuwa a yanayin jiki. Marasa lafiya koka daga kashi zafi da tsoka rauni. Bayyana da cuta daga cikin juyayi tsarin, jere daga ciki da kuma bakin ciki, psychosis ƙarewa. Skin rashin lafiya mutum zama bushe, ƙaiƙayi.

Saboda da zub da jini cuta yiwu ci gaban DIC. Zai yiwu ga cigaban buga. haƙuri mutuwa faruwa a sakamakon zuciya rashin cin nasara ko inna na numfashi tsokoki.

Hanyoyin da magani daga hyperparathyroidism

Mun riga dauke da tambaya ga abin da yake hyperparathyroidism. Alamun da kuma lura a cikin wannan yanayin ne a hankali related. Idan muna magana ne game da farko nau'i na cutar Associated tare da samuwar wani ƙari, yana yiwuwa m kau na siffofin maruran. The aiki ne da za'ayi ba ko da yaushe. Gaskiyar cewa cutar zai iya ci gaba a kan shekarun da suka gabata, ba tare da haddasa yawa cikas ga mãsu haƙuri. Kuma sha daga gare shi, mafi yawa tsofaffi mutane, wanda halitta ƙarin matsaloli.

A yanke shawara a kan bukatar tiyata daukan likita. An yi imani da cewa aiki da ake buƙata a lokacin da wani karfi karuwa daga cikin alli matakin a cikin jini (fiye da 3 mmol / l) da kuma bayyana ta malfunction da kodan. The alamomi ga hanya ne duwatsu a cikin excretory tsarin, wani gagarumin asara na alli a cikin fitsari, gaban hypercalcemic crises a tarihi da kuma alama osteoporosis.

Idan likitan ka ya ya yanke shawarar ba da wani sashe kau da ƙari, ko ciwon daji (idan hypertrophy), da marasa lafiya za su har yanzu bukatar gudanar yau da kullum dubawa - yana da muhimmanci a kalla 1-2 sau a shekara za su gudanar da karatu na koda da kashi tsarin. Muhimmanci m monitoring alli matakin a jini da kuma jini.

Game da sakandare tsari, lura da hyperparathyroidism rage zuwa kawar da primary cuta. Alli karanci a jini za a iya cire tare da magani - marasa lafiya wajabta kwayoyi dauke da aiki ma'adinai, da kuma bitamin E. A cikin taron cewa gwamnati na kwayoyi ba ya ba da ake so sakamako, m excision na nono rabo za a iya yi.

Psevdogiperparatireoz da siffofin

Modern magani ne da aka sani, kuma abin da ake kira psevdogiperparatireoz. Wannan shi ne wani fairly m cuta, wadda yana tare da wannan bayyanar cututtuka. Duk da haka, da Pathology ba a hade tare da aiki da mafi yawan parathyroid gland.

A haƙuri samu m marurai da cewa za a iya sarrafa a cikin koda, huhu, da nono, da kuma sauran gabobin. Wadannan siffofin maruran dauke da Kwayoyin da suke iya samar da aiki abu, da yanayin da mataki kama PTH. Tare da irin wannan karuwa da cuta lura a cikin jini alli matakan saboda rushe kashi nama. Wannan sigar musamman m cutar da cewa zai iya zama m.

A hangen nesa ga marasa lafiya

Yanzu ka san yadda za a ci gaba hyperparathyroidism. Alamun da kuma lura da mata, musamman da ya kwarara daga cuta a cikin yara - wadannan suna da muhimmanci tambayoyi. Amma abin da tsinkaya za a iya sa ran? A sakamakon dogara ne a kan ko cutar da aka samu a kan abin da irin ci gaban.

Idan ya zo ga farkon farko hyperparathyroidism, da aka yi hasashen m tare dace magani. Bayyanar cututtuka na kayan ciki da juyayi tsarin bace bayan 'yan makonni. Kashi tsarin ba zai iya mai da shekaru da dama. A tsanani lokuta, kwarangwal nakasawa iya yi zurfi a cikin marasa lafiya da suke shafar ingancin rayuwa, amma ba su da hadari.

Idan akwai wani koda cutar da cewa ko da bayan aiki na iya ci gaba zuwa na koda gazawar. A cikin wani hali wajibi ne a hankali saka idanu da jihar na kiwon lafiya da kuma sha m likita Nazarin.