He aha te Parathyroidectomy? Te Whāinga, te Hātepe & te Whakaora

Ko te Parathyroidectomy he hātepe pokanga hei tango i tētahi, neke atu rānei o ō parathyroid glands. E whā ēnei repe iti, tata ki te rahi o te witi raihi, e noho ana i muri i tō repe thyroid i tō kaki, ā, e whakahaere ana i ngā taumata konupūmā i roto i ō toto.

Inā ka kaha rawa ēnei repe, ka whanake rānei ngā puku, ka pā mai ngā raruraru hauora nui mā te whakaputa i te nui rawa o te hormone parathyroid. Ka tūtohu pea tō tākuta i tēnei pokanga hei whakahoki i te taurite konupūmā tūturu o tō tinana, ā, hei ārai i ngā raruraru pērā i ngā kōhatu whatukuhu, te ngaronga o te wheua, te raruraru ngākau rānei.

He aha te parathyroidectomy?

Ko te Parathyroidectomy te tango pokanga i tētahi, neke atu rānei o ngā parathyroid glands inā kāore e tika ana te mahi. E whā ō parathyroid glands, he repe iti, āhua ōwali e tū ana i muri i tō thyroid i tō kaki.

E whakaputa ana ēnei repe i te hormone parathyroid (PTH), e mahi ana pēnei i te thermostat mō te konupūmā i roto i ō toto. Inā ka heke ngā taumata konupūmā, ka kī atu te PTH ki ō wheua kia tuku konupūmā, ā, ki ō whatukuhu kia ngongo atu konupūmā mai i tō mimi.

I ētahi wā ka whānui ake tētahi, neke atu rānei o ēnei repe, ka whanake rānei ngā puku pai e kīia ana ko adenomas. Ko te hua o tēnei ka whakaputa rātou i te nui rawa o te PTH, e arahi ana ki ngā taumata konupūmā tiketike rawa i roto i ō toto - he āhuatanga e kīia ana ko te hyperparathyroidism.

Ka uru pea te pokanga ki te tango i te repe raruraru anake (mehemea kotahi anake e pā ana) i ngā repe maha rānei i runga i tō āhuatanga motuhake. Mā tō tākuta pokanga e whakatau te huarahi pai rawa atu i runga i ō hua whakamātautau me ngā rangahau whakaahua.

He aha te take i mahia ai te parathyroidectomy?

Ka mahia te Parathyroidectomy hei rongoā i te hyperparathyroidism, he āhuatanga e whakaputa ana ō parathyroid glands i te nui rawa o te hormone. Ko tēnei hormone nui rawa te take e piki rawa ana ngā taumata konupūmā i roto i ō toto, ka taea te whara i ngā okana maha i te roanga o te wā.

Ko te take tino nui mō tēnei pokanga he puku pai e kīia ana he parathyroid adenoma, e pā ana ki te 85% o te hunga e pā ana ki te hyperparathyroidism. Kāore ēnei puku i te mate pukupuku, engari ka mahi kaha te repe e pā ana, ka whakaputa i te nui rawa o te parathyroid hormone.

Ka tūtohu pea tō tākuta i te pokanga mēnā kei te pā koe i ngā tohu e pā ana ki tō kounga o te ora. Ka taea e ngā taumata konupūmā tiketike te whakamā, te rangirua, te pōuri rānei, ā, ka kite pea koe i te ngoikore o te uaua, i te mimi auau rānei.

Ka nui ake te hiahia o te pokanga mēnā ka whanake koe i ngā raruraru nui. Ka uru pea ēnei ki ngā kōhatu whatukuhu, te ngaro o te wheua e arahi ana ki te osteoporosis, ngā raruraru o te manawa, te kino rānei o te whatukuhu mai i ngā taumata konupūmā tiketike tonu.

