Thawj Parathyroidism

Zoo Siab

• Cov tsos mob ntawm tus thawj hyperparathyroidism zoo li cas?
• Dab tsi ua rau thawj hyperparathyroidism?
• Adenoma
• Parathyroid caj pas o ua haujlwm
• Parathyroid mob cancer
• Yuav kuaj pom tus mob hyperparathyroidism li cas?
• Yuav kho tus mob hyperparathyroidism li cas?
• Cov nqa mus

Tus thawj hyperparathyroidism yog dab tsi?

Parathyroid caj pas yog plaub lub qog me nyob ze lossis sab qaum ntawm cov thyroid caj pas hauv qab Adas cov kua. (Yog lawm, pojniam muaj pob Adas. Nws tsuas me dua txiv neej.) Cov qog no ua cov parathyroid hormone (PTH).

Parathyroid qog tswj cov qib ntawm calcium, phosphorus, thiab vitamin D hauv lub cev. Lub hauv paus tseem ceeb rau kev tso tawm lossis tsim tawm ntawm PTH yog qib ntshav calcium hauv cov ntshav. PTH pab tswj cov nyiaj calcium ntau hauv lub cev. Yog tias koj cov calcium calcium poob qis heev, PTH pab coj cov calcium ntxiv rau hauv koj cov ntshav. Nws ua qhov no los ntawm kev nce rov ntxiv cov calcium uas tawm hauv cov hnyuv thiab los ntawm cov pob txha. PTH kuj tseem txo tau cov calcium uas ploj hauv cov zis.

Koj cov roj ntsha parathyroid feem ntau me me. Lawv feem ntau hais txog qhov loj me me ntawm ib pob mov nplej. Qee zaum, ib lossis ntau dua ntawm cov qog ua kom loj tuaj. Nws mam li tsim ntau PTH.Hauv lwm qhov xwm txheej, txoj kev loj hlob ntawm ib qho ntawm cov qog tuaj yeem ua rau nws tsim cov PTH ntau ntxiv.

PTH ntau dhau lawm yuav ua rau muaj cov calcium ntau nyob rau hauv koj cov ntshav. Tus mob no yog hu ua hypercalcemia. Nws tuaj yeem ua rau ntau yam tsos mob, suav nrog:

• nquag tso zis
• teeb meem plab
• tsis meej pem
• nkees

Cov tsos mob ntawm tus thawj hyperparathyroidism zoo li cas?

Thawj hyperparathyroidism feem ntau tsis muaj tsos mob dab tsi. Yog tias pom cov tsos mob tshwm sim, feem ntau yog mob me me. Thawj hyperparathyroidism tshwj xeeb tshaj yog pom ntawm cov poj niam postmenopausal, raws li kev tshawb fawb luam tawm hauv International Journal of Endocrinology. Ntshav siab feem ntau ua ke hyper hyperthyroidism. Thaum koj kho koj hyperparathyroidism, koj cov ntshav siab yuav tuaj poob.

Cov tsos mob uas tshwm sim nrog hyperparathyroidism yog feem ntau nonspecific. Qhov no txhais tau tias lawv yuav tsis tshwj rau tus mob no. Piv txwv li, koj yuav tau paub txog:

• leeg tsis muaj zog
• nkees
• nkees
• mob hauv koj cov leeg
• kev nyuaj siab

Yog tias koj tus mob hnyav dua, koj yuav tuaj yeem ntsib:

• raum pob zeb, vim
• nquag tso zis
• plab, lossis plab, mob
• xeev siab thiab ntuav
• tsis meej pem
• tsis nco qab
• kev hloov pauv ntawm tus kheej
• cem quav
• pob txha khov thiab pob txha lov
• tsis xeev (thaum tsis tshua muaj mob)

Dab tsi ua rau thawj hyperparathyroidism?

Thawj hyperparathyroidism tshwm sim thaum koj cov qog parathyroid ua ntau PTH. Ntau yam mob tuaj yeem ua rau hyperparathyroidism, xws li hauv qab no.

Adenoma

Tus adenoma yog lub qog ua haujlwm tsis huv ntawm ib qho ntawm cov qog. Cov qog no yog qhov tshwm sim tshaj plaws ntawm thawj hom mob hyperparathyroidism.

