Pamene khansa yambiri ya chithokomiro ikupezeka, zotsatira zake n'zakuti opaleshoni yambiri ya chithokomiro-yomwe imatchedwa tizilombo toyambitsa matenda -ikuchitidwa. Ngakhale kuti kuchuluka kwa mavuto pambuyo pa opaleshoni ya chithokomiro kumaganiziridwa kukhala kochepa, kafukufuku apeza kuti chiwerengerochi chikhoza kukhala chapamwamba koposa momwe chinanenedwa kale. Kafukufukuyu wasonyezanso kuti magulu angapo ali pangozi yaikulu ya mavuto mu chaka chitatha opaleshoni ya chithokomiro.
Mpaka pano, maphunziro ambiri pa zovuta pambuyo pa opaleshoni ya chithokomiro ankachitidwa kuchipatala kapena madokotala ena, omwe ambiri amakhala ndi opaleshoni ya chithokomiro. Opaleshoni yapamwamba kwambiri ndi malo opaleshoni omwe amachititsa kuchuluka kwa tizilombo toyambitsa matenda pachaka awonetsedwa kuti ali ndi chiwerengero chochepa cha ma complication.
Kafukufuku wapakati pa 2017 anayang'ana madokotala opaleshoni apamwamba kwambiri, opaleshoni, ndi opaleshoni. Zotsatira zomwe zalembedwa mu Journal of Clinical Endocrinology ndi Metabolism , zinayang'ana odwala pafupifupi 28,000 omwe anali ndi opaleshoni ya chithokomiro kuti awononge kanseri yosiyana kapena yodwala matenda a chithokomiro, omwe anawunika zaka 13.
Zotsatira Zofufuza
Ofufuzawa anapeza kuti:
- Odwala 1,820 (6.5 peresenti) odwala anadwala matenda osiyanasiyana, kuphatikizapo malungo, matenda, hematoma, zochitika zapachimake, ndi zochitika zam'madzi (magazi)
- Chiwerengero cha 3,427 (12.3%) chinayambitsa opaleshoni ya chithokomiro, kuphatikizapo hypoparathyroidism / hypocalcemia (low calcium levels) chifukwa cha kuwonongeka kwa glands za parathyroid), ndi kufooka kapena kuwonongeka kwa mitsempha ndi mitsempha
Kuphatikizidwa kumawunikira ku opaleshoni ya chithokomiro kunali kwakukulu kwambiri m'magulu atatu:
- Odwala omwe anali ndi zaka zoposa 65, omwe nthawi zambiri ankakumana ndi mavuto kuposa omwe ali ndi zaka zoposa 65 (Odwala 10 pa 100 aliwonse okalamba amakhala ndi mavuto aakulu ndipo 19 peresenti anali ndi vuto la chithokomiro. mitengoyi inali 3 peresenti ndi 6 peresenti, motero)
- Odwala omwe anali ndi thanzi labwino, otchedwa comorbidities
- Odwala omwe ali ndi kansa yapamwamba kwambiri, omwe anali ndi vuto lalikulu kwambiri pa 23 peresenti
Malingana ndi wolemba wotsogolera, Maria Papaleontiou, MD wa Mankhwala a Michigan:
Odwala 12 pa 100 alionse anali ndi vuto la opaleshoni ya chithokomiro. Ambiri mwa opaleshoni athu amachititsa kuti peresenti imodzi ikhale itatu. Ichi ndi quadruple zomwe tinkalingalira. Matenda a chithokomiro amaonedwa kuti ndi otetezeka kwambiri, koma anthu ena ali pachiopsezo kwambiri ndipo amafunikira chisamaliro chapadera mu chisamaliro chisanayambe ndi chithandizo.
Kodi Izi Zimatanthauzanji Odwala?
