Nhema yeparathyroid inhengo inokosha ye endocrine system. Ane basa rinokosha muupenyu hwemuviri. Kana pane kukanganisa mubasa rake, hormonal balance balance , izvo zvinokonzera kukura kwehutachiona hwehutachiona.
Parathyroid gland - basa mumuviri
Kunze ichi chimi chemugumo wekupedzisira chinofananidzwa ne "chiwi". Nhamba yezvipembenene zvinosiyana. Muchikamu makumi mapfumbamwe nemakumi mana zvevanhu varipo 2 mapairi ezvinyorwa "zviwi", uye kune vakasara - kubva pamadhora matanhatu kusvika ku12. Kunyange zvazvo zvipembenene izvi zvisingabatanidzwi, zvinoshanda sechinhu chimwe chete. Izvi "zviwi" zvinoumbwa nemhando mbiri dzemasero. Misi yakasviba inobudisa hormone parathyroid. Mucherechedzo masero haana basa shoma.
Mahomoni emukaka wepathyroid ane mazita akawanda:
- parathyrine;
- calcitrine;
- parathyreocrine.
Ichokwadi, chirwere chepathyroid chakagadzirirwa kuita basa rinokosha: rinodzora huwandu hwe calcium mumuviri. Murairo unopedzerwa nemutemo wechinopesana. Pamusoro pe "zvitsuwa" pane zvakagadziriswa. Vanoyera calcium index. Kana aya "vaongorori" vakawana chiratidzo chepasi chechikamu chacho, pane pakarepo chiratidzo chekuvhenekera glands parathyroid. Vanogadzira hormone parathyroid.
Somugumisiro, zviitiko zvinotevera zvinoitika mumuviri:
- Nhamba ye calcium iyo yakanyanyisa mumuginho inoderedzwa (izvi zvinobudirira pamusana pekuti zvimwe zvechikamu ichi zvinoshandiswa mumashanduki emvura);
- huwandu hwakanyanya huwandu hwevhitamini D , hunoita kuti huwandu hwema calcitriol huwedzere, hunobatanidzwa mukugadzira mapuroteni;
- masero anoparadza mapfupa emapfupa anoshandiswa, saka calcium index iri muropa inowedzera.
Parathyroid gland basa
Izvi zvinoratidzika, izvo zvinoratidza kusakwana kwekugadzirwa kwehomoni inoratidzika, kana kuderedza kunzwisisika kwezvigunwe zvinogamuchirika. Zvikonzero zvehupenzi (zita rezvesayenzi - hypoparathyroidism) rinosanganisira:
- zvirwere zvinotapukira , apo panguva iyo zvirwere zvinokonzerwa nemasero akaoma;
- asingagoneki vitamini D kukwana;
- kubviswa kwetachiona gland ;
- kemikari inouraya (kutungamirira, carbon dioxide, nezvakadaro);
- kushungurudzika kumutsipa, izvo zvakakonzera kuora ropa mukati memakumbo endocrine;
- kuvhuvhuta zvirongwa zvinoitika mumuviri;
- kukwirira kwemaredhiyo;
- gland rakasvibiswa parathyroid;
- metastases.
Kutonga kuti chirwere chepathyroid chinoshanda chaicho, zviratidzo zvichabatsira. Vanosiyana pakati pavo pachipatara chechirwere ichi, nekufambira mberi kwechirwere uye nekushaya kwenguva refu kwehomoni inorwara. Zviratidzo zvinogona kuwedzera nekudzvinyirira, zvichibva pakugadzirisa kana kupisa. Zviratidzo zvekutanga kwe hypoparathyroidism zvinosanganisira:
- kupera kwemakumbo uye kurira;
- tsvina mumakumbo kana maoko;
- chills , iyo yakatsinhaniswa zvakatsva nemhepo.
Apo chirwere chinopfuurira kune zviratidzo pamusoro apa, zviratidzo izvi zvinobatanidzawo:
- tachycardia;
- kutsamwa;
- cataract nezvimwe zvinetso zvehuputi;
- kushungurudzika (ivo vanoenzanisa uye vanoyerera kwazvo);
- ane musoro musoro;
- kukanganwa kwepfungwa;
- photophobia.
Apo hutachiona hunotora maitiro asingagumi, huri pamwe chete nezviratidzo zvinotevera:
- kukanganiswa kwetsoka kwakasimba;
- kuoma kwakanyanya kweganda uye kunyorera;
- Zino renhizha rakaparadzwa;
- kuora kwezvipikiri kunoonekwa.
Hyperction of the parathyroid gland
Iyi nyika inoratidzwa nebasa rinokosha re "zvitsuwa" kana zvikamu zvega. Inowedzera kubudiswa kwehomoni inoratidzika uye inokonzera calcium muropa serum. Kune chekutanga uye yechipiri hyperparathyroidism. Yokutanga inotsamwiswa nezvikonzero zvinotevera:
- hupenyu hwehutano mumamiriro endocrine;
- adenoma;
- hyperplasia;
- carcinoma.
