Ngati mukuchita opaleshoni ya chithokomiro, yomwe imatchedwa thyroidectomy, ndizofunika kudziwa zomwe muyenera kuyembekezera pa zotsatira zake, mavuto omwe mungakumane nawo, ndi njira yobwezeretsanso.
Pambuyo Pambuyo Opaleshoni
Pambuyo pa opaleshoni yanu ya chithokomiro, kaya mutakhala m'chipatala kapena mukuchitidwa opaleshoni yopita kuchipatala, mumakhala maola ochulukirapo m'chipindamo. Kwa tsiku loyamba, madokotala ambiri amalimbikitsa kuti ukhale pabedi. Dokotala wanu, mwina, angakuuzeni kuti muyambe kuyenda mofulumira pambuyo pake.
Ngati mutapitidwa kuchipatala, mungakhalebe akumwa moyenera, monga kumeza ndi kudya kungakhale kovuta pakatha maola 24 oyambirira opaleshoni. Ngati mutatulutsidwa, mungayesetse kuyesa zakudya zamadzimadzi kapena zofewa mpaka kumeza zakudya zina kumakhala bwino.
Zotsatira Zotsatira za Chithokomiro
Mukhoza kukhala ndi zotsatira zochepa zazing'ono zochepa, pambuyo pa opaleshoni ya chithokomiro. Izi zingaphatikizepo:
- Ululu mukamameza, kapena m'khosi: Phokoso likhoza kubwera kuchokera ku kapu yopuma kupuma pambuyo pa opaleshoni kapena kuchokera ku opaleshoni yokha. Izi ziyenera kugonjera masiku angapo; Kupweteka kwapadera kopanda kutero, monga ibuprofen, kukhoza kuthetsa mavuto.
- Mphungu ndi chikondi: Chizoloŵezi chanu chikhoza kukugwedezani mutu mwakuya pambuyo pa opaleshoni, ndipo izi zingayambitse mutu ndi minofu. Ndibwino kuti muyambe kuyendetsa bwino ndikuyendetsa machitidwe osiyanasiyana kuti musamapanikize mitsempha m'khosi. Kungotembenuzira mutu wanu kumanja, ndiye kutsegula chikho chanu kudutsa pachifuwa mpaka mutu wanu ukuyang'ana kumanzere kungathandize kumasula minofu yolimba.
- Mavuto a mawu : Liwu lanu likhoza kukhala lalikuru, liwulowetu, kapena lotopa. Anthu ena amapeza kuti nthawi yowopsya ikhoza kupitirira miyezi iwiri kapena itatu.
- Mphepo yamoto: Ngati mutakhala ndi mpweya wopuma kupuma pafupipafupi, ikhoza kukwiyitsa mphepo yanu ndipo ingakupangitseni kumva ngati muli ndi chinthu chokamwa pamtima panu. Nthawi zambiri kumverera kumapita mkati mwa masiku asanu.
Zovuta Pambuyo Opaleshoni
Kuchita opaleshoni ya chithokomiro kumaonedwa kuti ndi kotetezeka kwambiri. Ngakhale mavuto ali ofala, pali zingapo zomwe zingathe kuchitika. Izi zikuphatikizapo hypoparathyroidism ndi hypocalcemia, ndi kuwonongeka kwa mitsempha.
Hypoparathyroidism ndi Hypocalcemia
Hypoparathyroidism ikugwiritsidwa ntchito kwa glands za parathyroid. Ntchito ya parathyroids ndikuteteza kashiamu ya thupi lanu. Ngati a parathyroid akuwonongeka kapena sakuchitidwa opaleshoni, vutoli lingayambitse kutseka kwa kanthaŵi kochepa kapena kosatha, zomwe zimapangitsa kuti pakhale calsium yotsika, yotchedwa hypocalcemia.
