Parathyroid adenoma

O le parathyroid adenoma o le noncancerous (benign) tumo o le parathyroid glands. O le parathyroid glands o loʻo tu i le ua, latalata pe faʻapipiʻi i le pito i tua o le thyroid gland.

O le parathyroid glands i le ua fesoasoani fesoasoani faʻatonutonu kalama faʻaaogaina ma aveʻese e le tino. Latou te faia lenei mea e ala i le gaosia o le parathyroid hormone, poʻo le PTH. E fesoasoani le PTH e faʻatonutonu le vaega ole calcium, phosphorus, ma vitamini D ile toto ma e taua mo ponaivi maloloina.

Parathyroid adenomas e taatele. Tele o parathyroid adenomas e leai se faʻamaoniga mafuaʻaga. O isi taimi o le faʻafitauli tau tupuʻaga o le mafuaʻaga. E sili atu le masani lenei pe a fai o le faʻamaoniga e faia a o e talavou.

Tulaga e faʻaosofia ai le parathyroid glands ia faʻatele e mafai foi mafua ai se adenoma. E aofia ai:

• Faʻalavelave faʻafitauli
• Aveina o le vailaʻau lithium
• Faamai o le fatugao faaumiumi

Tamaitai i luga o tausaga 60 maua i le maualuga tulaga lamatia mo le atiina ae o lenei tulaga. O le susulu atu i le ulu poʻo le ua e faʻateleina ai foʻi le aʻafiaga.

Tele o tagata e leai ni faʻailoga. O le tulaga e masani ona maua pe a faia suʻesuʻe toto mo se isi mafuaaga faʻafomaʻi.

Parathyroid adenomas o le sili ona taatele mafuaʻaga o hyperparathyroidism (soona gaioi parathyroid glands), lea e tau atu i le faateleina o le toto tulaga calcium.Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

• Le mautonu
• Paneta
• Leai se malosi (lelava)
• Tiga maso
• Palu pe faʻaitiitia le fiaai
• Urination soʻo i le po
• Vaivai ponaivi poʻo nuti

Toto mafai ona faia e siaki ai tulaga o:

• PTH
• Kalisiu
• Fosipolo
• Vitamini D

E mafai ona faia se suʻesuʻega o le 24-itula e siaki ai le siʻitia o le calcium i totonu o le 'au.

O isi suʻega e aofia ai:

• Suʻega o ponaivi
• Fatugaʻo ultrasound poʻo CT scan (ono faʻaali fatugaʻo maʻa poʻo faʻailoga)
• Fatugao x-ave (atonu faʻaali maa fatugaʻo)
• MRI
• Le ua ultrasound
• Sestamibi ua scan (e iloa ai le nofoaga o le parathyroid adenoma)

O taotoga o le sili ona taatele togafitiga, ma e masani ona togafitia le tulaga. Ae, o nisi tagata filifili e na o le faia masani siakiina ma latou soifua maloloina pe a fai o le tulaga e agamalu.

Ina ia fesoasoani e faʻaleleia le tulaga, atonu e fai atu lau kamupani ia te oe e taofi le tagofia o kalisiu ma vitamini D faʻaopoopoga. Fafine ua uma i le menopause ono manaʻo e talanoaina togafitiga ma estrogen.

A togafitia, e masani lava ona lelei le vaʻai.

Osteoporosis ma le faʻateleina o tulaga lamatia mo ponaivi ponaivi o le sili ona taatele popolega.

O isi faʻalavelave e le masani ai, ae ono aofia ai:

• Nephrocalcinosis (kalisiu teu i fatugaʻo e mafai faʻaititia gaioiga gaioiga)
• Osteitis fibrosa cystica (faʻamaluluina, vaivai vaega i ponaivi)

Faʻafitauli mai taotoga aofia ai:

• Faʻaleagaina i se neula e faʻatonutonu lou leo
• Faʻaleagaina o le parathyroid glands, lea e mafua ai le hypoparathyroidism (le lava o le parathyroid hormone) ma maualalo le maualuga maualuga

Valaʻau lau tautua pe a fai oe maua faʻailoga o lenei tulaga.

Hyperparathyroidism - parathyroid adenoma; Galue gaioi parathyroid - parathyroid adenoma

• Laʻau Endocrine
• Malalafua parathyroid

Reid LM, Kamani D, Randolph GW. Faʻatautaia o faʻafitauli parathyroid. I totonu: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Taʻavale ma le ua. 7th ed. Filatelefia, PA: Elsevier; 2021: mata 123.

Silverberg SJ, Bilezikian JP. Peraimeri hyperparathyroidism. I totonu: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Matutua ma Tamaiti. 7th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 63.

Thakker RV. O le parathyroid glands, hypercalcemia, ma le hypocalcemia. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 232