Kodi mwauzidwanso kuti muchotsedwe chithokomiro?

Kutupa pang'ono pakhosi, kuvutika kumeza, kapena khansa ya chithokomiro ... Kodi dokotala wakuuzanipo za opaleshoni yochotsa chithokomiro pazifukwa ngati izi? Ndizachilendo kumva mantha pang'ono komanso nkhawa mukamva izi. "Ndani sakonda opaleshoni?" mungaganize. Koma ngati tikudziwa bwino komanso mwachidule za opaleshoni iyi yotchedwa ' Thyroidectomy ', mantha amenewo akhoza kuthetsedwa kwambiri. Chifukwa chake, tiyeni tikambirane chilichonse chokhudza izi lero.

Mwachidule, kodi kuchotsa chithokomiro n’chiyani?

Chabwino, choyamba tiyeni tiwone chomwe chithokomiro chili. Chithokomiro ndi chiwalo chaching'ono chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lanu, mbali zonse ziwiri za mphuno yanu. Ngakhale kuti ndi chaching'ono, chimagwira ntchito zambiri. Chimayang'anira njira zambiri zofunika m'thupi, monga kagayidwe kachakudya.

Tsopano, `Chithokomiro` chikutanthauza kuchotsa chithokomiro, kaya ndi opaleshoni yonse (`Chithokomiro Chonse`) kapena gawo lake lokha (`Chithokomiro Chochepa`). Monga kuchotsa dzino loola, chomwe chikuchitika pano ndikuchotsa chithokomiro kapena gawo lake lomwe lawonongeka ndi matenda enaake.

N’chifukwa chiyani tiyenera kuchita opaleshoni imeneyi?

"N'chifukwa chiyani mungachotse mwadzidzidzi chithokomiro chathanzi?" mwina mukudabwa. Pali zifukwa zingapo zazikulu zomwe zimapangitsa izi. Tiyeni tiwone bwino zifukwazo.

Kodi mitundu ya opaleshoni ya thyroidectomy ndi iti?

Pali mitundu iwiri ikuluikulu ya opaleshoni. Dokotala wanu adzasankha mtundu womwe uli woyenera kwa inu kutengera vuto lanu.

• Kuchotsa Chithokomiro Chonse: Apa ndi pomwe chithokomiro chanu chimachotsedwa kwathunthu kapena pafupifupi kwathunthu. Njirayi nthawi zambiri imagwiritsidwa ntchito pazochitika za khansa ya chithokomiro kapena goiter yomwe yafalikira mu chithokomiro chonse.
• Kuchotsa Chithokomiro Chaching'ono: Izi zimatchedwanso `Hemithyroidectomy` kapena `Lobectomy`. Chithokomiro chili ndi zigawo ziwiri zazikulu (lobes). Opaleshoni iyi imachotsa gawo limodzi mwa magawo awiriwa. Njirayi nthawi zambiri imagwiritsidwa ntchito ngati pali chotupa mbali imodzi yokha ya chithokomiro.

Mafunso ofunikira oti mufunse dokotala musanachite opaleshoni

Ndi ufulu wanu kufunsa mafunso anu onse musanachite opaleshoni, ndipo zidzakuthandizani kuchepetsa mantha anu. Nazi mafunso ena omwe mungafunse dokotala wanu.

• N’chifukwa chiyani ndikufunika opaleshoni imeneyi, dokotala? Kodi palibe mankhwala ena ochiritsira vuto langa?
• Kodi zoopsa za opaleshoniyi ndi ziti? Kodi mwayi woti pakhale zovuta ndi ziti?
• Kodi mukuyembekezera kuti chithokomiro changa chichotsedwe chochuluka bwanji? Chonsecho? Kapena gawo lake lokha?
• Kodi ndidzayenera kumwa mapiritsi a mahomoni a chithokomiro kwa moyo wanga wonse pambuyo pa opaleshoni? (Ili ndi funso lomwe anthu ambiri amakhala nalo)
• Kodi ndidzakhala m'chipatala nthawi yayitali bwanji nditachita opaleshoni? Kodi zitenga nthawi yayitali bwanji kuti ndibwererenso mwakale?

