Ziwalo za Endocrine zakonzedwa kuti zibweretse mahomoni ofunikira ndikuyendetsa njira zamagetsi. Zilonda za parathyroid ndizipangidwe zinayi zazing'ono zomwe zimayambitsa kashiamu. Amatha kutulutsa hormone ya parathyroid (hormone ya parathyroid ), yomwe imapangitsa kuti ikhale yopangidwa.
Zifukwa za adathyoma parathyroid
Nthendayi yomwe ikugwiritsidwa ntchito ikuchokera ku kusintha kwa majini kwa mapuloteni omwe amagwira nawo ntchito kusinthanitsa kashiamu ndi kayendetsedwe kawo. Makina osinthidwa amapeza ntchito yaikulu kwambiri. Amayamba kugawanika mosalekeza, zomwe zimapangitsa kuti chifuwa chachikulu kapena adenoma chikhale choipa. Zomwe zimagwiritsa ntchito poyambitsa kusintha kwa thupi ndizowonongeka kwa thupi (zoopsa, opaleshoni) ndi kutuluka kwa dzuwa.
Adathyoma adenoma - zizindikiro
Nthenda yotchedwa Benop neoplasm imatha kudzipangira yekha hormone ya parathyroid. Amayambitsa mafupa a osteoclasts, ndipo adathyoma parathyroid amachititsa kuti kashiamu amachotsedwe nthawi zonse mafupa komanso kusamukira kumayendedwe. Chotsatira chake, munthu amayamba kufooka kwa matenda, kutuluka kwafupipafupi komanso kochulukirapo nthawi zambiri ngakhale kumakhala kochepa thupi (kudumphira, kusintha thupi, kuthamanga kwa thupi). Zizindikiro zina za adathyoma parathyroid:
- kuchepa kwa elasticity ya mitsempha ya mitsempha;
- kuwonjezeka kwa systolic ("pamwamba");
- kupotoka kwa mzere wa msana;
- kusokonezeka kwa mafupa;
- kupweteka kwa mtima;
- kuwonongeka kwa chidwi ndi kulingalira;
- kuwonongeka kwa nzeru;
- zikwapu;
- chithunzi;
- kuperewera kwadzidzidzi kwa nthawi yaitali, mpaka kufika pa coma;
- kusowa kwa njala;
- mala;
- chisokonezo;
- kudzimbidwa;
- Amapweteketsa mafupa;
- chithandizo;
- kusanza;
- minofu yofooka;
- kupweteka;
- kupweteka;
- phokoso;
- cholecystitis ;
- fibrocystic ostitis;
- kumasula ndi kugwa kwa mano abwino;
- kusokoneza nephrocalcinosis;
- chithunzi ;
- polydipsia;
- chilonda chosatha cha duodenum, m'mimba;
- kupweteka ;
- tchalitchi;
- kuchuluka kwa mitsempha yamakono ndi valves yamtima;
- zilonda zamagulu ndi mapuloteni a cartilage, kuphatikizapo makutu, mphuno;
- kumenyedwa keratitis ;
- necrosis ya tubal renal ndi ena.
Adathyoma adenoma - matenda
Akatswiri ambiri amathandizira kutsimikiziridwa kwa matendawa:
- wotchedwa endocrinologist;
- katswiri wa zamoyo;
- katswiri wa zamagulu;
- gastroenterologist;
- nephrologist.
Chinthu choyambirira chomwe chidwi chimaperekedwa pamene chotupa cha parathyroid chikupezeka ndi zizindikiro. Kuyeza kwa Laboratory kukuchitika:
- biochemistry ;
- hormonal panel;
- mayeso a mkodzo.
Nthawi zina mankhwala osakaniza amtundu wa mitsempha amachitidwa kuti azindikire kuchuluka kwa hormone ya parathyroid m'magazi otuluka m'thambo la parathyroid. Kuonjezerapo, njira zothandizira zida zogwiritsira ntchito:
- ultrasound, kuphatikizapo ultrasound impso, bile ndi chikhodzodzo, kapangidwe ndi chithokomiro;
- maginito ojambula maginito kapena computed tomography;
- zojambula;
- chithunzi;
- biopsy;
- densitometry;
- esophagogastroduodenoscopy;
- mafilimu a mafupa;
- phunzirani urography;
- zolemba ndi electrocardiography;
- kuyang'anitsitsa tsiku ndi tsiku za kupanikizika kwa thupi.
