Kuwona Kwambiri Kuwona
Kuchita opaleshoni pa chithokomiro kumatchedwa thyroidectomy. M'nkhani ino, fufuzani zifukwa za opaleshoni ya chithokomiro, ma opaleshoni a chithokomiro, ndi zomwe muyenera kuyembekezera musanakhale opaleshoni.
Zifukwa za Opaleshoni ya Chithokomiro
Kuchita opaleshoni ya chithokomiro kumachitika pazinthu zosiyanasiyana:
- monga chithandizo cha khansa ya chithokomiro
- pamene chithokomiro chofutukuka (goiter) kapena multiplexules zimayambitsa vuto lodzola, kupuma kapena kumeza
- Mayi wodwala, pamene hyperthyroidism sichikhoza kuyendetsedwa ndi mankhwala osokoneza bongo , ndipo imafuna chithandizo mwamsanga
- pamene mitundu ina ya chithandizo cha hyperthyroidism - mwachitsanzo ,. mankhwala oletsa tizilombo toyambitsa matenda kapena ayodini otulutsa mavitamini osokoneza bongo sakhala ogwira ntchito. (Izi zikugwiritsidwa ntchito ku US Kunja kwa US, nthawi zina opaleshoni imachitidwa ngati mankhwala a hyperthyroidism musanayambe kapena m'malo mwa iodine yosautsa.)
- kwa ana, ngati dokotala kapena kholo akufuna kupewa ayodini ya radioactive
- pamene wodwala amakana mankhwala a antithyroid kapena ayodini ya radioactive
- pamene wodwalayo akufuna kuyesa mwamsanga atatha kuchipatala
Kusankha Dokotala Wopaleshoni
Zovuta zimakhala zovuta ndi madokotala ochita opaleshoni omwe ali ndi zochepa zochitidwa opaleshoni ya chithokomiro, motero onetsetsani kuti dokotala wanu akudziŵa zambiri pa opaleshoni ya chithokomiro. Mungapeze zambiri mu nkhani yokhudzana ndi Kupeza Opaleshoni Yotchuka ya Chithokomiro .
Mitundu ya Opaleshoni ya Chithokomiro
Pali mitundu itatu yaikulu ya opaleshoni ya chithokomiro:
- Total Thyroidectomy - Complete Removal of Thyroid
Imeneyi ndiyo njira yowonjezereka ya opaleshoni ya chithokomiro, ndipo nthawi zambiri imagwiritsidwa ntchito pa khansa ya chithokomiro, makamaka makamaka khansa yaukali, monga mankhwala osokoneza bongo kapena khansa ya kanseri . Amagwiritsidwanso ntchito pa mankhwala a goiter ndi Graves '/ hyperthyroidism. - Zowonongeka / Zosakaniza Tizilombo toyambitsa matenda - Kuchotsa gawo limodzi la Chithokomiro cha Chithokomiro
Kwa opaleshoniyi, khansara iyenera kukhala yaying'ono komanso yosagwira mtima - yopusa kapena papillary - ndipo ili ndi mbali imodzi ya gland. Pamene chithokomiro chochepa kapena chochepa chachithupi chikuchitidwa, kawirikawiri, madokotala opaleshoni amapanga tizilombo toyambitsa matenda omwe amachokera ku 1 mpaka 5 magalamu mbali iliyonse / chithokomiro. Njira ya Harley Dunhill imalinso yotchuka, yomwe ili ndi lobectomy lonse kumbali imodzi, ndi gawo lina pambali, kusiya 4 mpaka 5 magalamu a chithokomiro minofu otsala.
- Chithokomiro cha Lobectomy - Kuchotsedwa Kokha Pa Quarter ya Gland
Izi sizigwiritsidwa ntchito kawirikawiri pa khansa ya chithokomiro, popeza maselo a khansa ayenera kukhala ang'onoang'ono komanso osakhala achiwawa.
Nkhani yowonongeka / yopanda phindu, yokhudzana ndi chithokomiro chonse ndizovuta. Akatswiri ena amakonda kupanga chithokomiro chokhazikika pokhapokha ngati n'kotheka, poganiza kuti adzasiya minofu yambiri ya chithokomiro pofuna kupewa hypothyroidism. (Chithokomiro chathunthu chiri ndi mwayi wokwana pafupifupi 100 peresenti ya kuchititsa hypothyroidism). Komabe, chiopsezo cha hypothyroidism ndi chithokomiro chotchedwa thyroidectomy ndi chachikulu kwambiri, ndipo akatswiri ena amanena kuti oposa 70 peresenti ya odwala omwe amapeza chithokomiro cha thyroidectomy adzakhala hypothyroid. Popeza chimodzi mwa zifukwa zazikulu zodzipangitsa tizilombo toyambitsa matenda ndiko kuteteza hypothyroidism, ndipo cholingachi chimakhalapo pokhapokha pokhapokha pali akatswiri ambiri, akatswiri amakhulupirira kuti palibe chithandizo china choyambitsa matenda a thyroidectomy, ndipo nthawi zonse amalimbikitsa chithokomiro chokha.
