ʻO ka wehe ʻana o Parlandroid Gland

Anter

• He aha ka wehe ʻana o ka gland parathyroid?
• No ke aha e pono ai iaʻu kahi hemo gland parathyroid?
• Nā ʻōuli o hypercalcemia
• Nā ʻano o ke kaha ʻana o ke gland parathyroid
• Parathyroidectomy alakaʻi-lekiō
• Pākuʻi wikiō i kōkua ʻia (i kapa ʻia ʻo endoscopic parathyroidectomy)
• Ke hoʻomākaukau nei no ka ʻoki kino
• Nā pilikia o ke kaha ʻana
• Ma hope o ke kahakaha ʻana

He aha ka wehe ʻana o ka gland parathyroid?

Aia nā glands parathyroid i ʻehā mau ʻāpana liʻiliʻi a liʻiliʻi. Hoʻopili lākou i ka hope o ka pona thyroid i kou ʻāʻī. ʻO kēia mau gland kahi ʻāpana o ka ʻōnaehana endocrine. Hoʻopuka a hoʻoponopono kāu ʻōnaehana endocrine i nā hormoni e hoʻopili ai i kou ulu ʻana, hoʻomohala ʻana, hana o ke kino, a me kou ʻano.

Hoʻoponopono nā ʻōpala Parathyroid i ka nui o ka calcium i loko o kou koko. Ke haʻahaʻa ka pae calcium i kāu kahe o ke koko, hoʻokuʻu kēia mau ʻōpala i ka hormone parathyroid (PTH), e lawe i ka calcium mai kou mau iwi.

ʻO ka wehe ʻana o gland parathyroid e pili ana i kahi ʻano o ke kaha ʻana i hana ʻia e wehe i kēia mau glands. ʻIke ʻia kekahi parathyroidectomy. Hiki ke hoʻohana ʻia kēia ʻoki inā loaʻa i kou koko ka nui o ka puna i loko. ʻO kēia kahi kūlana i kapa ʻia ʻo hypercalcemia.

No ke aha e pono ai iaʻu kahi hemo gland parathyroid?

Hana ʻia ʻo Hypercalcemia ke kiʻekiʻe kiʻekiʻe ʻole nā ​​kōkona o ke kō. ʻO ke kumu maʻamau o ka hypercalcemia kahi hana nui o PTH i hoʻokahi a ʻoi paha nā gland parathyroid. ʻO kēia kahi ʻano o hyperparathyroidism i kapa ʻia ʻo hyperparathyroidism mua. ʻO ka hyperparathyroidism mua ka mea i ʻoi aku ka nui ma mua o ka wahine ma mua o nā kāne. ʻO ka hapa nui o ka poʻe i ʻike ʻia me ka hyperthyroidism mua ma mua o 45 mau makahiki. ʻO ka makahiki maʻamau o ka hōʻailona aia ma kahi o 65 mau makahiki.

Hiki paha iā ʻoe ke wehe i ka gland parathyroid inā loaʻa iā ʻoe:

• nā tumors i kapa ʻia he adenomas, he maʻa pinepine ia a ʻaʻole huli iki i maʻi ʻaʻai
• ʻōpū puʻukū ma a i ʻole kokoke i nā glands
• hyperplasia parathyroid, kahi kūlana kahi e hoʻonui ʻia ai nā ʻehā o ka parathyroid.

Hiki ke piʻi aʻe nā pae o ke kōpiʻi inā hoʻokahi wale nō gland e hoʻopili ʻia. Hoʻokahi wale nō gland parathyroid e pili ana ma kahi o 80 a 85 pakeneka o nā hihia.

Nā ʻōuli o hypercalcemia

Hiki ke ʻike ʻole ʻia nā ʻōuli ma ke kaʻina mua o hypercalcemia. Ke holo nei ke ʻano, loaʻa paha iā ʻoe:

• luhi
• kaumaha
• ʻeha ka ʻili
• he nalowale o ka makemake
• nausea
• ka luaʻi
• make wai nui loa
• urination pinepine
• abdominal eha
• kōpaʻa
• nāwaliwali o nā mākala
• huikau
• pōhaku kīhāpai
• haki iwi

ʻO ka poʻe me ka ʻole o nā ʻōuli e pono ke nānā wale. Hiki ke mālama ʻia i nā hihia mehana. Eia nō naʻe, inā pili ka hypercalcemia i ka hyperparathyroidism mua, ʻo ke kahakaha wale nō e wehe i ka gland parathyroid i luhi ʻia e hāʻawi i kahi lāʻau.

