Yu dɔktɔ advays yu se yu nid ɔpreshɔn fɔ pul yu tayroyd gland ? E nɔrmal tin fɔ fil smɔl wɔri ɔr de fil pasmak wae yu de yɛri dis. Bɔt duya no se dis na rili kɔmɔn tin we bɔku pipul dɛn ɔlsay na di wɔl kin du fayn fayn wan, ivin na ya na Sri Lanka. No nid nɔ de fɔ panik atɔl. Na Nirogi Lanka, lɛ wi tɔk bɔt dis tayroyd ɔpreshɔn —ɔ "Thyroidectomy"—insay wan simpul we we yu go ɔndastand izi wan.
Wetin na Tayroydɛktɔmi?
Fɔ tɔk am simpul wan, "Thyroidectomy" na di ɔpreshɔn fɔ pul ɔl ɔ pat pan yu tayroyd gland we shep lɛk bɔtaflay we de na yu nɛk. Dis gland na impɔtant pat na yu bɔdi we de mek yu bɔdi wok fayn ɛn we de mek yu gɛt impɔtant ɔmon dɛn .
Tu men kayn ɔpreshɔn de we dɛn kin du:
- Total Thyroidectomy: Dɛn kin pul yu ɔl tayroyd gland.
- Patɛl Tayroydɛktɔmi/Ɛmitayroydɛktɔmi: Na wan lob nɔmɔ (di rayt ɔ lɛft say) na di gland dɛn kin pul.
Di patikyula kayn ɔpreshɔn we yu nid fɔ du, dipen pan yu klinik kɔndishɔn. Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go wok togɛda fɔ disayd di bɛst we fɔ go bifo fɔ yu.
Wetin mek i nid fɔ du ɔpreshɔn pan tayroyd?
Bɔku rizin dɛn de we mek dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn. Lɛ wi luk di men wan dɛn.
| Rizin fɔ mek dɛn du di ɔpreshɔn | In simpul wɔd dɛn... |
|---|---|
| Tayroyd Nodul dɛn | di lכmp dεm we de fכm bay di sεl dεm we de gro na di tayroyd. Sɔm kin gɛt kansa, ɛn ɔda wan dɛn kin mek ɔmon dɛn we pasmak. |
| Goiter we gɛt di sik | Wan tayroyd gland we dɔn big. If i gro tu big, i kin prɛs pan yu trakya (windpaip) ɔ yu εsophagus, we kin mek i nɔ izi fɔ blo ɔ swɛla. |
| Di sik we dɛn kɔl haypa tayroyd | Di tayroyd gland de mek bɔku ɔmon dɛn pas aw yu bɔdi nid. Ɔpreshɔn na opshɔn if dɛn nɔ ebul fɔ manej dis tru mɛrɛsin. |
| Tayrɔyd Kansa | If bayɔpsi kɔnfirm se kansa sɛl dɛn de, dɛn kin du ɔpreshɔn fɔ pul di tisu we afɛkt. |
Fɔ pripia fɔ yu ɔpreshɔn
Yu dɔktɔ go ɛksplen klia wan di tin dɛn we yu fɔ du bifo yu du yu ɔpreshɔn. Tipikli, dis inklud:
- Tεst: כltra saund skan de εp fכ no di nodul dεm prεsishכn. If wan lump de, yu kin du Fine Needle Aspiration (FNA) fɔ mek yu nɔ gɛt kansa.
- Voys Asɛsmɛnt: Yu dɔktɔ kin chɛk aw yu vɔys kɔd de wok.
- Mεdikeshכn Manejmεnt: If yu tayroyd כmon lεvεl hכy, dεn kin gi yu mεdikeshכn fכ mek dεn stebul. Mek shɔ se yu tɛl yu dɔktɔ if yu de tek mɛrɛsin we de mek yu blɔd tan ɔ ɛni ɔda mɛrɛsin, bikɔs dɛn go advays yu if yu fɔ kɔntinyu ɔ stɔp dɛn.
- Fastin: Dɛn go tɛl yu fɔ fast fɔ sɔm awa bifo dɛn du di ɔpreshɔn. Yu go gɛt patikyula gaydlain bɔt dis tɛm.
Wetin kin apin di de we dɛn du yu ɔpreshɔn?
Fɔs, wan dɔktɔ we de anestez go gi yu jenɛral anestezi fɔ mek shɔ se yu dɔn slip ɔl ɛn nɔ fil pen. We dɛn de du di prɔsidyu, dɛn go put wan tiub fɔ blo fɔ ɛp yu. Yu dɔktɔ we de du ɔpreshɔn kin pik frɔm difrɛn we dɛn:
- Traditional Approach: Dɛn kin kɔt smɔl say na di fɔs pat na yu nɛk.
- MIVAT (Minimally Invasive Video-Assisted Thyroidectomy): Dɛn kin du ɔpreshɔn tru wan rili smɔl say we dɛn kɔt bay we dɛn de yuz kamɛra ɛp.
- Scarless Approaches: Dɛn kin mek ɔspitul akses tru say dɛn we ayd, lɛk insay di mɔt ɔ tru di armpit.
