Kpe aɖe si le wò kɔ me, nu mimi sesẽ, alo ɖewohĩ dzitsitsi ɖe lãkusidɔ alo lãkusi me dɔdzẽ ŋu... ɖe wò ɖɔkta kafui be woawɔ dɔ na wò atsɔ aɖe wò lãkusia ɖaa ? Enye nusi sɔ le dzɔdzɔme nu kura be nàtsi dzimaɖi alo nu te ɖe dziwò ne èse nya "amekoko." Míese egɔme be ate ŋu anye nusi dzi ŋɔ, gake ne èsrɔ̃ nyateƒenya siwo ku ɖe ` Thyroidectomy ` ŋu le mɔ bɔbɔe aɖe nu la, àte ŋu aɖe vɔvɔ̃ ma ƒe akpa gãtɔ dzi akpɔtɔ. Mina míazɔ to nusianu si wòle be nànya me, ɖekae.
Le Nya Blewuwo Me: Nukae Nye Thyroidectomy?
Gbã la, mina míase nusi nye thyroid gland gɔme. Enye ŋutinu sue aɖe si le abe kpakpaluʋui ene si le wò kɔ ƒe ŋgɔgbe, si tsi tre ɖe wò yaƒoƒomɔ̃ (yagbɔgbɔ) ŋu tututu. Togbɔ be ele sue hã la, ewɔa akpa gã aɖe le wò ŋutilã me, eye wòkpɔa dɔwɔwɔ veviwo abe wò lãmenugbagbeviwo ƒe dɔwɔwɔ ene dzi.
`Thyroidectomy` nye amekoko si wowɔna tsɔ ɖea lãkusi bliboa (`Total Thyroidectomy`) alo eƒe akpa aɖe (`Partial Thyroidectomy`). Abe ale si ko woɖea aɖu si gblẽ la ɖa ene la, wowɔa dɔ sia tsɔ ɖea aɖuɖɔtoe alo eƒe akpa aɖe si ŋu dɔléle aɖe gblẽ nu le la ɖa.
Nukatae amekoko sia hiã?
Àte ŋu anɔ ɖokuiwò biam be, "Nukatae maɖe nye lãkusi ɖa ne enɔ dɔ wɔm nyuie?" Susu nyui geɖewo li siwo tae. Mina míagbã wo eme nakɔ.
| Susu si tae Wowɔ Amekoko ɖo | Nusi wòfia... |
|---|---|
| Thyroid ƒe Ʋuʋudediwo | Esiawo nye tsitsi siwo le lãkusi me. Wo dometɔ akpa gãtɔ menye kansa o , gake ɖewo ate ŋu anye. Ame bubuwo ate ŋu awɔ thyroid hormone geɖe akpa. Ne ɖikeke aɖe li be kansa le eŋu la, wò ɖɔkta aɖo aɖaŋu be woaɖee ɖa. |
| Goiter ƒe dɔléle | Esia fia thyroid gland ƒe lolome. Ne ele tsitsim la, ate ŋu aƒo ɖe wò yaƒoƒomɔ̃ (yagbɔgbɔ) kple nuɖuɖutoƒe (nutome), si ahe dzesiwo abe gbɔgbɔtsixetsixe kple nu mimi ƒe kuxi ene vɛ . Wowɔa amekoko be woaɖe nyaƒoɖeamenu sia dzi akpɔtɔ. |
| Lãmetsiŋusẽ ƒe Dɔdzẽ | Ne wokpɔ kansa lãmenugbagbeviwo le wò lãkusi me la, amekokoe nye sikadzidzenu si woatsɔ aɖe wo ɖa keŋkeŋ. Zi geɖe la, woɖea lãkusi bliboa ɖa, eye le go aɖewo me la, woate ŋu akɔ ʋuka siwo te ɖe afima ŋu hã. |
| Lãmetsiŋusẽ ƒe dɔléle si gbɔ eme | Esia dzɔna ne wò lãkusia le dɔ wɔm akpa, eye wòwɔa lãmetsiŋusẽ geɖe wu esi wò ŋutilã hiã. Ne atikewo mete ŋu kpɔ esia gbɔ o la, wò ɖɔkta ate ŋu ado susu ɖa be woawɔ dɔ na wò be wòanye atikewɔwɔ si ŋu kakaɖedzi le. |
Nukawoe nye Thyroidectomy ƒomeviwo?
