Kuchotsa kwa adrenal gland

Kuchotsa kwa adrenal gland ndi ntchito yomwe imodzi kapena zonse ziwiri za adrenal zimachotsedwa. Zilonda za adrenal ndi gawo la dongosolo la endocrine ndipo zili pamwamba pa impso.

Mudzalandira mankhwala oletsa ululu omwe amakulolani kuti mugone komanso musamve kupweteka mukamachitidwa opaleshoni.

Kuchotsa kwa adrenal gland kumatha kuchitidwa m'njira ziwiri. Mtundu wa opareshoni yomwe muli nayo zimatengera vuto lomwe akuchiritsidwa.

• Pogwiritsa ntchito opareshoni yotseguka, dokotalayo amapanga kudula kwakukulu kwa opaleshoni kuti achotse gland.
• Ndi njira ya laparoscopic, mabala ang'onoang'ono angapo amapangidwa.

Dokotalayo akambirana njira yomwe ili yabwino kwa inu.

Pambuyo pa adrenal gland itachotsedwa, imatumizidwa kwa wodwala kuti akaunike ndi microscope.

Matenda a adrenal amachotsedwa pomwe pali khansa yodziwika kapena kukula (misa) komwe kungakhale khansa.

Nthawi zina, unyinji wa adrenal gland umachotsedwa chifukwa umatulutsa timadzi tomwe timatha kuyambitsa mavuto ena.

• Chimodzi mwazotupa zotchuka kwambiri ndi pheochromocytoma, chomwe chingayambitse kuthamanga kwambiri kwa magazi
• Zovuta zina zimaphatikizira Cushing syndrome, Conn syndrome, ndi adrenal mass of unknown

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Kusintha kwa mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za opaleshoniyi ndi izi:

• Kuwonongeka kwa ziwalo zapafupi m'thupi
• Bala lomwe limatseguka kapena lotupa minofu kudzera mu incision (incisional hernia)
• Vuto lalikulu la adrenal momwe mulibe cortisol yokwanira, mahomoni opangidwa ndi adrenal glands

Uzani dokotala kapena namwino wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

M'masiku asanachitike opareshoni:

• Mutha kupemphedwa kuti musiye kumwa magazi pang'ono. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), ndi ena.
• Funsani dokotala wanu wa mankhwala omwe muyenera kumwa patsiku la opaleshonilo.

Ngati mumasuta, yesetsani kusiya. Kusuta kumachedwetsa kuchira komanso kumawonjezera mavuto. Funsani wothandizira zaumoyo wanu kuti akuthandizeni kusiya.

Patsiku la opareshoni:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe dokotala adakuwuzani kuti mumwe pang'ono pokha madzi.
• Fikani kuchipatala nthawi yake.

Mukakhala mchipatala, mutha:

• Afunseni kuti mukhale pambali pa kama ndikuyenda tsiku lomwelo la opareshoni yanu
• Mukhale ndi chubu, kapena catheter, yomwe imachokera m'chikhodzodzo chanu
• Khalani ndi ngalande yomwe imatuluka chifukwa chodulidwa kwanu
• Simungathe kudya masiku 1 kapena 3 oyamba, kenako mudzayamba ndi zakumwa
• Kulimbikitsidwa kuchita masewera olimbitsa thupi
• Valani masitonkeni apadera oteteza magazi kuundana
• Landirani zipolopolo pansi pa khungu lanu kuti muchepetse magazi
• Landirani mankhwala opweteka
• Onetsetsani kuthamanga kwa magazi anu ndikupitiliza kulandira mankhwala a kuthamanga kwa magazi

Mudzatulutsidwa pakatha masiku 1 kapena awiri mutachitidwa opaleshoni.

Kunyumba:

• Tsatirani malangizo amomwe mungadzisamalire mukamachira.
• Mutha kuvala ndi kusamba tsiku lotsatiralo, pokhapokha dokotala wanu atakuuzani zina.
• Mutha kukhala ndi zowawa zina ndipo mungafunike kumwa mankhwala a zowawa.
• Mutha kuyamba kuchita zinthu zochepa.

Kuchira kuchokera ku opareshoni yotseguka kungakhale kopweteka chifukwa chakomwe kudulidwa kwa opaleshoni kumapezeka. Kuchira pambuyo pa njira ya laparoscopic nthawi zambiri kumafulumira.

Anthu omwe amachitidwa opaleshoni ya laparoscopic nthawi zambiri amachira mwachangu kuposa ndi opaleshoni yotseguka. Momwe mumachitira pambuyo pa opaleshoni zimadalira chifukwa cha opareshoni:

• Ngati munachitidwa opaleshoni ya matenda a Conn, mungafunikire kupitiriza kumwa mankhwala a magazi.
• Ngati mwachitidwa opareshoni ya Cushing syndrome, muli pachiwopsezo cha zovuta zomwe zingafunikire kuchiritsidwa. Wothandizira anu akhoza kukuwuzani zambiri za izi.
• Ngati munachitidwa opaleshoni ya pheochromocytoma, zotsatira zake nthawi zambiri zimakhala zabwino.

Adrenalectomy; Kuchotsa ma adrenal glands

Lim SK, Rha KH. Opaleshoni ya adrenal glands. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 66.

Smith PW, Hanks JB. Kuchita opaleshoni ya adrenal. 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 111.

Yeh MW, Livhits MJ, Duh QY. Zilonda za adrenal. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 39.