Kansarka Parathyroid

Kansarka Parathyroid waa kansar (malignant) koritaanka qanjirka 'parathyroid'.

Qanjirrada 'parathyroid' waxay xakameysaa heerka kaalshiyamka ee jirka ku jira. Waxaa jira 4 qanjirro parathyroid ah, 2 dusheeda dhinac kasta oo qanjirka 'thyroid', oo ku yaal salka qoorta.

Kansarka Parathyroid waa nooc aad u dhif ah oo kansar ah. Waxay si isku mid ah ugu dhacdaa ragga iyo dumarka. Kansarku badanaa wuxuu ku dhacaa dadka ka weyn 30 jir.

Sababta kansarka parathyroid lama yaqaan. Dadka qaba xaaladaha hidda-socodka ee loo yaqaanno endocrine neoplasia type I iyo hyperparathyroidism-jaw tumor syndrome waxay leeyihiin halista sii kordheysa ee cudurkan. Dadka lahaa shucaaca madaxa ama qoorta sidoo kale waxaa laga yaabaa inay ku jiraan khatar sare. Laakiin shucaaca noocan ahi waxay u badan tahay inuu keeno kansarka qanjirka 'thyroid'.

Calaamadaha kansarka 'parathyroid' waxaa badanaa keena heerka sare ee kaalshiyamka dhiigga ku jira (hypercalcemia), waxayna saameyn ku yeelan kartaa qaybaha kala duwan ee jirka.

Calaamadaha waxaa ka mid ah:

• Lafa xanuun
• Calool fadhiga
• Daal
• Jabka
• Haraad joogta ah
• Kaadida oo soo noqnoqota
• Dhagaxaanta kilyaha
• Murqaha oo daciifa
• Lalabbo iyo matag
• Cunto xumo

Kansarka Parathyroid aad ayuu u adag yahay in la ogaado.

Dhakhtarkaagu wuxuu sameyn doonaa baaritaan jireed wuxuuna weydiin doonaa taariikhdaada caafimaad.

Qiyaas ahaan waqtiga badhkiis, adeeg bixiyuhu wuxuu ku arkaa kansarka 'parathyroid cancer' isagoo dareemaya qoorta gacmaha (taabasho).

Buro kansarka qanjirka 'parathyroid' ah waxay u egtahay inay soo saarto qadar aad u sarreeya oo ah hormoonka parathyroid (PTH). Tijaabooyinka hormoonkan waxaa ka mid noqon kara:

• Kaalshiyam dhiig
• Dhiigga PTH

Qalliinka ka hor, waxaa lagaa qaadi doonaa baaritaan shucaac oo gaar ah oo ku saabsan qanjidhada parathyroid. Skaanka waxaa loo yaqaan sestamibi scan. Waxa kale oo laga yaabaa inaad leedahay ultrasound qoorta. Tijaabooyinkan waxaa loo sameeyaa si loo xaqiijiyo qanjirka 'parathyroid gland' ee aan caadiga ahayn.

Daaweynta soo socota ayaa loo isticmaali karaa in lagu saxo cudurka 'hypercalcemia' sababtoo ah kansarka 'parathyroid cancer':

• Dareerayaasha xididka (dareeraha IV)
• Hormoon dabiici ah oo loo yaqaan 'calcitonin' kaas oo ka caawiya xakameynta heerka kaalshiyamka
• Daawooyinka joojiya burburka iyo dib u soo celinta jirka ee lafaha

Qalliinku waa daaweynta lagula taliyay kansarka parathyroid. Mararka qaarkood, way adag tahay in la ogaado haddii burooyinka parathyroid uu yahay kansar. Dhakhtarkaagu wuxuu kugula talin karaa qalliin xitaa adiga oo aan lagugu ogaanin ogaanshaha cudurka. Qalliinka yar ee faafa, iyadoo la adeegsanayo googoyn yar, ayaa ku sii badanaya cudurka parathyroid.

Haddii tijaabooyin qalliinka ka hor laga heli karo qanjirka uu saameeyey, qalliin ayaa laga sameyn karaa hal dhinac oo qoorta ah. Haddii aysan suurtagal ahayn in la helo qanjirka dhibaatada qalliinka ka hor, dhakhtarka qalliinka wuxuu eegi doonaa labada dhinac ee qoortaada.

Chemotherapy iyo shucaac si fiican uma shaqeeyaan si looga hortago kansarka inuu soo laabto. Shucaac wuxuu kaa caawin karaa yareynta faafida kansarka lafaha.

Qalliinno isdaba joog ah oo loogu talagalay kansarka oo soo noqday ayaa kaa caawin kara:

• Hagaaji heerka badbaadada
• Iska yaree saameynta daran ee hypercalcemia

Kansarka Parathyroid waa tartiib tartiib u koraya. Qalliinka waxaa laga yaabaa inuu kaa caawiyo fidinta nolosha xitaa markuu kansarku fido.

Kansarku wuxuu ku faafi karaa (metastasize) meelaha kale ee jirka, badiyaa sambabada iyo lafaha.

Hypercalcemia waa dhibaatada ugu daran. Inta badan dadka u dhinta kansarka 'parathyroid cancer' waxay ku dhacaan sababo daran, oo adag in la xakameeyo 'hypercalcemia', mana aha kansarka laftiisa.

Kansarku badanaa wuu soo noqdaa (soo noqdaa). Qalliinno dheeri ah ayaa loo baahan karaa. Dhibaatooyinka ka imanaya qalliinka waxaa ka mid noqon kara:

• Hoos-u-dhaca ama codka ayaa is beddela natiijada ka soo baxda dhaawaca dareemayaasha xakameynaya xadhkaha dhawaaqa
• Infekshinka goobta qalliinka
• Kalsiyum heerkiisu hooseeyo (hypocalcemia), xaalad halis ku ah nolosha
• Nabar

Wac bixiyaha xanaanada caafimaadkaaga hadii aad dareento buruq kujiro qoortaada ama aad dareento astaamaha hypercalcemia.

Parathyroid carcinoma

• Qanjirrada Parathyroid

Asban A, Patel AJ, Reddy S, Wang T, Balentine CJ, Chen H. Kansarka nidaamka endocrine. Gudaha: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 68.

Fletcher CDM. Burooyinka qanjidhada tayroodhka iyo qanjidhada parathyroid. Gudaha: Fletcher CDM, ed. Cilladaha Baadhitaanka Cudurka Burooyinka. 5aad. Philadelphia, PA: Elsevier; 2021: cutubka 18.

Websaydhka Machadka Kansarka Qaranka. Daaweynta kansarka 'parathyroid cancer' (PDQ) - nooca caafimaadka mihnadeed. www.cancer.gov/types/parathyroid/hp/parathyroid-treatment-pdq. La cusbooneysiiyay Maarso 17, 2017. La helay Febraayo 11, 2020.

Torresan F iyo J Iacobone M. Tilmaamaha caafimaadka, daaweynta iyo kormeerka cudurka 'hyperparathyroidism-jaw tumor syndrome': Waa casriyeyn iyo dib u eegis suugaanta ah. Int J Endocrinol 2019. Lagu daabacay internetka Dec 18, 2019. www.hindawi.com/journals/ije/2019/1761030/.