Icyo gikorwa cyo kubaga umushishito ni iki? Intego, uburyo bwo kubaga & Gukira

Kubaga umushishito ni uburyo bwo kubaga bwo gukuraho umushishito wawe wose cyangwa igice cyawo. Iri shyirahamwe rimeze nk'ipapayi riri ku gice cyo hasi cy'ijosi ryawe kandi rikora imisemburo igenzura imikorere yawe, umuvuduko w'umutima, n'ubushyuhe bw'umubiri. Iyo ibibazo bya thyroid bidashobora gukemurwa n'imiti gusa, kubaga birashobora kuba inzira nziza yo kugufasha kumva neza.

Icyo gikorwa cyo kubaga umushishito ni iki?

Kubaga umushishito ni ugukuraho umushishito wawe, haba igice cyangwa cyose. Umuganga ubaga akora agace gato mu gice cyo hasi cy'ijosi ryawe kugira ngo agere ku mushishito mu buryo bwizewe. Iki gikorwa gikunze gufata isaha imwe cyangwa ebyiri, bitewe n'urugero rw'umushishito ugomba gukurwaho.

Hariho ubwoko butandukanye bwo kubaga umushishito bushingiye ku burwayi bwawe bwihariye. Kubaga igice cy'umushishito gukuraho igice cy'umushishito gusa, mugihe kubaga umushishito wose gukuraho umushishito wose. Muganga wawe azagusaba uburyo bwiza kuri wowe.

Uku kubaga gukorwa hakoreshejwe anesthesia rusange, bityo uzaba uryamye rwose kandi wumva neza muri iki gikorwa. Abantu benshi barashobora gutaha uwo munsi cyangwa nyuma yo kurara ijoro rimwe mu bitaro.

Kuki kubaga umushishito bikorwa?

Kubaga umushishito byemezwa iyo ibibazo bya thyroid bigize ingaruka zikomeye ku buzima bwawe kandi ntibishobora kuvurwa neza n'imiti. Muganga wawe asuzuma neza inyungu n'ibibazo mbere yo gutanga igitekerezo cyo kubaga nk'uburyo bwiza kuri wewe.

Ibyiciro byinshi birashobora gutuma kubaga umushishito biba ngombwa, kandi kubisobanukirwa birashobora kugufasha kumva ufite icyizere cyinshi ku gahunda yawe yo kuvurwa:

• Kanseri y'imitsi: Impamvu isanzwe ituma imitsi yose ivanwaho, cyane cyane iyo uturemangingo twa kanseri tuhari cyangwa dukekwaho
• Goiter nini: Iyo imitsi yagutse itera ingorane zo kumira, guhumeka, cyangwa ikaba impamvu yo guhangayika ku isura
• Imitsi ikora cyane (hyperthyroidism): Iyo imiti na iodine ya radiyo bitabasha kugenzura imisemburo myinshi ikorwa
• Utubumbe dushidikanywaho tw'imitsi: Iyo ibibyimba biri mu mitsi bitabasha kumenyekana neza ko ari byiza binyuze mu bizami
• Indwara ya Graves: Indwara y'ubwirinzi itera hyperthyroidism ikaze idasubizwa n'ubundi buvuzi

Itsinda ryawe ry'ubuzima rizaganira ku bibazo byawe byihariye, rikwemeza ko usobanukirwa impamvu kubagwa bigomba gukorwa n'andi mahitamo ashobora kuboneka.

Ni iki gikorerwa kubagwa imitsi?

Uburyo bwo kubaga imitsi bukurikiza inzira yitondewe, y'intambwe ku yindi igenewe gukuraho neza imitsi yawe mugihe irengera ibintu byingenzi biyikikije. Itsinda ryawe ry'abaganga bafite uburambe bwinshi mukora ubu buryo kandi bazafata ingamba zose zo kurengera umutekano wawe.

Ibi nibyo bibaho mugihe cyo kubagwa imitsi yawe:

1. Anesthesia: Uzafata anesthesia rusange kugirango wumve neza kandi uryamye mugihe cyo kubagwa
2. Uburyo bwo gushyira umubiri mu mwanya: Ijosi ryawe rizashyirwa mu mwanya kandi rishyigikirwe kugirango umuganga wawe abone uko yegera neza umusonga wawe
3. Ukwica uruhu: Uruhu ruto rutambitse rukorwa mu gice cyo hepfo cy'ijosi ryawe, akenshi rukurikiza uruhu rusanzwe
4. Gukuraho umusonga: Umuganga wawe atandukanya neza umusonga n'ibindi bice by'umubiri n'imitsi y'amaraso
5. Kurengera imitsi: Bitewe n'ubwitonzi bwihariye bwo kurengera imitsi ya laryngeal isubiramo igenzura imirya yawe
6. Kurengera parathyroid: Imitsi mito ya parathyroid igenzura urwego rwa kalisiyumu irengerwa neza mugihe bishoboka
7. Gufunga: Uruhu rufungwa hamwe na sutures cyangwa uruvange rwo kubaga, kandi umuyoboro muto ushobora gushyirwaho by'agateganyo

