Ukususwa kwendlala yegilo

Ukususwa kwendlala yegilo kungukuhlinzwa ukuze kususwe yonke noma ingxenye yendlala yegilo. Indlala yegilo yindlala emise okwevemvane etholakala ngaphakathi ngaphambili kwentamo engezansi.

Indlala yegilo iyingxenye yesistimu yehomoni (endocrine). Kuyasiza umzimba wakho ukulawula umzimba wakho.

Ngokuya ngesizathu sokuthi ususwe indlala yegilo, uhlobo lwe-thyroidectomy onalo luyoba:

• Ingqikithi ye-thyroidectomy, esusa yonke indlala
• I-thyroidectomy engaphansi noma engaphelele, esusa ingxenye yendlala yegilo

Uzoba ne-anesthesia ejwayelekile (elele futhi engenazinhlungu) yalokhu kuhlinzwa. Ezimweni ezingavamile, ukuhlinzwa kwenziwa nge-anesthesia yendawo kanye nemithi yokukuphumuza. Uzobe uvukile, kepha awunazinhlungu.

Ngesikhathi sokuhlinzwa:

• Udokotela ohlinzayo usika ngokuvundlile ngaphambili kwentamo yakho engezansi ngenhla kwamathambo ekhola.
• Yonke noma ingxenye yendlala isuswa ngokunqunywa.
• Udokotela ohlinzayo uyaqaphela ukuthi angalimazi imithambo yegazi nezinzwa ezisentanyeni yakho.
• Ishubhu elincane (ipayipi) lingabekwa endaweni ukusiza ukukhipha igazi nolunye uketshezi olwakhayo. Umsele uzosuswa ezinsukwini ezi-1 noma ezi-2.
• Ukusikeka kuvaliwe ngama-suture (imithungo).

Ukuhlinzwa ukususa i-thyroid yakho yonke kungathatha amahora angama-4. Kungathatha isikhathi esincane uma kukhishwa ingxenye kuphela yegilo.

Amasu amasha adinga ukusikwa okuncane eduze kwe-thyroid noma kwezinye izindawo futhi okubandakanya ukusetshenziswa kwe-endoscopy kuthuthukisiwe.

Udokotela wakho angancoma ukususwa kwe-thyroid uma unokunye kwalokhu okulandelayo:

• Ukukhula okuncane kwe-thyroid (i-nodule noma i-cyst)
• Indlala yegilo esebenza ngokweqile iyingozi (thyrotoxicosis)
• Umdlavuza wegilo
• Izicubu ezingenabisi (ezinobungozi) ze-thyroid ezibangela izimpawu
• Ukuvuvukala kwendlala yegilo (i-goiter engenabuthi) okwenza kube nzima kuwe ukuphefumula noma ukugwinya

Ungase futhi uhlinzwe uma une-gland yegilo engasebenzi ngokweqile futhi ungafuni ukuthola ukwelashwa kwe-iodine enemisebe, noma awukwazi ukwelashwa ngemithi ye-antithyroid.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi ze-thyroidectomy zifaka:

• Ukulimala kwemizwa yezintambo zakho zezwi nomphimbo.
• Ukopha kanye nokuvinjelwa komoya okungaba khona.
• Ukukhuphuka okukhulu kwamazinga ama-hormone e-thyroid (kuphela ngesikhathi sokuhlinzwa).
• Ukulimala kwezindlala ze-parathyroid (izindlala ezincane eziseduze ne-thyroid) noma ekunikezelweni kwegazi. Lokhu kungadala izinga eliphansi lesikhashana le-calcium egazini lakho (hypocalcemia).
• Ihomoni yegilo eningi kakhulu (isiphepho se-thyroid). Uma une-gland yegilo eyeqile, uzokwelashwa ngomuthi.

