He aha te Hyperparathyroidism? Tohutohu, Take, me te Maimoatanga

Ka puta te Hyperparathyroidism ina nui rawa te homoni parathyroid e whakaputahia ana e o whatukuhu parathyroid, ka nui ake te nui o te kōrori i roto i tō toto i te mea noa. Ko ēnei whatukuhu iti e whā kei tō kaki e āwhina ana ki te whakahaere i te kōrori i roto i tō tinana, engari ki te kaha rawa atu, ka taea e rātou te whakakore i tēnei taurite.

Ahakoa he uaua pea te ingoa, he tino maimoatanga te hyperparathyroidism ina kitea tika. He tokomaha ngā tāngata e ora ana me ngā tohu ngāwari mō ngā tau kaore e mohio ana ki te take, koia te take i pai ai te mārama ki tēnei āhuatanga mō te hunga i whiwhi whakautu.

He aha te hyperparathyroidism?

Ko te hyperparathyroidism tētahi āhuatanga ka nui rawa te mahi a ō whatukuhu parathyroid, ka nui rawa te tuku homoni parathyroid ki roto i tō toto. Whakaarohia ēnei whatukuhu hei kaiwhakahaere kōrori mō tō tinana – e pupuri ana rātou i te nui tika o te kōrori e rere ana i roto i tō toto.

Ki te kaha rawa ēnei whatukuhu, ka nui rawa te tango kōrori i ō wheua ka korero ki ō whatukuhu kia tango atu i te kōrori nui atu i te mea e hiahiatia ana. Ka hanga tēnei i te pānga domino puta noa i tō tinana, nā te mea he mahi nui te kōrori i te mahi uaua, te tohu iwi, me te kaha o te wheua.

Ko te āhuatanga e pā ana ki te 1 i roto i te 1,000 o ngā tāngata, me ngā wāhine neke atu i te 50 te tino kitea. Heoi, ka taea te puta i tetahi tau, ā, e pā ana hoki ki ngā tāne, ahakoa kaore e tino kitea.

He aha ngā momo hyperparathyroidism?

Ko te hyperparathyroidism matua te momo tino noa, ka puta ina whanake tētahi rānei atu rānei o ō whatukuhu parathyroid i tētahi raruraru. Koinei te 85% o ngā take, ā, e tino puta ana nā te mea ka hangaia tētahi pūngāwerewere pai, e kiia nei ko te adenoma, ki tētahi whatukuhu.

Ka whanake te hyperparathyroidism tuarua hei whakautu ki tētahi atu āhuatanga e whakaiti ana i te nui o te kōrori i roto i tō tinana. Ka kaha ake te mahi a ō whatukuhu parathyroid ki te whakakapi, e tino puta ana nā te mate whatukuhu, te kore o te huaora D, te raruraru rānei ki te tango kōrori i roto i ō whekau.

He tino onge te hyperparathyroidism tuatoru, ā, e tino puta ana ki ngā tāngata he mate whatukuhu roa. I tēnei take, kua mahi nui rawa ngā whatukuhu parathyroid mō te roa rawa atu, kaore e taea te hoki ki te mahi noa ahakoa ka maimoatia te take.

He aha ngā tohu o te hyperparathyroidism?

He tokomaha ngā tāngata he hyperparathyroidism ngāwari e wheako ana i ngā tohu ngawari e whanake ana i te wa roa. Ka kite pea koe i ēnei huringa e ngāwari ana ki tō oranga o ia rā kaore e hono atu ki tētahi āhuatanga hauora.

Ko ngā tohu tino noa ka kitea e koe:

• Te ngenge tonu e kore e pai ake me te okioki
• Te ngoikore rānei te iti ake o te kaha i te mea noa
• Te uaua ki te aro turuki rānei ngā raruraru mahara
• Ngā huringa ngākau, tae atu ki te pouri rānei te riri
• Te ngoikore o ngā uaua, ina koa i ō waewae
• Te mamae o ngā hononga rānei ngā wheua
• Te nui o te matewai me te mimi
• Te ruaki rānei te ngaro o te hiahia kai
• Te kōpuku
• Ngā kōhatu whatukuhu

Ka whanake etahi atu tohu e hiahia ana ki te tiaki wawe. Ko ēnei ko te pouri nui, te tukituki ngāwari, te mamae o te kopu nui, ka taea te tohu i te nui o te kōrori e hiahia ana ki te tiaki hauora wawe.

He mea whakaongaonga, ka pai katoa te ahua o etahi tāngata he hyperparathyroidism, ka kitea noa te āhuatanga mā ngā whakamātautau toto noa. Kāore tēnei e kī kei te pā te āhuatanga ki tō tinana – e kī ana noa heoi kāore ano kia kitea ō tohu.

