Reka twige ibijyanye no kubaga parathyroid mu buryo bworoshye!

Mu ijosi ryacu, cyane cyane inyuma ya tiroyide, hari utunyangingo tune duto, tumeze nk'amagufwa. Utwo ni two twita "utunyangingo twa parathyroid." Nubwo ari duto, dufasha umubiri wacu gukora akazi gakomeye. Ni ukuvuga ko tugenzura urugero rwa kalisiyumu mu maraso yacu. Rimwe na rimwe, imwe muri izi ngirabuzimafatizo itangira gukora cyane. Hanyuma, hagomba gukorwa kubagwa kugira ngo iyo ngirabuzimafatizo cyangwa utunyangingo dukurweho. Ubwo bubaga bwitwa parathyroidectomy . Niba rero ushaka kumenya ibi, reka tubiganireho birambuye.

Kubaga parathyroid ni iki?

Mu magambo make, parathyroidectomy ni ukubaga gukuraho kamwe cyangwa kenshi k’agakoko k’ubwonko.

Tekereza kuri ibi, kalisiyumu ni ingenzi kugira ngo umubiri wacu ukomeze amagufwa yacu, uturemangingo tw’imitsi dukora neza, n’imitsi yacu ikore neza. Akamaro k’ingenzi k’uturemangingo twa parathyroid ni ugukomeza urwego rukwiye rwa kalisiyumu mu maraso. Utu turemangingo dukora ikinyabutabire cyitwa Parathyroid Hormone (PTH) . Iyi hormone igenzura urugero rwa kalisiyumu mu maraso.

Iyo ku mpamvu runaka, imwe cyangwa nyinshi muri izi gland zikora cyane, imisemburo ya PTH ikorwa cyane . Hanyuma urugero rwa kalisiyumu mu maraso ruriyongera bitari ngombwa. Ubuganga butwita hyperparathyroidism . Aha niho abaganga basaba ubu buryo bwo kubaga.

Kuki ukeneye ubu buvuzi?

Hari impamvu nyinshi zitera hyperparathyroidism. Bitewe n'izi, niho hafatwa icyemezo niba kubagwa ari ngombwa cyangwa atari ngombwa. Reka turebe impamvu nyamukuru.

Witegura ute mbere yo kubagwa?

Sawa, tuvuge ko muganga wawe yafashe icyemezo cyo kukubaga. Mbere y'ibyo, ufite ibibazo byinshi mu mutwe wawe, sibyo? Ntugahangayike, ibyo ni ibisanzwe. Ikintu cy'ingenzi ni ukuganira na muganga wawe ku bibazo byose n'ibyo ushidikanyaho ufite. Umunsi umwe mbere yo kubagwa, uzahabwa amabwiriza yihariye. Ariko mbere y'ibyo, ushobora kubaza muganga ibi bibazo.

• Ese ngomba kwiyiriza ubusa (ntarye cyangwa ngo nnywe) mu gitondo cyo kubagwa? Ubusanzwe, usabwa kureka kurya no kunywa amasaha make mbere yo kubagwa.
• Ese nta kibazo mfite cyo gufata imiti nsanzwe nkoresha buri munsi na vitamine ku munsi wo kubagwa? Hari imiti imwe (urugero: imiti igabanya amaraso) ishobora gukenera guhagarikwa iminsi mike mbere yo kubagwa. Rero menya neza ko ubaza ibi.
• Ese nkeneye umuntu wo kunjyana mu rugo nyuma yo kubagwa? Kubera ko ndi munsi y'ikinya, nshobora kutabasha gutwara imodoka uwo munsi. Rero ni byiza ko umuntu anjyana mu rugo.

Kubagwa bikorwa gute?

Abaganga bakoresha uburyo butandukanye kugira ngo bakore iki gikorwa. Umuganga wawe azagusobanurira uburyo bukwiriye cyane mu bijyanye n'ikibazo cyawe.

• Kubaga gakondo: Muri ubu buryo, hakorwa icyuho gito ku ruhu rw'ijosi hanyuma imyakura igakurwaho. Kubera ko icyuho gikorerwa ku ruhu, inkovu ntigaragara cyane nyuma yo gukira.
• Kubaga mu buryo budakunze kwangiza umubiri:Muri ibi, kubagwa bikorwa binyuze mu gukata gato cyane, rimwe na rimwe hifashishijwe igikoresho nka kamera.
• Kubaga nta nkovu: Ubu buryo ni bwihariye cyane. Muri ubu buryo, nta gukata mu ijosi. Ahubwo, gukata mu kanwa, ku munwa wo hasi. Hanyuma, nta nkovu igaragara inyuma.

Ku munsi wo kubagwa, izi ntambwe zikunze gukurikizwa:

1. Anesthesia: Mu ntangiriro, uzahabwa anesthesia kugira ngo ntugire ububabare kandi ugire ibyiyumvo byiza mu gihe cyo kubagwa. Akenshi uzasinzira (Anesthesia Rusange).

2. Gukata: Umuganga ubaga atema gato (haba mu ijosi cyangwa mu kanwa) bitewe n'uburyo yahisemo bwo kugera ku ngirabuzimafatizo za parathyroid.

3. Gukuraho ingirangingo: Ingirangingo cyangwa ingirangingo za parathyroid zifite ikibazo kandi zikora cyane zigaragazwa neza kandi zikavanwaho.

4. Gufunga icyuho: Amaherezo, icyuho gifungwa hakoreshejwe umugozi ushongesha cyangwa imidozi isanzwe.

Ni iki kibaho nyuma yo kubagwa?

Uzashobora gutaha umunsi umwe cyangwa umunsi ukurikiyeho nyuma yo kubagwa. Wite kuri ibi bintu nyuma yo gutaha.