Ubu buryo bwose akenshi bufata isaha imwe cyangwa ebyiri, nubwo bishobora gutwara igihe kirekire niba uri gukorerwa thyroidectomy yuzuye cyangwa niba hari ibibazo. Umuganga wawe azakomeza kukugeza amakuru hamwe n'umuryango wawe muri ubu buryo.

Ni gute wakwitegura thyroidectomy yawe?

Kwitegura thyroidectomy bikubiyemo intambwe nyinshi zingenzi zifasha kumenya neza ko kubagwa kwawe kugenda neza kandi ko gukira kwawe kumera neza. Itsinda ryawe ryita ku buzima rizagufasha muri buri ntambwe yo kwitegura kandi risubize ibibazo byose ushobora kugira.

Mu byumweru mbere yo kubagwa, uzakenera kwitaho ibintu bike byingenzi:

• Ibizamini mbere yo kubagwa: Ibizamini by'amaraso, bishobora kuba na EKG, n'ibizamini by'amashusho kugira ngo wemeze ko witeguye kubagwa
• Isuzuma ry'imiti: Imwe mu miti ishobora gukenerwa guhagarikwa cyangwa guhindurwa mbere yo kubagwa, cyane cyane imiti ituma amaraso ataguma
• Imicungire ya hormone ya thyroïde: Niba ufite hyperthyroïdie, ushobora gukenera imiti kugira ngo isanzure urwego rwa hormone yawe mbere
• Amabwiriza yo kwiyiriza: Uzakenera guhagarika kurya no kunywa ku gihe runaka mbere yo kubagwa, akenshi nyuma ya saa sita z'ijoro
• Igenamigambi: Gutegura uburyo bwo gutwara no gufasha mu bikorwa bya buri munsi mu minsi mike ya mbere

Umuvuzi wawe azatanga amabwiriza arambuye asobanutse ku miterere yawe. Gukurikiza izi ntambwe zo kwitegura neza bifasha kugabanya ibyago by'ingorane kandi bigashyigikira uburyo bwo koroherwa neza.

Ni gute usoma ibisubizo byawe bya thyroïdectomie?

Gusobanukirwa ibisubizo byawe bya thyroïdectomie bikubiyemo kureba ibyavuye mu kubagwa n'ibisubizo bya patoloji by'igice cyakuweho. Umuvuzi wawe azagusobanurira ibi bisubizo mu buryo burambuye, ariko kumenya icyo witegura bishobora kugufasha kumva witeguye kurushaho ibiganiro nk'ibi.

Raporo ya patoloji izakubwira neza icyabonetse mu gice cya thyroïde yawe. Niba warabazwe kubera gukeka kanseri, iyi raporo izemeza niba selile za kanseri zari zihari kandi, niba aribyo, ubwoko n'urwego. Kubijyanye n'indwara zidakomeye, raporo izasobanura ubwoko bwihariye bw'indwara ya thyroïde wari ufite.

Nyuma yo kubagwa, uzakenera kandi ibizamini by'amaraso bihoraho kugira ngo ukurikirane urwego rwa hormone yawe ya thyroïde. Niba warabazwe thyroïdectomie yose, uzakenera gufata imiti isimbura hormone ya thyroïde ubuzima bwawe bwose. Muganga wawe azahindura urugero rw'imiti yawe ashingiye ku bisubizo by'ibizamini by'amaraso kugira ngo urwego rwa hormone yawe rugume mu rwego rwo hejuru.

Ni gute wakwitaho nyuma ya thyroïdectomie?

Gucunga ubuzima bwawe nyuma yo kubaga umusonga w'umuhogo bishingiye ku gusimbuza imisemburo, gukurikirana ibibazo, no gushyigikira imikorere yawe yose. Abantu benshi babaho neza nyuma yo kubagwa umusonga w'umuhogo kandi bashobora gusubira mu bikorwa byabo bisanzwe mu byumweru bike.

Niba warabazwe umusonga w'umuhogo wose, uzakenera gufata imiti isimbura imisemburo ya thyroid buri munsi ubuzima bwawe bwose. Uyu muti usimbuza imisemburo umusonga w'umuhogo wawe wakundaga gukora. Muganga wawe azakorana nawe kugirango abone urugero rukwiriye rutuma wumva umeze neza.

