Parathyroid Gland Kubviswa

Zvemukati

• Chii chinonzi parathyroid gland kubvisa?
• Nei ndichifanira kubviswa parathyroid gland?
• Zviratidzo zvehypercalcemia
• Mhando dzeparathyroid gland yekubvisa kuvhiya
• Radio-inotungamirwa parathyroidectomy
• Vhidhiyo-inobatsira parathyroidectomy (inonziwo endoscopic parathyroidectomy)
• Kugadzirira kuvhiyiwa
• Ngozi dzekuvhiyiwa
• Mushure mekuvhiyiwa

Chii chinonzi parathyroid gland kubvisa?

Izvo zvipenga zveparathyroid zvine zvidimbu zvina zvega zvidiki uye zvakapoterera. Izvo zvakasungirirwa kumashure kwetachiona gland mumutsipa wako. Aya ma gland chikamu cheiyo endocrine system. Yako endocrine system inogadzira uye inodzora mahormone anokanganisa kukura kwako, kukura, kushanda kwemuviri, uye moyo.

Parathyroid gland inogadzirisa huwandu hwecalcium muropa rako. Kana huwandu hwecalcium hwadzikira muropa rako, aya maronda anoburitsa parathyroid hormone (PTH), inotora calcium kubva mumapfupa ako.

Parathyroid gland kubviswa zvinoreva rudzi rwekuvhiya kunoitwa kubvisa aya maronda. Iyo inozivikanwawo separathyroidectomy. Kuvhiya uku kunogona kushandiswa kana ropa rako riine calcium yakawandisa mariri. Ichi chiitiko chinozivikanwa se hypercalcemia.

Nei ndichifanira kubviswa parathyroid gland?

Hypercalcemia inoitika kana huwandu hweropa calcium huwandu hwakawanda zvakanyanya. Chikonzero chinowanzoitika chehypercalcemia kuwedzererwa kwePTH mune rimwe kana mamwe maronda eparathyroid. Ichi chimiro che hyperparathyroidism inonzi primary hyperparathyroidism. Primary hyperparathyroidism yakapetwa kaviri muvakadzi sezvazviri mune varume. Vazhinji vanhu vanoonekwa vane primary hyperthyroidism vane makore anopfuura makumi mashanu nemashanu. Avhareji zera rekuongororwa ari makore makumi matanhatu nemashanu.

Iwe unogona zvakare kuda parathyroid gland kubviswa kana iwe uine:

• mamota anonzi adenomas, ayo anowanzo kuve akaipa uye asingawanzo shanduka kuita kenza
• gomarara mamota pane kana padyo neanotakura
• parathyroid hyperplasia, mamiriro ayo mana mana ezvipenga zveparathyroid akawedzerwa.

Calcium yeropa inokwira kunyangwe kunyangwe gland rimwe chete rikanganisika. Imwe chete parathyroid gland inosanganisirwa munenge makumi masere kusvika makumi masere neshanu muzana ezviitiko.

Zviratidzo zvehypercalcemia

Zviratidzo zvinogona kunge zvisina kujeka mumatanho ekutanga e hypercalcemia. Sezvo mamiriro achienderera, iwe unogona kuve uine:

• kuneta
• kuora mwoyo
• tsandanyama aches
• kurasikirwa nenzara
• kusvotwa
• kurutsa
• nyota yakanyanyisa
• kugara uchiita weti
• marwadzo emudumbu
• kuvimbiswa
• kushaya simba kwetsandanyama
• kuvhiringidzika
• itsvo matombo
• pfupa kutsemuka

Vanhu vasina zviratidzo vangangoda kuongororwa. Makesi akapfava anogona kutarisirwa pakurapwa. Nekudaro, kana hypercalcemia yakakonzerwa neakanyanya hyperparathyroidism, kungovhiya chete kunobvisa iyo yakakanganiswa parathyroid gland (s) ndiko kunopa mushonga.

Mhedzisiro yakakomba ye hypercalcemia ndeiyi:

• itsvo kutadza
• neBP
• arrhythmia
• coronary tsinga chirwere
• moyo wakakura
• atherosclerosis (arteri ane calcified fatty plaque inova yakaoma uye isingaite basa)

Izvi zvinogona kukonzerwa nekuvakwa kwecalcium mune arteri uye moyo mavharuvhu.

Mhando dzeparathyroid gland yekubvisa kuvhiya

Kune nzira dzakasiyana dzekutsvaga nekubvisa iyo inorwara parathyroid glands.

Mune tsika yechinyakare, chiremba wako anovhiya anotsvaga maronda ese ari mana kuti aone kuti ndeapi anorwara uye anofanirwa kubviswa. Izvi zvinonzi kuongorora kwemutsipa wepakati. Chiremba wako anoita incision pakati kuti udzikise chikamu chemutsipa wako. Dzimwe nguva, chiremba anovhiya anobvisa zvese zviri zviviri kune rimwe divi.

