Ngaba ngamanye amaxesha uneentlungu zamalungu ngaphandle kwesizathu? Ngaba uziva ngathi awunamandla, udiniwe nje? Ngaba ngamanye amaxesha uziva unesicaphucaphu, unesizungu, okanye kunzima ukucinga? Sihlala sizithatha ezi mpawu njengeziqhelekileyo. Kodwa ngaba wakha wacinga ukuba unobangela wako konke oku unokuba ziindlala ezincinci, njengamathambo amane entanyeni yethu? Yiloo nto sithetha ngayo namhlanje.
Zithini ezi glands ze-parathyroid?
Ngamafutshane, ii-parathyroid glands zii-glands ezine ezincinci kakhulu ezikwintamo yethu, emva kwe-thyroid gland. Abanye abantu banokuba nezingaphezulu okanye ngaphantsi kwezine. Umsebenzi wabo ophambili kukulawula inqanaba le-calcium egazini lethu. Le calcium ibalulekile ekugcineni amathambo ethu eqinileyo kwaye inkqubo yemithambo-luvo kunye nemisipha isebenze kakuhle. Ngoko ke ezi glands zincinci zidlala indima ebaluleke kakhulu ekugcineni ibhalansi ye-calcium emzimbeni wethu.
Kutheni kufuneka utyando ukuze kususwe la madlala?
Ngamanye amaxesha enye okanye ezingaphezulu kwezi glands ze-parathyroid zisebenza kakhulu. Emva koko zivelisa i-parathyroid hormone (PTH) eninzi kakhulu. Le meko ibizwa ngokuba yi-hyperparathyroidism . Xa oku kusenzeka, amanqanaba e-calcium egazini aba phezulu ngendlela eyingozi. Oku kwenzeka xa kufuneka utyando olubizwa ngokuba yi-parathyroidectomy, oluyinkqubo yotyando lokususa i-gland okanye ii-glands ezisebenzayo kakhulu.
Kusenokuba nezizathu ezininzi eziphambili zoku:
| Isizathu | Ingcaciso elula |
|---|---|
| I-adenoma ye-parathyroid | Le yi-tumor engeyomhlaza eyenzeka kwi-parathyroid gland. Le yeyona meko ixhaphakileyo. |
| I-Parathyroid hyperplasia | Apha, iindlala ezininzi okanye zonke ezine ziyakhula zize zivelise iihomoni ezininzi kakhulu. |
| Umhlaza we-parathyroid | Le yimeko engaqhelekanga kakhulu. |
Ngamanye amaxesha i-hyperparathyroidism inokubangelwa yenye imeko yezonyango, njengesifo sezintso. Oogqirha bayibiza le hyperparathyroidism yesibini.
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kukunika yonke imiyalelo oyifunayo. Nangona kunjalo, kubaluleke kakhulu ukubuza yonke imibuzo onayo. Umzekelo, ungalibali ukubuza malunga:
- Ngaba kufuneka ndizile ukutya kusasa emva kotyando?
- Ngaba kufuneka ndithathe amayeza am aqhelekileyo kunye neevithamini ngaloo mini okanye hayi?
- Ngaba ndifuna umntu oza kundithatha andiyise ekhaya emva kotyando?
Kuya kuba lula kakhulu kuwe ukwazi ezi zinto kwangaphambili.
Indlela oluqhutywa ngayo utyando kunye neenzuzo zalo
Kule mihla, oogqirha basebenzisa iindlela ezahlukeneyo ukwenza olu tyando. Kukho iindlela zemveli, kunye neendlela ezingangenisi kakhulu kwaye ngamanye amaxesha ezingenamabala, apho kwenziwa khona ukusika ngaphakathi emlonyeni kwaye isilonda singabonakali ngaphandle . Ugqirha wakho uza kukuchazela indlela efanelekileyo kuwe. Ukuba ukusika kwenziwa entanyeni, kubekwa ecaleni komphetho wentamo, ukuze isilonda singabonakali kakhulu kamva.
Ngexesha lotyando, uza kuba phantsi kwe-anesthesia ngoko awuyi kuva ntlungu. Ugqirha uza kususa i-gland okanye amadlala achaphazelekayo aze athunge i-incision kwakhona. Olu tyando ludla ngokuthatha malunga neyure.
Zithini iingenelo zolu tyando?