He aha ngā take o te hyperparathyroidism?

Ko te hyperparathyroidism matua e tino whanake ana ina tipu tētahi pūngāwerewere pai iti ki tētahi o ō whatukuhu parathyroid. Ko ēnei adenomas te 80-85% o ngā take, ā, e tino pā ana ki tētahi whatukuhu noa, ahakoa ka taea te whakauru i ngā whatukuhu maha.

He iti ake te noa, ka puta te hyperparathyroidism matua mai i:

• Te nui ake o ngā whatukuhu parathyroid maha (hyperplasia)
• Ngā āhuatanga ira e tuku ana i te whānau penei i ngā āhuatanga MEN (multiple endocrine neoplasia)
• He tino onge, te mate pukupuku parathyroid
• Te whakamahinga o mua o te radiation ki te rohe kaki
• Etahi rongoā, ina koa te lithium e whakamahia ana mō te mate bipolar

Ka whanake te hyperparathyroidism tuarua ina āwangawanga tonu tō tinana ki te whakahaere kōrori. Ko ngā take tino noa ko te mate whatukuhu roa, te kore nui o te huaora D, ngā āhuatanga rānei e ārai ana i ō whekau ki te tango kōrori tika.

I roto i ngā take maha, kaore e mohiotia te take pono he aha i whanake ai te hyperparathyroidism. E āta mahi ana te tau, i te mea ka noa ake te āhuatanga i te mea ka pakeke haere tātou, ina koa ki ngā wāhine i muri i te menopause.

Nōhea te haere ki te taote mō te hyperparathyroidism?

Me whakaaro koe ki te haere ki tō taote ki te wheako koe i ngā tohu maha e roa ana mō ngā wiki, ina koa te ngenge, te ngoikore, ngā huringa ngākau, te mamae wheua rānei kaore he take mārama. Ka taea e ēnei tohu te pā kino ki tō kounga o te ora, ā, ka tohu pea i te nui o te kōrori.

Whakaritea he hui wawe ki te whanake koe i ngā kōhatu whatukuhu, ina koa ki te tuatahi tēnei, ki te maha rānei ngā kōhatu. Ka taea e ngā kōhatu whatukuhu te tohu wawe o te hyperparathyroidism, ā, te hopu i te āhuatanga wawe ka taea te ārai i ngā raruraru a muri ake nei.

Rapua te tiaki hauora wawe ki te wheako koe i ngā tohu nui penei i te pouri nui, te mamae o te kopu nui, te tukituki ngāwari, ngā tohu rānei o te mate wai. Ka taea e ēnei te tohu i te mate āhuatanga hyperparathyroid, e hiahia ana ki te maimoatanga wawe.

Ki te whai koe i ngā take morearea penei i te hītori whānau o ngā mate endocrine, kua inu rongoā lithium mō te roa, kōrerohia te aroturuki kōrori noa ki tō kaiwhakarato hauora. Ka taea e te kite wawe te ārai i ngā raruraru me te whakapai ake i ngā hua maimoatanga.

He aha ngā take morearea mō te hyperparathyroidism?

He maha ngā take ka taea te whakanui ake i tō tūponotanga ki te whanake i te hyperparathyroidism, ahakoa te whai i ēnei take morearea kāore e whakamana ka whanake koe i te āhuatanga. Ka taea e te mārama ki a rātou te āwhina i a koe me tō taote ki te tiaki mō ngā tohu wawe.

Ko ngā take morearea tino nui:

• He wahine neke atu i te 50 tau te pakeke, ina koa i muri i te menopause
• Te whai i te hītori whānau o te hyperparathyroidism, ngā mate endocrine e hono ana rānei
• Te whakamahinga o mua o te radiation ki tō ulu, ki tō kaki rānei
• Te inu rongoā lithium mō te mate bipolar
• Te whai i ngā āhuatanga ira e tuku ana i te whānau penei i te MEN-1, MEN-2 rānei
• Te mate whatukuhu roa
• Te kore nui, te roa o te huaora D
• Etahi mate whekau e pā ana ki te tango kōrori

He mahi nui te pakeke me te ira tangata, me te āhuatanga e toru te nui ake te noa i ngā wāhine i ngā tāne. Ka nui ake te morearea i muri i te menopause, pea nā ngā huringa homoni e pā ana ki te whakahaere kōrori.