Wole ƒomevi vevi eve me. Wò amekola atso nya me le esi sɔ wu ŋu le wò lãmesẽhiahiã tɔxɛwo nu.
- Total Thyroidectomy: Woɖea lãkusi bliboa ɖa. Zi geɖe la, wozãa esia na lãkusi me kansa alo ʋumenugbagbeviɣidɔ sesẽwo.
- Partial Thyroidectomy: Wogayɔnae be `Hemithyroidectomy` alo `Lobectomy`, esia bia be woaɖe lãkusi ƒe akpa eveawo dometɔ ɖeka ko ɖa. Zi geɖe la, wozãa esia ne woɖe nodule aɖe ɖe vovo ɖe axa ɖeka.
Wokpɔa amekoko si ƒomevi nèhiã to nuwɔwɔ aduadu le wò Endocrinologist kple Amekola dome. Mehiã be nàtsi dzi o—dɔnyala bibiwo ƒe asi me nèle.
Nya siwo wòle be nàbia wò ɖɔkta hafi awɔ dɔ na wò
Nyabiase nye wò gomenɔamesi, eye enye mɔ sẽŋu aɖe si dzi nàto aɖe wò dzimaɖitsitsi do ŋgɔ na amekoko dzi akpɔtɔ. Nya vevi aɖewo siwo wòle be nàbiae nye esi:
- Nukatae amekoko sia hiã nam? Ðe mɔnu bubu aɖewo li siwo menye amekoko oa?
- Afɔku kawoe le amekoko sia me, eye aleke gbegbee kuxi siwo ate ŋu ado mo ɖa la bɔe?
- Nye lãkusi ƒe akpa nenie woaɖe ɖa?
- Ðe wòahiã be mano thyroid hormone atikewo le nye agbemeŋkekewo katã mea?
- Ɣeyiɣi didi kae manɔ kɔdzi, eye ɣeyiɣi didi kae nye hayahaya ƒe ɖoɖoa axɔ?
Ne èkpɔ ŋuɖoɖo siwo me kɔ na esiawo la, akpe ɖe ŋuwò nàse le ɖokuiwò me be yedzra ɖo geɖe wu.
Aleke madzra ɖo ɖe amekokoa ŋu?
Abe amekoko ɖesiaɖe ene la, dzadzraɖo nye nu vevitɔ. Wò ɖɔkta ana mɔfiame tɔxɛ siwo sɔ ɖe wò lãmesẽ nu la wò. Taflatse dze wo yome nyuie.
Kwasiɖa aɖewo do ŋgɔ na wò amekoko
- Dodokpɔ siwo woawɔ atsɔ akpɔ dɔlélea: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ Thyroid Ultrasound be nàkpɔ ƒunukpeƒetetedɔa nyuie . Ne dzitsitsi aɖe li be ƒunukpeƒea ate ŋu anye dɔléle vɔ̃ɖi la, àte ŋu awɔ Fine Needle Aspiration (biopsy) , si me woazã aŋe atsɔ aƒo lãmenugbagbevi sue aɖe nu ƒu le.
- Gbe ƒe Dzesidede: Wò ɖɔkta ate ŋu ada wò gbeɖiɖikawo ƒe dɔwɔwɔ kpɔ be ele dɔ wɔm nyuie hã.
- Atikewo: Ne wò lãkusi me lãmetsiŋusẽ sɔ gbɔ ŋutɔ la, wò ɖɔkta ate ŋu aŋlɔ atike na wò hafi awɔ dɔ na wò be wòaɖu edzi.
