Uma unesifo se-thyroid, esibizwa ngokuthi i-thyroidectomy, kubalulekile ukwazi ukuthi yini ongayilindela ngemiphumela emibi, izinkinga ezingase zibe khona, kanye nenqubo yokubuyisela emuva.
Ngemuva Ngemuva Kokuhlinzwa
Ngemuva kokuhlinzwa kwakho kwe-thyroid, noma ngabe uhlala esibhedlela noma uhlinzwa ngokubeletha, uzovame ukuchitha amahora amaningana ekamelweni lokutakula. Ngosuku lokuqala, odokotela abaningi bancoma ukuthi uhlale embhedeni. Nokho, udokotela wakho uzosikisela ukuthi uqale ukuhamba ngokushesha ngangokunokwenzeka ngemuva kwalokho.
Uma uhlala esibhedlela, ungase uhlale ungena emanzini okugcoba ukudla, njengokugwinya nokudla kungaba nzima phakathi namahora angu-24 okuqala emva kokuhlinzwa. Uma ukhululwa, ungase ufise ukuzama uketshezi noma ukudla okunomsoco kakhulu kuze kugweme ezinye ukudla kukhululekile.
Imiphumela emibi ye-Thyroidectomy
Ungase uhlangabezane nemiphumela emibi yesikhathi esifushane, engaphansi kakhulu emva kokuhlinzwa kwegciwane. Lezi zingabandakanya:
- Ubuhlungu lapho ugwinya, noma endaweni yentanyeni : Ubuhlungu buvela emthonjeni wokuphefumula emva kokuhlinzwa noma kusukela ekuhlinzekeni uqobo. Lokhu kufanele kuphele phakathi kwezinsuku ezimbalwa; i-rebuverous pain-over-counter-non-steroidal, njenge-ibuprofen, inganciphisa ukungakhululeki.
- Imikhakha yentuthuko nozwela: Ukuthambekela kwakho kungase kubambe ikhanda ngesimo esisodwa emva kokuhlinzwa, futhi lokhu kungabangela ukungezwani kwenhliziyo nentamo. Kuhle ukuwehlisa kahle nokuhamba kwemishini yokunyakaza ukuvimbela ukuqina komfutho emgodini. Vele ujike ikhanda lakho ngakwesokudla, bese ugoqa isifuba sakho esifubeni kuze kube yilapho ikhanda lakho libhekene nesobunxele lingasiza ukukhipha imisipha eqinile.
- Izinkinga zezwi: Izwi lakho lingase lishaye, lihlehle noma likhathele. Abanye abantu bathola ukuthi lezo zinkathi zokudumala zingahlala isikhathi eside ezinyangeni ezimbili kuya kwezintathu.
- I-windpipe evuthayo: Uma unesibhubhe sokuphefumula ngesikhathi se-anesthesia ejwayelekile, ingamcasula i-windpipe yakho futhi ingenza uzizwe sengathi unento ekhonjiwe emqaleni wakho. Lo mzwa uvame ukuhamba phakathi kwezinsuku ezinhlanu.
Izinkinga Ngemva Kokuhlinzwa
Ukuhlinzwa kwe-thyroid kuthathwa njengokuphephile kakhulu. Nakuba izinkinga zingavamile, kuneziningana eziningana ezingenzeka. Lezi zihlanganisa i-hypoparathyroidism ne-hypocalcemia, kanye nomonakalo wezinzwa zamanzi.
Hypoparathyroidism ne Hypocalcemia
I-Hypoparathyroidism ingaphansi kokusebenza kwezingqungquthela ze-parathyroid. Umsebenzi we-parathyroids ukulawula amazinga omzimba wakho we-calcium. Uma ama-parathyroid esonakalisiwe noma angenwa ngesikhathi sokuhlinzwa, lokhu kukhwabanisa kungabangela ukuvala okwesikhashana noma okuphakade, okuholela ezingeni eliphansi le-calcium, elibizwa nge-hypocalcemia.
I-hypoparathyroidism engunaphakade ayivamile, kepha i-hypoparathyroidism yesikhashana ihlasela cishe amaphesenti angu-7 weziguli. Nokho, ezinye iziguli zikhona engozini enkulu ye-hypoparathyroidism ne-hypocalcemia. Izinto eziyingozi zihlanganisa:
- ukuhlinzwa kwe- hyperthyroidism noma isifo se-Graves
- ukuhlinzwa kwe-goiter ye-multinodular
- i-thyroidectomy egcwele, kunokuba i-lobectomy
- i-central dissection ye-neck cancer, okubandakanya ukususa ama-lymph nodes kanye ne-lymph tissue emhlabeni we-thyroid
- ukuhlinzwa okuphindaphindiwe kwe-thyroid
Xoxa ngezinkinga zakho ze-hypoparathyroidism nodokotela wakho ohlinzayo, futhi qiniseka ukuthi usho noma yiziphi izimpawu ezingase zibe khona. Izimpawu, ezivame ukuvela ngesonto lokuqala ngemuva kokuhlinzwa, zingabandakanya:
- ukuphazamiseka nokuzizwa ngokuzungeze izindebe zakho, izandla, kanye nezinyawo zakho
- imizwa ekhanda esikhumbeni sakho
- ama-cramp muscle kanye nama-spasms
- ikhanda elibi
- ukukhathazeka
- ukucindezeleka
Lezi zimpawu ngokuvamile ziqala ngosuku noma ezimbili emva kokuhlinzwa. Akuvamile ukuthi lezi zimpawu zivele ngemuva kwamahora angu-72.
