Ukususwa kweNdlala yeTyroid

Umxholo

• Izizathu zotyando lwe-thyroid
• Iindidi zotyando lwe-thyroid
• Lobectomy
• I-thyroidectomy yangaphantsi
• Iyonke i-thyroidectomy
• Utyando lwe-thyroid lwenziwa njani?
• Irobotic thyroidectomy
• Emva kokhathalelo
• Iingozi zotyando lwe-thyroid

Utyando lwe-thyroid

Idlala lengqula lelincindi elincinanana elime njengebhabhathane. Itholakala kwindawo engaphantsi yentamo, ngaphantsi kwebhokisi yezwi.

Idlala lengqula livelisa iihormones ezihanjiswa ligazi kwizicwili zonke zomzimba. Inceda ekulawuleni imetabolism -inkqubo apho umzimba ujika ukutya kube ngamandla. Ikwadlala indima ekugcineni amalungu esebenza ngokukuko kunye nokunceda umzimba ugcine ubushushu.

Ngamanye amaxesha, i-thyroid ivelisa i-hormone eninzi. Inokuphuhlisa iingxaki kulwakhiwo, ezinje ngokudumba kunye nokukhula kwamaqhakuva okanye amaqhuqhuva. Utyando lwe-Thyroid lunokuba yimfuneko xa kusenzeka ezi ngxaki.

Utyando lwe-thyroid lubandakanya ukususa konke okanye isahlulo se-thyroid. Ugqirha uya kwenza olu tyando esibhedlele ngelixa isigulana siphantsi kwe-anesthesia ngokubanzi.

Izizathu zotyando lwe-thyroid

Isizathu esiqhelekileyo sokuhlinzwa kwe-thyroid kukukho kwamathambo okanye izicubu kwi-thyroid gland. Uninzi lwamaqhuqhuva alungile, kodwa amanye anokuba ngumhlaza okanye ahlasele kwangaphambili.

Nokuba iiqhuqhuva ezinobungozi zinokubangela iingxaki ukuba zikhula ngokwaneleyo ukuba zinokuthintela umqala, okanye ukuba zivuselela i-thyroid ukuvelisa iihomoni ezingaphezulu (imeko ebizwa ngokuba yihyperthyroidism).

Utyando lunokulungisa i-hyperthyroidism. I-Hyperthyroidism ihlala isisiphumo se-autoimmune disorder ebizwa ngokuba sisifo seMangcwaba.

Isifo se-Graves senza ukuba umzimba ungazichazi i-thyroid gland njengomzimba wangaphandle kwaye uthumele ii-antibodies ukuba zihlasele. Ezi antibodies zivutha idlala lengqula, zibangela ukuveliswa kakhulu kwehomoni.

Esinye isizathu sotyando lwe-thyroid kukudumba okanye ukwandisa i-thyroid gland. Oku kubizwa ngokuba yi-goiter. Njengamaqhuqhuva amakhulu, iigolitara zinokuthintela umqala kwaye ziphazamise ukutya, ukuthetha nokuphefumla.

Iindidi zotyando lwe-thyroid

Kukho iintlobo ezahlukeneyo zotyando lwe-thyroid. Ezona ziqhelekileyo yi-lobectomy, i-thyroidectomy engaphantsi, kunye ne-thyroidectomy iyonke.

Lobectomy

Ngamanye amaxesha, i-nodule, ukudumba, okanye ukudumba kuchaphazela kuphela isiqingatha sedlala lengqula. Xa oku kusenzeka, ugqirha uyakususa enye yeelobes ezimbini. Inxalenye eshiye ngasemva kufuneka igcine enye okanye wonke umsebenzi wayo.

I-thyroidectomy yangaphantsi

I-thyroidectomy engezantsi isusa idlala lengqula kodwa ishiye ngasemva isixa esincinci seethishu yedlala lengqula. Oku kugcina umsebenzi othile we-thyroid.

Uninzi lwabantu abenza olu hlobo lotyando bakhulisa i-hypothyroidism, imeko eyenzeka xa idlala lengqula lingavelisi iihomoni ezaneleyo. Oku kunyangwa ngamayeza e-hormone yemihla ngemihla.

Iyonke i-thyroidectomy

I-thyroidectomy iyonke isusa yonke i-thyroid kunye nezicubu ze-thyroid. Olu tyando lufanelekile xa amaqhuqhuva, ukudumba, okanye ukudumba kuchaphazela yonke i-thyroid gland, okanye xa umhlaza ukhona.

Utyando lwe-thyroid lwenziwa njani?

Utyando lwe-thyroid lwenzeka esibhedlele. Kubalulekile ukuba ungatyi okanye usele nantoni na emva kobusuku phakathi koqhaqho.