I te nuinga o te wā, ka rongoa te pokanga i te mate pukupuku parathyroid, e puta ana i roto i te iti iho i te 1% o ngā keehi. Ko ngā āhuatanga onge pērā i ngā multiple endocrine neoplasia syndromes ka hiahia pea hoki i tēnei tikanga hei aukati i ngā raruraru a muri ake nei.

He aha te tikanga mō te parathyroidectomy?

Ko te parathyroidectomy te tikanga ka mahia i raro i te rongoā whānui, ā, ka roa te 1-2 haora. Ka hanga e tō tākuta he tapahi iti i te wāhanga o raro o tō kaki, te tikanga e pā ana ki te 2-3 inihi te roa.

I te wā o te pokanga, ka wehe āta e tō tākuta ngā uaua me ngā kiko kia tae ki ō repe parathyroid. Ka tirotirohia e rātou ia repe ki te tautuhi ko wai ngā mea kua whānui, kua hē rānei, ka whakamahi pinepine i ngā tikanga motuhake hei tiaki i ō io o te pouaka reo.

Mēnā kotahi anake te repe e pā ana, ka tangohia e tō tākuta taua repe anake i roto i te tikanga e kīia ana ko te focused parathyroidectomy. Ko tēnei huarahi iti nei te whakaeke ka whakamahi i te tapahi iti ake, ā, ka taea te whakaora tere ake.

Ina whai wāhi ngā repe maha, ka mahi pea tō tākuta i tētahi tikanga nui ake. Ka tangohia pea e rātou te 3½ repe, ka waiho i tētahi wāhanga iti o te kiko hauora hei pupuri i tētahi mahi parathyroid, ka whakawhiti rānei i tētahi kiko hauora ki tō ringa.

I roto i te pokanga, ka whakamātau pea tō tākuta pokanga i ō taumata homoni parathyroid i te wā tūturu. Mā tēnei e āwhina ai te whakapūmau kua tangohia e rātou ngā repe tika, ā, kei te heke tika ō taumata homoni.

E whakamahi ana ētahi tākuta pokanga i ngā tikanga matatau pēnei i te aroturuki io i roto i te pokanga hei tiaki i ō aho reo, i ngā huarahi iti rānei e whakamahi ana i ngā tapahi iti ake me te āwhina o ngā whakaahua motuhake, o ngā taputapu pokanga rānei.

Me pēhea te whakarite mō tō parathyroidectomy?

Ka tīmata tō whakarite me te arotake hauora tino whānui hei whakapūmau kua rite koe mō te pokanga. Ka arotake tō tākuta i ō rongoā, ina koa ko ngā rongoā whakaheke toto, ā, ka tono pea ki a koe kia whakamutu i ētahi rongoā i mua i te tikanga.

Me whakarite e koe tētahi hei taraiwa i a koe ki te kāinga i muri i te pokanga, nā te mea e kore e taea e koe te taraiwa i te wā e ora ana koe i te rongoā whakamoe. Whakarite kia noho tētahi hoa, mema rānei o te whānau ki a koe mō te 24 haora tuatahi i muri i tō tikanga.

Ka hoatu e tō rōpū pokanga ki a koe ngā tohutohu motuhake mō te kai me te inu i mua i te pokanga. Ko te tikanga, me karo koe i te kai me te wai mō te 8-12 haora i mua i tō tikanga hei aukati i ngā raruraru i te wā o te rongoā whakamoe.

Whakarite i tō kāinga mō te whakaora mā te whakarite i tētahi wāhi okiokinga pai me ngā urunga atu hei pupuri i tō upoko kia tiketike. Whakakiia ngā kai ngawari me te whai i ngā pākete huka kia rite, nā te mea ka āwhina ēnei ki te whakaiti i te pūhihi i muri i te pokanga.

Mēnā e paowa ana koe, ngana ki te whakamutu, ki te whakaiti rānei i te paowa i mua i te pokanga, nā te mea ka taea e tēnei te whakapai ake i tō tukanga whakaora. Ka tūtohu pea tō tākuta i ētahi tāpiringa, rongoā rānei hei āwhina i te whakahaere i ō taumata konupūmā i mua, i muri hoki i te tikanga.

