Ukudumba okuncinci entanyeni, ubunzima bokuginya, okanye umhlaza we-thyroid ... Ngaba ugqirha ukuxelele ngotyando lokususa i-thyroid gland ngesizathu esinje? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva oku. "Ngubani ongaluthandiyo utyando?" unokucinga. Kodwa ukuba siyazi kakuhle kwaye ngokulula ngolu tyando lubizwa ngokuba yi- 'Thyroidectomy ', olo loyiko lunokupheliswa kakhulu. Ngoko ke, masithethe ngayo yonke into namhlanje.
Ngamafutshane, yintoni i-thyroidectomy?
Kulungile, masiqale sijonge ukuba yintoni i-thyroid gland. I-thyroid gland sisitho esincinci esimile okwebhabhathane esikwicala elingaphambili entanyeni yakho, kumacala omabini omphimbo wakho. Nangona incinci, yenza umsebenzi omninzi. Ilawula iinkqubo ezininzi ezibalulekileyo emzimbeni, ezifana ne-metabolism.
Ngoku, i-'Thyroidectomy' ibhekisa ekususweni kwe-thyroid gland ngotyando, nokuba ngokupheleleyo ('Total Thyroidectomy`) okanye inxalenye yayo kuphela (`Partial Thyroidectomy`). Njengokususwa kwezinyo elibolileyo, okwenziwayo apha kukususwa kwe-thyroid gland okanye inxalenye yayo eyonakaliswe yimeko ethile yezonyango.
Kutheni kufuneka senze olu tyando?
"Kutheni ungasusa ngequbuliso i-thyroid esempilweni?" usenokuba uzibuza. Kukho izizathu ezininzi eziphambili zoku. Makhe sijonge ngokusondeleyo ukuba zeziphi ezo zizathu.
| Isizathu sotyando | Ithetha ukuba... |
|---|---|
| Amaqhuqhuva e-thyroid | Ezi zizigaqa zeeseli ezakha ngaphakathi kwi-thyroid gland. Uninzi lwazo azingomhlaza . Nangona kunjalo, ezinye izigaqa zinokuba ngumhlaza. Ezinye izigaqa zinokuvelisa iihomoni ze-thyroid ezingaphezulu kunokuba kuyimfuneko. Ukuba kukho amathandabuzo malunga nokuba igaqa linomhlaza okanye akunjalo, ugqirha wakho unokucebisa ukuba lisuswe. |
| I-Goiter | Eli ligama eliye laviwa ngabantu abaninzi kwilizwe lethu. Ngamafutshane, kukwanda kwe-thyroid gland. Xa i-gland iba nkulu ngale ndlela, iqala ukucinezela i-trachea kunye ne-esophagus entanyeni. Emva koko, iimpawu ezinje ngobunzima bokuphefumla kunye nobunzima bokuginya ukutya zinokuvela. Kwiimeko ezinjalo, i-gland iyasuswa ukuze kuncitshiswe olu xinzelelo. |
| Umhlaza weThyroid | Ukuba kufunyenwe ukuba iiseli zomhlaza zikhula kwi-thyroid gland, utyando yeyona ndlela ilungileyo yokususa ngokupheleleyo iiseli zomhlaza. Rhoqo, lonke idlala liyasuswa, kwaye ukuba kuyimfuneko, nee-lymph nodes ezijikelezileyo ziyasuswa. |
| I-Hyperthyroidism | Le yimeko apho i-thyroid gland isebenza kakhulu ize ivelise iihomoni ezingaphezulu kunezo umzimba uzifunayo. Nangona kukho amayeza oku, kwezinye iimeko, ukuba amayeza awakwazi ukuyilawula okanye ngezinye izizathu, oogqirha banokucebisa utyando. |
Ziziphi iintlobo zotyando lwe-thyroidectomy?
Kukho iintlobo ezimbini eziphambili zotyando. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena ngokwemeko yakho.
