Ukususwa ndlala Parathyroid

Iparathyroidectomy kutyando lokususa amadlala e-parathyroid okanye i-parathyroid tumors. Iingqungquthela ze-parathyroid zilungile emva kwe-thyroid gland entanyeni yakho. Ezi ndlala zinceda umzimba wakho ulawule inqanaba lecalcium egazini.

Uya kufumana i-anesthesia ngokubanzi (ilele kwaye ingenazintlungu) kolu tyando.

Ngokwesiqhelo amadlala aparadayo asuswe kusetyenziswa i-2- ukuya kwi-intshi (5- ukuya kwi-10-cm) yokusika entanyeni yakho. Ngexesha lotyando:

• Ukunqunyulwa kudla ngokwenziwa embindini wentamo yakho phantsi kwe-apile ka-Adam.
• Ugqirha wakho uya kujonga amadlala amane e-parathyroid kwaye asuse naziphi na ezigulayo.
• Unokuvavanywa ngokukhethekileyo ngegazi ngexesha lotyando oluya kuchaza ukuba onke amadlala agulayo asuswe na.
• Kwiimeko ezinqabileyo, xa zone ezi ndlala kufuneka zisuswe, inxenye yazo ifakwe kwenye ingalo. Okanye, utyalwe kwimisipha ngaphambili kwentamo yakho ecaleni kwe-thyroid gland. Oku kunceda ukuqinisekisa ukuba umzimba wakho we-calcium uhlala kwinqanaba eliphilileyo.

Uhlobo oluthile lotyando luxhomekeke kwindawo apho isifo se-parathyroid sigula khona. Iindidi zotyando zibandakanya:

• Ubuncinci beparathyroidectomy. Unokufumana ifoto encinci encinci yetracer tracer ngaphambi kolu tyando. Oku kunceda ukuqaqambisa amadlala agulayo. Ukuba unayo le shot, ugqirha wakho uya kusebenzisa iprosesa ekhethekileyo, njengekhawuntara yeGiiger, ukufumana incindi yeparathyroid. Ugqirha wakho uza kusika (1 ukuya kwi-intshi ezi-2; okanye i-2.5 ukuya kwi-5 cm) kwicala elinye lentamo yakho, emva koko ususe idlala eligulayo ngalo. Le nkqubo ithatha malunga neyure.
• Iparathyroidectomy encediswa yividiyo. Ugqirha wakho uza kwenza ukusika okuncinci entanyeni yakho. Enye yeyokusetyenziswa kwezixhobo, enye yeyekhamera. Ugqirha wakho uza kusebenzisa ikhamera ukujonga indawo kwaye asuse amadlala agulayo ngezixhobo.
• Iparoscopic parathyroidectomy. Ugqirha wakho uza kwenza ukusika okuncinci kabini okanye kathathu ngaphambili entanyeni yakho kunye nokusikwa okunye ngaphezulu kwentloko yakho. Oku kunciphisa ukubonakala okubonakalayo, iintlungu, kunye nexesha lokubuyisela. Oku kusika kungaphantsi kweesentimitha ezi-5 ubude. Inkqubo yokususa nasiphi na isifo samadlala esigulayo sifana neparathyroidectomy encediswa yividiyo.

Umboneleli wakho wokhathalelo lwempilo unokulucebisa olu tyando ukuba enye okanye nangaphezulu yamadlala akho e-parathyroid avelisa kakhulu ihomoni yeparathyroid. Le meko ibizwa ngokuba yi-hyperparathyroidism. Idla ngokubangelwa sisisu esincinci esinomhlaza (benign) esibi esibizwa ngokuba yi-adenoma.

Ugqirha wakho uya kuqaphela uninzi lwezinto xa ethatha isigqibo sokuba enze utyando kwaye loluphi uhlobo lotyando olulungele wena. Ezinye zezi zinto zezi:

• Iminyaka yakho
• Amanqanaba e-calcium kumchamo wakho nasegazini
• Nokuba uneempawu

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza okanye kwiingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Umngcipheko weparathyroidectomy zezi:

• Ukulimala kwi-thyroid gland okanye isidingo sokususa inxalenye ye-thyroid gland.
• Hypoparathyroidism. Oku kungakhokelela kumanqanaba asezantsi e-calcium anobungozi kwimpilo yakho.
• Ukonzakala kwimithambo-luvo eya kwimisipha ehambisa imisipha yezwi lakho. Unokuba nelizwi elirhawuzelelayo okanye elibuthathaka elinokuba lelethutyana okanye elisisigxina.
• Kunzima ukuphefumla. Oku kunqabile kwaye phantse kuhlala kuhamba iiveki okanye iinyanga emva kotyando.

Izibilini zeParathyroid zincinci kakhulu. Kuya kufuneka ukuba ube neemvavanyo ezibonisa ngqo ukuba zithini amadlala akho. Oku kuya kunceda ugqirha wakho afumane iingubo zakho ze-parathyroid ngexesha lotyando. Iimvavanyo ezimbini onokuthi ube nazo yi-CT scan kunye ne-ultrasound.

Xelela ugqirha wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza, iivithamini, imifuno, kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo

Ngexesha leveki ngaphambi kotyando lwakho:

• Gcwalisa nayiphi na imigqaliselo yonyango lweentlungu kunye ne-calcium oyifunayo emva kokuhlinzwa.
• Unokucelwa ukuba uyeke ukuthatha abacoci gazi. Oku kubandakanya ii-NSAID (i-aspirin, ibuprofen), i-vitamin E, i-warfarin (i-Coumadin), i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis) kunye ne-clopidegrel (i-Plavix).
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngemini yotyando lwakho.

Ngomhla wotyando lwakho:

• Landela imiyalelo malunga nokungatyi nokusela.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Fika esibhedlele ngexesha.

Rhoqo, abantu banokugoduka kwangolo suku batyandiweyo ngalo. Ungaqala imisebenzi yakho yemihla ngemihla kwiintsuku ezimbalwa. Kuya kuthatha malunga ne-1 ukuya kwiiveki ezi-3 ukuba uphilise ngokupheleleyo.

Indawo yotyando kufuneka igcinwe icocekile kwaye yomile. Kuya kufuneka ukuba usele ulwelo kwaye utye ukutya okuthambileyo usuku.

Fowunela ugqirha wakho ukuba unayo nayiphi na into ebindayo okanye ukurhawuzelela umlomo wakho kwiiyure ezingama-24 ukuya kwezingama-48 emva kotyando. Oku kubangelwa yicalcium esezantsi. Landela imiyalelo malunga nendlela yokuthatha i-calcium supplements.

Emva kwale nkqubo, kuya kufuneka ube novavanyo lwegazi oluqhelekileyo ukujonga inqanaba lakho le-calcium.

Abantu bahlala bechacha kwakamsinya emva kolu tyando. Ukubuyisela kwimeko yesiqhelo kunokuba yinto ekhawulezayo xa kusetyenziswa iindlela ezingafunekiyo.

Ngamanye amaxesha, olunye uqhaqho luyafuneka ukuze kususwe uninzi lwamadlala okubanguluka.

Ukususwa kwendlala yeparathyroid; IParathyroidectomy; Hyperparathyroidism - parathyroidectomy; I-PTH-parathyroidectomy

• Unonophelo lwenxeba lotyando - luvulekile

• IParathyroidectomy
• Iparathyroidectomy - uthotho

Coan KE, Wang TS. Isiseko sehyperparathyroidism. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 779-785.

UQuinn CE, u-Udelsman R. Amadlala parathyroid. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 37.