Author: Leo
Key words: nephropathy
I believe that small partners have heard the thyroid, but today we have to say is not the thyroid, but with the thyroid has a word, with the health of the kidneys are closely related to the parathyroid gland. Parathyroid hormone may not understand what is meant We are here today to discuss this issue.
1, parathyroid hormone, what does that mean?
Not all kidney friends should check this indicator. But to the chronic kidney disease 3, that is, after renal insufficiency, you need to start monitoring the project.
To figure out the increase in the index, we have to figure out what it is doing.
Calcium and phosphorus
Parathyroid hormone secreted by parathyroidism, mainly used to maintain the balance of our body!
Blood phosphorus to become high, and blood calcium to reduce!
When the renal insufficiency, calcium and phosphorus will begin to appear signs of disorder.
See this chaotic scene, in charge of calcium and phosphorus balance of the parathyroid first sit still. Began to work overtime secretion of parathyroid hormone, so that the chaos of calcium and phosphorus back on track! This time, patients check the parathyroid gland this indicator can be elevated!
In the early days, although parathyroid hormone (PTH) increased a little, but it is useful for overtime, calcium, phosphorus basic listen to it, can be maintained at the normal level, the overall security.
However, this parathyroidism overtime secretion of parathyroid hormone, a great price! At the beginning of the parathyroid gland is also normal, a long time, more and more morbid parathyroidism, began to proliferate.
Secondary hyperparathyroidism.
These conditions, that is, doctors often say
On the other hand, calcium and phosphorus do not listen to morbid thyroid hormone, more and more uncontrolled, hyperphosphatemia, hypocalcemia.
Patients not only increased parathyroid (PTH), calcium, phosphorus are not normal, the whole becomes chaotic.
The result of chaos is:
Renal bone disease
Calcium phosphate itself is deposited in the bones, and because of their three confusion, dragging each other behind the legs, kidney disease patients began to have problems. Patients with bone pain, skeletal deformity, easy to fracture, height retreat, height can be reduced from 1.7 meters to 1.5 meters, that is, we said.
And calcium and phosphorus is not honestly in the bones, deposited to other places should not be deposited, will lead to other parts of calcification, loss of function. Deposition to the blood vessels, vascular calcification; deposition to the skin, skin painful nodules, ulcers; deposition to the heart, causing myocardial calcification, valvular calcification.
And this process is not a serious injury in the kidney after all of a sudden, but slowly, little by little, erosion of the health of patients with kidney disease.
2, renal dysfunction should pay attention to the level of PTH, calcium and phosphorus
It is because of renal insufficiency after the occurrence of such a problem, if the time is prolonged, will seriously damage the health of patients, we must guard against it.
When do you start to focus on these indicators?
1) renal function 3: calcium and phosphorus every 6-12 months to check once, PTH can be based on the level of normal and renal function of the decision.
2) renal function 4: calcium and phosphorus every 3-6 months to check once, PTH every 6-12 months to check once.
3) renal function and dialysis: blood calcium and phosphorus every 1-3 months to check once, PTH every 3-6 months to check once.
In other words, if the renal function of the kidney has been to 3 and later, then check the test indicators, you have to focus on the parathyroid (PTH), blood calcium, blood phosphorus these.
3, if abnormal, what countermeasures?
1, appropriate low-phosphorus diet. Food additives in the high and high phosphorus, and very easy to absorb, then the food containing more additives to eat as much as possible, such as beverages, processed meat products, quick-frozen food, fast food, frozen baking goods.
2, the doctor may be based on the condition, the use of some drugs, such as active vitamin D, calcium, phosphorus binding agent.
3, if these traditional methods have no effect, there are still serious hyperparathyroidism, there may be parathyroid surgery resection.
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