Usenokuba ukhe watsalwa igazi ukuze uhlolwe rhoqo. Okanye mhlawumbi kungenxa yokuba uziva udiniwe ngalo lonke ixesha, okanye ngenxa yokuba umzimba wakho wawuneentlungu. Nokuba kunjalo, xa ugqirha wathi kuloo ngxelo yegazi "inqanaba lakho le-calcium liphezulu kancinci," usenokuba ubudidekile kancinci. Usenokuba ubuzibuza ukuba ingaba amanqanaba aphezulu e-calcium ayingxaki na. Ewe, ngamanye amaxesha inokuba luphawu lwento eyenzekayo emizimbeni yethu. Le yenye yeemeko esiza kuthetha ngazo namhlanje.
Ngamafutshane, yintoni le parathyroid adenoma?
Ungakhathazeki, nangona igama lide kancinci, lilula kakhulu. I-adenoma ayilomhlaza . Oko kukuthi, ayisiyonto inobungozi esasazeka emzimbeni wonke. Yithumba elincinci elingenabungozi elenzeka kwi-gland.
Ngoku masibone ukuba zeziphi ezi ndlala ze-parathyroid . Kukho iindlala ezine ezincinci ezifana namathambo entanyeni yethu, ezijikeleze indlala ye-thyroid (indlala eyaziwa ngabantu abaninzi njenge "bhokhwe"). Ezi ziindlala ze-parathyroid. Umsebenzi wazo ophambili kukuvelisa i-hormone, ebizwa ngokuba yi -Parathyroid Hormone (PTH) , elawula amanqanaba e-calcium emzimbeni wethu.
Cinga ngayo 'njengeswitshi' elawula amanqanaba e-calcium emizimbeni yethu. Xa amanqanaba e-calcium ehla, ii-hormones zikhutshwa kwezi glands, ezitsala i-calcium emathanjeni, kwizintso nasemathunjini ziye egazini ukuze zibuyisele amanqanaba kwinqanaba elifanelekileyo.
Nangona kunjalo, ukuba enye okanye ezingaphezulu kwezi gland ze-parathyroid ziba ne-adenoma, i-gland iqalisa ukusebenza kakhulu. Emva koko iqala ukuvelisa i-hormone ye-parathyroid engaphezulu kunaleyo umzimba uyidingayo. Le meko ibizwa ngokuba yi -primary hyperparathyroidism . Oku kubangela ukuba amanqanaba e-calcium egazini anyuke ngokungeyomfuneko.
Ngamafutshane: Ithumba elincinci, elingengomhlaza (i-adenoma) elikhula kwi-parathyroid gland libangela ukuba i-gland ivelise i-hormone eninzi kakhulu. Oku kubangela ukuba amanqanaba e-calcium egazini anyuke. Kulapho ingxaki iqala khona.
Zeziphi iimpawu ezinokubangela le meko?
Amaxesha amaninzi, xa amanqanaba e-calcium egazini enyuke kancinci, kusenokungabikho zimpawu. Yiyo loo nto abantu abaninzi befumanisa oku ngengozi ngovavanyo lwegazi. Nangona kunjalo, xa amanqanaba e-calcium enyuke kakhulu, kuvela iingxaki ezahlukeneyo.
Jonga itheyibhile engezantsi ukuze ufumane iimpawu eziqhelekileyo ezinokubakho ngenxa yoku.
| Uhlobo oluneempawu | Izinto ezinokuviwa |
|---|---|
| Iimpawu zomzimba ngokubanzi | - Ukuhlala uziva udiniwe kwaye ubuthathaka. - Iintlungu zomzimba ezenzeka ngaphandle kwesizathu. - Ukufuna ukuchama rhoqo. |
| Iimpawu zenkqubo yengqondo neyengqondo | - Ukulahlekelwa yinkumbulo, ubunzima bokugxila. - Ukudakumba, ukucaphuka rhoqo. |
| Iziphumo kwizintso | - Ukwakheka kwamatye ezintso. |
| Iziphumo kumathambo kunye namalungu | - Intlungu emathanjeni nasemalungeni. - Ukuncitshiswa kwamathambo (i-Osteoporosis), ukwaphuka kwamathambo ngokulula. |
| Iziphumo kwinkqubo yokugaya ukutya | - Intlungu yesisu, ukudumba kwesifuba, isicaphucaphu kunye nokuhlanza. - Ukuqhinwa. |
| Ezinye iziphumo | - Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu). |
Kutheni olu hlobo lwe-adenoma lukhula? Ngubani osengozini enkulu?
