Osteitis fibrosa

ʻO Osteitis fibrosa kahi pilikia o ka hyperparathyroidism, kahi ʻano e nawaliwali a hemahema hoʻi kekahi mau iwi.

ʻO nā glands parathyroid he 4 mau glands liʻiliʻi ma ka ʻāʻī. Hoʻopuka kēia mau ʻōpū i ka hormone parathyroid (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.

Hiki i ka nui o ka hormone parathyroid (hyperparathyroidism) ke alakaʻi i ka hoʻonui ʻia o ka haʻihaʻi iwi, kahi e hoʻonāwaliwali ai nā iwi a palupalu. Nui ka poʻe me ka hyperparathyroidism e hoʻomōhala i ka osteoporosis. ʻAʻole like nā iwi āpau i ka PTH like me ka like. Hoʻomohala kekahi i nā wahi ʻino kahi palupalu ka iwi a ʻaneʻane ʻaʻohe calcium i loko. ʻO kēia osteitis fibrosa.

I nā hihia maʻamau, loaʻa i ka maʻi ʻaʻai parathyroid ka osteitis fibrosa.

ʻAno loa ʻo Osteitis fibrosa i kēia manawa i ka poʻe i loaʻa ka hyperparathyroidism i hiki ke loaʻa i ka mālama olakino. ʻOi aku ka maʻamau i nā poʻe e hoʻomohala i ka hyperparathyroidism i ka wā ʻōpio, a i ʻole i mālama ʻole ʻia i ka hyperparathyroidism no ka manawa lōʻihi.

Hiki i ka Osteitis fibrosa ke hōʻeha i ka iwi a palupalu paha. Hiki paha i nā haki (haki) i nā lima, nā wāwae, a i ʻole ke kuamoʻo, a i ʻole nā ​​pilikia iwi ʻē aʻe.

Hiki i ka Hyperparathyroidism ke kumu i kekahi o kēia mau mea:

• Nusea
• Konipōpō
• Ka luhi
• Urination pinepine
• Nawaliwali

Hōʻike nā hōʻike koko i kahi kiʻekiʻe o ka puna, parathyroid hormone, a me alkaline phosphatase (kahi kemika iwi). Hiki i ka pae phosphor i ke koko ke haʻahaʻa.

Hiki i nā kukuna X ke hōʻike i nā iwi lahilahi, nā haki, ke kūlou ʻana, a me nā kista. ʻO nā niho x-kukuna he mea ʻokoʻa paha.

E hana ʻia kahi iwi x-ray. Loaʻa ka poʻe me ka hyperparathyroidism i ka osteopenia (iwi lahilahi) a i ʻole osteoporosis (iwi iwi lahilahi) ma mua o ka osteitis fibrosa piha i puhi ʻia.

ʻO ka hapa nui o nā pilikia iwi mai ka osteitis fibrosa hiki ke hoʻohuli ʻia me ke ʻoki ʻana e hemo ai ka gland parathyroid abnormal (s). Koho paha kekahi poʻe i ka hana ʻoki ʻole ʻana, a ukali ʻia me nā hoʻokolohua koko a me nā ana iwi.

Inā hiki ʻole ke ʻoki, hiki i nā lāʻau ke hoʻohana i kekahi manawa e hoʻohaʻahaʻa i ka pae o ka calcium.

Hoʻopili nā pilikia o ka osteitis fibrosa i kekahi o kēia mau mea:

• Haki iwi
• Nā hemahema o ka iwi
• ʻEha
• Nā pilikia ma muli o hyperparathyroidism, e like me nā pōhaku hakuʻala a me nā kōpaʻa ʻole

Kāhea aku i kāu mea mālama ola inā loaʻa iā ʻoe ka ʻeha o ka iwi, palupalu, a i ʻole nā ​​ʻōuli o hyperparathyroidism.

Hana ʻia nā hoʻokolohua koko maʻamau i ka wā o ka lāʻau lapaʻau a i ʻole no kahi pilikia olakino ʻē aʻe e ʻike pinepine i kahi pae calcium ma mua o ka hana ʻia ʻana o nā pōʻino nui.

Osteitis fibrosa cystica; Hyperparathyroidism - osteitis fibrosa; Brown tumora iwi

• Nūʻau parathyroid

Nadol JB, Quesnel AM. Hōʻike Otologic o ka maʻi ʻōnaehana. 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 151.

ʻO Patsch JM, Krestan CR. ʻO ka maʻi skeletal Metabolic a me ka endocrine. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 43.

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.