Phakathi namasonto angaphambi kokuhlinzwa kwakho:

• Ungadinga ukuthi ube nokuhlolwa okukhombisa ngqo ukuthi ukukhula kwe-thyroid okungavamile kutholakala kuphi. Lokhu kuzosiza udokotela ohlinzayo ukuthola ukukhula ngesikhathi sokuhlinzwa. Ungaba nokuhlolwa kwe-CT, i-ultrasound, noma okunye ukuhlolwa kwe-imaging.
• Udokotela wakho angenza nesifiso esihle senaliti ukuthola ukuthi ukukhula akukona umdlavuza noma umdlavuza. Ngaphambi kokuhlinzwa, umsebenzi wakho wezintambo ungabhekwa.
• Ungadinga futhi umuthi we-thyroid noma ukwelashwa kwe-iodine emavikini ayi-1 kuya kwamabili ngaphambi kokuhlinzwa kwakho.

Izinsuku ezimbalwa kuya kwesonto ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke okwesikhashana ukuthatha imithi yokuncipha kwegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil), naproxen (Aleve), clopidogrel (Plavix), warfarin (Coumadin), phakathi kwabanye.
• Gcwalisa noma imiphi imiyalelo yomuthi wezinhlungu ne-calcium oyodinga ngemuva kokuhlinzwa.
• Tshela umhlinzeki wakho wezempilo ngayo yonke imithi oyiphuzayo, ngisho naleyo ethengwe ngaphandle kwemithi kadokotela. Lokhu kufaka amakhambi nezithako. Buza umhlinzeki wakho ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha noma yimiphi imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Qiniseka ukuthi ufika esibhedlela ngesikhathi.

Cishe uzoya ekhaya ngosuku noma ngosuku olulandelayo ngemuva kokuhlinzwa. Ezimweni ezingavamile, kungadingeka ukuthi uchithe izinsuku ezi-3 usesibhedlela. Kufanele ukwazi ukugwinya iziphuzo ngaphambi kokuya ekhaya.

Umhlinzeki wakho angahlola izinga le-calcium egazini lakho ngemuva kokuhlinzwa. Lokhu kwenziwa kaningi lapho kususwa yonke indlala yegilo.

Ungaba nobuhlungu ngemuva kokuhlinzwa. Buza umhlinzeki wakho ngemiyalo yokuthi ungayithatha kanjani imithi yezinhlungu ngemuva kokuya ekhaya.

Kufanele kuthathe cishe amasonto ama-3 kuye kwangama-4 ukuthi ululame ngokuphelele.

Landela noma imiphi imiyalo yokuzinakekela ngemuva kokuya ekhaya.

Umphumela walokhu kuhlinzwa uvame ukuba muhle kakhulu. Iningi labantu lidinga ukuthatha amaphilisi e-thyroid hormone (esikhundleni sehomoni yegilo) impilo yabo yonke lapho kususwa yonke indlala.

I-thyroidectomy ephelele; I-thyroidectomy engaphelele; I-Thyroidectomy; I-thyroidectomy engaphansi; Umdlavuza wegilo - thyroidectomy; Umdlavuza wepapillary - thyroidectomy; I-goiter - i-thyroidectomy; Amaqhubu endlala yegilo - i-thyroidectomy

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Ukususwa kwendlala yegilo - ukukhishwa

• Ingane anatomy yegilo
• I-Thyroidectomy - uchungechunge
• Ukuqhekeka kokuhlinzwa kwe-thyroid gland

UFerris RL, Turner MT. I-thyroidectomy esizwa kancane ngevidiyo. Ku: Myers EN, Snyderman CH, eds. I-Operative Otolaryngology Head kanye ne-Neck Surgery. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 79.

UKaplan EL, u-Angelos P, uJames BC, uNagar S, uGranogan RH. Ukuhlinzwa kwe-thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 96.

UPatel KN, Yip L, Lubitz CC, et al. Isifinyezo esiphezulu se-American Association of Endocrine Surgeons imihlahlandlela yokuphathwa okucacile kokuhlinzwa kwesifo se-thyroid kubantu abadala. U-Ann Surg. 2020; 271 (3): 399-410. I-PMID: 32079828 pubmed.ncbi.nlm.nih.gov/32079828/.

USmith PW, uHanks LR, uSalomone LJ, uHanks JB. Indlala yegilo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 36.