Masifunde ngokususwa kwe-parathyroid ngokulula!

Entanyeni yethu, ingakumbi emva kwendlala yegilo, kukho amadlala amane amancinci afana namathambo. La ngamadlala esiwabiza ngokuba "ngamadlala e-parathyroid." Nangona emancinci ngobukhulu, enza umsebenzi obaluleke kakhulu emzimbeni wethu. Oko kukuthi, alawula inqanaba le-calcium egazini lethu. Ngamanye amaxesha, elinye okanye ngaphezulu kula madlala aqala ukusebenza kakhulu. Emva koko, kufuneka kwenziwe utyando ukuze kususwe loo ndlala okanye amadlala athile. Olo tyando lubizwa ngokuba yi-parathyroidectomy . Ngoko ke ukuba nawe ufuna ukwazi ngale nto, masithethe ngayo ngokweenkcukacha.

Yintoni i-parathyroidectomy?

Ngamafutshane, i-parathyroidectomy kukususwa ngotyando kwegland enye okanye ezingaphezulu ze-parathyroid.

Cinga ngayo, i-calcium ibalulekile emizimbeni yethu ukugcina amathambo ethu eqinile, inkqubo yethu yemithambo-luvo isebenze kakuhle, kunye nezihlunu zethu zisebenze kakuhle. Umsebenzi ophambili wee-parathyroid glands kukugcina inqanaba elifanelekileyo le-calcium egazini. Ezi glands zivelisa ikhemikhali ebizwa ngokuba yiParathyroid Hormone (PTH) . Le hormone ilawula inqanaba le-calcium egazini.

Ukuba ngesizathu esithile enye okanye ezingaphezulu kwezi gland zisebenza kakhulu, i-PTH hormone iveliswa ngokugqithisileyo . Emva koko inqanaba le-calcium egazini liyanda ngokungeyomfuneko. Ngokwezonyango sibiza le meko ngokuba yi-hyperparathyroidism . Kulapho oogqirha bacebisa khona olu tyando.

Kutheni udinga olu tyando?

Kukho izizathu ezahlukeneyo ze-hyperparathyroidism. Ngokuxhomekeke kwezi, kugqitywa ukuba utyando luyimfuneko okanye akunjalo. Makhe sijonge izizathu eziphambili.

Uzilungiselela njani ngaphambi kotyando?

Kulungile, masithi ugqirha wakho ugqibe ekubeni akwenzele utyando. Ngaphambi koko, unemibuzo emininzi engqondweni yakho, akunjalo? Ungakhathazeki, oko kuqhelekile. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo yonke imibuzo kunye namathandabuzo onawo. Ngosuku olungaphambi kotyando, uza kunikwa imiyalelo ekhethekileyo. Kodwa ngaphambi koko, ungambuza ugqirha le mibuzo.

• Ngaba kufuneka ndizile ukutya (ndingatyi okanye ndisele) kusasa emva kotyando? Ngokwesiqhelo, ucelwa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi kotyando.
• Ingaba kulungile na ukusela amayeza am aqhelekileyo emihla ngemihla kunye neevithamini ngosuku lotyando? Amanye amayeza (umz. amayeza okunciphisa igazi) anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kotyando. Ngoko ke qiniseka ukuba ubuza ngale nto.
• Ngaba ndifuna umntu oza kundiqhuba ndigoduse emva kotyando? Ngenxa yokuba ndiphantsi kwe-anesthesia, ndisenokungakwazi ukuqhuba ngaloo mini. Ngoko ke kukhuselekile ukuba umntu andiqhubele ndigoduse.

Lwenziwa njani utyando?

Oogqirha basebenzisa iindlela ezahlukeneyo ukwenza olu tyando. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kwimeko yakho.

• Utyando Lwesintu: Kule ndlela, kwenziwa umsikelo omncinci ecaleni komsikelo eluswini lwentamo kwaye amadlala ayasuswa. Ngenxa yokuba umsikelo wenziwa ecaleni komsikelo eluswini, isilonda asibonakali kakuhle emva kokuphola.
• Utyando Olungenalo Utyando:Kule meko, utyando lwenziwa ngokusikwa okuncinci kakhulu, ngamanye amaxesha ngoncedo lwesixhobo esifana nekhamera.
• Utyando Olungenazikrweqe: Le yindlela eyahlukileyo kakhulu. Kule ndlela, akukho kusikwa kwentamo. Endaweni yoko, kusikwa kwenzelwa ngaphakathi emlonyeni, kumlebe ongezantsi. Emva koko, akukho sikrweqe sibonakalayo ngaphandle.

Ngomhla wotyando, la manyathelo adla ngokulandelwa:

1. I-Anesthesia: Ekuqaleni, uza kunikwa i-anesthesia ukuze ungabi nantlungu kwaye uhlale ukhululekile ngexesha lotyando. Uhlala ulaliswa (i-General Anesthesia).

2. Ukwenza i-incision: Ugqirha emva koko wenza i-incision encinci (nokuba kusentanyeni okanye ngaphakathi emlonyeni) kuxhomekeke kwindlela ekhethiweyo yokufikelela kwi-parathyroid glands.

3. Ukususwa kwe-gland: I-parathyroid gland okanye ii-gland ezinengxaki, ezisebenza kakhulu ziyachongwa kwaye zisuswe ngononophelo.

4. Ukuvala i-incision: Ekugqibeleni, i-incision ivalwa nge-suture enyibilikayo okanye izitishi eziqhelekileyo.

Kwenzeka ntoni emva kotyando?

Uza kukwazi ukuya ekhaya ngaloo mini okanye ngosuku olulandelayo emva kotyando. Zinyamekele ezi zinto emva kokuba ubuyele ekhaya.

