M'khosi mwathu, makamaka kumbuyo kwa chithokomiro, muli tinthu tinayi tating'onoting'ono tofanana ndi mafupa. Tinthuti ndi timene timati "tinthu ta parathyroid." Ngakhale kuti ndi tating'onoting'ono, timachita ntchito yofunika kwambiri m'thupi lathu. Izi zikutanthauza kuti, timayang'anira kuchuluka kwa calcium m'magazi mwathu. Nthawi zina, chimodzi mwa tinthuti chimayamba kugwira ntchito kwambiri. Kenako, opaleshoni iyenera kuchitika kuti tichotse chithokomirocho kapena tinthu tina. Opaleshoniyo imatchedwa parathyroidectomy . Chifukwa chake ngati mukufunanso kudziwa za izi, tiyeni tikambirane mwatsatanetsatane.
Kodi opaleshoni ya parathyroidectomy ndi chiyani?
Mwachidule, parathyroidectomy ndi opaleshoni yochotsa gland imodzi kapena zingapo za parathyroid.
Taganizirani izi, calcium ndi yofunika kwambiri kuti thupi lathu likhale lolimba mafupa athu, mitsempha yathu igwire ntchito bwino, komanso minofu yathu igwire ntchito bwino. Ntchito yaikulu ya ma glands a parathyroid ndikusunga calcium yokwanira m'magazi. Ma glands amenewa amapanga mankhwala otchedwa Parathyroid Hormone (PTH) . Homoni iyi imayang'anira kuchuluka kwa calcium m'magazi.
Ngati pazifukwa zina, chimodzi kapena zingapo mwa tiziwalo timeneti zimagwira ntchito mopitirira muyeso, hormone ya PTH imapangidwa mopitirira muyeso . Kenako calcium m'magazi imawonjezeka mosafunikira. Malinga ndi madokotala, vutoli limatchedwa hyperparathyroidism . Apa ndi pamene madokotala amalangiza opaleshoni iyi.
N’chifukwa chiyani mukufunikira opaleshoni iyi?
Pali zifukwa zingapo zomwe zimayambitsa hyperparathyroidism. Kutengera ndi izi, zimasankhidwa ngati opaleshoni ndiyofunikira kapena ayi. Tiyeni tiwone zifukwa zazikulu.
| Chifukwa | Kufotokozera Kosavuta |
|---|---|
| Adenoma ya parathyroid | Ichi ndi chotupa chosakhala khansa chomwe chimayamba mu parathyroid gland. Imeneyi ndi vuto lofala kwambiri. Nthawi zambiri limafalikira mu chimodzi mwa ziwalo zinayi. |
| Kuchuluka kwa parathyroid | Chomwe chimachitika pamenepa ndichakuti ma glands angapo a parathyroid (nthawi zambiri onse anayi) amakula ndikupanga mahomoni ambiri. |
| Khansa ya parathyroid | Imeneyi ndi vuto losowa kwambiri. Kuchuluka kwa mahomoni kumawonjezeka chifukwa cha chotupa cha khansa m'chiwalo. |
| Hyperparathyroidism yachiwiri | Nthawi zina, matenda ena angayambitse kuti tiziwalo ta parathyroid tigwire ntchito mopitirira muyeso. Mwachitsanzo, munthu amene ali ndi matenda a impso angakhale ndi calcium yochepa m'thupi lake. Poyankha, tiziwalo ta parathyroid timayamba kugwira ntchito mopitirira muyeso. |
Kodi mumakonzekera bwanji musanachite opaleshoni?
Chabwino, tiyerekeze kuti dokotala wanu wasankha kukuchitirani opaleshoni. Musanayambe kuchita zimenezo, muli ndi mafunso ambiri m'maganizo mwanu, eti? Musadandaule, zimenezo n'zachibadwa. Chofunika kwambiri ndikulankhula ndi dokotala wanu za mafunso ndi kukayikira kulikonse komwe muli nako. Tsiku lisanafike opaleshoni, mudzapatsidwa malangizo apadera. Koma musanachite zimenezo, mutha kufunsa dokotala mafunso awa.
- Kodi ndiyenera kusala kudya (osadya kapena kumwa) m'mawa wa opaleshoni? Nthawi zambiri, mumapemphedwa kuti musiye kudya ndi kumwa maola angapo opaleshoni isanachitike.
- Kodi n'koyenera kumwa mankhwala ndi mavitamini omwe ndimamwa tsiku lililonse patsiku lochita opaleshoni? Mankhwala ena (monga mankhwala ochepetsa magazi) angafunike kuyimitsidwa masiku angapo opaleshoni isanachitike. Choncho onetsetsani kuti mwafunsa za izi.
- Kodi ndikufunika munthu woti andiperekeze kunyumba nditachitidwa opaleshoni? Popeza ndili ndi mankhwala oletsa ululu, sindingathe kuyendetsa galimoto tsiku limenelo. Choncho ndi bwino kuti wina andiperekeze kunyumba.
