Parathyroid gland kubviswa

Parathyroidectomy kuvhiya kubvisa maronda eparathyroid kana mapundu eparathyroid. Izvo zvipenga zveparathyroid zviri kumashure kweshure kwetachiona chako mumutsipa wako. Aya maronda anobatsira muviri wako kudzora mwero wecalcium muropa.

Iwe unozogamuchira general anesthesia (wakarara uye unorwadza-wakasununguka) wekuvhiya uku.

Kazhinji maronda eparathyroid anobviswa uchishandisa 2- kusvika 4-inch (5- kusvika 10-cm) yekucheka cheka pamutsipa wako. Panguva yekuvhiyiwa:

• Iyo yakatemwa inowanzoitwa mukati memutsipa wako pasi peapuro yako yaAdamu.
• Chiremba wako anozotarisa maronda mana eparathyroid uye obvisa chero ane chirwere.
• Iwe unogona kunge uine yakakosha kuongororwa ropa panguva yekuvhiya inozotaura kana ese maronda matsi akabviswa.
• Muzviitiko zvisingawanzoitika, kana mana eaya maronda achida kubviswa, chikamu cheumwe chinoiswa mupamberi. Kana, inoiswazve mumhasuru pamberi pemutsipa wako padhuze nechero gland. Izvi zvinobatsira kuona kuti muviri wecalcium yemuviri wako unogara padanho rine hutano.

Rumwe rudzi rwekuvhiya kunoenderana nekuti hurwere hweparathyroid huripo. Mhando dzekuvhiya dzinosanganisira:

• Zvishoma zvinokanganisa parathyroidectomy. Unogona kugashirwa pfuti shoma shoma ye radioactive tracer pamberi pekuvhiya uku. Izvi zvinobatsira kujekesa maronda anorwara. Kana iwe uine iyi pfuti, chiremba wako anovhiya achashandisa yakakosha probe, senge iyo Geiger counter, kuti uwane iyo parathyroid gland. Chiremba wako anoita akacheka (1 kusvika 2 inches; kana 2.5 kusvika 5 cm) kune rumwe rutivi rwemutsipa wako, uye wozobvisa gland rinorwara naro. Iyi nzira inotora inenge 1 awa.
• Vhidhiyo-yakabatsirwa parathyroidectomy. Chiremba wako achaita zvidimbu zvidiki zviviri mumutsipa wako. Imwe ndeyezviridzwa, uye imwe ndeye kamera. Chiremba wako anoshandisa kamera kuona nzvimbo uye achabvisa maronda ane marimba nezviridzwa.
• Endoscopic parathyroidectomy. Chiremba wako achaita maviri kana matatu akacheka madiki pamberi pehuro yako uye rimwe rakatemwa pamusoro pepamusoro pekora rako. Izvi zvinoderedza inooneka maronda, kurwadziwa, uye nguva yekupora. Cheka iri risingasviki 2 inches (5 cm) kureba. Maitiro ekubvisa chero maronda eparathyroid glands akafanana nevhidhiyo-inobatsira parathyroidectomy.

Wako wekuchengeta hutano anogona kukurudzira kuvhiyiwa uku kana rimwe kana akawanda ako maperembudzi glands ari kuburitsa yakawandisa parathyroid hormone. Aya mamiriro anonzi hyperparathyroidism. Iyo inowanzo kukonzerwa nediki isina-cancer (benign) bundu rinonzi adenoma.

Chiremba wako wezvehutano anozotarisa zvinhu zvakawanda paanenge achisarudza kuti oita oparesheni here uye kuti ndeupi rudzi rwekuvhiya kwaunogona. Zvimwe zvezvinhu izvi ndezvi:

• Zera rako
• Calcium mazinga mumuguta wako uye muropa
• Kunyangwe iwe uine zviratidzo

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzeparathyroidectomy ndeidzi:

• Kukuvadza kune chirwere chetachiona kana kudiwa kwekubvisa chikamu chetachiona.
• Hypoparathyroidism. Izvi zvinogona kutungamira kune yakaderera calcium mazinga ane njodzi kuhutano hwako.
• Kukuvadza kumitsipa kuenda kumhasuru dzinofambisa tambo dzako dzenzwi. Unogona kunge uine izwi rakashoshoma kana risina kusimba iro rinogona kunge riri rechinguvana kana rechigarire.
• Kunetseka kufema. Izvi hazviwanzoitika uye zvinowanzoitika zvinopera mavhiki akati wandei kana mwedzi mushure mekuvhiyiwa.

Zvirwere zveparathyroid zvidiki kwazvo. Iwe ungangoda kuve nemiyedzo inoratidza chaiko iko kune gland dzako. Izvi zvinobatsira chiremba wako wekuvhiya kuti awane ako maronda eparathyroid panguva yekuvhiyiwa. Maviri ebvunzo iwe yaunogona kuve nayo ndeye CT scan uye iyo ultrasound.

Udza chiremba wako wechiremba:

• Kana iwe uri kana ungave uine pamuviri
• Ndeapi mishonga, mavitamini, mahebhu, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga

Pakati pevhiki usati wavhiyiwa:

• Zadza chero zvirevo zvemushonga wekurwadziwa uye calcium yauchazoda mushure mekuvhiyiwa.
• Iwe unogona kukumbirwa kuti urege kutora vatete veropa. Izvi zvinosanganisira NSAIDs (aspirin, ibuprofen), vitamini E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), uye clopidegrel (Plavix).
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

• Tevedza rairo nezvekusadya kana kunwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Kazhinji, vanhu vanogona kuenda kumba zuva rimwe chete ravanovhiyiwa. Unogona kutanga zviitiko zvako zvezuva nezuva mumazuva mashoma. Zvinotora anenge 1 kusvika kumavhiki matatu kuti iwe upore zvizere.

Nzvimbo yekuvhiya inofanira kuchengetwa yakachena uye yakaoma. Iwe ungangoda kunwa zvinwiwa uye kudya zvakapfava kwezuva.

Fonera chiremba wako wekuvhiya kana uine chero chiveve kana kugwinha pamuromo wako mumaawa makumi maviri nemana kusvika makumi mana mushure mekuvhiyiwa. Izvi zvinokonzerwa ne low calcium. Tevedza rairo nezvekuti ungatora sei calcium calcium zvinowedzera.

Mushure meiyi nzira, iwe unofanirwa kuve neyakajairwa kuongororwa ropa kuti utarise yako calcium level.

Vanhu vanowanzo kupora mushure mekuvhiyiwa uku. Kudzoreredza kunogona kukurumidza kana mashandisiro mashoma eanoshandisa.

Dzimwe nguva, kumwe kuvhiya kunodiwa kuti ubvise zvimwe zvezvipenga zveparathyroid.

Kubviswa kweparathyroid gland; Parathyroidectomy; Hyperparathyroidism - parathyroidectomy; PTH - parathyroidectomy

• Kuchengeta ronda rekuvhiya - rakavhurika

• Parathyroidectomy
• Parathyroidectomy - akateedzana

Mari Co, KE TS. Yekutanga Hyperparathyroidism. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 779-785.

Quinn CE, Udelsman R. Iyo parathyroid gland. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 37.