Ke ʻeha nei kou mau hono i kekahi manawa me ke kumu ʻole? Ke manaʻo nei ʻoe ʻaʻohe ou ikaika, luhi wale nō? Ke manaʻo nei ʻoe i kekahi manawa ua luaʻi, ua puni, a ua paʻakikī paha ka noʻonoʻo ʻana? Hoʻokuʻu pinepine mākou i kēia mau hōʻailona e like me ka mea maʻamau. Akā, ua manaʻo anei ʻoe ʻo ke kumu o kēia mau mea a pau he mau kelepa liʻiliʻi, e like me nā iwi ʻehā ma ko mākou ʻāʻī? ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha kēia mau kelepa parathyroid?
I ka ʻōlelo maʻalahi, ʻo nā kelepa parathyroid he ʻehā mau kelepa liʻiliʻi loa i loko o ko kākou ʻāʻī, ma hope o ke kelepa thyroid. Loaʻa paha i kekahi poʻe ma mua o ʻehā a ʻoi aku paha. ʻO kā lākou hana nui ka hoʻomalu ʻana i ka pae o ka calcium i loko o ko kākou koko. He mea nui kēia calcium no ka mālama ʻana i ko kākou mau iwi i ikaika a no ka hana pono ʻana o ka ʻōnaehana nerve a me nā ʻiʻo. No laila, he kuleana koʻikoʻi kēia mau kelepa liʻiliʻi i ka mālama ʻana i ke kaulike calcium i loko o ko kākou kino.
No ke aha e pono ai ke ʻoki kino e wehe i kēia mau kelepa?
I kekahi manawa, lilo kekahi a ʻoi aku paha o kēia mau kelepa parathyroid i mea hana nui. A laila hana lākou i ka nui o ka hormone parathyroid (PTH). Ua kapa ʻia kēia ʻano he hyperparathyroidism . Ke hana ʻia kēia, lilo ka pae calcium i loko o ke koko i mea kiʻekiʻe loa. ʻO kēia ka manawa e pono ai kahi ʻoki kino i kapa ʻia he parathyroidectomy, ʻo ia hoʻi kahi hana ʻoki kino e wehe i ka kelepa a i ʻole nā kelepa hana nui.
Aia paha kekahi mau kumu nui no kēia:
| Kumu | He wehewehe maʻalahi |
|---|---|
| ʻO ka adenoma parathyroid | He puʻupuʻu ʻaʻole kēia he maʻi kanesa e hana ʻia ana i loko o kahi kelepa parathyroid. ʻO kēia ke kūlana maʻamau. |
| ʻO ka hyperplasia parathyroid | Maanei, hoʻonui ʻia kekahi mau a i ʻole nā kelepona ʻehā a hana i nā hormones he nui loa. |
| Ka maʻi ʻaʻai parathyroid | He kūlana kākaʻikahi loa kēia. |
I kekahi manawa hiki ke hoʻoulu ʻia ka hyperparathyroidism e kekahi maʻi ʻē aʻe, e like me ka maʻi puʻupaʻa. Kāhea nā kauka i kēia he hyperparathyroidism lua.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki kino, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi a pau āu e pono ai. Eia nō naʻe, he mea nui loa ia e nīnau i nā nīnau a pau āu e loaʻa ai. Eia kekahi laʻana, mai poina e nīnau e pili ana i:
- Pono anei au e hoʻokē ʻai i ke kakahiaka o ke ʻoki kino?
- Pono anei au e lawe i kaʻu mau lāʻau lapaʻau a me nā wikamina maʻamau i kēlā lā a i ʻole?
- Pono anei au i kekahi e lawe iaʻu i ka home ma hope o ke ʻoki kino?
He mea pono nui iā ʻoe ke ʻike mua i kēia mau mea.
Pehea e hana ʻia ai ke ʻoki kino a me kona mau pono
I kēia mau lā, hoʻohana nā kauka ʻoki i nā ʻano hana like ʻole e hana ai i kēia hana. Aia nā ʻano hana kuʻuna, a me nā ʻano hana minimally invasive a i kekahi manawa nā ʻano hana scarless, kahi e hana ʻia ai kahi ʻoki i loko o ka waha a ʻaʻole ʻike ʻia ka scar ma waho . E wehewehe kāu kauka iā ʻoe i ke ʻano hana kūpono loa iā ʻoe. Inā hana ʻia kahi ʻoki ma ka ʻāʻī, e kau ʻia ma ka ʻaoʻao o ka ʻāʻī, no laila ʻaʻole ʻike nui ʻia ka scar ma hope.
I ka wā o ke ʻoki ʻana, e hoʻomaʻamaʻa ʻia ʻoe no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha. E wehe ke kauka i ka gland a i ʻole nā glands i hoʻopilikia ʻia a humuhumu hou i ka ʻoki. ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o kēia ʻoki ʻana.
He aha nā pōmaikaʻi o kēia ʻoki kino?
