Ukuhlinzwa kwendlala yegilo: kwenziwa kanjani, izinhlobo eziyinhloko nokululama
-Delile
- Izinhlobo zokuhlinzwa kwegilo
- Ilulama kanjani ngemuva kokukhipha i-thyroid
- Kwenzekani ngemuva kokususa i-thyroid
- Ungaphila kanjani ngaphandle kwegilo
- Ukususa i-thyroid ekhuluphele?
Ukuhlinzwa kwendlala yegilo kwenziwa ukuphatha izinkinga ze-thyroid, njengamaqhuqhuva, ama-cysts, ukukhulisa ngokweqile i-thyroid noma umdlavuza, futhi kungaba okuphelele noma okuyingxenye, kuya ngokuthi indlala isuswe ngokuphelele yini noma cha.
Ngokuvamile, lokhu kuhlinzwa, okwaziwa nge-thyroidectomy, kubucayi ngoba kunemithambo, imithambo, izinzwa nemisipha ebalulekile empilweni, kepha-ke, kujwayelekile ukungabi nezinkinga, noma ngabe kunomdlavuza, nezinguquko ezwini noma emihuzukweni engavamile .
Indawo ye-thyroid
Ukululama ekuhlinzeni kulula, futhi kuyadingeka ukugwema ukwenza imizamo ukuze kungabangeli ukuvuvukala nokopha endaweni esikiwe, kushiye isibazi entanyeni.
Izinhlobo zokuhlinzwa kwegilo
Ukuhlinzwa kwendlala yegilo kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi ngesikhathi sokuhlinzwa, okuthatha cishe amahora amabili, udokotela usika entanyeni evumela ukuthi i-thyroid ibonwe futhi isuswe.
Ngokuvamile, ngaphambi kokuhlinzwa kwe-thyroid, kufanele uzilolonge amahora angu-8 futhi ungathathi noma imiphi imithi ezinsukwini eziyi-10 ezedlule, njenge-AAS, iBufferin noma iMelhoral, ngokwesibonelo ngoba yandisa ingozi yokopha ngesikhathi sokuhlinzwa nangesikhathi sokuhlinzwa khubaza ukuphulukiswa. Izinhlobo eziyinhloko zokuhlinzwa yilezi:
- Ingqikithi ye-thyroidectomy: Iqukethe ukususa ngokuphelele i-thyroid, ngesidingo sokushintshwa kwe-hormone.
- I-Lobectomy noma i-Hemithyroidectomy: Kuqukethe ukususa uhlangothi olulodwa kuphela kanye ne-isthmus, okuyingxenye ejoyina izinhlangothi zombili, ishiye uhhafu wegilo usebenza ngokujwayelekile. Kungakhonjiswa esimweni somdlavuza wegilo wohlobo lwe-papillary noma lwe-follicular, futhi kudinga ukuhlolwa kwesidingo sokushintshwa kwe-hormone.
- Ukukhishwa komlomo wesibeletho: Kwezinye izimo, ngaphandle kokukhipha i-thyroid, kungadingeka ukususa ama-lymph node eduze ne-thyroid kanye nomlomo wesibeletho, lapho kuthinteka noma ukugwema ukuthinteka, ikakhulukazi esimweni somdlavuza we-thyroid we-medullary noma we-anaplastic. Endabeni yomdlavuza we-follicular noma we-papillary, udokotela kungenzeka angasiboni isidingo sokuhlukaniswa kwentamo uma i-biopsy ikhombisa ukuthi abathinteki.
Ngemuva nje kokuhlinzwa
Izinsuku ezi-3 ngemuva kokuhlinzwa
Ezimweni eziningi, ungabuyela ekhaya ngosuku olulandelayo, uhlale izinsuku ezi-1 noma ezi-2, ngoba ukubukeka kwezinkinga kuncane. Kodwa-ke, akunakwenzeka ukuthi ufunde noma usebenze evikini lokuqala ngemuva kokuhlinzwa.
Udokotela anganquma futhi uma kunesidingo sokwenza ukwelashwa nge-iodine enemisebe ekhonza ukuqeda ngokuphelele noma imuphi umkhondo wamaseli amabi. Funda konke nge-Radioactive Iodine.
Bheka futhi le vidiyo elandelayo bese ubona ukuthi ikuphi ukudla okufanele kakhulu ukwenziwa ngesikhathi sokwelashwa nge-iodine enemisebe:
Ilulama kanjani ngemuva kokukhipha i-thyroid
Isikhathi sokuhlinzwa kokuhlinzwa kwe-thyroid sihlala cishe izinsuku eziyi-15 futhi ngaleso sikhathi umuntu kufanele agweme ukwenza imizamo yomzimba, njengokugijima noma imisebenzi ejulile yasekhaya ukugwema ukuvuvukala nokopha endaweni esikiwe. Noma kunjalo, ukuphumula okuphelele akudingekile, ezimweni eziningi, ungahamba, usebenze futhi uhambise intamo yakho ngesonto elingemva kokuhlinzwa.
Ngemuva kokuphuma egumbini lokuhlinza, ungakhipha intamo yokukhipha uketshezi oluningi ngegazi futhi ugweme ukulimaza, futhi njengoba kuyinto ejwayelekile ukuzwa ezinye izinhlungu, udokotela angakhombisa ukusetshenziswa kwe-analgesics kanye ne-anti-inflammatories, njengeParacetamol noma i-Ibuprofen , nokudla ukudla okumanzi nokuthambile ukuze kunciphise ukungakhululeki emphinjeni.