Enyanisweni, kwiimeko ezininzi, akukho sizathu sithile sifunyenweyo sokuphuhliswa kwezi adenomas, kodwa kukho izinto ezithile ezinobungozi.
- Izizathu zofuzo: Ipesenti encinci kakhulu (malunga ne-10%) yabantu inokuzuza esi sifo ngemfuza ezidluliselwa kwizizukulwana ngezizukulwana.
- Ukuvezwa kwimitha: Ukuba ufumene unyango lwemitha entanyeni nasentloko njengomntwana okanye umntu omdala oselula, umngcipheko unokwanda kancinci.
- Ubudala kunye nesini: Le meko ixhaphake kakhulu kumadoda kunabafazi.Abafazi banamathuba aphindwe kathathu okuba nayo. Kwakhona, ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-50 ukuya kwengama-70 ubudala.
Ziziphi izinto ezimbi ezinokwenzeka ukuba oku kungahoywa?
Musa ukucinga ukuba, "Ukuba asingomhlaza, kutheni woyika?". Amanqanaba aphezulu e-calcium egazini angalawulekiyo ixesha elide anokonakalisa amalungu amaninzi emzimbeni wethu. Ingakumbi, ukuba amanqanaba e-calcium aphezulu kakhulu, iimeko ezingxamisekileyo zinokwenzeka.
- I-Cardiac Arrhythmia: Ukubetha kwentliziyo kusenokuba yinto engaqhelekanga.
- Ingxaki yeParathyroid: Le yingxamiseko yezonyango. Inokubangela ukudideka kwengqondo, ukungasebenzi kakuhle kwenkqubo yemithambo-luvo, i-coma, kwanokufa.
Ngoko ke, nangona eli lithumba elingenatyala, iziphumo zalo azifanele zithathwe lula. Kubalulekile ukubona ugqirha ngexesha elifanelekileyo kwaye ufumane unyango.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Inkqubo yokufumana oku icacile kakhulu.
1. Uvavanyo lwegazi: Into yokuqala oza kuyenza kuvavanyo lwegazi oluqhelekileyo. Oku kuza kujonga ukuba amanqanaba e-calcium egazini lakho aphakanyisiwe na .
2. Ukujonga amanqanaba eehomoni: Ukuba inqanaba lakho le-calcium liqinisekisiwe ukuba liphezulu, kuya kwenziwa olunye uvavanyo lwegazi ukujonga inqanaba le-parathyroid hormone (PTH) . Ngokwesiqhelo, xa inqanaba lakho le-calcium egazini lisanda, inqanaba lakho le-PTH kufuneka lehle. Kodwa kwesi sifo, inqanaba lakho le-calcium kunye nenqanaba lakho le-PTH liphezulu. Lelo luphawu oluphambili.
3. Ezinye iimvavanyo: Emva kokuqinisekisa ukuba unesifo, ugqirha unokucebisa ezinye iimvavanyo ezininzi.
- Iiskeni: Iskeni ye-ultrasound okanye uhlobo oluthile lweskeni (`Tc-sestamibi` scan) lwenziwa ukuze kufunyanwe ukuba iphi kanye kanye igland okanye amadlala asebenza kakhulu.
- I-CT scan: I -CT scan ingenziwa ukuze kubonwe ukuba kukho i-calcium okanye amatye aqulunqwe kwizintso.
- I-Bone Densitometry: Ilinganisa ubuthathaka bamathambo akho.
- Uvavanyo lomchamo lweeyure ezingama-24: Olu vavanyo lulinganisa ukuba ingakanani i-calcium ekhutshwayo kumchamo.
Yeyiphi eyona ndlela ilungileyo yokunyanga oku?