Xa ufika esibhedlele, uya kungena emva koko uye kwindawo yokulungiselela apho uya kususa khona iimpahla zakho kwaye unxibe ilokhwe yasesibhedlele. Umongikazi uya kufaka i-IV esihlahleni sakho okanye engalweni yakho ukuhambisa ulwelo kunye namayeza.

Ngaphambi kotyando, uya kudibana nogqirha wakho. Baza kwenza uvavanyo olukhawulezileyo kwaye baphendule nayiphi na imibuzo onokuba nayo malunga nenkqubo. Uya kudibana nengcali ye-anesthesiologist eyakukuhambisa iyeza elenza ulale kuyo yonke inkqubo.

Xa ilixesha lotyando, uyakungena kwigumbi lokusebenza kwigurney. Ugqirha wobulali uza kufaka iyeza kwi-IV yakho. Iyeza linokuziva libanda okanye lilumile njengoko lingena emzimbeni wakho, kodwa liya kukufaka kubuthongo obunzulu ngokukhawuleza.

Ugqirha uya kwenza ukusikwa kwi-thyroid gland kwaye asuse ngokucophelela yonke into okanye inxalenye ye-gland. Kuba idlala lengqula lincinci kwaye lijikelezwe yimithambo-luvo, inkqubo inokuthatha iiyure ezimbini okanye nangaphezulu.

Uya kuvuka kwigumbi lokubuyisela kwimeko yesiqhelo, apho abasebenzi baya kuqinisekisa ukuba ukhululekile. Baza kujonga iimpawu zakho ezibalulekileyo kwaye banikezele amayeza eentlungu njengoko kufuneka. Xa ukwimeko ezinzileyo, baya kukudlulisela kwigumbi oya kuhlala kulo phantsi kweeyure ezingama-24 ukuya kuma-48.

Irobotic thyroidectomy

Olunye uhlobo lotyando lubizwa ngokuba yirobotic thyroidectomy. Kwi-robotic thyroidectomy, ugqirha wotyando angasusa yonke okanye inxenye ye-thyroid ngokusebenzisa i-axillary incision (nge-armpit) okanye nge-transorally (ngomlomo).

Emva kokhathalelo

Ungaqala kwakhona uninzi lwemisebenzi yakho yesiqhelo ngosuku emva kotyando. Nangona kunjalo, linda ubuncinci iintsuku ezili-10, okanye de ugqirha akunike imvume, ukuba ubandakanyeke kwimisebenzi enzima enje ngefuthe lokuzilolonga.

Umqala wakho uya kuziva ubuhlungu iintsuku eziliqela. Unokwazi ukuthatha amayeza e-pain-counter-counter-counter njenge-ibuprofen okanye i-acetaminophen ukuze unciphise ubuhlungu.Ukuba la mayeza anganikeli uncedo, ugqirha wakho unokumisela unyango lweentlungu.

Emva kotyando lwakho, unokuhlakulela i-hypothyroidism. Ukuba oku kuyenzeka, ugqirha wakho uya kukuyalela uhlobo oluthile lwe-levothyroxine ukunceda ukuzisa amanqanaba akho e-hormone ibhalansi. Ingathatha uhlengahlengiso kunye novavanyo lwegazi ukuze ufumane eyona idosi ilungileyo kuwe.

Iingozi zotyando lwe-thyroid

Njengalo lonke utyando olukhulu, utyando lwe-thyroid lubeka emngciphekweni wokuphendula okungalunganga kwi-anesthetic ngokubanzi. Eminye imingcipheko ibandakanya ukopha kakhulu kunye nosulelo.

Iingozi ezithile zotyando lwe-thyroid azifane zenzeke. Nangona kunjalo, iingozi ezimbini eziqhelekileyo zezi:

• umonakalo kwiimbilini eziphindaphindiweyo ze-laryngeal (iimbilini ezixhunywe kwiintambo zakho zezwi)
• umonakalo kwiingqungquthela ze-parathyroid (izigulane ezilawula izinga le-calcium emzimbeni wakho)

Izongezo zinokunyanga amanqanaba asezantsi e-calcium (hypocalcemia). Unyango kufuneka luqale ngokukhawuleza. Yazisa ugqirha wakho ukuba uziva unovalo okanye ijittery okanye ukuba izihlunu zakho ziqala ukubetha. Le yimiqondiso yecalcium esezantsi.

Kubo bonke abaguli abane-thyroidectomy, bambalwa kuphela abaya kuphuhlisa i-hypocalcemia. Kulabo baphuhlisa i-hypocalcemia, baya kuchacha kunyaka-1.