Ukususwa kwe-thyroid gland

Ukususwa kwe-thyroid gland kukususwa ukususa yonke into okanye inxalenye ye-thyroid gland. Idlala lengqula yincindi emile okwibhabhathane ebekwe ngaphakathi ngaphambili entanyeni.

Idlala lengqula liyinxalenye yenkqubo yehomoni (endocrine). Inceda umzimba wakho ulawule imetabolism yakho.

Ngokuxhomekeke kwisizathu sokuba ususwe i-thyroid gland, uhlobo lwe-thyroidectomy onalo luya kuba:

• Iyonke i-thyroidectomy, esusa idlala lonke
• I-subtotal okanye i-thyroidectomy encinci, esusa inxalenye ye-thyroid gland

Uya kuba ne-anesthesia ngokubanzi (ilele kwaye ingenazintlungu) kolu tyando. Kwiimeko ezinqabileyo, utyando lwenziwa nge-anesthesia yendawo kunye namayeza okuphumla. Uya kuba uvukile, kodwa awunazintlungu.

Ngexesha lotyando:

• Ugqirha usika ngokuthe tye ngaphambili entanyeni yakho esezantsi ngaphezulu kwamathambo ekhola.
• Yonke okanye inxalenye yendlala isuswe ngokunqunyulwa.
• Ugqirha uyakulumkela ukonakalisa imithambo yegazi kunye neentsholongwane entanyeni yakho.
• Umbhobho omncinci (i-catheter) unokufakwa kule ndawo ukunceda ukukhupha igazi kunye nolunye ulwelo olwakhayo. Umbhobho wokuhambisa amanzi uya kususwa kwintsuku ezi-1 okanye ezi-2.
• Ukusika kuvaliwe nge-sutures (stitches).

Ugqirha lokususa i-thyroid yakho yonke lungathatha iiyure ezingama-4. Ingathatha ixesha elincinci ukuba kuphela yinxalenye ye-thyroid isuswe.

Iindlela ezintsha ezifuna ukusikwa okuncinci kufutshane ne-thyroid okanye kwezinye iindawo kwaye kubandakanya ukusetyenziswa kwe-endoscopy kuye kwaphuhliswa.

Ugqirha wakho unokucebisa ukuba ususwe i-thyroid xa unakho oku kulandelayo:

• Ukukhula okuncinci kwe-thyroid (i-nodule okanye i-cyst)
• Idlala lengqula elisebenza kakhulu liyingozi (thyrotoxicosis)
• Umhlaza wedlala lengqula
• Izidumbu ezingenabungozi (ezinobungozi) ze-thyroid ezibangela iimpawu
• Ukudumba kwedlala lengqula (okungenabungozi) okwenza kubenzima ukuphefumla okanye ukuginya

Unokuhlinzwa kwakhona ukuba une-thyroid engasebenzi kwaye awufuni unyango lwe-iodine ye-radioactive, okanye awukwazi ukunyangwa ngamayeza e-antithyroid.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi ze-thyroidectomy zibandakanya:

• Ukwenzakala kwemithambo-luvo kwiintambo zakho zezwi nakwingqula.
• Ukopha kunye nokuphazamiseka kwendlela enokubakho.
• Ukunyuka okubukhali kwamanqanaba ehomoni ye-thyroid (kuphela ngexesha lotyando).
• Ukwenzakala kwamadlala afanayo (amadlala amancinci kufutshane nedlala lengqula) okanye kunikezelo lwegazi. Oku kunokubangela inqanaba eliphantsi lecalcium egazini lakho (hypocalcemia).
• Kuninzi kakhulu ihomoni ye-thyroid (isiphepho se-thyroid). Ukuba une-thyroid gland engaphezulu, uya kunyangwa ngamayeza.

Ngexesha leeveki ngaphambi kotyando:

• Kuya kufuneka ukuba ube neemvavanyo ezibonisa kanye apho ukukhula okungaqhelekanga kwe-thyroid kufumaneka khona. Oku kuya kunceda ugqirha ukuba afumane ukukhula ngexesha lotyando. Unokuba novavanyo lwe-CT, olwe-ultrasound, okanye olunye uvavanyo lokucinga.
• Ugqirha wakho unokwenza isaliti esinqwenelekayo ukufumana ukuba ukukhula akunamdlavuza okanye ngumhlaza. Phambi kotyando, umsebenzi wentambo yezwi unokujongwa.
• Unokufuna amayeza e-thyroid okanye unyango lwe-iodine kwiiveki ezi-2 ukuya kwezi-2 ngaphambi kotyando lwakho.

Iintsuku ezininzi ukuya kwiveki ngaphambi kotyando:

• Unokucelwa ukuba uyeke okwethutyana amayeza okucoca igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil), naproxen (Aleve), clopidogrel (Plavix), warfarin (Coumadin), phakathi kwezinye.
• Gcwalisa nayiphi na imigqaliselo yamayeza eentlungu kunye necalcium oyakuyifuna emva kotyando.
• Xelela umboneleli wakho wezempilo malunga nawo onke amayeza owasebenzisayo, nkqu nalawo athengwe ngaphandle kommiselo. Oku kubandakanya imifuno kunye nezongezelelo. Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha nawaphi na amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Qiniseka ukuba ufika esibhedlele ngexesha.

Uya kugoduka umhla okanye usuku emva kotyando. Kwiimeko ezinqabileyo, unokufuna ukuchitha ukuya kwiintsuku ezi-3 esibhedlele. Kuya kufuneka uginye izinto ezingamanzi phambi kokuba ugoduke.

Umboneleli wakho unokujonga inqanaba le-calcium egazini lakho emva kotyando. Oku kwenziwa rhoqo xa kususwe yonke idlala lengqula.

Unokuba nentlungu emva kotyando. Buza umboneleli wakho ngemiyalelo yendlela yokuthatha amayeza eentlungu emva kokuba ugodukile.

Kufuneka kuthathe malunga neeveki ezi-3 ukuya kwezi-4 ukuze uphinde uchache.

Landela nayiphi na imiyalelo yokuzikhathalela emva kokuba ugodukile.

Iziphumo zolu tyando zihlala zibalasele. Uninzi lwabantu kufuneka luthathe iipilisi zehomoni yedlala lengqula (ukutshintshwa kwencindi yedlala lengqula) ubomi babo bonke xa kususwe idlala.

Iyonke i-thyroidectomy; I-thyroidectomy ekhethekileyo; Thyroidectomy; I-thyroidectomy engaphantsi; Umhlaza wedlala lengqula - thyroidectomy; Umhlaza wepapillary - thyroidectomy; Goiter - thyroidectomy; Amaqhuqhuva e-thyroid - i-thyroidectomy

• Unonophelo lwenxeba lotyando - luvulekile
• Ukususwa kwendlala ye-thyroid - ukukhutshwa

• I-anatomy ye-thyroid yomntwana
• I-Thyroidectomy - uthotho
• Ukuqhekeka kotyando lwe-thyroid

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UKaplan EL, uAngelos P, uJames BC, uNagar S, uGranogan RH. Utyando lwe-thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 96.

UPatel KN, uYip L, uLubitz CC, et al. Isishwankathelo sesigqeba soMbutho waseMelika we-Endocrine Surgeons izikhokelo zolawulo oluchanekileyo lokunyanga isifo se-thyroid kubantu abadala. UAnn Surg. Ngo-2020; 271 (3): 399-410. IINKCUKACHA: I-32079828 pubmed.ncbi.nlm.nih.gov/32079828/.

USmith PW, uHanks LR, uSalomone LJ, uHanks JB. Idlala lengqula. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 36.