Te whai i tētahi take morearea rānei kaore e kī ka whanake koe i te hyperparathyroidism. He tokomaha ngā tāngata he take morearea kaore e whanake i te āhuatanga, ka mahi ētahi atu kaore he take morearea mārama. Ka taea e ngā tirotiro noa te awhina i te hopu i ngā huringa i roto i ō taumata kōrori wawe.

He aha ngā raruraru pea o te hyperparathyroidism?

Ki te kore e maimoatia, ka taea e te hyperparathyroidism te arahi ki ngā raruraru nui i te mea ka haere tonu tō tinana ki te whakahaere i te nui o te kōrori i te wa roa. Ko te rongo pai ko te maimoatanga tika ka taea te ārai i te nuinga o ēnei raruraru, ā, ka taea te whakahoki i etahi o rātou.

Ko ngā raruraru tino noa ka pa atu ki a koe:

• Te osteoporosis me te nui ake o te morearea o te whati i te mea ka tangohia te kōrori i ō wheua
• Ngā kōhatu whatukuhu, ka taea te hoki mai me te tino mamae
• Te kino o te whatukuhu mai i te nui tonu o te kōrori
• Ngā rereketanga o te tukituki ngāwari nā te nui o te kōrori
• Ngā mate peptic mai i te nui ake o te whakaputa waikawa puku
• Te pouri me ngā raruraru hinengaro ka pā ki tō oranga o ia rā
• Te toto teitei

I roto i ngā take onge, ka taea e te nui o te kōrori te arahi ki te mate āhuatanga hyperparathyroid. Ka taea e tēnei mate āhuatanga te tuku i ngā tukituki ngāwari kino, te pouri nui, te coma, te kore mahi rānei o te whatukuhu. Heoi, he onge tēnei raruraru, ā, e tino puta ana noa ina kore i kitea, kāore hoki i maimoatia te āhuatanga mō te roa.

Ko te nuinga o ngā raruraru e whanake ana i te wa roa, koia te tikanga ka taea e te kite wawe me te maimoatanga te ārai katoa. Ahakoa kua whanake ngā raruraru, ka taea te whakapai ake i te nuinga mā te maimoatanga tika o te hyperparathyroidism.

Me pēhea te kitea te hyperparathyroidism?

Ko te kitea i te hyperparathyroidism e tino tīmata ana mā ngā whakamātautau toto e ine ana i ō taumata kōrori me te homoni parathyroid. Ka tono pea tō taote i ēnei whakamātautau ki te whai koe i ngā tohu, ki te whakaatu rānei te tirotiro noa i te nui o te kōrori.

Ko ngā whakamātautau kitea matua:

• Ngā taumata kōrori serum (e tino nui ana i te hyperparathyroidism)
• Ngā taumata homoni parathyroid (PTH) (e tino nui ana rānei he mea noa)
• Ngā taumata huaora D ki te whakakore i te kore
• Ngā whakamātautau mahi whatukuhu
• Te ine kōrori mimi 24-hāora
• Te karapa matotoru wheua ki te tirotiro i te ngaro o te wheua

Ka tono pea tō taote i ngā rangahau whakaahua ki te kimi i te whatukuhu parathyroid e kaha ana. Ka taea e ēnei te whakauru i ngā karapa motuhake penei i te karapa sestamibi, te ultrasound rānei o tō kaki, ina koa ki te whakaarohia te pokanga.

I etahi wā, ka hiahia te kitea ki te whakamātautau anō, i te mea ka rereke ngā taumata kōrori. Ka hiahia pea tō taote ki te whakakore i ētahi atu āhuatanga ka taea te tuku i ngā tohu rite, te nui rānei o te kōrori, penei i ētahi mate pukupuku, ngā pānga rongoā rānei.

He aha te maimoatanga mō te hyperparathyroidism?

Ko te maimoatanga mō te hyperparathyroidism e whakawhirinaki ana ki te momo me te kaha o tō āhuatanga, me te wheako rānei koe i ngā tohu, ngā raruraru rānei. Ka mahi tahi tō taote ki a koe ki te whakatau i te huarahi pai e rite ana ki tō āhuatanga.

Mō te hyperparathyroidism matua, ko te pokanga te maimoatanga tino whai hua, ina koa ki te whai koe i ngā tohu, ngā raruraru rānei. Ko te tukanga, e kiia nei ko te parathyroidectomy, e whakauru ana i te tango i te whatukuhu rānei ngā whatukuhu e kaha ana, ā, he tino angitu te reiti neke atu i te 95%.

