Ukususwa Kwendlala yegilo

-Delile

• Izizathu zokuhlinzwa kwegilo
• Izinhlobo zokuhlinzwa kwegilo
• I-Lobectomy
• I-thyroidectomy engaphansi
• Ingqikithi ye-thyroidectomy
• Kwenziwa kanjani ukuhlinzwa kwegilo?
• I-thyroidectomy yerobhothi
• Ukunakekelwa ngemuva
• Izingozi zokuhlinzwa kwegilo

Ukuhlinzwa kwendlala yegilo

Indlala yegilo iyindlala encane emise okwevemvane. Itholakala engxenyeni engezansi engaphambili yentamo, ngezansi nje kwebhokisi lezwi.

Indlala yegilo ikhiqiza amahomoni athwalwa yigazi kuzicubu zomzimba. Kuyasiza ukulawula imetabolism - inqubo umzimba oguqula ngayo ukudla kube ngamandla. Iphinde ibambe iqhaza ekugcineni izitho zisebenza kahle nokusiza umzimba ukonga ukushisa.

Kwesinye isikhathi, indlala yegilo ikhiqiza i-hormone eningi kakhulu. Kungabuye kube nezinkinga zesakhiwo, njengokuvuvukala nokukhula kwama-cysts noma ama-nodules. Ukuhlinzwa kwendlala yegilo kungadingeka lapho lezi zinkinga zenzeka.

Ukuhlinzwa kwendlala yegilo kuhilela ukususa yonke noma ingxenye yendlala yegilo. Udokotela uzokwenza lokhu kuhlinzwa esibhedlela ngenkathi isiguli singaphansi kwe-anesthesia ejwayelekile.

Izizathu zokuhlinzwa kwegilo

Isizathu esivame kakhulu sokuhlinzwa kwegilo ukuba khona kwamaqhuqhuva noma izimila endlaleni yegilo. Iningi lamaqhubu alinangozi, kepha amanye angaba nomdlavuza noma abe nomdlavuza.

Ngisho amaqhuqhuva anobungozi angadala izinkinga uma ekhula ngokwanele ukuvimba umphimbo, noma uma evusa ukuthi igilo likhiqize ama-hormone ngokweqile (isimo esibizwa nge-hyperthyroidism).

Ukuhlinzwa kungalungisa i-hyperthyroidism. I-Hyperthyroidism imvamisa ingumphumela wesifo sokuzilimaza esibizwa nge-Graves ’disease.

Isifo se-Graves senza ukuthi umzimba ungakhombisi kahle indlala yegilo njengomzimba wangaphandle bese uthumela amasosha omzimba ukuyihlasela. Lawa masosha omzimba avutha indlala yegilo, abangela ukukhiqizwa ngokweqile kwehomoni.

Esinye isizathu sokuhlinzwa kwegilo ukuvuvukala noma ukukhuliswa kwendlala yegilo. Lokhu kubizwa ngokuthi yi-goiter. Njengamaqhuqhuva amakhulu, ama-goiters angavimba umphimbo futhi aphazamise ukudla, ukukhuluma nokuphefumula.

Izinhlobo zokuhlinzwa kwegilo

Kunezinhlobo ezahlukahlukene zokuhlinzwa kwe-thyroid. Okuvame kakhulu yi-lobectomy, i-thyroidectomy engaphansi, ne-thyroidectomy ephelele.

I-Lobectomy

Kwesinye isikhathi, i-nodule, ukuvuvukala, noma ukuvuvukala kuthinta kuphela uhhafu wendlala yegilo. Uma lokhu kwenzeka, udokotela uzosusa elilodwa kuphela lama-lobes amabili. Ingxenye esele ngemuva kufanele igcine omunye noma wonke umsebenzi wayo.

I-thyroidectomy engaphansi

I-thyroidectomy engezansi isusa indlala yegilo kepha ishiya ngemuva inani elincane lezicubu ze-thyroid. Lokhu kugcina umsebenzi othile we-thyroid.

Abantu abaningi abathola lolu hlobo lokuhlinzwa baba ne-hypothyroidism, isimo esenzeka lapho i-thyroid ingakhiqizi ama-hormone anele. Lokhu kuphathwa ngezithako zehomoni zansuku zonke.

Ingqikithi ye-thyroidectomy

I-thyroidectomy ephelele isusa yonke i-thyroid nezicubu ze-thyroid. Lokhu kuhlinzwa kufanelekile lapho amaqhuqhuva, ukuvuvukala, noma ukuvuvukala kuthinta yonke indlala yegilo, noma uma umdlavuza ukhona.

Kwenziwa kanjani ukuhlinzwa kwegilo?

