Zabwino singano chikhumbo cha chithokomiro

Kukhumba kwabwino kwa singano ya chithokomiro ndi njira yochotsera maselo amtundu wa chithokomiro kuti akaunike. Chithokomiro ndimtundu wokhala ndi gulugufe womwe uli mkati kutsogolo kwa khosi lakumunsi.

Mayesowa atha kuchitika kuofesi ya omwe amakupatsani zaumoyo kapena kuchipatala. Mankhwala osungitsa dzanzi (anesthesia) atha kugwiritsidwa ntchito kapena sangathe kugwiritsidwa ntchito. Chifukwa singano ndi yopyapyala kwambiri, mwina simungafunike mankhwalawa.

Mumagona kumbuyo kwanu ndi pilo pansi pamapewa anu mutakhazikika khosi. Tsamba la biopsy limatsukidwa. Singano yopyapyala imalowetsedwa mu chithokomiro chanu, momwe imasonkhanitsira timaselo tina ta chithokomiro ndi madzi. Kenako singanoyo imatulutsidwa. Ngati wothandizirayo sakumva tsambalo, atha kugwiritsa ntchito ultrasound kapena CT scan kuti awongolere komwe angaikire singano. Kujambula kwa Ultrasound ndi CT ndi njira zopanda ululu zomwe zimawonetsa zithunzi mkati mwa thupi.

Anzanu amagwiritsidwa ntchito patsambalo kuti athetse magazi. Kenako pamalopo pamakhala yokutidwa ndi bandeji.

Uzani wothandizira wanu ngati muli ndi vuto la mankhwala osokoneza bongo, mavuto amwazi, kapena ngati muli ndi pakati. Komanso, onetsetsani kuti omwe akukuthandizani ali ndi mndandanda wazomwe mukugwiritsa ntchito, kuphatikiza mankhwala azitsamba ndi mankhwala owonjezera.

Masiku angapo mpaka sabata lisanachitike, mungapemphedwe kuti musiye kumwa mankhwala ochepetsa magazi. Mankhwala omwe mungafunike kuti musiye kumwa ndi awa:

• Asipilini
• Clopidogrel (Plavix)
• Ibuprofen (Advil, Motrin)
• Naproxen (Aleve, Naprosyn) Malangizo
• Warfarin (Coumadin)

Onetsetsani kuti mwalankhula ndi omwe akukuthandizani musanasiye mankhwala aliwonse.

Ngati mukugwiritsa ntchito mankhwala otsekemera, mungamve kuluma pamene singano imalowetsedwa ndikubayidwa mankhwala.

Pamene singano ya biopsy imadutsa mu chithokomiro chanu, mutha kumva kupsinjika, koma sikuyenera kukhala kopweteka.

Mutha kukhala ndi vuto pang'ono m'khosi mwanu pambuyo pake. Muthanso kukhala ndi zipsera pang'ono, zomwe zimatha posachedwa.

Uku ndiyeso kuti mupeze matenda a chithokomiro kapena khansa ya chithokomiro. Kawirikawiri amagwiritsidwa ntchito kuti apeze ngati mitsempha ya chithokomiro yomwe wothandizira wanu angamve kapena kuwona pa ultrasound ndi yopanda khansa kapena khansa.

Zotsatira zabwinobwino zimawonetsa kuti minofu ya chithokomiro imawoneka yachilendo ndipo ma cell samawoneka ngati khansa pansi pa microscope.

Zotsatira zachilendo zingatanthauze:

• Matenda a chithokomiro, monga goiter kapena thyroiditis
• Zotupa zopanda khansa
• Khansa ya chithokomiro

Chiwopsezo chachikulu ndikutuluka magazi mkati kapena mozungulira chithokomiro. Ndikutuluka magazi kwambiri, pakhoza kukhala kukakamizidwa pamphepo (trachea). Vutoli ndilochepa.

Chithokomiro nodule chabwino singano aspirate biopsy; Biopsy - chithokomiro - khungu-singano; Khungu la singano la khungu la singano; Chithokomiro nodule - aspiration; Khansa ya chithokomiro - aspiration

• Matenda a Endocrine
• Chithokomiro chotulutsa chithokomiro

Ahmad FI, Zafereo INE, Lai SY. Kuwongolera zotupa za chithokomiro. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 122.

Faquin WC, Fadda G, Cibas ES. Kukhumba kwabwino kwa singano ya chithokomiro: Njira ya Bethesda ya 2017. Mu: Randolph GW, wolemba. Opaleshoni ya Chithokomiro ndi Matenda a Parathyroid. Wachitatu ed. Philadelphia, PA: Elsevier; 2021: mutu 11.

Filetti S, Tuttle RM, Leboulleux S, Alexander EK. Mankhwala osokoneza bongo omwe alibe poizoni, matenda a chithokomiro, komanso zotupa za chithokomiro. Mu: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 14.