Bundu riri mumutsipa mako, kuoma kumedza, kana kuti pamwe kunetseka nezve thyroiditis kana kenza ye thyroid… chiremba wako akakurudzira kuvhiyiwa kubvisa thyroid gland yako here? Zvingori zvechisikigo kunzwa kunetseka kana kuremerwa paunonzwa izwi rekuti "kuvhiyiwa." Tinonzwisisa kuti zvinogona kutyisa, asi nekudzidza chokwadi nezve ' Thyroidectomy ' nenzira iri nyore, unogona kuderedza kutya ikoko. Ngatifambei nezvese zvaunoda kuziva, pamwe chete.
Mumashoko Akareruka: Chii chinonzi Thyroidectomy?
Kutanga, ngatinzwisise kuti thyroid gland chii. Inhengo diki, yakaita seshavishavi iri pamberi pemutsipa wako, pakatarisana nepaipi yemhepo (trachea). Kunyangwe iri diki, inoita basa guru mumuviri wako, ichidzora mashandiro akakosha senge metabolism yako.
Kuvhiyiwa kwe "thyroidectomy" inzira yekuvhiya kubvisa gland rese re thyroid (`Total Thyroidectomy`) kana chikamu charo (`Partial Thyroidectomy`). Kufanana nekubvisa zino rakakuvara, kuvhiyiwa uku kunoitwa kubvisa gland re thyroid kana chikamu charo chakakanganiswa nechirwere.
Sei kuvhiyiwa uku kuchidikanwa?
Ungave uchizvibvunza kuti, "Sei ndichifanira kubvisa thyroid yangu kana yaishanda zvakanaka?" Pane zvikonzero zvakawanda zvine musoro. Ngatizvitsanangure zvakajeka.
| Chikonzero chekuvhiyiwa | Zvinorevei... |
|---|---|
| Matumbu eGyroid | Izvi zvinomera mukati megland re thyroid. Zvizhinji zvacho hazvina kenza , asi zvimwe zvinogona kuva nayo. Zvimwe zvinogona kugadzira mahormone e thyroid akawandisa. Kana paine fungidziro yekuti une kenza, chiremba wako anokurudzira kubviswa kwayo. |
| Goiter | Izvi zvinoreva kukura kwegland re thyroid. Parinokura, rinogona kudzvanya pamuromo wemhepo (trachea) nepaipi yekudya (esophagus), zvichikonzera zviratidzo zvakaita sekuoma kwekufema uye kunetseka kumedza . Kuvhiyiwa kunoitwa kuderedza kumanikidzwa uku. |
| Kenza yeGyroid | Kana masero ekenza akaonekwa mu thyroid yako, kuvhiyiwa ndiyo nzira yakanakisisa yekubvisa zvachose gland racho. Kazhinji gland rese rinobviswa, uye mune dzimwe nguva, lymph nodes dziri pedyo dzinogonawo kubviswa. |
| Hyperthyroidism | Izvi zvinoitika kana gland rako richishanda zvakanyanya, richigadzira mahormone akawanda kupfuura zvinodiwa nemuviri wako. Kana mishonga ikatadza kudzora izvi, chiremba wako anogona kukupa zano rekuvhiya senzira yekurapa. |
Ndeapi marudzi eThyroidectomy?
Kune mhando mbiri huru. Chiremba wako ndiye achasarudza kuti ndeipi inonyanya kukodzera zvichienderana nezvinodiwa pahutano hwako.
- Kubviswa kweGland Remanyoka: Gland rese remanyoka rinobviswa. Izvi zvinowanzo shandiswa pakurapa kenza yegland kana goiter yakanyanya.
- Kubviswa kwechikamu chethyroid: Kunozivikanwawo se 'Hemithyroidectomy' kana kuti 'Lobectomy', izvi zvinosanganisira kubvisa rimwe chete remaonde maviri ethyroid. Izvi zvinowanzoshandiswa kana bundu rakaiswa parutivi rumwe.