Kana iwe uine imaging iyo inoratidza chete imwe inorwara gland usati wavhiyiwa, iwe ungangove uine zvishoma zvishoma inopinda parathyroidectomy ine chete diki kwazvo incision (isingasviki 1 inch pakureba). Mienzaniso yehunyanzvi iyo inogona kushandiswa mukati merudzi urwu rwekuvhiya, iyo ingangoda zvimwe zvidiki zvidiki, zvinosanganisira:

Radio-inotungamirwa parathyroidectomy

Mune parathyroidectomy inotungamirwa neredhiyo, chiremba wako anoshandisa zvinhu zvine mwaranzi zvinokonzeresa maronda mana eparathyroid. Sarudzo yakakosha inogona kuwana panobva mwaranzi kubva kune yega gland kuti itungamire uye iwane iyo parathyroid gland (s). Kana mumwe chete kana vaviri kudivi rimwe chete vairwara, chiremba wako anovhiya anongoda kuita kamukira kekubvisa gland (s) inorwara.

Vhidhiyo-inobatsira parathyroidectomy (inonziwo endoscopic parathyroidectomy)

Muvhidhiyo-inobatsira parathyroidectomy, chiremba wako anovhiya anoshandisa kamera diki pane endoscope. Nemaitiro aya, chiremba wako anovhiya anoita maviri kana matatu madiki akachekwa eiyo endoscope uye zvekushandisa zvekuvhiya mumativi emutsipa uye imwe incision pamusoro pechifuva. Izvi zvinoderedza kuoneka vanga.

Zvishoma zvinokuvadza parathyroidectomy inobvumira kukurumidza kupora. Nekudaro, kana asiri ese maronda matunduru akawanikwa uye kubviswa, iwo macalcium akawandisa anoenderera, uye panogona kuve nekudiwa kwechipiri kuvhiyiwa.

Vanhu vane parathyroid hyperplasia (inokanganisa zvese zvipembenene zvina) vanowanzove neatatu nehafu materu eparathyroid anobviswa. Chiremba anovhiya anosiya zvinyama zvakasara kuti zvidzore ropa re calcium calcium. Nekudaro, mune dzimwe nguva iyo parathyroid gland tishu inozoda kuramba iri mumuviri ichabviswa kubva munzvimbo yemutsipa yoiswa munzvimbo inosvikika, sepamberi, kuitira kana ichizoda kubviswa gare gare.

Kugadzirira kuvhiyiwa

Iwe unozofanirwa kumira kutora mishonga inokanganisa kugona kweropa kuvhara rinenge vhiki risati ravhiyiwa. Izvi zvinosanganisira:

• asipurini
• clopidogrel
• ibuprofen (Advil)
• naproxen (Aleve)
• warfarin

Anesthesiologist wako anoongorora nhoroondo yako yekurapa newe uye otarisa kuti ndeipi fomu yeanesthesia yekushandisa. Unofanira zvakare kutsanya usati wavhiyiwa.

Ngozi dzekuvhiyiwa

Njodzi dzekuvhiya uku dzinonyanya kusanganisira njodzi dzinosanganisirwa neimwe mhando yekuvhiya. Kutanga, general anesthesia inogona kukonzeresa matambudziko ekufema uye sema kana zvimwe zvinopesana nemishonga inoshandiswa. Kufanana nekumwe kuvhiya, kubuda ropa uye hutachiona zvinokwanisika.

Njodzi dzinobva mukuvhiya uku dzinosanganisira kukuvara kwetachiona uye tsinga iri mumutsipa inodzora tambo dzenzwi. Muzviitiko zvisingawanzoitika, unogona kunge uine matambudziko ekufema. Izvi zvinowanzoenda vhiki dzinoverengeka kana mwedzi mushure mekuvhiyiwa.

Ropa calcium mazinga anowanzo donha mushure mekuvhiyiwa uku. Kana huwandu hweropa hwecalcium hukadzika zvakanyanya, izvi zvinonzi hypocalcemia. Kana izvi zvikaitika, unogona kushaya chiveve kana kugwinha muzvigunwe, zvigunwe, kana miromo. Izvi zvinodzivirirwa nyore nyore kana kurapwa necalcium zvinowedzera, uye iyi mamiriro anokurumidza kupindura kune zvinowedzera. Kazhinji hazvisi zvechigarire.

Iwe unogona zvakare kufunga kusvika kune chiremba ane ruzivo kuti udzikise zvinhu zvine njodzi. Vanachiremba vanovhiya vanoita kanokwana makumi mashanu parathyroidectomies pagore vanoonekwa sevanyanzvi. Nyanzvi ine hunyanzvi inogona kunge iine yakaderera mitengo yekurapa zvinetso Zvakadaro, zvakakosha kuyeuka kuti hapana kuvhiyiwa kunogona kuvimbiswa sekusina njodzi zvachose.

Mushure mekuvhiyiwa

Unogona kudzoka kumba musi iwoyo wekuvhiyiwa kana kupedza husiku muchipatara. Pane zvinowanzoitika marwadzo anotarisirwa kana kusagadzikana mushure mekuvhiyiwa, senge pahuro. Vanhu vazhinji vanogona kudzokera kuzvinhu zvavo zvakajairika mukati mevhiki kana maviri, asi zvinogona kusiyana kubva pamunhu kuenda kumunhu.

Sekuchengetedza, ropa rako calcium uye PTH mazinga anozoongororwa kweinenge mwedzi mitanhatu mushure mekuvhiyiwa. Iwe unogona kutora zvinowedzera kwegore mushure mekuvhiyiwa kuti uvakezve mapfupa akabiwa calcium.