IHypophysectomy

Umxholo

• Zeziphi iintlobo ezahlukeneyo zale nkqubo?
• Yenziwa njani le nkqubo?
• Kukuthini ukufumana kwakhona kule nkqubo?
• Ndingenza ntoni xa ndiphila?
• Zeziphi iingxaki ezinokubakho kule nkqubo?
• Imbonakalo

Ushwankathelo

I-hypophysectomy lutyando olwenziwe ukususa i-pituitary gland.

Idlala lengqula, nelikwabizwa ngokuba yihypophysis, sisinciphiso esincinci esisezantsi kwengqondo yakho. Ilawula iihormoni eziveliswe kwamanye amadlala abalulekileyo, kubandakanya iadrenal kunye nedlala lengqula.

I-Hypophysectomy yenziwa ngezizathu ezininzi, kubandakanya:

• ukususwa kwamathumba ajikeleze i-pituitary gland
• ukususwa kwe-craniopharyngiomas, izicubu ezenziwe ngamathambo avela kwi-gland
• Unyango lwe-Cushing's syndrome, eyenzeka xa umzimba wakho ubhenceka kakhulu kwi-hormone ye-cortisol
• ukuphucula umbono ngokususa izicwili okanye ubunzima obongezelelekileyo kwincindi

Inxalenye yedlala inokususwa kuphela xa kususwa amathumba.

Zeziphi iintlobo ezahlukeneyo zale nkqubo?

Kukho iintlobo ezininzi zehypophysectomy:

• I-Transsphenoidal hypophysectomy: I-pituitary gland ithathwa ngeempumlo nge-sphenoid sinus, isithuba esikufutshane nempumlo yakho. Oku kuhlala kwenziwa ngoncedo lwe-microscope yotyando okanye ikhamera ye-endoscopic.
• Vula craniotomy: Idlala lengqula liyakhutshwa ngokulikhupha ngaphandle phambi kwengqondo yakho ngokuvula kancinane kukhakhayi lwakho.
• Radiosurgery yestereotactic: Izixhobo kwisigcina-ntloko esenziwa ngotyando zibekwa ngaphakathi kolukakayi ngokuvuleka okuncinci. Idlala lepituitary kunye namathumba okanye izicwili ezijikelezileyo ziyatshatyalaliswa, kusetyenziswa imitha ukususa izicwili ezithile ngelixa kugcinwa izicwili ezisempilweni. Le nkqubo isetyenziswa ikakhulu kwizicwili ezincinci.

Yenziwa njani le nkqubo?

Ngaphambi kwenkqubo, qiniseka ukuba ulungile ngokwenza oku kulandelayo:

• Thatha iintsuku ezimbalwa emsebenzini okanye eminye imisebenzi yesiqhelo.
• Yiba nomntu akugoduse xa ufumene inkqubo.
• Ishedyuli yovavanyo lokucinga kunye nogqirha wakho ukuze babenokwazi izicwili ezijikeleze idlala lengqula.
• Thetha kugqirha wakho ngohlobo lwehypophysectomy oluya kusebenza ngcono kuwe.
• Sayina ifom yemvume ukuze ubazi bonke ubungozi obubandakanyekayo kwinkqubo.

Xa ufika esibhedlele, uya kungeniswa esibhedlele kwaye ucelwe ukuba utshintshe ube yingubo yesibhedlele. Ugqirha wakho uya kukusa kwigumbi lokusebenza kwaye akunike i-anesthesia ngokubanzi ukuze uhlale ulele ngexesha lenkqubo.

Inkqubo yehypophysectomy ixhomekeke kuhlobo enivumelana ngalo nogqirha wakho.

Ukwenza i-transsphenoidal hypophysectomy, olona hlobo luqhelekileyo, ugqirha wakho wotyando:

1. ikubeka kwindawo yokuhla ungqangqa kwaye intloko yakho izinzile ukuze ingahambi
2. yenza amanxeba amancinci amaninzi phantsi komlomo wakho ophezulu nangaphambi kwethambo lakho lesono
3. ifaka i-speculum ukugcina indawo yakho yempumlo ivulekile
4. ifaka i-endoscope ukujonga imifanekiso eqikelelweyo yesisu sakho sempumlo kwiscreen
5. ifaka izixhobo ezizodwa, ezinje ngohlobo lwee-forceps ezibizwa ngokuba zii-pituitary rongeurs, ukususa ithumba kunye nenxalenye okanye yonke incindi yebhinqa
6. isebenzisa amanqatha, ithambo, intlala, kunye nezinye izinto zoqhaqho ukwakha kwakhona indawo apho ithumba kunye nedlala lisuswe khona
7. ifaka i-gauze ephathwe nge-oyile ye-antibacterial empumlweni ukukhusela ukopha kunye nosulelo
8. ithunga ukusikeka kumngxuma wesono kunye nakumlomo ongasentla ngemisonto

Kukuthini ukufumana kwakhona kule nkqubo?