• Kurya no kunywa: Ushobora kurya no kunywa bisanzwe. Ariko, ushobora kumva ubabara gato mu muhogo. Ibi bibaye, ni byiza kurya ibiryo byoroshye kandi byoroshye kumira nka pour, yawurute, n'isupu mu gihe cy'umunsi umwe cyangwa ibiri.
• Ibikorwa: Kugenda no gukora uturimo two mu rugo tworoshye ni byiza, ariko ugomba kwirinda guterura ibintu biremereye, gukora imyitozo ngororamubiri no kwiruka kugeza igihe muganga wawe aguhaye uburenganzira.
• Inyongeramusaruro za kalisiyumu: Hari igihe bifata igihe kugira ngo utunyangingo twa parathyroid dusubire gukora neza. Muri iki gihe, urugero rwa kalisiyumu mu maraso yawe rushobora kugabanuka. Kugira ngo rugume ku rugero rukwiye, muganga wawe ashobora kukubwira gufata inyongeramusaruro za kalisiyumu igihe runaka.

Ni izihe nyungu z'ubu buvuzi?

Ushobora kuba waragize ibibazo bitandukanye bitewe na hyperparathyroidism. Nyuma y'uku kubagwa, iyo urugero rwa kalisiyumu mu maraso yawe rusubiye ku rugero rusanzwe, ubuzima bwawe bushobora kuzamuka cyane.

Ese hari ingaruka zishobora guterwa no kubagwa?

Guca igitsina cya parathyroid muri rusange ni ukubaga gutekanye cyane . Ariko, kimwe no kubaga ukundi kose, hari ibyago byo kugira ingorane nto. Ariko, akenshi izi ziba iz'igihe gito kandi zishobora kuvurwa.

Ingorane z'igihe gito

• Kubabara mu muhogo: Umuhogo wawe ushobora kubabara mu minsi mike nyuma yo kubagwa.
• Ijwi rituje: Kubera ko izi ngirabuzimafatizo ziba hafi y'imitsi y'ijwi, rimwe na rimwe ijwi rishobora gutuje gato. Ibi bikunze kurangira mu minsi mike cyangwa ibyumweru bike.
• Kwandura: Hari ibyago bike byo kwandura aho icyiciro cyakorewe.
• Hematoma: Ni gake cyane, amaraso ashobora guteranira munsi y'uruhu munsi y'aho bafashe icyuho.

Ingorane z'igihe kirekire

• Indwara y'amagufwa ashonje: Iri ni izina ridasanzwe. Ikigaragara muri ibi ni uko amagufwa atabona kalisiyumu akeneye kuko urugero rwa kalisiyumu mu maraso ruba ruri hejuru mbere yo kubagwa. Nyuma yo kubagwa, iyo urugero rwa kalisiyumu mu maraso rusubiye ku buryo busanzwe, amagufwa atangira kwinjiza kalisiyumu vuba nk'aho 'ashonje'. Ibi bishobora gutuma urugero rwa kalisiyumu mu maraso ruguma hasi. Iyi ndwara tuyita hypocalcemia idakira . Ariko ntugahangayike, hari uburyo bwo kuyivura.
• Hyperparathyroidism isubira: Iyi ndwara ishobora kugaruka iyo indi mvubura itakuweho nyuma itangiye gukora cyane. Ariko, ibi ni gake cyane.

Bifata igihe kingana iki kugira ngo umuntu akire neza?

Bishobora gufata icyumweru kimwe kugeza ku byumweru bitatu kugira ngo ukire neza. Ariko, ugomba kuba ushobora gusubira mu mirimo isanzwe (usibye guterura ibintu biremereye) mu minsi mike. Igipimo cyo kubagwa ni cyiza cyane. Igipimo cyo gutsinda kirenga 95%Uku kubagwa kwarabayeho. Mu by'ukuri, uku kubagwa ni wo muti rukumbi uhoraho wa hyperparathyroidism.

Ni ryari ugomba kuvugana na muganga?

Iyo ugiye mu rugo nyuma yo kubagwa, menya neza ibimenyetso nk'ibi. Niba uhuye na kimwe muri ibi, hamagara muganga wawe ako kanya.

• Niba ufite umuriro urenze dogere selisiyusi 38.3.
• Niba ufite ububabare bukomeye butagabanuka nubwo wamaze gufata imiti igabanya ububabare.
• Niba ufite ikibazo cyo kumira ibiryo cyangwa icyo kunywa.
• Niba aho hakozwe isuku hatukura, habyimbye, humvikana ubushyuhe, cyangwa hari amazi asa n'ibibyimba asohoka (ibi ni ibimenyetso by'ubwandu).
• Urugero, niba ubonye ibimenyetso by'uko kalisiyumu nkeya mu maraso yawe :
• Kubura ibinya mu biganza, mu birenge, cyangwa hafi y'iminwa.
• Niba wumva imitsi ihinda cyangwa ibabara.
• Niba wumva unaniwe cyane.

Ese iki ni igikorwa gikomeye cyo kubaga?

Oya, kubaga parathyroid ntabwo bifatwa nk'ukubaga gukomeye. Gukata ijosi mu buryo busanzwe akenshi ni bito, bingana na santimetero 5. Bityo rero ntugatinye ibi cyane.

Muri make, iyo imiterere y’uturemangingo twa parathyroid ikora imisemburo myinshi, bishobora gutera ibimenyetso bitandukanye. Parathyroidectomy ni uburyo bwiza kandi bwizewe bwo kuvura iyo ndwara. Niba urimo kubona ibi bimenyetso, ni byiza kujya kwa muganga kugira ngo amenye impamvu kandi ahabwe ubuvuzi bukwiye.