Di dɔktɔ dɔn tɛl yu se yu nid fɔ du ɔpreshɔn fɔ pul yu tayroyd gland ? I rili nɔmal fɔ mek yu fred smɔl ɛn wɔri we yu yɛri dat. Bɔt fɔ tru, dis na ɔpreshɔn we bɔku pipul dɛn kin du na Sri Lanka ɛn ɔlsay na di wɔl, ɛn bɔku tɛm i kin dɔn fayn fayn wan. So no rizin nɔ de fɔ mek wi fred. Lɛ wi tɔk bɔt dis tayroyd ɔpreshɔn , ɔ `(Thyroidectomy)`, insay wan simpul we we yu go ɔndastand.
Wetin na tayroyd we dɛn kin pul?
Fɔ tɔk am simpul wan, tayroyd na we dɛn du ɔpreshɔn fɔ pul ɔl ɔ pat pan di tayroyd gland, we na wan gland we tan lɛk bɔtaflay na yu nɛk. Dis gland de mek bɔku impɔtant ɔmon dɛn we de kɔntrol di we aw yu bɔdi de wok .
Tu men kayn ɔpreshɔn de we dɛn kin du:
- Total Thyroidectomy: Na dis say dɛn kin pul yu ɔl tayroyd gland.
- Patɛl Tayroydɛktɔmi/Ɛmitayroydɛktɔmi: Dis involv fɔ pul di rayt ɔ lɛft lɔb nɔmɔ na di gland.
Di kayn ɔpreshɔn we yu nid go dipen pan yu kɔndishɔn. Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go wok togɛda fɔ disayd wetin bɛtɛ fɔ yu.
Wetin mek yu nid fɔ du ɔpreshɔn pan yu tayroyd?
Bɔku rizin dɛn de we mek dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn. Lɛ wi tek tɛm luk di men rizin dɛn.
| Rizin fɔ mek dɛn du di ɔpreshɔn | Simply put am... |
|---|---|
| Tayroyd Nodul dɛn | di nodul dεm na lumps we de fכm we di sεl dεm na di tayroyd gland kכlכm tכgeda. Sɔm pan dɛn tin ya kin gɛt kansa. כda nodul dεm kin mek mכr כmon dεm pas aw i nid. |
| Goiter we gɛt di sik | Di tayroyd gland we de big. If dis kin rili big, i kin kɔmprɛs di briz paip ( bronchi ) ɔ di εsophagus (fud paip) na di nɛk, we kin mek i nɔ izi fɔ blo ɛn swɛla. |
| Di ɔmon dɛn we de bɔku ( Hyperthyroidism ) . | di tayroyd gland de mek mכr כmon dεm pas aw di bכdi nid. If dɛn nɔ ebul fɔ kɔntrol dis wit mɛrɛsin, ɔpreshɔn na di wangren sɔlv. |
| Tayrɔyd Kansa | If dɛn chɛk wan lump ɛn dɛn si se i gɛt kansa, dɛn kin du ɔpreshɔn fɔ pul am. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn? (Fɔ pripia)
Bifo di ɔpreshɔn, yu dɔktɔ go ɛksplen klia wan wetin yu nid fɔ du. Bɔku tɛm, na dis kin apin:
- Test: We yu tek ɔltra saund skan na yu nɛk, dat kin ɛp fɔ no usay di lump de. If wan lump de, dɛn kin du fayn fayn nidul fɔ no if na kansa.
- Fɔ tɛst yu vɔys:Yu dɔktɔ kin want fɔ chɛk aw yu vɔkal kɔd dɛn de wok.
- Mɛdikeshɔn Manejmɛnt: If yu tayroyd ɔmon lɛvɛl rili ay, dɛn kin gi yu mɛrɛsin fɔ kɔntrol am bifo dɛn du yu ɔpreshɔn. If yu de tek ɛni ɔda mɛrɛsin, lɛk fɔ mek yu blɔd tan, yu fɔ rili tɛl yu dɔktɔ bɔt dɛn. I go tɛl yu if yu nid fɔ stɔp fɔ tek dɛn mɛrɛsin dɛn de bifo dɛn du yu ɔpreshɔn.
- Fastin: Dɛn go aks yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa bifo dɛn du di ɔpreshɔn. Dɛn go gi yu patikyula tin dɛn bɔt dɛn tɛm dɛn ya.
Wetin kin apin di de we dɛn du di ɔpreshɔn?
Wan dɔktɔ we de anestez go kam fɔs ɛn gi yu jenɛral anestezi , we kin mek yu slip kpatakpata. So yu nɔ go fil ɛni pen. Dɛn go put wan tiub fɔ blo dɔŋ yu trot fɔ ɛp yu fɔ blo we dɛn de du di ɔpreshɔn.
Di dɔktɔ we de du di ɔpreshɔn gɛt bɔku we dɛn fɔ pul di tayroyd gland:
- Tradishonal we: Dɛn kin du ɔpreshɔn tru wan smɔl say we dɛn kɔt na di fɔs pat na di nɛk.
- Mini-incision technique (MIVAT): Dɛn kin du di ɔpreshɔn tru wan rili smɔl insishɔn wit di ɛp fɔ wan kamɛra.