Secondary hyperparathyroidism inoitika nokuda kwezvikonzero zvinotevera:
- kukwana kwe calcium uye vitamini D;
- kugamuchira anticonvulsant zvinodhaka;
- kushungurudzika mumuviri wekudya;
- renal insufficiency .
Kunyanya kushandiswa kwezvinyorwa zvepathyroid panguva yepakutanga zvinowirirana nezviratidzo zvinotevera:
- kukanganwa kwepfungwa;
- kurwadziwa mumapfupa;
- kuneta kukuru;
- headache.
Hyperparathyroidism inogona kuva nemhando dzakasiyana:
- renal;
- utumbo;
- bone;
- the neuropsychic.
Parathyroid gland - zviratidzo zvezvirwere kuvakadzi
Chero chirwere chiri nyore kurapa pachikwata chekutanga. Nokuda kwechikonzero ichi, kana mukadzi akacherechedza chimwe kana zvimwe zviratidzo zvekuvandudzwa kwehutachiona, munhu anofanira kuonana nokukurumidza ne-endocrinologist. Iwe haugone kumirira - zvinotyisa! Parathyroid gland zviratidzo zvinogona kuva nezviratidzo zvakasiyana-siyana: zvinowanzoenderana nehutano hwechirwere chakakonzera muviri. Zvose zvinoratidza chiratidzo chakakomba.
Parathyroid hyperplasia
Ichi chirwere chinorwara mubasa re endocrine system, iyo inofambidzana nekuvhara kwakanyanya kwe hormone yepathyroid. Ichi chirwere chinobatanidzwa nekuwedzera kwezvinyorwa zvepathyroid muhukuru. Anozivikanwa sevanhu vakuru, uye muhuduku. Pakutanga-tanga chirwere chacho chinowedzera kusinganzwisisiki. Kuongororwa kwechiremba chete kunoratidzira chirwere ichi.
Apo parathyroid gland hyperplasia inotora chimiro chisingaperi, varwere vanonyunyuta nezvechiitiko ichi:
- kugona;
- kurwadziwa kukuru muzvibatanidza;
- kukanganiswa mumugwagwa wekudya;
- kuderera kwemasimba;
- nausea.
Izvo zvakanyanya gland parathyroid inowedzera, zvinonyanya kutaurwa zvese pamusoro apa zviratidzo zvinoonekwa. Simba re "zvitsuwa" rinotungamirira ku hypercalcemia, iyo inofambidzana ne:
- anemia;
- mineral deposition pa cornea yakatevedzwa nekukura kwekataract;
- circulatory disorders;
- renal insufficiency;
- arthritis nezvimwe zvakadaro.
Parathyroid adenoma
Ichi chiremara chemhomoni chechimiro chekushaya simba chinokonzera kuwandisa kwekugadzirwa kwemarimoni yepathyroid. Madzimai, chirwere ichi chinowanikwa muna 2, uye kunyange katatu kakawanda kakawanda kupfuura varume. Munzvimbo ine ngozi yakanyanya, vakadzi vane makore 20-50. Iyo adenoma yezvinyorwa zvepathyroid inowirirana nezviratidzo zvinotevera:
- unopinza kuora kwekurema;
- arthralgia;
- nausea;
- kunetseka;
- kurasikirwa nechido;
- kurwadziwa mumapfupa;
- kuora mwoyo;
- kurasikirwa kwemeno;
- hypertension;
- kuwedzera kutuka;
- kuwedzera kwenhamba yemwoyo.
Parathyroid gland - kuongororwa
Kuti kusimbise kuvapo kwechirwere chekugadzikana kwechigamu, chiremba anonyora kuongorora kwakakwana. Zvinyorwa zvepathyroid zvinongororwa nenzira dzakasiyana. Kuongorora uku kwakakosha munyaya dzinotevera:
- kushungurudzika uye zvimwe zviratidzo zvekuwedzera kunetseka kwekutya;
- kupera kwemakumbo;
- kidney stones;
- osteoporosis ye etiology isina kuzivikanwa.
Parathyroid scintigraphy
Iyi nzira yekutsvakurudza kusvika kune ino inonzi inonyanya kukosha. Parathyroid gland scintigraphy inoshandiswa kushandiswa kweaotopic isotopes. Zvinowanikwa mumutumbi kune murwere, uye ipapo nemichina yavo yakasvibirira yavo inonyorwa. Kunyange zvakadaro, nzira iyi yekuongororwa haigamuchirwi nokuda kwevakadzi vane pamuviri, vakadzika uye vanodarika (kana uremu hwavo hunopfuura 150 kg).
Ultrasound yeganda parathyroid
Iyi nzira yekuongorora inodikanwa haifaniri kudzidziswazve. Ultrasound yezvinyorwa zvepathyroid inoitwa sezvinotevera:
- Murwere akaradzikwa zvakare pamubhedha.
- Muchina wakaiswa pasi pemapfudzi ake.