Ukuhlinzwa kwendlala yegilo kwenzeka esibhedlela. Kubalulekile ukuthi ungadli noma uphuze noma yini ngemuva kwamabili ngaphambi kokuhlinzwa kwakho.

Lapho ufika esibhedlela, uzongena bese uya endaweni yokulungiselela lapho uzokhipha khona izingubo zakho bese ugqoka ingubo yasesibhedlela. Umhlengikazi uzofaka i-IV esihlakaleni sakho noma engalweni yakho ukuphatha oketshezi nemithi.

Ngaphambi kokuhlinzwa, uzohlangana nodokotela wakho ohlinzayo. Bazokwenza ukuhlolwa okusheshayo bese bephendula noma yimiphi imibuzo ongaba nayo mayelana nenqubo. Uzohlangana futhi nodokotela obulala izinzwa ozonikeza umuthi okwenza ulale kuyo yonke inqubo.

Uma sekuyisikhathi sokuhlinzwa, uzongena egumbini lokuhlinza kwi-gurney. Udokotela obulala izinzwa uzofaka umuthi ku-IV yakho. Umuthi ungazizwa ubanda noma uluma njengoba ungena emzimbeni wakho, kepha uzokusheshe ulale ubuthongo obukhulu.

Udokotela ohlinzayo uzokwenza imbobo phezu kwendlala yegilo futhi asuse ngokucophelela yonke noma ingxenye yendlala. Ngoba indlala yegilo incane futhi izungezwe izinzwa nezindlala, inqubo ingathatha amahora amabili noma ngaphezulu.

Uzovuka egumbini lokutakula, lapho abasebenzi bezoqinisekisa ukuthi ukhululekile. Bazohlola izimpawu zakho ezibalulekile futhi banikeze imishanguzo yezinhlungu lapho kudingeka. Uma usesimweni esizinzile, bazokudlulisela egumbini lapho uzohlala ubhekiwe amahora angama-24 kuya kwangama-48.

I-thyroidectomy yerobhothi

Olunye uhlobo lokuhlinzwa lubizwa ngokuthi i-robotic thyroidectomy. Ku-thyroidectomy yerobhothi, udokotela ohlinzayo angasusa konke noma ingxenye yegilozi ngokusebenzisa i-axillary incision (nge-armpit) noma ngokuhambisa (ngomlomo).

Ukunakekelwa ngemuva

Ungaqala kabusha imisebenzi yakho ejwayelekile ngosuku olulandelayo ngemuva kokuhlinzwa. Kodwa-ke, linda okungenani izinsuku eziyi-10, noma udokotela wakho aze akunikeze imvume, yokwenza izinto ezinzima njengokuzivocavoca umzimba okunomthelela omkhulu.

Umphimbo wakho mhlawumbe uzokuzwa ubuhlungu izinsuku ezimbalwa. Ungakwazi ukuthatha imishanguzo yezinhlungu ezithengelwe njenge-ibuprofen noma i-acetaminophen ukuze unciphise ubuhlungu.

Ngemuva kokuhlinzwa kwakho, ungaqala ukuthuthukisa i-hypothyroidism. Uma lokhu kwenzeka, udokotela wakho uzokunikeza uhlobo oluthile lwe-levothyroxine ukusiza ukuletha amazinga wakho we-hormone ebhalansi. Kungathatha ukulungisa okuningi nokuhlolwa kwegazi ukuthola isilinganiso esingcono kakhulu kuwe.

Izingozi zokuhlinzwa kwegilo

Njengakho konke ukuhlinzwa okukhulu, ukuhlinzwa kwe-thyroid kubeka engcupheni yokuphendulwa kabi ekuthomalaliseni okujwayelekile. Ezinye izingozi zibandakanya ukopha kakhulu nokutheleleka.

Izingozi eziqondene nokuhlinzwa kwegilo akuvamile ukwenzeka. Kodwa-ke, izingozi ezimbili ezivame kakhulu yilezi:

• ukulimala kwezinzwa zemizwa eziphindayo (izinzwa ezixhunywe ezintanjeni zakho zezwi)
• ukulimala kwezindlala ze-parathyroid (izindlala ezilawula izinga le-calcium emzimbeni wakho)

Izithasiselo zingaphatha amazinga aphansi e-calcium (hypocalcemia). Ukwelashwa kufanele kuqale ngokushesha okukhulu. Yazisa udokotela wakho uma uzizwa unovalo noma ujittery noma uma imisipha yakho iqala ukudikiza. Lezi yizimpawu ze-calcium ephansi.

Kuzo zonke iziguli ezine-thyroidectomy, idlanzana kuphela elizokwakha i-hypocalcemia. Kulabo abahlakulela i-hypocalcemia, bazolulama ngonyaka ongu-1.