Ake sifunde ngokususwa kwe-parathyroid ngamagama alula!

Entanyeni yethu, ikakhulukazi ngemuva kwendlala yegilo, kunezindlala ezine ezincane ezifana namathambo. Lezi yizo esizibiza ngokuthi "izindlala ze-parathyroid." Nakuba zincane ngobukhulu, zenza umsebenzi obaluleke kakhulu emzimbeni wethu. Okusho ukuthi, zilawula izinga le-calcium egazini lethu. Ngezinye izikhathi, eyodwa noma ngaphezulu yalezi zindlala iqala ukusebenza kakhulu. Ngemuva kwalokho, ukuhlinzwa kufanele kwenziwe ukuze kususwe leyo ndlala noma izindlala ezithile. Lokho kuhlinzwa kubizwa ngokuthi i-parathyroidectomy . Ngakho-ke uma ufuna ukwazi ngalokhu, ake sixoxe ngakho ngokuningiliziwe.

Kuyini ukususwa kwe-parathyroid?

Kalula nje, i-parathyroidectomy ukususwa ngokuhlinzwa kwe-gland eyodwa noma ngaphezulu ye-parathyroid.

Cabanga ngakho, i-calcium ibalulekile emizimbeni yethu ukuze amathambo ethu aqine, uhlelo lwethu lwezinzwa lusebenze kahle, kanye nemisipha yethu isebenze kahle. Umsebenzi oyinhloko wezindlala ze-parathyroid ukugcina izinga elifanele le-calcium egazini. Lezi zindlala zikhiqiza ikhemikhali ebizwa ngokuthi i-Parathyroid Hormone (PTH) . Le hormone ilawula izinga le-calcium egazini.

Uma ngesizathu esithile eyodwa noma ngaphezulu yalezi zindlala isebenza ngokweqile, i-PTH hormone ikhiqizwa ngokweqile . Bese izinga le-calcium egazini likhuphuka ngokungadingekile. Ngokwezokwelapha lesi simo sibizwa ngokuthi i-hyperparathyroidism . Yilapho odokotela bencoma khona lokhu kuhlinzwa.

Kungani udinga lokhu kuhlinzwa?

Kunezimbangela eziningana ze-hyperparathyroidism. Kuye ngalezi, kunqunywa ukuthi ukuhlinzwa kuyadingeka noma cha. Ake sibheke izimbangela eziyinhloko.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Kulungile, ake sithi udokotela wakho unqume ukukuhlinza. Ngaphambi kwalokho, unemibuzo eminingi engqondweni yakho, akunjalo? Ungakhathazeki, lokho kuvamile. Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngayo yonke imibuzo nokungabaza onakho. Ngosuku olungaphambi kokuhlinzwa, uzonikezwa imiyalelo ekhethekile. Kodwa ngaphambi kwalokho, ungambuza udokotela le mibuzo.

• Ingabe kufanele ngizile ukudla (ngingadli noma ngiphuze) ekuseni ngosuku lokuhlinzwa? Ngokuvamile, ucelwa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlinzwa.
• Kulungile yini ukuphuza imithi yami ejwayelekile yansuku zonke namavithamini ngosuku lokuhlinzwa? Eminye imithi (isib. imithi yokunciphisa igazi) kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Ngakho qiniseka ukuthi ubuza ngalokhu.
• Ingabe ngidinga umuntu ozongiyisa ekhaya ngemva kokuhlinzwa? Ngenxa yokuthi ngihlinzwa nge-anesthesia, ngingase ngingakwazi ukushayela ngalolo suku. Ngakho-ke kuphephile ukuba othile angiyise ekhaya.

Kwenziwa kanjani ukuhlinzwa?

Odokotela abahlinzayo basebenzisa izindlela eziningana ukwenza lo msebenzi. Udokotela wakho ohlinzayo uzochaza ukuthi iyiphi indlela efaneleka kakhulu esimweni sakho.