Zimene Mwinamwake Muli nazo
Nthaŵi zambiri, opaleshoni ya chithokomiro sichinthu chovuta kwambiri, ndipo nthawi zambiri samatenga maola awiri okha.
Kuchotsa theka la chithokomiro kumatenga mphindi 45 mpaka ora, choncho ngati mankhwala onse akuchotsedwa, opaleshoniyo ikhoza kukhala ola limodzi ndi theka.
Yang'anirani ndi dokotala wanu opaleshoni za mankhwala omwe mukuwatenga, ndi zomwe muyenera kuchita / musamazitengere masiku oyamba opaleshoni.
Mudzafunsidwa kuti mupite kuchipatala mmawa wa opaleshoni yanu. Kawirikawiri, dokotala wanu akufunsa kuti musadye kapena kumwa pambuyo pausiku usiku opaleshoni yoyamba.
Kuloledwa kwachipatala kapena kuchipatala?
Malingana ndi momwe wodwalayo aliri, akhoza kukhala ndi chipatala usiku kapena usiku. Kuchuluka kwa opaleshoni ya chithokomiro ikuwonjezereka kwambiri, komabe, kafukufuku amasonyeza kuti opaleshoni ya chithokomiro yapachilendo imakhala yotetezeka, yogwira ntchito - komanso yotsika mtengo - kwa odwala ambiri, ndipo ikhoza kukhala yabwino ku chipatala chokhala ndi chipatala.
Anesthesia Wachikhalidwe Kapena Wachigawo?
Kuchita opaleshoni ya chithokomiro kumachitika kawirikawiri ndi anesthesia wamba. Madokotala ena opaleshoni tsopano akugwiritsa ntchito anesthesia kumidzi, kuphatikizapo kuchepetsa, komabe, kuchita opaleshoni ya chithokomiro.
Ubwino wa anesthesia wamba ndikuti umagwirizanitsidwa ndi nthawi yayitali ya chipatala, nthawi yayitali yopaleshoni, komanso kusanza kochepa ndi kusuta pambuyo pa opaleshoni.
Ngati mutasankha anesthesia , dokotala wanu amakupatsani mankhwala osokoneza bongo chifukwa cha chithokomiro, kuphatikizapo mankhwala ochepetsera thupi kuti akuthandizeni kukhala chete. Komabe, mudzakhala maso pa opaleshoniyi, ndipo mutha kuyanjana ndi dokotala wanu opaleshoni.
Osati opaleshoni ambiri amaphunzitsidwa kuti achite opaleshoni ya chithokomiro pansi pa anesthesia. Kotero ngati mukufuna kupitiriza njirayi, onetsetsani kuti dokotala wanu wachita opaleshoni yambiri ya chithokomiro ndi anesthesia wamba. (Akatswiri ena amati mukuyang'ana dokotala wa opaleshoni amene wachita izi nthawi zosachepera 50.)
Njira Yopangira Opaleshoni
Pa opaleshoni, dokotalayo akudula incision 3 mpaka 5 inchi pansi pa khosi lanu kutsogolo. Khungu ndi minofu zimatulutsidwa kuti zisonyeze chithokomiro cha chithokomiro. Kawirikawiri zimapangidwira kuti zigwere pakhungu la khosi lanu, zomwe zimapangitsa kuti zisamveke bwino.
Magazi a "gland" amachotsedwa, ndipo matenda a parathyroid amadziwika (kuti atetezedwe). Dokotalayo amalekanitsa chithandizo cha chithokomiro, ndipo amachotsa zonse kapena mbali imodzi ya gland.
Madokotala ambiri amagwiritsa ntchito zidutswa zosasunthika, koma mungafune kufunsa dokotala wanu nthawi yochuluka chomwe akufuna kuti agwiritse ntchito, chifukwa zovuta zomwe sizingatheke kwenikweni zimayambitsa kuchepa pang'ono. Ngati muli ndi mbiri yokhudza kuchepa kwa khungu kumapazi akale, mungafune kufunsa dokotala wanu za kugwiritsa ntchito mankhwala a hypoallergenic suture.