If dɛn de du ɔpreshɔn fɔ yu fɔ gɛt kansa, yu dɔktɔ go tek tɛm luk di limf no dɛm we de rawnd yu tayroyd ɛn i kin pul dɛn if ɛni pruf de fɔ se di kansa sɛl dɛn dɔn skata. We dɛn dɔn fɔ du di wok, dɛn go lɔk di say we dɛn kɔt di say we dɛn kɔt am bay we dɛn yuz sutura dɛn we dɛn kin sɔlv, ɛn dɛn go put spɛshal mɛdikal gred glu oba di skin. כl di tכtal tayroyd de tek bitwin 1 to 3 awa.
Ɛni prɔblɛm de we kin apin we dɛn du dis ɔpreshɔn?
Dɛn kin tek tayroyd kɔt as sɔntin we rili sef . Bɔt jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we nɔ kin apin so ɔltɛm we yu fɔ no bɔt:
- Blɔd: If yu blɔd bɔku, dat kin mek yu nɔ ebul fɔ blo fayn.
- Voys Chenj: If yu vokal kɔd dɛn afɛkt we yu de du di ɔpreshɔn, yu kin gɛt lawd lawd lawd wan.
- Damej to Parathyroid Glands: Na fכ sכm sכm gland dεm we dεn kכl di
(Parathyroid glands), we de rεgεl di kalsiכm lεvεl na yu bכdi. If dɛn ambɔg dɛn tin ya we dɛn de du ɔpreshɔn, di kalsiɔm we de na yu blɔd kin go dɔŋ.
Duya mɛmba se dɛn prɔblɛm ya nɔ kin apin so ɔltɛm . Yu ɔspitul tim go tek ɔl wetin dɛn ebul fɔ tek tɛm fɔ mek dɛn nɔ gɛt dɛn.
Wetin kin apin afta di ɔpreshɔn? (Fɔ wɛl)
Wae yu wek frɔm anestezi, yu go ebul fɔ gɛt layt it ɛn wata. Yu go tipikul fɔ de na ɔspitul fɔ at le wan nɛt.
- Trot we de at: Bikɔs ɔf di tiub we dɛn kin yuz fɔ blo we dɛn de du ɔpreshɔn, yu trot kin fil pen fɔ wan ɔ tu dez.
- Ɔmon Riplesmɛnt: If dɛn pul yu wan ol tayroyd, yu go nid fɔ tek wan ɔmon tablɛt ɛvride
(Levothyroxine)fɔ di res ɔf yu layf . Dis na simpul rutin we yu dɔktɔ go tɔk to yu ditayli. - Calcium Supplements: Sɔntɛnde, yu dɔktɔ kin gi yu calcium supliment fɔ sɔm wiks fɔ mek yu blɔd nɔ chenj.
- Fɔ wɛl ɛn Ska: Fɔ ful-ɔp fɔ wɛl kin tek 2-3 wik. I bɛtɛ fɔ mek yu nɔ du ɛksasaiz ɔ fɔ es ebi ebi tin fɔ wan ɔ tu wik. Wan smɔl skata go de na yu nɛk, we go dɔn smɔl smɔl as tɛm de go.
Ustɛm yu fɔ kɔntak yu dɔktɔ?
We yu dɔn rich na os, duya kɔntak yu dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn sayn ya:
| Di sayn we de sho se di sik de | Akshɔn we yu fɔ du kwik kwik wan |
|---|---|
| Swel, rɛd, pus dischaj, ɔ blɔd pasmak na di say we dɛn kɔt am. | Go to dɔktɔ wantɛm wantɛm. |
| Fiva we ay pas 101°F (38°C). | Dis kin sho se yu gɛt di sik. |
| Yu fes, yu lip, ɔ yu finga dɛn de swɛt ɔ yu de swɛt. | Dis kin bi sayn fɔ se di kalsiɔm nɔ bɔku. Tɛl yu dɔktɔ wantɛm wantɛm. |
| Impɔtant prɔblɛm fɔ blo. | Nɔ delay; go wantɛm wantɛm na di ɔspitul imejensi dipatmɛnt we de nia yu. |
Na nɔmal tin fɔ lɛ pɔsin wɔri bɔt ɛni ɔpreshɔn. Bɔt fɔ pul tayroyd na tin we bɔku pipul dɛn kin du ɔltɛm ɛn i kin rili wok fayn. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, duya nɔ shek fɔ aks yu dɔktɔ na Nirogi Lanka.
Mɛsej we dɛn kin kɛr go na os
- Bɔku tɛm, we dɛn kin pul tayroyd na tin we nɔ bad ɛn we kin wok fayn; nid nɔ de fɔ wɔri we yu nɔ nid fɔ wɔri.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt di ɔpreshɔn, duya tɔk bɔt am opin wan wit yu dɔktɔ.
- If dɛn pul yu wan ol tayroyd, yu go nid fɔ tek wan ɔmon tablɛt ɛvride, we go bi nɔmal pat pan yu rutin kwik kwik wan.
- Ɔltɛm fala yu dɔktɔ in instrɔkshɔn dɛn afta yu dɔn ɔpreshɔn, mɔ we i kam pan mɛrɛsin ɛn aw fɔ kia fɔ wund.
