Opaleshoni ya chithokomiro: momwe zatha, mitundu yayikulu ndikuchira

Zamkati

• Mitundu ya opaleshoni ya chithokomiro
• Kodi kuchira pambuyo pochotsa chithokomiro
• Zomwe zimachitika mutachotsa chithokomiro
• Momwe mungakhalire opanda chithokomiro
• Kuchotsa chithokomiro chonenepa?

Opaleshoni ya chithokomiro imachitika pofuna kuthana ndi mavuto a chithokomiro, monga ma nodule, ma cyst, kukulitsa kwa chithokomiro kapena khansa, ndipo imatha kukhala yathunthu kapena pang'ono, kutengera kuti gland yathetsedwa kapena ayi.

Nthawi zambiri, opaleshoniyi, yotchedwa thyroidectomy, ndiyosakhwima chifukwa pali mitsempha, mitsempha, mitsempha ndi minofu yofunikira pamoyo, komabe, sizachilendo kukhala ndi zovuta, ngakhale zitakhala ndi khansa, ndimasinthidwe amawu kapena mikwingwirima kukhala yachilendo .

Malo a chithokomiro

Kuchira kuchokera ku opareshoni ndikosavuta, ndipo ndikofunikira kupewa kuyesayesa kuti musapangitse kutupa ndi magazi pamalo odulidwayo, ndikusiya khosi pakhosi.

Mitundu ya opaleshoni ya chithokomiro

Opaleshoni ya chithokomiro imachitika pansi pa anesthesia wamba komanso panthawi yochita opareshoni, yomwe imatenga pafupifupi maola awiri, dotolo amadula pakhosi kulola kuti chithokomiro chiwoneke ndikuchotsedwa.

Nthawi zambiri, musanachite opaleshoni ya chithokomiro, muyenera kusala maola 8 osamwa mankhwala m'masiku 10 am'mbuyomu, monga AAS, Bufferin kapena Melhoral, mwachitsanzo chifukwa amachulukitsa chiopsezo chakutuluka magazi panthawi yochita opaleshoni komanso munthawi ya opaleshoni. kufooketsa machiritso. Mitundu yayikulu ya opaleshoni ndi iyi:

• Chiwerengero cha thyroidectomy: Zimaphatikizapo kuchotseratu chithokomiro, ndikufunika kwa kusintha kwa mahomoni.
• Lobectomy kapena Hemithyroidectomy: Zimaphatikizapo kuchotsa mbali imodzi yokha komanso isthmus, yomwe ndi gawo lomwe limalumikizana ndi mbali zonse ziwiri, kusiya theka la chithokomiro chimagwira bwino ntchito. Zitha kuwonetsedwa ngati matenda a khansa ya chithokomiro amachokera papillary kapena follicular, ndipo amafunika kuwunika pakufunika kosinthira mahomoni.
• Kutulutsa chiberekero: Nthawi zina, kuwonjezera pakuchotsa chithokomiro, pangafunike kuchotsa ma lymph node pafupi ndi chithokomiro ndi khomo lachiberekero, zikakhudzidwa kapena kupewa kukhudzidwa, makamaka ngati khansa ya chithokomiro ya medullary kapena anaplastic. Pankhani ya khansa ya follicular kapena papillary, adotolo sangawone kufunikira kwa kutsekeka kwa khosi ngati biopsy ikuwonetsa kuti sakukhudzidwa.

Atangochita opareshoni

Patatha masiku atatu atachitidwa opaleshoni

Nthawi zambiri, mutha kubwerera kunyumba tsiku lotsatira, kukhala kwa 1 kapena masiku awiri, popeza mawonekedwe azovuta amakhala ochepa. Komabe, sikutheka kuti muphunzire kapena kugwira ntchito sabata yoyamba mutachitidwa opaleshoni.

Dotolo amathanso kusankha ngati kuli kofunikira kuti achite mankhwalawa ndi ayodini wama radioactive, omwe amathandiziratu kuthana ndi vuto lililonse la maselo owopsa. Dziwani zonse za Radioactive Iodine.

