Osteitis fibrosa

Osteitis fibrosa ndi vuto la hyperparathyroidism, vuto lomwe mafupa ena amafooka modetsa nkhawa.

Matenda a parathyroid ndi tiziwalo ting'onoting'ono ta 4 m'khosi. Izi zimatulutsa timadzi ta parathyroid (PTH). PTH imathandiza kuchepetsa calcium, phosphorus, ndi mavitamini D m'magazi ndipo ndizofunikira kuti mafupa akhale athanzi.

Mahomoni ochulukirapo (hyperparathyroidism) amatha kubweretsa kuwonongeka kwa mafupa, komwe kumatha kupangitsa kuti mafupa akhale ofowoka komanso osalimba. Anthu ambiri omwe ali ndi hyperparathyroidism pamapeto pake amadwala kufooka kwa mafupa. Si mafupa onse omwe amayankha PTH mofananamo. Ena amakhala ndi malo osalongosoka pomwe fupa limakhala lofewa kwambiri ndipo mulibe kashiamu mmenemo. Izi ndi osteitis fibrosa.

Nthawi zambiri, khansa ya parathyroid imayambitsa osteitis fibrosa.

Osteitis fibrosa tsopano ndi yosowa kwambiri mwa anthu omwe ali ndi hyperparathyroidism omwe ali ndi mwayi wopeza chithandizo chamankhwala. Ndizofala kwambiri kwa anthu omwe amakhala ndi hyperparathyroidism adakali aang'ono, kapena omwe sanalandire hyperparathyroidism kwanthawi yayitali.

Osteitis fibrosa imatha kupweteketsa mafupa kapena kufatsa. Pakhoza kukhala kuthyoka (kuphwanya) m'manja, miyendo, kapena msana, kapena mavuto ena amfupa.

Hyperparathyroidism imatha kuyambitsa izi:

• Nseru
• Kudzimbidwa
• Kutopa
• Kukodza pafupipafupi
• Kufooka

Kuyezetsa magazi kumawonetsa calcium, mahomoni otchedwa parathyroid, ndi alkaline phosphatase (mankhwala am'mafupa). Mlingo wa phosphorus m'magazi ukhoza kukhala wotsika.

X-ray imatha kuwonetsa mafupa owonda, kuthyoka, kugwada, ndi zotupa. Mano x-ray amathanso kukhala achilendo.

X-ray ya fupa ikhoza kuchitika. Anthu omwe ali ndi hyperparathyroidism amakhala ndi osteopenia (mafupa owonda) kapena kufooka kwa mafupa (mafupa owonda kwambiri) kuposa kukhala ndi matenda a osteitis fibrosa.

Mavuto ambiri amfupa ochokera ku osteitis fibrosa amatha kusinthidwa ndikuchitidwa opaleshoni kuti achotse gland (s) yachilendo. Anthu ena amatha kusankha kuti asachite opareshoni, m'malo mwake azitsatiridwa ndi kuyezetsa magazi ndi kuyeza kwa mafupa.

Ngati opaleshoni siyingatheke, nthawi zina mankhwala amatha kugwiritsidwa ntchito kutsitsa calcium.

Mavuto a osteitis fibrosa ndi awa:

• Mafupa amathyoka
• Zofooka za mafupa
• Ululu
• Mavuto chifukwa cha hyperparathyroidism, monga impso miyala ndi impso kulephera

Lumikizanani ndi omwe amakuthandizani ngati muli ndi ululu wa m'mafupa, kukoma mtima, kapena zizindikiro za hyperparathyroidism.

Kuyezetsa magazi pafupipafupi kumayesedwa kuchipatala kapena pamavuto ena azaumoyo nthawi zambiri kumazindikira kuchuluka kwa calcium musanawonongeke kwambiri.

Osteitis fibrosa cystica; Hyperparathyroidism - osteitis fibrosa; Chotupa chofiirira cha mafupa

• Matenda a Parathyroid

Nadol JB, Quesnel AM. Mawonekedwe a Otologic a systemic matenda. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chap 151.

Patsch JM, Krestan CR. Matenda am'magazi ndi endocrine. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Kuzindikira Mafilimu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 43.

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.