I-hypophysectomy ithatha iyure enye ukuya kwezimbini. Ezinye iinkqubo, njenge-stereotaxis, zinokuthatha imizuzu engama-30 okanye ngaphantsi.

Uza kuchitha malunga neeyure ezi-2 uchacha kwiiyunithi zononophelo lwasemva kokubeleka esibhedlele. Emva koko, uya kusiwa kwigumbi lesibhedlele kwaye uphumle ubusuku bonke nge-intravenous (IV) ulwelo ulwelo ukukugcina unkcenkceshelwe ngelixa uchacha.

Ngelixa ufumana kwakhona:

• Kusuku olunye ukuya kwezimbini, uya kuhamba ngoncedo lomongikazi de ube nako ukuzihambela ngokwakho. Imali oyikhethayo iya kujongwa.
• Kwiintsuku zokuqala ezimbalwa emva kotyando, Uya kuvavanywa igazi kunye nokuvavanywa kombono ukuqinisekisa ukuba umbono wakho awuchaphazelekanga. Igazi liya kushenxisa impumlo yakho ngamaxesha athile.
• Emva kokuphuma esibhedlele, uya kubuya malunga neeveki ezintandathu ukuya kwezisibhozo ukulungiselela ukuqeshwa. Uya kudibana nogqirha wakho kunye ne-endocrinologist ukubona ukuba umzimba wakho uphendula njani kwiinguqu ezinokwenzeka kwimveliso yehomoni. Olu nyulo lunokubandakanya ukuskenwa kwentloko kunye nokuvavanywa kwegazi kunye nombono.

Ndingenza ntoni xa ndiphila?

Kude kube ugqirha wakho esithi kulungile, thintela ukwenza oku kulandelayo:

• Musa ukuvuthela, ucoce, okanye unamathele nantoni na ekhaleni lakho.
• Musa ukugoba phambili.
• Musa ukuphakamisa nantoni na enzima kuneepawundi ezili-10.
• Musa ukuqubha, uthathe ibhafu, okanye ubeke intloko phantsi kwamanzi.
• Musa ukuqhuba okanye usebenze oomatshini abakhulu.
• Ungabuyeli emsebenzini okanye kwimisebenzi yakho yesiqhelo yemihla ngemihla.

Zeziphi iingxaki ezinokubakho kule nkqubo?

Ezinye zeemeko ezinokubangela olu tyando zibandakanya:

• Ulwelo lweCerebrospinal (CSF) ukuvuza: Ulwelo lwe-CSF olujikeleze ingqondo yakho kunye nokuvuza komqolo kwinkqubo yakho yeemvakalelo. Oku kufuna unyango ngenkqubo ebizwa ngokuba yi-lumbar puncture, ebandakanya ukufaka inaliti kumqolo wakho ukukhupha ulwelo olungaphezulu.
• Hypopituitarism: Umzimba wakho awuvelisi iihomoni ngokufanelekileyo. Oku kunokufuna ukunyangwa ngokunyanga i-hormone yonyango (HRT).
• Isifo seswekile insipidus: Umzimba wakho awulawuli ngokufanelekileyo ubungakanani bamanzi emzimbeni wakho.

Yiya kugqirha wakho ngoko nangoko ukuba ubona naziphi na kwezi ngxaki zilandelayo emva kwenkqubo yakho:

• iimpumlo zeempumlo rhoqo
• iimvakalelo ezinxaniweyo
• ukulahleka kombono
• ukucoca okungamanzi okucacileyo kwimpumlo yakho
• incasa enetyiwa emva komlomo wakho
• Ukuchama ngaphezulu kwesiqhelo
• iintloko ezingahambiyo kunye neyeza zentlungu
• umkhuhlane ophezulu (101 ° okanye ngaphezulu)
• Ndiziva ndilala njalo okanye ndidiniwe emva kotyando
• ukuphosa rhoqo okanye urhudo

Imbonakalo

Ukukhupha i-pituitary gland yakho yinkqubo enkulu enokuchaphazela ukukwazi komzimba wakho ukuvelisa amahomoni.

Kodwa olu tyando lunokunceda ekunyangeni imiba yezempilo enokuthi ibe neengxaki ezinzima.

Uninzi lonyango luyafumaneka ukubuyisela iihormoni umzimba wakho ongenakuvelisa ngokwaneleyo.