Chii chinonzi Thyroidectomy? Chinangwa, Maitiro & Kupora

Thyroidectomy inzira yekuvhiya yekubvisa zvachose kana chikamu chethyroid gland yako. Gland iyi yakaita semashavede inogara pazasi pemutsipa wako uye inogadzira mahomoni anotonga metabolism yako, kumhanya kwemoyo, uye tembiricha yemuviri. Kana matambudziko e-thyroid asingakwanise kutarisirwa nemishonga chete, kuvhiyiwa kungave nzira yakanakisa yekukubatsira kuti unzwe zviri nani.

Chii chinonzi thyroidectomy?

Thyroidectomy ndiyo kubviswa kwekuvhiya kweiyo thyroid gland yako, chikamu kana zvachose. Chiremba anovhiya anoita incision diki muchikamu chezasi chemutsipa wako kuti awane thyroid gland zvakachengeteka. Iyi nzira inowanzo tora 1-2 maawa, zvichienderana nekuti yakawanda sei gland inoda kubviswa.

Kune mhando dzakasiyana dze thyroidectomy zvichienderana nemamiriro ako chaiwo. Partial thyroidectomy inobvisa chikamu chete chegland, nepo total thyroidectomy inobvisa iyo yese gland. Chiremba wako achakurudzira nzira yakanakisa yemamiriro ako ezvinhu.

Kuvhiyiwa uku kunoitwa pasi pe general anesthesia, saka uchavata zvachose uye uchinzwa wakasununguka panguva yese yekuita. Vanhu vazhinji vanogona kuenda kumba zuva rimwe chete kana mushure mehusiku hwese muchipatara.

Nei thyroidectomy ichiitwa?

Thyroidectomy inokurudzirwa kana matambudziko e-thyroid akanyanya kukanganisa hutano hwako uye asingakwanise kurapwa nemishonga. Chiremba wako anonyatso kuyera mabhenefiti nenjodzi asati akurudzira kuvhiyiwa senzira yakanakisa kwauri.

Mamiriro akati wandei anogona kuita kuti thyroidectomy ive yakakosha, uye kunzwisisa izvi kunogona kukubatsira kuti unzwe wakavimbika nezvekurapa kwako:

• Kenza yethyroid: Chikonzero chikuru chekubviswa kwethyroid yese, kunyanya kana maseru ekenza aripo kana achifungidzirwa
• Goiter hombe: Kana chinyamwa chihombe chethyroid chichikonzera matambudziko ekumedza, kufema, kana kugadzira matambudziko ekushongedza
• Thyroid inoshanda zvakanyanya (hyperthyroidism): Kana mishonga uye iodine yeradioactive isingadzore kugadzirwa kwehomoni yakawandisa
• Zvimedu zvethyroid zvinofungira: Kana zvikuru zviri muthyroid zvisingakwanise kuongororwa zvakajeka sezvisina njodzi kuburikidza nekuyedzwa
• Chirwere chaGraves: Mamiriro ekuzvitonga emuviri anokonzera hyperthyroidism yakakomba isingapinduri kune dzimwe nzira dzekurapa

Chikwata chako chehutano chichakurukura mamiriro ako chaiwo zvakadzama, chichivimbisa kuti unonzwisisa kuti sei kuvhiyiwa kuchikurudzirwa uye kuti dzimwe sarudzo dzingavepo.

Ndeipi nzira yekuvhiya thyroidectomy?

Maitiro ekuvhiya thyroidectomy anotevedza maitiro akanyatsojeka, nhanho-ne-nhanho akagadzirirwa kubvisa zvakachengeteka chinyamwa chako chethyroid uchidzivirira zvivakwa zvakakosha zvakatenderedza. Chikwata chako chekuvhiya chine ruzivo rwakawanda rwekuita maitiro aya uye chichatora matanho ese ekuchenjerera kuti uve nechokwadi chekuchengeteka kwako.

