Kenza yeParathyroid

Kenza yeparathyroid igomarara (rakaipisisa) kukura mune gland parathyroid.

Izvo zvipenga zveparathyroid zvinodzora mwero wecalcium mumuviri. Kune mana maronda eparathyroid, 2 pamusoro peimwe neimwe lobe yeglandi, iri pazasi pemutsipa.

Kenza yeParathyroid rudzi rusinganzwisisike rwegomarara. Inobata varume nevakadzi zvakaenzana. Kenza inowanzoitika kune vanhu vakura kupfuura makumi matatu.

Chikonzero cheparathyroid cancer hachizivikanwe. Vanhu vane hutachiona hunodaidzwa kuti endocrine neoplasia mhando I uye hyperparathyroidism-jaw tumor syndrome vane njodzi yakawedzera yechirwere ichi. Vanhu vaive nemwaranzi yemusoro kana yemutsipa zvakare vangave vari panjodzi yekuwedzera. Asi rudzi urwu rwemwaranzi runogona kukonzera cancer yegomarara.

Zviratidzo zvegomarara reparathyroid zvinonyanya kukonzerwa neiyo yakakwira calcium muropa (hypercalcemia), uye inogona kukanganisa mativi akasiyana emuviri.

Zviratidzo zvinosanganisira:

• Kurwadziwa kwepfupa
• Kuzvimbirwa
• Kuneta
• Kutsemuka
• Kakawanda nyota
• Kakawanda weti
• Itsvo matombo
• Tsvina kushaya simba
• Kusvotwa uye kurutsa
• Chido chisina kunaka

Kenza yeparathyroid yakanyanya kuoma kuongorora.

Chiremba wako achaita bvunzo dzepanyama uye obvunza nezve nhoroondo yako yekurapa.

Inenge hafu yenguva, mupi anowana kenza yeparathyroid nekunzwa mutsipa nemaoko (palpation).

A cancer cancer parathyroid bundu rinowanzo kuburitsa yakakwira kwazvo huwandu hweparathyroid hormone (PTH). Kuedzwa kwehomoni iyi kunogona kusanganisira:

• Ropa calcium
• Ropa PTH

Usati wavhiyiwa, iwe unenge uine yakakosha radioactive scan yeiyo parathyroid gland. Iyo scan inonzi sestamibi scan. Iwe unogona zvakare kuve nemutsipa ultrasound. Aya maedzo anoitwa kuratidza kuti ndeapi parathyroid gland isina kujairika.

Iyi yekurapa inotevera inogona kushandiswa kugadzirisa hypercalcemia nekuda kwekenza yeparathyroid:

• Mvura kuburikidza nemutsinga (IV mvura)
• Hormone yechisikirwo inonzi calcitonin inobatsira kudzora mwero wecalcium
• Zvinodhaka zvinomisa kuputsika uye kudzoreredza kwemapfupa mumuviri

Kuvhiya ndiko kurapwa kwakakurudzirwa kwekenza yeparathyroid. Dzimwe nguva, zvinonetsa kuziva kana bundu parathyroid riri cancer. Chiremba wako anogona kukurudzira kuvhiyiwa kunyangwe pasina kuongororwa kwakagadziriswa. Kuvhiya kushoma kunoparadza, uchishandisa zvidimbu zvidiki, kuri kuwedzera kuita chirwere cheparathyroid.

Kana bvunzo pamberi pekuvhiya dzichigona kuwana iyo yakakanganiswa gland, kuvhiya kunogona kuitwa kune rumwe rutivi rwemutsipa. Kana zvisingaite kuwana dambudziko gland usati wavhiyiwa, chiremba anovhiya anotarisa mativi ese emutsipa wako.

Chemotherapy uye radiation hazvishande zvakanaka kudzivirira cancer kuti isadzoke. Radiation inogona kubatsira kudzikisira kupararira kwekenza kumapfupa.

Kudzokorora kuvhiyiwa kwekenza kwakadzoka kunogona kubatsira:

• Kuvandudza mwero wekupona
• Deredza iyo yakakomba mhedzisiro ye hypercalcemia

Kenza yeparathyroid inononoka kukura. Kuvhiya kunogona kubatsira kuwedzera hupenyu kunyangwe kenza ikapararira.

Gomarara rinogona kupararira (metastasize) kune dzimwe nzvimbo mumuviri, kazhinji mapapu nemapfupa.

Hypercalcemia ndiyo yakaoma kwazvo. Vazhinji vanofa nekenza yeparathyroid inoitika nekuda kwekukomba, kwakaoma-kudzora hypercalcemia, uye kwete iyo cancer pachayo.

Kenza inowanzo dzoka (inodzokorodza). Kuwedzera kuvhiya kunogona kudiwa. Zvinetso kubva pakuvhiya zvinogona kusanganisira:

• Hasha kana izwi rinochinja nekuda kwekukuvara kwetsinga dzinodzora tambo dzenzwi
• Utachiona panzvimbo yekuvhiyiwa
• Yakaderera mwero wecalcium muropa (hypocalcemia), iyo inogona kutyisidzira hupenyu
• Kupenga

Fonera wako mupi wezvehutano kana iwe uchinzwa bundu mumutsipa wako kana uchiona zviratidzo zvehypercalcemia.

Parathyroid carcinoma

• Zvirwere zveparathyroid

Asban A, Patel AJ, Reddy S, Wang T, Balentine CJ, Chen H. Cancer yeiyo endocrine system. Mune: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsama 68.

Fletcher CDM. Tumota utachiona uye parathyroid mumasero. Mune: Fletcher CDM, ed. Chirwere Histopathology yeTumors. 5 ed. Philadelphia, PA: Elsevier; 2021: chitsauko 18.

National Cancer Institute webhusaiti. Parathyroid cancer cancer (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/parathyroid/hp/parathyroid-treatment-pdq. Yakagadziridzwa Kurume 17, 2017. Yakasvika muna Kukadzi 11, 2020.

Torresan F naJ J Iacobone M. Clinical maficha, kurapwa uye kuongorora kwehyperparathyroidism-jaw tumor syndrome: Inowirirana uye ongororo yemabhuku. Int J Endocrinol 2019. Yakabudiswa pamhepo Dec 18, 2019. www.hindawi.com/journals/ije/2019/1761030/.