Kodi opaleshoniyi imachitidwa bwanji?
Madokotala amagwiritsa ntchito njira zingapo pochita opaleshoniyi. Dokotala wanu adzakufotokozerani njira yoyenera kwambiri pa vuto lanu.
- Opaleshoni Yachikhalidwe: Mu njira iyi, kudula pang'ono kumapangidwa pamodzi ndi mkuyu pakhungu la khosi ndipo tiziwalo timachotsedwa. Chifukwa kudulako kumapangidwa pamodzi ndi mkuyu pakhungu, chilondacho sichimaoneka bwino chikachira.
- Opaleshoni Yosavulaza Kwambiri:Pachifukwa ichi, opaleshoniyi imachitika pogwiritsa ntchito kachidutswa kakang'ono kwambiri, nthawi zina pogwiritsa ntchito chipangizo monga kamera.
- Opaleshoni Yopanda Zipsera: Iyi ndi njira yapadera kwambiri. Mu izi, palibe kudula khosi komwe kumachitika. M'malo mwake, kudula kumachitika mkati mwa pakamwa, pa mlomo wapansi. Kenako, palibe chipsera chomwe chimawonekera kuchokera kunja.
Pa tsiku la opaleshoni, nthawi zambiri njira izi zimatsatiridwa:
1. Mankhwala Oletsa Kupweteka: Poyamba, mudzapatsidwa mankhwala oletsa kupweteka kuti musamve ululu komanso kuti mukhale omasuka panthawi ya opaleshoni. Nthawi zambiri mudzagonekedwa (General Anesthesia).
2. Kupanga chotupa: Dokotalayo amadula pang'ono (kaya pakhosi kapena mkati mwa pakamwa) kutengera njira yomwe wasankha kuti afikire ku parathyroid glands.
3. Kuchotsa gland: Gland kapena gland ya parathyroid yomwe ili ndi vuto komanso yogwira ntchito mopitirira muyeso imazindikirika ndikuchotsedwa mosamala.
4. Kutseka chocheka: Pomaliza, chochekacho chimatsekedwa ndi suture yosungunuka kapena kusoka wamba.
Njira yonseyi nthawi zambiri imatenga pafupifupi ola limodzi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Mudzatha kupita kunyumba tsiku lomwelo kapena tsiku lotsatira mutachitidwa opaleshoni. Samalirani zinthu izi mukapita kunyumba.
- Kudya ndi kumwa: Mutha kudya ndi kumwa bwino. Komabe, mungamve kupweteka pang'ono pakhosi panu. Ngati izi zitachitika, ndi bwino kudya zakudya zofewa komanso zosavuta kumeza monga phala, yogati, ndi supu kwa tsiku limodzi kapena awiri.
- Zochita: Kuyenda ndi kuchita ntchito zopepuka zapakhomo n'kwabwino, koma muyenera kupewa kunyamula zinthu zolemera, kuchita masewera olimbitsa thupi, komanso kuthamanga mpaka dokotala atakupatsani chilolezo.
- Zakudya zowonjezera calcium: Nthawi zina, zimatenga nthawi kuti ma parathyroid glands otsalawo ayambenso kugwira ntchito bwino. Panthawiyi, calcium m'magazi mwanu imatha kutsika. Kuti ikhalebe pamlingo woyenera, dokotala wanu angakuuzeni kuti mumwe mankhwala othandizira calcium kwa kanthawi.
Kodi ubwino wa opaleshoniyi ndi wotani?
Mwina mwakhala ndi mavuto osiyanasiyana chifukwa cha hyperparathyroidism. Pambuyo pa opaleshoni iyi, calcium m'magazi mwanu ikabwerera mwakale, moyo wanu ukhoza kukhala wabwino kwambiri.
| Phindu | Kufotokozera |
|---|---|
| Kutha kwa zizindikiro | Zizindikiro monga kupweteka kwa mafupa, kufooka kwa minofu, nseru, kutopa kosaneneka, kuiwala zinthu, ndi chifunga cha ubongo zimatha kutha kwathunthu kapena kuchepetsedwa kwambiri. |
| Kuchepetsa chiopsezo cha matenda ena | Chiwopsezo cha miyala ya impso, kufooka kwa mafupa, ndi matenda ena a mtima omwe angayambitsidwe ndi kuchuluka kwa calcium m'magazi chimachepa pambuyo pa opaleshoni iyi. |
Kodi pali zoopsa zilizonse pa opaleshoniyi?
Kuchotsa chithokomiro cha parathyroid nthawi zambiri ndi opaleshoni yotetezeka kwambiri . Komabe, monga opaleshoni ina iliyonse, pali chiopsezo cha mavuto ang'onoang'ono. Komabe, nthawi zambiri izi zimakhala zakanthawi kochepa ndipo zimatha kuchiritsidwa.