Rudzi rwekuvhiyiwa kwaunoda runobva pakushanda pamwe chete pakati peEndocrinologist yako nachiremba wezvekurapa. Hapana chikonzero chekunetseka—uri mumaoko enyanzvi.
Mibvunzo yekubvunza chiremba wako usati wavhiyiwa
Kubvunza mibvunzo ikodzero yako, uye inzira ine simba yekuderedza kuzvidya mwoyo kwako usati wavhiyiwa. Heano mimwe mibvunzo inokosha yaunofanira kubvunza:
- Sei kuvhiyiwa uku kuchikosha kwandiri? Pane dzimwe nzira dzisiri dzekuvhiya here?
- Ndeipi njodzi dzekuvhiyiwa uku, uye matambudziko anogona kuitika akajairika sei?
- Gwara rangu re thyroid richabviswa zvakadii?
- Ndichafanira kutora mushonga we thyroid hormone kweupenyu hwangu hwese here?
- Ndichagara muchipatara kwenguva yakareba sei, uye kupora kuchatora nguva yakareba sei?
Kuwana mhinduro dzakajeka dzeizvi kuchakubatsira kuti unzwe wakagadzirira zvakanyanya.
Ndingagadzirira sei kuvhiyiwa?
Kufanana nechero nzira yekuvhiyiwa, kugadzirira kwakakosha. Chiremba wako achakupa mirairo chaiyo yakagadzirirwa hutano hwako. Ndokumbirawo uitevere nokungwarira.
Mavhiki usati wavhiyiwa
- Kuongororwa Kwechirwere: Chiremba wako anogona kukurudzira kuti upiwe Thyroid Ultrasound kuti uwane mufananidzo wakajeka webundu . Kana paine kunetseka kuti bundu iri rinogona kukonzera kenza, unogona kuvhiyiwa Fine Needle Aspiration (biopsy) , uko sampuli diki yemasero inotorwa uchishandisa tsono.
- Kuongororwa Kwezwi: Chiremba wako anogona kuongorora mashandiro etsinga dzako dzenzwi kuti ave nechokwadi chekuti dziri kushanda nemazvo.
- Mishonga: Kana huwandu hwemahormone ethyroid ako hwakakwira zvakanyanya, chiremba wako anogona kukupa mishonga usati wavhiyiwa kuti udzore mazinga awo.
- Kusvuta: Kana ukasvuta, chiremba wako achakukurudzira kuti urege. Kusvuta kunogona kukanganisa mushonga wekuti usanyanya kusvuta uye kunonotsa kupora kwemuviri wako.
Inenge Vhiki Rimwe Usati Wavhiyiwa
- Udza chiremba wako nezvemishonga yese: Iva nechokwadi chekuudza chiremba wako nezve zvese zvaunotora, kusanganisira mishonga yakanyorerwa nachiremba, mavhitamini, mishonga yemiti, uye zvinowedzera. Vachakuudza nezvemishonga yaunofanira kuramba uchitora uye yaunofanira kurega usati wavhiyiwa.
- Mishonga Inoomesa Ropa: Kana uri kushandisa mishonga inoomesa ropa, unofanira kurega kuishandisa kwenguva pfupi, asi uchitungamirirwa nachiremba wako chete. Usamborega kushandisa mishonga iyi usina kutanga wabvunza chiremba wako.
Usati Wavhiyiwa
Uchafanira kutsanya (kurega kudya zvese zvekudya nezvinwiwa) kwemaawa akati wandei usati wavhiyiwa. Vashandi vechipatara vachakupa mirairo yakajeka maererano nemirairo iyi.
Chii chinoitika panguva yekuvhiyiwa?
Hamufaniri kunetseka, sezvo muchange makarara zvakanaka panguva yese yekurapwa.