• Ukuhlinzwa Kwendabuko: Kule ndlela, kwenziwa ukusika okuncane eduze komphetho esikhumbeni sentamo bese kususwa izindlala. Ngenxa yokuthi ukusika kwenziwa eduze komphetho esikhumbeni, isilonda asibonakali kahle ngemva kokuphola.
• Ukuhlinzwa Okungangeni Kakhulu:Kulokhu, ukuhlinzwa kwenziwa ngokusikwa okuncane kakhulu, ngezinye izikhathi ngosizo lwedivayisi efana nekhamera.
• Ukuhlinzwa Okungenazibazi: Lena indlela eyingqayizivele kakhulu. Kulokhu, akukho ukusikwa okwenziwa entanyeni. Esikhundleni salokho, kusikwa kwenziwa ngaphakathi emlonyeni, endebeni engezansi. Ngemuva kwalokho, akukho sibazi esibonakala ngaphandle.

Ngosuku lokuhlinzwa, lezi zinyathelo zivame ukulandelwa:

1. I-Anesthesia: Ekuqaleni, uzonikezwa i-anesthesia ukuze ungabi buhlungu futhi uhlale ukhululekile ngesikhathi sokuhlinzwa. Uzovame ukulaliswa (i-General Anesthesia).

2. Ukwenza i-incision: Udokotela ohlinzayo ube esesika i-incision encane (kungaba entanyeni noma ngaphakathi emlonyeni) kuye ngendlela ekhethiwe yokufinyelela izindlala ze-parathyroid.

3. Ukususwa kwendlala: Indlala noma izindlala ze-parathyroid eziyinkinga, ezisebenzayo ngokweqile zihlonzwa futhi zisuswe ngokucophelela.

4. Ukuvala i-incision: Ekugcineni, i-incision ivalwa nge-suture encibilikayo noma izithungo ezijwayelekile.

Kwenzekani ngemva kokuhlinzwa?

Uzokwazi ukuya ekhaya ngalolo suku noma ngakusasa ngemva kokuhlinzwa. Zinakekele lezi zinto ngemva kokubuyela ekhaya.

• Ukudla nokuphuza: Ungadla futhi uphuze ngendlela evamile. Kodwa-ke, ungase uzizwe ubuhlungu emphinjeni wakho. Uma lokhu kwenzeka, kungcono ukudla ukudla okuthambile, okulula ukugwinya njengephalishi, iyogathi, kanye nesobho usuku olulodwa noma ezimbili.
• Imisebenzi: Ukuhamba nokwenza imisebenzi yasekhaya elula kulungile, kodwa kufanele ugweme ukuphakamisa izinto ezisindayo, ukuzivocavoca umzimba, nokugijima kuze kube yilapho udokotela wakho ekunika imvume.
• Izithako ze-calcium: Ngezinye izikhathi, kuthatha isikhathi ukuthi izindlala ze-parathyroid ezisele ziqale ukusebenza kahle futhi. Phakathi nalesi sikhathi, izinga le-calcium egazini lakho lingase lehle. Ukuze lihlale lisezingeni elifanele, udokotela wakho angakutshela ukuthi uthathe izithako ze-calcium isikhashana.

Ziyini izinzuzo zalokhu kuhlinzwa?

Kungenzeka ukuthi ube nezinkinga ezahlukahlukene ngenxa ye-hyperparathyroidism. Ngemva kwalokhu kuhlinzwa, uma amazinga e-calcium egazini lakho ebuyela esimweni esijwayelekile, izinga lempilo yakho lingathuthuka kakhulu.

Ingabe zikhona izingozi zokuhlinzwa?

Ukususwa kwe-parathyroid ngokuvamile kuyindlela yokuhlinzwa ephephile kakhulu . Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunengozi yezinkinga ezincane. Kodwa-ke, lezi zivame ukuba zesikhashana futhi zingelashwa.

