Ukubukeka kwangaphakathi
Ukwelashwa kwi-gland yegciwane kuyaziwa ngokuthi i-thyroidectomy. Kulesi sihloko, hlola izizathu zokuhlinzwa kwe-thyroid, izinhlobo zokuhlinzwa kwe-thyroid, nokuthi yini ongayilindela ngaphambi kokuhlinzwa.
Izizathu zokuhlinzwa kwe-Thyroid
Ukuhlinzwa kwe-thyroid kwenziwa ngezimo eziningana:
- njengokwelashwa komdlavuza wegciwane
- lapho i- thyroid ekhulisiwe (goiter) noma ama-nodules amaningi enza izinkinga ze-cosmetic, breathing or swallowing
- owesifazane okhulelwe, lapho i-hyperthyroidism yakhe ingalawulwa izidakamizwa ze-antithyroid , futhi idinga ukwelashwa okusheshayo
- lapho ezinye izinhlobo zokwelapha hyperthyroidism - ie ,. izidakamizwa ze-antithyroid noma Iodine yama-radioactive azizange ziphumelele. (Lokhu kusebenza e-US Ngaphandle kwe-US, ukuhlinzeka ngezinye izikhathi kwenziwa njengokwelashwa kwe-hyperthyroidism ngaphambi noma esikhundleni se-iodine emsakazweni.)
- ezinganeni, uma ochwepheshe noma umzali efisa ukugwema iodine ye-radioactive
- lapho isiguli senqaba imithi ye-antithyroid noma ioday i-radioactive
- lapho isiguli sifuna ukuzama ukukhulelwa masinyane emva kokwelashwa
Ukukhetha udokotela ohlinzayo
Izinkinga ziningi amathuba odokotela abahlinzayo abanobuchwepheshe obuncane obenza ukuhlinzwa kwe-thyroid, ngakho qiniseka ukuthi udokotela wakho ohlinzayo unolwazi olubanzi ekuhlinzekeni kwegciwane. Ungathola kabanzi kulesi sihloko mayelana nokuthola udokotela ohlinzayo ophezulu we-thyroid .
Izinhlobo Zokuhlinzwa Kwe-Thyroid
Kunezinhlobo ezintathu eziyinhloko zokwelashwa kwegciwane:
- Ingqikithi ye-Thyroidectomy - Ukususwa okuphelele kwe-Thyroid
Lolu hlobo oluvame kakhulu lokuhlinzeka nge-thyroid, futhi luvame ukusetshenziselwa umdlavuza we -roid, futhi ikakhulukazi, amakhemikhali anonya, njenge-medullary noma i- anticlastic cancer yomdlavuza . Ibuye isetshenziselwe ukwelashwa kwe-goiter kanye ne-Graves '/ hyperthyroidism. - I-Subtotal / Eyingxenye ye-Thyroidectomy - Ukususwa kwesigamu se-Gland Gland
Ngenxa yalokhu kusebenza, umdlavuza kufanele ube mncane futhi ungabi nonya - i-follicular noma i-papillary - futhi iqukethe ohlangothini olulodwa lwendlala. Uma i-thytectectomy noma i-thyroidectomy eyingxenye yenziwa, ngokuvamile, odokotela abahlinzayo benza i-thyroidectomy ephakathi kwamanye amazwe ephuma ku-1 kuya ku-5 amagremu ngakwesinye icala / i-lobe ye-thyroid. Inqubo ye-Harley Dunhill nayo iyathandwa kakhulu, lapho kukhona i-lobectomy ephelele ngakolunye uhlangothi, kanye ne-subtotal ngakolunye uhlangothi, kushiya 4 kuya ku-5 amagremu wezicubu ze-thyroid.
- I-Lobectomy ye-Thyroid - Ukususwa Kokuphela Kwengxenye YesiGland
Lokhu kuvame ukusetshenziselwa umdlavuza wegciwane, njengoba amangqamuzana anomdlavuza kufanele abe abancane futhi angaboni.
