Routine check-up atan thisen engemaw zat i la tawh mai thei. A nih loh leh i chau reng vang emaw, taksa na i neih vang emaw pawh a ni thei. Eng pawh nise, chu thisen report-a doctor chuan "i calcium level a sang deuh" a tih khan i buai deuh mai thei. Calcium level sang hi harsatna a ni em tih i ngaihtuah mai thei. Ni e, a châng chuan kan taksa chhûnga thil thleng chhinchhiahna a ni thei bawk. Chu chu vawiin a kan sawi tur condition zinga mi a ni.
A awlsam zawngin, he parathyroid adenoma hi eng nge ni?
Ngaihtuah buai suh, a hming hi sei deuh mahse a takah chuan a awlsam khawp mai. Adenoma chu cancer a ni lo . Chu chu taksa pum puia darh thei thil hlauhawm a ni lo tihna a ni. Hrisel lohna nei lo, tumor te tak te, gland pakhata lo awm thin a ni.
Tunah chuan heng parathyroid glands te hi eng nge an nih kan en ang. Kan kawngah hian ruh ang chi gland te tak te pali a awm a, chu chu thyroid gland (mi tam zawkin "kel" tia an hriat gland) vel a ni. Hengte hi parathyroid glands te an ni. An hna ber chu hormone siam a ni a, chu chu Parathyroid Hormone (PTH) , kan taksaa calcium level control tu a ni.
Kan taksaa calcium level control tu ‘switch’ angin han ngaihtuah teh. Calcium level a tlahniam chuan heng gland atang hian hormone a chhuak a, chu chuan ruh, kal leh intestines atanga calcium chu thisenah a hruai lut a, chu chuan a level dik takah a hruai kir leh thin.
Mahse, heng parathyroid gland pakhat emaw a aia tam emaw hian adenoma a neih chuan gland chu a thawk nasa lutuk a ni. Chumi hnuah chuan taksa mamawh aia tam parathyroid hormone a siam chhuak tan ta a ni. Hetiang dinhmun hi primary hyperparathyroidism an ti a . Hei hian thisen a calcium level chu a tul lovah a tisang a ni.
A awlsam zawngin: Parathyroid gland-a cancer awm lo tumor (adenoma) te tak te lo awm chuan gland hian hormone a siam tam lutuk a. Hei hian thisen a calcium level a tisang a. Chuta tang chuan buaina chu a intan ta a ni.
He natna hian eng symptom nge a thlen theih?
Vawi tam tak chu thisena calcium level tlem chauh a san chuan symptoms a awm lo thei. Chuvangin mi tam tak chuan thisen test hmangin accident-in an hmuchhuak thin. Mahse, calcium level nasa taka a san chuan harsatna chi hrang hrang a lo chhuak tan thin.
Hei vang hian natna lan chhuah dan tlangpui chu a hnuaia table hi en la.
| Mihring ziarang chi khat | Thil hriat theih thilte |
|---|---|
| Taksa ziarang tlangpui | - Chauhna leh chak lohna hriat reng. - Taksa natna chhan awm lova lo awm. - Zun tam a ngai. |
| Rilru leh nervous system natna lan chhuah dan | - Hriatrengna hloh, ngaihtuahna seng harsa. - Depression, thinrim fo thin. |
| Kidney-a nghawng a neih dan | - Kidney stone siam chhuah. |
| Ruh leh ruhkawr a nghawng dan | - Ruh leh ruhkawr natna. - Ruh hring (Osteoporosis), ruh tliak awlsam. |
| Digestive system a nghawng dan | - Pum na, rilru na, luak chhuak leh luak chhuak. - Ek khal. |
| Thil dang a nghawng dan | - Thisen sang (Hypertension). |
Engvangin nge hetiang adenoma hi a lo awm? Tu nge hlauhawm ber?
Dik tak chuan a tam zawkah chuan heng adenomas lo awm chhan bik hi hmuhchhuah a ni lo a , mahse risk factor thenkhat a awm thung.
- Genetic causes: Mi za zela tlemte (10% vel) chuan he natna hi thlah kal zel atanga gene kal zel hmangin an rochun thei a ni.
- Radiation laka invenna: Naupang emaw, puitling naupang emaw i nih laiin i kawng leh lu area-ah radiation treatment i dawng a nih chuan a hlauhawmna chu a sang deuh thei a ni.
- Kum leh mipa leh hmeichhia: He natna hi hmeichhia aiin mipaah a tam zawk.Hmeichhiain a let thum velin an vei tam zawk. Tin, kum 50 leh 70 inkar ah a tam ber bawk.
Hei hi ngaihthah a nih chuan eng thil rapthlak tak nge thleng thei ang?
"Cancer a nih loh chuan engvangin nge i hlauh?" Hun rei tak chhunga thisen calcium sang lutuk hi thunun loh chuan kan taksa peng tam tak a tichhe thei a ni. A bik takin calcium level a sang hle a nih chuan emergency situation a awm thei a ni.
- Cardiac Arrhythmia: Lungphun a mumal lo thei.
- Parathyroid Crisis: Hei hi damdawi lam emergency a ni. Rilru buaina, nervous system dysfunction, coma, thihna thlengin a thlen thei a ni.