Ngaphezu kwalokho, une-bandage entanyeni yakho ukugwema ukuthintana namagciwane nokungcola nokuvikela indawo lapho ukusikeka kwenziwa khona elangeni, okungafanele kube manzi. Imvamisa, isiguli sigoduka nesigqoko, okumele sisuswe cishe ezinsukwini ezintathu ngemuva kokuhlinzwa esibhedlela, nemithungo nayo iyasuswa lapho ibonakala.
Izinsuku eziyi-10 ngemuva kokuhlinzwa
Kwenzekani ngemuva kokususa i-thyroid
Ukuhlinzwa kwendlala yegilo kuvame ukuba yinkimbinkimbi, kepha imiphumela ejwayelekile ifaka phakathi:
- Umphimbo obuhlungu nokukhwehlela, okungadala ubunzima ekudleni futhi, okuvame ukwehlisa ngemuva kweviki eli-1, kuhlobene nokuvuvukala komphimbo;
- Izinguquko zezwi, njengokukhathala nokukhathala ekukhulumeni, okuvame ukudlula ngokuzenzekelayo ngemuva kwezinyanga ezimbalwa, futhi kwezinye izimo ukuqeqeshwa ngezwi kuyadingeka;
- Kwehle amazinga egazi e-calcium, ngoba eduze kwe-thyroid kukhona izindlala ze-parathyroid ezikhiqiza i-hormone eyaziwa njenge-PTH ebhekele ukulawula izinga le-calcium egazini;
- IHematoma entanyeni okungadala ubuhlungu nokuvuvukala entanyeni.
Njengoba kusikwa entanyeni, kuyinto evamile ukuba nesibazi esincanyana esingahluka phakathi kuka-3 kuya ku-15 cm.
Ungaphila kanjani ngaphandle kwegilo
Kungenzeka uphile ngaphandle kwendlala yegilo ngoba ama-hormone akhiqizwa yilesi sitho angashintshwa yimithi emaphilisi ane-calcium novithamini D kanye ne-Levothyroxine noma i-Synthroid, ngokwesibonelo, enconywe ngudokotela we-endocrinologist okufanele athathwe ekuseni engenalutho isisu. Bona ukuthi iziphi izixazululo ze-Thyroid udokotela angazikhombisa.
Ngemuva kokukhipha i-thyroid ngokuphelele, le mithi kufanele iphuzwe impilo yonke, ukugcina izinga le-hormone lizinzile nokugwema izimpawu ezifana nokushaywa nokuqaqamba. La makhambi angaqala ukuthathwa ngemuva kokuhlinzwa.
Buka le vidiyo elandelayo bese ubona amathiphu angasiza abantu abangenayo i-thyroid ukuba baphile kangcono:
Lapho kususwa uhhafu wendlala kuphela, akudingekile ngaso sonke isikhathi ukwenza le hormone esikhundleni ngoba ingxenye esele ingakwazi ukuzivumelanisa nokukhiqiza inani lamahomoni adingwa ngumzimba. Ngakho-ke, udokotela kufanele a-oda ukuhlolwa kwegazi ne-ultrasound ukubheka umphumela wokuhlinzwa nokuthi amazinga alawa mahomoni asemgudwini wegazi cishe inyanga e-1 ngemuva kokukhipha ingxenye yegilo. Ngalesi sikhathi sokulinda, umuntu kufanele abheke izimpawu zokushintsha kwe-thyroid, njengokushintsha kokuya esikhathini, amajaqamba, imilenze ekhathele noma ukuzwa ukuzwa. Hlola zonke izimpawu zezinkinga ze-thyroid.
Ukususa i-thyroid ekhuluphele?
Uma ususa ngokuphelele i-thyroid futhi ungenzi ukufaka ama-hormone esikhundleni, kungahle kube ne-hypothyroidism, futhi enye yezimpawu zalokhu ukukhula kwesisindo nokuvuvukala komzimba. Ngakho-ke, kuyadingeka ukuthatha imishanguzo ukufaka esikhundleni samahomoni akhiqizwa yi-thyroid ukugcina isisindo esifanele nokugcina eminye imisebenzi yomzimba, njengokulawula izinga lokushisa elilawulwa kahle. Ngakho-ke, noma nini lapho umuntu esusa i-thyroid ngokuphelele, kufanele athathe imishanguzo yegilo impilo yakhe yonke.
Ukususa kuphela uhhafu wegilo nakho kungaholela ekutholeni isisindo, lapho isigamu esisele singakwazi ukukhiqiza amahomoni adingwa ngumzimba. Ngakho-ke, ngaphezu kokuhlola ngezikhathi ezithile i-thyroid, kubalulekile ukubona uma kuvela izimpawu ezihlobene ne-hypothyroidism. Thola izivivinyo ezi-5 ezihlola indlala yegilo.
Uma udokotela encoma ukwelashwa ngeRadioactive Iodine ngemuva kokukhipha i-thyroid, akunakwenzeka ukuqala ukuthatha ama-hormone e-thyroid, ngakho-ke phakathi nalezi zinsuku ezingama-30 phakathi kwenqubo nenye, kujwayelekile ukuthi abantu bazizwe bequnjelwe, benekhanda. lokuhlushwa, kepha lesi sikhathi ngaphandle kwemithi kubalulekile ukwandisa ukusebenza kwe-iodotherapy enemisebe, engaqeda ngokuphelele amaseli amabi. Ngemuva kwalokhu kwelashwa, udokotela angancoma ukuthatha imishanguzo yegilo, futhi izimpawu ezingathandeki kufanele zinyamalale ezinsukwini ezimbalwa.