Kugonana kosatha kwapadera sikungowonjezereka, koma kugwiritsidwa ntchito kwa hypoparathyroidism kumakhudza pafupifupi 7 peresenti ya odwala. Komabe, odwala ena ali pa chiopsezo chachikulu cha hypoparathyroidism ndi hypocalcemia. Zowopsazi ndizo:
- opaleshoni ya hyperthyroidism kapena matenda a Graves
- opaleshoni ya goiter yambirimbiri
- mankhwala otchedwa thyroidectomy, osati lobectomy
- kupweteka kwa pakati pa khosi la khansara, zomwe zimaphatikizapo kuchotsa mitsempha ya mitsempha ndi mitsempha pafupi ndi chithokomiro
- kubwereza opaleshoni ya chithokomiro
Kambiranani ndi dokotala wanu opaleshoni yanu yoopsa ya hypoparathyroidism, ndipo onetsetsani kuti mungatchule zizindikiro zomwe mungathe kuziwona. Zizindikiro, zomwe zimawoneka sabata yoyamba pambuyo pa opaleshoni, zingakhalepo:
- kumangirira ndi kumangirira pamilomo, manja, ndi pansi pa mapazi anu
- malingaliro okhwima mu khungu lanu
- mitsempha ya minofu ndi malo ochepa
- zoipa zamutu
- nkhawa
- kudandaula
Zizindikirozi zimayambira tsiku kapena awiri pambuyo pa opaleshoni. Zimakhala zosavuta kuti zizindikiro izi ziwoneke pambuyo pa maola 72.
Dokotala wanu nthawi zambiri amalimbikitsa kanthawi yowonjezeretsa calcium . Funsani dokotala wanu ngati muli ndi mapiritsi a kashiamu musanafike opaleshoniyo komanso momwe mungapitirire ngati muli ndi zizindikiro.
Ngati mutenga calcium kwa zizindikiro za hypocalcemia, kupweteka ndi kutaya nthawi zambiri kumachoka mkati mwa theka la ola mutatha kutenga calcium. Ngakhale kuti madokotala amalangiza kuti mutenge kashiamu nthawi zambiri kuti muwone matenda anu, onetsetsani kuti mukambirane ndi dokotalayo kale.
Mankhwala a hypocalcemia ayenera kutha masiku asanu ndi awiri kapena khumi. Ngati sizitero, uzani dokotala wanu. Ngati muli mmodzi mwa odwala ochepa amene amapanga hypoparathyroidism , mankhwalawa ndi calcium ndi vitamini D wamoyo.
Ngati matenda a parathyroid sangathe kusungidwa pa chithokomiro chathunthu, madokotala ena opaleshoni amatha kudula matupi awo m'zidutswa zing'onozing'ono ndiyeno amawajambule mu mitsempha-paphewa-kumene malo amtunduwu amatha kugwira ntchito kuti muyambe kuyendera thupi la kashiamu.
Laryngeal Nerve Kuwonongeka
Pa opaleshoni imodzi yoposa 250 ya chithokomiro, kuwonongeka kwachitidwa kwa mitsempha yambiri, mitsempha yomwe imayendetsa liwu.
Zizindikiro zoyambirira ndizo:
- zovuta kulongosola mawu
- mawu ophulika
- kutopa kwa mawu
- kuchepa kwa mawu ochepa
Kawirikawiri, kusintha kwa mawu ndi kanthawi, kotero liwu lidzabwerenso mwachidwi mkati mwa masabata angapo; kusintha kosatha ndikosowa. Kugwiritsira ntchito mitsempha ya mitsempha pamene opaleshoni yafala kwambiri, komabe, monga zipangizo zopangira opaleshonizi zingachepetse chiopsezo chachikulu.
Kutha nthawi
Dokotala wanu angakulimbikitseni kuti mutenge masabata awiri kapena awiri kuti mubwererenso musanabwerere kuntchito ndi ntchito zina zachizolowezi. Muyenera kubwereranso kuyendetsa ndikugwira nawo ntchito zina, komanso masewera osalumikizana, mutangotembenuza mutu wanu mwachizolowezi komanso opanda ululu kapena zovuta. Onetsetsani kuti mukutsuka izi ndi dokotala wanu opaleshoni poyamba.
Nthawi zambiri mumayenera kubwereranso kwa dokotala wa opaleshoni kuti mukawone maulendo atatu pambuyo pa opaleshoni.
Kusamalira Zochita Zanu
Ngakhale kuti chovalacho chikugwiritsidwa ntchito pamapiko anu, zidzakuthandizani kusamba kapena kusamba pambuyo pa opaleshoniyi, musayambe kugwedezeka, kutsekemera, kapena kukankhira mankhwala anu. Pambuyo poyeretsa, mungafune kugwiritsa ntchito wouma tsitsi kuti mukhale "ozizira" kuti muumitse incision.
