Postoperative hypoparathyroidism: Cov tsos mob thiab kev kho mob ntawm tus kab mob

Hypoparathyroidism - ib tug ncaj ntau endocrine teeb meem uas yog los ntawm ib tug txo nyob rau hauv tus nqi ntawm cov PTH, los yog cov tiv thaiv thereto receptors. Nyob rau hauv txhua rooj plaub, xws li ib tug kab mob no yog fraught nrog yus txim. Rau hnub tim, lub feem ntau thiaj paub hais tias postoperative hypoparathyroidism. Raws li statistics, feem ntau hormonal tsis ua hauj lwm tshwm sim yog tom qab ib txoj kev phais rau lub caj dab nrog cev.

Postoperative hypoparathyroidism thiab nws cov ntsiab ua

Feem ntau, cov txo nyob rau hauv tus nqi ntawm parathyroid lawm yog tsim raws li ib tug postoperative yam tab kaum. Yog vim li cas tej zaum yuav phais kho mob ntawm lub qog tus kab mob, nyob rau hauv particular, nws feem los sis tag kev tshem tawm nyob rau hauv kev twb kev txuas nrog ua cancer kab mob.

Nyob rau hauv tej rooj plaub, thaum lub sij hawm kev phais ua kev puas tsuaj rau lub parathyroid qog. Tab sis feem ntau ntawm cov hypoparathyroidism muaj nyob rau hauv cov neeg mob thaum cov txheej txheem tau raug puas loj cov hlab ntsha uas muab cov ntshav mus rau lub qog ntawm Internal secretion. Nyob rau lwm cov tes, tej zaum shchitovidki excision ua mus rau tsim ntawm fibrous cov ntaub so ntswg, uas kuj muab lub cev cov ntshav txaus thiab trophism lub cev.

Nyob rau hauv txhua rooj plaub nws yog tsim nyog los nkag siab hais tias ncej phais hypoparathyroidism - ib tug heev txaus ntshai tus kab mob. Qhov tseeb yog hais tias tus parathyroid hormone koom tes rau tej nqi koj tshuav ntawm poov hlau thiab phosphorus. Los ntawm kev txo cov theem cai txo ntawm calcium concentration thiab ib txhij ua qhov nyiaj ntawm phosphorus.

Postoperative hypoparathyroidism: lub ntsiab tsos mob ntawm tus kab mob

Nyob rau hauv tej rooj plaub xws li ib tug kab mob no yog ib tug mob thiab nrog zim zuag, tsis dhau hnov cov tsos mob. Nyob rau hauv lwm tus neeg muaj yog ib tug latent daim ntawv ntawm tus kab mob no, uas tej zaum yuav tsum tau txiav txim tsuas yog thaum ib tug tag nrho cov kev soj ntsuam ntawm lub cev.

Nws yog tsis muaj daim card uas lub ntsha tshuav yog ib yam uas utmost tseem ceeb. Thiab hloov lub concentration ntawm calcium thiab phosphorus, muaj kev cuam tshuam ntawm cov permeability ntawm lub cell phab ntsa. Postoperative hypoparathyroidism muaj feem xyuam rau feem ntau cov nqaij ntshiv thiab lub paj hlwb.

Nqaij chua yog ib tug loj cov tsos mob. Tej tawm tsam yuav tshwm sim ob peb lub sij hawm ib lub lim tiam nyob rau hauv lub xov tooj ntawm parathyroid lawm nyob rau hauv cov ntshav. Ua ntej, cov neeg mob xav tias tingling nyob rau hauv daim tawv nqaij, ces pib khaus nqaij contraction, feem ntau txom nyem los ntawm sab sauv thiab sab nqua, thiab lub ntsej muag nqaij.

Nws yuav tsum tau muab sau tseg hais tias qaug dab peg yuav tsum muaj cai nyob rau hauv lub hauv nruab nrog cev. Piv txwv li, nyob rau hauv ib tug spasm ntawm cov nqaij ntshiv ntawm lub digestive ib ntsuj av tau tshwm sim cem quav, mob mob plab. Tab sis nyob rau hauv convulsions intercostal thiab diaphragmatic nqaij fibers tshwm sim ua tsis taus pa, thiab ua txhaum ntawm lub pa taw.

Raws li cov kab ntawm tus kab mob thiab central lub paj hlwb, uas yog nrog los ntawm kev puas hlwb kev ntshawv siab.

Postoperative hypoparathyroidism: kev kho mob

Tu siab, tag yuav tsis yeej ib txwm tau tshem ntawm xws li ib tug tau ua txhaum. Cuaj kaum, ib tug dej siab raug rau cov neeg mob, txij li thaum siv niaj hnub tshuaj yuav yooj yim tiv thaiv kom txhob cov tsos mob chua leeg hlwb.

Nyob rau hauv kev, anticonvulsants siv rau kev tiv thaiv ntawm cov tshuaj. Nyob rau hauv tej rooj plaub, cov neeg mob yog kws sedatives. Nyob rau hauv tas li ntawd, ib tug kom tsawg txhais tau tias, muaj calcium thiab vitamin D. Thaum lub sij hawm ib tug exacerbation yog qho tseem ceeb heev ua raws li ib tug uas tsim nyog noj cov zaub mov. Cov khoom noj yuav tsum muaj xws li ntawm cov khoom noj nplua nuj nyob rau hauv poov hlau (mis nyuj, cheese, qe, cheese), tab sis nyob rau tib lub sij hawm yuav tsum raug tshem tawm cov zaub mov uas muaj phosphorus.