I calcium level a sang em? Parathyroid adenoma a ni thei ang em?

Tun hnaia i thisen test result i check khan i doctor khan i calcium level a sang deuh tih a hrilh che em? I taksaah thil danglam emaw, danglam emaw i hmu lo mai thei. "Ka tha e, engvangin nge he calcium hi a sang chauh?" Dik tak chuan mi tam tak chuan he dinhmun hi accident-in an hre ta a ni. Chuvangin, vawiinah hian he thuziak ah hian thisen a calcium level a san chhan ber leh a tlangpui ber chu awlsam tak leh hriatthiam theih takin kan sawi dawn a ni.

A hmasain, heng parathyroid glands te hi engte nge ni?

He hming i hriat hian mi thenkhat chuan hei hi thyroid gland ngeia tel ve niin an ngai thin. Mahse chutiang chu a ni lo. Hengte hi gland chi hrang hrang an ni. Kan kawngah, thyroid gland vel, kuah ang maia awm an ni. Mi tam zawk chuan heng zinga pali hi an nei a. Oval ang maia lian gland pali, pea te tak te ang vel a lian.

Chuti a nih chuan heng gland te tak te palite hian kan taksa hi engtin nge an tih? Hengte hi kan taksaa calcium regulator te an ni . In lama kan tuikhuah chhunga tui level control tu ball ang maiin an che thin. Kan thisena calcium level a tlahniam chuan heng glands te hian Parathyroid Hormone (PTH) tih chemical an tichhuak thin. He hormone hian kan ruhte hnenah, "Okay, tunah chuan thisenah calcium tlem pe rawh," a ti a. Tin, kan kal leh intestines te chu calcium chu tihchhiat ai chuan taksaah reabsorb leh turin a hrilh bawk. Kan thisena calcium level chu a level dik takah a kir leh chuan heng glands te hian hormone hi an tichhuak tawh lo. Mechanism mak tak a ni lo maw?

Kan thluak, thinlung, nervous system, ruh leh ei leh in lama cell tinte hnathawh that nan calcium hi a pawimawh hle. Chuvangin chu calcium level dik taka vawn chu heng gland te tak te palite mawhphurhna lian ber a ni.

Chuti a nih chuan he parathyroid adenoma hi eng nge ni?

A awlsam zawngin, adenoma chu cancer nei lo (benign) tumor te tak te a ni . Hetiang tumor hi a hmaa kan sawi tawh parathyroid gland pali zinga pakhatah (a chang chuan pakhat aia tam) a awm thei.

Tunah chuan chu gland pali zinga pakhatah chuan hetiang tumor a lo awm chuan eng nge thleng tih han ngaihtuah teh. Tumor nei gland hian thunun theih lohvin hna a thawk tan a, overactive takin hna a thawk tan thin. Machine on/off switch chhe tawh, on reng reng ang mai a ni. Tichuan gland hian parathyroid hormone (PTH) a siam tam lutuk a. Damdawi lamah chuan he natna hi Primary Hyperparathyroidism kan ti a.

He hormone hi a tam lutuk a siam chhuah chuan ruh atanga calcium a la chhuak fo thin a, thisenah a dah lut thin. Tin, kal leh intestines atanga calcium lakluhna a tipung bawk. A tawpah chuan thisena calcium level chu a tul aia sang reng a ni. Hei hi hypercalcemia kan ti a ni .

Thisen calcium sang (Hypercalcemia) chhinchhiahna engte nge ni?

A tam zawkah chuan a tir lamah chuan symptom a awm lo. Chuvang chuan mi tam takin hei hi accident-in an hmu tih kan sawi hmasa ber a ni. Mahse thisena calcium level rei tak a san chuan symptom hrang hrang a lang thei. Eng nge an nih i en ang u.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan parathyroid adenoma a ni ngei ang tih ring suh. Heng symptoms te hi condition dang vang pawh a ni thei. Chuvang chuan a pawimawh ber chu Doctor hmu a, sawipui a ni.

Engvangin nge heng tumor te hi a lo awm? Tute nge risk sang zawk?

Dik tak chuan, in 90% of cases , heng adenomas lo awm chhan chiang tak hmuh tur a awm lo . A thleng mai mai a ni. Mahse za zela tlemte, 10% velah chuan hei hi thlah kal zel atanga lo kal zel, genetic cause avanga lo awm thei a ni.

Chu bakah, thil dang engemaw zatin a hlauhawmna a tipung tih hmuhchhuah a ni bawk:

• Kum: He natna hi kum 50 leh 70 inkar te zingah a awm tlangpui.
• Gender: Hmeichhia hian mipa aiin a let thum velin he natna hi an vei tam zawk.
• Radiation laka invenna: Naupang emaw, puitling naupang emaw i nih laiin i kawng leh lu area-ah radiation treatment i neih tawh chuan i risk chu a sang deuh thei a ni.
• Calcium tlakchhamna: Hun rei tak chhunga ei leh in atanga calcium tling lo hmuh loh pawh hi risk factor anga ngaih a ni bawk.