Me pēhea te pānui i ō hua parathyroidectomy?

Ko te angitu i muri i te parathyroidectomy ka inea i te tuatahi mā te hoki mai o ō taumata konupūmā me te homoni parathyroid ki ngā awhe noa. Ka tirohia e tō tākuta ēnei taumata i roto i ngā hāora i muri i te pokanga, ā, ka haere tonu te aroturuki i a rātou i te wā o tō whakaora.

Ko te tikanga o te taumata konupūmā kei waenga i te 8.5 ki te 10.5 mg/dL, ahakoa ka whakaaro tō tākuta ki tō rārangi taketake. Me kite koe i te hekenga o ō taumata konupūmā i roto i te 24 haora i muri i te pokanga mena i angitu te tikanga.

Ka whakamātauhia ō taumata taiaki parathyroid i ngā wā katoa. Ko te tikanga o ngā taumata PTH kei waenga i te 15 ki te 65 pg/mL, ā, me noho noa ēnei i roto i ngā rā ki ngā wiki i muri i te tango i ngā repe kaha rawa.

I ētahi wā ka heke rawa ō taumata konupūmā mō te wā poto, he āhuatanga e kīia ana ko te hypocalcemia. Ka pā tēnei nā te mea me whai wā ō repe parathyroid e toe ana ki te whakatika me te tīmata ki te mahi tika anō i muri i te pēhitanga mō te wā roa.

Ka aroturukihia e tō tākuta ō tohumate me ō hua taiwhanga. Ko te whakawātea i ngā tohumate pēnei i te ngenge, te ngoikore o te uaua, te pōhēhē rānei ka roa pea te wiki ki te marama i te wā e whakatika ana tō tinana ki ngā taumata konupūmā noa.

Ko te aroturuki wā-roa ko te aroturuki i te whakapai ake i te hauora o te wheua, te mahi tākihi, me te whakarite kia haere tonu te mahi tika o ō repe parathyroid e toe ana. Ko te nuinga o te tangata ka kite i te whakapai ake i te kiato o te wheua me te mahi tākihi i ngā marama i muri i te pokanga.

Me pēhea te whakahaere i tō whakaora i muri i te parathyroidectomy?

E arotahi ana tō whakaora ki te whakahaere i ngā taumata konupūmā me te tuku i tō kaki kia ora tika. Ko te nuinga o te tangata ka hoki ki te kāinga i te rā kotahi, i muri rānei i te noho i te hōhipera mō te pō, i runga i ō rātou taumata konupūmā me te hauora whānui.

Tērā pea ka hiahia koe ki ngā tāpiringa konupūmā me te huaora D i te tīmatanga, i te wā e whakatika ana ō repe parathyroid e toe ana ki tā rātou kawenga mahi hou. Ka tohua e tō tākuta ngā horopeta motuhake i runga i ō hua whakamātau toto, ā, ka whakatika i ēnei i te mea e tika ana.

Kia tūpato ki ngā tohu o te konupūmā iti, e taea ai te whakauru i te ngau ki te waha, ki ō maihao rānei, te kōpiko o te uaua, te āwangawanga rānei. Ko te tikanga ka pai ake ēnei tohumate i te wā e whakapūmau ana ō taumata konupūmā, engari whakapā atu ki tō tākuta mēnā he kaha, he mau tonu rānei.

Kia tūpato ki tō tapahi mā te pupuri kia mā, kia maroke, me te karo i te hiki taumaha, i ngā mahi kaha rānei mō te 2 wiki pea. Ka taea e te nuinga o te tangata te hoki ki te mahi tēpu i roto i ngā rā torutoru, engari ko ngā mahi tinana ka roa ake te wā whakaora.

