Ingabe udokotela ukutshelile ukuthi udinga ukuhlinzwa ukuze kususwe indlala yakho yegilo ? Kujwayelekile kakhulu ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa lokho. Kodwa empeleni, lokhu ukuhlinzwa okwenziwa abantu abaningi eSri Lanka nasemhlabeni wonke, futhi kuvame ukuphela ngempumelelo enkulu. Ngakho-ke asikho isizathu sokwesaba. Ake sixoxe ngalokhu kuhlinzwa kwegilo , noma `(i-Thyroidectomy)`, ngendlela elula ongayiqonda.
Kuyini ukuhlinzwa kwe-thyroid?
Kalula nje, i-thyroidectomy ukususwa ngokuhlinzwa kwayo yonke noma ingxenye yayo , indlala emise okwebhabhathane entanyeni yakho. Le ndlala ikhiqiza ama-hormone amaningi abalulekile alawula ukusebenza komzimba wakho.
Kunezinhlobo ezimbili eziyinhloko zalokhu kuhlinzwa:
- Ukususwa kwe-thyroid okuphelele: Yilapho kususwa khona yonke indlala yakho ye-thyroid.
- Ukususwa kwengxenye ye-thyroid/i-Hemithyroidectomy: Lokhu kuhilela ukususa kuphela ingxenye yesokudla noma yesobunxele ye-gland.
Uhlobo lokuhlinzwa oludingayo luzoncika esimweni sakho. Udokotela wakho nodokotela ohlinzayo bazosebenzisana ukuze banqume ukuthi yikuphi okungcono kakhulu kuwe.
Kungani udinga ukuhlinzwa kwe-thyroid?
Kunezizathu eziningana zokuthi kungani udokotela angase asikisele ukuthi wenze lokhu kuhlinzwa. Ake sibheke izizathu eziyinhloko.
| Isizathu sokuhlinzwa | Kalula nje… |
|---|---|
| Amaqhubu e-thyroid | Amaqhubu ayizigaxa ezakhayo lapho amangqamuzana endlala yegilo ehlangana ndawonye. Amanye alawa angaba umdlavuza. Amanye amaqhubu angakhiqiza ama-hormone amaningi kunokudingekile. |
| I-Goiter | Ukwanda kwendlala yegilo. Uma lokhu kuba kukhulu kakhulu, kungacindezela umphimbo womoya ( i-bronchi ) noma i-esophagus (ipayipi lokudla) entanyeni, okwenza kube nzima ukuphefumula nokugwinya. |
| Ukwanda kwama-hormone ( i-hyperthyroidism ) | Indlala yegilo ikhiqiza amahomoni amaningi kunalawo umzimba owadingayo. Uma lokhu kungenakukwazi ukulawulwa ngemithi, ukuhlinzwa yikona kuphela ikhambi. |
| Umdlavuza We-Thyroid | Uma iqhubu lihlolwa futhi kwaqinisekiswa ukuthi linomdlavuza, kwenziwa ukuhlinzwa ukuze lisuswe. |
Yini okufanele uyenze ngaphambi kokuhlinzwa? (Ukulungiselela)
Ngaphambi kokuhlinzwa, udokotela wakho uzochaza ngokucacile ukuthi yini okudingeka uyenze. Lokhu kuvame ukwenzeka:
- Ukuhlolwa: Ukuhlolwa kwentamo yakho nge-ultrasound kungasiza ekutholeni indawo eqondile yeqhubu. Uma kukhona iqhubu, kungenziwa ukufuthwa kwenaliti encane ukuze kutholakale ukuthi liwumdlavuza yini.
- Ukuhlolwa kwezwi:Udokotela wakho angase afune ukuhlola ukuthi izintambo zakho zezwi zisebenza kanjani.
- Ukuphathwa Kwemithi: Uma amazinga akho e-thyroid hormone ephezulu kakhulu, unganikezwa imithi yokuwalawula ngaphambi kokuhlinzwa. Uma uthatha noma yimiphi eminye imithi, njengemithi yokunciphisa igazi, kufanele nakanjani utshele udokotela wakho ngayo. Uzokutshela ukuthi udinga ukuyeka yini ukuthatha leyo mithi ngaphambi kokuhlinzwa.
- Ukuzila Ukudla: Uzocelwa ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlinzwa. Uzonikezwa imiyalelo eqondile mayelana nalezi zikhathi.
Kwenzekani ngosuku lokuhlinzwa?
Udokotela wezinzwa uzofika kuqala akunikeze i-anesthesia ejwayelekile, okukwenza ulale ngokuphelele. Ngakho ngeke uzwe ubuhlungu. Ipayipi lokuphefumula lizofakwa emphinjeni wakho ukuze likusize uphefumule ngesikhathi sokuhlinzwa.
Udokotela ohlinzayo unezindlela eziningana zokususa i-thyroid gland:
- Indlela yendabuko: Ukuhlinzwa kwenziwa ngokusikwa okuncane ngaphambili kwentamo.
