Postoperative hypoparathyroidism: Izimpawu nasekwelashweni kwezifo kungakephuzi

Hypoparathyroidism - ukuphazamiseka lalivamile endocrine okuyinto kuhambisana ukwehla inani PTH, noma amasosha omzimba nalokho receptor. Kunoma ikuphi, leso sifo igcwele nemiphumela eyingozi. Kuze kube yimanje, ngokuvamile kakhulu kutholakala ukuthi uphethwe yini hypoparathyroidism nasezinkingeni ezilandela ngemva kokuhlinzwa. Ngokwezibalo, ngokuvamile ukwehluleka hormone kwenzeka ngakwesokudla ngemva eyohlinzwa ezithweni entanyeni.

hypoparathyroidism nasezinkingeni ezilandela ngemva kokuhlinzwa izimbangela zako ezisemqoka

Ngokuvamile, ukwehla lemali hormone parathyroid ethuthuka khona inkinga nasezinkingeni ezilandela ngemva kokuhlinzwa. Isizathu kungase kube ukuphathwa kuhlinzwa ka abanale nkinga, ikakhulukazi, ukuba kususwe esinqunyiwe noma ephelele ngokuqondene izifo anomdlavuza.

Kwezinye izimo, lapho ehlinzwa kubangela ukulimala nezindlala parathyroid. Kodwa iningi hypoparathyroidism eba kulezo zimo lapho inqubo ayelimele izitsha ezinkulu igazi letiphakela igazi ukuba izindlala of uketshezi yangaphakathi. Ngakolunye uhlangothi, ngezinye izikhathi excision shchitovidki kuholela ekwakhekeni kwezicubu lunemicu ephinde ikunike evamile igazi ukugeleza futhi trophism emizimbeni.

Kunoma ikuphi kubalulekile ukuqonda ukuthi hypoparathyroidism post-kuhlinzwa - isifo esiyingozi kakhulu. Iqiniso liwukuthi i-hormone parathyroid igcina ibhalansi evamile nge-calcium ne phosphorus. Ngokunciphisa yayo ezingeni waphawula ukwehla kwe-calcium okuhlushwa kanyekanye ukukhulisa inani phosphorus.

hypoparathyroidism postoperative: izimpawu eziyinhloko zesifo

Kwezinye izimo leso sifo kuyinto chronic ephelezelwa ukufiphala, izimpawu akusilo obonakalayo futhi. Kwezinye kukhona ifomu esicashile lesi sifo, okungase azimisele kuphela ngesikhathi luhlolo egcwele emzimbeni.

Kuyinto imfihlo ukuthi ibhalansi electrolyte kuyinto ebaluleke kunazo zonke. Futhi ngokushintsha lokuhlushwa i-calcium ne phosphorus, kukhona ukuphazamiseka permeability of izindonga cell. hypoparathyroidism postoperative kuthinta ngokuyinhloko imisipha nesimiso sezinzwa.

Imisipha zibe kukhona uphawu ezinkulu. ukuhlaselwa okunjalo bathambekele avela izikhathi eziningana ngesonto kuye ngenani hormone parathyroid egazini. Okokuqala, iziguli zizizwe ukunsonsotha isikhumba, bese ziqala okukhulu imisipha, avame uhlushwa nemilenze engenhla nengezansi, futhi imisipha yobuso.

Kufanele kuqashelwe ukuthi ukuquleka kungabonakala nasemkhakheni kwezitho zangaphakathi. Ngokwesibonelo, e-spasm of imisipha ipheshana yesisu zenzeka ukuqunjelwa, ezinzima ubuhlungu besisu. Kodwa ngo Ukudlikizela intercostal futhi diaphragmatic imisipha amafayibha ebonakala iphika, futhi kokunikezwa kwe-ukunyakaza zokuphefumula.

Njengoba KWAMAGUNDANE yesifo nayo isimiso sezinzwa esiyinhloko, okuyinto kuhambisana okuthile engqondweni.

hypoparathyroidism postoperative: ukwelashwa

Ngeshwa, ngokuphelele abanakwethenjwa ngaso sonke isikhathi ukuqeda ukuhlukumeza okunjalo. Noma kunjalo, onalesi sifo esihle iziguli, njengoba usebenzisa ngemithi yanamuhla kalula ukuvimbela ukubukeka kwalesi sifo.

Ikakhulukazi, anticonvulsants esetshenziselwa nokuvimbela izidakamizwa. Kwezinye izimo, iziguli sedatives enqunyiwe. Ngaphezu kwalokho, anele kusho, equkethe calcium kavithamini D. Ngesikhathi exacerbation kubaluleke kakhulu ukuba banamathele ukuzincisha ukudla ezifanele. Ukudla kufanele libe ukudla okunothe nge-calcium (ubisi, ushizi, amaqanda, ushizi), kodwa ngesikhathi esifanayo kufanele okune phosphorus ezikhishiwe.