Chithokomiro kuchotsa

Kuchotsa chithokomiro ndikuchotsa chithokomiro chonse kapena gawo lina. Chithokomiro ndimtundu wokhala ndi gulugufe womwe uli mkati kutsogolo kwa khosi lakumunsi.

Chithokomiro ndimtundu wa mahomoni (endocrine). Zimathandiza thupi lanu kuwongolera kagayidwe kanu.

Kutengera chifukwa chomwe akuchotsera chithokomiro, mtundu wa thyroidectomy womwe uli nawo ukhoza kukhala:

• Matenda onse a thyroidectomy, omwe amachotsa gland yonse
• Matenda osakanikirana kapena ochepa a thyroidectomy, omwe amachotsa gawo la chithokomiro

Mudzakhala ndi anesthesia wamba (ogona komanso opanda ululu) pa opaleshoniyi. Nthawi zambiri, opareshoni imachitika ndi mankhwala oletsa ululu am'deralo komanso mankhwala kuti akupumulitseni. Mudzakhala ogalamuka, koma opanda ululu.

Pa opaleshoni:

• Dokotalayo amadula mozungulira kutsogolo kwa khosi lanu lakumunsi pamwambapa.
• Zonse kapena gawo la gland limachotsedwa podulidwa.
• Dokotalayo amasamala kuti asawononge mitsempha ndi mitsempha m'khosi mwanu.
• Chubu chaching'ono (catheter) chitha kuyikidwa m'derali kuti chithandizire kukhetsa magazi ndi madzi ena omwe amadzaza. Makinawo adzachotsedwa pakadutsa masiku awiri kapena awiri.
• Zocheka zimatsekedwa ndi sutures (stitches).

Kuchita opaleshoni kuti muchotse chithokomiro chanu chonse kumatha kutenga maola anayi. Zitha kutenga nthawi yocheperako ngati gawo limodzi la chithokomiro likuchotsedwa.

Njira zatsopano zomwe zimafunikira tinthu tating'onoting'ono pafupi ndi chithokomiro kapena m'malo ena omwe amaphatikizapo kugwiritsa ntchito endoscopy apangidwa.

Dokotala wanu angakulimbikitseni kuchotsa chithokomiro ngati muli ndi izi:

• Kukula pang'ono kwa chithokomiro (nodule kapena chotupa)
• Matenda a chithokomiro omwe amachita mopitirira muyeso ndi owopsa (thyrotoxicosis)
• Khansa ya chithokomiro
• Zotupa za chithokomiro zomwe sizimayambitsa khansa zomwe zimayambitsa zizindikilo
• Kutupa kwa chithokomiro (chopanda poizoni) chomwe chimakupangitsani kuti mupume kapena kumeza

Muthanso kuchitidwa opaleshoni ngati muli ndi vuto la chithokomiro mopitirira muyeso ndipo simukufuna kulandira mankhwala a ayodini, kapena simungathe kulandira mankhwala a antithyroid.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za thyroidectomy ndizo:

• Kuvulala kwa mitsempha mu zingwe zanu zamawu ndi kholingo.
• Kutuluka magazi komanso kutsekeka kwa mayendedwe apandege.
• Kukula kwakukulu kwa mahomoni amtundu wa chithokomiro (kokha mozungulira nthawi ya opaleshoni).
• Kuvulaza ma gland a parathyroid (tiziwalo ting'onoting'ono pafupi ndi chithokomiro) kapena magazi awo. Izi zimatha kuyambitsa kashiamu wotsika kwakanthawi m'magazi anu (hypocalcemia).
• Mahomoni ambiri a chithokomiro (chimphepo chamkuntho). Ngati muli ndi vuto la chithokomiro mopitirira muyeso, mudzalandira mankhwala.