Zvinoitika panguva yako thyroidectomy:

1. Anesthesia: Uchapihwa anesthesia yakajairika kuti muve nemafaro zvizere uye murare panguva yekuvhiyiwa
2. Kuiswa: Mutsi wenyu uchaiswa uye kutsigirwa kuti muvhi wenyu awane mukana wakanaka wekuwana chinyamunhu chenyu chethyroid
3. Kucheka: Kucheka kudiki kwakatwasuka kunoitwa muchikamu chepasi pemutsipa wenyu, kazhinji kuchitevera crease yeganda rechisikigo
4. Kubviswa kwegland: Muvhi wenyu anonyatso paradzanisa chinyamunhu chethyroid kubva kumatishu akapoteredza uye midzi yeropa
5. Kudzivirirwa kwetsinga: Kuchengetwa kwakakosha kunoitwa kudzivirira tsinga dze laryngeal dzinodzokera shure dzinodzora tambo dzenyu dzezwi
6. Kuchengetedzwa kweParathyroid: Zvinyamunhu zvidiki zveparathyroid zvinodzora mazinga ecalcium zvinochengetedzwa zvakanyatso kana zvichibvira
7. Kuvhara: Kucheka kunovharwa nemasutures kana glue yekuvhiya, uye drain diki inogona kuiswa kwenguva pfupi

Maitiro ese anowanzo tora 1-2 maawa, kunyangwe zvingatora nguva yakareba kana uri kuita thyroidectomy yakazara kana kana paine matambudziko. Muvhi wenyu achakuchengetai iwe nemhuri yako muchiziviswa nguva dzese.

Maitiro ekugadzirira thyroidectomy yako?

Kugadzirira thyroidectomy kunosanganisira matanho akati wandei akakosha anobatsira kuona kuti kuvhiyiwa kwako kunofamba zvakanaka uye kupora kwako kunonyaradza sezvinobvira. Chikwata chako chehutano chichakutungamirira kuburikidza nedanho rega rega rekugadzirira uye kupindura chero mibvunzo yaungave uine.

Mumavhiki mashoma asati kuvhiyiwa kwako, uchada kutarisira zvinhu zvishoma zvakakosha:

• Kuedzwa kusati kwavhiyiwa: Basa reropa, pamwe EKG, uye zvidzidzo zve imaging kuti uve nechokwadi chekuti wakagadzirira kuvhiyiwa
• Ongororo yemishonga: Mimwe mishonga inogona kuda kumiswa kana kuchinjwa isati yavhiyiwa, kunyanya zvinoderedza ropa
• Kutariswa kwehomoni yethyroid: Kana uine hyperthyroidism, unogona kuda mushonga wekujairira mazinga ako ehomoni kutanga
• Mirairo yekutsanya: Unozofanira kumisa kudya nekunwa panguva yakatarwa usati wavhiyiwa, kazhinji mushure mepakati peusiku
• Kuronga kuronga: Ronga kutakura kumba uye rubatsiro nemabasa ezuva nezuva kwemazuva mashoma ekutanga

Chiremba wako achapa mirairo yakadzama yakatarwa kune mamiriro ako. Kutevera matanho ekugadzirira aya nekuchenjerera kunobatsira kuderedza njodzi yematambudziko uye inotsigira maitiro ekupora akatsetseka.

Ungaverenga sei mhedzisiro yako yethyroidectomy?

Kunzwisisa mhedzisiro yako yethyroidectomy kunosanganisira kutarisa zvese zvakawanikwa zvekushanda uye chirevo chepathology yenyama yakabviswa. Chiremba wako achakutsanangurira mhedzisiro iyi zvakadzama, asi kuziva zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira hurukuro idzi.

Chirevo chepathology chichakuudza chaizvo zvakawanikwa munyama yako yethyroid. Kana wakavhiyiwa nekuda kwekanzera, chirevo ichi chichasimbisa kana maseru ekenza aivapo uye, kana zvakadaro, rudzi rwei uye nhanho. Kune mamiriro akanaka, chirevo chichatsanangura rudzi rwechinetso chethyroid raiva newe.

Mushure mekuvhiyiwa, iwe unozodawo bvunzo dzeropa dzenguva dzose kuti utarise mazinga ako ehomoni yethyroid. Kana wakaita total thyroidectomy, unozofanira kutora mushonga wekutsiva hormone yethyroid kwehupenyu hwese. Chiremba wako achachinja muyero wemishonga yako zvichibva pamhedzisiro yebvunzo yeropa iyi kuti uchengetedze mazinga ako ehomoni mumhando yakanaka.

Ungatarisira sei hutano hwako mushure me thyroidectomy?

Kutarisira hutano hwako mushure me thyroidectomy kunotarisa pakutsiva mahomoni, kuongorora matambudziko, uye kutsigira kupora kwako kwese. Vanhu vazhinji vanofamba zvakanaka mushure mekuvhiyiwa kwe thyroid uye vanogona kudzokera kuzviitiko zvavo zvenguva dzose mukati memavhiki mashoma.

