Dzimwe nguva unomborwadziwa nemajoini pasina chikonzero here? Unonzwa sekunge hauna simba, wakaneta chete here? Dzimwe nguva unonzwa kuda kurutsa, dzungu, kana kuti unonetseka kufunga here? Tinowanzo bvisa zviratidzo izvi sezvinowanzoitika. Asi wakambofunga here kuti chikonzero cheizvi zvese chingave chiri matumbu madiki, akaita semapfupa mana mumutsipa medu? Ndizvo zvatiri kutaura nezvazvo nhasi.
Ndezvipi izvi zvinonzi parathyroid glands?
Zvichitaurwa zviri nyore, ma "parathyroid glands" ma "glands" mana madiki ari mumutsipa wedu, kuseri kwe "thyroid gland". Vamwe vanhu vanogona kunge vaine anopfuura kana pasi pe4. Basa ravo guru nderekudzora huwandu hwecalcium muropa redu. Iyi calcium inokosha kuti mapfupa edu arambe akasimba uye kuti tsinga netsandanyama zvishande zvakanaka. Saka ma "glands" madiki aya anoita basa rakakosha mukuchengetedza calcium yakaringana mumuviri wedu.
Sei kuvhiyiwa kuchidikanwa kubvisa magland aya?
Dzimwe nguva rimwe kana akawanda emagland aya eparathyroid anotanga kushanda zvakanyanya. Anobva agadzira parathyroid hormone (PTH) yakawandisa. Chirwere ichi chinonzi hyperparathyroidism . Kana izvi zvikaitika, huwandu hwecalcium muropa hunokwira zvine njodzi. Apa ndipo panodiwa kuvhiyiwa kunonzi parathyroidectomy, inova nzira yekuvhiya yekubvisa gland kana magland anoshanda zvakanyanya.
Panogona kunge paine zvikonzero zvikuru zvakati wandei zveizvi:
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Parathyroid adenoma | Iri ibundu risiri rekenza rinoumbwa mugland reparathyroid. Iri ndiro dambudziko rinowanzoitika. |
| Parathyroid hyperplasia | Pano, maronda akati wandei kana mana ese anokura uye anoburitsa mahormone akawandisa. |
| Kenza yeparathyroid | Iyi inyaya isingawanzoitiki. |
Dzimwe nguva hyperparathyroidism inogona kukonzerwa nechimwe chirwere, senge chirwere cheitsvo. Vanachiremba vanodana izvi kuti hyperparathyroidism yechipiri.
Unogadzirira sei usati wavhiyiwa?
Chiremba wako asati avhiyiwa, achakupa mirairo yese yaunoda. Zvisinei, zvakakosha kubvunza mibvunzo yese yaunayo. Semuenzaniso, usakanganwa kubvunza nezve:
- Ndinofanira kutsanya mangwanani ekuvhiyiwa here?
- Ndinofanira kunwa mishonga yangu yakajairika nemavhitamini zuva iroro here kana kuti kwete?
- Ndinoda mumwe munhu anonditora kuti ndiende naye kumba mushure mekuvhiyiwa here?
Zvichava nyore kwauri kuziva zvinhu izvi pachine nguva.
Kuvhiyiwa kunoitwa sei uye mabhenefiti ako
Mazuva ano, vanachiremba vanoshandisa nzira dzakasiyana-siyana kuita oparesheni iyi. Kune nzira dzechivanhu, pamwe nenzira dzisinganyanyi kukuvadza uye dzimwe nguva dzisina mavanga, umo kucheka kunogadzirwa mukati memuromo uye vanga harionekwe kunze . Chiremba wako achakutsanangurira nzira yakakunakira. Kana kucheka kukaitwa mumutsipa, kunoiswa pamucheto wemutsipa, saka vanga harizonyanyi kuoneka gare gare.
Panguva yekuvhiyiwa, unenge uri pasi peanesthesia saka hauzonzwi kusagadzikana. Chiremba achabvisa gland kana glands dzakakanganiswa obva asona danda racho pamwe chete. Kuvhiyiwa uku kunowanzotora awa imwe chete.
Ndezvipi zvakanakira kuvhiyiwa uku?