Unyango olungcono noluhlala luhleli lwale meko lutyando.Olu tyando lubandakanya ukususa i-parathyroid gland okanye amadlala asebenza kakhulu. Sibiza olu tyando ngokuthi yi-parathyroidectomy . Olu tyando luphumelele ngaphezu kwe-95% kwaye lunokunyanga ngokupheleleyo esi sifo.
Ngaba ndifanele ndiqhubeke notyando nokuba andinazo iimpawu?
Ewe, uninzi loogqirha bacebisa utyando nokuba akukho zimpawu. Kuba, nokuba akukho zimpawu, amanqanaba aphezulu e-calcium egazini anokubangela izinto ezinje ngokubhitya kwamathambo kunye nomonakalo wezintso. Utyando lunokuthintela loo monakalo wexesha elide.
Ngaba azikho ezinye iindlela zomntu ongenakukwazi ukuya kutyando?
Ukuba awukwazi ukwenza utyando ngenxa yeminyaka yakho okanye ezinye iingxaki zempilo , ugqirha wakho unokucebisa amayeza. Kodwa la mayeza awanciphisi amanqanaba eehomoni. Endaweni yoko, athintela ukukhululwa kwekhalsiyam emathanjeni. Oku kuthetha ukuba kuya kufuneka uwathathe la mayeza ubomi bakho bonke.
Indlela oluqhutywa ngayo utyando kunye neengozi zalo
Ngaphambi kotyando, kusetyenziswa iiskeni ukuze kufunyanwe indlala ekuthethwa ngayo. Utyando lwenziwa phantsi kwe-anesthesia.
- Ugqirha wenza umngxuma omncinci ngaphambili entanyeni aze ahlole zonke ii-parathyroid glands ezine.
- I-gland okanye ii-glands ezikhule ngokungaqhelekanga okanye ezisebenza kakhulu ziyasuswa.
- Ukuba zonke ezi glands zine aziqhelekanga, ngokuqhelekileyo i-3 1/2 yee glands iyasuswa, kushiyeke inxalenye encinci, kuba kufuneka kubekho ezinye izicwili ze-parathyroid ukuze kulawulwe amanqanaba e-calcium emzimbeni.
- Amanqanaba e-PTH hormone alinganiswa ngexesha lotyando. Ukuba i-gland echanekileyo isusiwe, amanqanaba e-hormone aya kwehla malunga ne-50% ngoko nangoko.
Njengakwezinye iindlela zotyando, kukho iingozi ezithile. Umngcipheko ophambili kukwehla okwethutyana okanye okusisigxina kwamanqanaba e-calcium egazini (i-hypocalcemia) emva kotyando. Oku kunokubangela ukungakhululeki kwiminwe nasemlonyeni, kunye nokuxhuzula kwemisipha. Ukuthintela oku, kufuneka uthathe iipilisi ze-calcium kunye ne-vitamin D iiveki ezimbalwa emva kotyando, njengoko ugqirha wakho ekuyalele.
Emva kwenyanga emva kotyando, iimpawu zakho ziya kuba ziphelile. Ubunzima bamathambo akho buya kwanda, umngcipheko wakho wokuba namatye ezintso uya kuncipha, kwaye umgangatho wobomi bakho uya kuphucuka kakhulu.
Umyalezo Wokuya Ekhaya
- I-parathyroid adenoma ayilomhlaza . Lithumba elingelona libi elivela kwi-gland.
- Oku kubangela ukuba amanqanaba e-parathyroid hormone anyuke, nto leyo ebangela ukuba amanqanaba e-calcium egazini anyuke ngokungeyomfuneko.
- Iimpawu zoku zingabandakanya ukudinwa, iintlungu zomzimba, amatye ezintso, kunye namathambo anciphileyo. Nangona kunjalo, isenokuba ayinazimpawu.
- Le meko idla ngokufunyaniswa ngovavanyo lwegazi olungacwangciswanga.
- Unyango olungcono noluhlala luhleli koku kukususwa kwe-gland ngotyando, oluphumelele ngaphezu kwe-95%.
- Ukuba inqanaba le-calcium egazini lakho liphezulu, ungoyiki, bona ugqirha wakho ngokukhawuleza ukuze akunike icebiso.
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