Endocrine plab hnyuv siab raum yog tsim los tsim cov tshuaj hormones tseem ceeb thiab tswj cov txheej txheem metabolic. Parathyroid qog yog plaub lub cev me me uas muaj feem xyuam rau kev tswj hwm tus kab mob calcium. Lawv secrete parathyroid hormone ( parathyroid hormone ), uas txhawb nws cov khoom.
Ua rau ntawm cov kab mob parathyroid adenoma
Tus kab mob nyob rau hauv kev txiav txim siab tshwm sim los ntawm noob mutations ntawm proteins uas koom nyob rau hauv kev sib pauv ntawm calcium thiab nws cov kev thauj mus los. Hloov cov qe ntshav muaj peev xwm heev. Lawv pib tsis sib koom nrog, ua rau cov neeg mob parathyroid tumor lossis adenoma benign. Predisposing yam tseem ceeb rau kev pib hloov yog txhua yam khoom ua rau lub cev (raug mob, kev phais) thiab hluav taws xob raug.
Parathyroid adenoma - cov tsos mob
Benign neoplasm muaj peev xwm ua rau nws tus kheej ua tau cov kab mob parathyroid hormone. Nws activates osteoclasts, thiab parathyroid adenoma ua rau tas mus li ntawm cov tshuaj calcium ntawm cov pob txha thiab nws hloov mus rau lub cev. Yog li ntawd, tus neeg pib pib txha, mob plab thiab ntau yam pob txha muaj tshwm sim txawm tias lub cev tsis muaj zog (dhia, hloov ntawm txoj hauj lwm ntawm lub cev, lub teeb lub nrig rau lub plawv). Lwm yam kev qhia tshwj xeeb ntawm cov kab mob parathyroid adenoma:
- poob elasticity ntawm cov hlab ntsha;
- nce systolic ("Upper") siab;
- curvature ntawm sab leeg;
- deformation ntawm pob txha;
- plawv nres;
- deterioration ntawm kev mloog thiab kev muaj peev xwm mloog zoo;
- degradation ntawm kev txawj ntse;
- strokes;
- polyuria;
- lub caij nyoog tsis nco qab, mus txog qhov sib xyaw hauv coma;
- tsis qab los noj mov;
- tsis pom kev;
- xeev siab;
- cem quav;
- tawg rwj nyob rau hauv cov pob txha;
- arthralgia;
- ntuav;
- leeg tsis muaj zog;
- poob phaus;
- kev nyuaj siab;
- kev sib ceg;
- cholecystitis ;
- fibrocystic ostitis;
- loosening thiab ntog tawm ntawm cov hniav zoo;
- diffuse nephrocalcinosis;
- urolithiasis ;
- polydipsia;
- recurrent ulcer ntawm duodenum, plab;
- pancreatitis ;
- steatorrhea;
- calcification ntawm coronary arteries thiab lub plawv kaw;
- qhov chaw ntawm pob qij txha thiab pob txha mos, xws li pob ntseg, ntswg;
- kab mob qia plawv ;
- necrosis ntawm cov kaus mom hauv lub raum thiab lwm tus.
Parathyroid adenoma - mob
Muaj ntau tus kws kho mob koom nrog hauv qhov kev lees paub ntawm cov lus qhia pathology:
- endocrinologist;
- tus kws kho mob plawv;
- neurologist;
- gastroenterologist;
- nephrologist.
Thawj qhov uas yuav tsum tau them yog thaum tus kab mob parathyroid yog tus paub tseeb. Kuaj kev kuaj mob yog ua tiav:
- biochemistry ;
- hormonal vaj huam sib luag;
- cov kev kuaj zis.
Qee lub sij hawm ib qho xim catheterization ntawm cov leeg ua tau los txiav txim seb qhov concentration of parathyroid hormone nyob rau hauv cov ntshav ntws los ntawm cov kab mob parathyroid. Tsis tas li ntawd, cov txheej txheem khoom siv khomob thiab khoom siv khomob kho tau muab rau:
- ultrasound, nrog rau ultrasound ntawm ob lub raum, bile thiab zais zis, txiav thiab thyroid caj pas;
- magnetic resonance imaging lossis computed tomography;
- scintigraphy;
- thermography;
- txoj hnyuv;
- densitometry;
- kev mob nkeeg;
- radiography ntawm pob txha;
- rov ntsuam xyuas chaw;
- echo- thiab electrocardiography;
- txhua hnub kev soj ntsuam ntawm lub siab.
