Parathyroid adenoma

ʻO kahi parathyroid adenoma kahi tumo noncancerous (benign) o nā kelena parathyroid. Aia nā aʻa parathyroid i ka ʻāʻī, kokoke a pili paha i ka ʻaoʻao hope o ka pona thyroid.

Kōkua nā ʻōpala parathyroid i ka ʻāʻī e kaohi i ka hoʻohana ʻana o ka kalipuna a lawe ʻia e ke kino. Hana lākou i kēia ma ka hana ʻana i ka hormone parathyroid, a i ʻole PTH. Kōkua ʻo PTH i ka mālama ʻana i ka pae o ka calcium, phosphorus, a me ka wikamina D i loko o ke koko a he mea nui ia no nā iwi olakino.

ʻO nā adenomas parathyroid he mea maʻamau. ʻO ka hapa nui o nā adenomas parathyroid ʻaʻohe kumu i ʻike ʻia. I kekahi manawa pilikia ka nohona ke kumu. ʻOi aku ka maʻamau kēia inā hana ʻia ka maʻi ʻōpio i kou wā ʻōpio.

ʻO nā kūlana e hoʻonāukiuki i nā gland parathyroid e nui aʻe hiki ke hana i kahi adenoma. Pākuʻi ʻia kēia mau mea:

• Nā maʻi genetic
• Lawe i ka lāʻau lithium
• Maʻi maʻi ʻōniʻoniʻo

ʻO nā wahine ma mua o 60 mau makahiki ka nui o ka makaʻu no ka hoʻomohala ʻana i kēia ʻano. Hoʻonui ka hoʻomālamalama i ke poʻo a i ʻole ʻāʻī i ka makaʻu.

Nui nā kānaka ʻaʻohe ʻōuli. ʻIke pinepine ʻia ke ʻano ke hana ʻia nā hoʻokolohua koko no kekahi kumu lapaʻau ʻē aʻe.

ʻO ka Parathyroid adenomas ke kumu maʻamau o hyperparathyroidism (overactive parathyroid glands), kahi e alakaʻi ai i ka hoʻonui ʻia o ke kiʻekiʻe o ka calcium.Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Huikau
• Konipōpō
• Ka nele o ka ikehu (lethargy)
• ʻEha ʻeha
• Nausea a hoʻemi i ka makemake nui
• ʻO ka mimiki pinepine ʻana i ka pō
• Nā iwi palupalu a haki paha

E hana ʻia paha nā hoʻokolohua koko e nānā i nā pae o:

• PTH
• Kalipuna
• Pākuʻi
• Wikamina D

E hana ʻia paha kahi hōʻoia mimi he 24 mau hola e nānā ai no ka hoʻonui ʻia o ka calcium i ka mimi.

ʻO nā hōʻike ʻē aʻe kekahi:

• ʻImi hoʻāʻo iwi
• ʻO ke ultrasound kidney a CT paha (hiki ke hōʻike i nā pōhaku a me ka helu ʻana)
• Nā Sinā x-ray (e hōʻike paha i nā pōhaku hakuʻala)
• MRI
• Kī ultrasound
• ʻO Sestamibi neck scan (e ʻike ai i kahi o ka parathyroid adenoma)

ʻO ke ʻoki kino ka lapaʻau maʻamau, a hoʻōla pinepine ia i ke ʻano. Akā, koho kekahi poʻe e loaʻa wale i nā mea nānā maʻamau me kā lākou kahu mālama ola inā akahai ke ʻano.

I mea e hoʻomaikaʻi ai i ke ʻano, e noi paha kāu mea hāʻawi iā ʻoe e haʻalele i ka lawe ʻana i nā pāʻina calcium a me nā huaora D. ʻO nā wahine i hele i loko o ka menopause makemake paha e kūkākūkā i ka mālama ʻana me ka estrogen.

Ke mālama ʻia, maikaʻi wale ka nānā.

ʻO ka Osteoporosis a me ka nui o ka makaʻu no ka haki iwi ka hopohopo maʻamau.

ʻOi aku ka liʻiliʻi o nā pilikia ʻē aʻe, akā hiki ke hoʻopili ʻia:

• Nā Nefrocalcinosis (nā waihona kalima i nā puʻupaʻa e hiki ai ke hōʻemi i ka hana o nā puʻupaʻa)
• Osteitis fibrosa cystica (palupalu, nāwaliwali i nā iwi)

Nā pilikia mai ke ʻoki ʻana:

• Hoʻopōʻino i ke aʻalolo e kaohi i kou leo
• ʻO ka hōʻino i nā gland parathyroid, ka mea i kumu i ka hypoparathyroidism (ka nele o ka lawa o ka hormone parathyroid) a me ka pae calcium liʻiliʻi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia ʻano.

Hyperparathyroidism - parathyroid adenoma; Overactive parathyroid gland - parathyroid adenoma

• Nānā Endocrine
• Nūʻau parathyroid

ʻO Reid LM, Kamani D, Randolph GW. Ka mālama ʻana i nā maʻi parathyroid. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 123.

ʻO Silverberg SJ, Bilezikian JP. ʻO ka hyperparathyroidism kumu. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 63.

ʻO Thakker RV. ʻO nā gland parathyroid, hypercalcemia, a me hypocalcemia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 232.