He natna hi enkawl loh a nih chuan eng nge thleng ang?

Hei hi cancer ni lo mah se, rei tak enkawl loh chuan thisenah calcium level a san chhunzawm zel avangin harsatna chi hrang hrang a thleng thei a ni.

• Cardiac Arrhythmia: Lungphun a danglam thei.
• Parathyroid Crisis: Hei hi natna awm lo mahse na tak a ni. Thisen a calcium level a sang hle a, chu chuan rilru a buai a, coma a thlen thin.
• Tin, hun rei tak chhunga harsatna awm thei, kal lung leh ruh tliak ang chi, a hmaa kan sawi tawh ang kha a awm bawk.

Chuvangin, natna lanchhuahna a awm lo a nih pawhin, he natna hi doctor-in a hmuchhuak a nih chuan a remchan dan anga enkawl a pawimawh hle.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

He natna hmuhchhuah dan hi a awlsam hle.

1. Thisen test: Tih hmasak ber chu thisen a calcium awm zat enfiah a ni. A sang a nih chuan thisenah parathyroid hormone (PTH) level an enfiah thin. An pahnih hian an sang a nih chuan diagnosis chu 99% a chiang a ni. Symptoms a awm emaw awm lo emaw, heng thisen test pahnih hi natna finfiah nan a pawimawh ber a ni.

2. Test dang: 1.1.Diagnosis a nih hnuah doctor chuan test tlemte tih belh leh turin a rawt thei ang. Hengte hi harsatna dang awm leh awm loh enfiah nan leh operation neih dan tur ruahmanna siam lawk nan an ti thin.

• Ultrasound scan of the neck: Hei hi gland lian zawk, overactive tak tak hmuh tumna atan hman a ni.
• Sestamibi Scan: Hei hi scan chi khat bik a ni. Chemical tlemte taksaah inject a ni a, tumor awmna dik tak chu active gland nena a inzawmna enin a hriat theih a ni.
• Bone Densitometry (DEXA scan): Ruh chak loh zia tehna a ni.
• Darkar 24 chhunga zun test: Hei hian zun atanga calcium chhuak zat a teh thin.

Enkawlnate chu engte nge ni? A chinfel dan tha ber chu eng nge ni?

He natna enkawlna tha ber, hlawk ber leh awm reng chu gland emaw glands pangngai lo tak takte lakchhuahna operation hi a ni. He surgery hi parathyroidectomy an ti a . Surgery hnuah natna hi a dam kim vek a, 95% aia tam a ni.

Symptoms ka neih loh chuan operation ka la mamawh em?

Hei hi mi tam takin zawhna an neih a ni. Ni e, symptoms awm lo mahse surgery neih a tha tlangpui. Engvangin nge chu chu? A chhan chu natna lanchhuahna a awm lo a nih pawhin thisena calcium a pun chuan chhungril atangin taksa a tichhia a ni. Nakin lawka kal (kidney stone) leh ruh natna (osteoporosis) lo awm tur venna atan hian surgery hi a tha ber a ni.

Engtin nge surgery hi an tih thin?

Hei hi a tlangpuiin operation lian leh buaithlak tak a ni lo.

• Full anesthesia hnuaiah hian kawr hma lamah incision tenau tak tak siam a ni.
• Surgeon chuan gland palite chu a enfiah vek a, gland lian leh pangngai lo chu a hmu chhuak a, a la chhuak vek a ni.
• A chang chuan gland pahnih ah tumor a awm thei bawk. Chutiang a nih chuan an pahnih hian paih chhuah an ni. Gland palite hi a lian vek (hei hi hyperplasia an ti) a nih chuan gland 3 1/2 chu lakchhuah a ni a, a chanve dang chu taksaah a awm ta a ni. Hei hi taksain calcium control nan parathyroid tissue tlemte a mamawh vang a ni.
• Operation an neih chhung hian thisenah PTH hormone level an enfiah thin. Gland pangngai lo lakchhuah hnua level 50% vel a tlahniam chuan operation chu a hlawhtling tihna a ni.

Surgery-ah hian hlauhawmna a awm em?

Surgery dang ang bawkin, hlauhawmna tenau tak tak a awm bawk. A bulpui ber chu operation hnua thisen calcium level (hypocalcemia) a tlahniam rei lutuk hi a ni.. Hei hian kut zungtang leh hmui vel a ti na thei a, taksa ruh a ti na thei bawk. Mahse, ngaihtuahawm tur a awm lo. Doctor chuan kar engemaw zat chhung chu calcium leh vitamin D tablet a pe ang che. I ei dik chuan he dinhmun hi a pumpelh ang.

Operation hnuah eng nge thleng?

Operation i neih atanga thla khat vel hnuah i symptoms (chauhna leh taksa na ang chi) te chu a bo vek tawh mai ang. Hahdamna leh thalai tharna nasa tak i nei tan ang.

Surgery hmanga hun rei tak chhunga hlawkna awmte chu:

• Bone density a lo awm leh ta.
• Ruh tliak theihna a ti tlem.
• Kidney stone awm theihna a ti bo.