Wo kɔn mu akisikuru, ɛyɛ den sɛ wobɛmene, anaasɛ ebia thyroiditis anaa thyroid kokoram ho dadwen... so wo duruyɛfo akamfo akyerɛ sɛ wɔnyɛ oprehyɛn mfa yi wo thyroid gland ? Ɛyɛ awosu koraa sɛ wobɛte dadwen anaasɛ woayɛ basaa bere a wote asɛmfua "oprehyɛn" no. Yɛte ase sɛ ebetumi ayɛ hu, nanso sɛ wusua nokwasɛm ahorow a ɛfa ` Thyroidectomy ` ho wɔ ɔkwan a ɛnyɛ den so a, wubetumi abrɛ saa ehu no mu dodow no ara ase. Momma yɛnantew biribiara a ɛsɛ sɛ muhu mu, yɛnbom.
Wɔ Nsɛmfua a Ɛyɛ Mmerewa Mu: Dɛn ne Thyroidectomy?
Nea edi kan no, momma yɛnte nea thyroid gland yɛ ase. Ɛyɛ akwaa ketewaa bi a ɛte sɛ ntontom a ɛwɔ wo kɔn anim, ɛne wo mframa kwan (trachea) hyia pɛɛ. Ɛwom sɛ ɛyɛ ketewaa de, nanso edi dwuma kɛse wɔ wo nipadua mu, na ɛhwɛ nneɛma a ɛho hia te sɛ wo nipadua mu nneɛma a ɛsakra no so.
`Thyroidectomy` yɛ oprehyɛn a wɔde yi thyroid ntini no nyinaa (`Total Thyroidectomy`) anaa ne fã bi (`Partial Thyroidectomy`). Te sɛ nea woyi ɛse a asɛe no, saa ara na wɔyɛ oprehyɛn yi de yi thyroid gland anaa ne fã bi a aduruyɛ mu tebea bi aka no.
Dɛn nti na oprehyɛn yi ho hia?
Ebia woresusuw ho sɛ, "Dɛn nti na ɛsɛ sɛ miyi me thyroid sɛ na ɛreyɛ adwuma yiye a?" Ntease ahorow pii wɔ hɔ a ɛfata. Momma yɛnkyekyɛ wɔn mu pefee.
| Nea enti a Wɔyɛ Oprehyɛn | Nea ɛkyerɛ... |
|---|---|
| Thyroid Ntini a Ɛma Ntini Mu | Eyinom yɛ nneɛma a enyin wɔ thyroid ntini no mu. Dodow no ara nyɛ kokoram , nanso ebinom betumi ayɛ saa. Ebia afoforo nso bɛma thyroid hormone pii aba. Sɛ wosusuw sɛ kokoram wɔ hɔ a, wo duruyɛfo bɛkamfo akyerɛ sɛ wonyi mfi hɔ. |
| Goiter a wɔde di dwuma | Eyi kyerɛ sɛnea thyroid ntini no trɛw. Bere a ɛrenyin no, ebetumi apiapia wo mframa afiri (afiri a ɛma wo mframa mu) ne aduan afiri (esophagus), na ɛde sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ den ne ɔhaw a ɛwɔ wo mene mu aba . Wɔyɛ oprehyɛn na ama nhyɛso yi afi hɔ. |
| Thyroid Kokoram | Sɛ wohu kokoram nkwammoaa wɔ wo thyroid mu a, oprehyɛn ne sika kɔkɔɔ gyinapɛn a wode beyi afi hɔ koraa. Mpɛn pii no, woyi ntini no nyinaa fi hɔ, na wɔ tebea horow bi mu no, wobetumi ayi ntini a ɛbɛn hɔ no nso afi hɔ. |
| Ntini a ɛma mogya tu a ɛboro so | Eyi ba bere a wo ntini no yɛ adwuma boro so, na ɛma hormone pii ba sen nea wo nipadua hia no. Sɛ nnuru ntumi nni eyi ho dwuma a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ oprehyɛn sɛ ayaresa a edi mũ. |
Dɛn ne Thyroidectomy ahorow no?
Nneɛma atitiriw abien na ɛwɔ hɔ. Wo duruyɛfo a ɔyɛ wo oprehyɛn no begyina w’akwahosan ahiade pɔtee so asi nea ɛfata kɛse ho gyinae.
- Total Thyroidectomy: Woyi thyroid ntini no nyinaa fi hɔ. Wɔtaa de eyi di dwuma ma thyroid kokoram anaasɛ goiter a emu yɛ den.
- Partial Thyroidectomy: Wɔsan frɛ no `Hemithyroidectomy` anaa `Lobectomy`, eyi hwehwɛ sɛ woyi thyroid no ntini abien no mu biako pɛ. Wɔtaa de eyi di dwuma sɛ wɔayi nodule bi afi hɔ akɔ ɔfã biako a.