Chuvangin hei hi sual nei lo tumor ni mahse a nghawng hi ngaihthah tur a ni lo. A hun takah Doctor hmuh a, inenkawlna zawn a pawimawh hle.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Hei hi zawn chhuah dan tur chu a chiang hle.
1. Thisen test: I tih hmasak ber tur chu general blood test a ni. Hei hian i thisen calcium level a sang em tih a enfiah ang .
2. Hormone level enfiah: I calcium level a sang tih finfiah a nih chuan thisen test dang neih leh a ni ang a , parathyroid hormone (PTH) level enfiah leh a ni ang . A tlangpuiin thisena i calcium level a san chuan i PTH level a tlahniam tur a ni. Mahse he natnaah hian i calcium level leh i PTH level pahnih hi a sang vek a ni. Chu chu a symptom ber a ni.
3. Test dang: Diagnosis a finfiah hnuah doctor chuan test dang eng emaw zat a rawt thei bawk.
- Scans: Ultrasound scan emaw, scan chi bik (`Tc-sestamibi` scan) emaw hmangin overactive gland emaw glands awmna hmun dik tak hriat theih a ni.
- CT scan: CT scan hmangin kal (kidney)-ah hian calcium deposit emaw lung emaw a lo awm em tih hriat theih a ni.
- Bone Densitometry: I ruh chak loh zia a teh thin.
- Darkar 24 chhunga zun test: Hei hian zun atanga calcium chhuak zat a teh thin.
Hemi atan hian eng enkawlna tha ber nge ni ang?
He natna enkawlna tha ber leh nghet ber chu operation hi a ni.Surgery-ah hian parathyroid gland emaw glands emaw overactive tak takte chu lakchhuah a ni. He surgery hi parathyroidectomy kan ti a . He operation hi 95% aia tam a hlawhtling a , natna hi a tidam kim thei a ni.
Symptoms nei lo mahse operation hi ka la nei tur em ni?
Ni e, doctor tam zawk chuan symptoms awm lo mahse surgery an rawt a ni. A chhan chu, symptoms awm lo mahse thisena calcium level sang hian ngawi rengin ruh hring leh kal tihchhiatna ang chi thil a thlen thei a ni. Surgery hian chu hun rei tak chhunga chhiatna chu a veng thei a ni.
Operation kal thei lo tan chuan duhthlan tur dang a awm lo em ni?
I kum vang emaw, hriselna lama harsatna dang vang emawa zai i tih theih loh chuan i doctor chuan damdawi ei tur a rawt thei ang. Mahse heng damdawi te hian hormone level a ti hniam lo. Chu ai chuan ruh atanga calcium chhuak tur an veng zawk a ni. Chumi awmzia chu heng damdawi te hi i dam chhung zawng i ei a ngai dawn tihna a ni.
Surgery tih dan leh a hlauhawmna te
Operation hma hian scan hmangin gland sawi tur awmna hmun an hmu chhuak thin. Surgery hi anesthesia hmanga tih a ni.
- Doctor chuan a kawr hma lamah incision te tak te a siam a, parathyroid gland palite chu a enfiah vek a ni.
- Gland emaw glands lian lo emaw, overactive emaw te chu lakchhuah a ni.
- Gland palite hi a pangngai lo vek a nih chuan a tlangpuiin gland 3 1/2 chu lakchhuah a ni a, a then tlemte chauh a awm a, a chhan chu taksaa calcium level control turin parathyroid tissue thenkhat a awm reng a ngai a ni.
- PTH hormone level hi operation an tih laiin an teh thin. Gland dik tak chu lakchhuah a nih chuan hormone level chu 50% velin a tlahniam nghal ang.
Surgery zawng zawng ang bawkin, hlauhawmna engemaw zat a awm. A hlauhawm ber chu operation hnua thisen calcium level (hypocalcemia) a tlahniam rei emaw, a awm reng emaw a ni. Hei hian kut zungtang leh hmui vel a ti na thei a, taksa ruh a ti na thei bawk. Chutiang a nih loh nan chuan doctor-in a tih angin, operation hnu kar engemaw zat chhung chu calcium leh vitamin D tablet i ei tur a ni.
Operation i neih atanga thla khat vel hnuah i symptoms te chu a tam zawk chu a bo tawh ang. I ruh density a sang ang a, i kal (kidney stone) a tlahniam ang a, i nunphung pawh nasa takin a \ha ang.
Take-Home Thuchah a ni
- Parathyroid adenoma hi cancer a ni lo . Gland pakhata lo awm, benign tumor a ni.
- Hei hian parathyroid hormone level a tisang a, thisen a calcium level chu a tul lovah a tisang a ni.
- Hei hi a lan chhuah dan chu hahna, taksa na, kal (kidney) leh ruh hring (thinning ruh) te a ni thei. Mahse, symptomatic a ni thei bawk.
- Hetiang dinhmun hi random blood test hmanga hriat theih a ni fo.
- Hei hi enkawlna tha ber leh nghet ber chu surgery hmanga gland lakchhuah hi a ni a, hei hi 95% aia tam a hlawhtling a ni.
- I thisen calcium level a san chuan hlauthawng suh, doctor pan nghal la, thurawn la rawh.











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