Ese nawe wabwiwe ko ugomba kubagwa tiroyide?

Kubyimba gato mu ijosi, kugorwa no kumira, cyangwa kanseri ya tiroyide ... Ese muganga yakubwiraga ko habayeho kubagwa kugira ngo hakorwe ingirabuzimafatizo ya tiroyide kubera impamvu nk'iyi? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo ubyumvise. "Ni nde udakunda kubagwa?" ushobora kwibaza. Ariko niba tuzi neza kandi byoroshye iby'ubu buryo bwitwa " Thyroidectomy ", ubwo bwoba bushobora gukurwaho ku rugero runini. Reka tuvuge kuri byose kuri uyu munsi.

Mu magambo make, kubaga tiroyide ni iki?

Reka tubanze turebe icyo tiroyide ari cyo. Itiroyide ni urugingo ruto rumeze nk'ikinyugunyugu ruherereye imbere mu ijosi ryawe, ku mpande zombi z'umuyoboro w'umwuka. Nubwo ari ruto, rukora akazi kenshi. Rugenzura ibikorwa byinshi by'ingenzi mu mubiri, nko gukora imisemburo.

Ubu, 'Gyroidectomy' yerekeza ku kubagwa kwa gland ya tiroyide, haba burundu ('Gyroidectomy yose') cyangwa igice cyayo gusa ('Gyroidectomy igice'). Kimwe no gukuraho iryinyo ryangiritse, ikikorwa hano ni ugukuraho gland ya tiroyide cyangwa igice cyayo cyangiritse bitewe n'indwara runaka.

Kuki tugomba gukora iki gikorwa?

Ushobora kwibaza uti "Kuki wakuraho tiroyide mu buryo butunguranye?" Hari impamvu nyinshi z'ingenzi zibitera. Reka turebe neza izo mpamvu.

Ni ubuhe bwoko bw'ubuvuzi bwo kubaga indwara ya tiroyide?

Hari ubwoko bubiri bw'ingenzi bwo kubaga. Muganga wawe ni we uzaguhitiramo ubwoko bukubereye bitewe n'uburwayi bwawe.

• Gucibwa burundu kwa tiroyide: Aha niho ingirabuzimafatizo yawe ya tiroyide ikurwaho burundu cyangwa hafi ya yose. Ubu buryo bukunze gukoreshwa mu gihe cya kanseri ya tiroyide cyangwa goiter yakwirakwiriye mu ngirabuzimafatizo.
• Guca ibice bya tiroyide: Ibi kandi byitwa `Hemithyroidectomy` cyangwa `Lobectomy`. Gland ya tiroyide ifite ibice bibiri by'ingenzi (lobes). Ubu buryo bwo kubaga bukuraho igice kimwe muri bibiri gusa. Ubu buryo bukunze gukoreshwa iyo hari ikibyimba ku ruhande rumwe gusa rw'ingirabuzimafatizo.

Ibibazo by'ingenzi ugomba kubaza muganga mbere yo kubagwa

Ni uburenganzira bwawe kubaza ibibazo byawe byose mbere yo kubagwa, kandi bizagufasha kugabanya ubwoba bwawe. Dore bimwe mu bibazo ushobora kubaza muganga wawe.

• Kuki nkeneye iki gikorwa, muganga? Ese nta bundi buryo bwo kuvura indwara yanjye?
• Ni izihe ngaruka mbi zishobora guterwa n'iki gikorwa? Ni izihe ngaruka mbi zishobora guterwa n'iki gikorwa?
• Witeze ko ingano y'agahu ka tiroyide yanjye izakurwaho ingana iki? Yose? Cyangwa igice cyayo gusa?
• Ese nzagomba gufata ibinini bya thyroid hormone ubuzima bwanjye bwose nyuma yo kubagwa? (Iki ni ikibazo abantu benshi bibaza)
• Nzamara igihe kingana iki mu bitaro nyuma yo kubagwa? Bizatwara igihe kingana iki kugira ngo nongere ubuzima bwanjye?

Ibisubizo by'ibi bibazo bizaguha gusobanukirwa neza inzira yose.

