Izitho ze-endocrine zenzelwe ukhiqiza ama-hormone abalulekile futhi zilawula izinqubo zokuxuba umzimba. Izigulane ze-parathyroid zakhiwe ezine ezincane ezithintekayo zokugcina izinga elivamile le-calcium. Besebenzisa i-hormone ye-parathyroid ( i-hormone ye-parathyroid ), evuselela ukukhiqizwa kwayo.
Izimbangela ze-adenoma ye-parathyroid
Isifo esicatshangelwayo sisuka ekuguquleni kwezakhi zofuzo zamaprotheni abamba iqhaza ekushintsheni kwe-calcium kanye nokuhamba kwawo. Amaseli ashintshiwe athola umsebenzi ophezulu kakhulu. Baqala ukuhlanganyela ngokungaqondakali, okuholela ekubeni isifo sofuba esibucayi noma i-adenoma. Izici zokuqamba ukuqala kwezinguquko zikhona noma yikuphi ukulimala komzimba emzimbeni (ukuthungatha, ukuhlinzeka) nokuvezwa kwemisebe.
I-adenoma ye-Parathyroid - izimpawu
I-neoplasm ye-benign inamandla okukhiqiza i-hormone ye-parathyroid yokuzikhiqiza. Ivuselela ama-osteoclasts, futhi i-adenoma ye-parathyroid idala ukukhipha i-calcium njalo emathanjeni nokudluliselwa kwayo ohlelweni lokujikeleza. Ngenxa yalokho, umuntu uqala ukugaya i-osteoporosis, ukuqhuma okuphindaphindiwe futhi okuphindaphindiwe kwenzeka ngisho nokuzikhandla okungokwenyama (ukuxuma, ukushintsha isikhundla somzimba, ukukhanya komzimba). Ezinye izibonakaliso ezithile ze-adenoma ye-parathyroid:
- ukwehla kwezinga lemithambo yegazi;
- ukunyuka kwe-systolic ("phezulu");
- ukuvuthwa kwekholomu lomgogodla;
- ukuguqulwa kwamathambo;
- ukuhlasela kwenhliziyo;
- ukuwohloka kokunakwa kanye nekhono lokugxila;
- ukungcoliswa kwengqondo;
- ukushaya;
- i-polyuria;
- ukulahlekelwa isikhathi eside kwesazi, kuze kufinyeleleke ku-coma;
- ukulahlekelwa kwesifiso;
- i-malaise;
- isicasuli;
- ukuqotshwa;
- izinhlungu ezihlakazekile emathanjeni;
- i-arthralgia;
- ukuhlanza;
- ubuthakathaka bemisipha;
- ukulahlekelwa kwesisindo;
- ukucindezeleka;
- ukuxubha;
- i-cholecystitis ;
- i-ostitis fibrocystic;
- ukukhulula nokuwa kwamazinyo enempilo;
- ihlukanisa nephrocalcinosis;
- urolithiasis ;
- i-polydipsia;
- isilonda esivela njalo se duodenum, isisu;
- i-pancreatitis ;
- i-steatorrhea;
- ukubalwa kwemithambo ye-coronary kanye nama-valves wenhliziyo;
- izilonda zamalungu nama-cartilage tissues, kuhlanganise izindlebe, impumulo;
- i- keratitis ehlukunyeziwe ;
- i-necrosis ye-tubulus ye-renal nabanye.
I-adenoma ye-Parathyroid - ukuxilongwa
Ochwepheshe abaningana bahlanganyela ekuqinisekisweni kwe-pathology echazwe:
- i-endocrinologist;
- i-cardiologist;
- i-neurologist;
- i-gastroenterologist;
- i-nephrologist.
Into yokuqala ukuthi ukunakekelwa kubhalwa uma isifo se-parathyroid sitholwa ukuthi yizibonakaliso. Ukuhlolwa kwelabhulathi kwenziwa:
- i-biochemistry ;
- iphaneli ye-hormonal;
- ukuhlolwa komchamo.
Ngezinye izikhathi uketshezi olukhethiwe lwezimvini luyenziwa ukuze kunqunywe ukuhlushwa kwe-hormone ephathekayo egazini eligeleza egcekeni le-parathyroid. Ukwengeza, izinqubo zokuhlonza izinsimbi nezinsimbi zinikezwa:
- i-ultrasound, kuhlanganise ne-ultrasound yezinso, i-bile nesibindi, ama-pancreas ne-gland yegciwane;
- imaging resonance magnetic noma tomography computed;
- ukucacisa;
- i-thermography;
- i-biopsy;
- i-densitometry;
- esophagogastroduodenoscopy;
- i-radiography yamathambo;
- hlola urography;
- i-echo- ne-electrocardiography;
- ukuqapha nsuku zonke ukucindezela komzimba.