Parathyroid adenoma ntawm ultrasound
Nrog kev pab los ntawm txoj kev tshawb no, nws yog ib qho ua tau los txiav txim siab txog qhov chaw nyob, tus naj npawb, qhov loj me thiab cov qauv ntawm cov hlav benign. Parathyroid adenoma yeej ib txwm provokes ib qho tseem ceeb ntxiv hauv hormone-ua cov plab hnyuv siab raum. Qhov no ua rau lawv pom kev tseeb nrog ultrasound, lawv yeej tsis pom. Lub neoplasm ntawm parathyroid gland txawv los ntawm kev noj qab haus huv cov ntaub so ntswg vim yog echogenicity vim nws heterogeneous qauv. Tus kws kho mob pom ntawm lub voj voos oval los sis sib npaug nrog cov kab ciav uas tau teev muaj tseg, nyob hauv cov kab mob hauv lub cev endocrine.
Parathyroid adenoma - MRI
Lub computer thiab magnetic resonance imaging yog xam ntau txoj kev qhia thiab niaj hnub txoj kev kuaj mob tus kab mob uas tau nthuav qhia. Tus kab mob parathyroid yog txhais tau tias yog lub neoplasm me me uas txo qis nqaij, uas yog qhov txawv ntawm cov nqaij so ntswg uas nyob ze. MRI pab qhia kom meej tsis yog tus naj npawb thiab qhov chaw nyob ntawm adenoma, tab sis kuj yog nws cov qauv, qhov loj thiab kev ua. Rau kev pom kev zoo dua, qhov kev taw qhia txog kev siv tshuaj yeeb sib luag yog qhov pom zoo.
Parathyroid adenoma - kev kho tsis muaj kev phais
Kev siv txoj kev kho tus kab mob hauv kev saib xyuas tau muab tshwj xeeb rau kev phais kev phais. Txawm tias muaj minimally invasive methods, xws li sclerotherapy rau parathyroid adenoma, tsis muaj nyob. Nyob rau ntawm lub tswv yim ntawm kev phais ua ntej kev kho mob ntawm hypercalcemia yog nqa tawm. Nws yog qhov tsim nyog rau txoj kev pab ntawm cov tsos mob uas ua rau muaj tus kab mob parathyroid adenoma - qhov kev kho mob muaj xws li:
- kev siv cov tshuaj muaj yees;
- daim ntawv thov lwm hom tshuaj;
- ua raws li kev noj haus tshwj xeeb.
Parathyroid adenoma - tshuaj
Conservative therapy muab normalization ntawm calcium concentration hauv lub cev thiab kev txiav ntawm nws nce. Ua ntej cov hlab ntsha ntawm cov hlab ntsha tawg tau muab tshem tawm, tus neeg mob tau muab cov tshuaj tua kabmob (nrog rau ib qho kev poob) tshuaj nrog phosphates:
- Dalacin C;
- Ezafosphine;
- Levoflox thiab analogues.
Parathyroid adenoma feem ntau ua rau tus txuam nrog cov kua dej ntau thiab cov co toxin hauv lub cev. Diuretics (Diuretics) pab txhawb kom lawv txawj tshaj tawm rau phais mob:
- Torsid;
- Hypothiazide;
- Furosemide;
- Suprilneo;
- Lasix;
- Torasemide thiab lwm tus.
Parathyroid adenoma - kev kho nrog pej xeem tshuaj
Cov kev kho mob tsis yog tshuaj tsuas yog siv tau tom qab tus kws kho mob pom zoo. Cov pej xeem txoj kev, yuav ua li cas kho ib qho adenoma ntawm parathyroid caj pas, tuaj yeem ua ib qho kev pab cuam. Lawv tsis zom cov qog thiab tsis tua cov tsos mob. Cov zaub mov zoo li no ua rau muaj kev nyhav yooj yim thiab ua rau kom tsis txhob muaj cov kab mob sib kis me ntsis, cov kua dej ntau dhau ntawm cov nqaij.
Tshaj tawm sib tov
Cov khoom xyaw :
- Walnuts - 300 g;
- zib mu, nyiam dua buckwheat - 300 g;
- buckwheat hmoov - 300 g.
Kev npaj, daim ntawv thov
- Grind lub ceev.
- Sib tov tag nrho cov khoom xyaw kom huv si.
- Muaj tshuaj rau 1 hnub hauv ib lub lim tiam, ntxuav nrog dej haus los yog dej.
Kho decoction
Cov khoom xyaw :
- keeb kwm ntawm sorrel - 250 g;
- dej - 2.5 liv.
Kev npaj, daim ntawv thov
- Ncuav zaub raw cov ntaub qhwv nrog dej txias huv.
- Boil cov tshuaj.
- Ua noj rau hluav taws kub heev rau 3 teev.
- Txias thiab lim cov tshuaj.
- Siv 3 zaug ib hnub twg rau 125 ml ntawm cov tshuaj.
