Osteitis fibrosa

Osteitis fibrosa matsala ce ta hyperparathyroidism, yanayin da wasu ƙasusuwa ke zama mara ƙarfi ƙwarai da nakasa.

Glandan parathyroid sune ƙananan gland 4 a cikin wuya. Wadannan gland din suna samar da parathyroid hormone (PTH). PTH yana taimakawa sarrafa alli, phosphorus, da matakan bitamin D a cikin jini kuma yana da mahimmanci ga ƙoshin lafiya.

Yawancin kwayar cutar parathyroid (hyperparathyroidism) na iya haifar da karuwar kashi, wanda zai iya haifar da kasusuwa su zama masu rauni da kara rauni. Mutane da yawa da ke fama da cutar hyperparathyroidism a ƙarshe suna haifar da osteoporosis. Ba duk kasusuwa ke amsa PTH ba. Wasu suna samun wuraren da ba na al'ada ba inda ƙashi yake da taushi sosai kuma kusan ba shi da alli a ciki. Wannan shine osteitis fibrosa.

A cikin al'amuran da ba safai ba, ciwon sankara na parathyroid na haifar da osteitis fibrosa.

Osteitis fibrosa yanzu ba safai ake samun sa ba ga mutanen da ke da hyperparathyroidism waɗanda ke da kyakkyawar dama ga kulawar likita. Ya fi zama ruwan dare ga mutanen da suka kamu da cutar ta hyperparathyroidism tun suna ƙuruciya, ko kuma waɗanda ba su da magani mai tsafta na dogon lokaci.

Osteitis fibrosa na iya haifar da ciwon kashi ko taushi. Ana iya samun karaya (karyewa) a hannu, kafafu, ko kashin baya, ko wasu matsalolin kashi.

Hyperparathyroidism kanta na iya haifar da ɗayan masu zuwa:

• Ciwan
• Maƙarƙashiya
• Gajiya
• Yin fitsari akai-akai
• Rashin ƙarfi

Gwajin jini yana nuna babban matakin alli, parathyroid hormone, da alkaline phosphatase (sinadarin kashi). Matakan foshorus a cikin jini na iya zama ƙasa.

X-ray na iya nuna ƙananan ƙasusuwa, karaya, ruku'u, da mafitsara. Hakoki x-haskoki na iya zama marasa kyau.

Xila za a iya yin x-ray na ƙashi Mutanen da ke da cutar hyperparathyroidism suna iya samun osteopenia (ƙanƙara ƙasusuwa) ko osteoporosis (ƙasusuwa ƙwarai) fiye da samun cikakken osteitis fibrosa.

Yawancin matsalolin kashi daga osteitis fibrosa za'a iya juyawa tare da tiyata don cire glandon parathyroid mara kyau. Wasu mutane na iya zaɓar kada a yi musu tiyata, kuma a maimakon haka ana bin su da gwajin jini da ƙimar ƙashi.

Idan tiyata ba zai yiwu ba, wasu lokuta ana iya amfani da magunguna don rage matakin calcium.

Matsalolin osteitis fibrosa sun haɗa da ɗayan masu zuwa:

• Kashin karaya
• Gyarawar kashi
• Jin zafi
• Matsaloli sakamakon hauhawar jini, kamar duwatsun koda da gazawar koda

Tuntuɓi mai ba da sabis na kiwon lafiya idan kuna da ciwon ƙashi, taushi, ko alamomin hyperparathyroidism.

Gwajin jini na yau da kullun da ake yi yayin duba likita ko kuma wata matsalar kiwon lafiya galibi ana gano babban matakin alli kafin a yi mummunar lalacewa.

Osteitis fibrosa cystica; Hyperparathyroidism - osteitis fibrosa; Brown ƙari na kashi

• Parathyroid gland

Nadol JB, Tambaya AM. Bayyanannen bayyanar cututtuka na tsarin cuta. 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 151.

Patsch JM, Krestan CR. Cututtukan zuciya na rayuwa da na endocrine. A cikin: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Tsarin Rigakafin Harshen Grainger & Allison. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 43.

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.