Kuphimba pamtengo wanu kumakhala koyera ndipo kumatha sabata. Katemera akagwa, mungayambe kugwiritsa ntchito gelisi, aloe, vitamini E, kapena mafuta a kakao kuti muthandize kuchiritsa ndi kuchepetsa kuyabwa. Mutha kuona kupweteka kapena kutupa pang'ono pa chilonda. Mukawona kutentha kwina kulikonse, muyenera kuonana ndi dokotala wanu opaleshoni nthawi yomweyo, chifukwa izi zikhoza kukhala chizindikiro cha matenda. Pakapita nthawi, chilondacho chingatenge mtundu wa pinki ndikumva zovuta. Kuumitsa kawirikawiri mapiri pafupifupi masabata atatu pambuyo pa opaleshoni ndiyeno kumachepa pa miyezi iwiri kapena itatu yotsatira.
Kusintha kwa mahomoni
Odwala amalandira chithokomiro chokwanira -ndipo ambiri mwa odwala amalandira chithokomiro chokhachokha (kutulutsa khungu kochepa) -kudziwani kuti chithokomiro chawo sichikhoza kutulutsa homoni yowonjezera yokha, kuwapanga hypothyroid. Pamene muli hypothyroid, mufunikira mankhwala osokoneza bongo am'thupi . Dokotala wanu sangayambe kukambirana nanu, choncho onetsetsani kuti mukukambirana naye pamene muyambitsa mankhwala a chithokomiro, mankhwala omwe mumamwa, komanso muyezo wanu musanatuluke.
Ngati simunayambe kumwa mankhwala a chithokomiro, yang'anani mwatcheru zizindikiro za hypothyroidism, ndipo pitirizani kuyesedwa kwathunthu pokhapokha zizindikiro zilizonse ziwonekere. Zizindikiro za hypothyroidism zimaphatikizapo kutopa, ulesi, kuvutika maganizo, kusavuta kuika maganizo, mavuto a kukumbukira, kukumbukira, kupweteka kwambiri, khungu louma, khungu komanso / kapena khungu lofewa, tsitsi louma, tsitsi , kutentha (makamaka kumapeto), kudzimbidwa, kumaliseche kupweteka kwa pamtima , matenda a carpal , kupitirira kwa msambo, kugonana kochepa, ndi nthawi zambiri, pakati pa ena. Mudzapeza tsatanetsatane wa hypothyroidism zizindikiro mndandanda pa intaneti.
Mawu Ochokera
Kudziwa zomwe mungayembekezere musanachite opaleshoni ya chithokomiro n'kopindulitsa kuthana ndi zotsatira zake, kuchepetsa mavuto, komanso kusintha mosavuta. Monga ndi opaleshoni iliyonse, ndi zachilendo kuti mukhale ndi mafunso, nkhawa, ndipo mwinamwake mumakhala ndi mantha pang'ono. Kambiranani ndi dokotala zomwe mukuganizira.
Dziwani kuti chiopsezo chachikulu chokwanira ndi chokwanira pa chithokomiro chonse choyerekeza ndi kachilombo ka HIV. Ngati muli ndi chithokomiro chokwanira, phunzirani zomwe mungachite kuti mupulumuke mwamsanga komanso mosavuta kuti muzitsatira ndondomeko za dokotala wanu. Mosasamala mtundu wa opaleshoni, zovuta zimakhala zovuta kwambiri ndi madokotala ochita opaleshoni omwe ali ndi zochepa zochitidwa opaleshoni ya chithokomiro , kotero ndikofunika kutsimikiza kuti muli ndi dokotala wa opaleshoni ya chithokomiro. Odwala opaleshoni ena amavomereza kuti asankhe dokotala wina opaleshoni amene wakhala akuchita opaleshoni pafupifupi 1,000.
> Zotsatira:
> Benkhadoura M. "Kuwonongeka kwa mitsempha yowonongeka ndi kuchuluka kwa hypoparathyroidism mu reoperative chithandizo cha chithokomiro." Turk J Surg. 2017 Mar 1; 33 (1): 14-17.
> Braverman, MD, Lewis E., ndi Robert D. Utiger, MD. Werner ndi Ingbar's The Thyroid: Mawu Ofunika ndi Otsogolera. 10th ed., Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.
> Erbil Yesim., Et. al. "Zizindikiro zowonongeka zokhudzana ndi matenda a mitsempha yowumitsa mtima ndi hypoparathyroidism pambuyo pa opaleshoni ya chithokomiro" Clinic Otolaryngology 32 (1), 32-37.
> New York Chithokomiro. Dipatimenti ya Opaleshoni ya Columbia - Kalaleji ya Madokotala ndi Opaleshoni.
> Quaglino F, ndi. al. "Kodi Chithokomiro Ndi Chosankha Chotani?" European Journal of Magazini. 2017 Apr; 6 (2): 94-100.