Mavuto a kanthawi kochepa
- Kupweteka pakhosi: Pakhosi panu pakhoza kukhala kupweteka kwa masiku angapo mutachita opaleshoni.
- Kusamveka bwino kwa mawu: Popeza tinthu tating'onoting'ono timeneti timapezeka pafupi ndi timinofu ta mawu, nthawi zina mawuwo amatha kusamveka bwino. Nthawi zambiri zimenezi zimatha pakatha masiku kapena milungu ingapo.
- Matenda: Pali chiopsezo chochepa cha matenda pamalo odulidwa.
- Hematoma: Nthawi zambiri, magazi amatha kusonkhana pansi pa khungu pansi pa chodulidwacho.
Mavuto a nthawi yayitali
- Matenda a Njala: Dzinali ndi lachilendo pang'ono. Chomwe chimachitika pamenepa ndi chakuti mafupa sapeza calcium yomwe amafunikira chifukwa calcium m'magazi imakhala yambiri opaleshoni isanachitike. Pambuyo pa opaleshoni, calcium m'magazi ikabwerera mwakale, mafupa amayamba kuyamwa calcium mwachangu ngati kuti 'akusowa'. Izi zingapangitse kuti calcium m'magazi ikhale yotsika. Matendawa timawatcha kuti hypocalcemia yosatha . Koma musadandaule, pali mankhwala a izi.
- Matenda a hyperparathyroidism obwerezabwereza: Matendawa amatha kubwerera ngati chiwalo china chomwe sichinachotsedwe pambuyo pake chayamba kugwira ntchito kwambiri. Komabe, izi sizichitika kawirikawiri.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire bwino?
Zingatenge sabata imodzi mpaka milungu itatu kuti muchiritse bwino. Komabe, muyenera kuyambiranso ntchito zanu zachizolowezi (kupatula kunyamula zinthu zolemera) pasanathe masiku angapo. Chiŵerengero cha kupambana kwa opaleshoniyi ndi chabwino kwambiri. Chiŵerengero cha kupambana choposa 95%Opaleshoni iyi yakhalapo. Ndipotu, opaleshoni iyi ndiyo yokhayo yothetsera vuto la hyperparathyroidism.
Kodi ndi liti pamene muyenera kulankhula ndi dokotala?
Mukapita kunyumba mutachita opaleshoni, samalani ndi zizindikiro izi. Ngati mukukumana ndi chilichonse mwa izi, imbani dokotala nthawi yomweyo.
- Ngati muli ndi malungo opitirira 38.3 Celsius (38.3 Fahrenheit).
- Ngati muli ndi ululu waukulu umene sumatha ngakhale mutamwa mankhwala ochepetsa ululu.
- Ngati mukuvutika kumeza chakudya kapena chakumwa.
- Ngati malo odulidwawo ndi ofiira, otupa, ofunda, kapena otuluka ngati mafinya (izi ndi zizindikiro za matenda).
- Mwachitsanzo, ngati muwona zizindikiro zilizonse za calcium yochepa m'magazi anu :
- Kusanza m'manja, m'mapazi, kapena mozungulira milomo.
- Ngati mukumva minofu ikugwedezeka kapena kupweteka.
- Ngati mukumva kutopa kwambiri.
Chofunika kwambiri: Ngati mwadzidzidzi mukukumana ndi vuto lopuma, musazengereze. Pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi nthawi yomweyo.
Kodi iyi ndi opaleshoni yaikulu?
Ayi, opaleshoni ya parathyroidectomy siionedwa ngati opaleshoni yaikulu. Kudula khosi mwachizolowezi nthawi zambiri kumakhala kochepa, pafupifupi masentimita 5. Choncho musachite mantha kwambiri ndi izi.
Pomaliza, pamene ma thyroid glands a parathyroid amatulutsa mahomoni ambiri, zingayambitse zizindikiro zosiyanasiyana. Kuchotsa parathyroid ndi opaleshoni yothandiza kwambiri komanso yotetezeka pochiza vutoli. Ngati mukukumana ndi zizindikirozi, ndi bwino kuonana ndi dokotala kuti mudziwe chomwe chikuyambitsa ndikupeza chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa chithokomiro cha chithokomiro ndi opaleshoni yopambana kwambiri komanso yotetezeka yochizira hyperparathyroidism.
- Pambuyo pa opaleshoni iyi, zizindikiro monga kupweteka kwa mafupa, kutopa kwambiri, ndi kuiwala zinthu zimatha.
- Ngakhale zimatenga pafupifupi milungu 1-3 kuti munthu achire bwino, mukhoza kubwerera ku zochita zanu zachizolowezi pasanathe masiku angapo.
- Mukachita opaleshoni, dziwani zizindikiro za kuchepa kwa calcium m'magazi, monga dzanzi m'miyendo ndi kugwedezeka kwa minofu. Ngati mukukumana ndi chilichonse mwa izi, uzani dokotala wanu.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena mantha aliwonse omwe mungakhale nawo musanachite opaleshoni.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment