Izitho ze-Endocrine zenzelwe ukuvelisa ama hormone ezibalulekileyo kwaye zilawulwe iinkqubo zokuxilonga. Iintlanzi ze-Parathyroid zinezakhiwo ezine ezincinane zenyama ezijongene nokugcina izinga eliqhelekileyo le-calcium. Benza i-hormone ye-parathyroid ( i-hormone ye-parathyroid ), evuselela imveliso yayo.
Izizathu ze-adenoma ye-parathyroid
Isifo esicatshungulwayo sisuka kwiinguqu zomzimba zeeprotheni ezithatha inxaxheba ekutshintshiseni i-calcium kunye nokuthutha kwayo. Iiseli eziguqulwe zifumana umsebenzi ophezulu kakhulu. Baqala ukungabikho ngokungaqondakaliyo, kubangele i-tumorousathyathy tumor or adenoma. Izinto zokuqala ukuguqulwa kwamanzi ziyingozi yomzimba (ukuxhatshazwa, ukuhlinzwa) kunye nokuchithwa kwemitha.
Izidakamizwa ze-Parathyroid
I-neoplasm ye-Benign inekhono lokukhiqiza i-hormone ye-parathyroid. Isebenza i-osteoclasts, kwaye i-adenoma ye-parathyroid ibangela ukutsalwa kwe-calcium rhoqo emathanjeni kunye nokutshintshwa kwayo kwinkqubo yokujikeleza. Ngenxa yoko, umntu uqala i-osteoporosis, ukuphazamiseka rhoqo kunye neendlela ezininzi zenzeke (ngokugxuma, ukutshintsha isikhundla somzimba, ukuqhuma komlenze). Ezinye iimpawu ezithile ze-adenoma ye-parathyroid:
- kuncitshiswe kwe-elasticity yemithambo yegazi;
- ukwanda kwe-systolic ("phezulu");
- ikhefu lomqolo womgcini;
- ukuguquka kwamathambo;
- ukuhlasela kwentliziyo;
- ukuphazamiseka kwengqalelo kunye nokukwazi ukugxininisa;
- ukuthotywa kweengqondo;
- ukubetha;
- polyuriya;
- ukulahlekelwa kwexesha elide lokuqonda, ukuya kudibanisa i-coma;
- ukulahleka kwesidlo;
- i-malaise;
- isicefe
- ukuqothulwa;
- iintlungu ezityhafile emathanjeni;
- arthralgia;
- ukuhlanza;
- buthathaka;
- ukulahleka kwesisindo;
- ukudandatheka;
- zixhala;
- cholecystitis ;
- ostitis fibrocystic;
- ukukhulula kunye nokuwa kwamazinyo aphilileyo;
- ukwazisa i-nephrocalcinosis;
- urolithiasis ;
- polydipsia;
- isilonda esisigxina se duodenum, isisu;
- pancreatitis ;
- steatorrhea;
- Ukubalwa kwamathambo e-coronary and valves heart;
- izilonda zamalungu kunye nezicubu ze-cartilage, kuquka nezindlebe, impumlo;
- keratitis ;
- i-necrosis yamathambo e-renal nabanye.
I-adathy - adenoma - diagnostic
Iingcali ezininzi zithatha inxaxheba ekuqinisekiseni ukuchazwa kwezilwanyana:
- endocrinologist;
- i-cardiologist;
- neurologist;
- gastroenterologist;
- nephrologist.
Into yokuqala enokukhatyathwa ingqalelo xa i-tumorathyathy tumor ifunyaniswa yiyo impawu. Iimvavanyo zeLebhu zenziwa:
- biochemistry ;
- ipaneli yehomoni;
- iimvavanyo zomchamo.
Ngamanye amaxesha i-catheterization ekhethiweyo yeemvini zenziwa ukuze kugqitywe i-hormone ye-parathyroid egazini eliphuma kwi-greyathy parathyroid. Ukongezelela, iinkqubo zokuxilongwa kweehadi kunye nezixhobo zinikezelwa:
- i-ultrasound, kuquka i-ultrasound yeentso, i-bile kunye ne-bladder, i-pancreas ne-thyroid gland;
- ukucatshulwa kwemifanekiso yamagnetic okanye i-tomography;
- ukukhawuleza;
- thermography;
- biopsy;
- densitometry;
- esophagogroduodenoscopy;
- i-radiography yamathambo;
- uhlolisiso lwe-urrography;
- kunye ne-electrocardiography;
- Ukubeka iliso kwimihla yokunyanzeliswa komzimba.
