Yini i-Thyroidectomy? Inhloso, Inqubo & Ukululama

I-thyroidectomy iyinqubo yokuhlinzwa yokususa yonke noma ingxenye yegland yakho ye-thyroid. Le gland emise okwamavemvane ihlezi ngaphansi kwentamo yakho futhi ikhiqiza amahomoni alawula imetabolism yakho, isilinganiso senhliziyo, kanye nezinga lokushisa lomzimba. Uma izinkinga ze-thyroid zingalawulwa ngemithi kuphela, ukuhlinzwa kungase kube yindlela engcono phambili yokukusiza ukuthi uzizwe ungcono.

Yini i-thyroidectomy?

I-Thyroidectomy ukususwa ngokuhlinzwa kwegland yakho ye-thyroid, ngokwengxenye noma ngokuphelele. Udokotela ohlinzayo wenza ukusikeka okuncane engxenyeni engezansi yentamo yakho ukuze afinyelele i-gland ye-thyroid ngokuphepha. Le nqubo ngokuvamile ithatha amahora angu-1-2, kuye ngokuthi ingakanani i-gland okudingeka isuswe.

Kunezinhlobo ezahlukene ze-thyroidectomy ngokusekelwe esimweni sakho esithile. I-thyroidectomy engxenye isusa ingxenye kuphela ye-gland, kuyilapho i-thyroidectomy ephelele isusa yonke i-gland. Udokotela wakho uzoncoma indlela engcono kakhulu yesimo sakho.

Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele futhi uzizwa ukhululekile kuyo yonke inqubo. Abantu abaningi bangahamba ngosuku olufanayo noma ngemva kokuhlala ebusuku esibhedlela.

Kungani kwenziwa i-thyroidectomy?

I-Thyroidectomy incomwa uma izinkinga ze-thyroid zithinta kakhulu impilo yakho futhi zingelashwa ngemithi ngempumelelo. Udokotela wakho ulinganisela ngokucophelela izinzuzo nezingozi ngaphambi kokusikisela ukuhlinzwa njengenketho engcono kuwe.

Izimo eziningana zingase zidingeke i-thyroidectomy, futhi ukuqonda lezi kungakusiza ukuthi uzizwe uqiniseka kakhulu ngohlelo lwakho lokwelashwa:

• Umdlavuza wendlala yegilo: Isizathu esivame kakhulu sokususwa okuphelele kwendlala yegilo, ikakhulukazi lapho amangqamuzana omdlavuza ekhona noma esolwa
• I-goiter enkulu: Lapho indlala yegilo ekhulisiwe ibangela ubunzima bokugwinya, ukuphefumula, noma idala izinkinga zobuhle
• Indlala yegilo esebenza ngokweqile (i-hyperthyroidism): Lapho imithi ne-iodine enomsakazo ingalawuli ukukhiqizwa kwamahomoni ngokweqile
• Ama-nodules wendlala yegilo asolisayo: Lapho izigaxa endlaleni yegilo zingakwazi ukuxilongwa ngokuqinisekile njengezingelona ububi ngokuhlolwa
• Isifo sikaGraves: Isimo se-autoimmune esibangela i-hyperthyroidism enzima engaphenduli kwezinye izindlela zokwelapha

Iqembu lakho lezempilo lizoxoxa ngesimo sakho esithile ngokuningiliziwe, liqinisekise ukuthi uyaqonda ukuthi kungani kuhlongozwa ukuhlinzwa nokuthi yiziphi ezinye izinketho ezingase zitholakale.

Yini inqubo ye-thyroidectomy?

Inqubo ye-thyroidectomy ilandela inqubo eqaphelayo, yesinyathelo ngesinyathelo eyenzelwe ukususa ngokuphepha indlala yakho yegilo ngenkathi ivikela izakhiwo ezibalulekile ezizungezile. Ithimba lakho lokuhlinzwa linolwazi oluningi ekwenzeni le nqubo futhi lizothatha zonke izinyathelo zokuphepha ukuze liqinisekise ukuphepha kwakho.

Nakhu okwenzekayo ngesikhathi se-thyroidectomy yakho:

1. I-Anesthesia: Uzothola i-anesthesia ejwayelekile ukuqinisekisa ukuthi uzizwa ukhululekile ngokuphelele futhi ulele ngesikhathi sokuhlinzwa
2. Ukubeka: Intamo yakho izobekwa futhi isekelwe ukuze inikeze udokotela ohlinzayo ukufinyelela okungcono kakhulu endleni yakho yegland yegilo
3. Ukunqunywa: Ukunqunywa okuncane okuvundlile kwenziwa engxenyeni engezansi yentamo yakho, ngokuvamile kulandela ukuthambeka kwesikhumba kwemvelo
4. Ukususwa kwegland: Udokotela ohlinzayo wakho uhlukanisa ngokucophelela igland yegilo ezicutshini eziyizungezile nemithambo yegazi
5. Ukuvikelwa kwemizwa: Ukunakekelwa okukhethekile kuthathwa ukuvikela imizwa ye-laryngeal ephindayo elawula izintambo zakho zezwi
6. Ukulondolozwa kwe-Parathyroid: Amagland amancane e-parathyroid alawula amazinga e-calcium alondolozwa ngokucophelela uma kungenzeka
7. Ukuvalwa: Ukunqunywa kuvalwa ngama-sutures noma i-glue yokuhlinzwa, futhi umsele omncane ungafakwa okwesikhashana

