Ua kiʻekiʻe anei kou pae kalipuna koko? Hiki paha ma muli o kahi adenoma parathyroid?

Ua huki ʻia paha kekahi koko no ka nānā maʻamau. A i ʻole no kou luhi mau ʻana, a no kou ʻeha kino paha. Eia naʻe, i ka wā i ʻōlelo ai ke kauka ma kēlā hōʻike koko "ua kiʻekiʻe iki kou pae calcium," ua huikau iki paha ʻoe. Ua noʻonoʻo paha ʻoe inā he pilikia nā pae calcium kiʻekiʻe. ʻAe, i kekahi manawa hiki ke lilo i hōʻailona o kahi mea e hana nei i loko o ko mākou kino. ʻO ia kekahi o kēlā mau kūlana a mākou e kamaʻilio ai i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia adenoma parathyroid?

Mai hopohopo, ʻoiai he lōʻihi iki ka inoa, he maʻalahi maoli nō ia. ʻAʻole ka adenoma he maʻi kanesa. ʻO ia hoʻi, ʻaʻole ia he mea weliweli e laha ana ma ke kino holoʻokoʻa. He puʻupuʻu liʻiliʻi ʻino ʻole ia e hana ana i loko o kahi gland.

I kēia manawa, e nānā kākou i ke ʻano o kēia mau kelepa parathyroid . ʻEhā mau kelepa liʻiliʻi e like me ka iwi ma ko kākou ʻāʻī, a puni ka kelepa thyroid (ka kelepa i ʻike ʻia e ka hapa nui o ka poʻe he "kao"). ʻO kēia nā kelepa parathyroid. ʻO kā lākou hana nui ka hana ʻana i kahi hormone, i kapa ʻia ʻo Parathyroid Hormone (PTH) , nāna e hoʻomalu i ka pae calcium i loko o ko kākou kino.

E noʻonoʻo e like me kahi 'kuhi' e kāohi ana i nā pae calcium i loko o ko kākou kino. Ke hāʻule nā ​​​​pae calcium, hoʻokuʻu ʻia nā hormones mai kēia mau glands, kahi e huki ai i ka calcium mai nā iwi, nā puʻupaʻa, a me nā ʻōpū i loko o ke koko e hoʻihoʻi i nā pae i ka pae kūpono.

Eia nō naʻe, inā loaʻa i kekahi a ʻoi aku paha o kēia mau kelepa parathyroid kahi adenoma, lilo ka kelepa i mea hana nui. A laila hoʻomaka ia e hana i ka hormone parathyroid ma mua o ka mea e pono ai ke kino. Ua kapa ʻia kēia ʻano he hyperparathyroidism mua . ʻO kēia ke kumu e piʻi ai ka pae calcium i loko o ke koko me ke kumu ʻole.

He aha nā hōʻailona e hiki ai i kēia maʻi ke hana?

I ka manawa pinepine, ke piʻi iki ka pae o ka calcium i loko o ke koko, ʻaʻohe paha he mau hōʻailona. ʻO ia ke kumu e ʻike ai ka poʻe he nui iā ia ma o ka hoʻāʻo koko. Eia nō naʻe, ke piʻi nui ka pae o ka calcium, hoʻomaka nā ʻano pilikia like ʻole e kū mai.

E nānā i ka papa ma lalo no nā hōʻailona maʻamau e hiki ke kū mai ma muli o kēia.

No ke aha e ulu ai kēia ʻano adenoma? ʻO wai ka mea i pilikia nui?

ʻO kaʻoiaʻiʻo, i ka hapanui o nā hihia, ʻaʻole i loaʻa kahi kumu kikoʻī no ka ulu ʻana o kēia mau adenomas, akā aia kekahi mau mea pilikia.

• Nā kumu hoʻoilina: Hiki i kahi pakeneka liʻiliʻi loa (ma kahi o 10%) o ka poʻe ke hoʻoilina i kēia maʻi ma o nā genes i hoʻoili ʻia ma o nā hanauna.
• Ka ʻike ʻia ʻana i ka radiation: Inā ua loaʻa iā ʻoe ka mālama ʻana i ka radiation ma ka ʻāʻī a me ke poʻo i kou wā kamaliʻi a ʻōpio paha, hiki ke hoʻonui iki ʻia ka pilikia.
• Makahiki a me ke kāne: ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine.ʻEkolu manawa ka nui o ka loaʻa ʻana o ia ma nā wāhine. Eia kekahi, ʻoi aku ka maʻamau o ia ma waena o nā kānaka ma waena o 50 a me 70 mau makahiki.

He aha nā mea weliweli e hiki mai ana inā e hoʻowahāwahā ʻia kēia?

Mai noʻonoʻo, "Inā ʻaʻole ia he maʻi ʻaʻai, no ke aha ʻoe e makaʻu ai?". ʻO nā pae calcium koko kiʻekiʻe i kāohi ʻole ʻia i loko o kahi manawa lōʻihi e hōʻino i nā ʻōpū he nui i loko o ko mākou kino. ʻOi loa aku, inā piʻi nui nā pae calcium, hiki ke loaʻa nā kūlana pilikia.

• ʻO ka Arrhythmia Cardiac: Hiki ke lilo ka puʻuwai i mea kūpono ʻole.
• Pilikia Parathyroid: He pilikia olakino kēia. Hiki iā ia ke hoʻoulu i ka huikau noʻonoʻo, ka hana ʻole o ka ʻōnaehana nerve, ka coma, a me ka make pū kekahi.

Pehea e ʻike pololei ai ke kauka i kēia maʻi?

Ua maopopo loa ke kaʻina hana e loaʻa ai kēia.