Kuvhiyiwa uku kunogona kuvandudza hupenyu hwako zvikuru. Kana huwandu hwecalcium muropa rako hwadzokera pahwakajairika, zviratidzo zvako zvaimbonetsa zvichapera.
| Kuvandudza zviratidzo | Zvirwere zvinoderedza njodzi |
|---|---|
| Kurwadziwa kwemajoini | Matombo eitsvo |
| Kushaya simba kwetsandanyama | Osteoporosis |
| Kusvotwa uye kuneta | Matambudziko emwoyo |
| Kuvhiringidzika kwepfungwa | - |
Mushure mekuvhiyiwa uye njodzi dzayo
Uchakwanisa kudzokera kumba zuva rimwe chete kana mangwana acho mushure mekuvhiyiwa. Unogona kudya nekunwa zvakajairika, asi kana uine pahuro panorwadza, zvakanaka kudya zvinwiwa kana chikafu chakapfava kwezuva rimwe kana maviri. Kufamba zvakanaka, asi usaite maekisesaizi kusvika chiremba wako akubvumidza.
Ungangoda kunwa mapiritsi ecalcium kwenguva yakati kusvikira magland asara atanga kushanda zvakanaka mushure mekunge magland abviswa abviswa.
Pane njodzi dziripo pakuvhiyiwa here?
Kuvhiyiwa kweparathyroid kwakachengeteka zvikuru, asi sekuvhiyiwa kupi zvako, kune dzimwe njodzi.
- Njodzi dzenguva pfupi: Huro inorwadza, kuchema, hutachiona, uye kuunganidzwa kweropa pasi peganda pedyo nepaburi (hematoma). Kana izvi zvikaitika, chiremba wako anogona kuzvirapa zviri nyore.
- Njodzi dzenguva refu: Kunyange zvazvo dzisingawanzoitiki, vamwe vanhu vanogona kusangana nematambudziko enguva refu.
- Hungry bone syndrome: Kana magland asara asingashande zvakanaka mushure mekuvhiyiwa, chirwere chekuti calcium muropa inoramba yakaderera ('hypocalcemia' yenguva refu) chinogona kuitika.
- Kurwara kweparathyroidism kwakadzokororwa: Chirwere ichi chinogona kudzoka nekuda kwekushanda kwakanyanya kweimwe gland mushure mekuvhiyiwa.
Asi yeuka, kuvhiyiwa uku kwakabudirira ne95% . Kutaura zvazviri, ndiyo chete nzira yekurapa hyperparathyroidism.
Nguva yekuona chiremba
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekuvhiyiwa, fonera chiremba wako nekukasika.
- Fivha inodarika 38.3 Celsius (101 Fahrenheit).
- Marwadzo asingaderere kunyangwe mushure mekutora mushonga.
- Kuoma kumedza chikafu kana mvura.
- Zviratidzo zvehutachiona, zvakaita sekutsvuka, hurwa, kana kudziya kwakatenderedza nzvimbo yakachekwa.
- Zviratidzo zvekushaikwa kwecalcium mumuviri, zvakaita sekunzwa kusanzwa, kugwinha kwetsandanyama, kana kuneta zvakanyanya.
Chinonyanya kukosha: Kana ukasangana nedambudziko rekufema, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Zvinogona kutora vhiki imwe kusvika nhatu kuti unyatsopora, asi unofanira kukwanisa kudzokera kumabasa ako emazuva ese mukati memazuva mashoma. Gara uchitevera mirairo yachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweparathyroid kuvhiyiwa kwakachengeteka uye kunobudirira zvikuru kunobvisa magland eparathyroid anoshanda zvakanyanya anowedzera calcium mumuviri wako.
- Kuvhiyiwa uku kunobatsira kuderedza zviratidzo zvakaita sekurwadziwa kwemajoini, kuneta, uye kuvhiringidzika kwepfungwa, uye kunoderedza njodzi yezvirwere zvakaita sematombo eitsvo uye kuonda kwemapfupa.
- Uku hakusi kuvhiyiwa kukuru, uye nguva yekupora ipfupi.
- Kana ukava nematambudziko mushure mekuvhiyiwa, akadai sefivha, kuoma kumedza, kana kuoma kufema, tsvaga rubatsiro rwechiremba nekukasika.
- Usati waita chero sarudzo ine chekuita nehutano hwako, gara uchibvunza chiremba wako.
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