- Indlela yokusika okuncane (i-MIVAT): Ukuhlinzwa kwenziwa ngokusika okuncane kakhulu ngosizo lwekhamera.
- Izindlela ezingashiyi zibazi: Ukuhlinzwa kwenziwa ngokusika endaweni engabonakali, njengangaphakathi emlonyeni noma ekhwapheni.
Uma uhlinzwa ngenxa yomdlavuza, udokotela wakho uzohlola ama-lymph node azungeze i-thyroid yakho futhi angase awasuse uma amangqamuzana omdlavuza esakazekile. Ngemva kokuhlinzwa, i-incision ivalwa nge-suture encibilikayo bese kufakwa inhlaka ekhethekile esikhumbeni. Ngokuvamile kuthatha amahora angu-1-3 ukususa yonke i-gland.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Ukuhlinzwa kwe-thyroid kuyindlela ephephile kakhulu . Kodwa-ke, njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezingavamile kakhulu.
- Ukopha: Ukopha ngokweqile kungabangela ubunzima bokuphefumula.
- Izinguquko zezwi: Uma kukhona umonakalo emithanjeni yezwi, izwi lingase lihoshe.
- Ukulimala kwezindlala ze-parathyroid: Ezinamathele ngemuva kwendlala ye-thyroid kunezindlala ezine ezincane kakhulu ezibizwa ngokuthi izindlala ze-parathyroid. Lezi zinomthwalo wokulawula amazinga e-calcium emzimbeni wethu. Uma lezi zonakala ngesikhathi sokuhlinzwa, amazinga e-calcium egazini angehla.
Kodwa khumbula, lezi zinkinga azivamile . Udokotela wakho ohlinzayo uzokwenza konke okusemandleni akhe ukuzivimbela.
Kwenzekani ngemva kokuhlinzwa? (Ukululama)
Ngemva kokuhlinzwa, lapho usuphinde waphaphama, ungadla ukudla okulula futhi uphuze. Ngokuvamile uzohlala esibhedlela cishe ubusuku obubodwa.
- Umphimbo obuhlungu: Umphimbo wakho ungase ube buhlungu kancane usuku olulodwa noma ezimbili ngoba ipayipi lokuphefumula belikhona.
- Amaphilisi e-hormone: Uma yonke i-thyroid gland yakho isusiwe, kuzodingeka uphuze iphilisi le-hormone (i-Levothyroxine) nsuku zonke impilo yakho yonke ukuze kuthathelwe indawo i-hormone ekhiqizwe yiyo. Lokhu kulula kakhulu. Udokotela wakho uzokuchazela lokhu kusenesikhathi.
- Amaphilisi e-calcium: Ngezinye izikhathi amaphilisi e-calcium anikezwa amasonto ambalwa ukuvimbela amazinga e-calcium aphansi egazini.
- Ukululama Nokushaqeka: Kuthatha cishe amasonto ama-2-3 ukululama ngokuphelele. Kungcono ukugwema ukuvivinya umzimba okunzima noma ukuphakamisa izinto ezisindayo isonto elilodwa noma amabili. Isibazi esincane sizohlala entanyeni. Lokhu kuzonyamalala kancane kancane ngokuhamba kwesikhathi.
Kunini lapho udinga ukukhuluma nodokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokubuya ekhaya evela ekuhlinzweni, shayela udokotela wakho ngokushesha.
| Isibonakaliso | Ukunakwa okukhethekile |
|---|---|
| Isilonda sivuvukele, sibomvu, sikhipha ubomvu, noma siphuma igazi kakhulu. | Funa iseluleko sezokwelapha ngokushesha. |
| Ukuba nomkhuhlane ongaphezu kuka-38°C (101°F). | Lokhu kungaba uphawu lokutheleleka. |
| Ukuba ndikindiki noma ukuqaqamba ebusweni, ezandleni, noma ezindebeni, noma umuzwa wokuba ndikindiki ezinyaweni zeminwe. | Lokhu kungaba uphawu lwamazinga aphansi e-calcium. Yazisa udokotela wakho ngokushesha. |
| Ubunzima obukhulu bokuphefumula. | Ngaphandle kokulibala, iya ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. |
Kuvamile ukuzizwa ukhathazekile nganoma yikuphi ukuhlinzwa. Kodwa ukuhlinzwa kwe-thyroid kuyindlela ephephile nephumelelayo kubantu abaningi. Uma unemibuzo noma ukukhathazeka, ungesabi ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-thyroid kuyindlela evamile yokuhlinzwa ephephile futhi ephumelelayo ezimweni eziningi. Ngakho-ke ungesabi ngokungadingekile.
- Uma unemibuzo noma ukungabaza mayelana nokuhlinzwa, xoxa ngakho nodokotela wakho.
- Uma yonke indlala yakho yegilo isusiwe, kuzodingeka uphuze iphilisi lamahomoni nsuku zonke impilo yakho yonke. Kodwa ngeke kube yinto enkulu ukuphazamisa impilo yakho yansuku zonke.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa, ikakhulukazi mayelana nemithi kanye nokunakekelwa kwamanxeba.
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