Ka rerekē pea tō reo, ka ngoikore rānei i te tīmatanga nā te pūpū i te taha o ō aho reo. Ko te tikanga ka pai ake tēnei i roto i ngā rā ki ngā wiki, engari whakamōhio atu ki tō tākuta mēnā ka mau tonu ngā rerekētanga o te reo i tua atu i ngā wiki torutoru.

He aha ngā putanga pai rawa atu i muri i te parathyroidectomy?

Ko te putanga pai rawa atu ko te whakatutuki i ngā taumata noa o te konupūmā me te homoni parathyroid e mau tonu ana i te wā roa. Ka pā te nuinga o te tangata ki tēnei angitu, me ngā reiti whakaora e neke atu ana i te 95% ka mahia e ngā tākuta hāparapara mōhiotia.

Kei roto hoki i ngā hua pai te whakawātea i ngā tohu i kawea ai koe ki te hāparapara i te tuatahi. He tokomaha ngā tāngata e kite ana i te piki ake o ngā taumata pūngao, te pai ake o te ngākau, te mārama ake o te whakaaro, me te whakaiti i te ngoikore o ngā uaua i roto i ngā wiki ki ngā marama.

Kei roto i ngā painga wā-roa te whakamarumaru mai i ngā raruraru nui pēnei i ngā kōhatu tākihi, te ngaro o te wheua, me ngā raruraru ngākau. He maha ngā wā ka pai ake te mahi o tō tākihi, ā, ka kaha ake pea ō wheua i te wā roa i te mea ka noho noa te whakahaere konupūmā.

Ka puta ngā putanga pai rawa atu ka mau tonu koe i te tiaki whai-muri auau me te tango i ngā tāpiringa kua tohua i te ara tika. Ka aroturuki tō tākuta i tō ahunga whakamua, ka whakatika i ngā maimoatanga kia noho tonu ō taumata konupūmā i roto i te awhe hauora.

He maha ngā wā ka nui te whakapai ake o te kounga o te ora, me te tokomaha o te tangata e whakaahua ana i te ahua o te hoki mai anō ki a rātou anō i muri i ngā tau o ngā tohu ngawari kāore i mōhio he pānga ki tō rātou āhuatanga parathyroid.

He aha ngā āhuatanga tūpono mō te hiahia ki te parathyroidectomy?

He nui te whai wāhi o te tau me te ira tangata ki tō tūponotanga, ko ngā wāhine neke atu i te 50 te nuinga e pā ana. He nui ake ngā reiti o ngā raruraru parathyroid ki ngā wāhine i muri i te menopause, nā te mea pea ko ngā huringa homoni e pā ana ki te pākia konupūmā.

Ka taea e ētahi āhuatanga ira te whakanui ake i tō tūponotanga, tae atu ki ngā mate maha o te endocrine neoplasia me te hypercalcemia hypocalciuric whānau. Ki te mea he mema tō whānau e pā ana ki ngā raruraru parathyroid, tērā pea ka piki ake tō tūponotanga ki te whakawhanake i a rātou.

Ko te pānga o te iraruke i mua ki tō wāhi kaki, ina koa i te wā tamarikitanga, ka taea te whakanui ake i tō tūponotanga ki te whakawhanake i ngā puku parathyroid i muri mai i te oranga. Kei roto i tēnei ko ngā maimoatanga iraruke mō ētahi atu mate pukupuku, tae atu ki ngā tikanga rongoā tawhito i whakamahi iraruke.

Ka taea e te mate tākihi mō te wā roa te pā ki ō repe parathyroid, i ētahi wā ka puta ki te hyperparathyroidism tuarua e hiahia ana ki te maimoatanga pokanga. Ka taea hoki e te ngoikoretanga nui o te huaora D i ngā tau maha te whai wāhi ki ngā raruraru parathyroid.

Ko ētahi rongoā, ina koa ko te lithium e whakamahia ana mō ngā raruraru ngākau, ka taea te pā ki te mahi parathyroid i te roanga o te wā. Ko ētahi tāngata e tango ana i te lithium mō te wā roa ka whakawhanake pea i ngā adenomas parathyroid e hiahia ana ki te tango pokanga.