Izinkinga zesikhashana

• Umphimbo obuhlungu: Umphimbo wakho ungase ube buhlungu izinsuku ezimbalwa ngemva kokuhlinzwa.
• Ukuhosha kwezwi: Ngenxa yokuthi lezi zindlala ziseduze kwezintambo zezwi, izwi ngezinye izikhathi lingaba hosha kancane. Lokhu kuvame ukuphela ezinsukwini noma emavikini ambalwa.
• Ukutheleleka: Kukhona ingozi encane yokutheleleka endaweni yokusika.
• I-Hematoma: Akuvamile kakhulu, igazi lingaqongelela ngaphansi kwesikhumba ngaphansi kwesibazi.

Izinkinga zesikhathi eside

• I-Hungry Bone Syndrome: Leli igama elingajwayelekile. Okwenzekayo kulokhu ukuthi amathambo awayitholi i-calcium ayidingayo ngoba izinga le-calcium egazini liphezulu ngaphambi kokuhlinzwa. Ngemva kokuhlinzwa, lapho izinga le-calcium egazini libuyela esimweni esijwayelekile, amathambo aqala ukumunca i-calcium ngokushesha sengathi 'abulawa yindlala'. Lokhu kungabangela ukuthi izinga le-calcium egazini lihlale liphansi. Lesi simo sibizwa ngokuthi i-chronic hypocalcemia . Kodwa ungakhathazeki, kukhona ukwelashwa kwalokhu.
• I-hyperparathyroidism ephindaphindayo: Lesi simo singabuya uma enye indlala engasuswanga kamuva iqala ukusebenza kakhulu. Kodwa-ke, lokhu akuvamile kakhulu.

Kuthatha isikhathi esingakanani ukululama ngokuphelele?

Kungathatha isonto kuya emavikini amathathu ukululama ngokuphelele. Kodwa-ke, kufanele ukwazi ukuqhubeka nemisebenzi evamile (ngaphandle kokuphakamisa izinto ezisindayo) zingakapheli izinsuku ezimbalwa. Izinga lempumelelo lokuhlinzwa lihle kakhulu. Izinga lempumelelo elingaphezu kuka-95%Lokhu kuhlinzwa kuye kwasebenza. Eqinisweni, lokhu kuhlinzwa kuwukuphela kokwelapha okuhlala njalo kwe-hyperparathyroidism.

Kunini lapho udinga ukukhuluma nodokotela?

Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha.

• Uma unomkhuhlane ongaphezu kwama-Fahrenheit angu-101 (38.3 Celsius).
• Uma ubuhlungu obukhulu bungapheli ngisho nangemva kokuthatha imithi yobuhlungu.
• Uma unenkinga yokugwinya ukudla noma isiphuzo.
• Uma indawo yokusikwa ibomvu, ivuvukele, izwa ifudumele, noma inoketshezi olufana nobovu oluphumayo (lezi yizimpawu zokutheleleka).
• Uma ubona noma yiziphi izimpawu ze-calcium ephansi egazini lakho , isibonelo:
• Ukuba ndikindiki ezandleni, ezinyaweni, noma eduze kwezindebe.
• Uma uzizwa imisipha iqhaqhazela noma ibuhlungu.
• Uma uzizwa ukhathele kakhulu.

Ingabe lokhu ukuhlinzwa okukhulu?

Cha, ukuhlinzwa kwe-parathyroid akubhekwe njengokuhlinzwa okukhulu. Ukuhlinzwa kwendabuko entanyeni kuvame ukuba kuncane, cishe ngamasentimitha ama-5. Ngakho-ke ungesabi lokhu ngokweqile.

Ekuphetheni, uma izindlala ze-parathyroid zikhiqiza ama-hormone amaningi kakhulu, kungabangela izimpawu ezahlukahlukene. I-Parathyroidectomy iyindlela yokuhlinzwa ephumelela kakhulu futhi ephephile yokwelapha lesi simo. Uma uhlangabezana nalezi zimpawu, kungcono ukubona udokotela ukuze uthole imbangela futhi uthole ukwelashwa okufanele.