Kuvhiyiwa kusati kwatanga, chiremba weanotisi achakupa mushonga weanesthesia kuti uve nechokwadi chekuti hauna chaunoziva , zvichireva kuti hauzonzwi kurwadziwa. Kuti zvikubatsire kufema zviri nyore, chubhu yekufema ichaiswa pahuro pako panguva yekuvhiyiwa.
Chiremba wako anogona kushandisa nzira dzakasiyana-siyana kuti awane thyroid gland:
- Maitiro Echinyakare: Kuchekwa kudiki kunogadzirwa pamucheto weganda remutsipa wako kuti kuderedza mavanga anooneka.
- Kuvhiyiwa kweThyroidectomy Kunobatsira Zvishoma Nezvishoma (MIVAT): Kuvhiyiwa uku kunoitwa nekucheka kudiki diki uchishandisa kamera.
- Nzira Dzisina Mavanga: Kune nzira dzemazuva ano dzinoshandisa thyroid nemuromo kana pasi pehapwa, dzisingasiyi vanga rinooneka pamutsipa.
- Zviitiko Zvisingawanzoitiki: Kana goiter yapinda muchipfuva, dzimwe nguva kuvhiyiwa kunosanganisira pfupa rechipfuva kunogona kudiwa.
Kana kuvhiyiwa kuri kwekurapa kenza, chiremba anogona kuongorora lymph nodes dziri pedyo. Kana kenza yapararira kumapfundo aya, anogona kubviswawo.
Pakupera kwekuita, ganda rinochekwa rinovharwa nemasitichi emukati anonyungudika uye guruu rekuvhiya rakanangana pamusoro peganda.
Kubviswa kwegland regland rose kunowanzotora pakati peawa imwe kusvika ku3, nepo kubviswa kwechikamu chegland regland kungatora nguva shoma.
Ndeipi njodzi dzekuvhiyiwa uku?
Zvakakosha kuziva kuti kubviswa kwegland regland inzira yakachengeteka zvikuru . Matambudziko haawanzoitiki, asi sezvinoitwa nekuvhiyiwa kupi zvako, kune njodzi dzakati wandei.
- Kubuda ropa zvakanyanya: Kunyange zvazvo zvisingawanzoitiki, kubuda ropa kunogona kukonzera hematoma inomanikidza mweya, zvichiita kuti pave nematambudziko ekufema.
- Kukuvadzwa kweTsinga dzeInzwi: Tsinga dzinodzora inzwi rako dzinofamba pedyo negland re thyroid. Kana dzikakuvara panguva yekuvhiyiwa, unogona kunzwa izwi rakashoshoma kana kushaya simba kwezwi. Kazhinji, izvi ndezvenguva pfupi. Vanachiremba vanovhiya vanongwarira zvikuru kuti vaone nekudzivirira tsinga idzi.
- Kukuvadzwa kweParathyroid Glands: Une magland madiki mana, akaenzana nesadza remupunga, akabatana nechekumashure kwethyroid yako. Aya ndiwo magland eParathyroid , anodzora huwandu hwecalcium mumuviri wako. Kana akakanganiswa panguva yekuvhiyiwa, huwandu hwecalcium muropa rako hunogona kudzikira (Hypocalcemia) .
Mikana yenjodzi idzi inowedzera kana uine kenza yakakura, kana iri kuvhiyiwa kwethyroid zvakare, kana kana uine goiter yakakura zvikuru.
Kupora kwakakwana kunotora nguva yakareba sei?
Ungangogara muchipatara kwemazuva rimwe kana maviri. Kana wangomuka zvakakwana kubva pakunzwa kuneta, unogona kutanga kudya chikafu chakareruka uye zvinwiwa. Ungangonzwa kurwadziwa kushoma pahuro kwemazuva mashoma nekuda kwechubhu yekufema.
Usati wabuda muchipatara, uchapiwa mirayiridzo chaiyo yekuti ungachengeta sei kukuvara kwawakaita.