Inkinga ye-subtotal / partial, vs. virtual thyroidectomy ingxabano. Abanye odokotela bakhetha ukwenza i-thyroidectomy encane uma kungenzeka, bakholelwa ukuthi bazoshiya izicubu ezanele ze-thyroid ukuze bavimbele i-hypothyroidism. (I-thyroidectomy iyonke inamaphesenti angaba ngu-100 okubangela i-hypothyroidism). Ingozi ye-hypothyroidism ne-subtotal thyroidectomy iphakeme kakhulu, kanti ezinye izazi zithi amaphesenti angaphezu kuka-70 eziguli ezithola i-thytectectomy e-subtotal izoba i-hypothyroid. Njengoba esinye sezizathu eziyinhloko zokwelapha i-thyroidectomy ukuvimbela i-hypothyroidism, futhi lowo mgomo utholakala kuphela emacaleni amacala, ochwepheshe baqhubeka bekholelwa ukuthi ayikho inzuzo eyengeziwe ekwenzeni i-thyroidectomy yakho, kanti njalo ikhuthaza i-thyroidectomy yakho yonke.
Lokho Okungenzeka Ukuthi Uhlangabezana Nakho
Ezimweni eziningi, ukuhlinzwa kwe-thyroid akuyona inkimbinkimbi, futhi ngokuvamile akuthathi amahora amabili.
Ukususwa kwesigamu se-thyroid kuthatha imizuzu engama-45 kuya ehoreni, ngakho-ke uma lonke iglovu lisuswa, ukuhlinzwa kuyohlala isikhathi esingangehora nengxenye.
Hlola nodokotela wakho ohlinzayo mayelana nemithi oyithathayo, nokuthi yini okufanele / ungayithathi ezinsukwini ngaphambi kokuhlinzwa.
Cishe uzocelwa ukuba uhlole esibhedlela ekuseni kokuhlinzwa kwakho. Ngokuvamile, udokotela wakho ohlinzayo uyocela ukuthi ugweme ukudla noma ukuphuza ngemva kwamabili ebusuku ngobusuku bokuqala kokuhlinzwa.
Ukungeniswa Kwempilo Noma Isibhedlela?
Kuye ngesimo sesiguli, ukuhlala esibhedlela ebusuku noma ubusuku ababili kungenziwa kuhlelwe. Ukuhlinzekwa kwe-thyroid okuphuthumayo kuya ngokuya kwanda kakhulu, kodwa futhi ucwaningo lubonisa ukuthi ukwelashwa okwelashwa okuphulukisiwe kuphephile, okusebenzayo - futhi okubizayo kakhulu - ezigulini eziningi, futhi kungase kube kuhle ukuhlala esibhedlela sesiguli.
I-General noma i-Anesthesia yasekhaya?
Ukuhlinzwa kwe-thyroid kwenziwa kaningi nge-anesthesia ejwayelekile. Abanye odokotela abahlinzayo manje basebenzisa i-anesthesia yendawo, kanye nokudambisa, noma kunjalo, ukwenza ukuhlinzwa kwe -roid.
Izinzuzo ze-anesthesia zendawo zithi zihlotshaniswa nokuhlala esifushane esibhedlela, isikhathi esifushane sokuhlinzwa okwamanje, nokuhlanza okuncane kanye nokucabangela emva kokuhlinzwa.
Uma ukhetha i- anesthesia yendawo, udokotela wakho uzokunika imithi ephazamisayo endaweni ye-thyroid, kanye nokudla okuncane ukuze kukusize uhlale uzolile. Nokho, uzobe uphapheme ngesikhathi sokuhlinzwa, futhi ukwazi ukuxhumana nodokotela wakho ohlinzayo.
Abaningi abahlinzayo abaqeqeshwe ukwenza ukuhlinzwa kwe-thyroid ngaphansi kwe-anesthesia yendawo. Ngakho uma ufuna ukuqhubeka nalolu khetho, qiniseka ukuthi udokotela wakho ohlinzayo wenze izinhlinzeko eziningana ze-thyroid nge-anesthesia yendawo. (Abanye ochwepheshe basikisela ukuthi ubuke udokotela ohlinzayo owenze le nqubo okungenani izikhathi ezingu-50.)
Inqubo Yokuhlinzeka
Ekuhlinzekeni, udokotela ohlinzayo uyokwehla ukucubungula okungamamitha amathathu kuya kwangu-5 ngaphesheya kwentamo yakho ngaphambili. Isikhumba nemisipha zikhishwa ukuze ziveze igciwane le-thyroid. Ngokuvamile ukuqhuma kwenziwa ukuze kuwele emhlanjeni wesikhumba entanyeni yakho, okwenze kube okungabonakali.