Wɔnam wo Endocrinologist ne Surgeon ntam biakoyɛ so na ɛkyerɛ oprehyɛn ko a wuhia. Ɛho nhia sɛ wohaw wo ho —wowɔ adwumayɛfo nsam.
Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo ansa na wɔayɛ wo oprehyɛn
Nsɛm a wubebisa no yɛ wo hokwan, na ɛyɛ ɔkwan a tumi wom a wobɛfa so atew dadwen a wunya ansa na woayɛ wo oprehyɛn no so. Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa ni:
- Dɛn nti na oprehyɛn yi ho hia ma me? So akwan foforo bi wɔ hɔ a ɛnyɛ oprehyɛn?
- Asiane bɛn na ɛwɔ oprehyɛn yi mu, na ɔhaw ahorow a ebetumi de aba no abu so dɛn?
- Me thyroid gland no fã ahe na wobeyi afi hɔ?
- So ebehia sɛ menom thyroid hormone nnuru wɔ me nkwa nna nyinaa mu?
- Bere tenten ahe na mɛtra ayaresabea, na bere tenten ahe na ɛbɛma me ho atɔ me?
Eyinom ho mmuae a emu da hɔ a wubenya no bɛboa wo ma woate nka sɛ woasiesie wo ho kɛse.
Mɛyɛ dɛn asiesie me ho ama oprehyɛn no?
Te sɛ oprehyɛn biara no, ahosiesie yɛ ade titiriw. Wo duruyɛfo bɛma wo akwankyerɛ pɔtee a ɛfata w’akwahosan. Yɛsrɛ sɛ di wɔn akyi yiye.
Adapɛn bi ansa na wɔreyɛ wo oprehyɛn no
- Nhwehwɛmu a Wɔde Hu: Ebia wo duruyɛfo bɛkamfo Thyroid Ultrasound akyerɛ na ama woahu akisikuru no ho mfonini pefee . Sɛ biribi a ɛhaw adwene sɛ ebia ntini no yɛ nea ɛyɛ hu a, wubetumi ayɛ Fine Needle Aspiration (biopsy) , a wɔde ade boaboa nkwammoaa nketenkete bi ano.
- Ɛnne Nhwehwɛmu: Ebia wo duruyɛfo bɛhwɛ sɛnea wo nne nhama no yɛ adwuma de ahwɛ ahu sɛ ɛreyɛ adwuma yiye.
- Nnuru: Sɛ wo thyroid hormone dodow kɔ soro kɛse a, ebia wo duruyɛfo bɛkyerɛw nnuru ama wo ansa na woayɛ wo oprehyɛn na ama woatumi adi so.
- Sigaretnom: Sɛ wonom sigaret a, wo duruyɛfo betu wo fo denneennen sɛ gyae. Sigaretnom betumi asiw aduru a wɔde kum nipadua no kwan na ama wo nipadua no asa.
Bɛyɛ Dapɛn Bi Ansa na Wɔbɛyɛ Oprehyɛn
- Ka nnuru nyinaa ho asɛm kyerɛ wo duruyɛfo: Hwɛ hu sɛ wobɛka biribiara a wonom, a nnuru a wɔkyerɛw ma wo, vitamin, nhabannuru, ne nnuru a wɔde ka ho ka ho akyerɛ w’akwahosan ho ɔyaresafo. Wɔbɛkyerɛ wo nnuru a ɛsɛ sɛ wotoa so ne nea ɛsɛ sɛ wugyae ansa na wɔayɛ wo oprehyɛn.
- Nnuru a Ɛma Mogya Tew: Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw a, ebehia sɛ wugyae eyinom nom bere tiaa bi, nanso wɔ wo duruyɛfo akwankyerɛ pɔtee ase nkutoo. Nnyae nnuru yi da a wunni kan nkɔ wo duruyɛfo nkyɛn.
Ansa na Wɔbɛyɛ Oprehyɛn
Ɛho behia sɛ wudi mmuada (kwati nnuan ne anonne nyinaa) nnɔnhwerew pii ansa na woayɛ wo oprehyɛn. Ayaresabea adwumayɛfo no bɛma wo akwankyerɛ a emu da hɔ a ɛfa akwankyerɛ ahorow yi ho.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Ɛho nhia sɛ wohaw wo ho, efisɛ wobɛda yiye wɔ oprehyɛn no nyinaa mu.
Ansa na wobefi oprehyɛn no ase no, oduruyɛfo a ɔma obi dwensɔ bɛma wo aduru a wɔde kum wo nyinaa de ahwɛ ahu sɛ wunnim hwee koraa , a ɛkyerɛ sɛ worente ɛyaw biara. Nea ɛbɛboa wo ma woahome ntɛm no, wɔde afiri a wɔde home bɛhyɛ wo menewam bere a wɔreyɛ oprehyɛn no.