Ni gute twitegura igikorwa?

Nk’uko bigenda ku kubagwa kose, iki gikorwa gisaba kwitegura. Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi.

Ibyumweru bike mbere yo kubagwa

• Ibizamini: Gupima indwara ya tiroyide hakoreshejwe ultrasound bishobora gutangwa kugira ngo harebwe neza aho ikibyimba kiri. Niba hari gushidikanya niba ikibyimba ari kanseri, hashobora gukorwa isuzuma ry'urushinge (biopsy) , rikubiyemo gufata ingero nto z'uturemangingo hakoreshejwe urushinge.
• Ikizamini cy'ijwi: Imikorere y'imivugire yawe, ari nayo ituma ijwi ryawe rikora, irashobora kugeragezwa.
• Imiti: Niba urugero rw'imisemburo ya tiroyide ruri hejuru cyane, uzasabwa gutangira imiti mbere yo kubagwa kugira ngo uyigenzure.
• Kunywa itabi: Niba uri umunywi w'itabi, muganga wawe azakugira inama yo kurireka, kuko kunywa itabi bishobora kubangamira uburyo bwo kugabanya ikinya no gukira.

Hafi icyumweru kimwe mbere yo kubagwa

• Bwira muganga wawe imiti yose ufata: Ugomba kubwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, vitamine, imiti y'ibimera, n'inyongeramusaruro. Azakubwira imiti ukwiye gufata n'iyo ukwiye guhagarika gufata ku munsi wo kubagwa.
• Imiti igabanya amaraso: Niba ufata imiti igabanya amaraso, ugomba kuyihagarika by'agateganyo gusa ukurikije inama za muganga wawe. Ntugahagarike kuyifata udafite inama za muganga.

Mbere yo kubagwa

Kwiyiriza ubusa (kwirinda kurya no kunywa bitari amazi) amasaha menshi mbere yo kubagwaUgomba gutegereza. Uzahabwa amabwiriza asobanutse neza aturutse mu bitaro kuri ibyo.

Ni iki kibaho mu gihe cyo kubagwa?

Ntabwo ugomba kubitekerezaho cyane, kuko uba usinziriye cyane.

Mbere yo kubagwa, umuganga w’ikinya azagushyira munsi y’ikinya kandi agusinzira neza . Bityo ntuzumva ububabare ubwo aribwo bwose. Kugira ngo byorohere guhumeka mu gihe cyo kubagwa, hazashyirwa umuyoboro w’ubuhumekero mu muhogo wawe.

Hari uburyo bwinshi umuganga ubaga ashobora kugera kuri tiroyide:

• Uburyo gakondo: Kubagwa bikorwa binyuze mu gukata gato mu ijosi. Ibi bikorwa kugira ngo bigabanye inkovu.
• Mini-incisional angioplasty (MIVAT): Uku kubagwa gukorwa hakoreshejwe incision nto cyane hifashishijwe kamera.
• Uburyo butagira inkovu: Ubu hariho uburyo bwo kubaga hakoreshejwe uburyo bwo gukata ahantu inkovu zitagaragara, nko mu kanwa no munsi y'amaha.
• Ni gake cyane: Niba agasabo k'inkari kageze mu gituza, bishobora no kuba ngombwa ko bikorwa binyuze mu igufwa ry'ibere.

Niba kubagwa ari ukwa kanseri, umuganga azafata icyitegererezo cy'uturemangingo tw'imitsi dukikije thyroide maze apime. Iyo kanseri igaragaye ko yakwirakwiriye aho ngaho, izo misemburo z'imitsi nazo zishobora gukurwaho.

Mu mpera y'iki gikorwa cyo kubaga, hashyirwamo imidozi ishobora gushonga imbere hanyuma hagashyirwa ubwoko bwihariye bwa kole ku ruhu.

Kubaga kugira ngo ukureho ingirabuzimafatizo yose ya tiroyide akenshi bifata hagati y'isaha 1-3. Kubaga kugira ngo ukureho igice cy'ingirabuzimafatizo gusa bifata igihe gito.

