Ngaba ugqirha ukuxelele ukuba kufuneka wenze utyando lokususa i-thyroid gland yakho ? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva loo nto. Kodwa eneneni, olu lutyando olwenziwa ngabantu abaninzi eSri Lanka nakwihlabathi liphela, kwaye luhlala luphela ngempumelelo enkulu. Ngoko ke akukho sizathu sokoyika. Masithethe ngolu tyando lwe-thyroid , okanye `(Thyroidectomy)`, ngendlela elula onokuyiqonda.
Yintoni i-thyroidectomy?
Ngamafutshane, i-thyroidectomy kukususwa kwe -thyroid gland yonke okanye inxalenye yayo, i-thyroid gland efana nebhabhathane entanyeni yakho. Le gland ivelisa iihomoni ezininzi ezibalulekileyo ezilawula imetabolism yomzimba wakho.
Kukho iintlobo ezimbini eziphambili zolu tyando:
- I-Thyroidectomy iyonke: Kulapho yonke i-thyroid gland yakho isuswa khona.
- Ukususwa kwe-Partial Thyroidectomy/Hemithyroidectomy: Oku kuquka ukususa kuphela i-lobe yasekunene okanye yasekhohlo ye-gland.
Uhlobo lotyando olufunekayo luya kuxhomekeka kwimeko yakho. Ugqirha wakho kunye nogqirha baza kusebenzisana ukugqiba ukuba yintoni ekulungeleyo.
Kutheni ufuna utyando lwe-thyroid?
Kukho izizathu ezininzi zokuba ugqirha angacebisa ukuba wenze olu tyando. Makhe sijonge ezona zizathu ziphambili.
| Isizathu sotyando | Kalula nje… |
|---|---|
| Amaqhuqhuva e-thyroid | Amaqhuqhuva ngamaqhuqhuva aqala xa iiseli kwi-thyroid gland zihlangana. Ezinye zezi zinokuba ngumhlaza. Ezinye amaqhuqhuva anokuvelisa iihomoni ezininzi kunokuba kuyimfuneko. |
| I-Goiter | Ukwanda kwe-thyroid gland. Ukuba oku kuba kukhulu kakhulu, kunokucinezela umbhobho womoya ( i-bronchi ) okanye i-esophagus (umbhobho wokutya) entanyeni, okwenza kube nzima ukuphefumla nokuginya. |
| Ukwanda kwamahomoni ( i-Hyperthyroidism ) | I-thyroid gland ivelisa iihomoni ezingaphezulu kunezo umzimba uzidingayo. Ukuba oku akunakulawulwa ngamayeza, utyando lolona sisombululo kuphela. |
| Umhlaza weThyroid | Ukuba iqhuma lihlolwe kwaye kuqinisekiswe ukuba linomhlaza, kwenziwa utyando ukuze lisuswe. |
Yintoni omele uyenze ngaphambi kotyando? (Ukulungiselela)
Ngaphambi kotyando, ugqirha wakho uza kukuchazela ngokucacileyo into ekufuneka uyenze. Oku kudla ngokuba yiloo nto iyenzekayo:
- Uvavanyo: I-ultrasound scan yentamo yakho inokunceda ekufumaneni indawo echanekileyo yeqhuma. Ukuba kukho iqhuma, kunokwenziwa inaliti encinci ukuze kubonwe ukuba ingaba ngumhlaza na.
- Uvavanyo lwelizwi:Ugqirha wakho usenokufuna ukujonga indlela esebenza ngayo imithambo yakho yelizwi.
- Ulawulo lwamayeza: Ukuba amanqanaba ehomoni yakho ye-thyroid aphezulu kakhulu, unganikwa amayeza okuwalawula ngaphambi kotyando. Ukuba uthatha nawaphi na amanye amayeza, afana ne-blood thinners, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngawo. Uza kukuxelela ukuba kufuneka uyeke na ukuwathatha loo mayeza ngaphambi kotyando.
- Ukuzila Ukutya: Uza kucelwa ukuba ungatyi okanye ungaseli kangangeeyure ezimbalwa ngaphambi kotyando. Uza kunikwa imiyalelo ethile malunga nala maxesha.
Kwenzeka ntoni ngomhla wotyando?
Ingcali yokubulala iintlungu iza kuqala ize ikunike i-anesthesia eqhelekileyo, nto leyo ekwenza ulale ubuthongo. Ngoko awuyi kuva ntlungu. Ityhubhu yokuphefumla iza kufakwa emqaleni wakho ukuze ikuncede uphefumle ngexesha lotyando.
Ugqirha uneendlela ezininzi zokususa i-thyroid gland:
- Indlela yesintu: Utyando lwenziwa ngokusikwa okuncinci ngaphambili entanyeni.
- Indlela yokusika i-Mini-incision (MIVAT): Olu tyando lwenziwa nge-incision encinci kakhulu ngoncedo lwekhamera.
