Nhengo dzeEngocrine dzakagadzirirwa kubudisa mahomoni anokosha uye kuronga nzira dzekugadzirisa zvirwere. Zvinyorwa zveParathyroid zvikamu zvina zviduku zvepanyama zvinokonzerwa nekuchengetedza huwandu hunoenderana nekasikium. Vanodzivirira hormone parathyroid ( parathyroid hormone ), iyo inokurudzira kugadzirwa kwayo.
Zvinokonzera parathyroid adenoma
Chirwere chinenge chichifungidzirwa chinobva kuchinja chemugadziri wemapurotini anowanzobatanidzwa mukutsinhanisa kwe calcium uye kutakura kwayo. Maitiro akachinjwa akawana basa rakakwirira kwazvo. Vanotanga kusununguka kugoverana, zvichiita kuti tine tumhondi yepathyroid kana adenoma. Zvinyorwa zvekutanga kwekuchinja-shanduka ndezvimwe zvinokanganisa maitiro mumuviri (kushungurudzika, kuvhiyiwa) uye kupisa kwemazizi.
Parathyroid adenoma - zviratidzo
Bhenign neoplasm ine mano ekuzvipira-kutakura hormone parathyroid. Inoshandisa maosteoclasts, uye parathyroid adenoma inokonzera kubviswa kwe calcium kubva pamapfupa uye kuendeswa kune mamiriro ekuratidza. Somugumisiro, munhu anotanga osteoporosis, kazhinji uye kazhinji kuputsika kunowanikwa kunyange nekutadza kushanda kwepanyama (kusvetuka, kushandura nzvimbo yemuviri, kumira kwechimiro). Zvimwe zviratidzo zvakananga zvepathyroid adenoma:
- yakaderera elasticity yemidziyo yeropa;
- kuwedzera systolic ("kumusoro") kuoma;
- kuputika kwemutsara wechipona;
- kukanganisa kwemapfupa;
- kurwadziwa kwemoyo;
- kuora kwekutarisa uye kukwanisa kuisa pfungwa;
- kunyadziswa kweuchenjeri;
- kurohwa;
- polyuria;
- kurasikirwa kwenguva refu kwekuziva, kusvika pakuungana mu coma;
- kurasikirwa nechido;
- malaise;
- nausea;
- kuzvidzora;
- akaparadzira kurwadziwa mumapfupa;
- arthralgia;
- kurutsa;
- musimba simba;
- kurasikirwa nokurema;
- kuora mwoyo;
- kunetseka;
- cholecystitis ;
- fibrocystic ostitis;
- kusunungura uye kuwira kunze kwemeno ane utano;
- diffuse nephrocalcinosis;
- urolithiasis ;
- polydipsia;
- chirwere chekare che duodenum, mudumbu;
- pancreatitis ;
- steatorrhea;
- calcification of coronary arteries and valves heart;
- zvipembenene zvezvibatanidza uye martilage tishu, kusanganisira nzeve, mhino;
- akarova keratitis ;
- necrosis ye renal tubules nevamwe.
Parathyroid adenoma - kuongororwa
Nyanzvi dzinoverengeka dzinobatanidzwa mukusimbiswa kwezvakatsanangurwa chirwere:
- endocrinologist;
- cardiologist;
- neurologist;
- gastroenterologist;
- nephrologist.
Chinhu chekutanga chinotariswa chinobhadharwa kana chirwere chepathyroid chinowanikwa kuti ndicho zviratidzo. Kuongororwa kwebhizinesi kunoitwa:
- biochemistry ;
- hormonal panel;
- urine test.
Dzimwe nguva catheterization inoshandiswa yemashuini inoshandiswa kuti iongorore huwandu hwehomoni inoratidzika muropa rinoyerera kubva munharaunda yeparathyroid. Kuwedzerwa, zvigadzirwa zvekushandisa uye zvehutori zvinopiwa:
- ultrasound, kusanganisira ultrasound yeitsvo, bile uye chikwata, pancreas uye gland gland;
- magnetic resonance imaging kana computed tomography;
- scintigraphy;
- thermography;
- biopsy;
- densitometry;
- esophagogastroduodenoscopy;
- radiography yemapfupa;
- review urography;
- echo- uye electrocardiography;
- zuva rega rekucherechedza kwekushongedzwa kwemuviri.