Ni izihe ngaruka zishobora guterwa n'iki gikorwa?

Mbere na mbere, kubagwa kwa tiroyide ni ukubagwa kwizewe cyane mu bihe byinshi . Ingorane ni nke cyane. Ariko, nk'uko bigenda kubagwa ukundi, hari ingaruka zimwe na zimwe.

• Kuva amaraso menshi: Ibi ni gake cyane, ariko iyo bibaye, amaraso ashobora kuziba inzira y'ubuhumekero bigatuma habaho kugorwa no guhumeka.
• Kwangirika kw'imitsi y'ijwi: Imitsi igenzura ijwi inyura hafi cyane y'agatsi k'indyotide. Iyo iyi mitsi yangiritse mu gihe cyo kubagwa, ijwi rituje cyangwa intege nke bishobora kubaho. Ibi akenshi biba iby'igihe gito. Abaganga babaga bibanda cyane kugira ngo bamenye iyi mitsi kandi birinde kuyingiza.
• Kwangirika kw'uturemangingo twa parathyroid: Dufatanye inyuma y'uturemangingo twa tiroyide, hari uturemangingo tune duto tungana n'uduceri tune tw'umuceri. Utwo turemangingo twitwa parathyroid. Dugenzura urugero rwa kalisiyumu mu mubiri. Iyo twangiritse mu gihe cyo kubagwa, urugero rwa kalisiyumu mu maraso rushobora kugabanuka (hypocalcemia) .

Izi mpamvu zishobora gutera indwara zishobora kubaho cyane iyo ufite kanseri ikomeye, niba ari ukubagwa kwa kabiri kwa tiroyide, cyangwa niba ufite goiter nini cyane.

Bifata igihe kingana iki kugira ngo umuntu akire neza?

Uzakomeza kuba mu bitaro umunsi umwe cyangwa ibiri. Umaze gukanguka neza nyuma yo guhabwa ikinya, uzabasha kurya amafunguro yoroheje no kunywa ibinyobwa. Ushobora kubabara mu muhogo iminsi mike bitewe n'umuyoboro w'umwuka washyizwemo igihe cyo kubagwa.

Mbere yo gutaha, uzahabwa amabwiriza y'uko wakwita ku ishinya ryawe.

Ubusanzwe, uzumva umeze neza mu byumweru bibiri cyangwa bitatu . Ariko, ugomba gutegereza nibura ibyumweru bibiri mbere yuko usubira mu mirimo nko gukora imyitozo ngororamubiri no guterura ibyuma.

Ibyerekeye inkovu

Yego, inkovu nto izasigara imbere mu ijosi. Iyi nkovu ishobora kuba hagati ya santimetero 1-2.5. Ariko, muganga azayicamo agace k'uruhu rw'ijosi, bityo ntizagaragara uko igihe kigenda gihita. Inkovu ishobora gufata amezi 12-18 kugira ngo ikire neza. Mu ntangiriro, ishobora kuba itukura kandi ikazamuka gato, ariko uko igihe kigenda gihita, izashira ikagira ibara ryoroheje kandi ihinduke ishaje ku ruhu. Kurikiza amabwiriza ya muganga wawe kugira ngo inkovu yawe ikire vuba.

Niba ufite ibi bimenyetso, hita ubonana na muganga.

Nyuma yo gusubira mu rugo, ni ngombwa guhita ugira icyo ukora mu gihe habayeho ikibazo. Witondere ibimenyetso bikurikira.

Guhura n'ikibazo icyo ari cyo cyose cyo kubagwa ntabwo byoroshye. Ni ibisanzwe kugira ubwoba no gushidikanya. Ariko, kubagwa tiroyide ni uburyo bwizewe bukorwa buri gihe kandi bugira umusaruro mwiza cyane. Abantu benshi bakira neza nyuma yo kubagwa, cyane cyane iyo kubagwa byari ugukuraho uturemangingo twa kanseri, kandi hari impumuro nziza. Niba ugifite impungenge, ntutinye kuvugana na muganga wawe. Barahari kugira ngo bagufashe.