Mayankho a mafunso awa adzakuthandizani kumvetsetsa bwino njira yonseyi.

Kodi timakonzekera bwanji opaleshoniyi?

Monga opaleshoni ina iliyonse, opaleshoni iyi imafuna kukonzekera. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi.

Masabata angapo opaleshoni isanachitike

• Mayeso: Kujambula kwa ultrasound kwa chithokomiro kungapangidwe kuti kuone komwe kuli chotupacho . Ngati pali kukayikira kulikonse ngati chotupacho ndi cha khansa, kuyezetsa pang'ono kwa singano (biopsy) kungachitike, komwe kumaphatikizapo kutenga chitsanzo cha maselo ndi singano.
• Kuyesa mawu: Ntchito ya zingwe zanu zoyankhulira mawu , zomwe zimapanga mawu anu, zitha kuyesedwa.
• Mankhwala: Ngati mahomoni a chithokomiro chanu ali okwera kwambiri, mudzapemphedwa kuyamba kumwa mankhwala musanachite opaleshoni kuti muchepetse vutolo.
• Kusuta: Ngati ndinu wosuta fodya, dokotala wanu adzakulangizani kuti musiye, chifukwa kusuta fodya kungasokoneze njira yoperekera mankhwala oletsa ululu komanso njira yochiritsira.

Pafupifupi sabata imodzi opaleshoni isanachitike

• Uzani dokotala wanu za mankhwala onse omwe mumamwa: Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mavitamini, mankhwala azitsamba, ndi zowonjezera. Iye adzakuuzani mankhwala omwe muyenera kumwa ndi omwe muyenera kusiya kumwa patsiku la opaleshoni yanu.
• Mankhwala ochepetsa magazi: Ngati mukumwa mankhwala ochepetsa magazi, muyenera kuwasiya kwakanthawi kokha ngati dokotala wanu wakupatsani upangiri. Musasiye kuwamwa popanda upangiri wa dokotala.

Musanachite opaleshoni

Kusala kudya (kupewa kudya ndi zakumwa zina kupatula madzi) kwa maola angapo opaleshoni isanachitikeMuyenera kudikira. Mudzalandira malangizo omveka bwino kuchokera kuchipatala okhudza zimenezo.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Simuyenera kuganizira kwambiri za izi, chifukwa muli m'tulo tofa nato.

Opaleshoni isanachitike, dokotala wogonetsa adzakugonetsani pansi pa mankhwala oletsa ululu ndikukugonetsani tulo tofa nato . Kuti musamve kupweteka kulikonse. Kuti kupuma kwanu kukhale kosavuta panthawi ya opaleshoni, padzaikidwa chubu chopumira pakhosi panu.

Pali njira zingapo zomwe dokotala wa opaleshoni angafikire ku chithokomiro:

• Njira yachikhalidwe: Opaleshoniyi imachitika kudzera mu kudula pang'ono m'khosi. Izi zimachitika kuti muchepetse zipsera.
• Mini-incisional angioplasty (MIVAT): Opaleshoni iyi imachitika kudzera mu kudula pang'ono kwambiri pogwiritsa ntchito kamera.
• Njira zopanda zipsera: Tsopano pali njira zopangira opaleshoni podula ziwalo m'malo omwe zipsera sizimaoneka, monga mkati mwa pakamwa ndi pansi pa makwapa.
• Kawirikawiri: Ngati ndulu yalowa m'chifuwa, ingafunikenso kuchitidwa kudzera m'fupa la m'mawere.

Ngati opaleshoniyi ndi ya khansa, dokotalayo adzatenga chitsanzo cha ma lymph nodes ozungulira chithokomiro ndikuchiyang'ana. Ngati khansayo yapezeka kuti yafalikira pamenepo, ma lymph nodes amenewo akhoza kuchotsedwanso.

Pamapeto pa opaleshoni, ma stitches osungunuka amaikidwa mkati ndipo mtundu wapadera wa guluu umayikidwa pakhungu.

Opaleshoni yochotsa chithokomiro chonse nthawi zambiri imatenga pakati pa maola 1-3. Opaleshoni yochotsa gawo lokha la chithokomiro imatenga nthawi yochepa.

