ʻO ka hemo ʻana o Parlandroid gland

ʻO Parathyroidectomy kahi ʻoki e wehe ai i nā gland parathyroid a i ʻole nā ​​tumors parathyroid. Aia nā glandy parathyroid ma hope o kou gland thyroid i kou ʻāʻī. Kōkua kēia mau glands i kou kino e kaohi i ka pae calcium i loko o ke koko.

E loaʻa iā ʻoe ka anesthesia laulā (hiamoe a ʻaʻohe ʻeha) no kēia ʻoki kino.

Lawe ʻia nā gland parathyroid me ka hoʻohana ʻana i kahi ʻoki ʻoki 2- a i 4 iniha (5- a 10-cm) ma kou ʻāʻī. Ma ke ʻoki kino:

• Hana pinepine ʻia keʻoki i waenakonu o kou ʻāʻī ma lalo o kāu ʻāpala ʻo Adam.
• E ʻimi ana kāu kauka lāʻau i nā gland parathyroid ʻehā a hemo i nā mea maʻi.
• Loaʻa paha iā ʻoe kahi hoʻokolohua koko kūikawā i ka wā o ke ʻoki e haʻi inā ua lawe ʻia nā ʻōpala maʻi āpau.
• I nā hihia maʻamau, ke pono e hemo i kēia mau glands ʻehā, lawe ʻia kahi ʻāpana o kekahi i ka forearm. A i ʻole, hoʻoili ʻia i loko o kahi mākala i mua o kou ʻāʻī e pili ana i ka gland thyroid. Kōkua kēia i ka mālama ʻana i ka pae calcium o kou kino i kahi pae olakino.

Pili ke ʻano kikoʻī i ke ʻano o nā kaha parathyroid maʻi. Nā ʻano o ke ʻoki pū:

• ʻO ka parathyroidectomy hōʻemi liʻiliʻi. Loaʻa paha iā ʻoe kahi kī o kahi mea liʻiliʻi o ka tracer radioactive ma mua o kēia ʻoki ʻana. Kōkua kēia i ka hōʻailona o nā gland maʻi. Inā loaʻa iā ʻoe kēia kī, e hoʻohana ana kāu kauka lāʻau i kahi ʻimi kuʻuna kūikawā, e like me kahi counter Geiger, e ʻimi ai i ka gland parathyroid. E ʻokiʻoki kou kaukipona (1 a 2 ʻīniha; a i ʻole 2.5 a 5 cm) ma kekahi ʻaoʻao o kou ʻāʻī, a laila e hoʻoneʻe i ke gland maʻi ma o. ʻO kēia kaʻina hana ma kahi o 1 hola.
• Parathyroidectomy i kōkua ʻia e ka wikiō. E ʻokiʻoki kāu kaukipona i ʻāʻī i kou ʻāʻī. Hoʻokahi no nā mea kani, a ʻo kekahi no kāmela. E hoʻohana kāu kauka lāʻau i ke kāmela e nānā i ka wahi a e hoʻoneʻe i nā aʻa maʻi me nā mea kani.
• Endoscopic parathyroidectomy. E ʻoki aku kāu kauka lapaʻau i ʻelua a ʻekolu paha mau ʻoki liʻiliʻi i mua o kou ʻāʻī a ʻokiʻoki hoʻokahi ma luna o ka piko o kou iwi iwi. Hoʻoemi kēia i ka scarring ʻike ʻia, ka ʻeha, a me ka manawa hoʻōla. ʻO kēia ʻoki ma lalo o 2 ʻīniha (5 cm) ka lōʻihi. ʻO ke kaʻina hana e hemo ai i kekahi glands parathyroid maʻi e like me ka video-kōkua parathyroidectomy.

Hiki i kāu kauka olakino ke koi i kēia ʻoki inā loaʻa i hoʻokahi a ʻoi paha o kāu gland parathyroid e hana nei i ka nui o ka hormone parathyroid. Kapa ʻia kēia ʻano he hyperparathyroidism. Hoʻokumu pinepine ʻia ia e kahi tumo non-cancerous (benign) i kapa ʻia he adenoma.