Inama zisanzwe zo gukurikirana ni ngombwa mugukurikirana imikorere yawe no gupima urugero rw'imisemburo. Itsinda ryawe ryita ku buzima rizagena izi nama kandi rizakumenyesha icyo witegura mugihe cyo gusura buri gihe.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe no kubagwa umusonga w'umuhogo?

Nubwo kubagwa umusonga w'umuhogo muri rusange ari uburyo bwizewe, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo. Kumva ibi bintu byongera ibyago bifasha wowe n'ikipe yawe ibaga gufata ingamba zikwiye no gufata ibyemezo bifitiye akamaro kubyerekeye ubuvuzi bwawe.

Ibintu byinshi bishobora kongera ibyago byo kugira ibibazo mugihe cyangwa nyuma yo kubagwa:

• Kubagwa mu ijosi mbere: Icyo bita scar tissue cyangwa inkovu ziterwa n'ibikorwa byabanje bishobora gutuma kubaga bigorana
• Umusonga munini: Imiyoboro ya thyroid yagutse cyane irashobora kugorana gukuraho neza
• Hyperthyroidism: Umusonga ukora cyane wongera ibyago byo kuva amaraso n'ibindi bibazo
• Kanseri yateye: Kanseri ikomeye isaba kubagwa cyane irimo ibyago byinshi
• Uburwayi bumwe na bumwe: Indwara z'umutima, indwara zo kuva amaraso, cyangwa izindi ndwara zikomeye
• Ubukure: Muri rusange ibyago byinshi byo kubagwa, nubwo abantu benshi bakuze babaho neza

Umuvuzi wawe azasuzuma neza ibyago byawe bwite akaganira uko bishobora kugira ingaruka ku miterere yawe. Kugira ibyago ntibisobanura ko uzagira ibibazo, ariko bifasha ikipe yawe kwitegura neza.

Ni izihe ngaruka zishobora guterwa no gukuraho umushikiri?

Nubwo abantu benshi bakira neza nyuma yo gukuraho umushikiri nta bibazo bikomeye, ni ngombwa gusobanukirwa ingaruka zishobora kubaho kugirango uzimenye hakiri kare kandi ushake ubuvuzi bukwiye. Ikipe yawe ishinzwe kubaga ifata ingamba nyinshi zo kugabanya ibi byago.

Ingaruka zisanzwe zikunze gucungwa kandi akenshi ziba igihe gito:

• Impinduka z'ijwi ry'igihe gito: Ijwi ryumvikana nabi cyangwa intege nke z'ijwi zisanzwe zikira mu byumweru bike
• Urwego rwa kalisiyumu ruto: Kugabanuka kw'igihe gito kwa kalisiyumu niba imitsi ya paratiroyide yagizweho ingaruka mugihe cyo kubaga
• Ukuva amaraso: Ukuva amaraso gake ni ibisanzwe, ariko ukuva amaraso cyane bishobora gusaba ubuvuzi bwiyongera
• Udukoko: Udukoko mu gice cyo kubagiramo, nubwo ibi bidakunze kubaho mugihe cy'ubuvuzi bwiza
• Urubavu: Urubavu rwinshi rushira neza uko igihe gihita kandi rushobora kugabanuka mugihe cy'ubuvuzi bwiza

Ingaruka zikomeye ariko zitabaho harimo impinduka z'ijwi rihoraho niba imitsi ya laryngeal yongera yangiritse, n'urwego rwa kalisiyumu ruto rwa burundu niba imitsi ya paratiroyide itashoboye kubungabungwa. Umuvuzi wawe azaganira kuri ibi byago byihariye kubera imiterere yawe.

Ninde gihe nkwiriye kubona umuganga nyuma yo gukuraho umushikiri?

Ugomba kuvugana n'ikipe yawe ishinzwe ubuzima niba ubonye ibimenyetso bibangamiye nyuma yo gukuraho umushikiri. Nubwo kutumva neza bimwe n'impinduka bisanzwe nyuma yo kubagwa, ibimenyetso bimwe bisaba ubuvuzi bwihuse.