Inqubo yonke ngokuvamile ithatha ihora elingu-1-2, nakuba kungase kuthathe isikhathi eside uma uhlinzwa i-thyroidectomy ephelele noma uma kunezinkinga. Udokotela wakho ohlinzayo uzokugcina wena nomndeni wakho nisesikhathini sonke lesi sikhathi.

Ungalungiselela kanjani i-thyroidectomy yakho?

Ukulungiselela i-thyroidectomy kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa ukuthi ukuhlinzwa kwakho kuhamba kahle nokuthi ukululama kwakho kuzoba lula ngangokunokwenzeka. Ithimba lakho lezempilo lizokuqondisa kuzo zonke izinyathelo zokulungiselela futhi liphendule noma yimiphi imibuzo ongase ube nayo.

Emasontweni ngaphambi kokuhlinzwa kwakho, uzodinga ukunakekela izinto ezimbalwa ezibalulekile:

• Ukuvivinywa ngaphambi kokuhlinzwa: Ukuhlolwa kwegazi, mhlawumbe i-EKG, kanye nezifundo zokucabanga ukuqinisekisa ukuthi usukulungele ukuhlinzwa
• Ukubuyekezwa kwemithi: Eminye imithi ingase idinge ukumiswa noma ukulungiswa ngaphambi kokuhlinzwa, ikakhulukazi ama-blood thinners
• Ukuphathwa kwe-hormone yegilo: Uma une-hyperthyroidism, ungase udinge imithi ukuze ujwayele amazinga akho e-hormone kuqala
• Imiyalo yokuzila ukudla: Kuzodingeka uyeke ukudla nokuphuza ngesikhathi esithile ngaphambi kokuhlinzwa, ngokuvamile ngemva kwamabili
• Ukuhlela amalungiselelo: Hlela ezokuthutha ekhaya nosizo ngemisebenzi yansuku zonke izinsuku ezimbalwa zokuqala

Udkt wakho ohlinzayo uzohlinzeka ngemiyalelo enemininingwane ethile esimweni sakho. Ukulandela lezi zinyathelo zokulungiselela ngokucophelela kusiza ukunciphisa ingozi yezinkinga futhi kusekela inqubo yokululama ebushelelezi.

Ungazifunda kanjani imiphumela yakho ye-thyroidectomy?

Ukuqonda imiphumela yakho ye-thyroidectomy kuhilela ukubheka kokubili okutholwe ngokuhlinzwa kanye nombiko we-pathology wethishu esusiwe. Udkt wakho ohlinzayo uzokuchazela le miphumela ngemininingwane, kodwa ukwazi ukuthi okulindelekile kungakusiza uzizwe ulungiseleleke kakhulu lezi zingxoxo.

Umbiko we-pathology uzokutshela ngqo ukuthi yini etholwe ethishwini lakho legilo. Uma uhlinzwe ngenxa yokusolwa ngumdlavuza, lo mbiko uzoqinisekisa ukuthi amangqamuzana omdlavuza ayekhona yini futhi, uma kunjalo, hlobo luni nesigaba sini. Ezimweni ezinobubele, umbiko uzochaza uhlobo oluthile lwesifo segilo onaso.

Ngemva kokuhlinzwa, uzodinga futhi ukuhlolwa kwegazi njalo ukuze uqaphe amazinga akho e-hormone yegilo. Uma uhlinzwe i-thyroidectomy ephelele, uzodinga ukuthatha imithi yokushintsha i-hormone yegilo impilo yakho yonke. Udkt wakho uzolungisa umthamo wakho wemithi ngokusekelwe kule miphumela yokuhlolwa kwegazi ukuze ugcine amazinga akho e-hormone ebangeni eliphezulu.

Ungayiphatha kanjani impilo yakho ngemva kwe-thyroidectomy?

Ukuphatha impilo yakho ngemva kokuhlinzwa kwegilo kugxila ekufakweni kwamahomoni, ukuqapha izinkinga, nokusekela ukululama kwakho konke. Abantu abaningi benza kahle kakhulu ngemva kokuhlinzwa kwegilo futhi bangakwazi ukubuyela emisebenzini yabo ejwayelekile emasontweni ambalwa.