He aha ngā raruraru ka puta mai i te parathyroidectomy?

Ko te raruraru tino noa ko te taumata konupūmā iti rangitahi, e pā ana ki te 10-30% o ngā tāngata i muri i te pokanga. Ko te tikanga ka whakatau i roto i ngā rā ki ngā wiki i te mea ka tīmata anō ō repe parathyroid e toe ana ki te mahi noa.

Ka puta ngā huringa reo ki te pā te pokanga ki ngā io e whakahaere ana i ō aho reo. Ko te nuinga o ngā huringa reo he rangitahi, ka whakatau i roto i ngā wiki, engari ka puta ngā huringa reo pumau i roto i te iti iho i te 1% o ngā keehi ina mahia e ngā tākuta pokanga mōhio.

Ko te whakaheke toto, te mate rānei i te wāhi pokanga he raruraru onge engari ka taea. Ko ngā tohu ko te pūhihi rereke, te whero, te mahana, te rerenga rānei mai i tō tapahi, ā, e hiahia ana ēnei ki te aro rongoā tonu.

Ko te hypoparathyroidism pumau he raruraru onge engari he nui, i te wā e tangohia ana te nui rawa o te kiko parathyroid, ka waiho koe e kore e taea te pupuri i ngā taumata konupūmā noa. E hiahia ana tēnei ki te tāpiringa konupūmā me te huaora D mō te oranga katoa.

I te wā onge, ka pā pea te tangata i te hyperparathyroidism tonu, i te hoki mai rānei, mēnā kāore i tino tangohia te kiko kōaro, i pā rānei te maha o ngā repe. Mā tēnei pea e hiahia he pokanga anō, he rongoā kē rānei.

Ko ngā raruraru tino onge ko te whara i ngā hanganga tata pēnei i te esophagus, i ngā oko toto nui rānei, engari ka puta ēnei i roto i te iti iho i te 1% o ngā tukanga ka mahia e ngā tākuta whai pūkenga.

Āhea au e kite ai i te tākuta i muri i te parathyroidectomy?

Whakapā atu ki tō tākuta tonu mēnā ka pā koe i ngā tohu kaha o te konupūmā iti, tae atu ki te kōpiko o ngā uaua, te kōpiko kaha, te ngāwari rānei e horapa ana i tua atu i tō waha me ō maihao. Ka taea e ēnei tohu te tohu i ngā taumata konupūmā iti e mōrearea ana.

Waea atu ki tō kaiwhakarato hauora mēnā ka kite koe i ngā tohu o te mate i te taha o tō tapahi, pēnei i te whero nui ake, te mahana, te pūhihi, te wai pēnei i te pūhi. Ko te kirika i runga ake i te 101°F (38.3°C) i muri i te rā tuatahi ka tika hoki kia aro tonu.

Rapua te manaaki hauora mēnā ka whanake koe i te pūhihi kaha o te kaki, he uaua rānei ki te manawa, ki te horo rānei. Ahakoa he onge, ka taea e ēnei tohu te tohu i te toto, i te pūhihi rānei e hiahia ana kia rongoā wawe.

Whakaritea he hui whai muri mēnā ka mau tonu ō huringa reo i tua atu i te 2-3 wiki, mēnā ka kite koe i tō reo e ngoikore haere ana, kaua e pai ake. Ko te nuinga o ngā huringa reo ka whakatau i a rātou anō, engari ka hiahia pea ngā raruraru tonu kia arotakehia.

Whakapā atu ki tō tākuta mēnā ka tino ngenge koe, ka pōrangi, ka pōuri rānei i ngā wiki i muri i te pokanga, nā te mea ka taea e ēnei te tohu i ngā taurite konupūmā e haere tonu ana e hiahia ana kia whakatikahia i roto i ō rongoā.