- Iindlela ezingashiyi zizilonda: Olu tyando lwenziwa ngokusika kwindawo engabonakaliyo, njengangaphakathi emlonyeni okanye ekhwapheni.
Ukuba utyando lomhlaza, ugqirha wakho uza kuhlola ii-lymph nodes ezijikeleze i-thyroid yakho aze azisuse ukuba iiseli zomhlaza zisasazekile. Emva kotyando, i-incision ivalwa nge-suture enyibilikayo kwaye kufakwe iglu ekhethekileyo eluswini. Ngokuqhelekileyo kuthatha iiyure ezi-1-3 ukususa yonke i-gland.
Ngaba kukho naziphi na iingozi kolu tyando?
Utyando lwe-thyroid lutyando olukhuselekileyo . Nangona kunjalo, njengalo naluphi na utyando olukhulu, kukho iingozi ezingaqhelekanga.
- Ukopha: Ukopha kakhulu kunokubangela ubunzima bokuphefumla.
- Utshintsho kwilizwi: Ukuba kukho umonakalo kwiintambo zelizwi, ilizwi lisenokuba lirhabaxa.
- Ukonakala kwi-parathyroid glands: Kumantla e-thyroid glands amane amancinci kakhulu abizwa ngokuba yi-parathyroid glands. La malungu anoxanduva lokulawula amanqanaba e-calcium emzimbeni wethu. Ukuba la manqanaba onakele ngexesha lotyando, amanqanaba e-calcium egazini anokwehla.
Kodwa khumbula, ezi ngxaki azixhaphakanga . Ugqirha wakho uza kwenza konke okusemandleni akhe ukuzithintela.
Kwenzeka ntoni emva kotyando? (Ukuchacha)
Emva kokufumana i-anesthesia, xa ubuyela ezingqondweni, ungatya ukutya okuncinci uze usele. Ngokwesiqhelo uza kuhlala esibhedlele malunga nobusuku obunye.
- Umphimbo obuhlungu: Umphimbo wakho usenokuba buhlungu kancinci kangangeentsuku ezimbini kuba umbhobho wokuphefumla ubukhona.
- Iipilisi zehomoni: Ukuba yonke i-thyroid gland yakho isusiwe, kuya kufuneka uthathe ipilisi yehomoni (iLevothyroxine) yonke imihla ubomi bakho bonke ukuze kuthathelwe indawo ihomoni eveliswe yiyo. Oku kulula kakhulu. Ugqirha wakho uza kukuchazela oku kwangaphambili.
- Iipilisi zeCalcium: Ngamanye amaxesha iipilisi zeCalcium zinikwa iiveki ezimbalwa ukuthintela amanqanaba aphantsi eCalcium egazini.
- Ukuchacha kunye nokuvaleka: Kuthatha malunga neeveki ezi-2-3 ukuze uphile ngokupheleleyo. Kungcono ukuphepha ukwenza umthambo onzima okanye ukuphakamisa izinto ezinzima kangangeveki okanye ezimbini. Inxeba elincinci liya kuhlala entanyeni. Oku kuya kunyamalala kancinci kancinci ngokuhamba kwexesha.
Kufuneka uthethe nini nogqirha?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuya ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko.
| Uphawu | Ingqwalasela ekhethekileyo |
|---|---|
| Inxeba lidumbile, libomvu, likhupha ubovu, okanye liphuma igazi elininzi. | Funa ingcebiso yezonyango ngoko nangoko. |
| Ukuba nomkhuhlane ongaphezulu kwe-101°F (38°C). | Oku kungaba luphawu losulelo. |
| Ubungqindilili okanye ukurhawuzelela ebusweni, ezandleni, okanye emilebeni, okanye ukuziva ngathi kukho ukungakhululeki kwiminwe. | Oku kungaba luphawu lokuba amanqanaba e-calcium aphantsi. Yazisa ugqirha wakho ngoko nangoko. |
| Ubunzima obukhulu bokuphefumla. | Ngaphandle kokulibazisa, yiya kwangoko kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane. |
Kuqhelekile ukuba novalo malunga naluphi na utyando. Kodwa utyando lwe-thyroid luyindlela ekhuselekileyo nephumelelayo kubantu abaninzi. Ukuba unemibuzo okanye iinkxalabo, ungoyiki ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- Utyando lwe-thyroid lutyando oluqhelekileyo olukhuselekileyo noluphumelelayo kwiimeko ezininzi. Ngoko ke ungoyiki ngokungeyomfuneko.
- Ukuba unemibuzo okanye amathandabuzo malunga notyando, thetha ngalo nogqirha wakho.
- Ukuba yonke i-thyroid gland yakho isusiwe, kuya kufuneka uthathe ipilisi ye-hormone yemihla ngemihla ubomi bakho bonke, kodwa akuyi kuba yinto enkulu ukuphazamisa ubomi bakho bemihla ngemihla.
- Landela imiyalelo kagqirha wakho ngononophelo emva kotyando, ingakumbi malunga namayeza kunye nokhathalelo lwamanxeba.
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