Olu tyando lunokuphucula kakhulu umgangatho wobomi bakho. Xa amanqanaba e-calcium egazini lakho ebuyela esiqhelweni, iimpawu zakho ebezikukhathaza ngaphambili ziya kuphela.
| Ukuphucula iimpawu | Izifo ezinciphisa umngcipheko |
|---|---|
| Intlungu yamalungu | Amatye ezintso |
| Ubuthathaka bemisipha | I-Osteoporosis |
| Isicaphucaphu nokudinwa | Iingxaki zentliziyo |
| Ukudideka kwengqondo | - |
Emva kotyando kunye neengozi zalo
Uza kukwazi ukuya ekhaya ngaloo mini okanye ngosuku olulandelayo emva kotyando. Ungatya kwaye usele ngendlela eqhelekileyo, kodwa ukuba unesilonda somqala, kungcono ukutya izinto ezimanzi okanye ukutya okuthambileyo usuku olunye okanye ezimbini. Ukuhamba kakuhle, kodwa kuphephe ukuzilolonga de ugqirha wakho akunike imvume.
Kusenokufuneka uthathe iipilisi zekhalsiyam okwethutyana de amadlala aseleyo aqale ukusebenza kakuhle emva kokuba amadlala asusiweyo esusiwe.
Ngaba kukho naziphi na iingozi kolu tyando?
I-Parathyroidectomy iqhele ukuba ikhuselekile kakhulu, kodwa njengalo naluphi na utyando, kukho iingozi ezithile.
- Iingozi zexesha elifutshane: Umphimbo obuhlungu, ukurhawuzelela, usulelo, kunye nokuqokelelwa kwegazi phantsi kolusu kufutshane nomsikelo (i-hematoma). Ukuba ezi zinto ziyenzeka, ugqirha wakho unokuzinyanga ngokulula.
- Iingozi zexesha elide: Nangona zinqabile, abanye abantu banokuba neengxaki zexesha elide.
- Isifo samathambo esilambayo: Ukuba amadlala aseleyo angasebenzi kakuhle emva kotyando, imeko apho amanqanaba e-calcium egazini aqhubeka ephantsi (i-'hypocalcemia' engapheliyo) inokwenzeka.
- I-hyperparathyroidism ephindaphindayo: Esi sifo sinokuphinda sibuye ngenxa yokusebenza kakhulu kwenye i-gland emva kotyando.
Kodwa khumbula, olu tyando luphumelele ngaphezu kwama-95% . Enyanisweni, lolona nyango lonyango kuphela lwe-hyperparathyroidism.
Ufika nini kugqirha
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva kotyando, fowunela ugqirha wakho ngoko nangoko.
- Umkhuhlane ongaphezulu kwe-101 Fahrenheit (38.3 Celsius).
- Intlungu engapheliyo nokuba sele ithathiwe amayeza.
- Ubunzima bokuginya ukutya okanye izinto ezilulwelo.
- Iimpawu zosulelo, ezinje ngokuba bomvu, ubomvu, okanye ubushushu obujikeleze inxeba.
- Iimpawu zokungabikho kwe-calcium emzimbeni, ezifana nokungaziva mnandi, ukuxhuzula kwemisipha, okanye ukudinwa kakhulu.
Eyona nto ibalulekileyo: Ukuba ufumana ubunzima bokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Kungathatha iveki enye ukuya kwezintathu ukuba uphile ngokupheleleyo, kodwa kufuneka ukwazi ukubuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Landela imiyalelo kagqirha wakho rhoqo.
Umyalezo Wokuya Ekhaya
- I-Parathyroidectomy lutyando olukhuselekileyo noluphumelele kakhulu olususa amadlala e-parathyroid asebenza kakhulu aphakamisa amanqanaba e-calcium emzimbeni wakho.
- Olu tyando lunceda ekunciphiseni iimpawu ezifana neentlungu zamalungu, ukudinwa, kunye nokudideka kwengqondo, kwaye lunciphisa umngcipheko wezifo ezifana namatye ezintso kunye nokuncitshiswa kwamathambo.
- Olu asilotyando olukhulu, kwaye ixesha lokuchacha lifutshane.
- Ukuba ufumana naziphi na iingxaki emva kotyando, ezinje ngomkhuhlane, ubunzima bokuginya, okanye ubunzima bokuphefumla, funa ingcebiso kagqirha ngokukhawuleza.
- Ngaphambi kokuba wenze naziphi na izigqibo malunga nempilo yakho, soloko uqhagamshelana nogqirha wakho.
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