Parathyroid adenoma pa ultrasound
Pothandizidwa ndi phunziro lino, n'zotheka kuzindikira malo, nambala, kukula ndi kapangidwe ka zotupa zowononga. Adathyoma parathyroid nthawi zonse amachititsa kuwonjezeka kwakukulu kwa ziwalo zopanga mahomoni. Izi zimabweretsa chiwonetsero chawo momveka bwino ndi ultrasound, kawirikawiri sichiwoneka. Gulu lopweteka la mtundu wa parathyroid limasiyana ndi tizilombo tating'onoting'ono tomwe timapangidwira chifukwa chokhazikika. Katswiri amawona pazithunzithunzi zotsekemera kapena zozungulira zogwirizana ndi malire, omwe ali m'mipingo ya endocrine.
Parathyroid adenoma - MRI
Mafilimu ndi maginito opanga maginito amaonedwa ngati njira zophunzitsira komanso zamakono zoganizira matenda omwe akupezekawo. Chotupa cha parathyroid chimatchulidwa ngati kamphindi kakang'ono kamene kamakhala kochepa kwambiri, kamene kamakhala kosiyana kwambiri ndi zinyama zakuthambo zomwe zimayandikana nazo. MRI imathandiza kufotokozera osati nambala komanso malo a adenoma, komanso momwe zimakhalira, kukula kwake ndi ntchito zake. Kuti muwone bwino, kuyambitsa mankhwala osiyana kumalimbikitsidwa.
Adathyoma adenoma - mankhwala popanda opaleshoni
Thandizo lothandiza la matenda omwe mukuliganizirali limapereka chithandizo chokhacho chochita opaleshoni. Ngakhale njira zochepa zosawonongeka, monga sclerotherapy kwa adathyoma parathyroid, palibe. Madzulo a opaleshoni yoyambitsa opaleshoni ya hypercalcemia ikuchitika. Ndikofunika kuti chitonthozo cha zizindikiro zomwe zimayambitsa adathyoma parathyroid - mankhwalawa akuphatikizapo:
- kugwiritsa ntchito mankhwala olembedwa;
- kugwiritsa ntchito njira zina zothandizira;
- kumamatira ku chakudya chapadera.
Adathyoma adenoma - mankhwala
Thandizo lodziŵika bwino limapangitsa kuti thupi liziyenda bwino m'thupi komanso kutha kwa kuwonjezeka kwake. Musanayambe kutaya zilonda za parathyroid, wodwalayo amapatsidwa mankhwala osokoneza bongo (mankhwalawa) ndi mankhwala omwe amakhala ndi phosphates:
- Dalacin C;
- Ezafosphine;
- Levoflox ndi zofanana.
Adathyoma wa parathyroid nthawi zambiri amatsogolera kuwonjezeka kwa madzi owonjezera ndi poizoni m'thupi. Diuretics (diuretics) chithandizo chofulumizitsa chisamaliro chawo chochita opaleshoni:
- Chithunzi;
- Hypothiazide;
- Furosemide;
- Suprilneo;
- Lasix;
- Torasemide ndi ena.
Adathyoma adenoma - mankhwala ndi mankhwala ochiritsira
Njira zochiritsira zosagwiritsidwa ntchito nthawi zonse zingagwiritsidwe ntchito pokhapokha ngati adokotala avomereza. Njira za mtundu wa anthu, momwe mungathandizire adenoma ya galimoto ya parathyroid, ingakhale ngati chithandizo chothandizira. Sizimathetsa chifuwacho ndipo sichimenyana ndi zizindikiro zake. Maphikidwe amenewa amapangitsa kuti thupi likhale losavuta komanso limapangitsa kuti thupi likhale lofewa komanso lachilengedwe.
Kusamba kusakaniza
Zosakaniza :
- walnuts - 300 g;
- Honey, makamaka buckwheat - 300 g;
- ufa wa buckwheat - 300 g.
Kukonzekera, ntchito
- Dulani mtedza.
- Sakanizani zonse zopangira.
- Pali mankhwala a tsiku limodzi pa sabata, osambitsidwa ndi zakumwa zonse kapena madzi.
Kuchiritsa decoction
Zosakaniza :
- mizu ya sorelo - 250 g;
- madzi - 2.5 malita.
Kukonzekera, ntchito
- Thirani masamba zopangira ndi madzi ozizira.
