Parathyroid adenoma

Parathyroid adenoma isiri noncancerous (benign) bundu remaronda eparathyroid. Izvo zvipenga zveparathyroid zvinowanikwa mumutsipa, padyo kana zvakanamatira kune yekumashure kwetachiona gland.

Iwo maronda eparathyroid mumutsipa anobatsira kudzora kushandiswa kwecalcium uye kubviswa nemuviri. Vanoita izvi nekugadzira parathyroid hormone, kana PTH. PTH inobatsira kudzora calcium, phosphorus, uye vhitamini D mazinga muropa uye zvakakosha kumapfupa ane hutano.

Parathyroid adenomas yakajairika. Mazhinji parathyroid adenomas haana chikonzero chakazivikanwa. Dzimwe nguva dambudziko remajini ndiro rinokonzera. Izvi zvinowanzoitika kana chirwere ichi chikaitwa iwe uchiri mudiki.

Mamiriro ezvinhu anosimudzira maronda eparathyroid kuti akure anogona zvakare kukonzera adenoma. Izvi zvinosanganisira:

• Matambudziko eGenetic
• Kutora zvinodhaka lithiamu
• Chirwere chetsvo chisingaperi

Vakadzi vanopfuura makore makumi matanhatu vane njodzi yakanyanya yekuvandudza mamiriro aya. Radiation kumusoro kana mutsipa inowedzerawo njodzi.

Vanhu vazhinji havana zviratidzo. Mamiriro acho anowanzo kuwanikwa kana kuongororwa kweropa kuchiitwa kune chimwe chikonzero chekurapa.

Parathyroid adenomas ndiyo inonyanya kukonzeresa hyperparathyroidism (yakanyanyisa kuita parathyroid gland), iyo inotungamira kune yakawedzera ropa calcium calcium.Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kuvhiringidzika
• Kuzvimbirwa
• Kushaya simba (kuneta)
• Kutambudzika kwemhasuru
• Kushungurudza kana kuderera kudya
• Weti kakawanda usiku
• Mapfupa asina kusimba kana kutsemuka

Kuongororwa kweropa kunogona kuitwa kuti uone huwandu hwe:

• PTH
• Calcium
• Phosphorus
• Vhitamini D

Kuedzwa kwemaawa makumi maviri nemana kunogona kuitwa kuti uone kuwedzerwa calcium mumuguta.

Mimwe bvunzo inosanganisira:

• Bone density bvunzo
• Itsvo ultrasound kana CT scan (inogona kuratidza itsvo matombo kana kuverenga)
• Itsvo x-rays (inogona kuratidza itsvo matombo)
• MRI
• Neck ultrasound
• Sestamibi mutsipa scan (kuziva nzvimbo yeparathyroid adenoma)

Kuvhiya ndiko kurapwa kwakakurumbira, uye kunowanzo kurapa mamiriro acho. Asi, vamwe vanhu vanosarudza kungoongororwa nguva dzese nemupi wavo wezvehutano kana mamiriro acho ari manyoro.

Kuti ubatsire kugadzirisa mamiriro acho, mupi wako anogona kukukumbira kuti urege kutora calcium uye vitamini D zvinowedzera. Vakadzi vakapfuura nekumira kwemwedzi vangangoda kukurukura nezvekurapa neestrogen.

Kana uchirapwa, maonero kazhinji akanaka.

Osteoporosis uye iyo yakawedzera njodzi yekutyoka kwemapfupa ndiyo inonyanya kunetsekana.

Mamwe matambudziko haana kujairika, asi anogona kusanganisira:

• Nephrocalcinosis (calcium inoiswa muitsvo iyo inogona kudzora itsvo kushanda)
• Osteitis fibrosa cystica (yakanyoroveswa, nzvimbo dzisina kusimba mumapfupa)

Zvinetso kubva pakuvhiya zvinosanganisira:

• Kukuvadza kune tsinga inodzora izwi rako
• Kukuvadza kune zvipenga zveparathyroid, izvo zvinokonzeresa hypoparathyroidism (kushomeka kwakakwana parathyroid hormone) uye yakaderera calcium level

Fonera mupiki wako kana iwe uine zviratidzo zveichi chiitiko.

Hyperparathyroidism - parathyroid adenoma; Kuwedzeredza parathyroid gland - parathyroid adenoma

• Endocrine masero
• Zvirwere zveparathyroid

Kutora LM, Kamani D, Randolph GW. Manejimendi eparathyroid kusagadzikana. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 123.

Silverberg SJ, Bilezikian JP. Chikuru hyperparathyroidism. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 63.

Thakker RV. Izvo zvipenga zveparathyroid, hypercalcemia, uye hypocalcemia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 232.