- Ukususwa kwe-thyroid ngokupheleleyo: Kulapho i-thyroid gland yakho isuswa khona ngokupheleleyo okanye phantse ngokupheleleyo. Le nkqubo idla ngokusetyenziswa kwiimeko zomhlaza we-thyroid okanye i-goiter esasazeke kulo lonke i-gland.
- Ukususwa kweGyroid okuNgaphelelanga: Oku kukwabizwa ngokuba yi-`Hemithyroidectomy` okanye i-`Lobectomy`. I-thyroid gland ineenxalenye ezimbini eziphambili (ii-lobes). Olu tyando lususa enye kuphela kwezi nxalenye zimbini. Le ndlela idla ngokusetyenziswa ukuba kukho iqhuma kwicala elinye le-gland.
Isigqibo malunga notyando olufunekayo siza kwenziwa yingcali ye-endocrinologist kunye nogqirha emva kokuhlola imeko yakho yempilo. Ngoko ke ungakhathazeki ngayo.
Imibuzo ebalulekileyo yokubuza ugqirha ngaphambi kotyando
Lilungelo lakho ukubuza yonke imibuzo yakho ngaphambi kotyando, kwaye kuya kukunceda ukunciphisa uloyiko lwakho. Nazi ezinye zemibuzo onokuzibuza ugqirha wakho.
- Kutheni ndiludinga olu tyando, gqirha? Azikho ezinye iindlela zonyango zengxaki yam?
- Zithini iingozi zolu tyando? Zithini iingozi zeengxaki?
- Ulindele ukuba ingakanani i-thyroid gland yam esusiweyo? Yonke? Okanye inxalenye yayo nje?
- Ngaba kuya kufuneka ndithathe iipilisi zehomoni ye-thyroid ubomi bam bonke emva kotyando? (Lo ngumbuzo abantu abaninzi abanawo)
- Kuza kufuneka ndihlale ixesha elingakanani esibhedlele emva kotyando? Kuza kuthatha ixesha elingakanani ukubuyela esiqhelweni?
Iimpendulo zale mibuzo ziya kukunika ukuqonda okungcono kwenkqubo yonke.
Silungiselela njani utyando?
Njengalo naluphi na utyando, olu lufuna amalungiselelo athile. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku.
Kwiiveki ezimbalwa ngaphambi kotyando
- Uvavanyo: I-ultrasound ye-thyroid ingayalelwa ukuze kubonwe ukuba iphi kanye kanye iqhuma . Ukuba kukho amathandabuzo malunga nokuba iqhuma linomhlaza na, kunokwenziwa i- biopsy encinci yenaliti , equka ukuthatha isampuli encinci yeeseli ngenaliti.
- Uvavanyo lwelizwi: Umsebenzi weentambo zakho zelizwi , ezivelisa ilizwi lakho, unokuvavanywa.
- Amayeza: Ukuba amanqanaba ehomoni ye-thyroid yakho aphezulu kakhulu, uya kucelwa ukuba uqalise amayeza ngaphambi kotyando ukuze uyilawule.
- Ukutshaya: Ukuba ungumntu otshayayo, ugqirha wakho ngokuqinisekileyo uya kukucebisa ukuba uyeke, kuba ukutshaya kunokuphazamisana nenkqubo yokubulala iintlungu kunye nokuphiliswa.
Malunga neveki ngaphambi kotyando
- Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo: Ufanele uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka amayeza kagqirha, iivithamini, amayeza esintu, kunye nezongezo. Uza kukuxelela ukuba zeziphi amayeza omele uwasebenzise kunye nawaphi omele uyeke ukuwasebenzisa ngomhla wotyando lwakho.
- Izithambisi zegazi: Ukuba uthatha izithambisi zegazi, kufuneka uyeke okwethutyana kuphela ngokwengcebiso kagqirha wakho. Ungaze uyeke ukuzithatha ngaphandle kwengcebiso kagqirha wakho.