Zindikirani: Opaleshoni yambiri ya chithokomiro imagwiritsidwa ntchito pogwiritsa ntchito njira zachikhalidwe. Koma akatswiri ena amachita opaleshoni ya chithokomiro, yomwe imaphatikizapo kugwiritsa ntchito kamera kakang'ono kamene kakuikidwa m'khosi. Mpweya wa carbon dioxide umaponyedwa mu khosi kuti athandize kupanga zosavuta kuwona ndikugwira ntchito pa gland. Kachilombo kakang'ono kamene kamapangidwira, ndipo kachidutswa kakang'ono kamene kali ndi mpweya wotchedwa scalpel kamalowetsedwa kupyolera mu chikhomocho. Phukusiyi ndi chida chogwiritsira ntchito chochotsa chithokomiro. Kupanga opaleshoni, chifukwa imakhala ndi zikopa ziwiri zochepa zosachepera imodzi, nthawi zambiri zimasiya masamba ocheperapo, ndipo zimabwereranso kuntchito yachizolowezi. Nthawi zina, malo olowera kumalo ali pansi pa mkono - wotchedwa opaleshoni ya axillary. Kuchita opaleshoni sikunali wamba, komabe, muyenera kupeza dokotala wochita opaleshoni ndikuchita opaleshoniyi, ndikufufuzani ngati zili zoyenera pazochitika zanu.
Pambuyo pa Opaleshoni Yanu
Pambuyo pa opaleshoniyi, nthawi zambiri mumakhala mukuyang'anitsitsa kuchipatala kwa maola oposa 6. Ngati mukuchita upaleshoni wamtsogolo, mukhoza kumasulidwa pambuyo pake.
Musanayambe kutulutsa, khungu lanu limakhala ndi glue omwe amatha kuteteza madzi osatetezedwa otchedwa colloidium. (Izi zimakuthandizani kusamba kapena kusamba pambuyo pa opaleshoni.)
Kawirikawiri, ngati pali vuto lokhudza magazi kapena ngati chithokomiro ndi chachikulu kwambiri ndipo opaleshoni yasiya malo otseguka, kukhetsa madzi kumalo anu kuti muteteze madzimadzi. Muyenera kubwereranso kwa opaleshoni masiku angapo kenako kuti kuchotsa kuchotsedwa.
Pali zina zomwe zimakhala zochepa zomwe zimachitika pambuyo pa opaleshoni ya chithokomiro, kuphatikizapo kupweteka pamene akumeza, ndi kuuma kwa khosi. Odwala ambiri amakhalanso ndi hypothyroid pambuyo pochita opaleshoni ndipo amafunika mankhwala otsekemera amachitiranso mankhwala. Nkhanizi zikufotokozedwa mwatsatanetsatane mu nkhani yokhudzana ndi opaleshoni ya chithokomiro .
Ngakhale mavuto ali ovuta, ochepa akhoza kuwonekera pambuyo pa opaleshoni ya chithokomiro. Izi zikuphatikizapo hypoparathyroidism ndi hypocalcemia, ndi kuwonongeka kwa mitsempha. Zizindikiro zingaphatikizepo kumangirira ndi kumangirira kuzungulira milomo yanu, manja, pansi pa mapazi anu, kupweteka kwa minofu ndi kupwetekedwa mtima, kupweteka kwa mutu, nkhawa, kupsinjika mtima, kukhumudwa, ndi kuyankhula mofuula. Mutha kuwerenga zambiri za izi mu zovuta Pambuyo pa Opaleshoni ya Chithokomiro .
Zotsatira:
Braverman, MD, Lewis E., ndi Robert D. Utiger, MD. Werner ndi Ingbar's The Thyroid: Mawu Ofunika ndi Otsogolera. 9th, Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.
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Lal, Geeta ndi. al. "Kodi Njira Yonse Yopangidwira Iyenera Kukhala Njira Yopangira Opaleshoni Yogwira Ntchito ya Matenda a Manda?" Chithokomiro , Jun 2005, Vol. 15, No. 6: 569 -574 Online.
Moreno, Pablo, ndi. al. "Kachilombo ka Chithokomiro Chokha: Njira Yodalirika Yopambitsira Euthyroidism M'mayamanda Akumanda." Zolemba Zamakono, " World Journal of Surgery , Voliyumu 30, Nambala 11, November 2006, pp. 1950-1956 (7)
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