I-Osteitis fibrosa

I-Osteitis fibrosa iyinkinga ye-hyperparathyroidism, isimo lapho amathambo athile eba ntekenteke futhi akhubazeke ngokungajwayelekile.

Izindlala ze-parathyroid zingama-4 amadlala amancane entanyeni. Lezi zindlala zikhiqiza i-hormone ye-parathyroid (PTH). I-PTH isiza ukulawula amazinga e-calcium, i-phosphorus, ne-vitamin D egazini futhi ibalulekile emathanjeni aphilile.

I-hormone ye-parathyroid eningi kakhulu (i-hyperparathyroidism) ingaholela ekuqhekekeni kwamathambo, okungadala ukuthi amathambo abe buthakathaka futhi abe ntekenteke ngokwengeziwe. Abantu abaningi abane-hyperparathyroidism ekugcineni baba ne-osteoporosis. Akuwona wonke amathambo aphendula i-PTH ngendlela efanayo. Ezinye ziba nezindawo ezingajwayelekile lapho ithambo lithambe khona kakhulu futhi cishe alinayo i-calcium kulo. Le yi-osteitis fibrosa.

Ezimweni ezingavamile, umdlavuza we-parathyroid ubangela i-osteitis fibrosa.

I-Osteitis fibrosa manje ayivamile kakhulu kubantu abane-hyperparathyroidism abakwazi ukufinyelela kahle ekunakekelweni kwezokwelapha. Kuvame kakhulu kubantu abathuthukisa i-hyperparathyroidism besebancane, noma asebenesikhathi eside bengalashwa i-hyperparathyroidism.

I-Osteitis fibrosa ingadala ubuhlungu bamathambo noma isisa. Kungaba khona ukuphuka (ukuphuka) ezandleni, emilenzeni, noma emgogodleni, noma kwezinye izinkinga zethambo.

I-Hyperparathyroidism uqobo ingadala noma ikuphi kokulandelayo:

• Isicanucanu
• Ukuqunjelwa
• Ukukhathala
• Ukuchama njalo
• Ubuthakathaka

Ukuhlolwa kwegazi kukhombisa izinga eliphakeme le-calcium, i-hormone ye-parathyroid, ne-alkaline phosphatase (ikhemikhali lamathambo). Izinga lePhosphorus egazini lingahle liphansi.

Ama-X-ray angabonisa amathambo amancane, ukuqhekeka, ukukhothama nama-cysts. Amazinyo ama-x-ray nawo angahle abe angajwayelekile.

Kungenziwa i-x-ray yethambo. Abantu abane-hyperparathyroidism banamathuba amaningi okuba ne-osteopenia (amathambo amancane) noma i-osteoporosis (amathambo amancane kakhulu) kunokuba ne-osteitis fibrosa egcwele ngokugcwele.

Iningi lezinkinga zamathambo ezivela ku-osteitis fibrosa zingaguqulwa ngokuhlinzwa ukuze kususwe izindlala ezingavamile ze-parathyroid. Abanye abantu bangakhetha ukungasahlinzwa, kunalokho balandelwe ukuhlolwa kwegazi nokukalwa kwethambo.

Uma ukuhlinzwa kungenakwenzeka, imithi kwesinye isikhathi ingasetshenziswa ukwehlisa izinga le-calcium.

Izinkinga ze-osteitis fibrosa zifaka noma yikuphi okulandelayo:

• Ukuqhekeka kwamathambo
• Ukukhubazeka kwethambo
• Ubuhlungu
• Izinkinga ngenxa ye-hyperparathyroidism, njengamatshe ezinso nokwehluleka kwezinso

Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo uma unezinhlungu zethambo, isisa, noma izimpawu ze-hyperparathyroidism.

Ukuhlolwa kwegazi okuvamile okwenziwa ngesikhathi sokuhlolwa kwezokwelapha noma enye inkinga yezempilo kuvame ukuthola izinga eliphakeme le-calcium ngaphambi kokuba kwenziwe umonakalo omkhulu.

I-Osteitis fibrosa cystica; Hyperparathyroidism - i-osteitis fibrosa; Isigaxa esinsundu sethambo

• Nezindlala Parathyroid

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IPatsch JM, iKrestan CR. Isifo samathambo se-Metabolic ne-endocrine. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 43.

I-Thakker RV. Izindlala ze-parathyroid, i-hypercalcemia ne-hypocalcemia. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 232.