Ukuvuvukala okuncane entanyeni, ubunzima bokugwinya, noma umdlavuza we-thyroid ... Ingabe udokotela ukutshelile ngokuhlinzwa kokususa i-thyroid gland ngesizathu esinjengalesi? Kujwayelekile kakhulu ukuzizwa wesaba futhi ukhathazekile uma uzwa lokhu. "Ubani ongakuthandi ukuhlinzwa?" ungase ucabange. Kodwa uma sazi kahle futhi kalula ngalolu kuhlinzwa olubizwa ngokuthi 'i -Thyroidectomy ', lokho kwesaba kungaqedwa ngezinga elikhulu. Ngakho-ke, ake sixoxe ngakho konke ngakho namuhla.

Kalula nje, kuyini ukususwa kwe-thyroid?

Kulungile, ake siqale sibheke ukuthi iyini i-thyroid gland. I-thyroid gland iyisitho esincane esimise okwebhabhathane esitholakala ngaphambili kwentamo yakho, kuzo zombili izinhlangothi zomphimbo wakho. Nakuba incane, yenza umsebenzi omningi. Ilawula izinqubo eziningi ezibalulekile emzimbeni, njengokugaya ukudla.

Manje, i-'Thyroidectomy' ibhekisela ekususweni kwe-thyroid gland ngokuhlinzwa, kungaba ngokuphelele ('Total Thyroidectomy`) noma ingxenye yayo kuphela (`Partial Thyroidectomy`). Njengokususwa kwezinyo elibolile, okwenziwayo lapha ukususa i-thyroid gland noma ingxenye yayo eyonakaliswe yisimo esithile sezokwelapha.

Kungani sidinga ukwenza lo msebenzi?

"Kungani ungasusa i-thyroid enempilo ngokuphelele ngokuzumayo?" ungase uzibuze. Kunezizathu eziningana eziyinhloko zalokhu. Ake sibheke kabanzi ukuthi yiziphi lezo zizathu.

Yiziphi izinhlobo zokuhlinzwa kwe-thyroidectomy?

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olukulungele ngokusekelwe esimweni sakho.

• Ukususwa kwe-thyroid okuphelele: Yilapho i-thyroid gland yakho isuswa khona ngokuphelele noma cishe ngokuphelele. Le nqubo ivame ukusetshenziswa ezimweni zomdlavuza we-thyroid noma i-goiter esakazeke kuyo yonke i-gland.
• Ukususwa Kwengxenye Ye-Thyroid: Lokhu kubizwa nangokuthi i-`Hemithyroidectomy` noma i-`Lobectomy`. I-thyroid gland inezingxenye ezimbili eziyinhloko (ama-lobes). Lokhu kuhlinzwa kususa ingxenye eyodwa kuphela kwezimbili. Le ndlela ivame ukusetshenziswa uma kukhona iqhubu ohlangothini olulodwa lwe-gland.

Imibuzo ebalulekile okufanele uyibuze udokotela ngaphambi kokuhlinzwa

Kuyilungelo lakho ukubuza yonke imibuzo yakho ngaphambi kokuhlinzwa, futhi kuzokusiza ukunciphisa ukwesaba kwakho. Nansi eminye imibuzo ongayibuza udokotela wakho.

• Kungani ngidinga lolu kuhlinzwa, dokotela? Azikho yini ezinye izindlela zokwelapha isimo sami?
• Ziyini izingozi zalokhu kuhlinzwa? Angakanani amathuba okuba nezinkinga?
• Ulindele ukuthi kususwe ingxenye engakanani yendlala yami yegilo? Yonke? Noma ingxenye yayo nje?
• Ingabe kuzodingeka ngithathe amaphilisi e-thyroid hormone impilo yami yonke ngemva kokuhlinzwa? (Lona umbuzo abantu abaningi abanawo)
• Kuzodingeka ngihlale isikhathi esingakanani esibhedlela ngemva kokuhlinzwa? Kuzothatha isikhathi esingakanani ukubuyela esimweni esijwayelekile?

Izimpendulo zale mibuzo zizokunikeza ukuqonda okungcono kwayo yonke inqubo.

Silungiselela kanjani ukuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, lokhu kudinga ukulungiselela okuthile. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.

