Postoperative hypoparathyroidism: Zizindikiro ndi mankhwala a matenda

Hypoparathyroidism - ndithu wamba endocrine matenda omwe limodzi ndi kuchepa mu kuchuluka kwa PTH, kapena chitetezo chokwanira thereto zolandilira. Mulimonsemo, matenda amenewa ndi zinadzala ndi zotsatira zowawa. Pakali pano, ndi zambiri matenda postoperative hypoparathyroidism. Malinga ndi kafukufuku, nthawi zambiri m'thupi kulephera amapezeka pambuyo pa opaleshoni ziwalo khosi.

Postoperative hypoparathyroidism ndi zinthu zikuluzikulu

Childs, kuchepa kuchuluka kwa timadzi parathyroid kusiyana ndi vuto postoperative. chifukwa mwina mankhwala opaleshoni ya matenda a chithokomiro, makamaka ake kuchotsedwa tsankho kapena wathunthu mogwirizana ndi matenda a khansa.

Nthawi zina, pa opaleshoni umawononga kuti zopangitsa za parathyroid. Koma ambiri a hypoparathyroidism akufotokozera milandu anthu pamene ndondomeko zinali zitawonongeka ziwiya lalikulu magazi kuti kupereka magazi kwa zopangitsa za katulutsidwe mkati. Komano, nthawi zina shchitovidki excision kumabweretsa mapangidwe a minofu fibrous, amenenso amapereka yachibadwa magazi ndi trophism matupi.

Mulimonsemo m'pofunika kumvetsa kuti pambuyo pa opaleshoni hypoparathyroidism - matenda oopsa kwambiri. Mfundo ndi kuti timadzi parathyroid amakhala bwino yachibadwa kashiamu ndi phosphorous. Ndi kuchepetsa mlingo wake anati kuchepa ndende kashiamu ndi imodzi kuwonjezera kuchuluka kwa phosphorous.

Postoperative hypoparathyroidism: zizindikiro zazikulu za matenda

Nthawi zina matenda amenewa ndi aakulu limodzi ndi sawona bwinobwino, zizindikiro zochuluka noticeable. Mu ena pali zobisika mawonekedwe a matenda, limene mwina titsimikize lokha pa Kupenda zonse za thupi.

Ndi palibe chinsinsi kuti electrolyte bwino n'kofunika kwambiri. Ndipo kusintha ndende kashiamu ndi phosphorous, pali kusokonezeka kwa permeability ya maselo makoma a. Postoperative hypoparathyroidism amakhudza makamaka minofu ndi mantha dongosolo.

Minofu spasms ndi chizindikiro chachikulu. zoopsa zotere amakonda kulankhula kangapo pa mlungu malingana ndi kuchuluka kwa timadzi parathyroid m'magazi. Choyamba, odwala kumva kumva kulasalasa pakhungu, amayamba kwambiri minofu chidule, nthawi zambiri amadwala miyendo chapamwamba ndipo m'munsi, ndi minofu nkhope.

Tikumbukenso kuti khunyu zingaoneke mu ziwalo mkati. Mwachitsanzo, mu kuphipha a minofu ya thirakiti m'mimba kumachitika kudzimbidwa, kupweteka m'mimba. Koma kupweteka intercostal ndi ulusi minofu diaphragmatic kuoneka kufupika kwa mpweya, ndi kuphwanya kayendedwe kupuma.

Monga infestation wa matenda ndi dongosolo chapakati mantha, amene anatsagana ndi mavuto a m'maganizo.

Postoperative hypoparathyroidism: chithandizo

Mwatsoka, kwathunthu sangathe nthawi zonse kuchotsa ngati kulakwila a. Komabe, madokotala ananena zawo yabwino kwa odwala, kuyambira ntchito mankhwala amakono mosavuta kupewa maonekedwe a khunyu.

Makamaka, anticonvulsants ntchito kupewa mankhwala. Nthawi zina, odwala ndi mankhwala akuchipatala. Komanso, kudya ndi kumatanthauza munali kashiamu ndi vitamini D. Pa exacerbation ndi n'kofunika kwambiri kutsatira chakudya yoyenera. The zakudya ayenera zigwirizana wa zakudya zokhala kashiamu (mkaka, cheese, mazira, tchizi), koma nthawi yomweyo Tisawasale zakudya munali phosphorous.