Udokotela wakho uyovame ukuphakamisa ukuxhaswa kwe-calcium yesikhashana. Buza udokotela wakho uma kufanele ube nezibhebhe ze-calcium esandleni ngaphambi kokuhlinzwa nokuthi kufanele uqhubeke kanjani uma unempawu.
Uma uthatha i-calcium yezibonakaliso ze-hypocalcemia, ukugubha nokugaya ngokuvamile kuhamba phakathi kwehora lesigamu ngemuva kokuthatha i-calcium. Nakuba odokotela bavame ukuthi bathathe i-calcium njalo uma kudingeka ukuze ulawule izimpawu zakho, qiniseka ukuthi uxoxe ngalokhu nodokotela wakho kusengaphambili.
I-hypocalcemia kufanele ilahleke ezinsukwini eziyisikhombisa kuya kwezingu-10. Uma kungenjalo, tshela udokotela wakho. Uma ungomunye weziguli ezimbalwa ezakha i-hypoparathyroidism ehlala njalo, ukwelashwa i-calcium ne- vitamin D yokuphila.
Uma izigulane ezingenakwenzeka zingagcinwa ngesikhathi se-thyroidectomy esiphelele, abanye odokotela abahlinzayo bayonquma izigqoko zibe yizicucu ezincane bese bewajoqa zibe yisisipha-ihlombe lakho, isibonelo-lapho ucezu lwe-gland lungasebenza ukulawula izinga le-calcium yomzimba.
I-Laryngeal Nerve Damage
Ngomunye umuntu oyedwa ohlinzekwa yi-250 we-thyroid, umonakalo wenzelwa izinzwa zomzimba, izinzwa ezilawula izwi.
Izimpawu eziyinhloko zifaka:
- kunzima ukufaka izwi
- izwi elikhulu
- ukukhathala kwezwi
- ukwehla kwezwi lomthamo
Ngokujwayelekile, izinguquko zezwi zingezesikhashana, ngakho-ke izwi lizobuyela evamile phakathi kwamasonto ambalwa; izinguquko unomphela azivamile. Ukusetshenziswa kwezibonisi zamagciwane ngesikhathi sokuhlinzwa sekuvame kakhulu, kodwa, njengoba lezi zixhobo zokuhlinzeka zinganciphisa kakhulu ingozi yomonakalo.
Isikhathi sokuphumula
Udokotela wakho cishe uzakutusa ukuthi uthathe amasonto amabili ukuze uphinde uvuselele ngaphambi kokuba ubuyele emsebenzini naseminye imisebenzi evamile. Kumele ukwazi ukubuyela ekushayela futhi uhlanganyele eminye imisebenzi, kanye nemidlalo engathintana naye, ngokushesha nje uma ungavula ikhanda lakho ngokujwayelekile futhi ungenabuhlungu noma ubunzima. Qinisekisa ukuthi usula lokhu ngodokotela wakho ohlinzayo kuqala, noma kunjalo.
Ngokuvamile uzodinga ukubuyela kudokotela ohlinzayo ukuze uvakashele ukulandelela ngemuva kwamasonto amathathu emva kokuhlinzwa.
Ukunakekela Ukukhishwa Kwakho
Ngenkathi ukugqoka okusetshenziswe phezu kwe-incision yakho kuzokwenza ukuthi ukwazi ukugeza noma ukuwasha ngemva kokuhlinzwa, akufanele ugeze phansi, ugijime, noma uhlasele umshini wakho. Ngemuva kokuvuthwa, ungase ufune ukusebenzisa isomisi sezinwele isethi "epholile" ukuze umise ukuchotshozwa.