Emasontweni ambalwa ngaphambi kokuhlinzwa

• Ukuhlolwa: Kungase kudingeke ukuthi kuhlolwe i-ultrasound ye-thyroid ukuze kubonwe ukuthi iqhubu likuphi ngqo. Uma kukhona ukungabaza ngokuthi iqhubu linomdlavuza yini, kungenziwa ukuhlolwa kwenaliti encane (i-biopsy) , okuhilela ukuthatha isampula encane yamangqamuzana ngenaliti.
• Ukuhlolwa kwezwi: Umsebenzi wezintambo zakho zezwi , ezikhiqiza izwi lakho, ungahlolwa.
• Imithi: Uma amazinga akho e -thyroid ephezulu kakhulu, uzocelwa ukuthi uqale imithi ngaphambi kokuhlinzwa ukuze uyilawule.
• Ukubhema: Uma ubhema, udokotela wakho uzokweluleka nakanjani ukuthi uyeke, njengoba ukubhema kungaphazamisa inqubo yokubulala izinzwa kanye nokuphulukiswa.

Cishe isonto ngaphambi kokuhlinzwa

• Tshela udokotela wakho ngayo yonke imithi oyithathayo: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, amavithamini, amakhambi, kanye nezithasiselo. Uzokutshela ukuthi yimiphi imithi okufanele uyithathe nokuthi yimiphi okufanele uyeke ukuyithatha ngosuku lokuhlinzwa kwakho.
• Ama-blood thinners: Uma uthatha ama-blood thinners, kufanele uwayeke okwesikhashana kuphela ngokweseluleko sikadokotela wakho. Ungalokothi uyeke ukuwathatha ngaphandle kweseluleko sikadokotela wakho.

Ngaphambi kokuhlinzwa

Ukuzila ukudla (ukugwema ukudla neziphuzo ngaphandle kwamanzi) amahora amaningana ngaphambi kokuhlinzwa.Kufanele ulinde. Uzothola imiyalelo ecacile evela esibhedlela ngalokho.

Kwenzekani ngesikhathi sokuhlinzwa?

Akudingeki ucabange kakhulu ngalokhu, ngoba ulele ubuthongo obukhulu.

Ngaphambi kokuhlinzwa, udokotela wezinzwa uzokufaka ngaphansi kwe-anesthesia futhi akulalise ngokuphelele . Ngakho ngeke uzizwe ubuhlungu. Ukuze kube lula ukuphefumula ngesikhathi sokuhlinzwa, kuzofakwa ipayipi lokuphefumula emphinjeni wakho.

Kunezindlela eziningana udokotela ohlinzayo angathola ngazo i-thyroid gland:

• Indlela yendabuko: Ukuhlinzwa kwenziwa ngokusika okuncane entanyeni. Lokhu kwenziwa ukuze kuncishiswe izibazi.
• I-Mini-incisional angioplasty (MIVAT): Lokhu kuhlinzwa kwenziwa ngokusikwa okuncane kakhulu ngosizo lwekhamera.
• Izindlela ezingenamabala: Manje sekunezindlela zokwenza ukuhlinzwa ngokwenza izibazi ezindaweni lapho amabala engabonakali khona, njengangaphakathi emlonyeni nangaphansi kwamakhwapha.
• Akuvamile kakhulu: Uma inyongo isingene yaze yafika esifubeni, kungase kudingeke ukuthi yenziwe ngethambo lesifuba.

Uma ukuhlinzwa kungokomdlavuza, udokotela ohlinzayo uzothatha isampula yama-lymph node azungeze i-thyroid gland bese ewahlola. Uma kutholakala ukuthi umdlavuza usakazeke lapho, lawo ma-lymph node nawo angasuswa.

Ekupheleni kokuhlinzwa, kufakwa izithungo ezincibilikayo ngaphakathi bese kufakwa uhlobo olukhethekile lweglue phezu kwesikhumba.

Ukuhlinzwa ukuze kususwe yonke indlala yegilo kuvame ukuthatha phakathi kwamahora angu-1-3. Ukuhlinzwa ukuze kususwe ingxenye kuphela yendlala kuthatha isikhathi esincane.