Ngā pātai e pātai pinepine ana mō te parathyroidectomy

Q.1 He pai te parathyroidectomy mō ngā kōhatu tākihi?

Āe, he tino whai hua te parathyroidectomy mō te ārai i ngā kōhatu whatukuhu i hua mai i ngā taumata konupūmā tiketike. Ki te nui rawa te homoni e whakaputaina ana e ō parathyroid, ka tātarihia te konupūmā nui i roto i ō toto mā ō whatukuhu, e whakanui ana i tō tūponotanga ki te hanga kōhatu whatukuhu i runga i te konupūmā.

I muri i te pokanga angitu, ka hoki ō taumata konupūmā ki te tikanga, e tino whakaiti ana i tō tūponotanga ki te whakawhanake i ngā kōhatu whatukuhu hou. He tokomaha ngā tāngata e kite ana ka ngaro katoa ā rātou raruraru kōhatu whatukuhu i muri i te parathyroidectomy.

Q.2 Ka pānga tonu te konupūmā iti i muri i te parathyroidectomy?

Ko te konupūmā iti i muri i te parathyroidectomy he wā poto noa iho, ā, kāore e pānga tonu. Ko ō parathyroid e toe ana te wā ki te "ara ake" me te tīmata ki te mahi tika anō i muri i te pēhitanga e te repe kaha rawa.

Ko te nuinga o ngā tāngata ka noho noa ā rātou taumata konupūmā i roto i ngā rā ki ngā wiki me te tāpiri tika. He onge te konupūmā iti tonu, ā, ka puta noa iho ki te nui rawa te kiko parathyroid i tangohia i te wā o te pokanga.

Q.3 Ka taea e te parathyroidectomy te whakapai ake i te kiato o te wheua?

Āe, he maha ngā wā ka hua te parathyroidectomy ki te whakapai ake i te kiato o te wheua i te roanga o te wā. Ko ngā taumata homoni parathyroid tiketike ka tōia te konupūmā i ō wheua, e hua ana ki te ngaronga wheua me te whakanui i te tūponotanga whati.

I muri i te pokanga angitu, ka taea e ō wheua te tīmata ki te hanga anō me te whakakaha i te hokinga mai o te ture konupūmā ki te tikanga. He wā te roa o tēnei tukanga, ā, ka kite pea koe i ngā whakapainga haere i roto i ngā karapa kiato wheua i ngā marama ki ngā tau i muri i te pokanga.

Q.4 Kia pēhea te roa ki te pūrangia te noho noa i muri i te parathyroidectomy?

Ka tīmata te nuinga o ngā tāngata ki te pūrangia i ngā whakapainga i roto i ngā wiki tuatahi i muri i te pokanga, engari ka roa pea te whakaora katoa i ngā marama. Ko ngā taumata pūngao, te āhua, me te mārama hinengaro ka pai haere i te wā e whakatika ana tō tinana ki ngā taumata konupūmā noa.

He roa pea te wā e ngaro katoa ai ētahi tohumate pēnei i te mamae wheua, te ngoikore uaua rānei. Ka ora tēnā tangata i tōna ake tere, ā, ka aroturukihia tō haere mā te tākuta mā te whakamātautau toto me ngā arowhai i ngā wā katoa.

Q.5 Me tango tonu e au ngā tāpiringa konupūmā i muri i te parathyroidectomy?

Kāore te nuinga o te tāngata e hiahia ki te tango tāpiringa konupūmā tonu i muri i te parathyroidectomy. I te tīmatanga, ka hiahia pea koe ki ngā tāpiringa konupūmā me te huaora D i te wā e whakatikatika ana ō repe parathyroid e toe ana, ka tīmata anō te mahi.

Ka whakaiti haere te tākuta i ō tāpiringa i te wā e tū ana ō taumata konupūmā. He maha ngā tāngata ka mutu te tango tāpiringa, ahakoa me tango tonu e ētahi te huaora D, te iti rānei o te konupūmā i te wā roa.