E noʻonoʻo kāu kauka lāʻau i nā kumu he nui i ka hoʻoholo ʻana inā e hana i ke ʻoki a me ke ʻano o ke ʻoki āu e ʻoi loa no ʻoe. ʻO kekahi o kēia mau kumu i:

• Kou makahiki
• Nā pae kalepona i kou mimi a me kou koko
• Inā he ʻōuli kou

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau a i ʻole nā ​​pilikia hanu
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

Nā pilikia no ka parathyroidectomy:

• ʻO ka hōʻeha i ka pona thyroid a i ʻole ka pono e hemo i kahi ʻāpana o ka thyroid.
• Hypoparathyroidism. Hiki i kēia ke alakaʻi i nā pae calcium liʻiliʻi e weliweli i kou olakino.
• E hōʻeha i nā aʻalolo e hele nei i nā mākala e hoʻoneʻe i kāu mau kaula leo. Loaʻa paha iā ʻoe kahi leo haʻalulu a nāwaliwali paha i hiki ke lilo i manawa pōkole a paʻa paha.
• Hanu paʻakikī. Kākaʻikahi loa kēia a ʻaneʻane hele mau i kekahi mau pule a i ʻole mau mahina ma hope o ke kahakaha ʻana.

Liʻiliʻi loa nā aʻa o Parathyroid. Pono paha ʻoe e loaʻa i nā hoʻokolohua e hōʻike pololei i kahi o kāu mau ʻōpū. E kōkua kēia i kāu kaukipoki e ʻike i kāu glands parathyroid i ke kau ʻana. ʻElua mau hoʻokolohua āu e loaʻa ai he CT scan a me kahi ultrasound.

E haʻi i kāu kauka.

• Inā hāpai ʻoe a hāpai paha ʻoe
• He aha nā lāʻau, nā wikamina, nā mea kanu, a me nā mea hoʻopili ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau

I loko o ka pule ma mua o kou ʻoki kino:

• Hoʻopiha i nā kuhikuhi no ka lāʻau ʻeha a me ka calcium e pono ai ma hope o ka ʻoki ʻana.
• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi. Hoʻopili kēia i nā NSAIDs (aspirin, ibuprofen), vitamina E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), a me clopidegrel (Plavix).
• E noi i kāu kaukipona i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole a me ka inu.
• E lawe i nā lāʻau a kāu kauka lāʻau i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

ʻO ka manawa pinepine, hiki i ka poʻe ke hoʻi i ka home i ka lā like i loaʻa ai lākou i ke kaʻi. Hiki iā ʻoe ke hoʻomaka i kāu hana i kēlā me kēia lā i kekahi mau lā. Ma kahi o 1 a 3 mau pule paha e hoola loa ai ʻoe.

Pono e mālama maʻemaʻe a maloʻo ka wahi ʻoki. Pono paha ʻoe e inu i nā wai a ʻai i nā meaʻai palupalu no hoʻokahi lā.

Kāhea i kāu kaukipō inā loaʻa ʻoe i kahi numbness a i ʻole tingling a puni kou waha i nā 24 a 48 mau hola ma hope o ke kahakaha ʻana. Hoʻokumu ʻia kēia e ka haʻahaʻa calcium. E hāhai i nā ʻōkuhi e pili ana i ka lawe ʻana i kāu mau pāʻina calcium.

Ma hope o kēia kaʻina hana, pono ʻoe i nā hoʻokolohua koko maʻamau e nānā i kāu pae calcium.

E ola maʻamau ka poʻe ma hope koke o kēia ʻoki. ʻOi aku paha ka wikiwiki o ka hoʻōla ke hoʻohana ʻia nā ʻenehana hōʻemi.

I kekahi manawa, pono ke kahi ʻoki hou e kāpae i ka nui o nā aʻa parathyroid.

Ka wehe ʻana i ka gland parathyroid; Parathyroidectomy; Hyperparathyroidism - parathyroidectomy; PTH - parathyroidectomy

• Mālama ʻeha ʻeha - wehe

• Parathyroidectomy
• Parathyroidectomy - moʻo

ʻO Coan KE, Wang TS. ʻO Hyperparathyroidism kumu. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 779-785.

ʻO Quinn CE, ʻo Udelsman R. ʻO nā gland parathyroid. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 37.