- Iyo gel inoshandiswa kunzvimbo inofanira kuongororwa uye kuongororwa kunoitwa.
- Kufungisisa kwemafungu aya anokonzerwa nechigadzirwa chinokosha (chinoratidzwa navo pahwindo).
Kuongororwa gland parathyroid
Kuenzanisa kwakadaro kunoratidza mufananidzo wakakwana uye wakavimbika. Sezvo hormone dzepathyroid dzinobudisa mahomoni, kuongorora ropa kunobatsira kuziva chiratidzo chezvinhu izvi mu seramu. Panguva imwe chete, zvidzidzo zvakawanda zvinogona kugoverwa. Ropa re hormone parathyroid rinopiwa pamwechete nekuongorora phosphorus uye calcium. Kuongorora-kwakadzika kunobvumira mupurologinologist kuti awane ruzivo rwakakwana pamusoro pehutano hwemetabolism.
Parathyroid - kurapwa
Mushure mekuongorora kwakanyatsosimbisa kuongororwa, muchechi wezve endocrino anotsanangura nzira yakanakisisa yekurwisa chirwere. Parathyroid gland inogona kurapwa nenzira mbiri:
- mishonga - inotungamirirwa kururamiswa kwehomoni;
- Kuvhiya - kunosanganisira kubviswa kwakakwana kana kusarura kwezvinyorwa zvepathyroid.
Kufanirwa kwechikwata chechirwere ichi kunobva pane zvakasiyana-siyana: rudzi rwekushaya simba, chirwere chechirwere uye zvimwe zvikamu zvemuviri wemurwere. Apo hyperparathyroidism panguva yekudzivirira, vakadzi vanogona kurongerwa madhiragi akadaro:
- antispasmodics;
- vitamini D;
- aluminium hydroxide;
- sedatives;
- magnesium sulphate;
- chloride kana sodium gluconate.
Dhiyabhorosi yekupedzisira inorohwa zvishoma nezvishoma. Injection inoitwa kakawanda pazuva. Panguva imwecheteyo, mushonga wemishonga unobvisa mhuka dzepathyroid dzakagadzirirwa. Zvisinei, chirwere chenguva refu nemishonga iyi haigone kuitwa, nokuti inobereka kugadzirwa kwema antibodies kune hormone parathyroid. Penguva yekurapwa kwemishonga, chiremba anotonga zviyero zve phosphorus, calcium uye magnesium mumuviri wemurwere.
Kana iyo sachifu yepathyroid isingasvikiki, gland yakadaro inoda kukurudzirwa kubva kunze. Nokuti uyu mugumo wemagumo anogona kupa chirongwa chinotevera:
- Injected injection of hormone parathyroid;
- kudya calcium uye vitamini D.
Kushanda pane ganda parathyroid
Kana mamiriro ezvinhu endocrine akaregererwa kana kuti adenoma inowanikwa, chirwere hachigoni kudziviswa. Zvose zvirwere zvinokonzera chirwere zvinoda kurapwa nokukurumidza, saka muchechi wekupedzisira anozopa murwere murwere kuti asazengedze nekushanda. Kupindira kwekuvhiya kunoitwa pasi peanesthesia yakawanda. Nguva yayo inogona kusiyana kubva kune imwe kusvika maawa akawanda.
Parathyroid Removal
Munguva yekuvhiya, chiremba anovhiya anoongorora mamiriro e "zviwi" uye chiyero chekukundwa kwavo. Achaita zvose zvisizvo kuti asarudze zvekuti nguva yemberi ichadzoka zvakare. Kupindira kwokuvhiya kunogona kuitwa nenzira dzinotevera:
- Thyroidectomy.
- Kuvhiya kubvisa ganda parathyroid (rimwe kana kupfuura maviri maviri).
- Kugadziriswa kwenharaunda yakakanganiswa.
Kurapa kwepathyathy gland mishonga yevanhu
Nekushaya simba kwegadziriro ye endocrine, nzira dzekurapa kwakasiyana-siyana inogona kushandiswa. Vanofanira kushandiswa chete mushure mokunge vabvumirana nemagariro ekupedzisira. Kuzvipira kunotyisa, sezvo kunogona kutungamirira kumigumisiro isingaoneki. Kana, somuenzaniso, adenoma yepathyroid inowanikwa, kurapwa nemishonga yevanhu kunoshanda chete pakutanga kweropa.
Oat broth in hyperfunction
Zvisungo:
- unpeeled oats - 2 tbsp. makapu;
- 2,5% mafuta ane mukaka - 1 l;
- mvura - 1 litre.
Kugadzirira, shandisa:
- Mbeu inodururwa nemvura uye oats inounzwa kumota.
- Deredzai moto kumuduku uye uremerwe muto 3-3.5 maawa.
- Dururira mumukaka, tauyisai musanganiswa kuti muve.
- Bvisa ndiro kubva mumoto uye usimbise kudonha kwemaawa 8-10.
- Dzvinyirira mushonga uye unwe muzvikamu zvakaenzana zuva rose.