Ki te kore e tika te pokanga mōu, ko ngā whiringa whakahaere hauora:

• Ngā rongoā penei i te cinacalcet e āwhina ana ki te whakaiti i ngā taumata kōrori
• Ngā bisphosphonates ki te tiaki i ō wheua
• Te aroturuki noa mā ngā whakamātautau toto me ngā karapa matotoru wheua
• Te whakarite i te nui o te wai ki te āwhina i ō whatukuhu ki te tukatuka kōrori

Mō te hyperparathyroidism tuarua, ko te maimoatanga e aro ana ki te whakatika i te take. Ka taea e tēnei te whakauru i te maimoatanga mate whatukuhu, te whakatika i te kore o te huaora D, te whakapai ake rānei i te tango kōrori i roto i ō whekau.

Ka whakaritea tō mahere maimoatanga ki ō hiahia motuhake, ō tohu, me tō hauora whānui. He tokomaha ngā tāngata e pai ake te ahua i roto i ngā wiki ki ngā marama o te tīmatanga o te maimoatanga tika.

Me pēhea te whakahaere i te hyperparathyroidism i te kāinga?

Ahakoa he mea nui te maimoatanga hauora mō te hyperparathyroidism, he maha ngā mea ka taea e koe te mahi i te kāinga ki te tautoko i tō hauora me te whakaiti pea i ētahi tohu. Ko ēnei rautaki e pai ana ki te whakauru ki te tiaki hauora tika.

He mea nui rawa te noho makuku, i te mea e āwhina ana i ō whatukuhu ki te tukatuka i te kōrori nui, ā, ka taea te whakaiti i tō morearea o ngā kōhatu whatukuhu. Whakatauhia te 8-10 karapu wai i ia rā, ki te kore tō taote e tohu ke.

Whakaarohia ēnei rautaki whakahaere kāinga whai hua:

• Noho mahi tinana mā ngā whakakori e mau ana i te taumaha ki te tautoko i te hauora wheua
• Whakaitihia ngā kai kōrori nui ki te tohu tō taote
• Kaua e inu i ngā diuretics thiazide ki te kore e tohua, i te mea ka taea e rātou te whakanui ake i ngā taumata kōrori
• Tangohia ngā taapiri huaora D i te ara e tohu ai tō taote
• Whakahaerehia te ahotea mā ngā tikanga whakamahinga rānei ngā mahi ngāwari
• Whiwhi moe tika ki te āwhina i te ngenge me ngā tohu ngākau

Tāruahia ō tohu i roto i tētahi pukapuka ngāwari, kia kitea ngā huringa, ngā tauira rānei. Ka taea te whai hua tēnei mō tō rōpū hauora ki te whakarite i tō mahere maimoatanga.

Kia mahara ko te whakahaere kāinga e tautoko ana, kāore e whakakapi i te maimoatanga hauora. Whai tonu i ngā tohutohu a tō taote, kia mau tonu ki ngā hui whakarite mō te aroturuki i tō āhuatanga.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka taea te āwhina i te whakarite ka whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Tīmata mā te tuhi i ō tohu katoa, ahakoa kaore e hono, tae atu ki te tīmatanga, me pehea te pā ki tō oranga o ia rā.

Mau mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe, i te mea ka taea e etahi te pā ki ngā taumata kōrori, ki ngā maimoatanga rānei. Whakauruhia ngā rongoā kore-tohu me ngā taapiri otaota, i te mea ka taea te hono atu i ēnei i etahi wā.

Whakaritea ēnei mōhiohio nui mō tō haerenga:

• He raupapa o te tīmatanga o ō tohu me pehea te huringa
• Tō hītori hauora whānau, ina koa ngā mate endocrine
• Ngā hua whakamātautau toto o mua ki te whai koe
• Ngā rangahau whakaahua hou, ngā tukanga hauora rānei
• Ngā pūrongo mō ngā whiringa maimoatanga me te mea e tatari ana
• Mōhiohio mō tō whakamana inihua mō ngā maimoatanga pea

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki rānei whānau ki te āwhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerohia i te hui. Ka taea hoki e rātou te tautoko me te āwhina i te tautoko i ō hiahia.

Kaua e whakaroa ki te uiui i ngā mea kaore koe e mārama. E hiahia ana tō rōpū hauora ki te āwhina i a koe ki te mohio me te mārama ki tō mahere maimoatanga.

He aha te mea nui mō te hyperparathyroidism?

Ko te hyperparathyroidism tētahi āhuatanga tino maimoatanga e pā ana ki te whakahaere kōrori o tō tinana, ā, ahakoa ka uaua pea ngā tohu, ka pai ake te ahua o te nuinga o ngā tāngata ina whiwhi rātou i te maimoatanga tika. Ko te mea nui ko te kite i ngā tohu ngāwari me te whiwhi i te aromatawai hauora tika.