- Di we dɛn we nɔ de lɛf skata: Dɛn kin du di ɔpreshɔn bay we dɛn kɔt am na say we pɔsin nɔ go si am, lɛk insay di mɔt ɔ na di an.
If yu de du ɔpreshɔn fɔ kansa, yu dɔktɔ go chɛk di limf no dɛm we de rawnd yu tayroyd ɛn i kin pul dɛn if di kansa sɛl dɛn dɔn skata. Afta di ɔpreshɔn, dɛn kin lɔk di say we dɛn kɔt wit wan sutura we kin sɔlv ɛn put spɛshal glu pan di skin. i kin tek 1-3 awa fכ pul di כl gland.
Ɛni risk de fɔ dis ɔpreshɔn?
Tayroydɛktɔmi na ɔpreshɔn we rili sef . Bɔt lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we nɔ kin apin so ɔltɛm.
- Blɔd: If yu blɔd bɔku, dat kin mek i nɔ izi fɔ blo.
- Di vɔys kin chenj: If ɛnitin dɔn pwɛl di vɔys kɔd dɛn, di vɔys kin ala.
- di damej pan di paratayroyd gland dεm: fכ rili sכm gland dεm we dεn kכl di paratayroyd gland dεm de atak di bak pat pan di tayroyd gland. dis dεm de rispansabl fכ kכntrכl di kalsiכm lεvεl dεm na wi bכdi. If dɛn tin ya pwɛl we dɛn de du ɔpreshɔn, di kalsiɔm we de na di blɔd kin go dɔŋ.
Bɔt mɛmba se dɛn prɔblɛm ya nɔ kin apin so ɔltɛm . Yu dɔktɔ we de du ɔpreshɔn go du ɔl wetin i ebul fɔ mek dɛn nɔ gɛt dɛn.
Wetin kin apin afta di ɔpreshɔn? (Fɔ wɛl)
Afta di anestezi, we yu gɛt kɔnshɛns bak, yu kin it layt ɛn drink. Yu go de na ɔspitul fɔ lɛk wan nɛt so.
- Trot we de at: Yu trot kin at smɔl fɔ wan ɔ tu dez bikɔs di tiub we yu de blo bin de na in ples.
- Ɔmon pil: If dɛn pul yu ɔl yu tayroyd gland, yu go nid fɔ tek wan ɔmon pil (Levothyroxine) ɛvride fɔ di res ɔf yu layf fɔ tek di ɔmon we i mek. Dis na tin we rili simpul. Yu dɔktɔ go ɛksplen dis to yu bifo tɛm.
- Tablɛt we gɛt kalsiɔm: Sɔntɛnde, dɛn kin gi pɔsin tablɛt we gɛt kalsiɔm fɔ sɔm wiks fɔ mek di kalsiɔm we de na di blɔd nɔ go dɔŋ.
- Rikɔvayshɔn ɛn Ska: I kin tek lɛk 2-3 wiks fɔ mek i wɛl ful wan. I bɛtɛ fɔ mek yu nɔ du ɛksasaiz ɔ fɔ es ebi ebi tin fɔ wan ɔ tu wik. Wan smɔl skata go lɛf na di nɛk. Dis go dɔn smɔl smɔl as tɛm de go.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
If yu gɛt ɛni wan pan dɛn sayn ya afta yu dɔn kam bak na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Speshal atɛnshɔn |
|---|---|
| Di say we dɛn kɔt kin swel, i kin rɛd, i kin kɔmɔt na di pus, ɔ i kin blɔd bɔku. | Go to dɔktɔ wantɛm wantɛm. |
| Fɔ gɛt fiva we pas 101°F (38°C). | Dis kin bi sayn fɔ se yu gɛt infekshɔn. |
| Yu fes, an, ɔ lip we de swɛla ɔ we de swɛt, ɔ we yu de fil se yu finga dɛn de swɛla. | Dis kin bi sayn fɔ se yu nɔ gɛt bɔku kalsiɔm. Tɛl yu dɔktɔ wantɛm wantɛm. |
| I nɔ kin izi fɔ yu fɔ blo bad bad wan. | If yu nɔ delay, go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. |
Na nɔmal tin fɔ fil se yu de fred fɔ ɛni ɔpreshɔn. Bɔt tayroyd ɔpreshɔn na tin we nɔ bad ɛn we kin wok fayn fɔ bɔku pipul dɛn. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ fred fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Tayroydɛktɔmi na kɔmɔn ɔpreshɔn we nɔ bad ɛn we kin wok fayn bɔku tɛm. So nɔ fred we yu nɔ nid fɔ fred.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt di ɔpreshɔn, tɔk bɔt am wit yu dɔktɔ.
- If dɛn pul yu wan ol tayroyd gland, yu go gɛt fɔ tek wan ɔmon pil ɛvride fɔ di res ɔf yu layf. Bɔt i nɔ go bi big tin fɔ ambɔg yu ɛvride layf.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan afta yu dɔn du di ɔpreshɔn, mɔ we i kam pan mɛrɛsin ɛn aw fɔ kia fɔ wund.
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