I-adenoma ye-Parathyroid nge-ultrasound
Ngesizo salolu cwaningo, kungenzeka ukucacisa indawo yangakini, inombolo, usayizi kanye nesakhiwo sezingculazi ezinobuthi. I-adenoma ye-Parathyroid ivame ukudala ukwanda okukhulu kwezitho zokukhiqiza i-hormone. Lokhu kuholela ekubukeni kwabo okucacile nge-ultrasound, ngokuvamile ababonakali. I-neoplasm ye-gland ephathekayo ihluke ezinhlobonhlobo ezinempilo ngenxa ye-echogenicity ngenxa yesakhiwo sayo esiyingqayizivele. Ochwepheshe ubona esikhwameni se-ovary noma esihlotshisiwe ngemingcele ekhonjiwe, esezithombeni ze-endocrine.
I-adenoma ye-Parathyroid - i-MRI
I-computer ne-imagination resonance imaging kucatshangelwa izindlela eziningi zokwazisa nezanamuhla zokuxilonga isifo esinikeziwe. I-tumorousathyor tumor ichazwa ngokuthi i-neoplasm encane ene-echogenicity eyancipha, ehluke kakhulu kumathisini e-endocrine angomakhelwane. I-MRI isiza ukucacisa hhayi kuphela inombolo nendawo ye-adenoma, kodwa futhi nesakhiwo sayo, ubungako nomsebenzi. Ukuboniswa okungcono, ukwethulwa kwesidakamizwa esihlukileko kunconywa.
I-adenoma ye-Parathyroid - ukwelashwa ngaphandle kokuhlinzwa
Ukwelashwa okuphumelelayo kwalesi sifo esicatshangelwayo kuhlinzekela ukungenelela okukhethekile kuphela. Ngisho nezindlela ezincane ezingavamile, njenge-sclerotherapy ye-adenoma ye-parathyroid, ayikho. Ngemuva kokuhlinzwa kokuhlinzwa kokuqala kwe-hypercalcemia kwenziwa. Kubalulekile ukukhululeka kwezimpawu ezivusa i-adenoma ye-parathyroid - ukwelashwa kufaka:
- ukusetshenziswa kwezidakamizwa ezibekiwe;
- ukusetshenziswa kwesinye imithi;
- ukunamathela ekudleni okukhethekile.
I-adenoma ye-Parathyroid - izidakamizwa
Ukwelapha okulondolozayo kuhlinzekela ukugonywa kwe-calcium emzimbeni nasekupheleni kokunyuka kwawo. Ngaphambi kokuba isisu esibuhlungu sezinhlayiya ze-parathyroid sisuswe, isiguli sinikezwa ngendlala (nge-dropper) imithi ene-phosphates:
- I-Dalacin C;
- I-Ezafosphine;
- I-Levoflox ne-analogues.
I-adenoma ye-Parathyroid ivame ukuholela ekuqoqeni uketshezi okweqile kanye ne-toxins emzimbeni. I-Diuretics (i-diuretics) isiza ukusheshisa ukuphuma kwabo kokungenelela kokuhlinzwa:
- I-Torsid;
- I-Hypothiazide;
- I-Furosemide;
- Suprilneo;
- I-Lasix;
- Torasemide nabanye.
I-adenoma ye-Parathyroid - ukwelashwa ngamakhambi abantu
Izindlela zokwelashwa ezingezona zendabuko zingasetshenziswa kuphela emva kokuvuma kukadokotela. Izindlela zomphakathi, indlela yokwelapha i-adenoma yekhanda le-parathyroid, lingenza umcimbi ongusizayo. Abaqothule isisu futhi abalwi nezimpawu zayo. Ukupheka okunjalo kunikeza umphumela olula we-diuretic futhi unomthelela ekuqedeni komzimba we-toxins omnene nowokwemvelo, uketshezi okwedlulele kwamathemikhali.
Ingxube yokuhlanza
Izithako :
- ama-walnuts - 300 g;
- uju, ikakhulukazi ukunye okufana nokolweni - 300 g;
- ufulawa wezinhlayiyana - 300 g.
Ukulungiselela, uhlelo lokusebenza
- Gaya amanothi.
- Hlanganisa zonke izithako ngokugcwele.
- Kukhona ikhambi lezinsuku ezingu-1 ngesonto, kuhlanzwa phansi noma yikuphi ukuphuza noma amanzi.
Ukuphulukisa i-decoction
Izithako :
- izimpande ze-sorrel - 250 g;
- amanzi - 2.5 amalitha.
Ukulungiselela, uhlelo lokusebenza
- Thela izinto zokusetshenziswa zemifino ngamanzi abandayo ahlanzekile.
- Bilisa ikhambi.
- Pheka emlilweni othulile amahora amathathu.
