Kuchotsa matenda a parathyroid

Parathyroidectomy ndi opaleshoni yochotsa zotupa za parathyroid kapena zotupa za parathyroid. Matenda a parathyroid ali kumbuyo kwanu kwa chithokomiro m'khosi mwanu. Izi zimathandizira kuti thupi lanu lizitha kuyendetsa calcium pamwazi.

Mukalandira mankhwala oletsa ululu (ogona komanso opanda ululu) pa opaleshoniyi.

Nthawi zambiri tiziwalo timene timatulutsidwa ndi parathyroid timachotsedwa pamakhosi panu mpaka mainchesi 5 mpaka 10. Pa opaleshoni:

• Kudulidwa kumapangidwa nthawi zambiri pakati pakhosi panu pansi pa apulo ya Adam.
• Dokotala wanu amayang'ana tiziwalo zinayi ta parathyroid ndikuchotsa chilichonse chodwala.
• Mutha kuyezetsa magazi mwapadera nthawi yochita opareshoni yomwe idzawone ngati zovutitsa zonse zidachotsedwa.
• Nthawi zambiri, pomwe ma gland onse anayiwo amafunika kuchotsedwa, gawo lake limayikidwamo. Kapena, amaikidwa mu minofu patsogolo pa khosi lanu pafupi ndi chithokomiro. Izi zimathandiza kuti thupi lanu likhale ndi calcium yabwino.

Mtundu wa opareshoni umadalira komwe matenda amtundu wa parathyroid ali. Mitundu ya opaleshoni ndi monga:

• Parathyroidectomy yocheperako pang'ono. Mutha kulandira kuwombera pang'ono pang'ono kwa ma radioactive tracer asanachite opaleshoniyi. Izi zimathandizira kuwunikira matumbo omwe ali ndi matenda. Ngati muli ndi mfuti iyi, dokotalayo amagwiritsa ntchito kafukufuku wapadera, ngati cholembera cha Geiger, kuti apeze vuto la parathyroid. Dokotala wanu adzadula pang'ono (1 mpaka 2 mainchesi; kapena masentimita 2.5 mpaka 5) mbali imodzi ya khosi lanu, kenako ndikuchotsa chofufumitsacho. Njirayi imatenga pafupifupi ola limodzi.
• Parathyroidectomy yothandizidwa ndi makanema. Dokotala wanu adzadula pang'ono m'khosi mwanu. Imodzi ndi ya zida, inayo ndi ya kamera. Dokotala wanu adzagwiritsa ntchito kamera kuti awone malowa ndipo adzachotsa matenda ndi matendawa.
• Endoscopic parathyroidectomy. Dokotala wanu adzadula kawiri kapena katatu kutsogolo kwa khosi lanu ndi kudulidwa kamodzi pamwamba pa kolala lanu. Izi zimachepetsa mabala, kupweteka, komanso nthawi yochira. Mdulidwewu ndi wochepera mainchesi awiri (5 cm) kutalika. Njira yochotsera matenda amtundu wa parathyroid ofanana ndi omwe amathandizidwa ndi kanema parathyroidectomy.

Wothandizira zaumoyo wanu akhoza kulimbikitsa opaleshoniyi ngati imodzi kapena zingapo zamatenda anu opangika ndikupanga mahomoni ochulukirapo. Matendawa amatchedwa hyperparathyroidism. Nthawi zambiri zimayambitsidwa ndi chotupa chochepa cha khansa (benign) chotchedwa adenoma.

Dokotala wanu adzawona zinthu zambiri posankha kuchita opaleshoni ndi mtundu wanji wa opaleshoni womwe ungakhale wabwino kwa inu. Zina mwa zinthuzi ndi izi:

• Zaka zanu
• Magulu a calcium mumkodzo ndi magazi anu
• Kaya muli ndi zizindikiro

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika chifukwa cha mankhwala kapena mavuto ampweya
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za parathyroidectomy ndi:

• Kuvulaza chithokomiro kapena kufunika kochotsa gawo la chithokomiro.
• Hypoparathyroidism. Izi zitha kubweretsa kuchepa kwama calcium omwe ali owopsa ku thanzi lanu.
• Kuvulala kwamitsempha kupita kuminyewa yomwe imasuntha zingwe zamawu. Mutha kukhala ndi mawu okweza kapena ofowoka omwe atha kukhala osakhalitsa kapena okhazikika.
• Kuvuta kupuma. Izi ndizosowa kwambiri ndipo nthawi zambiri zimatha milungu ingapo kapena miyezi ingapo opaleshoni.

Matenda a parathyroid ndi ochepa kwambiri. Mungafunike kukhala ndi mayeso omwe akuwonetsa komwe matumbo anu ali. Izi zidzathandiza dotolo wanu kupeza zotupa zanu za parathyroid panthawi yochitidwa opaleshoni. Mayeso awiri omwe mungakhale nawo ndi CT scan ndi ultrasound.

Uzani dokotala wanu wa opaleshoni:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati, mavitamini, zitsamba, ndi zina zowonjezera zomwe mumamwa, ngakhale zomwe mwagula popanda mankhwala

Sabata isanachitike opaleshoni yanu:

• Lembani mankhwala aliwonse a mankhwala opweteka ndi calcium yomwe mudzafunike mutachitidwa opaleshoni.
• Mutha kufunsidwa kuti musiye kumwa magazi ochepa. Izi zikuphatikiza ma NSAID (aspirin, ibuprofen), vitamini E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), ndi clopidegrel (Plavix).
• Funsani dokotala wanu wa mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Patsiku la opareshoni yanu:

• Tsatirani malangizo osadya kapena kumwa.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Fikani kuchipatala nthawi yake.

Nthawi zambiri, anthu amatha kupita kwawo tsiku lomwelo kukachitidwa opaleshoni. Mutha kuyambitsa zochitika zanu zatsiku ndi tsiku m'masiku ochepa. Zitenga pafupifupi 1 mpaka masabata atatu kuti muchiritse.

Malo opangira opaleshoni amayenera kukhala oyera ndi owuma. Mungafunike kumwa zakumwa ndi kudya zakudya zofewa tsiku limodzi.

Itanani dokotala wanu ngati muli ndi dzanzi kapena kulira pakamwa panu m'maola 24 mpaka 48 mutachitidwa opaleshoni. Izi zimayambitsidwa ndi calcium yotsika. Tsatirani malangizo amomwe mungatengere zowonjezera calcium.

Pambuyo pa njirayi, muyenera kuyesa magazi nthawi zonse kuti muwone kuchuluka kwa calcium.

Anthu nthawi zambiri amachira pambuyo pa opaleshoniyi. Kubwezeretsa kumatha kukhala kofulumira kwambiri mukamagwiritsa ntchito njira zochepa zowononga.

Nthawi zina, opaleshoni ina imafunika kuchotsa ma gland ambiri.

Kuchotsa matenda a parathyroid; Parathyroidectomy; Hyperparathyroidism - parathyroidectomy; PTH - parathyroidectomy

• Chisamaliro cha bala la opaleshoni - chotseguka

• Parathyroidectomy
• Parathyroidectomy - mndandanda

Ndalama KE, Wang TS. Pulayimale Hyperparathyroidism. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 779-785.

Quinn CE, Udelsman R. Matenda a parathyroid. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 37.