Ziyini izingozi zalo msebenzi?

Okokuqala, ukususwa kwe-thyroid kuyindlela ephephile kakhulu ezimweni eziningi . Izinkinga azivamile. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.

• Ukopha ngokweqile: Lokhu akuvamile kakhulu, kodwa uma kwenzeka, ihlule legazi lingavimba indlela yokuphefumula futhi libangele ubunzima bokuphefumula.
• Ukulimala kwemisipha yezwi: Imizwa elawula izwi idlula eduze kakhulu nendlala yegilo. Uma lemizwa yonakele ngesikhathi sokuhlinzwa, kungase kube nezwi elihoshozelayo noma ubuthakathaka. Lokhu kuvame ukuba okwesikhashana. Odokotela abahlinzayo baqikelela kakhulu ukuthi bayayibona le mizwa futhi bagweme ukuyilimaza.
• Ukulimala kwezindlala ze-parathyroid: Ezinamathele ngemuva kwendlala ye-thyroid, kunezindlala ezine ezincane ezingangezinhlamvu ezine zerayisi. Lezi zibizwa ngokuthi izindlala ze-parathyroid. Zilawula amazinga e-calcium emzimbeni. Uma lezi zonakala ngesikhathi sokuhlinzwa, amazinga e-calcium egazini angehla (hypocalcemia) .

Lezi zici eziyingozi zingenzeka kakhulu uma unomdlavuza osezingeni eliphezulu, uma lokhu kungukuhlinzwa kwakho kwesibili kwe-thyroid, noma uma une-goiter enkulu kakhulu.

Kuthatha isikhathi esingakanani ukululama ngokuphelele?

Uzohlala esibhedlela usuku olulodwa noma ezimbili. Uma usuvukile ngokuphelele ngemuva kokuhlinzwa, uzokwazi ukudla ukudla okulula nokuphuza uketshezi. Ungase ube nomphimbo obuhlungu kancane izinsuku ezimbalwa ngenxa yepayipi lokuphefumula elafakwa ngesikhathi sokuhlinzwa.

Ngaphambi kokuba uye ekhaya, uzothola imiyalelo yokuthi ungayinakekela kanjani i-incision yakho.

Ngokuvamile, uzozizwa ungcono kakhulu emavikini amabili kuya kwamathathu . Kodwa-ke, kufanele ulinde okungenani amasonto amabili ngaphambi kokuthi uqale kabusha imisebenzi efana nokuzivocavoca nokuphakamisa izinsimbi.

Mayelana nesilonda

Yebo, kuzosala isilonda esincane ngaphambili kwentamo. Lokhu kungaba noma yikuphi kusukela ku-1-2.5 amayintshi ngobukhulu. Kodwa-ke, udokotela uzokwenza lokhu kusikwa esikhumbeni sentamo, ngakho-ke ngeke kubonakale kakhulu ngokuhamba kwesikhathi. Isilonda singathatha izinyanga ezingu-12-18 ukuphola ngokuphelele. Ekuqaleni, singaba bomvu futhi siphakame kancane, kodwa ngokuhamba kwesikhathi, sizonyamalala sibe nombala okhanyayo futhi sikhanye esikhumbeni. Landela imiyalelo kadokotela wakho ukuze usize isilonda sakho siphole ngokushesha.

Uma unalezi zimpawu, bona udokotela ngokushesha.

Ngemva kokubuyela ekhaya, kubalulekile ukuthatha isinyathelo ngokushesha uma kuvela izinkinga. Qaphela izimpawu ezilandelayo.

Ukubhekana nanoma yikuphi ukuhlinzwa akulula. Kuvamile ukuba nokwesaba nokungabaza. Kodwa-ke, ukuhlinzwa kwe-thyroid kuyindlela ephephile eyenziwa njalo futhi enemiphumela ephumelelayo kakhulu. Iningi labantu liyalulama kahle ngemva kokuhlinzwa, ikakhulukazi uma ukuhlinzwa bekuwukususa amangqamuzana omdlavuza, futhi kukhona nomuzwa omkhulu wokukhululeka. Uma usenezinkinga, ungesabi ukukhuluma nodokotela wakho. Bakhona ukukusiza.