- Atamanono: Ne ènoa atama la, wò ɖɔkta aɖo aɖaŋu na wò vevie be nàdzudzɔ. Sigaretnono ate ŋu ado kplamatse atike si naa alɔ̃dɔdɔ ame eye wòana wò ŋutilã ƒe dɔyɔyɔ nagbɔdzɔ.
Anɔ abe Kwasiɖa ɖeka Do Ŋgɔ Na Amekoko
- Na wò ɖɔkta nanya nu tso atikewo katã ŋu: Kpɔ egbɔ be yegblɔ nusianu si nènona na wò lãmesẽdɔwɔla, siwo dometɔ aɖewoe nye atike siwo woŋlɔ na wò, vitaminwo, gbetikewo, kple kpeɖeŋutɔtikewo. Woafia atike siwo nàyi kple esiwo nàdzudzɔ hafi woawɔ dɔ na wò.
- Ʋukɔkɔɖitikewo: Ne èle atike siwo naa ʋu mekɔna o zãm la, ahiã be nàdzudzɔ esiawo nono hena ɣeyiɣi aɖe, gake le wò ɖɔkta ƒe mɔfiafia tɔxɛ te ko. Mègadzudzɔ atike siawo zazã gbeɖe ne mèbia wò ɖɔkta gbã o.
Hafi Woawɔ Amekoko
Ahiã be nàtsi nu adɔ (aƒo asa na nuɖuɖu kple nunono ɖesiaɖe) gaƒoƒo geɖe hafi woawɔ dɔ na wò. Kɔdzidɔwɔlawo ana mɔfiame siwo me kɔ wò ku ɖe mɔfiame siawo ŋu.
Nukae dzɔna le amekokoa wɔɣi?
Mehiã be nàtsi dzi o, elabena àdɔ alɔ̃ bɔbɔe le dɔwɔwɔ nɛ katã me.
Hafi amekokoa nadze egɔme la, atikewɔla si naa alɔ̃dɔdɔ ame awɔ atike na wò be wòakpɔ egbɔ be yeƒe lãme megale dɔ wɔm kura o , si fia be màse veve aɖeke o. Be wòakpe ɖe ŋuwò nàgbɔ ya bɔbɔe la, woatsɔ yagbɔgbɔmɔ̃ aɖe ade wò ŋɔti me le amekokoa me.
Wò amekola ate ŋu azã mɔnu vovovowo atsɔ age ɖe lãkusia me:
- Mɔnu si wozãna le blema: Woɖea nu sue aɖe ɖe wò kɔ ƒe ŋutigbalẽ si le dzɔdzɔme nu la ŋu be abi siwo woate ŋu akpɔ la dzi naɖe akpɔtɔ.
- Minimally Invasive Video-Assisted Thyroidectomy (MIVAT): Wowɔa amekoko sia to lãɖeɖe sue aɖe ŋutɔ me to fotoɖemɔ̃ ƒe mɔfiame zazã me.
- Mɔnu Siwo Me Abi Mele O: Egbegbe mɔnu aɖewo li siwo toa nu me alo toa akɔta te gena ɖe lãkusia me, eye womegblẽa abi aɖeke si woate ŋu akpɔ le kɔ me o.
- Nusiwo Mebɔ O: Ne goiter la keke ta ɖo akɔta la, ate ŋu ahiã ɣeaɖewoɣi be woawɔ dɔ na ame si me akɔtaƒua le.
Ne amekokoa nye be woatsɔ ada kansa la, amekolaa ate ŋu aɖe ʋuka siwo ƒo xlãe ƒe lãmenugbagbeviwo ɖa . Ne kansa kaka ɖe lãkusi siawo me la, woate ŋu aɖe wo hã ɖa.
Le dɔwɔwɔa ƒe nuwuwu la, wotsɔa ememe nusiwo woate ŋu alɔ kple amekoko ƒe aŋe tɔxɛ aɖe si wotsɔ blaa ŋutigbalẽae la xea lãɖeɖea.
