Osteitis fibrosa

Osteitis fibrosa ke bothata ba hyperparathyroidism, boemo boo masapo a itseng a fokolang le ho holofala ka mokhoa o sa tloaelehang.

Litšoelesa tsa parathyroid ke litšoelesa tse 4 tse nyane molaleng. Litšoelesa tsena li hlahisa hormone ea parathyroid (PTH). PTH e thusa ho laola maemo a calcium, phosphorus, le vithamine D maling 'me e bohlokoa bakeng sa masapo a phetseng hantle.

Hormone e ngata haholo ea parathyroid (hyperparathyroidism) e ka lebisa ho senyeheng ha masapo, ho ka etsang hore masapo a fokotsehe le ho fokola. Batho ba bangata ba nang le hyperparathyroidism qetellong ba ba le lefu la ho fokola ha masapo. Ha se masapo ohle a arabelang PTH ka tsela e ts'oanang. Ba bang ba ba le libaka tse sa tloaelehang moo lesapo le leng bonolo haholo 'me le se nang khalsiamo ho lona. Hona ke osteitis fibrosa.

Maemong a sa tloaelehang, mofetše oa parathyroid o baka osteitis fibrosa.

Osteitis fibrosa ha e sa fumaneha haholo bathong ba nang le hyperparathyroidism ba nang le phihlello e ntle ea bongaka. E tloaelehile haholo ho batho ba hlahisang hyperparathyroidism ba sa le banyenyane, kapa ba sa alafshoang hyperparathyroidism ka nako e telele.

Osteitis fibrosa e ka baka bohloko ba masapo kapa bonolo. Ho kanna ha ba le ho robeha ha letsoho, maoto, mokokotlo kapa mathata a mang a masapo.

Hyperparathyroidism ka boeona e ka baka tse latelang:

• Ho nyekeloa
• Ho sokela
• Mokhathala
• Ho rota khafetsa
• Bofokoli

Liteko tsa mali li bonts'a boemo bo phahameng ba calcium, hormone ea parathyroid, le alkaline phosphatase (k'hemik'hale ea masapo). Boemo ba Phosphorus maling bo ka ba tlase.

X-ray e ka bonts'a masapo a masesaane, ho robeha, ho inama le li-cysts. Meno x-ray le eona e ka ba e sa tloaelehang.

Ho ka etsoa x-ray ea masapo. Batho ba nang le hyperparathyroidism ba na le monyetla oa ho ba le osteopenia (masapo a masesaane) kapa lefu la masapo (masapo a masesaane haholo) ho feta ho ba le lefuba le felletseng la osteitis fibrosa.

Mathata a mangata a masapo a tsoang ho osteitis fibrosa a ka khutlisoa ka ho buuoa ho tlosa tšoelesa e sa tloaelehang ea parathyroid. Batho ba bang ba kanna ba khetha ho se buuoe, mme ba lateloe ka liteko tsa mali le litekanyo tsa masapo.

Haeba opereishene e sa khonehe, ka linako tse ling meriana e ka sebelisoa ho theola boemo ba calcium.

Mathata a lefu la osteitis fibrosa a kenyelletsa efe kapa efe ea tse latelang:

• Ho robeha ha masapo
• Ho holofala ha masapo
• Bohloko
• Mathata a bakoang ke hyperparathyroidism, joalo ka majoe a liphio le ho hloleha ha liphio

Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le bohloko ba masapo, bonolo kapa matšoao a hyperparathyroidism.

Liteko tsa mali tse etsoang khafetsa nakong ea tlhahlobo ea bongaka kapa bothata bo bong ba bophelo bo botle hangata li fumana boemo bo phahameng ba khalsiamo pele ho etsoa tšenyo e kholo.

Osteitis fibrosa cystica; Hyperparathyroidism - lefu la osteitis fibrosa; Hlahala e sootho ea masapo

• Litšoelesa tsa Parathyroid

Nadol JB, Quesnel AM. Lipontšo tsa Otologic tsa lefu la systemic. 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 151.

Patsch JM, Krestan CR. Metabolic le endocrine lefu la masapo. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison's Tlhatlhobo ea Radiology. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 43.

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.