Parathyroid caj pas o ua haujlwm

Hauv lwm qhov xwm txheej, kev pom tsawg kawg ntawm tsawg ob ntawm koj cov qog ntshav parathyroid tuaj yeem ua rau hyperparathyroidism. Cov kws kho mob feem ntau tsis paub dab tsi ua rau qhov kev loj hlob no.

Parathyroid mob cancer

Tsawg tsawg zaus, mob hlwb parathyroid tuaj yeem ua rau ib lossis ntau dua ntawm cov qog ntshav parathyroid. Cov qog no tuaj yeem ua rau hyperparathyroidism.

Yuav kuaj pom tus mob hyperparathyroidism li cas?

Thawj hyperparathyroidism feem ntau kuaj tau los ntawm kev kuaj ntshav. Cov cim ntawm tus mob no suav nrog:

• kom siab PTH
• txhawb kev txhim kho cov ntshav calcium
• txhawb nqa alkaline phosphatase, cov protein nyob hauv pob txha thiab nplooj siab
• theem qis ntawm phosphorus

Thaum koj tus kws kho mob xav tias hyperparathyroidism, lawv yuav pom koj cov pob txha ceev. Muaj PTH ntau dhau ua rau muaj cov calcium nyob rau hauv koj cov ntshav. Koj lub cev rub cov calcium no ntawm koj cov pob txha. Kev xoo hluav taws xob tuaj yeem pab koj tus kws kho mob txheeb xyuas cov teeb meem pob txha, xws li pob txha lov thiab nyias.

Yuav kho tus mob hyperparathyroidism li cas?

Qhov hnyav ntawm thawj hyperparathyroidism tuaj yeem sib txawv heev. Nws tsis muaj ib txoj kev kho uas haum rau txhua kis. Koj tus kws khomob yuav ua haujlwm nrog koj los xyuas seb qhov twg yog qhov zoo tshaj rau koj kis.

Yog tias koj tsis muaj mob dabtsi, tej zaum koj tsis xav tau kev kho mob sai. Hloov chaw, koj tus kws kho mob tsuas saib xyuas koj tus mob kom paub tseeb tias nws tsis mob heev dua. Lawv yuav soj ntsuam:

• calcium ntau ntau
• raum muaj nuj nqi
• pob txha ceev
• txawm hais tias koj tau pib txhim kho lub raum lub raum

Yog tias koj xav tau kev kho mob, kev phais mob yog qhov kev xaiv kho uas nyiam tshaj plaws thiab ua rau kho tau nyob rau hauv yuav luag txhua qhov mob. Tsuas yog cov qog uas raug cuam tshuam xwb thiaj li raug tshem tawm. Yog tias tag nrho plaub lub qog ua kom loj tuaj, ib feem ntawm ib qho ntawm cov qog yuav sab laug hauv lub cev yog li koj tseem yuav muaj cov ntaub so ntswg parathyroid uas ua haujlwm.

Koj tus kws kho mob yuav qhia kev phais yog tias:

• koj cov calcium qib siab yog ntau dua 1.0 milligram ib qhov deciliter (mg / dL) saum toj ib txwm li ntawm 8.5–10.2 mg / dL, txawm tias tsis muaj cov tsos mob
• koj cov pob txha ceev yog tsawg heev
• koj muaj cov tsos mob ntsig txog qib siab calcium
• koj hnub nyoog qis dua 50 xyoo

Qee zaum cov tshuaj raug pom zoo los pab tiv thaiv qee qhov teeb meem cuam tshuam nrog thawj hyperparathyroidism. Piv txwv li:

• Bisphosphonates, xws li alendronate (Fosamax), pab txo qis pob txha hloov pauv.
• Cinacalcet (Sensipar) pab ua kom cov calcium nyob hauv ntshav zoo li qub.

Kev kho tshuaj estrogen kuj yuav raug tshuaj rau cov poj niam postmenopausal.

Cov nqa mus

Hyperparathyroidism yog ib qho mob thaum koj cov qog parathyroid ua cov parathyroid ntau heev hauv koj lub cev. Qhov no ua rau koj cov calcium ntau ntau ntxiv, uas tuaj yeem ua rau pob txha nyias thiab pob txha, mob plab, thiab poob siab. Feem ntau tsis muaj tsos mob thaum ntxov. Yog hais tias kev kho mob tsim nyog kho mob, kev phais mob pom zoo thiab feem ntau yog ua noj.