Parathyroid adenoma

Cudurka 'parathyroid adenoma' waa buro aan qanjir ahayn (benign) oo ah qanjidhada parathyroid. Qanjirrada 'parathyroid' waxay ku yaalliin qoorta, ku dhow ama ku dheggan dhinaca dambe ee qanjirka 'thyroid'.

Qanjirka 'parathyroid' ee qoorta ayaa ka caawiya xakameynta isticmaalka kaalshiyamka iyo ka saarista jirka. Waxay tan ku sameeyaan iyagoo soo saaraya hormoonka parathyroid, ama PTH. PTH waxay caawisaa xakamaynta kalsiyum, fosfooraska, iyo fitamiin D-ga dhiiga kujira waxayna muhiim u tahay lafaha caafimaadka qaba.

Parathyroid adenomas waa wax caadi ah. Inta badan parathyroid adenomas ma laha sabab la aqoonsan yahay. Mararka qaar dhibaato hidde ah ayaa sababta. Tani waxay aad ugu badan tahay haddii cudurka lagu ogaado adiga oo yar.

Xaaladaha kiciya qanjirada 'parathyroid' si ay u weynaato ayaa sidoo kale sababi kara adenoma. Kuwaas waxaa ka mid ah:

• Cilladaha hidaha
• Qaadashada dawada lithium
• Cudurka kelyaha ee joogtada ah

Haweenka ka weyn da'da 60 waxay leeyihiin halista ugu sareysa ee cudurkaan. Shucaac ku dhaca madaxa ama qoorta ayaa sidoo kale kordhinaysa halista.

Dad badan ayaan lahayn wax calaamado ah. Xaaladda ayaa badanaa la ogaadaa marka baaritaanka dhiigga lagu sameeyo sababo caafimaad kale.

Parathyroid adenomas ayaa ah sababta ugu badan ee keenta hyperparathyroidism (qanjidhada firfircoon ee parathyroid), taas oo horseedda heerka kaalshiyamka dhiigga oo kordha.Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Jahwareer
• Calool fadhiga
• Tamar la'aan (caajis)
• Murqo xanuun
• Lalabbo ama rabitaanka cuntada oo yaraada
• Kaadida badanaa badanaa habeenkii
• Lafaha ama jabka daciifka ah

Tijaabooyinka dhiigga waxaa loo samayn karaa si loo hubiyo heerarka:

• PTH
• Kaalshiyamka
• Fosfoor
• Vitamin D

Baaritaan kaadi ah oo 24-saac ah ayaa la samayn karaa si loo hubiyo in kaalshiyamku ku badan yahay kaadida.

Tijaabooyinka kale waxaa ka mid ah:

• Imtixaanka cufnaanta lafaha
• Ultrasoundka kiliyaha ama CT scan (waxaa laga yaabaa inuu muujiyo dhagxaan kellida ama kalinta)
• Raajooyinka kilyaha (waxaa laga yaabaa inay muujiyaan dhagaxyada kalyaha)
• MRI
• Ultrasound qoorta
• Baadhitaanka qoorta Sestamibi (si loo ogaado meesha uu ku yaal parathyroid adenoma)

Qalliinku waa daaweynta ugu badan, had iyo jeerna wuu daaweeyaa xaaladda. Laakiin, dadka qaarkiis waxay doortaan inay kaliya baaritaan joogto ah la yeeshaan daryeel caafimaad bixintooda haddii xaaladdu khafiif tahay.

Si looga caawiyo hagaajinta xaaladda, adeeg bixiyahaagu wuxuu ku weydiisan karaa inaad joojiso qaadashada kaalshiyamka iyo fitamiin D-ga. Haweenka soo maray caadada ayaa laga yaabaa inay rabaan inay kala hadlaan daaweynta estrogen.

Marka la daweeyo, aragtida guud ahaan way fiicantahay.

Cudurka lafa-beelka iyo halista sii kordheysa ee jabka lafaha ayaa ah welwelka ugu badan.

Dhibaatooyinka kale way yar yihiin, laakiin waxaa ka mid noqon kara:

• Nephrocalcinosis (kalsiyum ayaa ku jira kilyaha oo yareyn kara shaqada kilyaha)
• Cudurka Osteitis fibrosa cystica (jilicsan, meelaha jilicsan ee lafaha)

Dhibaatooyinka ka imanaya qalliinka waxaa ka mid ah:

• Waxyeello u geysata neerfaha xakameeya codkaaga
• Dhaawaca qanjidhada parathyroid, oo sababa hypoparathyroidism (la'aanta hormoon parathyroid ku filan) iyo heerka kaalshiyamka oo hooseeya

Wac bixiyahaaga haddii aad leedahay astaamo xaaladan ah.

Hyperparathyroidism - adenoma parathyroid; Qanjirka 'parathyroid gland' - parathyroid adenoma

• Qanjirada 'Endocrine'
• Qanjirrada Parathyroid

Reid LM, Kamani D, Randolph GW. Maareynta cudurada parathyroid. Gudaha: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Qalliinka Madaxa iyo Qoorta. 7aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 123.

Silverberg SJ, Bilezikian JP. Astaamaha 'hyperparathyroidism'. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 63.

Thakker RV. Qanjirka 'parathyroid', 'hypercalcemia', iyo hypocalcemia. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 232.