Varwere vazhinji vanonzwa vapora mukati memavhiki maviri kusvika matatu . Zvisinei, unofanira kumirira kwemavhiki maviri usati watangazve mabasa anorema akadai sekurovedza muviri kana kusimudza zvinhu zvinorema.
NezveVanga
Ehe, vanga diki (rinenge masendimita 1 kusvika 2.5) richaramba riri pasi pemutsipa wako. Vanachiremba vanoisa banga iri pamutsipa wako, zvichiita kuti risanyanye kuonekwa nekufamba kwenguva. Zvinogona kutora mwedzi 12-18 kuti vanga rikure zvakakwana. Kunyange zvazvo ringaita serinotsvuka zvishoma kana kuti rakasimudzwa pakutanga, rinopera uye richati sandara nekufamba kwenguva. Tevedzera zano rachiremba wako rekuchengetedza mavanga kuti ubatsire kupora zvakanaka.
Nguva yekutsvaga rubatsiro rwechiremba nekukurumidza
Kana ukaona zviratidzo zvine chekuita nechirwere ichi mushure mekudzokera kumba, zvakakosha kuti uite chimwe chinhu nekukurumidza.
| Chiratidzo Chenyevero | Chiito Chinodiwa |
|---|---|
| Kuzvimba, kubuda ropa, kana kubuda ropa panzvimbo yakachekwa. | Bata chiremba wako nekukasika kana kuti enda kuEmergency Room iri pedyo. |
| Fivha (inopfuura 101°F / 38°C). | Bata chiremba wako nekukasika. |
| Kunzwa kusanzwa kana kukwenya kumeso, maoko, kana miromo (chiratidzo chingangove chekuti calcium haina kukwana). | Zivisa chiremba wako nekukasika; izvi hazvifanirwe kuregeredzwa. |
Kuvhiyiwa chero kupi zvako chiitiko chakakosha, uye zvakajairika kuti unzwe kunetseka. Zvisinei, kubviswa kwethyroid inzira inogara ichiitwa ine mhedzisiro yakanaka. Vanhu vazhinji vanopora zvakanaka, uye avo vari kuvhiyiwa kenza vanowanzo nzwa zororo guru. Kana uchiri nezvinokunetsa, usazeza kutaura nachiremba wako - varipo kuti vakutsigire parwendo rwako rwese neNirogi Lanka.
Zvinhu Zvinokosha Zvekutarisira Kwako
- Kuvhiyiwa kwe thyroidectomy inzira yekuvhiya yakajairika uye yakachengeteka inoshandiswa kurapa zvirwere zvakasiyana-siyana zve thyroid pano kuNirogi Lanka.
- Zvakakosha kuti unzwisise zvizere zvikonzero zvekuvhiyiwa kwako. Ndapota usambozeza kubvunza chiremba wako mibvunzo yaungave nayo.
- Tevedzerai mirairo yachiremba wenyu usati wavhiyiwa, kunyanya maererano nehurongwa hwemishonga uye zvinodiwa pakutsanya.
- Kupora kwakakwana kunowanzotora mavhiki mashoma. Kuisa zororo nekutarisirwa kwakakodzera mushure mekuvhiyiwa panguva iyi kwakakosha kuti upore.
- Kana gland rako rese re thyroid rikabviswa, uchafanirwa kutora mushonga we thyroid hormone (Levothyroxine) zuva nezuva kweupenyu hwako hwese. Ichi chikamu chiri nyore uye chiri nyore kudzora chemaitiro ako.
- Kana mukaona zviratidzo zvine chekuita nechirwere mushure mekuvhiyiwa, zvakaita sekuzvimba, fivha, kana kuti kukwenya, ndapota tsvagai rubatsiro rwechiremba kana kuti batai vebasa rekukurumidzira nekukasika.
Kuvhiyiwa kwethyroid, kuvhiyiwa kwethyroid, gland re thyroid, goiter, kenza ye thyroid, Hyperthyroidism, kuvhiyiwa