Ka taea e te kite wawe me te maimoatanga te ārai i ngā raruraru nui, ā, e tino whakahoki ana i te maha o ngā pānga ki ō wheua, ō whatukuhu, me tō hauora whānui. Ahakoa mā te pokanga, mā te whakahaere hauora rānei, he tino whai hua ngā whiringa maimoatanga mō te nuinga o ngā tāngata.

Ki te whakaaro koe kei a koe pea te hyperparathyroidism i runga i ngā tohu e roa ana penei i te ngenge, te ngoikore, ngā huringa ngākau, te mamae wheua rānei, kaua e whakaroa ki te kōrero ki tō kaiwhakarato hauora. Ka taea e te whakamātautau toto ngāwari te tīmata i te tukanga kitea, ā, ka taea te tuku i ngā whakautu e tino whakapai ake ai tō kounga o te ora.

Kia mahara kei te whakatau koe i te hyperparathyroidism, ā, mā te maimoatanga tika, ka hoki te nuinga o ngā tāngata ki ō rātou mahi noa, ā, ka pai ake te ahua i mua i te kitea.

Ngā pūrongo e tino ui ana mō te hyperparathyroidism

Ka taea te ngaro ake te hyperparathyroidism?

Ko te hyperparathyroidism matua e kore e ngaro ake me te kore maimoatanga, i te mea e tino puta ana i te pūngāwerewere pai, te whatukuhu nui rānei e haere tonu ana te whakaputa homoni nui. Heoi, ka taea te whakapai ake i te hyperparathyroidism tuarua ki te maimoatia tika te take, penei i te kore o te huaora D, te mate whatukuhu rānei. Ko te nuinga o ngā tāngata he hyperparathyroidism matua ka hiahia rānei ki te pokanga, ki te whakahaere hauora tonu rānei ki te pupuri i ō rātou taumata kōrori noa.

He mea kino te pokanga hyperparathyroidism?

Ko te parathyroidectomy e tino whakaarohia ana he tukanga haumaru he tino angitu te reiti neke atu i te 95%. Ko te pokanga e tino mahi ana hei tukanga manuhiri, he noho poto rānei i te whare hauora. Ahakoa he morearea katoa ngā pokanga, he onge ngā raruraru nui, ā, ka ora wawe te nuinga o ngā tāngata. Ka kōrero tō taote pokanga i ngā morearea me ngā painga motuhake e rite ana ki tō āhuatanga hauora.

Me inu rānei au i ngā taapiri kōrori i muri i te pokanga parathyroid?

He tokomaha ngā tāngata e hiahia ana ki ngā taapiri kōrori wā poto i muri i te pokanga parathyroid i te mea ka whakatika ō rātou whatukuhu toenga ki te mahi noa. Ko tēnei te nuinga he wā poto, e roa ana i ngā wiki ki ngā marama. Ka aroturuki tō taote i ō taumata kōrori i muri i te pokanga, ka whakarite i ō taapiri i te mea e hiahiatia ana. Ka hiahia pea etahi tāngata ki ngā taapiri kōrori me te huaora D mō te roa, engari ka rereke tēnei i te tangata ki te tangata.

Ka taea te āwhina i ngā huringa kai ki te whakahaere i te hyperparathyroidism?

Ahakoa kāore te kai anake e taea te whakaora i te hyperparathyroidism, ka taea e ētahi whakarerekētanga kai te āwhina i te whakahaere i ngā tohu me te tautoko i tō maimoatanga. Ka tohu pea tō taote ki te whakahaere i te kai kōrori, ki te noho makuku rānei. Heoi, kaua e whakarereke nui i te kai me te kore aratohu hauora, i te mea ka rereke pea ō hiahia kōrori i te mea e tumanakohia ana. He kai rite me te kōrori tika, engari ehara i te nui rawa, me ngā taumata huaora D tika, e tino tūtohutia ana.

E hia te roa o te pai ake o te ahua i muri i te maimoatanga hyperparathyroidism?

He tokomaha ngā tāngata e kite ana i ngā whakapainga i ngā taumata kaha me te ngākau i roto i ngā wiki i muri i te maimoatanga angitu, ahakoa ka roa ake te ora o te wheua. I muri i te pokanga, ka pai ake te ahua o te nuinga o ngā tāngata i roto i te 1-3 marama i te mea ka noa ō rātou taumata kōrori. Ka hiahia pea etahi tohu, penei i ngā whakapainga o te matotoru wheua, ki te 6-12 marama, ki te roa atu rānei ki te whakaatu i te ora katoa. Ka ora katoa te tangata i tōna tere ake, no reira he mea nui te manawanui ki te tukanga ora.