Iqhubu entanyeni yakho, ubunzima bokugwinya, noma mhlawumbe ukukhathazeka nge -thyroiditis noma umdlavuza we-thyroid… ingabe udokotela wakho uncome ukuhlinzwa ukuze kususwe i-thyroid gland yakho? Kungokwemvelo ukuzizwa ukhathazekile noma ukhungathekile uma uzwa igama elithi "ukuhlinzwa." Siyaqonda ukuthi kungaba yinto esabekayo, kodwa ngokufunda amaqiniso mayelana ne-" Thyroidectomy " ngendlela elula, unganciphisa ukwesaba okuningi. Ake sihambe ngakho konke okudingeka ukwazi, ndawonye.
Ngamagama Alula: Kuyini i-Thyroidectomy?
Okokuqala, ake siqonde ukuthi iyini i-thyroid gland. Iyisitho esincane, esimise okwebhabhathane esitholakala ngaphambili kwentamo yakho, ngqo eduze komphimbo wakho (i-trachea). Nakuba sincane, sidlala indima enkulu emzimbeni wakho, silawula izinqubo ezibalulekile njengokusebenza komzimba wakho.
`I-Thyroidectomy` inqubo yokuhlinzwa yokususa yonke indlala yegilo (`I-Total Thyroidectomy`) noma ingxenye yayo (`I-Partial Thyroidectomy`). Njengokususwa kwezinyo elonakele, lokhu kuhlinzwa kwenziwa ukuze kususwe indlala yegilo noma ingxenye yayo ethintwe yisimo sezokwelapha.
Kungani lokhu kuhlinzwa kuyadingeka?
Ungase uzibuze, "Kungani kufanele ngisuse i-thyroid yami uma isebenza kahle?" Kunezizathu eziningana ezizwakalayo. Ake sizichaze ngokucacile.
| Isizathu Sokuhlinzwa | Kusho ukuthini... |
|---|---|
| Amaqhubu e-thyroid | Lezi yizimila ngaphakathi kwendlala yegilo. Iningi lazo alinawo umdlavuza , kodwa amanye angaba nawo. Amanye angakhiqiza amahomoni amaningi kakhulu egilo. Uma kukhona okusolakala ukuthi umdlavuza ukhona, udokotela wakho uzoncoma ukuthi ususwe. |
| I-Goiter | Lokhu kubhekisela ekukhuleni kwendlala yegilo. Njengoba ikhula, ingacindezela umphimbo wakho (i-trachea) kanye nombhobho wokudla (umphimbo), okubangela izimpawu ezifana nobunzima bokuphefumula kanye nobunzima bokugwinya . Kwenziwa ukuhlinzwa ukuze kuncishiswe lokhu kucindezeleka. |
| Umdlavuza We-Thyroid | Uma kutholakala amangqamuzana omdlavuza ku-thyroid yakho, ukuhlinzwa kuyindlela eyinhloko yokuwasusa ngokuphelele. Ngokuvamile yonke indlala iyasuswa, futhi kwezinye izimo, ama-lymph node aseduze nawo angasuswa. |
| I-Hyperthyroidism | Lokhu kwenzeka lapho indlala yakho isebenza ngokweqile, ikhiqiza ama-hormone amaningi kunalokho umzimba wakho okudingayo. Uma imithi yehluleka ukulawula lokhu, udokotela wakho angase asikisele ukuhlinzwa njengokwelashwa okuqinisekile. |
Yiziphi izinhlobo ze-Thyroidectomy?
Kunezinhlobo ezimbili eziyinhloko. Udokotela wakho ohlinzayo uzonquma ukuthi iyiphi efaneleka kakhulu ngokusekelwe ezidingweni zakho ezithile zempilo.
- Ukususwa kwe-thyroid okuphelele: Indlala ye-thyroid yonke iyasuswa. Lokhu kuvame ukusetshenziselwa umdlavuza we-thyroid noma izimo ze-goiter ezimbi kakhulu.
- Ukususwa Kwengxenye Ye-Thyroid: Okwaziwa nangokuthi 'i-Hemithyroidectomy' noma 'i-Lobectomy', lokhu kuhilela ukususa eyodwa kuphela yama-lobes amabili e-thyroid. Lokhu kuvame ukusetshenziswa uma iqhubu lihlukaniswe ohlangothini olulodwa.