Zi geɖe la, ʋumenugbagbeviɣidɔ ɖeɖeɖa blibo xɔa gaƒoƒo 1 va ɖo 3, evɔ ne woɖe eƒe akpa aɖewo ɖa ate ŋu axɔ ɣeyiɣi sue aɖe ko.
Afɔku kawoe le amekoko sia me?
Ele vevie be míanya be zi geɖe la , ʋumenugbagbeviɣidɔ nye dɔdamɔnu si me afɔku mele o ŋutɔ . Ƒã hafi kuxiwo doa mo ɖa, gake abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku aɖewo li.
- Ʋu si le dodom fũu akpa: Togbɔ be mebɔ o hã la, ʋu si dona le ame ŋu ate ŋu ana ʋu si le dodom la nate ɖe yaƒoƒomɔ̃a ŋu, si ana gbɔgbɔ nasesẽ.
- Gbeɖiɖi ƒe Lãmetsiŋusẽ ƒe Gbegblẽ: Lãmetsi siwo kpɔa wò gbe dzi la tena ɖe lãkusia ŋu ŋutɔ. Ne amesiawo xɔ abi le amekoko me la, àte ŋu akpɔ gbe si me kɔ alo gbe ƒe gbɔdzɔgbɔdzɔ. Zi geɖe la, esia nyea ɣeyiɣi kpui aɖe ko. Amekolawo kpɔa egbɔ vevie be yewoade dzesi lãmeka siawo ahakpɔ wo ta.
- Nusiwo Gblẽna le Parathyroid Glands ŋu: Gland sue ene, siwo ƒe lolome anɔ abe bliku ene, siwo lé ɖe wò thyroid ƒe megbe ŋu la le asiwò. Esiawoe nye Parathyroid glands , siwo kpɔa calcium ƒe agbɔsɔsɔ si le wò ŋutilã me dzi. Ne edze wo dzi le amekoko me la, wò ʋu me calcium ate ŋu aɖiɖi (Hypocalcemia) .
Afɔku siawo ƒe mɔnukpɔkpɔ dzina ɖe edzi ne kansa gã aɖe le ŋuwò, ne esia nye ʋuka me dɔwɔwɔ na wò enuenu, alo ne ʋumenugbagbeviɣidɔ si lolo etɔxɛe le ŋuwò.
Ɣeyiɣi didi kae wòxɔna hafi ame nahaya bliboe?
Anɔ eme be ànɔ kɔdzi ŋkeke ɖeka alo eve. Ne ènya nyɔ keŋkeŋ tso atike si naa alɔ̃dɔdɔ ame me ko la, àte ŋu adze nuɖuɖu fafɛ kple tsi ɖuɖu gɔme. Àte ŋu ase ŋɔti me veve vie ŋkeke ʋɛ aɖewo le gbɔgbɔtsixe ƒe mɔ̃a ta.
Hafi woaɖe asi le ŋuwò la, àxɔ mɔfiame tɔxɛwo ku ɖe alesi nàlé be na wò lãɖeɖea ŋu.
Dɔnɔ akpa gãtɔ sena le wo ɖokui me be yewoƒe lãme sẽ bliboe le kwasiɖa eve va ɖo etɔ̃ me . Gake ele be nàlala kwasiɖa eve ya teti hafi agadze dɔ sesẽwo abe kamedede alo nu kpekpewo kɔklɔ ene gɔme.
Ku ɖe Abi la ŋu
Ẽ, abi sue aɖe (si didi abe sentimeta 1 va ɖo 2.5 ene) anɔ wò kɔ gɔme. Amekolawo tsɔa nusi wotso la dana ɖe wò kɔ ƒe dzɔdzɔme ƒe ʋuʋudediwo ŋu, si wɔnɛ be womegadea dzesii kura le ɣeyiɣi aɖe megbe o. Ate ŋu axɔ ɣleti 12-18 hafi abi aɖe natsi bliboe. Togbɔ be ate ŋu adze abe ɖe wòbiã vie alo akɔ ɖe dzi le gɔmedzedzea me hã la, avuvu ahanɔ gbadzaa ne ɣeyiɣiawo va le yiyim. Wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo siwo ku ɖe abidzikpɔkpɔ ŋu dzi be nàdo dɔyɔyɔ nyuitɔ kekeake ɖe ŋgɔ.
