Parathyroid adenoma

Tus mob parathyroid adenoma yog lub qog nqaij hlav tsis ua haujlwm ntawm lub qog nqaij hlav parathyroid. Parathyroid caj pas nyob hauv lub caj dab, ze lossis txuas rau sab tom qab ntawm lub qog ua haujlwm lub qog.

Parathyroid qog hauv caj dab pab tswj kev siv calcium thiab tshem tawm los ntawm lub cev. Lawv ua li no los ntawm kev tsim cov kab mob parathyroid hormone, lossis PTH. PTH pab tswj cov calcium, phosphorus, thiab cov vitamin D ntau ntau hauv cov ntshav thiab nws tseem ceeb rau cov pob txha noj qab haus huv.

Parathyroid adenomas feem ntau. Feem ntau parathyroid adenomas tsis muaj ib qho kev qhia ua kom pom tseeb. Qee zaum cov teeb meem caj ces yog tus tsim. Qhov no yog ntau dua yog tias kev kuaj pom thaum koj tseem hluas.

Cov mob uas ua rau parathyroid qog ua kom loj dua tuaj yeem ua rau adenoma. Cov no suav nrog:

• Kev mob caj ces tsis sib xws
• Kev siv cov tshuaj lithium
• Mob raum

Cov poj niam hnub nyoog tshaj 60 xyoo muaj qhov muaj feem ntau ntawm tus mob no. Kev tawg rau lub taub hau lossis caj dab tseem ua rau muaj kev pheej hmoo.

Coob leej neeg tsis muaj mob. Tus mob feem ntau pom thaum kuaj ntshav rau lwm qhov laj thawj ntawm kev kho mob.

Parathyroid adenomas yog qhov tshwm sim tshaj plaws ntawm hyperparathyroidism (kev loj hlob ntawm cov qog ntshav parathyroid), uas ua rau cov ntshav muaj calcium ntau ntxiv.Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Tsis meej pem
• Cem quav
• Tsis muaj lub zog (qaug zog)
• Mob leeg
• Xeev ntuav los yog tsis qab los noj mov
• Tso zis ntau thaum hmo ntuj
• Tsis muaj zog cov pob txha lossis pob txha lov

Kuaj ntshav yuav ua tau los xyuas seb:

• PTH
• Tshuaj calcium
• Phus Thas
• Vitamin D

Yuav kuaj 24-teev rau kev tso zis kom kuaj tau cov tshuaj calcium ntau ntxiv hauv cov zis.

Lwm yam kev ntsuam xyuas suav nrog:

• Kev kuaj cov pob txha ceev
• Lub raum ultrasound lossis CT scan (yuav ua rau lub raum pob zeb lossis lub plab).
• Lub raum xoo hluav taws xob (tej zaum yuav pom lub raum lub raum)
• MRI
• Caj dab ultrasound
• Sestamibi caj dab scan (kom paub qhov chaw ntawm parathyroid adenoma)

Kev phais mob yog qhov feem ntau kho, thiab nws feem ntau kho tus mob. Tab sis, qee cov neeg xaiv tsuas mus kuaj mob nrog lawv tus kws kho mob yog tias qhov mob me.

Txhawm rau txhim kho cov mob, koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj cov tshuaj ntxiv calcium thiab vitamin D. Cov poj niam uas tau dhau los lawm yuav xav tham txog kev kho mob nrog estrogen.

Thaum kho, kev saib xyuas feem ntau yog qhov zoo.

Txha caj qaum thiab qhov uas yuav muaj feem ntau rau cov pob txha lov yog qhov kev txhawj xeeb tshaj plaws.

Lwm yam kev nyuaj yog qhov tsawg dua, tab sis yuav suav nrog:

• Tus mob Nephrocalcinosis (calcium hauv lub raum uas tuaj yeem txo lub raum kev ua haujlwm)
• Osteitis fibrosa cystica (ua kom tawv nqaij, tsis muaj zog ntawm cov pob txha)

Cov teeb meem los ntawm kev phais muaj xws li:

• Kev puas tsuaj rau lub paj hlwb uas tswj koj lub suab
• Kev puas tsuaj rau cov qog parathyroid, uas ua rau hypoparathyroidism (tsis muaj parathyroid txaus) thiab tsis muaj calcium qib

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob no.

Hyperparathyroidism - parathyroid adenoma; Lub zog parathyroid caj pas - parathyroid adenoma

• Cov qog endocrine
• Parathyroid qog

Reid LM, Kamani D, Randolph GW. Kev tswj hwm ntawm parathyroid mob. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 123.

Silverberg SJ, Bilezikian JP. Thawj hyperparathyroidism. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 63.

Thakker RV. Parathyroid qog, hypercalcemia, thiab hypocalcemia. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 232.