Uma uhlinzwe igilo lonke, uzodinga ukuthatha imithi yokufaka amahomoni egilo nsuku zonke impilo yakho yonke. Le mithi ithatha indawo yamahomoni igilo lakho elalivame ukuwakhiqiza. Udokotela wakho uzosebenza nawe ukuthola umthamo ofanele okwenza uzizwe ungcono kakhulu.

Ukuqokwa okuvamile kokulandela kubalulekile ekuqapheni ukululama kwakho kanye namazinga amahomoni. Ithimba lakho lezempilo lizohlela lokhu kuqokwa futhi likwazise ukuthi kulindeleke ini ngesikhathi sokuvakasha ngakunye.

Ziyini izici eziyingozi zezinkinga ze-thyroidectomy?

Ngenkathi i-thyroidectomy ngokuvamile iyinqubo ephephile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza wena nethimba lakho lokuhlinza ukuthi nithathe izinyathelo zokuphepha ezifanele futhi nenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho.

Izici eziningana zingakhuphula ingozi yakho yezinkinga ngesikhathi noma ngemva kokuhlinzwa:

• Ukuhlinzwa kwentamo kwangaphambilini: Izicubu ezinamathambo ezivela ezinqubweni zangaphambilini zingenza ukuhlinzwa kube yinselelo enkulu
• I-goiter enkulu: Amagilo amakhulu kakhulu angaba nzima kakhulu ukuwasusa ngokuphepha
• I-Hyperthyroidism: Igilo elisebenza ngokweqile likhuphula ingozi yokopha nezinye izinkinga
• Umkhuhlane onokusabalala: Umkhuhlane othuthukile odinga ukuhlinzwa okukhulu uthwele izingozi eziphakeme
• Ezinye izimo zezokwelapha: Isifo senhliziyo, izifo zokopha, noma ezinye izinkinga ezinkulu zempilo
• Ubudala obudala: Ngokuvamile ingozi yokuhlinzwa ephezulu, nakuba abadala abaningi benza kahle kakhulu

Udktela wakho ohlinzayo uzohlola ngokucophelela izici zakho eziyingozi futhi axoxe ngendlela ezingathinta ngayo isimo sakho esithile. Ukuba nezici eziyingozi akusho ukuthi nakanjani uzoba nezinkinga, kodwa kusiza ithimba lakho ukuthi lilungiselele ngendlela efanele.

Ziyini izinkinga ezingase zibe khona ze-thyroidectomy?

Ngenkathi abantu abaningi belulama ku-thyroidectomy ngaphandle kwezinkinga ezinkulu, kubalulekile ukuqonda izinkinga ezingase zibe khona ukuze uzibone ngokushesha futhi ufune ukunakekelwa okufanele. Ithimba lakho lokuhlinza lithatha izinyathelo eziningi zokunciphisa lezi zingozi.

Izinkinga ezivame kakhulu ngokuvamile ziyaqondakala futhi zivame ukuba zesikhashana:

• Ushintsho lwezwi lwesikhashana: Ukuminyana noma ubuthakathaka bezwi obuvame ukuthuthuka emasontweni ambalwa
• Amazinga e-calcium aphansi: Ukwehla kwesikhashana kwe-calcium uma amaglandula e-parathyroid ethinteka ngesikhathi sokuhlinzwa
• Ukuphuma kwegazi: Ukuphuma kwegazi okuthile kuvamile, kodwa ukuphuma kwegazi okukhulu kungase kudingeke ukwelashwa okwengeziwe
• Ukutheleleka: Ukutheleleka kwendawo yokuhlinzwa, nakuba lokhu kungavamile ngokunakekelwa okufanele
• Ukubunjwa kwezibazi: Izibazi eziningi ziyancipha ngokuhamba kwesikhathi futhi zingancishiswa ngokunakekelwa okufanele

Izinkinga ezingathi sína kodwa ezingavamile zihlanganisa izinguquko zomsindo unomphela uma imizwa ye-laryngeal ephindayo ilimala, kanye namazinga e-calcium aphansi unomphela uma amaglandula e-parathyroid engakwazi ukugcinwa. Udktela wakho ohlinzayo uzoxoxa ngalezi zingozi ngokuqondile ngesimo sakho.

Kufanele ngibone nini udokotela ngemva kwe-thyroidectomy?

Kufanele uthinte ithimba lakho lezempilo uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo ngemva kwe-thyroidectomy yakho. Ngenkathi ukungakhululeki okuthile nezinguquko kuvamile ngemva kokuhlinzwa, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha.