Isigqoko phezu kwe-incision yakho sivame ukuphenduka esimhlophe bese siqeda phakathi nesonto. Uma isembatho siwa, ungaqala ukusebenzisa i-gel, i-aloe, i-vitamin E, noma i-bhotela ibhotela ukuze usize ngokuphulukisa nokuncipha. Ungase uqaphe ukulimaza noma ukuvuvukala okuncane kulo lonke uhlamvu. Uma ubona noma yikuphi ukuvuvukala okuphawulekayo, kufanele uxhumane nodokotela wakho ohlinzayo ngokushesha, njengoba lokho kungaba isibonakaliso sokutheleleka. Ngokuhamba kwesikhathi, ubude bungathatha umbala obomvana bese uzizwa bunzima. Ukuqina kanzima cishe amasonto amathathu emva kokuhlinzwa bese kwehla ezinyangeni ezimbili kuya kwezintathu ezilandelayo.
I-Hormone Replacement
Iziguli zithola isifo sakho se- thyroidectomy - futhi iningi leziguli ezithola i- thyroidectomy yangasese (ukususwa okuyingxenye ye-gland) -thola ukuthi i-thyroid yakho ihluleka ukukhiqiza i-hormone ye-thyroid eyanele, eyenza i-hypothyroid. Uma u-hypothyroid, uzodinga izidakamizwa ezithathelwanayo ze-thyroid . Udokotela wakho angeke akhulume ngalokhu nawe, ngakho-ke qiniseka ukuthi uxoxe naye uma uzoqala imithi ye-thyroid, imiphi imishanguzo, futhi yiziphi izilinganiso ngaphambi kokuba ukhululwe.
Uma ungafaki ngokushesha imishanguzo ye-hormone ye-thyroid, qaphela ngokucophelela izimpawu ze-hypothyroidism, futhi ubambelele ekuhlolweni okugcwele ngokushesha nje uma kukhona izimpawu ezivela. Izimpawu ze-hypothyroidism zihlanganisa ukukhathala, ukuvilapha, ukucindezeleka, ukukhathazeka kanzima, izinkinga zememori, isikhumba esicacile noma esiningi ngokweqile, isikhumba esomile, isikhumba esiqinile noma / noma isikhumba esomile, izinwele ezomile, ukulahlekelwa izinwele , ukuzwa okubandayo (ikakhulukazi emaphethelweni), ukuqothuka, imisipha amagundane, ubuhlungu obuhlangene , i- carpal tunnel syndrome , ukukhuphuka kokuya esikhathini, ukushayela ucansi oluphansi, kanye nezinkathi eziningi, phakathi kwezinye. Uzothola uhlu lokuhlola lwama-hypothyroidism olunemininingwane eningi.
Izwi elivela
Ukwazi ukuthi yini ongayilindela ngaphambi kokuhlinzwa kwakho kwe-thyroid kuyasiza ekubhekaneni nemiphumela emibi, ukunciphisa izinkinga, nokuthola inqubo yokululama elula. Njenganoma yikuphi ukuhlinzwa, kuvamile ukuba nemibuzo, ukukhathazeka, futhi mhlawumbe uzizwe unesabeka kancane. Xoxa ngemicabango yakho nodokotela wakho.
Yazi ukuthi ingozi yezinkinga ezibaluleke kakhulu iphakeme kakhulu ye- thyroidectom yonke uma kuqhathaniswa ne-thytectectomy subtotal. Uma unesifo sakho se-thyroidectomy, funda ukuthi ungenzenjani ukuze ululame futhi ululame futhi uqiniseke ukuthi ulandela izincomo zesidokotela sakho kahle. Kungakhathaliseki uhlobo lohlinzekwa, izinkinga nazo zikhona amathuba odokotela abahlinzayo abanokuhlangenwe nakho okuncane okwenza ukuhlinzwa kwe- thyroid , ngakho-ke kubalulekile ukuqinisekisa ukuthi unogqirha wezokwelapha ochwepheshe. Ezinye iziphathimandla ze-thyroid zincoma ukukhetha udokotela ohlinzayo okungenani ohlinzekwe okungenani 1,000 we-thyroid.
> Imithombo:
> Benkhadoura M. "Ukulimala kwamadayimane okuphindaphindiwe kanye nama-hypoparathyroidism amazinga wokuhlinzwa okwenziwa kabusha kwe-thyroid." I-Turk J Surg. 2017 Mar 1; 33 (1): 14-17.
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha . I-10th, Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.
> I-Erbil Yesim., Et. al. "Izici zokubikezela ukukhubazeka kwesiguli se-laryngeal kanye ne-hypoparathyroidism ngemva kokuhlinzwa kwe-" I-Otolaryngology Clinical 32 (1), 32-37.
> Isikhungo se-Thyroid saseNew York. UMnyango Wezokwelapha wase-Columbia - College of Physicians kanye nodokotela abahlinzayo.
> Quaglino F, et. al. "Ngabe I-Thyroidectomy Yisiphi Isinqumo Esifanele?" I-European Thyroid Journal. 2017 Ngomhla; 6 (2): 94-100.