Igazi le-gland "liboshwe," futhi izigulane ze-parathyroid ziyabonakala (ukuze zivikelwe). Udokotela ohlinzayo wabe esehlukanisa i-trachea e-thyroid, futhi asuse konke noma ingxenye yengane.
Odokotela abaningi abahlinzayo basebenzisa izigxobo ezingenakunyakaziswa, kodwa ungase uthande ukubuza udokotela wakho odokotela ngaphambi kwesikhathi ukuthi ahlose ukuyisebenzisa, ngoba iziqu ezingenakunqotshwa empeleni zivame ukubangela ukuncipha okuncane. Uma unomlando wezenzo zesikhumba esiphundu ekugxotsheni okudlule, ungase ufune ukubuza udokotela wakho mayelana nokusebenzisa izinto ze-hypoallergenic suture.
Qaphela: Iningi le-chirurgical operation lenziwa ngokusebenzisa amasu wendabuko. Kodwa abanye odokotela benza ukuhlinzwa kwe- thyroid endoscopic , okubandakanya ukusebenzisa ikhamera encane yokukhulisa efakwe entanyeni. I-carbon dioxide gas igxilwa emgodini ukuze kusize kube lula ukubona nokusebenza egangeni. I-incision encane yesibili yenziwa, futhi ithubhu elincanyana elinomphetho onjenge-scalpel lifakwe kulokho kuhlanganiswa. Le tube ithuluzi lokuhlinza elisetshenziselwa ukususa i-thyroid. Ukuhlinzwa okungapheliyo, ngoba kuhilela izibazi ezimbili ezincane ezingaphansi kwesentimitha esisodwa, ngokuvamile zishiya ukonakala okuncane okubonakalayo, futhi zivumela ukubuyela ngokushesha emisebenzini evamile. Ngezinye izikhathi, iphuzu lokungena lingaphansi kwengalo - eyaziwa ngokuthi ukuhlinzwa kwe-axillary. Ukuhlinzwa okungapheliko akuvamile, kepha kuyodingeka uthole udokotela ohlinzayo onolwazi okwenza lokhu kuhlinza, futhi uhlole ukuthi kufanelekile yini isimo sakho.
Ngemuva kokuhlinzwa kwakho
Ngemuva kokuhlinzwa, ngokuvamile uzohlala ngaphansi kokubheka esibhedlela okungenani amahora angu-6. Uma unokuhlinzwa okwelashwa, ungase ukhululwe ngemuva kwalowo phuzu.
Ngaphambi kokuba ukhululwe, ukugcoba kwakho kuvame ukumbozwa ngeglue evikelekile engenamanzi ebizwa ngokuthi i-colloidium. (Lokhu kukuvumela ukuba ugeze noma ugeze ngemva kokuhlinzwa.)
Ngokuvamile, uma kukhona ukukhathazeka ngokuphuma kwegazi noma uma i-thyroid ikhulu kakhulu futhi ukuhlinzeka kushiye indawo enkulu evulekile, ukukhipha kuzoshiywa kwilonda lakho ukuvimbela uketshezi kusuka ekuqongeni. Kuzodingeka ubuyele kudokotela ohlinzayo ngezinsuku ezimbalwa kamuva ukuze kususwe isikhwama.
Kunemiphumela emibi ejwayelekile yesikhathi esifushane ongayithola emva kokuhlinzwa kwe-thyroid, kuhlanganise nobuhlungu lapho ugwinya, nokuqina kwentamo. Iziguli eziningi nazo ziba yi-hypothyroid emva kokuhlinzwa futhi zidinga ukwelashwa kwe-hormone ye-thyroid. Lezi zindaba zixoxwa ngokujulile kulesi sihloko mayelana nokuvuselela emva kokuhlinzwa kwe-Thyroid .
Nakuba izinkinga zingavamile, abambalwa bangabonisa ngemuva kokuhlinzwa kwegciwane. Lezi zihlanganisa i-hypoparathyroidism ne-hypocalcemia, kanye nomonakalo wezinzwa zamanzi. Izimpawu zingabandakanya ukungena nokugubha ezungeze izindebe zakho, izandla, phansi kwezinyawo zakho, izimpande zamasipha kanye nezinselele, ikhanda elibi, ukukhathazeka, ukucindezeleka, ukukhathazeka, nobunzima ukukhuluma ngokuzwakalayo. Ungafunda kabanzi mayelana nakho ku- Complications Emva kokuhlinzwa kwe-Thyroid .
Imithombo:
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