Adathyoma adenoma kwi ultrasound
Ngokuncediswa kwesi sifundo, kunokwenzeka ukucacisa indawo yokuhlala, inombolo, ubungakanani kunye nesakhiwo seesifo esibuhlungu. I-adenoma ye-Parathyroid ihlala ikhupha ukwanda okukhulu kwizitho ezivelisa i-hormone. Oku kukhokelela ekuboniseni kwabo ngokucacileyo nge-ultrasound, ngokuqhelekileyo ayibonakali. I-neoplasm ye-neckathyroid gland ihluke kwiimfucu eziphilileyo ngenxa ye-ecchogenicity ngenxa yesakhiwo sayo esinyeneyo. Iingcali ziyabona kwi-screen oval okanye iindumbu ezijikeleziweyo kunye nemida echazwe, ekhona kwii-endocrine.
Adathyoma - MRI
Iikhompyutheni kunye neemifanekiso zokumangalisa magnetic ziqwalaselwa njengeendlela ezifundisayo kunye nezanamhlanje zokuxilonga izifo ezinikezelweyo. I-tumororathyathy tumor isichazwa njenge-neoplasm encinci kunye ne-echogenicity eyancitshisiwe, eyahluke kakhulu kumathisto e-endocrine angumakhelwane. I-MRI inceda ukucacisa kuphela inombolo nendawo ye-adenoma, kodwa kunye nesakhiwo sayo, ubukhulu kunye nomsebenzi. Ukubonakalisa okungcono, ukuqaliswa kwesicatshulwa esahlukileyo kuyacetyiswa.
I-adenoma ye-Parathyroid yonyango ngaphandle kokuhlinzwa
Uphulo olusebenzayo lwesifo esicatshungulwa lubonelela ngoncedo olulodwa lotyando. Ngona iindlela ezincinci ezingenayo, ezifana ne-sclerotherapy ye-adenoma ye-parathyroid, ayikho. Ngomhla wokuba unyango lokuqala lokuqala lwe-hypercalcemia lwenziwa. Kubalulekile ukukhululeka kweempawu ezivusa i-adenoma ye-parathyroid - unyango lubandakanya:
- ukusetyenziswa kwezidakamizwa ezimiselweyo;
- Ukusetyenziswa kwesinye iyeza;
- ukunamathela kwisondlo esikhethekileyo.
Adathyoma adenoma - iziyobisi
Ulwaphulo olulondolozo lwe-Conservative lubonelela ngokugqithiseleyo ukuxilongwa kwe-calcium emzimbeni nasekupheleni kokunyuka kwawo. Ngaphambi kokuba i-tumor ye-parathyroid isuswe, isigulane sinikwa intravenous (nge-dropper) amayeza ane-phosphates:
- Dalacin C;
- Ezafosphine;
- Levoflox kunye neempawu.
I-adenoma ye-Parathyroid ivame ukukhokelela ekuqokeleleni kwamanzi amaninzi kunye neesxibisi emzimbeni. I-Diuretics (i-diuretics) inceda ukukhawuleza ukunyusa kwabo ukungenelelo:
- Torsid;
- Hypothiazide;
- Furosemide;
- Suprilneo;
- Lasix;
- Torasemide nabanye.
I-adenoma ye-parathyroid yonyango kunye namanyathelo omntu
Izindlela ezingezona zendabuko zingasetyenziswa kuphela emva kokuba ugqirha avunywe. Izindlela zabantu, indlela yokuphatha i-adenoma ye-greyathy, ingenza njengomsizi oncedisayo. Awuyikuyiqhayisa i-tumor kwaye ayilwe neempawu zayo. Ezi ndlela zokupheka zinika i-diuretic echaphazelekayo kwaye zinegalelo ekupheliseni obunzima kunye nokudalwa kwemvelo kweesxinxu, ukugqithisa okwedlulele kwimizimba.
Umxube wokucoca
Izithako :
- i-walnuts - 300 g;
- ubusi, ngokukhethekileyo i-buckwheat - 300 g;
- umgubo we-buckwheat - 300 g.
Ukulungiselela, isicelo
- Gaya amanqatha.
- Hlanganisa zonke izithako ngokugqibeleleyo.
- Kukho isilungiso somhla o-1 ngeveki, uhlanjwe phantsi kunye naluphi na uphuzo okanye amanzi.
Ukuphilisa i-decoction
Izithako :
- iingcambu ze-sorrel - 250 g;
- amanzi - 2.5 ilitha.
Ukulungiselela, isicelo
- Thela izinto zokusasa zemifuno ngamanzi acocekileyo acocekileyo.
- Bilisa i remedy.
- Pheka emlilweni othulileyo kwiiyure ezingama-3.
- Ukutshatyalaliswa kwaye uxinzelele isibisi.
- Thatha amaxesha amathathu ngosuku nge 125 ml yesisombululo.