Ebia oduruyɛfo a ɔyɛ wo oprehyɛn no de akwan horow pii bedi dwuma de akɔ thyroid ntini no mu:
- Amanne kwan so kwan: Wɔtwa ketewaa bi wɔ wo kɔn no honam ani abɔde mu nkuruwankuruwa no ho na ama akuru a wotumi hu no ayɛ ketewaa bi.
- Minimally Invasive Video-Assisted Thyroidectomy (MIVAT): Wɔnam mfoninitwa afiri akwankyerɛ so na ɛyɛ oprehyɛn yi.
- Akwan a Akuru Nni Ho: Nnɛyi akwan bi wɔ hɔ a wɔfa ano anaa asen ase kɔ thyroid no mu, na ɛmma kɔn mu akuru biara nni hɔ a wotumi hu.
- Nsɛm a Ɛntaa Nnya: Sɛ goiter no atrɛw akɔ koko no mu a, ɛtɔ mmere bi a ebia ɛho behia sɛ wɔyɛ oprehyɛn a ɛfa koko dompe no ho.
Sɛ oprehyɛn no yɛ nea wɔde sa kokoram a, oduruyɛfo a ɔyɛ oprehyɛn no betumi ayɛ ntini a atwa ho ahyia no mu nhwehwɛmu . Sɛ kokoram atrɛw akɔ saa ntini ahorow yi mu a, ebia wobeyi wɔn nso afi hɔ.
Wɔ oprehyɛn no awiei no, wɔde ntama a ɛtumi nwene ne oprehyɛn gluu titiriw bi a ɛwɔ honam ani no to nea wɔatwa no mu.
Mpɛn pii no, sɛ wotwa thyroid no nyinaa a, egye nnɔnhwerew 1 kosi 3, bere a ebia sɛ woyi ne fã bi fi hɔ a, egye bere kakraa bi.
Asiane bɛn na ɛwɔ oprehyɛn yi mu?
Ɛho hia sɛ wuhu sɛ mpɛn pii no thyroidectomy yɛ adeyɛ a ahobammɔ wom kɛse . Nsɛnnennen ntaa mma, nanso sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ hɔ.
- Mogya a Ɛtu Mboro So: Bere a ɛntaa mma no, mogya a ɛbɛtɔ no betumi ama mogya atɔw mframa kwan no, na ama ayɛ den sɛ ɔbɛhome.
- Vocal Cord Nerve Damage: Ntini a ɛhwɛ wo nne so no bɛn thyroid gland no yiye. Sɛ eyinom pira bere a wɔreyɛ oprehyɛn no a, ebia wobɛte nne a ɛyɛ dede anaasɛ wo nne ayɛ mmerɛw. Mpɛn pii no, eyi yɛ bere tiaa mu de. Nnuruyɛfo a wɔyɛ oprehyɛn hwɛ yiye paa sɛ wobehu saa ntini ahorow yi na wɔabɔ ho ban.
- Parathyroid Ntini a Ɛsɛe: Wowɔ ntini nketenkete anan a ne kɛse bɛyɛ sɛ aburow aba, a ɛbata wo thyroid no akyi. Eyinom ne Parathyroid ntini , a ɛma wo nipadua mu calcium dodow yɛ yiye. Sɛ ɛka wɔn bere a wɔreyɛ oprehyɛn no a, wo mogya mu calcium dodow betumi akɔ fam (Hypocalcemia) .
Asiane ahorow yi a ebetumi aba no kɔ soro sɛ wowɔ kokoram kɛse, sɛ eyi yɛ thyroid oprehyɛn a wɔyɛ no mpɛn pii, anaasɛ wowɔ goiter kɛse soronko a.
Bere tenten ahe na egye sɛ obi ho tɔ no koraa?
Ɛda adi sɛ wobɛtra ayaresabea hɔ da koro anaa nnanu. Sɛ wonya nyane koraa fi aduru a wɔde kum wo mu a, wubetumi afi ase adi nnuan a emu nyɛ duru ne nsu. Ebia wobɛte menewa mu yaw kakra nna kakraa bi esiane ahome afiri no nti.
Ansa na wobeyi wo afi ayaresabea hɔ no, wo nsa bɛka akwankyerɛ pɔtee a ɛfa sɛnea wobɛhwɛ wo ntwitwiridii no ho.
Ayarefo dodow no ara te nka sɛ wɔn ho atɔ wɔn koraa wɔ adapɛn abien kosi abiɛsa ntam . Nanso, anyɛ yiye koraa no, ɛsɛ sɛ wotwɛn adapɛn abien ansa na woasan afi dwumadi ahorow a emu yɛ den te sɛ apɔw-mu-teɛteɛ anaa nneɛma a emu yɛ duru a wobɛma so ase.