Ɣekaɣie wòle be nàdi atikewɔƒe kpata
Ne ède dzesi dzesi aɖewo siwo ɖea fu na wò le tɔtrɔgbɔ va aƒeme megbe la, ele vevie be nàwɔ nane kaba.
| Nuxlɔ̃amedzesi | Afɔɖeɖe si Hiã |
|---|---|
| Ʋuʋudedi, ʋudodo, alo tsi si dona le afisi wotsoe le. | Te ɖe wò amekola ŋu enumake alo yi Dɔwɔƒe si Kpɔa Dɔléle Kpatawo Gbɔ si te ɖe ŋuwò . |
| Dzoxɔxɔ (si wu 101°F / 38°C). | Te ɖe wò ɖɔkta ŋu enumake. |
| Mo, asiwo, alo nuyiwo ƒe ʋuʋu alo ʋuʋudedi (si ate ŋu anye dzesi be calcium mesɔ gbɔ o). | Na wò ɖɔkta nanya enumake; mele be woaŋe aɖaba aƒu esia dzi o. |
Amekoko ɖesiaɖe nye nudzɔdzɔ ɖedzesi aɖe, eye ele dzɔdzɔme nu be nàtsi dzimaɖi. Gake thyroidectomy nye dɔ si wowɔna edziedzi eye emetsonu nyuiwo dona tso eme. Ame akpa gãtɔ hayana nyuie ŋutɔ, eye zi geɖe la, amesiwo wole dɔ wɔm na le kansa ta la kpɔa gbɔdzɔe gã aɖe. Ne nusiwo ŋu nètsi dzi ɖo kokoko la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o—wole afima be yewoado alɔ wò le wò mɔzɔzɔ kple Nirogi Lanka katã me.
Nu Vevi Siwo Wotsɔna Yia Wò Beléle na Wò
- Lãmetsiŋusẽ ɖeɖeɖa nye amekoko si wowɔna edziedzi, si le dedie ŋutɔ, si wozãna tsɔ daa lãkusi ƒe dɔléle vovovowo le Nirogi Lanka afisia.
- Ele vevie be nàse susu siwo ta wowɔ dɔ na wò ɖo la gɔme bliboe. Taflatse mègahe ɖe megbe gbeɖe be yeabia nya aɖeke wò amekola o.
- Wɔ ɖe mɔfiame siwo wò amekola na do ŋgɔ na dɔwɔwɔ nɛ dzi pɛpɛpɛ, vevietɔ le atikewo zazã ƒe ɖoɖowo kple nutsitsidɔ ƒe nudidiwo gome.
- Zi geɖe la, kwasiɖa ʋɛ aɖewo hafi wòhayana bliboe. Gbɔɖeme kple beléle nyuie le dɔwɔwɔ vɔ megbe tsɔtsɔ ɖo nɔƒe gbãtɔ le ɣeyiɣi sia me le vevie ŋutɔ na wò dɔyɔyɔ.
- Ne woɖe wò lãkusi bliboa ɖa la, ahiã be nàno lãkusi me lãmetsiŋusẽtike (Levothyroxine) gbesiagbe le wò agbe me katã. Esia nye wò ɖoɖowɔɖi ƒe akpa aɖe si le bɔbɔe ŋutɔ eye wò dzi kpɔkpɔ le bɔbɔe.
- Ne èkpɔ dzesi aɖewo siwo ɖea fu na wò le amekokoa megbe, abe abi gã aɖe, dzoxɔxɔ, alo ʋuʋudedi ene la, taflatse yi atikewɔƒe alo te ɖe dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ enumake.
Thyroidectomy, thyroid amekoko, thyroid gland, goiter, thyroid cancer, Hyperthyroidism, amekoko ƒe ɖoɖo