Shayela udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Ubuhlungu obukhulu bentamo noma ukuvuvukala: Ikakhulukazi uma iba yimbi kunokuba ngcono
• Ukuphefumula noma ukugwinya kanzima: Lokhu kungabonisa ukuvuvukala noma ukuphuma kwegazi entanyeni yakho
• Izimpawu zokutheleleka: Umkhuhlane, ukubomvu okwandayo, ukufudumala, noma ukuphuma emgodini wakho
• Ukuzwa ukuluma noma ukuba ndikindiki okukhulu: Ikakhulukazi ngomlomo wakho noma ezandleni nasezinyaweni zakho
• Ukuqina kwemisipha noma ukuqaqamba: Lokhu kungase kubonise amazinga aphansi e-calcium
• Ushintsho olukhulu lwezwi: Ikakhulukazi uma izwi lakho liba buthaka kakhulu noma ungakwazi ukukhuluma

Ukuze ulandelele njalo, ngokuvamile uzobona udokotela ohlinzayo phakathi nesonto elilodwa noma amabili ngemva kokuhlinzwa, bese njalo ukuze uqaphe amazinga ama-hormone akho nokululama konke. Unganqikazi ukuxhumana nganoma yimiphi imibuzo noma ukukhathazeka.

Imibuzo evame ukubuzwa mayelana ne-thyroidectomy

Q1: Ingabe i-thyroidectomy iyona engcono kakhulu yokwelapha umdlavuza wendlala yegilo?

I-Thyroidectomy ivame ukuba yindlela yokwelapha yokuqala yomdlavuza wendlala yegilo, ikakhulukazi ngamathumba amakhulu noma izinhlobo ezinolaka zomdlavuza. Kubantu abaningi abanomdlavuza wendlala yegilo, ukususwa kwendlala yegilo kunikeza ithuba elingcono kakhulu lokuphulukiswa futhi kuvimbela umdlavuza ukuthi ungasabalali. Kodwa-ke, imidlava yegilo emincane kakhulu ingase iqashwe ngezinye izikhathi kunokuba isuswe ngokushesha, kuye ngesimo sakho esithile kanye nesincomo sikadokotela wakho.

Q2: Ngizokhuluphala ngemva kwe-thyroidectomy?

Ushintsho lwesisindo ngemva kwe-thyroidectomy kungenzeka kodwa akuyona into engagwemeki. Uma uthatha imithi yakho yokufaka ama-hormone wendlala yegilo njengoba kunqunyiwe futhi ugcina amazinga ama-hormone afanele, imetabolism yakho kufanele isebenze ngendlela evamile. Abanye abantu bazwa ukuguquguquka kwesisindo okwesikhashana ngenkathi amazinga abo ama-hormone elungiswa, kodwa abantu abaningi bagcina isisindo esizinzile uma umthamo wabo wemithi ulungisiwe.

Q3: Kuthatha isikhathi esingakanani ukululama ku-thyroidectomy?

Abantu abaningi bangakwazi ukubuyela emisebenzini yabo ejwayelekile phakathi kwamasonto angu-2-3 ngemva kwe-thyroidectomy. Cishe uzozizwa ukhathele ngesonto lokuqala noma amabili, futhi intamo yakho ingase izizwe ibuhlungu futhi iqine. Imisebenzi elula ngokuvamile ingaqalwa ngemva kwezinsuku ezimbalwa, kodwa kufanele ugweme ukuphakamisa izinto ezisindayo noma ukuzivocavoca okunzima cishe amasonto angu-2-3. Udokotela ohlinzayo uzokunikeza imihlahlandlela ethile esekelwe ekululameni kwakho komuntu ngamunye.

Q4: Ngingaphila impilo ejwayelekile ngaphandle kwe-thyroid yami?

Yebo, ungaqhubeka uphile impilo egcwele, ejwayelekile ngemva kwe-thyroidectomy. Ngemithi efanele yokushintsha ama-hormone e-thyroid, umzimba wakho uzosebenza njengoba wawenza ngaphambi kokuhlinzwa. Abantu abaningi empeleni bazizwa bengcono ngemva kokuhlinzwa, ikakhulu uma babe nezinkinga ze-thyroid ezazibangela izimpawu. Okubalulekile ukusebenza nethimba lakho lezempilo ukuze uthole umthamo ofanele wokushintsha ama-hormone ngawe.

Q5: Ingabe izwi lami lizoshintsha unomphela ngemva kwe-thyroidectomy?

Abantu abaningi bathola izinguquko zezwi zesikhashana kuphela ngemva kwe-thyroidectomy, izwi labo libuyela kokujwayelekile phakathi kwamasonto ambalwa. Ushintsho lwezwi oluhlala njalo alivamile, lwenzeka ngaphansi kuka-5% wabantu abahlinzwa lokhu. Udokotela ohlinzayo unakekela kakhulu ukuvikela imizwa elawula izintambo zakho zezwi ngesikhathi senqubo. Uma uthola izinguquko zezwi, ukwelashwa kwenkulumo ngokuvamile kungasiza ukuthuthukisa ikhwalithi yezwi lakho.