Uhlobo lokuhlinzwa oludingayo lunqunywa ngokubambisana phakathi kwe-Endocrinologist yakho kanye nodokotela ohlinzayo. Asikho isidingo sokukhathazeka—usezandleni zobungcweti.
Imibuzo okufanele uyibuze udokotela wakho ngaphambi kokuhlinzwa
Ukubuza imibuzo kuyilungelo lakho, futhi kuyindlela enamandla yokunciphisa ukukhathazeka kwakho ngaphambi kokuhlinzwa. Nansi eminye imibuzo ebalulekile okufanele uyibuze:
- Kungani lokhu kuhlinzwa kudingekile kimi? Ingabe zikhona ezinye izindlela ezingadingi ukuhlinzwa?
- Ziyini izingozi zalokhu kuhlinzwa, futhi zivamile kangakanani izinkinga ezingaba khona?
- Ingakanani ingxenye yendlala yami yegilo ezosuswa?
- Ingabe kuzodingeka ngithathe imithi yama-hormone e-thyroid impilo yami yonke?
- Ngizohlala isikhathi esingakanani esibhedlela, futhi inqubo yokululama izothatha isikhathi esingakanani?
Ukuthola izimpendulo ezicacile zalezi kuzokusiza uzizwe ulungele kakhulu.
Ngilungiselela kanjani ukuhlinzwa?
Njenganoma iyiphi inqubo yokuhlinzwa, ukulungiselela kubalulekile. Udokotela wakho uzokunikeza imiyalelo ethile eyenzelwe impilo yakho. Sicela uyilandele ngokucophelela.
Amaviki ngaphambi kokuhlinzwa kwakho
- Ukuhlolwa Kokuxilonga: Udokotela wakho angase akuncome i- Thyroid Ultrasound ukuze athole isithombe esicacile seqhubu . Uma kukhona ukukhathazeka ngokuthi iqhubu lingase libe yingozi, ungase wenze i- Fine Needle Aspiration (biopsy) , lapho kuqoqwa khona isampula encane yeseli kusetshenziswa inalithi.
- Ukuhlolwa Kwezwi: Udokotela wakho angase ahlole ukusebenza kwezintambo zakho zezwi ukuqinisekisa ukuthi zisebenza kahle.
- Imithi: Uma amazinga akho e -thyroid ephezulu kakhulu, udokotela wakho angase akunike imithi ngaphambi kokuhlinzwa ukuze alawuleke.
- Ukubhema: Uma ubhema, udokotela wakho uzokweluleka ngokuqinile ukuthi uyeke. Ukubhema kungaphazamisa ukubulala izinzwa futhi kunciphise inqubo yokuphulukisa yomzimba wakho.
Cishe Isonto Ngaphambi Kokuhlinzwa
- Yazisa udokotela wakho ngayo yonke imithi: Qiniseka ukuthi utshela umhlinzeki wakho wezempilo ngakho konke okuthathayo, okuhlanganisa imithi kadokotela, amavithamini, amakhambi, kanye nezithasiselo. Bazokufundisa ukuthi yimiphi imithi okufanele uqhubeke nayo nokuthi yimiphi okufanele uyeke ngaphambi kokuhlinzwa kwakho.
- Ama-Blood Thinners: Uma usebenzisa imithi yokunciphisa igazi, kuzodingeka uyeke ukuyisebenzisa okwesikhashana, kodwa kuphela ngaphansi kwesiqondiso sikadokotela wakho. Ungalokothi uyeke le mithi ngaphandle kokubonisana nodokotela wakho kuqala.
Ngaphambi Kokuhlinzwa
Kuzodingeka uzile ukudla (ungazidli zonke izinhlobo zokudla neziphuzo) amahora amaningana ngaphambi kokuhlinzwa kwakho. Abasebenzi besibhedlela bazokunikeza imiyalelo ecacile mayelana nalezi ziqondiso.
Kwenzekani ngesikhathi sokuhlinzwa?
Akudingeki ukhathazeke, njengoba uzolala kahle phakathi nenqubo.
