Hyperparathyroidism yog dab tsi thiab yuav kho nws li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav kuaj li cas
• Yuav kho tus mob li cas

Hyperparathyroidism yog ib yam kabmob uas ua rau kev ua haujlwm ntau dhau ntawm PTH lawm, tso tawm los ntawm cov qog parathyroid, uas nyob hauv lub caj dab tom qab ntawm lub qog.

Cov tshuaj hormones PTH pab tswj cov calcium nyob rau hauv cov ntshav thiab, rau qhov ntawd, nws cov teebmeem tseem ceeb suav nrog kev rov tso tshuaj calcium hauv ob lub raum, ntau dua qhov kev nqus ntawm calcium los ntawm cov khoom noj hauv plab, ntxiv rau kev tshem tawm cov calcium uas khaws cia hauv cov pob txha txhawm rau tso cov ntshav.

Hyperparathyroidism tuaj yeem tshwm sim hauv 3 txoj kev:

• Thawj hyperparathyroidism: tshwm sim thaum muaj kab mob ntawm parathyroids lawv tus kheej ua rau lub siab tsis sib haum ntawm hormone HTH, feem ntau vim yog adenoma lossis hyperplasia ntawm cov qog;
• Thib ob hyperparathyroidism: tshwm sim vim muaj kev cuam tshuam nyob rau hauv lub cev kev hnyav, uas ua rau cov roj ntsha parathyroid, tshwj xeeb tshaj yog vim lub raum tsis ua haujlwm, thiab uas ua rau muaj kev txo cov calcium thiab phosphorus hauv kev ncig;
• Tertiary hyperparathyroidism: nws yog qhov tsis tshua muaj tshwm sim ntau, nws yog tus cim thaum parathyroid caj pas pib zais ntau PTH ntawm lawv tus kheej, thiab tuaj yeem tshwm sim tom qab qee lub sijhawm ntawm theem nrab hyperparathyroidism, piv txwv.

Thaum pom tseeb, hyperparathyroidism xav tau kev kho kom sai, vim nws tuaj yeem muaj qhov tsis zoo, xws li kev ua kom tsis muaj zog ntawm cov pob txha, nce kev pheej hmoo ntawm pob txha tawg. Tsis tas li ntawd, kev noj tshuaj calcium ntau dhau hauv cov ntshav kuj tseem tuaj yeem ua rau muaj kev hloov pauv ntawm kev ua haujlwm ntawm cov leeg, raum pob zeb, ntshav nce siab thiab lwm yam teeb meem plawv.

Tus kab mob no tuaj yeem kho tau thaum kev phais mob txhawm rau tshem tawm cov qog, txawm li cas los xij, ua ntej ntawd, kev kho mob tuaj yeem qhia tau uas tuaj yeem siv los tswj cov tsos mob.

Cov tsos mob tseem ceeb

Qee qhov ntawm cov tsos mob feem ntau pom tshwm sim thaum muaj hyperparathyroidism yog:

• Cov pob txha tawg thiab nrog qhov pheej hmoo siab dua rau qhov txhaws;
• Mob leeg tsis muaj zog;
• Kev tsim cov raum pob zeb;
• Txhawb kev tso zis ntau ntxiv;
• Kev mob tsis tu ncua ntawm lub plab;
• Nkees dhau heev;
• Kev tsim kho lub raum tsis ua haujlwm lossis pancreatitis;
• Xeev siab, ntuav thiab tsis qab los noj mov.

Hyperparathyroidism tsis yog ib txwm ua rau cov tsos mob, tshwj xeeb tshaj yog thaum ntxov, yog li nws muaj ntau rau cov kabmob no tau txheeb xyuas hauv kev kuaj ntshav ib txwm, uas qhia kev hloov pauv hauv cov qib calcium calcium.

Yuav kuaj li cas

Kev kuaj mob ntawm hyperparathyroidism yog tsim nrog kev ntsuas ntsuas ntawm PTH, uas yog nce ntxiv hauv txhua yam kabmob. Tom qab ntawd, tus kws kho mob endocrinologist yuav xaj kom kuaj lwm yam uas pab ua kom paub qhov ua rau muaj teeb meem, xws li kev noj tshuaj calcium, uas yog qhov muaj feem ntau hauv hyperparathyroidism thiab txo qis hauv theem ob, ntxiv rau kev sim xws li calcium thiab phosphorus hauv zis, piv txwv.

Kev kuaj mob radiographic tseem tuaj yeem pab txheeb xyuas tus kabmob, vim nws qhia cov pob txha nrog demineralization thiab osteoporosis. Hauv cov neeg mob siab tshaj plaws, qhov kev ntsuas no tuaj yeem qhia qhov tsim ntawm kev khawb thiab loj hlob ntawm cov ntaub so ntswg thiab cov hlab ntsha hauv cov pob txha, uas paub tias yog "qog daj".

Ntxiv rau, kev ntsuam xyuas duab ntawm lub caj dab thaj tsam, nrog rau ultrasound, scintigraphy lossis cov duab hlau loj dua, piv txwv, tuaj yeem pab txheeb xyuas kev hloov pauv hauv cov qog parathyroid.

Yuav kho tus mob li cas

Thawj kauj ruam hauv kev kho mob ntawm thawj hom hyperparathyroidism yog qhov kho ntawm cov calcium uas ntau ntau, uas, yog tias lawv tau hloov kho ntau, tuaj yeem yog qhov tseem ceeb ntawm cov tsos mob. Rau qhov no, muaj qee txoj kev xaiv sib txawv, uas suav nrog kev hloov pauv hormone, ua tshwj xeeb tshaj yog rau cov poj niam tom qab lub cev ntas, vim qhov hloov qee cov tshuaj hormones pab tswj cov calcium nyob hauv cov pob txha. Bisphosphonate siv yeeb siv tshuaj, tseem yuav pab ua kom cov calcium nyob hauv cov pob txha, txo qis calcium hauv cov ntshav. Tshawb xyuas lwm qhov ua rau cov calcium ntau nyob hauv cov ntshav thiab yuav kho nws li cas.

Kev phais mob tseem tuaj yeem qhia tau thaum thawj hyperparathyroidism, vim nws tshem tawm cov qog cuam tshuam, kho cov kabmob. Txawm li cas los xij, nws muaj qee qhov kev pheej hmoo xws li kev puas tsuaj rau cov hlab ntsha uas tswj lub suab pob ntseg lossis lub cim txo qis hauv cov calcium.

Tus neeg ntawm hyperparathyroidism kev coj ua, nws yog qhov yuav tsum tau ua qhov kev soj ntsuam kom raug thiab kev kho mob raum tsis ua haujlwm, hloov chaw ntawm cov vitamins D thiab calcium, uas txo qis. Cov tshuaj calcium suav zoo ib yam li cov tshuaj calcium, ua rau lub qog tsim cov tshuaj hormones tsawg. Ib qho piv txwv ntawm cov kev hais daws no yog cinacalcete.