Parathyroid adenoma pa ultrasound
Nekubatsira kwechidzidzo ichi, zvinobvira kusarudza nzvimbo yepamunharaunda, nhamba, ukuru uye chimiro chezvipembenene zvinotapira. Parathyroid adenoma nguva dzose inokurudzira kuwedzera kukuru mumitambo inokonzera hormone. Izvi zvinotungamirira pakuona kwavo zvakajeka ne ultrasound, ivo kazhinji havaoneki. Ikoplasm yeganda rakakanganisika yakasiyana nemasikirwo akaenzana nekuda kwechikonzero chechikonzero nekuda kwehutano hwayo. Muongorori anoona pahwindo revharasi kana kuti rakapoteredza tumaronda nemiganhu yakarongeka, iri munhengo dze endocrine.
Parathyroid adenoma - MRI
Kakombiyuta uye magnetic resonance imaging inoonekwa senzira dzinodzidzisa uye dzemazuva ano dzekuongorora chirwere chinouya. Chirwere chepathyroid chinotsanangurwa sechinhu chiduku chinonzi neoplasm ine kucherechedza kwemaoko, iyo yakasiyana zvakanyanya nemakidzani endocrine. MRI inobatsira kutsanangurira kwete nhamba chete uye nzvimbo yeAdenoma, asiwo maitiro ayo, ukuru uye basa. Kuti uone zviri nani, kuiswa kwechirwere chinopesana kunorudzirwa.
Parathyroid adenoma - kurapwa pasina kuvhiyiwa
Kubudirira kwehutano hwechirwere ichi chiri kuongororwa kunopa rubatsiro rwekuvhiya chete. Kunyange zvishoma nzira dzisingabatsiri, dzakadai sa sclerotherapy ye parathyroid adenoma, haipo. Manheru ekuvhiya kwekutanga kwerapi ye hypercalcemia inoitwa. Izvo zvakakosha pakuzorodzwa kwezviratidzo zvinokuvadza parathyroid adenoma - kurapa kunosanganisira:
- kushandiswa kwemishonga yakanyorwa;
- kushandiswa kweimwe mushonga mushonga;
- kunamatira kune chikafu chinokosha.
Parathyroid adenoma - zvinodhaka
Conservative therapy inopa chimiro chema calcium mumutumbi uye kupera kwekuwedzera kwayo. Pamberi pemaperembudzi ane chirwere chepathyroid inobviswa, murwere anopiwa mucheche (ane gonho) mishonga ine phosphates:
- Dalacin C;
- Ezafosphine;
- Levoflox uye zvakafanana.
Parathyroid adenoma inowanzoita kuti kuwedzerwa kwehuwandu hwemvura uye chepfu muviri. Diuretics (diuretics) inobatsira kukurumidzira kushandiswa kwavo kwekuvhiya:
- Torsid;
- Hypothiazide;
- Furosemide;
- Suprilneo;
- Lasix;
- Torasemide nevamwe.
Parathyroid adenoma - kurapwa nemishonga yevanhu
Nzira dzisiri dzetsika nzira dzokurapa dzinogona kushandiswa chete mushure mekunge chiremba achibvumira. Nzira dzevanhu, nzira yekubata nayo adenoma yeganda parathyroid, inogona kuita sechiitiko chekubatsira. Hazvipwanisi tumarara uye hazvirwisi zviratidzo zvayo. Mapoka akadaro anopa nyore nyore kuora uye anobatsira kuve nekunyarara uye kwepanyama kubviswa kwehuipi, kuwedzera kwemvura kunobva mumatumbu.
Kushambidza kusanganiswa
Zvisungo :
- marnuts - 300 g;
- uchi, kunyanya buckwheat - 300 g;
- flour flour - 300 g.
Kugadzirira, kushanda
- Geda marimu.
- Sakanidza zvose zvinoshandiswa zvakakwana.
- Kune mhinduro yezuva rimwechete pavhiki, yakashambidzwa pasi nedzimwe doro kana mvura.
Kuporesa decoction
Zvisungo :
- midzi ye-sorrel - 250 g;
- mvura - 2,5 litita.
Kugadzirira, kushanda
- Dururirai zvinyorwa zvinomera zvemiti nemvura yakachena yakachena.
- Birai mhinduro.
- Pfeka pamoto wakanyarara kwazvo kwemaawa matatu.