Hiki i kēia ʻoki kino ke hoʻomaikaʻi nui i kou ʻano ola. Ke hoʻi hou kou pae calcium koko i ka maʻamau, e nalowale ana kāu mau hōʻailona hoʻopilikia ma mua.
| Ka hoʻomaikaʻi ʻana i nā hōʻailona | Nā maʻi e hōʻemi ana i ka pilikia |
|---|---|
| ʻEha hui | Nā pōhaku puʻupaʻa |
| Nāwaliwali o nā ʻiʻo | ʻOsteoporosis |
| Ka luaʻi a me ka luhi | Nā pilikia o ka puʻuwai |
| Ka huikau o ka noʻonoʻo | - |
Ma hope o ke ʻoki kino a me kona mau pilikia
E hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a i ʻole ka lā aʻe ma hope o ke ʻoki ʻana. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau, akā inā loaʻa iā ʻoe kekahi ʻeha puʻu, ʻoi aku ka maikaʻi o ka ʻai ʻana i nā wai a i ʻole nā meaʻai palupalu no hoʻokahi a ʻelua paha lā. Maikaʻi ka hele wāwae, akā e pale i ka hoʻoikaika kino a hiki i ka ʻae ʻana o kāu kauka iā ʻoe.
Pono paha ʻoe e lawe i nā pila calcium no kekahi manawa a hiki i ka hoʻomaka ʻana o nā kelepa i koe e hana pono.
Aia kekahi mau pilikia i ke ʻoki kino?
He palekana loa ka parathyroidectomy, akā e like me nā ʻoki kino āpau, aia kekahi mau pilikia.
- Nā pilikia pōkole: ʻEha ka ʻāʻī, ka leo palahalaha, ka maʻi, a me ka hōʻiliʻili ʻana o ke koko ma lalo o ka ʻili kokoke i ka ʻoki (hematoma). Inā loaʻa kēia mau mea, hiki i kāu kauka ke mālama maʻalahi iā lākou.
- Nā pilikia lōʻihi: ʻOiai he mea kakaikahi, hiki i kekahi poʻe ke loaʻa i nā pilikia lōʻihi.
- ʻO ka maʻi iwi pōloli: Inā ʻaʻole hana pono nā kelepa i koe ma hope o ke ʻoki ʻana, hiki ke loaʻa kahi kūlana e hoʻomau ai ka haʻahaʻa o nā pae calcium i loko o ke koko ('hypocalcemia' mau).
- ʻO ka hyperparathyroidism hou: Hiki ke hoʻi hou kēia maʻi ma muli o ka hyperactivity o kahi gland ʻē aʻe i koe ma hope o ke ʻoki ʻana.
Akā e hoʻomanaʻo, ʻoi aku ka nui o ka holomua o kēia ʻoki kino ma mua o 95% . ʻO ka ʻoiaʻiʻo, ʻo ia wale nō ka lāʻau lapaʻau no ka hyperparathyroidism.
I ka manawa hea e ʻike ai i ke kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka.
- Ke kuni kiʻekiʻe aʻe ma mua o 101 Fahrenheit (38.3 Celsius).
- ʻEha ʻaʻole e emi ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- Ka paʻakikī i ka ale ʻana i ka meaʻai a i ʻole nā wai.
- Nā hōʻailona o ka maʻi, e like me ka ʻulaʻula, ka pus, a i ʻole ka mehana a puni ka ʻoki.
- Nā hōʻailona o ka nele o ka calcium, e like me ka maneʻo, ka ʻūlū ʻana o nā ʻiʻo, a i ʻole ka luhi nui.
ʻO ka mea nui loa: Inā pilikia ʻoe i ka hanu ʻana, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa.
Hiki ke hala i hoʻokahi a ʻekolu pule e hoʻōla piha ai, akā pono ʻoe e hoʻi i nā hana maʻamau i loko o kekahi mau lā. E hahai mau i nā ʻōlelo a kāu kauka.
Leka Lawe-Home
- ʻO ka Parathyroidectomy kahi ʻoki kino palekana a holomua loa e wehe ana i nā kelepa parathyroid overactive e hoʻokiʻekiʻe i nā pae calcium i loko o kou kino.
- Kōkua kēia ʻoki kino i ka hōʻoluʻolu ʻana i nā hōʻailona e like me ka ʻeha o nā hono, ka luhi, a me ka huikau, a hoʻemi i ka pilikia o nā maʻi e like me nā pōhaku puʻupaʻa a me ka lahilahi o ka iwi.
- ʻAʻole kēia he hana ʻoki kino nui, a he pōkole ka manawa hoʻōla.
- Inā loaʻa iā ʻoe kekahi mau pilikia ma hope o ke ʻoki ʻana, e like me ke kuni, ka paʻakikī i ka moni ʻana, a i ʻole ka paʻakikī i ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Ma mua o ka hoʻoholo ʻana i kekahi mea e pili ana i kou olakino, e kūkākūkā mau me kāu kauka.
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