Kev noj haus nrog parathyroid adenoma
Qhov kev piav qhia pathology ua rau muaj zog nyob rau theem ntawm cov calcium hauv lub cev. Rau qhov adenoma ntawm cov kabmob parathyroid tau raug tshem tawm, nws yog ib qhov tsim nyog los txo nws. Nyob rau hauv tas li ntawd mus rau lub medicinal txoj kev txo cov concentration ntawm poov hlau, nws yog pom zoo tias ib tug tshwj xeeb kev noj haus raug cai. Parathyroid adenoma yuav tsum noj zaub mov ntau nyob rau hauv phosphorus, vim hais tias qhov no ua rau lub cev tsis muaj zog hypercalcemia.
Cov khoom tsim nyog:
- ceev;
- nceb, tshwj xeeb tshaj yog chanterelles thiab ntxau;
- taub dag noob;
- nplej txhuam;
- sesame;
- kua taum;
- sturgeon caviar;
- buckwheat;
- nqaij npuas daim siab;
- oily ntses;
- tsev cheese, cij;
- yaj;
- fermented mis nyuj khoom;
- qe;
- cw, roob ris, squid;
- legumes thiab lwm tus.
Nws yog txwv tsis pub:
- cawv;
- cov zaub mov kaus poom;
- marinades;
- ntsev (heev heev);
- kas fes.
Kev phais kom tshem tawm cov kab mob parathyroid adenoma
Muaj 3 cov kev xaiv rau kev phais mob phais:
- Ob-sab kev tshawb fawb ntawm lub caj dab. Tus kws kho mob kuaj xyuas tag nrho 4 qhov kev ua haujlwm hauv endocrine, txhawm rau lub neoplasm thiab ua rau tshem tawm cov kab mob parathyroid adenoma.
- Ib txoj kev tshawb ntawm lub caj dab. Tus kws phais neeg soj ntsuam tsuas yog 2 qhov nruab nrog cev, los ntawm sab nqaij uas kuaj tau tus qog, thiab txiav qhov qog. Rau kev lag luam xws li cov ntaub ntawv ntawm nws qhov chaw nyob yog tsim nyog.
- Selective parathyroidectomy. Tus kws kho mob tshem tawm cov adenoma ntawm cov kab mob parathyroid hauv nws qhov chaw nyob. Kev ntsuam xyuas ntawm lwm cov plab hnyuv siab raum yog tsis tawm. Qhov no yog ib txoj kev yooj yim, uas cuam tshuam tshaj plaws thiab cov khoom siv tshwj xeeb. Qhov kev ntxias no yog tus ceev, zoo tshaj plaws thiab muaj kev nyab xeeb.
Ua lub sij hawm tom qab raug tshem tawm cov kab mob parathyroid adenoma
Ua qhov kev kho mob phais ploj muab kev kho mob sai sai rau tus neeg mob. Cov qib calcium uas nyob hauv lub cev yog tus cev ntawm tus hnub thib 2 tom qab qhov tshem tawm ntawm cov kab mob parathyroid adenoma. Hauv tsev kho mob, ib tus neeg tsis pub ntev tshaj 7 hnub. Thaum lub sij hawm no, cov kws kho mob soj ntsuam qhov kho kom zoo, tswj kev ua haujlwm ntawm lub plawv mob thiab qhov concentration ntawm calcium hauv cov ntshav.
Tshem tawm ntawm parathyroid adenoma - lub txim
Tsawg heev (tsawg tshaj li 5% ntawm cov neeg mob) nyob rau hauv cov neeg uas siv phais, hypocalcemia tsim - tsis tshua muaj qib calcium hauv lub cev. Tej kev tshem tawm ntawm qhov kev tshem tawm ntawm parathyroid adenoma thiab nws cov kev tshem tawm raug tshem tawm ntawm qhov kev rov kho mob dua. Rau normalize calcium concentration, noj zaub mov ntau nplua nuj nyob rau hauv no kab kab thiab muaj kev npaj yog siv.
Parathyroid adenoma - kev pom zoo
Feem ntau, qhov kev tshem tawm ntawm lub qog yuav xaus rau kev rov qab ua tiav. Hauv ob peb lub lis piam, kev ua hauj lwm ntawm lub nruab nrog cev thiab qhov kev ua rau endocrine yog rov qab kho, ob lub xyoo kev txhim kho ntawm cov pob txha ploj. Cov hnyav, yog tias lub adenoma ntawm cov kabmob parathyroid tau pom lig - qhov kev mob ntawm lub neej nyob rau hauv xws li yog nyob ntawm qhov mob loj ntawm tus kab mob. Muaj mob loj heev ntawm cov hauv nruab nrog cev thiab ib qho tseem ceeb hauv cov pob txha tsis muaj peev xwm ua rau cov pob txha, txawm tias txoj kev kho yuav tsis tuaj yeem coj cov kev xav tau. Qee lub sij hawm tus adenoma degenerates ua cancer.