Parathyroid adenoma

Cutar parathyroid adenoma cuta ce mara ciwo (mara kyau) na gland. Glandan parathyroid suna cikin wuyansa, kusa ko haɗe da gefen gefen glandar thyroid.

Kwayoyin parathyroid a cikin wuya suna taimakawa sarrafa amfani da alli da cirewa ta jiki. Suna yin hakan ta hanyar samar da homon na parathyroid, ko PTH. PTH yana taimakawa sarrafa alli, phosphorus, da matakan bitamin D a cikin jini kuma yana da mahimmanci ga ƙoshin lafiya.

Parathyroid adenomas na kowa ne. Mafi yawan adenomas na parathyroid ba su da wani dalilin ganowa. Wani lokaci matsalar kwayar halitta ce ke haifar da hakan. Wannan ya fi zama ruwan dare idan aka gano asalin lokacin da kake saurayi.

Yanayin da ke motsa glandon parathyroid don yin girma zai iya haifar da adenoma. Wadannan sun hada da:

• Kwayar cuta
• Shan shan lithium
• Ciwon koda na kullum

Mata sama da shekaru 60 suna da haɗarin haɗarin kamuwa da wannan yanayin. Radiation zuwa kai ko wuya shima yana ƙara haɗarin.

Mutane da yawa ba su da alamun bayyanar. Ana gano yanayin sau da yawa lokacin da aka yi gwajin jini don wani dalili na likita.

Parathyroid adenomas sune mafi yawan sanadin hyperparathyroidism (gland na parathyroid gland), wanda ke haifar da ƙarancin alli na jini.Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Rikicewa
• Maƙarƙashiya
• Rashin kuzari (rashin nutsuwa)
• Ciwon tsoka
• Tashin zuciya ko rage abinci
• Yawan yin fitsari da daddare
• Kasusuwa ko rauni

Ana iya yin gwajin jini don bincika matakan:

• PTH
• Alli
• Phosphorus
• Vitamin D

Za'a iya yin gwajin fitsari na sa'o'i 24 don a kara samun sinadarin calcium a cikin fitsarin.

Sauran gwaje-gwaje sun haɗa da:

• Gwajin ƙimar ƙashi
• Koda duban dan tayi ko CT scan (na iya nuna duwatsun koda ko lissafi)
• X-rays na koda (na iya nuna duwatsun koda)
• MRI
• Neck duban dan tayi
• Sestamibi wuyan hoton (don gano wurin da parathyroid adenoma yake)

Yin aikin tiyata shi ne magani da aka fi sani, kuma yakan warkar da yanayin. Amma, wasu mutane sun zaɓi yin bincike na yau da kullun tare da mai ba da kiwon lafiya idan yanayin ya kasance mai sauƙi.

Don taimakawa inganta yanayin, mai ba ku sabis na iya tambayar ku ku daina shan ƙwayoyin calcium da bitamin D. Matan da suka gama al'adar al'ada na iya son tattauna batun maganin estrogen.

Idan aka bi da mu, hangen nesa gabaɗaya yana da kyau.

Osteoporosis da ƙarin haɗari ga raunin kasusuwa shine damuwa mafi mahimmanci.

Sauran rikitarwa ba su da yawa, amma na iya haɗawa da:

• Nephrocalcinosis (alli adana a cikin kodan da zai iya rage aikin koda)
• Osteitis fibrosa cystica (laushi, wurare masu rauni a cikin ƙasusuwa)

Matsaloli daga tiyata sun hada da:

• Lalacewa akan jijiyar dake sarrafa muryar ka
• Lalacewa ga gland na parathyroid, wanda ke haifar da hypoparathyroidism (rashin isasshen hormone parathyroid) da ƙarancin alli

Kira mai ba ku sabis idan kuna da alamun wannan yanayin.

Hyperparathyroidism - parathyroid adenoma; Overactive parathyroid gland - parathyroid adenoma

• Endocrine gland
• Parathyroid gland

Reid LM, Kamani D, Randolph GW. Gudanar da cututtukan parathyroid. A cikin: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 123.

Silverberg SJ, Bilezikian JP. Farin jini na farko. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 63.

Thakker RV. Kwayoyin parathyroid, hypercalcemia, da hypocalcemia. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 232.