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile ukuqinisekisa ukuthi awuzwanga lutho ngokuphelele , okusho ukuthi ngeke uzwe ubuhlungu. Ukuze kukusize uphefumule kalula, kuzofakwa ipayipi lokuphefumula emphinjeni wakho ngesikhathi sokuhlinzwa.
Udokotela wakho ohlinzayo angase asebenzise izindlela eziningana zokufinyelela i-thyroid gland:
- Indlela Yendabuko: Kwenziwa ukusika okuncane eduze kwesikhumba semvelo sentamo yakho ukuze kuncishiswe izibazi ezibonakalayo.
- Ukuhlinzwa Kwe-Thyroidectomy Esebenzisa Ama-Video Assisted Minimally Invasive (MIVAT): Lokhu kuhlinzwa kwenziwa ngokusika okuncane kakhulu kusetshenziswa isiqondiso sekhamera.
- Izindlela Ezingenazibazi: Kunezindlela zesimanje ezifinyelela i-thyroid ngomlomo noma ngaphansi kwekhwapha, zingashiyi zibazi ezibonakalayo entanyeni.
- Amacala Angavamile: Uma i-goiter idlulele esifubeni, inqubo ehilela ithambo lesifuba ingadingeka ngezinye izikhathi.
Uma ukuhlinzwa kungokwelapha umdlavuza, udokotela ohlinzayo angase ahlole ama -lymph node azungezile. Uma umdlavuza ususakazekele kula ma-node, nawo angasuswa.
Ekupheleni kwenqubo, ukusika kuvalwa ngezithungo zangaphakathi ezincibilikayo kanye neglue ekhethekile ebusweni besikhumba.
Ukususwa kwe-thyroid okugcwele ngokuvamile kuthatha phakathi kwehora elilodwa kuya kwamathathu, kanti ukususwa okungaphelele kungathatha isikhathi esincane.
Ziyini izingozi zalokhu kuhlinzwa?
Kubalulekile ukwazi ukuthi ukususwa kwe-thyroid ngokuvamile kuyindlela ephephile kakhulu . Izinkinga azivamile, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Ukopha Okukhulu: Nakuba kungavamile, ukopha kungabangela i-hematoma ecindezela umoya, okuholela ekuhluphekeni kokuphefumula.
- Ukulimala Kwezinzwa Ze-Vocal Cord: Izinzwa ezilawula izwi lakho zisondela kakhulu kwi-thyroid gland. Uma lezi zilimele ngesikhathi sokuhlinzwa, ungase ube nezwi elihoshozelayo noma ubuthakathaka bezwi. Ezimweni eziningi, lokhu kungokwesikhashana. Odokotela abahlinzayo baqikelela kakhulu ukuthola nokuvikela lezi zinzwa.
- Ukulimala Kwezindlala Ze-Parathyroid: Unezindlala ezine ezincane, ezicishe zibe usayizi welayisi, ezinamathele ngemuva kwe-thyroid yakho. Lezi yizindlala ze-Parathyroid , ezilawula amazinga e-calcium emzimbeni wakho. Uma zithinteka ngesikhathi sokuhlinzwa, amazinga e-calcium egazini lakho angase ehle (i-Hypocalcemia) .
Amathuba alezi zingozi ayanda uma unomdlavuza omkhulu, uma lokhu kuwukuhlinzwa kwe-thyroid okuphindaphindiwe, noma uma une-goiter enkulu kakhulu.
Kuthatha isikhathi esingakanani ukululama okuphelele?
Cishe uzohlala esibhedlela usuku olulodwa noma ezimbili. Uma usuvukile ngokuphelele ekuthonyweni izinzwa, ungaqala ukudla okulula kanye noketshezi. Ungase ube nomphimbo obuhlungu kancane izinsuku ezimbalwa ngenxa yepayipi lokuphefumula.
Ngaphambi kokuba ukhishwe esikhumbeni, uzothola imiyalelo ethile yokuthi ungayinakekela kanjani i-incision yakho.
Iningi leziguli lizizwa lilulame ngokugcwele phakathi kwamasonto amabili kuya kwamathathu . Kodwa-ke, kufanele ulinde okungenani amasonto amabili ngaphambi kokuqala imisebenzi enzima njengokuzivocavoca umzimba noma ukuphakamisa izinto ezisindayo.