Ukutya kunye ne-adenoma ye-parathyroid
I-pathology echazweyo ibangela ukwanda okomeleleyo kwinqanaba le-calcium emzimbeni. Ukuba i-adenoma yeentlanzi eziphathekayo zingasuswa, kuyimfuneko ukunciphisa. Ukongeza kwiindlela zokwelapha zokunciphisa uxilongo lwe-calcium, kuyacetyiswa ukuba ukutya okukhethekileyo kujongwe. I-adenoma ye-Parathyroid iquka ukutya okunotye kwi-phosphorus, ngenxa yokuba le nto ayinqandeli i-hypercalcemia.
Imveliso efanelekileyo:
- amantonga;
- amakhowe, ngokukodwa ama-chanterelles kunye nama-pimples;
- imbewu yamatope;
- ngqolowa ye ngqolowa;
- sesame;
- ubhontshisi
- caviar;
- buckwheat;
- isibindi sesibindi;
- iintlanzi ezinamafutha;
- i-cottage cheese, i-cheeses;
- imvana;
- iimveliso zobisi ezivuthayo;
- maqanda;
- i-shrimp, i-crab, i-squid;
- izityalo kunye nabanye.
Akuvumelekile:
- utywala;
- ukutya okusemgangathweni;
- marinades;
- ityuwa (kakhulu kuncinci);
- ikhofi.
Ugqirha ukususa i-adenoma ye-parathyroid
Kukho iindlela ezintathu zokungenelela ngoncedo:
- Ukuphicothwa kwamacala amabini entanyeni. Ugqirha uhlola zonke izitho ezine-endocrine, ufumanisa i-neoplasm kwaye ivelise ukususwa kwe-adenoma ye-parathyroid.
- Ukuphicothwa kwamacala omnye entanyeni. Udokotela ophononongo uhlola iziganeko ezi-2 kuphela, ukusuka kwicala apho i-tumor yafunyanwa khona, kwaye yanciphisa isisu. Ukusebenza okunjalo, idatha echanekileyo kwendawo yayo iyimfuneko.
- Ukuzikhethela ngokuzikhethela. Ugqirha uyasusa kuphela i-adenoma yecala le-parathyroid elikhoyo kuyo. Ukuhlolwa kwamanye amalungu akuqhutyelwa. Le nkqubo yinkqubo enzima, ebandakanya ukuxilongwa okuchanekileyo kunye nokufumaneka kwezixhobo ezizodwa. Oku kuhamba ngokukhawuleza, okusebenzayo kwaye kukhuselekile.
Ixesha emva kokususwa kwe-adenoma ye-parathyroid
Ukunyanzeliswa ngokuchanekileyo kokungenelela kunika ukuphucula ngokukhawuleza kwimeko yesigulane. Umgangatho we-calcium emzimbeni uqheleke ngomhla wesi-2 emva kokususwa kwe-adenoma ye-parathyroid. Esibhedlele, umntu ungengaphezulu kweentsuku ezi-7. Ngeli xesha, iingcali zigcina ukubuyiselwa, zilawula umsebenzi we-cardiovascular system kunye nokuxinwa kwe-calcium egazini.
Ukususwa kwemiphumo ye-adenoma ye-parathyroid
Inqabile kakhulu (ngaphantsi kwe-5% yamatyala) kubantu abaqhutywe ukuhlinzwa, i-hypocalcemia ikhula - kakhulu iphantsi kwe calcium emzimbeni. Imiphumo enjalo ye-adenoma ye-parathyroid kunye nokugqithisa kwayo kupheliswe kwisigaba sokulungisa. Ukuqhelanisa i-concentration ye calcium, ukutya okucebileyo kule nxalenye yokulandelelana kunye nokuqulethelwa.
I-parathyroid adenoma - prognosis
Kwiimeko ezininzi, ukususwa ngexesha elifanelekileyo ngexesha le-tumor liphela ekuphumeni okupheleleyo. Kwiiveki ezimbalwa, umsebenzi wezitho zangaphakathi kunye nenkqubo ye-endocrine ibuyiselwe, kwiminyaka emibini ukuhlukana kwamathambo kuyalala. Okubi nakakhulu, ukuba i-adenoma ye-greyathy parathyroid yafunyanwa ngokukhawuleza - ukuxeliswa kobomi kwiimeko ezinjalo kuxhomekeke kwisibandezelo sesi sifo. Ngezilonda ezinzima zezitho zangaphakathi kunye nokulahleka kwe-calcium ebonakalayo emathanjeni, kwanokuba unyango olungileyo alukwazi ukuvelisa umphumo oyifunayo. Ngamanye amaxesha i-adenoma iyancipha ibe ngumhlaza.