Kodi zoopsa za opaleshoniyi ndi ziti?

Choyamba, opaleshoni ya chithokomiro ndi opaleshoni yotetezeka kwambiri nthawi zambiri . Mavuto ndi osowa. Komabe, monga opaleshoni ina iliyonse, pali zoopsa zina.

• Kutuluka magazi kwambiri: Izi zimachitika kawirikawiri, koma ngati zitachitika, magazi oundana amatha kutseka njira yopumira ndikupangitsa kuti kupuma kukhale kovuta.
• Kuwonongeka kwa mitsempha ya mawu: Mitsempha yomwe imalamulira mawu imadutsa pafupi kwambiri ndi chithokomiro. Ngati mitsempha iyi yawonongeka panthawi ya opaleshoni, mawu okweza kapena kufooka kungachitike. Izi nthawi zambiri zimakhala zakanthawi kochepa. Madokotala ochita opaleshoni amasamala kwambiri kuti adziwe mitsempha iyi ndikupewa kuiwononga.
• Kuwonongeka kwa tinthu ta parathyroid: Tinthu tating'onoting'ono tinayi tomwe timalumikizidwa kumbuyo kwa tinthu ta thyroid, timafanana ndi tinthu ta mpunga tinayi. Tinthu ta parathyroid timatchedwa tinthu ta parathyroid. Timeneti timalamulira kuchuluka kwa calcium m'thupi. Ngati izi zawonongeka panthawi ya opaleshoni, kuchuluka kwa calcium m'magazi kumatha kuchepa (hypocalcemia) .

Zinthu zoopsazi zimakhalapo mosavuta ngati muli ndi khansa yoopsa, ngati iyi ndi opaleshoni yanu yachiwiri ya chithokomiro, kapena ngati muli ndi goiter yayikulu kwambiri.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire bwino?

Mudzakhala m'chipatala kwa tsiku limodzi kapena awiri. Mukadzuka mokwanira kuchokera ku opaleshoni yoletsa kupweteka, mudzatha kudya zakudya zopepuka komanso kumwa madzi. Pakhosi panu pakhoza kukhala kupweteka pang'ono kwa masiku angapo chifukwa cha chubu chopumira chomwe chinayikidwa panthawi ya opaleshoni.

Musanapite kunyumba, mudzalandira malangizo a momwe mungasamalire chotupa chanu.

Kawirikawiri, mudzakhala bwino kwambiri pakatha milungu iwiri kapena itatu . Komabe, muyenera kudikira milungu iwiri musanayambirenso kuchita zinthu monga kuchita masewera olimbitsa thupi komanso kunyamula zolemera.

Za chilonda

Inde, chilonda chaching'ono chidzatsala kutsogolo kwa khosi. Ichi chingakhale cha mainchesi 1-2.5 kukula kwake. Komabe, dokotala adzapanga chotupa ichi pakhungu la khosi, kotero sichidzawonekera bwino pakapita nthawi. Chilondacho chingatenge miyezi 12-18 kuti chichiritse kwathunthu. Poyamba, chingakhale chofiira ndikukwezedwa pang'ono, koma pakapita nthawi, chidzazimiririka kukhala mtundu wopepuka ndikuwala pakhungu. Tsatirani malangizo a dokotala wanu kuti muthandize chilonda chanu kuchira mwachangu.

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo.

Mukabwerera kunyumba, ndikofunikira kuchitapo kanthu mwachangu ngati pabuka vuto lililonse. Yang'anirani zizindikiro zotsatirazi.

Kukumana ndi opaleshoni iliyonse sikophweka. N'zachibadwa kukhala ndi mantha ndi kukayikira. Komabe, opaleshoni ya chithokomiro ndi njira yotetezeka yomwe imachitika nthawi zonse ndipo imakhala ndi zotsatira zabwino kwambiri. Anthu ambiri amachira bwino kwambiri pambuyo pa opaleshoni, makamaka ngati opaleshoniyo inali yochotsa maselo a khansa, ndipo pali mpumulo waukulu. Ngati muli ndi nkhawa, musaope kulankhula ndi dokotala wanu. Alipo kuti akuthandizeni.