Hamagara umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso:

• Uburibwe bukomeye mu ijosi cyangwa kubyimba: Cyane cyane niba birimo birushaho kuba bibi aho kuba byiza
• Kugorana guhumeka cyangwa kumira: Ibi bishobora kwerekana kubyimba cyangwa kuva amaraso mu ijosi ryawe
• Ibimenyetso by’ubwandu: Umuriro, gutukura kurushaho, gushyuha, cyangwa kuvamo amazi ku gikomere
• Kugira urugingo rukomeye cyangwa ububabare: By'umwihariko hafi y'umunwa wawe cyangwa mu ntoki zawe n'ibirenge
• Uruhare rw'imitsi cyangwa kwikurura: Ibi bishobora kwerekana urwego rwo hasi rwa kalisiyumu
• Impinduka zikomeye mu ijwi: Cyane cyane niba ijwi ryawe rigenda ricika intege cyane cyangwa udashobora kuvuga

Kugira ngo ukurikiranwe buri gihe, mubisanzwe uzabona umuganga wabaze mu cyumweru kimwe cyangwa bibiri nyuma yo kubagwa, hanyuma buri gihe kugira ngo ukurikirane urwego rw'imisemburo yawe n'imikorere yawe muri rusange. Ntukazuyaze kuvugana niba ufite ikibazo icyo aricyo cyose cyangwa impungenge.

Ibikunze kubazwa ku bijyanye no gukuraho umusonga

Q1: Gukuraho umusonga ni bwo buryo bwiza bwo kuvura kanseri y'umusonga?

Gukuraho umusonga akenshi ni uburyo bwibanze bwo kuvura kanseri y'umusonga, cyane cyane ku duheri tunini cyangwa ubwoko bwa kanseri bukaze. Ku bantu benshi barwaye kanseri y'umusonga, gukuraho umusonga bitanga amahirwe meza yo gukira kandi birinda kanseri gukwirakwira. Ariko, kanseri nto cyane y'umusonga rimwe na rimwe ishobora gukurikiranwa aho guhita ikurwaho, bitewe n'uko ubuzima bwawe buhagaze n'icyo umuganga wawe agushyiraho.

Q2: Nzabyibuha nyuma yo gukuraho umusonga?

Impinduka z'uburemere nyuma yo gukuraho umusonga zirashoboka ariko ntibisanzwe. Niba ufata imiti yawe isimbura imisemburo y'umusonga nk'uko byategetswe kandi ugakomeza urwego rukwiye rw'imisemburo, imikorere yawe igomba gukora neza. Abantu bamwe baragira impinduka z'uburemere bw'agateganyo mugihe urwego rw'imisemburo yabo riri gukosorwa, ariko abantu benshi bagumana uburemere buhamye mugihe urugero rw'imiti yabo rumeze neza.

Q3: Bifatira igihe kingana iki gukira nyuma yo gukuraho umusonga?

Abantu benshi bashobora gusubira mu bikorwa bisanzwe mu byumweru 2-3 nyuma yo kubagwa umushonga. Birashoboka ko uzumva unaniwe mu cyumweru kimwe cyangwa bibiri bya mbere, kandi ijosi ryawe rishobora kumva ribabara kandi rigoye. Ibikorwa byoroheje mubisanzwe bishobora gusubukurwa nyuma y'iminsi mike, ariko ugomba kwirinda kuzamura ibintu biremereye cyangwa gukora imyitozo ikomeye mu byumweru 2-3. Muganga wawe uzaguha amabwiriza yihariye ashingiye ku buryo bwawe bwihariye bwo koroherwa.

Q4: Mbese nshobora kubaho ubuzima busanzwe ntakoresha umushonga wanjye?

Yego, rwose ushobora kubaho ubuzima bwuzuye, busanzwe nyuma yo kubagwa umushonga. Hamwe n'imiti ikwiye yo gusimbuza imisemburo ya thyroïde, umubiri wawe uzakora nkuko byari bimeze mbere yo kubagwa. Abantu benshi barumva barushijeho kumera neza nyuma yo kubagwa, cyane cyane niba bari bafite ibibazo bya thyroïde byatezaga ibimenyetso. Ikintu cyingenzi ni ugukorana n'ikipe yawe y'ubuzima kugirango ubone urugero rukwiye rwo gusimbuza imisemburo kuri wowe.

Q5: Mbese ijwi ryanjye rizahinduka burundu nyuma yo kubagwa umushonga?

Abantu benshi bahura gusa n'impinduka z'ijwi ry'agateganyo nyuma yo kubagwa umushonga, ijwi ryabo risubira mu buryo busanzwe mu byumweru bike. Impinduka z'ijwi rihoraho ntizisanzwe, zibaho kuri 5% gusa by'abantu bakora ubu bwoko bw'ubuganga. Muganga wawe yitaho cyane kurinda imitsi igenzura imirya yawe y'ijwi mugihe cy'iki gikorwa. Niba uhuye n'impinduka z'ijwi, kuvura ijwi kenshi bishobora gufasha kunoza ubuziranenge bw'ijwi ryawe.