- Kulungile bese uphazamise izidakamizwa.
- Thatha izikhathi ezintathu ngosuku nge 125 ml yesisombululo.
Yidla nge-adenoma ye-parathyroid
I-pathology echazwe idala ukwanda okukhulu kwezinga le-calcium emzimbeni. Ku-adenoma yezinhlayiya ze-parathyroid ingasuswa, kuyadingeka ukunciphisa. Ngaphandle kwezindlela zokwelapha zokunciphisa ukuxilongwa kwe-calcium, kunconywa ukuba ukudla okukhethekile kuhlonishwe. I-adenoma ye-Parathyroid ihilela ukudla okucebile phosphorus, ngoba lesi sici asivimbeli i-hypercalcemia.
Imikhiqizo efanelekayo:
- amantongomane;
- amakhowe, ikakhulukazi ama-chanterelles nama-pimples;
- imbewu yamathambo;
- ukolweni wekolweni;
- i-sesame;
- ubhontshisi besoya;
- i-sturgeon caviar;
- ibhukwakhe;
- ingulube yesibindi;
- izinhlanzi ezinamafutha;
- cottage ushizi, ushizi;
- iwundlu;
- imikhiqizo yobisi evutshiwe;
- amaqanda;
- imfucumfucu, i-crab, i-squid;
- izithelo kanye nezinye.
Akuvunyelwe:
- utshwala;
- ukudla okusemathinini;
- izimoto zemikhumbi;
- usawoti (okulinganiselwe kakhulu);
- ikhofi.
Ukuhlinzwa ukukhipha i-adenoma ye-parathyroid
Kunezinketho ezintathu zokungenela ukuhlinzeka:
- Ukuhlolwa kwamahlangothi amabili entanyeni. Udokotela uhlola zonke izitho ezine ze-endocrine, uthola i-neoplasm futhi akhiphe ukususwa kwe-adenoma ye-parathyroid.
- Ukuhlolwa okuphakathi komunye entanyeni. Udokotela ohlinzayo uhlola izingxenye ezimbili kuphela, kusukela ohlangothini lapho kutholakala khona isisu, futhi usika isisu. Ukuze kusetshenziswe okunjalo, idatha efanelekile endaweni yayo iyadingeka.
- I-parathyroidectomy ekhethiwe. Udokotela ususa kuphela i-adenoma yesikhumba se-parathyroid lapho sitholakala khona. Ukuhlolwa kwezinye izitho akukwenziwa. Lena inqubo eyinkimbinkimbi, efaka ukuxilongwa okunembile kakhulu nokutholakala kwemishini ekhethekile. Lokhu ukuxhaphaza kuyona esheshayo, ephumelela kakhulu futhi ephephile.
Isikhathi sokuthutha emva kokususwa kwe-adenoma ye-parathyroid
Ukungenelela okuhlinzekwa ngokucophelela kunikeza ukuthuthuka okusheshayo esimweni sesiguli. Izinga le-calcium emzimbeni lijwayelekile ngosuku lwesibili ngemuva kokususwa kwe-adenoma ye-parathyroid. Esesibhedlela, umuntu angaphezu kwezinsuku ezingu-7. Phakathi nalesi sikhathi, izazi zibona ukubuyiswa, zilawula umsebenzi we-cardiovascular system kanye ne-calcium egazini egazini.
Ukususwa kwemiphumela ye-adathy - parathyroid - imiphumela
Ngokungajwayelekile (amacala angaphansi kuka-5%) kubantu abahlinzwa, i-hypocalcemia iqala - iphansi kakhulu kwekhalsium emzimbeni. Imiphumela enjalo ye-adenoma ye-parathyroid kanye nokuziqhenya kwayo iqedwa ngesikhathi sokuvuselela. Ukuze kulungiswe ukuhlushwa kwe-calcium, ukudla okucebile kulokhu okulandelanayo futhi okuqukethe amalungiselelo kuyasetshenziswa.
I-adenoma ye-Parathyroid - ukubikezela
Ezimweni eziningi, ukususwa okwesikhashana kwe-tumor kuphelela ekutholeni okuphelele. Emasontweni ambalwa, umsebenzi wezitho zangaphakathi kanye nesistimu ye-endocrine kubuyiselwe, iminyaka emibili ukwehlukana kwamathambo kuyanyamalala. Okubi nakakhulu, uma i-adenoma ye-gland parathyroid itholwe sekwephuzile - ukubikezelwa kokuphila ezimweni ezinjalo kuxhomeke ebukhulu besifo. Ngezilonda ezinzima zezingaphakathi zangaphakathi kanye nokuntula okunamandla kwamathambo, ngisho nokuphathwa kahle kungase kungenise imiphumela efunayo. Ngezinye izikhathi i-adenoma igxeka ibe ngumdlavuza.