Ɛfa Scar no ho
Yiw, akuru ketewaa bi (bɛyɛ nsateakwaa 1 kosi 2.5) bɛkɔ so atra wo kɔn ase. Nnuruyɛfo a wɔyɛ oprehyɛn no de nea wɔatwa no to wo kɔn mu nsensanee a efi awosu mu no so, na ɛma bere kɔ so no, ɛnyɛ nea ɛda adi kɛse. Ebetumi agye asram 12-18 ansa na akuru no anyin koraa. Bere a ebia ɛbɛyɛ kɔkɔɔ kakra anaasɛ akɔ soro mfiase no, bere kɔ so no, ɛbɛyera na ayɛ petee. Di wo duruyɛfo afotu a ɛfa akuru a wɔhwɛ so ho akyi na ama woanya ayaresa a eye sen biara.
Bere a ɛsɛ sɛ wɔhwehwɛ aduruyɛ a egye ntɛmpɛ
Sɛ wuhu sɛnkyerɛnne bi a ɛhaw adwene bere a woasan aba fie akyi a, ɛho hia sɛ woyɛ ho biribi ntɛm.
| Kɔkɔbɔ Nsɛnkyerɛnne | Adeyɛ a Wɔhwehwɛ |
|---|---|
| Nsu a ɛho ahonhon, mogya tu, anaa nsu a ɛbɛtɔ wɔ baabi a wɔatwa no. | Kɔ wo duruyɛfo a ɔyɛ oprehyɛn no nkyɛn ntɛm ara anaa kɔ Emergency Room a ɛbɛn wo no mu . |
| Atiridii (a ɛboro 101°F / 38°C). | Kɔ wo duruyɛfo nkyɛn ntɛm ara. |
| Anim, nsa, anaa anofafa a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw (kyerɛ sɛ calcium sua). | Bɔ wo duruyɛfo amanneɛ ntɛm ara; ɛnsɛ sɛ wobu ani gu eyi so. |
Oprehyɛn biara a wɔbɛyɛ no yɛ ade titiriw, na ɛyɛ awosu sɛ wobɛte dadwen nka. Nanso, thyroidectomy yɛ adeyɛ a wɔyɛ daa a nea efi mu ba no ye sen biara. Nnipa dodow no ara ho tɔ wɔn yiye paa, na wɔn a wɔreyɛ wɔn oprehyɛn wɔ kokoram ho no taa nya ahotɔ kɛse. Sɛ woda so ara wɔ nneɛma bi a ɛhaw wo a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa —wɔwɔ hɔ sɛ wɔbɛboa wo wɔ wo ne Nirogi Lanka akwantu no nyinaa mu.
Nneɛma Titiriw a Wɔde Kɔma Wo Ma Wo Hwɛ
- Thyroidectomy yɛ oprehyɛn a wɔyɛ no daa, a ahobammɔ wom kɛse a wɔde sa thyroid tebea ahorow wɔ Nirogi Lanka ha.
- Ɛho hia sɛ wote nea enti a wɔyɛɛ wo oprehyɛn no ase yiye. Yɛsrɛ sɛ ntwentwɛn wo nan ase da sɛ wubebisa wo oprehyɛn ho ɔbenfo no nsɛm biara a ebia wowɔ.
- Di akwankyerɛ a wo duruyɛfo a ɔyɛ oprehyɛn de ma ansa na woayɛ oprehyɛn no akyi pɛpɛɛpɛ, titiriw wɔ nnuruyɛ nhyehyɛe ne mmuadadi ahwehwɛde ahorow ho.
- Mpɛn pii no, sɛ obi ho bɛtɔ no koraa no gye adapɛn kakraa bi. Ahomegye ne oprehyɛn akyi ɔhwɛ a ɛfata a wode bedi kan wɔ saa bere yi mu no ho hia ma w’ayaresa.
- Sɛ woyi wo thyroid gland nyinaa a, ɛho behia sɛ wonom thyroid hormone supplement (Levothyroxine) da biara da nkwa nna nyinaa. Eyi yɛ wo dwumadi no fã a ɛyɛ mmerɛw yiye na ɛnyɛ den sɛ wubedi ho dwuma.
- Sɛ wuhu sɛnkyerɛnne bi a ɛhaw adwene wɔ oprehyɛn no akyi, te sɛ ɔfe kɛse, atiridiinini, anaasɛ akisikuru a, yɛsrɛ wo kɔ ayaresabea anaa kɔ adwumayɛbea a wɔhwɛ ntɛmpɛ so ntɛm ara.
Thyroidectomy, thyroid oprehyɛn, thyroid ntini, goiter, thyroid kokoram, Hyperthyroidism, oprehyɛn kwan