- Wiritsani mankhwala.
- Kuphika pamoto wotentha kwa maola atatu.
- Kuzizira ndi kusokoneza mankhwala.
- Tengani katatu pa tsiku kwa 125 ml ya yankho.
Kudya ndi adathyoma parathyroid
Matendawa amachititsa kuti thupi liwonjezeke kwambiri. Kwa adenoma ya glands parathyroid akhoza kuchotsedwa, m'pofunika kuchepetsa. Kuphatikiza pa njira zothandizira kuchepetsa calcium, ndi bwino kuti chakudya chapadera chiwonedwe. Adathyoma ya Parathyroid imaphatikizapo kudya kwambiri phosphorous, chifukwa chakuti izi zimapangitsa kuti matenda a hypercalcemia asapitirire.
Zamtengo wapatali:
- mtedza;
- bowa, makamaka chanterelles ndi ziphuphu;
- mbewu yamphanga;
- nthambi ya tirigu;
- sesame;
- nyemba nyemba;
- chithandizo;
- chithandizo;
- nkhumba chiwindi;
- nsomba zonenepa;
- kanyumba tchizi, tchizi;
- nkhosa;
- mankhwala opangira mkaka;
- mazira;
- nsomba, nkhanu, squid;
- nyemba ndi zina.
Zaletsedwa:
- mowa;
- chakudya chamzitini;
- marinades;
- mchere (zochepa);
- khofi.
Opaleshoni kuchotsa adathyoma parathyroid
Pali njira zitatu zothandizira opaleshoni:
- Zolemba ziwiri pa khosi. Dokotala akuyang'ana ziwalo zonse za endocrine 4, amatha kutulukira kachipangizo ndipo amachotsa kuchotsa adenoma parathyroid.
- Zolemba zochokera kumbali imodzi ya khosi. Dokotalayu akufufuza ziwalo ziwiri zokha, kuchokera kumbali imene chotupacho chinapezedwa, ndi kudula chifuwacho. Kwa opaleshoni yotereyi, deta yolondola pa malo ake akufunikira.
- Kusankha kupweteka kwa thupi. Dokotala amachotsa adenoma yekha gland yomwe imapezeka. Kuyendera kwa ziwalo zina sikuchitika. Iyi ndi njira yovuta, yomwe imaphatikizapo kudziwa bwino kwambiri komanso kupezeka kwa zipangizo zapadera. Kukonzekera uku ndikuthamanga, kotheka kwambiri komanso kotetezeka.
Patapita nthawi yochotsedwa kwa adenoma parathyroid
Kuchitidwa opaleshoni moyenera kumapangitsa kuti mliriwo ayambe kusintha mwamsanga. Mlingo wa kashiamu mu thupi umakhala wovomerezeka ndi tsiku lachiwiri pambuyo pa kuchotsedwa kwa adathyoma parathyroid. Mu chipatala, munthu saposa masiku asanu ndi awiri. Panthawiyi, akatswiri akuwona kubwezeretsedwa, kuyang'anira ntchito ya mtima ndi ma calcium m'magazi.
Kuchotsa zotsatira za adenoma parathyroid
Nthawi zambiri (osachepera 5 peresenti) mwa anthu omwe amachitidwa opaleshoni, hypocalcemia imakula - yotsika kwambiri ya kashiamu mu thupi. Zotsatira zoterezi za adenoma parathyroid ndi zosangalatsa zake zimathetsedwa pa siteji yokonzanso. Pofuna kuonetsetsa kuti ma calcium ndi ochepa, chakudya chimakhala chochuluka kwambiri ndipo chimakhala ndi zokonzekera.
Parathyroid adenoma - kufotokozera
Nthaŵi zambiri, kuchotsa khungu kwa nthawi yake kumatha kumaliza. Mu masabata angapo, ntchito ya ziwalo zamkati ndi njira ya endocrine imabwezeretsedwa, kwa zaka ziwiri kupunduka kwa mafupa kumatha. Choyipa kwambiri, ngati adenoma ya gland ya parathyroid yadziwika mochedwa - kufotokoza kwa moyo m'zochitika zotero kumadalira kuopsa kwa matendawa. Ndi zilonda zoopsa za ziwalo zamkati komanso kuperewera kwamthambo m'matumbo, ngakhale mankhwala oyenera sangabweretse zotsatira. Nthawi zina adenoma imatha kukhala khansa.