Hypoparathyroidism yog ib qho teeb meem ntawm endocrine, uas yog nrog los ntawm kev txo qis ntawm cov tshuaj hormones parathyroid, lossis los ntawm kev tawm tsam ntawm receptors rau nws. Nyob rau hauv txhua rooj plaub, xws li ib tug kab mob yog fraught nrog txaus ntshai txim. Txog niaj hnub no, postoperative hypoparathyroidism feem ntau kuaj pom. Raws li kev txheeb cais, feem ntau qhov tsis ua haujlwm hormonal tshwm sim tom qab kev phais mob ntawm lub caj dab.
Postoperative hypoparathyroidism thiab nws cov laj thawj tseem ceeb
Raws li txoj cai, qhov txo qis ntawm cov tshuaj hormones parathyroid txhim kho raws li qhov teeb meem tom qab phais. Yog vim li cas tej zaum yuav yog kev phais kho cov kab mob ntawm cov thyroid caj pas, tshwj xeeb tshaj yog nws ib feem los yog tag nrho tshem tawm vim mob cancer.
Nyob rau qee kis, kev puas tsuaj rau cov qog nqaij hlav parathyroid tshwm sim thaum phais. Tab sis feem ntau, hypoparathyroidism tshwm sim nyob rau hauv qhov chaw, nrogCov txheej txheem ua rau cov hlab ntsha tseem ceeb muab cov ntshav rau cov qog endocrine no. Ntawm qhov tod tes, qee zaum kev txiav tawm ntawm cov thyroid caj pas ua rau tsim cov ntaub so ntswg, uas tseem cuam tshuam cov ntshav ntws thiab cov kab mob trophic.
Txawm li cas los xij, koj yuav tsum nkag siab tias tom qab kev phais mob hypoparathyroidism yog ib yam kab mob txaus ntshai heev. Qhov tseeb yog tias parathyroid hormone tswj qhov sib npaug ntawm calcium thiab phosphorus. Nrog kev txo qis hauv nws qib, muaj qhov txo qis hauv cov ntsiab lus ntawm calcium thiab nce ib txhij ntawm phosphorus.
Postoperative hypoparathyroidism: cov tsos mob tseem ceeb ntawm tus kab mob
Qee zaum, tus kab mob no mob ntev thiab nrog rau qhov muag plooj, tsis pom cov tsos mob. Lwm tus muaj tus kab mob latent, uas tsuas yog txiav txim tau thaum kuaj xyuas lub cev tag.
Nws tsis muaj qhov zais cia tias qhov sib npaug ntawm electrolyte yog qhov tseem ceeb tshaj plaws. Thiab nrog kev hloov pauv hauv cov ntsiab lus ntawm calcium thiab phosphorus, kev ua txhaum ntawm permeability ntawm phab ntsa cell raug pom. Postoperative hypoparathyroidism feem ntau cuam tshuam rau cov leeg thiab lub paj hlwb.
Cov leeg nqaij yog cov tsos mob tseem ceeb ntawm tus kab mob. Xws li kev tawm tsam, raws li txoj cai, tshwm sim ob peb zaug hauv ib lub lis piam, nyob ntawm tus nqi ntawm parathyroid hormone hauv cov ntshav. Ua ntej, cov neeg mob hnov qhov kev hnov mob ntawm daim tawv nqaij, tom qab ntawd cov leeg nqaij tawv pib pib: sab sauv thiab qis qis, nrog rau cov leeg ntawm lub ntsej muag, feem ntau raug kev txom nyem.
Nws tsim nyog sau cia tias convulsiveqaug dab peg kuj tuaj yeem pom nyob rau hauv cov khoom nruab nrog cev. Piv txwv li, nrog ib tug spasm ntawm cov nqaij ntshiv ntawm lub plab zom mov, cem quav thiab mob hnyav nyob rau hauv lub plab yog pom. Tab sis nrog spasms ntawm intercostal thiab diaphragmatic nqaij fibers, ua pa luv thiab ua pa tsis zoo tshwm sim.
Raws li tus kab mob no zuj zus, lub hauv paus paj hlwb tseem cuam tshuam, uas yog nrog los ntawm kev puas hlwb.
Postoperative hypoparathyroidism: kev kho mob
Hmoov tsis zoo, nws tsis yog ib txwm ua tau kom tshem tawm qhov kev ua txhaum cai no. Txawm li cas los xij, qhov kev cia siab rau cov neeg mob tau txais txiaj ntsig zoo, vim tias nrog kev pab ntawm cov tshuaj niaj hnub no, kev qaug dab peg tuaj yeem tiv thaiv tau yooj yim.
Tshwj xeeb, cov tshuaj tiv thaiv kab mob yog siv los tiv thaiv. Qee zaum, cov neeg mob tau muab tshuaj sedative. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tau noj cov khoom uas muaj calcium, nrog rau cov vitamin D. Thaum lub sij hawm exacerbation, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua raws li kev noj haus kom tsim nyog. Kev noj zaub mov yuav tsum muaj cov khoom noj uas muaj calcium (mis nyuj, tsev cheese, qe, cheese), tab sis tib lub sijhawm, cov khoom noj uas muaj phosphorus yuav tsum raug cais tawm.