Wolemba mabuku wamkulu Megan Haymart, MD wa Michigan Medicine anati:
Tikamagwira ntchito ndi odwala kuti tipeze khansa ya chithokomiro, nthawi zonse timakhala tikulimbitsa ubwino ndi zoopsa. Phunziroli likuwonetsa kuti pali zovuta zambiri kuchokera ku opaleshoni ya khansa ya chithokomiro kuposa momwe ikuyembekezeredwa. Zimapereka mpata wophunzitsa odwala komanso operekera kuchepetsa mavuto ndi kusintha zotsatira.
Kafukufukuyu ali ndi zovuta zambiri kwa odwala momwe angapezere mwayi wochepetsa mavuto.
- Ngati mutagwera m'modzi mwa magulu atatu omwe ali ndi chiopsezo - zaka zoposa 65, matenda ena, kapena khansa yapakhungu - muyenera kuganizira ndi kufunafuna opaleshoni pamalo opangira opaleshoni ya chithokomiro, komanso ndi dokotala wochita opaleshoni opaleshoni ya chithokomiro. (Tawonani kuti ma opaleshoni ambiri a chithokomiro ku US amachitika ndi opaleshoni yotsika kwambiri.)
- Onetsetsani kuti mukambirane zizindikiro ndi zoopsa za hypoparathyroidism ndi hypocemiaem ndi dokotala wanu opaleshoni, ndipo dziwani zizindikiro pambuyo pa opaleshoni.
- Kambiranani kufunikira kwa opaleshoni ndi dokotala wanu. Malinga ndi Dr. Haymart, "Kukambirana za kupha opaleshoni kwa anthu omwe ali ndi chiopsezo chochepa kungakhale koyenera. Ngakhalenso odwala omwe ali pangozi, chiopsezo cha kudwala ziwalo zowonongeka ndi 2 peresenti ndipo chiopsezo cha hypoparathyroidism ndi 8 peresenti. Izi ndi zazikulu kuposa zomwe tikufuna kuziwona. Kodi pali njira zosankha opaleshoni yochepa kwa odwalawa? Ngati matenda a khansa apindula ali ofanana koma mavuto a nthawi yaitali angakhale ochepa, tiyenera kupereka odwala njirayi. "
Mawu Ochokera
Malingana ndi Columbia-Presbyterian Hospital ya ku New York, imodzi mwa malo opangira opaleshoni ya chithokomiro, dokotala wodziŵa chithandizo cha chithokomiro-amene amachititsa kuti pakhale njira zochepa zothandizira opaleshoni yanu-yachita maopaleshoni oposa 1,000 kapena / kapena opaleshoni ya parathyroid. kapena ntchito yake.
Malingana ndi American Thyroid Association:
Kawirikawiri, opaleshoni ya chithokomiro imachitidwa bwino ndi dokotala wina opaleshoni amene waphunzitsidwa kwambiri ndi amene amachita opaleshoni ya chithokomiro nthawi zonse. Kuwonjezereka kwa mavuto a chithokomiro kumachepetsedwa pamene opaleshoni imachitidwa ndi dokotala amene amachita opaleshoni yambiri chaka chilichonse. Odwala ayenera kufunsa dokotala wawo komwe angapite kukakhala ndi chithokomiro kapena kumene angatumize mamembala ake.
Kuti mupeze dokotala wa opaleshoni ya chithokomiro chokwanira kwambiri, mungafunenso kuwerenga momwe mungapezere opaleshoni yapamwamba ya chithokomiro .
> Zotsatira:
> American Thyroid Association. "Opaleshoni ya Chithokomiro." Online: http://www.thyroid.org/thyroid-surgery/
> Papaleontiou M, Hughes DT, Guo C, Banerjee M, Haymart MR. Kufufuza kwa Anthu Okhudzana ndi Zovuta Pambuyo pa Opaleshoni ya Kansa ya Chithokomiro. The Journal of Clinical Endocrinology & Metabolism, 2017; DOI: 10.1210 / jc.2017-00255 Online: https://academic.oup.com/jcem/article-abstract/doi/10.1210/jc.2017-00255/3778176/Population-Kodi-Assessment-of-Complications?redirectedFrom = zonse