Parathyroid adenoma

Parathyroid adenoma ndi chotupa chosafunikira (chosaopsa) cha tiziwalo timene timayambitsa matendawa. Zilonda za parathyroid zili pakhosi, pafupi kapena zomangirizidwa kumbuyo kwa chithokomiro.

Matenda a parathyroid omwe ali pakhosi amathandiza kuchepetsa kugwiritsidwa ntchito kwa calcium ndi thupi. Amachita izi popanga hormone ya parathyroid, kapena PTH. PTH imathandiza kuchepetsa calcium, phosphorus, ndi mavitamini D m'magazi ndipo ndizofunikira kuti mafupa akhale athanzi.

Parathyroid adenomas ndiofala. Matenda ambiri a parathyroid adenomas alibe chifukwa chodziwika. Nthawi zina vuto lachibadwa limayambitsa. Izi ndizofala kwambiri ngati matendawa amachitika mukadali achichepere.

Zinthu zomwe zimapangitsa kuti tiziwalo timene timatulutsa matenda kuti tikule amathanso kuyambitsa adenoma. Izi zikuphatikiza:

• Matenda a chibadwa
• Kumwa mankhwala lifiyamu
• Matenda a impso

Amayi azaka zopitilira 60 ali pachiwopsezo chachikulu chotenga matendawa. Kutentha kwa mutu kapena khosi kumawonjezeranso ngozi.

Anthu ambiri alibe zizindikiro. Vutoli limapezeka nthawi zambiri magazi akamayesedwa pa chifukwa china chachipatala.

Parathyroid adenomas ndi omwe amafala kwambiri a hyperparathyroidism (matumbo opitilira muyeso a parathyroid), omwe amatsogolera ku kuchuluka kwa calcium m'magazi.Zizindikiro zimatha kuphatikizira izi:

• Kusokonezeka
• Kudzimbidwa
• Kupanda mphamvu (ulesi)
• Kupweteka kwa minofu
• Nsautso kapena kuchepa kwa njala
• Kukodza nthawi zambiri usiku
• Mafupa ofooka kapena mafupa

Mayeso amwazi amatha kuchitidwa kuti muwone kuchuluka kwa:

• PTH
• Calcium
• Phosphorus
• Vitamini D.

Kuyezetsa mkodzo kwa maola 24 kungachitike kuti muwone kuchuluka kwa calcium mkodzo.

Mayesero ena ndi awa:

• Kuyezetsa magazi
• Impso ultrasound kapena CT scan (ingawonetse miyala ya impso kapena calcification)
• Impso x-ray (imatha kuwonetsa miyala ya impso)
• MRI
• Khosi ultrasound
• Sestamibi scan scan (kuzindikira komwe kuli parathyroid adenoma)

Kuchita opaleshoni ndi njira yodziwika bwino kwambiri yochizira matendawa. Koma, anthu ena amasankha kukayezetsa pafupipafupi ndi omwe amawasamalira ngati ali ndi vuto.

Pofuna kuthana ndi vutoli, omwe akukuthandizani angakufunseni kuti musiye kumwa calcium ndi vitamini D zowonjezera. Azimayi omwe adutsa kusamba angafune kukambirana za chithandizo ndi estrogen.

Mukachiritsidwa, malingaliro nthawi zambiri amakhala abwino.

Osteoporosis ndi chiopsezo chowonjezeka cha mafupa osweka ndichomwe chimakonda kwambiri.

Zovuta zina ndizofala, koma zimatha kuphatikiza:

• Nephrocalcinosis (calcium ikayikidwa mu impso zomwe zingachepetse ntchito ya impso)
• Osteitis fibrosa cystica (yofewa, malo ofooka m'mafupa)

Zovuta za opaleshoni ndi monga:

• Kuwonongeka kwa mitsempha yomwe imayendetsa mawu anu
• Kuwonongeka kwa tiziwalo timene timayambitsa matendawa, komwe kumayambitsa hypoparathyroidism (kusowa kwa mahomoni ofunikira a parathyroid) komanso kuchepa kwa calcium

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za vutoli.

Hyperparathyroidism - parathyroid adenoma; Kuchulukitsa kwa parathyroid gland - parathyroid adenoma

• Matenda a Endocrine
• Matenda a Parathyroid

Otsatira LM, Kamani D, Randolph GW. Kuwongolera kwa zovuta za parathyroid. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 123.

Silverberg SJ, Bilezikian JP. Pulayimale hyperparathyroidism. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 63.

Thakker RV. Matenda a parathyroid, hypercalcemia, ndi hypocalcemia. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 232.