ʻO nā hopena koʻikoʻi loa o hypercalcemia:

• hakuʻala ʻole
• hypertension
• arrhythmia
• maʻi ahulau coronary
• he puuwai hoʻonui
• atherosclerosis (nā aʻa me nā plaque momona momona i lilo i paʻakikī a hana maʻamau)

Hiki paha kēia i ka buildup o ka calcium i loko o nā aʻa a me nā puʻuwai puʻuwai.

Nā ʻano o ke kaha ʻana o ke gland parathyroid

Aia kekahi mau ala ʻokoʻa i ka ʻimi a me ka wehe ʻana i nā gland parathyroid maʻi.

I ke kuʻuna kuʻuna, ʻike kāu kauka lāʻau i nā glands ʻehā āpau e ʻike ai i nā mea maʻi a pono e hemo. Kapa ʻia kēia he ʻimi ʻimi āpau. Hoʻokomo kāu kauka lāʻau i kahi ʻoki i waena a hoʻohaʻahaʻa i ka ʻāʻī o kou ʻāʻī. I kekahi manawa, wehe ke kauka lāʻau i nā glands ʻelua ma ka ʻaoʻao hoʻokahi.

Inā loaʻa iā ʻoe kahi kiʻi e hōʻike ai i hoʻokahi wale nō gland maʻi ma mua o kou ʻoki ʻana, loaʻa paha iā ʻoe kahi parathyroidectomy liʻiliʻi loa me kahi incision liʻiliʻi loa (ma lalo o 1 iniha ka lōʻihi). Nā laʻana o nā ʻenehana i hiki ke hoʻohana ʻia i kēia ʻano ʻoki, pono paha i kahi mau ʻoki liʻiliʻi, e hoʻopili pū me:

Parathyroidectomy alakaʻi-lekiō

I loko o kahi parathyroidectomy i alakaʻi ʻia i ka lekiō, hoʻohana kāu kaukipō i nā mea radioactive e loaʻa i nā glands parathyroid ʻehā. Hiki i kahi kuʻina kūikawā ke huli i ke kumu o ka pāhawewe mai kēlā me kēia gland i mea e hoʻonohonoho ai a loaʻa i ka gland parathyroid. Inā hoʻokahi a ʻelua paha ma ka ʻaoʻao like ka maʻi, pono wale i kāu mea lapaʻau e hana i kahi ʻokiʻoki liʻiliʻi e wehe i nā gland maʻi.

Pākuʻi wikiō i kōkua ʻia (i kapa ʻia ʻo endoscopic parathyroidectomy)

I loko o kahi parathyroidectomy i kōkua ʻia e ka wikiō, hoʻohana kāu mea hoʻopuka i kahi kāmela liʻiliʻi ma ka endoscope. Me kēia ala, hana kāu lāʻau lapaʻau i ʻelua a i ʻole ʻekolu mau ʻoki liʻiliʻi no ka endoscope a me nā mea hana ʻoki lāʻau i nā ʻaoʻao o ka ʻāʻī a me hoʻokahi ʻoki ma luna o ka umauma. Hoʻoemi kēia i ka scarring ʻike ʻia.

Hāʻawi ka parathyroidectomy minimally invasive i kahi ola wikiwiki. Eia nō naʻe, inā ʻaʻole ʻike ʻia a wehe ʻia nā glands maʻi a pau, e hoʻomau ka pae o ka calcium kiʻekiʻe, a aia paha he pono no kahi ʻoki ʻelua.

