I-Osteitis fibrosa

I-Osteitis fibrosa yinkxalabo ye-hyperparathyroidism, imeko apho amathambo athile aba buthathaka ngokungaqhelekanga kwaye akhubazeke.

Idlala ngokuzibambela nkalo ziincindi ezi-4 ezincinci entanyeni. Ezi ndlala zivelisa i-parathyroid hormone (PTH). I-PTH inceda ukulawula i-calcium, i-phosphorus, kunye ne-vitamin D kumanqanaba egazini kwaye kubalulekile kumathambo asempilweni.

Amanqanaba amaninzi e-parathyroid (hyperparathyroidism) anokukhokelela ekonyukeni kwamathambo, anokubangela ukuba amathambo abe buthathaka kwaye abe ethe-ethe ngakumbi. Abantu abaninzi abane-hyperparathyroidism ekugqibeleni baba ne-osteoporosis. Ayingawo onke amathambo aphendula kwi-PTH ngendlela efanayo. Ezinye zikhula kwindawo ezingaqhelekanga apho ithambo lithambe khona kwaye akukho phantse kuyo ikhalsiyam. Le yi-osteitis fibrosa.

Kwiimeko ezinqabileyo, umhlaza weparathyroid ubangela i-osteitis fibrosa.

I-Osteitis fibrosa ngoku inqabile kakhulu kubantu abane-hyperparathyroidism abanokufikelela okuhle kunyango. Kuqheleke kakhulu kubantu abaphuhlisa i-hyperparathyroidism besebancinci, okanye abangakhange banyange i-hyperparathyroidism ixesha elide.

I-Osteitis fibrosa inokubangela iintlungu zethambo okanye ukuthamba. Kunokubakho uqhekeko (ikhefu) kwiingalo, emilenzeni, okanye emqolo, okanye ezinye iingxaki zethambo.

Hyperparathyroidism inokubangela nayiphi na kwezi zinto zilandelayo:

• Isicaphucaphu
• Ukuqunjelwa
• Ukudinwa
• Ukuchama rhoqo
• Ubuthathaka

Uvavanyo lwegazi lubonisa inqanaba eliphezulu le-calcium, ihomoni yeparathyroid, kunye nealkaline phosphatase (imichiza yethambo). Inqanaba lePhosphorus egazini lisenokuba phantsi.

IX-reyi inokubonisa amathambo amancinci, ukwaphuka, ukuqubuda kunye neecyst. Amazinyo x-reyi nawo angaqhelekanga.

I-x-ray yethambo inokwenziwa. Abantu abane-hyperparathyroidism kunokwenzeka ukuba babe ne-osteopenia (amathambo amancinci) okanye i-osteoporosis (amathambo amancinci kakhulu) kunokuba babe ne-osteitis fibrosa epheleleyo.

Uninzi lweengxaki zamathambo ezivela kwi-osteitis fibrosa zinokuguqulwa ngoqhaqho ukususa i-parathyroid gland (s) engaqhelekanga. Abanye abantu banokukhetha ukungabinatyando, endaweni yoko kulandelwe uvavanyo lwegazi kunye nemilinganiselo yethambo.

Ukuba utyando alunakwenzeka, amayeza ngamanye amaxesha anokusetyenziselwa ukuthoba inqanaba le-calcium.

Iingxaki ze-osteitis fibrosa zibandakanya nayiphi na kwezi zilandelayo:

• Ukuqhekeka kwamathambo
• Iziphene zethambo
• Intlungu
• Iingxaki ngenxa yehyperparathyroidism, enjengamatye ezintso kunye nokusilela kwezintso

Nxibelelana nomboneleli wakho wokhathalelo lwempilo ukuba unentlungu, ithambo, okanye iimpawu zehyperparathyroidism.

Uvavanyo lwegazi olwenziwa rhoqo ngexesha lokuhlolwa kwezonyango okanye enye ingxaki yezempilo ihlala ifumana inqanaba eliphezulu le-calcium ngaphambi kokuba kwenziwe umonakalo omkhulu.

Osteitis fibrosa cystica; Hyperparathyroidism - osteitis fibrosa; Ithumba elimdaka ngethambo

• Izibilini zeParathyroid

UNadol JB, iQuenel AM. Ukubonakaliswa kwe-Otologic yesifo se-systemic. 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: isahl. 151.

IPatsch JM, iKrestan CR. Isifo samathambo kunye ne-endocrine. Ku: UAdam A, uDixon AK, uGillard JH, uSchaefer-Prokop CM, ii-eds. Ingqolowa kunye neAllison's Diagnostic Radiology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahl. 43.

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