I-adenoma yeParathyroid

I-parathyroid adenoma sisifo esinganyangiyo somhlaza (esibi) sedlala yamadlala okugula. Amadlala abangelwa kukungalungelelani abekwe entanyeni, kufutshane okanye ancanyathiselwe kwicala elingasemva le-thyroid gland.

Amadlala afanayo asentanyeni anceda ukulawula ukusetyenziswa kwe-calcium kunye nokususwa komzimba. Benza oku ngokuvelisa ihomoni yeparathyroid, okanye i-PTH. I-PTH inceda ukulawula i-calcium, i-phosphorus, kunye ne-vitamin D kumanqanaba egazini kwaye kubalulekile kumathambo asempilweni.

Iiparathyroid adenomas ziqhelekile. Uninzi lwe-adenomas yeparathyroid ayinaso isizathu esichongiweyo. Ngamanye amaxesha ingxaki yemfuza ingunobangela. Oku kuqheleke ngakumbi ukuba isifo senziwa xa umncinci.

Iimeko ezikhuthaza iincindi zecala ukuba zikhule zinokubangela iadenoma. Oku kubandakanya:

• Ukuphazamiseka kwemfuza
• Ukuthatha ichiza lithium
• Isifo sezintso esinganyangekiyo

Abasetyhini abangaphezu kweminyaka yobudala engama-60 banomngcipheko ophezulu wokuphuhlisa le meko. Imitha yentloko okanye intamo ikwandisa umngcipheko.

Abantu abaninzi abanazimpawu. Imeko ihlala ifunyanwa xa kuvavanywa igazi kusenziwa esinye isizathu sonyango.

Iparathyroid adenomas sesona sizathu sixhaphakileyo sehyperparathyroidism (amadlala asebenza ngokugqithileyo parathyroid), ekhokelela kwinqanaba lokunyuka kwegazi ngecalcium.Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukudideka
• Ukuqunjelwa
• Ukungabikho kwamandla (ukunyaniseka)
• Intlungu yezihlunu
• Isihlunu okanye ukunciphisa ukutya
• Ukuchama rhoqo ebusuku
• Amathambo abuthathaka okanye ukwaphuka

Uvavanyo lwegazi lunokwenziwa ukujonga amanqanaba:

• PTH
• Ikhalsiyam
• Iphosphorus
• Vitamin D

Uvavanyo lomchamo lweeyure ezingama-24 lunokwenziwa ukukhangela ukunyuka kwecalcium kumchamo.

Olunye uvavanyo lubandakanya:

• Uvavanyo lokuxinana kwamathambo
• I-kidney ultrasound okanye i-CT scan (ingabonisa amatye ezintso okanye ukubalwa)
• Izintso x-reyi (zingabonisa amatye ezintso)
• IMRI
• Intamo ye-ultrasound
• Ukuvavanywa kwentamo kaSestamibi (ukufumanisa indawo ye-parathyroid adenoma)

Utyando lolona nyango luxhaphakileyo, kwaye lunyanga imeko. Kodwa, abanye abantu bakhetha ukujonga kuphela rhoqo umboneleli wabo wezempilo ukuba imeko ithambile.

Ukukunceda ukuphucula imeko, umboneleli wakho unokucela ukuba uyeke ukuthatha izongezo zecalcium kunye nevithamin D. Abasetyhini abaye bayeka ukuya exesheni banokufuna ukuxoxa ngonyango nge-estrogen.

Xa unyangwa, imbonakalo ihlala ilungile.

I-Osteoporosis kunye nokwanda komngcipheko wokuqhekeka kwethambo yeyona nto ixhaphakileyo.

Ezinye iingxaki aziqhelekanga, kodwa zingabandakanya:

• I-Nephrocalcinosis (i-calcium deposits kwizintso ezinokunciphisa ukusebenza kwezintso)
• I-Osteitis fibrosa cystica (ithambile, indawo ezibuthathaka emathanjeni)

Iingxaki ezivela kutyando zibandakanya:

• Ukonakala kwimithambo-luvo elawula ilizwi lakho
• Ukonakala kwamadlala okubambela, okubangela i-hypoparathyroidism (ukunqongophala kwehomoni eyaneleyo) kunye nenqanaba eliphantsi lecalcium

Fowunela umboneleli wakho ukuba uneempawu zeli meko.

Hyperparathyroidism - adenoma parathyroid; Ukudakumba okungaphaya kweparathyroid - adenoma parathyroid

• Amadlala endocrine
• Izibilini zeParathyroid

Ukuthatha i-LM, Kamani D, iRandolph GW. Ukulawulwa kokuphazamiseka kwengqondo. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 123.

ISilverberg SJ, iBilezikian JP. Isiseko sehyperparathyroidism. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 63.

I-Thakker RV. Izibilini ze-parathyroid, i-hypercalcemia, kunye ne-hypocalcemia. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl 232.