• Ukutya nokusela: Ungatya usele ngendlela eqhelekileyo. Nangona kunjalo, ungaziva ubuhlungu kancinci emqaleni wakho. Ukuba oku kuyenzeka, kungcono ukutya ukutya okuthambileyo nokulula ukukuginya okufana ne-porridge, iyogathi, kunye nesobho usuku okanye ezimbini.
• Imisebenzi: Ukuhambahamba nokwenza imisebenzi yasekhaya elula kulungile, kodwa kufuneka ukuphephe ukuphakamisa izinto ezinzima, ukuzilolonga, nokubaleka ude ugqirha wakho akunike imvume.
• Izongezo zeKhalsiyam: Ngamanye amaxesha, kuthatha ixesha ukuba amadlala e-parathyroid asele aqale ukusebenza kakuhle kwakhona. Ngeli xesha, inqanaba lekhalsiyam egazini lakho lisenokuhla. Ukuze lihlale likwinqanaba elifanelekileyo, ugqirha wakho angakuxelela ukuba uthathe izongezo zekhalsiyam okwethutyana.

Zithini iingenelo zolu tyando?

Usenokuba ube neengxaki ezahlukeneyo ngenxa ye-hyperparathyroidism. Emva kolu tyando, xa amanqanaba e-calcium egazini lakho ebuyela esiqhelweni, umgangatho wobomi bakho unokuphucula kakhulu.

Ngaba kukho naziphi na iingozi kolu tyando?

I-Parathyroidectomy idla ngokuba lutyando olukhuselekileyo . Nangona kunjalo, njengalo naluphi na utyando, kukho umngcipheko weengxaki ezincinci. Nangona kunjalo, ezi zihlala zingokwethutyana kwaye zinokunyangwa.

Iingxaki zexesha elifutshane

• Umphimbo obuhlungu: Umphimbo wakho usenokuba buhlungu kangangeentsuku ezimbalwa emva kotyando.
• Ukurhawuzela kwelizwi: Ngenxa yokuba la madlala akufutshane neentambo zelizwi, ilizwi ngamanye amaxesha linokuba lirhawuzela kancinci. Oku kudla ngokunyamalala emva kweentsuku okanye iiveki ezimbalwa.
• Usulelo: Kukho umngcipheko omncinci wosulelo kwindawo yokusikwa.
• I-Hematoma: Kunqabile kakhulu, igazi linokuqokelelwa phantsi kolusu phantsi kwesilonda.

Iingxaki zexesha elide

• I-Hungry Bone Syndrome: Eli ligama elingaqhelekanga. Okwenzekayo koku kukuba amathambo awafumani i-calcium ayidingayo kuba inqanaba le-calcium egazini liphezulu ngaphambi kotyando. Emva kotyando, xa inqanaba le-calcium egazini libuyela esiqhelweni, amathambo aqala ukufunxa i-calcium ngokukhawuleza ngokungathi 'abulawa yindlala'. Oku kunokubangela ukuba inqanaba le-calcium egazini lihlale liphantsi. Le meko siyibiza ngokuba yi-chronic hypocalcemia . Kodwa ungakhathazeki, kukho unyango loku.
• I-hyperparathyroidism ephindaphindayo: Le meko inokubuya ukuba elinye igland elingasuswanga kamva liqala ukusebenza kakhulu. Nangona kunjalo, oku kunqabile kakhulu.

Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?

Kungathatha iveki ukuya kwiiveki ezintathu ukuba uphile ngokupheleleyo. Nangona kunjalo, kufuneka ukwazi ukuqalisa imisebenzi eqhelekileyo (ngaphandle kokuphakamisa izinto ezinzima) kwiintsuku ezimbalwa. Izinga lempumelelo yotyando lihle kakhulu. Izinga lempumelelo elingaphezulu kwama-95%Olu tyando lunayo. Enyanisweni, olu tyando lolona nyango luhlala luhleli lwe-hyperparathyroidism.

Kufuneka uthethe nini nogqirha?

Xa ubuyela ekhaya emva kotyando, lumka ezi mpawu. Ukuba ufumana nayiphi na kwezi, fowunela ugqirha wakho ngoko nangoko.

• Ukuba unomkhuhlane ongaphezulu kwe-101 Fahrenheit (38.3 Celsius).
• Ukuba unentlungu enzima engapheliyo nokuba sele usele amayeza okudambisa iintlungu.
• Ukuba unengxaki yokuginya ukutya okanye isiselo.
• Ukuba indawo eqatywe kuyo ibomvu, idumbile, ivakala ishushu, okanye kukho ulwelo olufana nobovu oluphumayo (ezi ziimpawu zosulelo).
• Ukuba ubona naziphi na iimpawu ze-calcium ephantsi egazini lakho , umzekelo:
• Ukuba ndindisholo ezandleni, ezinyaweni, okanye ejikeleze imilebe.
• Ukuba uziva izihlunu zishukuma okanye zibuhlungu.
• Ukuba uziva udiniwe kakhulu.

Ingaba olu lutyando olukhulu?

Hayi, i-parathyroidectomy ayithathwa njengotyando olukhulu. Ukusika kwentamo ngokwesiko kudla ngokuba kuncinci, malunga neesentimitha ezi-5. Ngoko ke musa ukoyika oku ngokugqithisileyo.

Ukuqukumbela, xa amadlala e-parathyroid evelisa i-hormone eninzi kakhulu, kunokubangela iimpawu ezahlukeneyo. I-Parathyroidectomy lutyando olusebenzayo nolukhuselekileyo lokunyanga esi sifo. Ukuba ufumana ezi mpawu, kungcono ukubona ugqirha ukuze ufumane unobangela kwaye ufumane unyango olufanelekileyo.