- Kuchena uye kuomesa mishonga.
- Tora katatu pazuva pazuva 125 mhinduro.
Kudya neparathyroid adenoma
Iyo inorondedzerwa hutachiona inokonzera kuwedzera kwakasimba muhuwandu hwe calcium mumuviri. Kune adenoma yezvinyorwa zvepathyroid zvinogona kubviswa, zvakakosha kuzvideredza. Mukuwedzera kumishonga yekurapa kuderedza kuwanda kwe calcium, zvinokurudzirwa kuti kudya kunokosha kuonekwe. Parathyroid adenoma inosanganisira kudya kunowedzera phosphorus, nokuti chinhu ichi chinotadzisa hypercalcemia.
Zvigadzirwa zvakakodzera:
- nuts;
- mushroom, kunyanya chanterelles nemapimples;
- mbeu dzomupukisi;
- gorosi gorosi;
- sesame;
- soy bean;
- sturgeon caviar;
- buckwheat;
- nguruve chiropa;
- oily hove;
- kottage cheese, cheeses;
- gwayana;
- yakabikwa mukaka michina;
- mazai;
- shrimp, crab, squid;
- legumes and others.
Inorambidzwa:
- doro;
- zvokudya zvekunamatira;
- marinades;
- munyu (yakawandisa);
- coffee.
Kuvhiya kubvisa parathyroid adenoma
Pane zvipo zvitatu zvekupindira kwekuvhiya:
- Tsanangudzo mbiri-yepamusoro yemutsipa. Chiremba anoongorora nhengo dzese dze endocrine, anoona neoplasm uye anoita kuti kubviswa kweparathyroid adenoma.
- Imwe-sachigaro chekuongorora kwemutsipa. Chirembayi anoongorora nhengo mbiri chete, kubva parutivi apo ronda racho rakaonekwa, uye inoderedza chirwere. Nokuda kwekushanda kwakadaro, duramisiro yakarurama pamusoro pekugara kwayo inokosha.
- Kusarudza parathyroidectomy. Chiremba anobvisa chete adenoma yeganda parathyroid iyo iripo. Kuongorora dzimwe nhengo hazviiti. Iyi inzira yakaoma, inosanganisira yakanyatsorarisa kuongororwa uye kuwanikwa kwemichina yakakosha. Izvi zvinonyanya kukurumidza, zvinoshanda uye zvakachengeteka.
Postoperative nguva mushure mekubviswa kweparathyroid adenoma
Kunyatsoitwa nekuvhiyiwa kupindira kunopa kukurumidza kukurumidza mamiriro emurairo. Nhamba ye calcium mumuviri inowirirwa nezuva rechipiri mushure mekubviswa kweparathyroid adenoma. Muchipatara, munhu haasi mazuva manomwe. Munguva iyi, nyanzvi dzinocherechedza kudzorerwa, dzinoita basa remwoyo yemavhudhi uye huwandu hwe calcium muropa.
Kubviswa kweparathyroid adenoma - migumisiro
Hazviwanzoitiki (pasi pe5% yezviitiko) kune vanhu vanovhiyiwa, hypocalcemia inokura - yakanyanya kuderera nekanhi ye calcium mumuviri. Migumisiro yakadaro ye parathyroid adenoma uye kukanganisa kwayo kunozobviswa padanho rekugadzirisa. Kuchengetedza makisikisi ekuchengetedza, kudya kunowanikwa mupfungwa iyi uye ine zvigadzirwa zvinoshandiswa.
Parathyroid adenoma - kufungidzira
Mune mamiriro ezvinhu akawanda, kusunungurwa kwenguva yakakodzera kwechirwere kunopera mukugadzirisa zvakakwana. Mumavhiki mashomanana, basa remukati nhengo uye endocrine system rinodzorerwa, kwemakore maviri kupera kwemapfupa kunopera. Zvakaipisisa, kana adenoma yeganda parathyroid yakaonekwa munguva pfupi - kufungidzira kwehupenyu mumamiriro ezvinhu akadaro kunobva mukuoma kwechirwere chacho. Nezviremera zvakakomba zvenhengo dzomukati uye chinokonzera kukanganisa kamuki mumapfupa, kunyange kurapa kwakarurama hakugone kuunza chibereko chaunoda. Dzimwe nguva adenoma inopera kuva kenza.