Mayelana ne-Scar
Yebo, isibazi esincane (cishe amasentimitha angu-1 kuya kwangu-2.5) sizohlala phansi kwentamo yakho. Odokotela abahlinzayo babeka isibazi emaceleni entamo yakho yemvelo, okwenza singabonakali kakhulu ngokuhamba kwesikhathi. Kungathatha izinyanga ezingu-12-18 ukuthi isibazi sivuthwe ngokugcwele. Nakuba singase sibonakale sibomvu kancane noma siphakame ekuqaleni, sizonyamalala futhi sibe buthaka ngokuhamba kwesikhathi. Landela iseluleko sikadokotela wakho mayelana nokunakekelwa kwesibazi ukuze ukhuthaze ukuphulukiswa okuhle kakhulu.
Nini lapho kufanele ufune usizo lwezokwelapha oluphuthumayo
Uma ubona noma yiziphi izimpawu ezikukhathazayo ngemva kokubuyela ekhaya, kubalulekile ukuthatha isinyathelo ngokushesha.
| Isibonakaliso Sesexwayiso | Kudingeka Isinyathelo |
|---|---|
| Ukuvuvukala, ukopha, noma ukuphuma kwegazi endaweni yokusikwa. | Xhumana nodokotela wakho ohlinzayo ngokushesha noma uye eGumbini lezimo eziphuthumayo eliseduze. |
| Umkhuhlane (ngaphezu kuka-101°F / 38°C). | Xhumana nodokotela wakho ngokushesha. |
| Ukuba ndikindiki noma ukuqaqamba ebusweni, ezandleni, noma ezindebeni (okungaba uphawu lwe-calcium ephansi). | Yazisa udokotela wakho ngokushesha; lokhu akufanele kunganakwa. |
Ukuhlinzwa noma yikuphi kuyisenzakalo esibalulekile, futhi kungokwemvelo ukuzizwa ukhathazekile. Kodwa-ke, ukususwa kwe-thyroid kuyindlela ejwayelekile enemiphumela emihle kakhulu. Iningi labantu liyalulama kahle kakhulu, futhi labo abahlinzwa ngenxa yomdlavuza bavame ukuzwa impumuzo enkulu. Uma usenezinkinga, ungangabazi ukukhuluma nodokotela wakho—bakhona ukukusekela kulo lonke uhambo lwakho neNirogi Lanka.
Izinto Ezibalulekile Okufanele Uzicabangele
- Ukuhlinzwa kwe-thyroidectomy kuyindlela yokuhlinzwa evamile nephephile kakhulu esetshenziselwa ukwelapha izifo ezahlukahlukene ze-thyroid lapha eNirogi Lanka.
- Kubalulekile ukuthi uqonde ngokugcwele izizathu zokuhlinzwa kwakho. Sicela ungalokothi unqikaze ukubuza udokotela wakho ohlinzayo noma yimiphi imibuzo ongase ube nayo.
- Landela ngokuqinile imiyalelo kadokotela wakho ngaphambi kokuhlinzwa, ikakhulukazi mayelana nezikhathi zemithi kanye nezidingo zokuzila ukudla.
- Ukululama okuphelele kuvame ukuthatha amasonto ambalwa. Ukubeka phambili ukuphumula nokunakekelwa okufanele ngemva kokuhlinzwa phakathi nalesi sikhathi kubalulekile ekwelapheni kwakho.
- Uma yonke indlala yakho yegilo isusiwe, kuzodingeka uthathe isithasiselo se-hormone yegilo nsuku zonke (i-Levothyroxine) impilo yakho yonke. Lena yingxenye elula kakhulu futhi elula yokulawula inqubo yakho.
- Uma uhlangabezana nanoma yiziphi izimpawu eziphathelene nokuhlinzwa, njengokuvuvukala okukhulu, umkhuhlane, noma ukuqaqamba, sicela ufune usizo lwezokwelapha noma uxhumane nezinsizakalo eziphuthumayo ngokushesha.
Ukuhlinzwa kwe-thyroid, ukuhlinzwa kwe-thyroid, i-thyroid gland, i-goiter, umdlavuza we-thyroid, i-Hyperthyroidism, inqubo yokuhlinzwa
