Parathyroid adenoma

Parathyroid adenoma ke sehlahala se seng sa kankere (benign) sa litšoelesa tsa parathyroid. Litšoelesa tsa parathyroid li molaleng, haufi kapa li hokelletsoe ka morao lehlakoreng la qoqotho.

Litšoelesa tsa parathyroid tse molaleng li thusa ho laola tšebeliso le kh'halsiamo ke 'mele. Ba etsa sena ka ho hlahisa hormone ea parathyroid, kapa PTH. PTH e thusa ho laola maemo a calcium, phosphorus, le vithamine D maling 'me e bohlokoa bakeng sa masapo a phetseng hantle.

Parathyroid adenomas e tloaelehile. Boholo ba li-adenomas tsa parathyroid ha li na sesosa se tsebahalang. Ka linako tse ling bothata ba liphatsa tsa lefutso ke sesosa. Sena se atile haholo haeba tšoaetso e etsoa ha u le monyane.

Maemo a etsang hore litšoelesa tsa parathyroid li hōle le tsona li ka baka adenoma. Tsena li kenyelletsa:

• Mathata a liphatsa tsa lefutso
• Ho nka lithethefatsi lithium
• Lefu le sa foleng la liphio

Basali ba ka holimo ho lilemo tse 60 ba kotsing e kholo ea ho ba le boemo bona. Mahlaseli a kotsi hloohong kapa molaleng le ona a eketsa kotsi.

Batho ba bangata ha ba na matšoao. Boemo bona hangata bo fumanoa ha liteko tsa mali li etsoa ka lebaka le leng la bongaka.

Parathyroid adenomas ke sesosa se tloaelehileng ka ho fetisisa sa hyperparathyroidism (litšoelesa tse feteletseng tsa parathyroid), tse lebisang ho keketseho ea mali ea calcium.Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Pherekano
• Ho sokela
• Ho hloka matla (botsitso)
• Bohloko ba mesifa
• Ho nyekeloa kapa takatso ea lijo e fokotsehileng
• Ho rota hangata bosiu
• Masapo a fokolang kapa ho robeha hoa mmele

Liteko tsa mali li ka etsoa ho hlahloba maemo a:

• PTH
• K'halsiamo
• Phosphorus
• Vithamine D.

Ho ka etsoa liteko tsa lihora tse 24 ho hlahloba khalsiamo e eketsehileng morong.

Liteko tse ling li kenyelletsa:

• Tlhahlobo ea masapo
• Liphio ultrasound kapa CT scan (e ka bonts'a majoe a liphio kapa calcification)
• Liphio tsa x-ray (li ka bontša majoe a liphio)
• MRI
• Neck ultrasound
• Sesepa sa molala oa Sestamibi (ho khetholla sebaka sa parathyroid adenoma)

Ho buoa ke kalafo e atileng haholo, 'me hangata ho folisa boemo boo. Empa, batho ba bang ba khetha ho ea hlahlojoa khafetsa le mofani oa bona oa tlhokomelo ea bophelo haeba boemo bo le bobebe.

Ho thusa ho ntlafatsa boemo, mofani oa hau a ka u kopa ho emisa ho noa calcium le vithamine D. Basali ba seng ba fetile nako ea ho ilela khoeli ba ka batla ho bua ka kalafo le estrogen.

Ha u phekoloa, ka kakaretso pono e ntle.

Ho fokola ha masapo le kotsi e eketsehileng ea ho robeha ha masapo ke eona ntho e amehang ka ho fetisisa.

Mathata a mang ha a tloaelehe haholo, empa a ka kenyelletsa:

• Nephrocalcinosis (calcium e bolokiloeng liphio e ka fokotsang ts'ebetso ea liphio)
• Osteitis fibrosa cystica (e nolofalitsoeng, libaka tse fokolang masapong)

Mathata a tsoang ho buuoa a kenyelletsa:

• Tšenyo ea methapo e laolang lentsoe la hau
• Tšenyo ea litšoelesa tsa parathyroid, tse bakang hypoparathyroidism (ho hloka hormone e lekaneng ea parathyroid) le boemo bo tlase ba calcium

Bitsa mofani oa hau haeba u na le matšoao a boemo bona.

Hyperparathyroidism - parathyroid adenoma; Ho feteletseng parathyroid tšoelesa - parathyroid adenoma

• Litšoelesa tsa endocrine
• Litšoelesa tsa Parathyroid

Reid LM, Kamani D, Randolph GW. Tsamaiso ea mathata a parathyroid. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 123.

Silverberg SJ, Bilezikian JP. Matšoao a mantlha a hyperparathyroidism. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 63.

Thakker RV. Litšoelesa tsa parathyroid, hypercalcemia le hypocalcemia. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 232.