ʻO ka poʻe me ka hyperplasia parathyroid (e hoʻopili ana i nā glands ʻehā) e hemo maʻamau he ʻekolu a me ka hapalua mau gland parathyroid. E waiho ka mea lapaʻau i nā mea i koe e kāohi i nā pae o ke kōkō o ke koko. Eia nō naʻe, i kekahi mau hihia e hoʻoneʻe ʻia ke kino glanda parathyroid e pono ai e noho i loko o ke kino mai ka ʻāʻī o ka ʻāʻī a hoʻokomo ʻia i kahi wahi maʻalahi, e like me ka forearm, inā pono e hemo hope.

Ke hoʻomākaukau nei no ka ʻoki kino

Pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau e hoʻopōpō i ka hiki o ke kōkō ʻana o ke koko ma kahi o hoʻokahi pule ma mua o ke kahakaha ʻana. Pākuʻi ʻia kēia mau mea:

• aspirin
• klopidogrel
• ibuprofen (Advil)
• naproxen (Aleve)
• Warfarin

E nānā hou kāu anesthesiologist i kāu mōʻaukala olakino me ʻoe a hoʻoholo i ke ʻano o ka anesthesia e hoʻohana ai. Pono ʻoe e hoʻokē ʻai ma mua o ke kahakaha ʻana.

Nā pilikia o ke kaha ʻana

ʻO nā pilikia o kēia ʻoki pū me nā pilikia e pili ana me nā ʻano ʻoki ʻē aʻe. ʻO ka mea mua, hiki i ka anesthesia ākea ke kumu i nā pilikia hanu a me nā maʻi āpau a i ʻole nā ​​hopena ʻē aʻe i nā lāʻau i hoʻohana ʻia. E like me nā ʻoki ʻana ʻē aʻe, hiki nō hoʻi ke kahe ʻana i ke kahe a me ka maʻi.

ʻO nā makaʻu mai kēia ʻoki ponoʻī e pili ana i nā hōʻeha i ka pona thyroid a me kahi aʻa i ka ʻāʻī e kaohi ana i nā kaula leo. I nā hihia maʻamau, loaʻa paha ʻoe i nā pilikia hanu. Hele pinepine kēia i kekahi mau pule a i ʻole mau mahina ma hope o ke kaha ʻana.

Kulu pinepine nā pae pālū koko ma hope o kēia ʻoki ʻana. Ke hele a haʻahaʻa ke kiʻekiʻe o ke kō o ke kō, ua kapa ʻia kēia ʻo hypocalcemia. Ke hiki kēia, ʻike paha ʻoe i ka helu a i ʻole ke kani ʻana i ka manamana, nā manamana wāwae, a me nā lehelehe. Kākoʻo maʻalahi ʻia a mālama ʻia paha me nā mea hoʻopiha calcium, a pane koke kēia ʻano i nā mea hoʻopiha. ʻAʻole mau ia.

E noʻonoʻo paha ʻoe i ke kiʻi ʻana i kahi kauka lōkō loa e hōʻemi i nā kumu pilikia. ʻO nā kauka nāna e hana ma ka liʻiliʻi he 50 mau parathyroidectomies i kēlā me kēia makahiki i manaʻo ʻia he loea. E loaʻa paha i kahi loea mākaukau nā uku haʻahaʻa o nā pilikia o ke kīpoki. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole hiki ke hoʻohiki ʻia kahi ʻoki āpau me ka ʻole o nā pilikia.

Ma hope o ke kahakaha ʻana

Hiki paha iā ʻoe ke hoʻi i ka home i ka lā like o ke ʻoki a moe i ka pō i ka haukapila. Aia kahi maʻamau i kahi ʻeha i manaʻo ʻia a hōʻoluʻolu ʻole paha ma hope o ke kaha ʻana, e like me ka ʻāʻī ʻeha. Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o hoʻokahi pule a ʻelua paha, akā hiki ke ʻokoʻa i kēlā me kēia kanaka.

Ma ke ʻano he mālama, e kiaʻi ʻia ana kou pae calcium a me nā pae PTH no ʻeono mau mahina ma hope o ke kaha ʻana. Lawe paha ʻoe i nā mea hoʻopihapiha no hoʻokahi makahiki ma hope o ke kaha ʻana e kūkulu hou i nā iwi i ʻaihue ʻia o ka puna.