1. Nā hoʻāʻo koko: ʻO ka mea mua āu e hana ai, ʻo ia ka hoʻāʻo koko maʻamau. E nānā kēia inā kiʻekiʻe nā pae calcium o kou koko .

2. Ke nānā ʻana i nā pae hormone: Inā ua hōʻoia ʻia kou pae calcium he kiʻekiʻe, e hana ʻia kekahi hoʻāʻo koko ʻē aʻe e nānā i kou pae hormone parathyroid (PTH) . ʻO ka maʻamau, ke piʻi aʻe kou pae calcium i loko o ke koko, pono e emi iho kou pae PTH. Akā i kēia maʻi, ua kiʻekiʻe kou pae calcium a me kou pae PTH. ʻO ia ka hōʻailona nui.

3. Nā hoʻokolohua ʻē aʻe: Ma hope o ka hōʻoia ʻana i ka maʻi, hiki i ke kauka ke paipai i kekahi mau hoʻokolohua ʻē aʻe.

• Nā Scan: Hana ʻia kahi scan ultrasound a i ʻole kekahi ʻano scan kūikawā (`Tc-sestamibi` scan) e ʻike pono ai i kahi o ka gland a i ʻole nā ​​​​glands hana nui.
• CT scan: Hiki ke hana ʻia kahi CT scan e ʻike inā ua hoʻokumu ʻia nā waihona calcium a i ʻole nā ​​​​pōhaku i loko o nā puʻupaʻa.
• Bone Densitometry: Ke ana i ka nāwaliwali o kou mau iwi.
• Hoʻāʻo mimi 24-hola: Ke ana kēia i ka nui o ka calcium i hoʻokuʻu ʻia i loko o ka mimi.

He aha ka lāʻau lapaʻau maikaʻi loa no kēia?

ʻO ke ʻoki kino ka lāʻau lapaʻau maikaʻi loa a mau loa hoʻi no kēia maʻi.ʻO ke ʻoki kino e pili ana i ka wehe ʻana i ka ʻōpū parathyroid a i ʻole nā ​​​​glands hana nui. Kāhea mākou i kēia ʻoki kino he parathyroidectomy . ʻOi aku ka holomua o kēia ʻoki kino ma mua o 95% a hiki ke ho'ōla piha i ka maʻi.

Pono anei iaʻu e hana i ke ʻoki ʻana ʻoiai inā ʻaʻohe oʻu hōʻailona?

ʻAe, ʻōlelo ka hapa nui o nā kauka i ke ʻoki ʻana ʻoiai inā ʻaʻohe hōʻailona. No ka mea, inā ʻaʻohe hōʻailona, ​​​​hiki i nā pae calcium koko kiʻekiʻe ke hana malū i nā mea e like me ka lahilahi o nā iwi a me ka hōʻino ʻana o nā puʻupaʻa. Hiki i ke ʻoki ʻana ke pale i kēlā hōʻino lōʻihi.

ʻAʻohe anei he mau koho ʻē aʻe no kekahi mea hiki ʻole ke hele no kahi hana ʻoki?

Inā ʻaʻole hiki iā ʻoe ke hana ʻoki ma muli o kou mau makahiki a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau. Akā, ʻaʻole kēia mau lāʻau lapaʻau e hoʻohaʻahaʻa i nā pae hormone. Akā, pale lākou i ka hoʻokuʻu ʻia ʻana o ka calcium mai nā iwi. ʻO ia hoʻi, pono ʻoe e lawe i kēia mau lāʻau lapaʻau no ke koena o kou ola.

Pehea e hana ʻia ai ke ʻoki kino a me nā pilikia

Ma mua o ke ʻoki ʻana, hoʻohana ʻia nā scans e ʻike ai i ke gland i nīnau ʻia. Hana ʻia ke ʻoki ʻana ma lalo o ka anesthesia.

• Hana ke kauka i kahi ʻoki liʻiliʻi ma ke alo o ka ʻāʻī a nānā i nā ʻehā kelepa parathyroid.
• Ua wehe ʻia ke kelepaʻi a i ʻole nā ​​kelepaʻi i hoʻonui nui ʻia a hana nui ʻia paha.
• Inā ʻano ʻē nā kelepa ʻehā a pau, ʻo ka maʻamau, e wehe ʻia he 3 1/2 o nā kelepa, e waiho ana i kahi ʻāpana liʻiliʻi, no ka mea, pono e waiho ʻia kekahi ʻiʻo parathyroid e kaohi i nā pae calcium o ke kino.
• Ana ʻia nā pae hormone PTH i ka wā o ke ʻoki kino. Inā wehe ʻia ke kelepaʻi pololei, e hāʻule koke nā pae hormone ma kahi o 50%.

E like me nā ʻoki kino āpau, aia kekahi mau pilikia. ʻO ka pilikia nui ka emi ʻana o ka pae calcium koko no ka manawa pōkole a mau loa paha (hypocalcemia) ma hope o ke ʻoki kino. Hiki i kēia ke hana i ka mae ʻana o nā manamana lima a puni ka waha, a me ka ʻūlū ʻana o nā ʻiʻo. I mea e pale aku ai i kēia, pono ʻoe e lawe i nā papa calcium a me ka huaora D no kekahi mau pule ma hope o ke ʻoki kino, e like me ke kauoha a kāu kauka.

Ma kahi o hoʻokahi mahina ma hope o ke ʻoki ʻana, e nalowale loa ana kou mau hōʻailona. E piʻi aʻe kou nui o ka iwi, e emi ana kou pilikia o nā pōhaku puʻupaʻa, a e hoʻomaikaʻi nui ʻia kou ʻano ola.