Pakati pa masabata musanachite opaleshoni yanu:

• Mungafunike kuyesedwa komwe kumawonetsa komwe kukula kwa chithokomiro kuli. Izi zidzathandiza dokotalayo kupeza kukula panthawi ya opaleshoni. Mutha kukhala ndi CT scan, ultrasound, kapena mayeso ena azithunzi.
• Dokotala wanu amathanso kuchita chikhumbo chabwino cha singano kuti adziwe ngati kukula sikukutulutsa khansa kapena khansa. Musanachite opareshoni, zingwe zanu zimayang'aniridwa.
• Mwinanso mungafunike mankhwala a chithokomiro kapena mankhwala a ayodini 1 mpaka 2 milungu musanachite opaleshoni.

Masiku angapo mpaka sabata asanachite opareshoni:

• Mutha kupemphedwa kuti musiye kumwa mankhwala ochepetsa magazi kwakanthawi. Izi zimaphatikizapo aspirin, ibuprofen (Advil), naproxen (Aleve), clopidogrel (Plavix), warfarin (Coumadin), pakati pa ena.
• Lembani mankhwala aliwonse a mankhwala opweteka ndi calcium yomwe mudzafunike mutachitidwa opaleshoni.
• Uzani wothandizira zaumoyo wanu za mankhwala onse omwe mumamwa, ngakhale omwe amagulidwa popanda mankhwala. Izi zimaphatikizapo zitsamba ndi zowonjezera. Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.

Patsiku la opareshoni:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala aliwonse omwe wothandizira wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Onetsetsani kuti mwafika kuchipatala nthawi yake.

Mwinanso mupita kunyumba tsiku kapena tsiku lotsatira opaleshoni. Nthawi zina, mungafunikire kukhala kuchipatala mpaka masiku atatu. Muyenera kumeza zakumwa musanapite kunyumba.

Wopereka wanu amatha kuwona kuchuluka kwa calcium m'magazi anu pambuyo pa opaleshoni. Izi zimachitika pafupipafupi pamene chithokomiro chonse chatulutsidwa.

Mutha kukhala ndi zowawa mukatha opaleshoni. Funsani omwe akukuthandizani kuti akupatseni malangizo amomwe mungamwe mankhwala opweteka mukamapita kunyumba.

Iyenera kutenga pafupifupi masabata atatu kapena anayi kuti mupezenso bwino.

Tsatirani malangizo aliwonse osamalira nokha mukapita kunyumba.

Zotsatira za opaleshoniyi nthawi zambiri zimakhala zabwino kwambiri. Anthu ambiri amafunika kumwa mapiritsi a chithokomiro (m'malo mwa mahomoni a chithokomiro) kwa moyo wawo wonse pamene gland yonse yachotsedwa.

Chiwerengero cha thyroidectomy; Thyroidectomy pang'ono; Chithokomiro; Chiwerengero cha thyroidectomy; Khansa ya chithokomiro - thyroidectomy; Khansa ya papillary - thyroidectomy; Goiter - thyroidectomy; Mitundu ya chithokomiro - thyroidectomy

• Chisamaliro cha bala la opaleshoni - chotseguka
• Chithokomiro kuchotsa - kumaliseche

• Matenda a chithokomiro cha ana
• Thyroidectomy - mndandanda
• Kukula kwa opaleshoni ya chithokomiro

Ferris RL, Turner MT. Thyroidectomy yothandiza kwambiri pakanema. Mu: Myers EN, Snyderman CH, olemba. Opaleshoni ya Otolaryngology Mutu ndi Khosi Opaleshoni. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 79.

Kaplan EL, Angelos P, James BC, Nagar S, Grogan RH. Opaleshoni ya chithokomiro. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 96.

[Adasankhidwa] Patel KN, Yip L, Lubitz CC, et al. Chidule cha Executive cha American Association of Endocrine Surgeons malangizo othandizira kutsimikiza kwa matenda a chithokomiro mwa akulu. Ann Surg. Chizindikiro. 2020; 271 (3): 399-410. PMID: 32079828 adatulutsidwa.ncbi.nlm.nih.gov/32079828/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Chithokomiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 36.