Kana wakaita total thyroidectomy, uchada kutora mushonga wekutsiva mahomoni e thyroid zuva rega rega kweupenyu hwako hwese. Mushonga uyu unotsiva mahomoni ayo gland yako ye thyroid yaishandisa kugadzira. Chiremba wako achashanda newe kuti awane dose yakakodzera inoita kuti unzwe zvakanaka.

Misangano yenguva dzose yekutevera yakakosha pakuongorora kupora kwako uye mazinga emahormone. Chikwata chako chehutano chichaita misangano iyi uye kukuzivisa zvekutarisira panguva yekushanya kwega kwega.

Ndezvipi zvinhu zvinokonzera njodzi yematambudziko e thyroidectomy?

Nepo thyroidectomy kazhinji iri nzira yakachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko. Kunzwisisa izvi zvinhu zvinokonzera njodzi zvinokubatsira iwe nechikwata chako chekuvhiya kutora matanho akakodzera uye kuita sarudzo dzine ruzivo nezve kutarisirwa kwako.

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko panguva kana mushure mekuvhiyiwa:

• Kuvhiyiwa kwemutsipa kwakamboitwa: Nyama ine mavanga kubva kune nzira dzakamboitwa inogona kuita kuti kuvhiyiwa kuve kwakaoma
• Goiter hombe: Gland ye thyroid yakakura zvikuru inogona kuva yakaoma kubvisa zvakachengeteka
• Hyperthyroidism: Thyroid inoshanda zvakanyanya inowedzera njodzi yekubuda ropa nemamwe matambudziko
• Kenza ine kupararira: Kenza yepamusoro inoda kuvhiyiwa kwakanyanya inotakura njodzi huru
• Zvimwe zvirwere: Chirwere chemoyo, matambudziko ekubuda ropa, kana mamwe matambudziko makuru ehutano
• Zera rekare: Kazhinji njodzi yepamusoro yekuvhiya, kunyangwe vanhu vakuru vakawanda vachifamba zvakanaka

Chiremba wako achanyatsoongorora njodzi dzako dzega uye achakurukura kuti dzingakanganisa sei mamiriro ako chaiwo. Kuva nezvinhu zvine njodzi hazvirevi kuti zvechokwadi uchava nematambudziko, asi zvinobatsira timu yako kugadzirira zvakakodzera.

Ndezvipi zvingaitika zvekukuvadzwa kwe thyroidectomy?

Nepo vanhu vazhinji vachipora kubva ku thyroidectomy vasina matambudziko akakomba, zvakakosha kunzwisisa zvinogona kuitika kuitira kuti uzvizive nekukurumidza uye kutsvaga kutarisirwa kwakakodzera. Chikwata chako chekuvhiya chinotora matanho mazhinji kuderedza njodzi idzi.

Matambudziko anowanzoitika anowanzo manejwa uye anowanzoita echinguvana:

• Kuchinja kwezwi kwenguva pfupi: Kusvava kana kusimba kwezwi iro rinowanzoita nani mukati memavhiki mashoma
• Mazinga mashoma e calcium: Kudonha kwenguva pfupi kwe calcium kana ma parathyroid glands akakanganiswa panguva yekuvhiya
• Kubuda ropa: Kumwe kubuda ropa kwakajairika, asi kubuda ropa kwakakosha kunogona kuda kumwe kurapwa
• Kutapukirwa: Kuvhiya kwenzvimbo yekutapukirwa, kunyangwe izvi zvisingawanzoitiki nekutarisirwa kwakakodzera
• Kuumbwa kwemavanga: Mavanga mazhinji anonyangarika zvakanyanya nekufamba kwenguva uye anogona kuderedzwa nekutarisirwa kwakakodzera

Zvimwe zvakakomba asi zvisingawanzoitiki zvinosanganisira kuchinja kwezwi zvachose kana tsinga ye recurrent laryngeal yakuvadzwa, uye mazinga mashoma e calcium zvachose kana ma parathyroid glands asingagoni kuchengetedzwa. Chiremba wako achakurukura njodzi idzi zvakanyanya pamamiriro ako ezvinhu.

Ndinofanira kuona chiremba rini mushure me thyroidectomy?

Unofanira kubata timu yako yehutano kana ukaona chero zviratidzo zvinonetsa mushure me thyroidectomy yako. Nepo kusagadzikana uye shanduko zvakajairika mushure mekuvhiya, zviratidzo zvakati wandei zvinoda kutariswa kwekurapa nekukurumidza.