Ngaphambi kotyando
Ukuzila ukutya (ukuphepha ukutya neziselo ngaphandle kwamanzi) iiyure ezininzi ngaphambi kotyando.Kuya kufuneka ulinde. Uza kufumana imiyalelo ecacileyo evela esibhedlele malunga noko.
Kwenzeka ntoni ngexesha lotyando?
Akunyanzelekanga ukuba ucinge kakhulu ngale nto, kuba ulele ubuthongo.
Ngaphambi kotyando, ingcali yokubulala iintlungu iza kukufaka phantsi kwe-anesthesia kwaye ikulalise ngokupheleleyo . Ngoko awuyi kuva ntlungu. Ukuze kube lula ukuphefumla ngexesha lotyando, kuza kufakwa ityhubhu yokuphefumla entanyeni yakho.
Kukho iindlela ezininzi zokufikelela kwi-thyroid gland:
- Indlela yesintu: Olu tyando lwenziwa ngokusika okuncinci entanyeni. Oku kwenzelwa ukunciphisa amanxeba.
- I-Mini-incisional angioplasty (MIVAT): Olu tyando lwenziwa nge-incision encinci kakhulu ngoncedo lwekhamera.
- Iindlela ezingenamanxeba: Ngoku kukho iindlela zokwenza utyando ngokwenza amanxeba kwiindawo apho amanxeba angabonakaliyo khona, njengangaphakathi emlonyeni nangaphantsi kwamakhwapha.
- Amaxesha amaninzi: Ukuba inyongo iye yangena esifubeni, kusenokufuneka ukuba yenziwe ngethambo lesifuba.
Ukuba utyando lolwenzelwe umhlaza, ugqirha uza kuthatha isampuli yee -lymph nodes ezijikeleze i-thyroid gland aze azihlole. Ukuba umhlaza ufunyenwe usasazeke apho, ezo lymph nodes nazo zinokususwa.
Ekupheleni kotyando, kufakwa izititshi ezinyibilikayo ngaphakathi kwaye kufakwa uhlobo oluthile lweglu phezu kolusu.
Utyando lokususa yonke i-thyroid gland ludla ngokuthatha phakathi kweyure e-1-3. Utyando lokususa inxalenye ye-thyroid luthatha ixesha elincinci.
Zithini iingozi zalo msebenzi?
Okokuqala, ukususwa kwe-thyroid lutyando olukhuselekileyo kwiimeko ezininzi . Iingxaki azixhaphakanga. Nangona kunjalo, njengalo naluphi na utyando, kukho iingozi ezithile.
- Ukopha kakhulu: Oku kunqabile kakhulu, kodwa ukuba kuyenzeka, ihlwili legazi linokuvala indlela yomoya kwaye libangele ubunzima bokuphefumla.
- Ukonakala kwemithambo yelizwi: Imithambo-luvo elawula ilizwi idlula kufutshane kakhulu ne-thyroid gland. Ukuba le mithambo-luvo yonakele ngexesha lotyando, ilizwi elirhabaxa okanye ubuthathaka bunokubakho. Oku kudla ngokuba yinto yexeshana. Oogqirha botyando balumkile kakhulu ukuba bachonge le mithambo-luvo baze baphephe ukuyonakalisa.
- Ukonakala kwi-parathyroid glands: Zinamathele ngasemva kwe-thyroid gland, kukho ii-glands ezine ezincinci ezinobukhulu obungangeenkozo ezine zerayisi. Ezi zibizwa ngokuba zii-parathyroid glands. Zilawula amanqanaba e-calcium emzimbeni. Ukuba ezi zonakele ngexesha lotyando, amanqanaba e-calcium egazini anokwehla (hypocalcemia) .
Ezi zinto zinobungozi zinokwenzeka ngakumbi ukuba unomhlaza oqhubele phambili, ukuba olu lutyando lwakho lwesibini lwe-thyroid, okanye ukuba une-goiter enkulu kakhulu.
Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Uza kuhlala esibhedlele usuku olunye okanye ezimbini. Wakuba uvukile ngokupheleleyo emva kokufumana i-anesthesia, uza kukwazi ukutya ukutya okulula nokusela ulwelo. Usenokuba nomphimbo obuhlungu kancinci kangangeentsuku ezimbalwa ngenxa yepayipi yokuphefumla eyafakwa ngexesha lotyando.
Ngaphambi kokuba ugoduke, uza kufumana imiyalelo yokuba ungayinyamekela njani i-incision yakho.
Ngokwesiqhelo, uya kuziva ungcono kakhulu kwiiveki ezimbini ukuya kwezintathu . Nangona kunjalo, kufuneka ulinde ubuncinane iiveki ezimbini ngaphambi kokuba uqalise imisebenzi efana nokuzilolonga nokuphakamisa iintsimbi.
Malunga nesilonda
Ewe, kuya kusala isilonda esincinci ngaphambili entanyeni. Oku kungaba phakathi kwe-1-2.5 intshi ngobukhulu. Nangona kunjalo, ugqirha uya kwenza olu sikelo eluswini lwentamo, ngoko ke luya kuba lungabonakali kangako ngokuhamba kwexesha. Isilonda sinokuthatha iinyanga ezili-12-18 ukuba siphole ngokupheleleyo. Ekuqaleni, sinokuba bomvu kwaye siphakame kancinci, kodwa ekuhambeni kwexesha, siya kunyamalala sibe nombala okhanyayo size sikhanye eluswini. Landela imiyalelo kagqirha wakho ukuze uncede isilonda sakho siphole ngokukhawuleza.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza.
Emva kokubuyela ekhaya, kubalulekile ukuthatha amanyathelo ngokukhawuleza ukuba kukho naziphi na iingxaki eziphakamayo. Lumka ezi mpawu zilandelayo.
| Uphawu ekufuneka luqwalaselwe | Kwenziwe ntoni |
|---|---|
| Ukudumba, ukopha, okanye ulwelo olufana nobovu oluphuma kwindawo yokusikwa. | Yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe. |
| Umkhuhlane** (ongaphezulu kwe-101°F / 38°C). | Fowunela ugqirha wakho ngoko nangoko. |
| Ukuba ndindisholo okanye ukurhawuzelela ebusweni, ezandleni, okanye emilebeni (oku kusenokuba luphawu lokuba icalcium incinci). | Xelela ugqirha wakho ngoko nangoko. Le ayisiyomeko yokulinda. |
Ukujongana nalo naluphi na utyando akulula. Kuqhelekile ukuba noloyiko kunye namathandabuzo. Nangona kunjalo, i-thyroidectomy yinkqubo ekhuselekileyo eyenziwa rhoqo kwaye ineziphumo eziphumelelayo kakhulu. Uninzi lwabantu luyaphila kakuhle emva kotyando, ingakumbi ukuba utyando belulokususa iiseli zomhlaza, kwaye kukho ukukhululeka okukhulu. Ukuba usenenkxalabo, ungoyiki ukuthetha nogqirha wakho. Bakho ukukunceda.
Umyalezo Wokuya Ekhaya
- I-thyroidectomy lutyando oluqhelekileyo nolukhuselekileyo lokunyanga iingxaki ze-thyroid.
- Qonda kakuhle ukuba kutheni udinga olu tyando. Ungoyiki ukubuza ugqirha imibuzo.
- Landela imiyalelo kagqirha (ukuthatha amayeza, ukuzila ukutya) kanye ngaphambi kotyando.
- Kuthatha iiveki ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando, kwaye ukuphumla kunye nokunyamekela ngokufanelekileyo kubaluleke kakhulu ngelo xesha.
- Ukuba i-thyroid gland isusiwe ngokupheleleyo, kuya kufuneka uthathe iipilisi ze-thyroid hormone (iLevothyroxine) ubomi bakho bonke. Oku kulula kakhulu ukukulawula.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (ukudumba, umkhuhlane, ukungaziva mnandi) emva kotyando, funa ingcebiso kagqirha ngoko nangoko.
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