Fonera chiremba wako nekukurumidza kana ukaona chero eaya zviratidzo:

• Kurwadziwa kwakanyanya mumutsipa kana kuzvimba: Kunyanya kana kuri kuwedzera pane kuvandudzika
• Kutadza kufema kana kumedza: Izvi zvinogona kuratidza kuzvimba kana kubuda ropa mumutsipa wako
• Zviratidzo zveutachiona: Fivha, kuwedzera kutsvuka, kudziya, kana kubuda kubva pakuvhiyiwa kwako
• Kutinhira kana kusagadzikana kwakanyanya: Kunyanya pamuromo wako kana mumaoko ako netsoka
• Muscle spasms kana cramping: Izvi zvinogona kuratidza mazinga mashoma e calcium
• Kuchinja kukuru kweinzwi: Kunyanya kana izwi rako rikava risina simba kana usingakwanise kutaura

Kuti utarise nguva dzose, iwe unowanzoona chiremba wako mukati mevhiki kana maviri mushure mekuvhiyiwa, wobva wagara uchitarisa mazinga ako emahormone uye kupora kwese. Usazeze kubata kana uine chero mibvunzo kana zvinokunetsa.

Mibvunzo inowanzo bvunzwa nezve thyroidectomy

Q1: Ko thyroidectomy ndiyo kurapwa kwakanakisa kwekenza yethyroid here?

Thyroidectomy inowanzoita kurapwa kwekutanga kwekenza yethyroid, kunyanya kune tuma tumor tukuru kana mhando dzekenza dzine hasha. Kune vanhu vazhinji vane kenza yethyroid, kubvisa chinyavada kunopa mukana wakanakisa wekurapa uye kunodzivirira kenza kubva pakupararira. Zvisinei, kenza diki diki diki diki dzinogona dzimwe nguva kuongororwa pane kubviswa pakarepo, zvichienderana nemamiriro ako chaiwo uye kurudziro yachiremba wako.

Q2: Ndiri kuwedzera uremu mushure me thyroidectomy here?

Kuchinja kwehuremu mushure me thyroidectomy kunogoneka asi kwete kusingadzivisiki. Kana iwe ukatora mushonga wako wekutsiva mahormone e thyroid sezvakanyorwa uye uchengetedze mazinga akakodzera emahormone, metabolism yako inofanira kushanda zvakajairika. Vamwe vanhu vanowana shanduko yehuremu kwenguva pfupi apo mazinga avo emahormone ari kugadziriswa, asi vanhu vazhinji vanochengetedza huremu hwakagadzikana kana mushonga wavo wemishonga wagadziridzwa.

Q3: Kupora kwe thyroidectomy kunotora nguva yakareba sei?

Vanhu vazhinji vanogona kudzokera kuzvinhu zvavo zvakajairika mukati memavhiki 2-3 mushure mekuvhiyiwa kwe thyroidectomy. Zvichida uchanzwa wakaneta kwevhiki rimwe kana maviri ekutanga, uye mutsipa wako unogona kunzwa kurwadza uye kuoma. Mabasa akareruka anowanzoitwa mukati memazuva mashoma, asi unofanira kudzivisa kusimudza zvinhu zvinorema kana kurovedza muviri zvakanyanya kwemavhiki anenge 2-3. Chiremba wako achakupa gwara rakatarwa zvichienderana nekupora kwako kwega.

Q4: Ndingararama hupenyu hwakajairika ndisina thyroid yangu here?

Hongu, unogona kurarama hupenyu huzere, hwakajairika mushure me thyroidectomy. Nekurapa kwakakodzera kwehormone yekutsiva thyroid, muviri wako uchashanda sezvawaizoita pamberi pekuvhiyiwa. Vanhu vazhinji vanotozonzwa zviri nani mushure mekuvhiyiwa, kunyanya kana vaive nematambudziko e thyroid aive achikonzera zviratidzo. Chinhu chakakosha kushanda nechikwata chako chehutano kuti uwane chiyero chakakodzera chekutsiva hormone kwauri.

Q5: Izwi rangu richachinja zvachose mushure me thyroidectomy here?

Vanhu vazhinji vanongonzwa shanduko dzeizwi kwenguva pfupi mushure me thyroidectomy, izwi ravo richidzokera kune zvakajairika mukati memavhiki mashoma. Shanduko dzeizwi dzisingaperi hadziwanzowanikwa, dzichitika muvanhu vashoma pane 5% vane kuvhiyiwa uku. Chiremba wako anotarisira zvakanyanya kuchengetedza tsinga dzinodzora tambo dzako dzeizwi panguva yekuita. Kana iwe ukachinja izwi, kurapa kwekutaura kunogona kubatsira kuvandudza mhando yezwi rako.