Onaninso vidiyo yotsatirayi ndikuwona zakudya zabwino kwambiri zomwe mungachite mukamamwa ndi ayodini wa radioactive:

Kodi kuchira pambuyo pochotsa chithokomiro

Nthawi yopanga opaleshoni ya chithokomiro imatha masiku pafupifupi 15 ndipo panthawiyi munthu amayenera kupewa kuyesetsa, monga kuthamanga kapena kuchita zinthu zapakhomo kuti apewe kutupa ndi kutuluka magazi pamalo odulidwayo. Komabe, kupumula kwathunthu sikofunikira, nthawi zambiri, mumatha kuyenda, kugwira ntchito ndikusuntha khosi lanu sabata yomwe yatha.

Mutachoka kuchipinda chochitiramo opareshoni, mutha kukhala ndi khosi lotulutsa khosi kuti muchotse madzi owonjezera ndi magazi ndikupewa kuvulaza, ndipo monga momwe zimakhalira kuti mumve kupweteka, adotolo atha kugwiritsa ntchito analgesics ndi anti-inflammatories, monga Paracetamol kapena Ibuprofen , ndi kudya zakudya zamadzi ndi zofewa kuti muchepetse kusowa pakhosi.

Kuphatikiza apo, muli ndi bandeji pakhosi popewa kukhudzana ndi mabakiteriya ndi dothi komanso kuteteza malo omwe adadulidwapo ndi dzuwa, omwe sayenera kukhala onyowa. Nthawi zambiri, wodwalayo amapita kunyumba ndi zovala, zomwe zimayenera kuchotsedwa patatha masiku atatu atachitidwa opareshoni kuchipatala, ndipo zolumikizazo zimachotsedwanso zikawoneka.

Patatha masiku 10 atachitidwa opaleshoni

Zomwe zimachitika mutachotsa chithokomiro

Kuchita opaleshoni ya chithokomiro nthawi zambiri kumakhala kosavuta, koma zotsatira zoyipa kwambiri ndi izi:

• Zilonda zapakhosi ndi chifuwa, zomwe zimatha kubweretsa zovuta kudya komanso, zomwe nthawi zambiri zimachepetsa pakatha sabata limodzi, kukhala zokhudzana ndi kutupa pakhosi;
• Kusintha kwa mawu, monga kuuma mtima ndi kutopa polankhula, zomwe nthawi zambiri zimangodutsa miyezi ingapo, ndipo nthawi zina kuphunzitsa mawu kumafunika;
• Kuchepetsa magazi a calcium, chifukwa pafupi ndi chithokomiro pali zotupa zama parathyroid zomwe zimatulutsa timadzi totchedwa PTH timene timayang'anira kuchuluka kwa calcium m'magazi;
• Hematoma pakhosi zomwe zingayambitse kupweteka ndi kutupa m'khosi.

Momwe amadulira pakhosi, sizachilendo kukhala ndi bala laling'ono lomwe limatha kusiyanasiyana pakati pa 3 mpaka 15 cm.

Momwe mungakhalire opanda chithokomiro

Ndizotheka kukhala opanda chithokomiro chifukwa mahomoni opangidwa ndi chiwalo ichi amatha kusinthidwa ndi mankhwala omwe ali m'mapiritsi okhala ndi calcium ndi vitamini D ndi Levothyroxine kapena Synthroid, mwachitsanzo, wolimbikitsidwa ndi endocrinologist yemwe amayenera kutengedwa m'mawa wopanda kanthu m'mimba. Onani ndi njira ziti za chithokomiro zomwe adokotala angakusonyezeni.

Pambuyo pochotsa chithokomiro kwathunthu, mankhwalawa amayenera kumwedwa kwa moyo wonse, kuti mahomoni azikhala okhazikika komanso kuti apewe zizindikilo monga kumva kulasalasa ndi kukokana. Mankhwalawa amatha kuyamba kumwa pambuyo poti achite opaleshoni.

Onerani vidiyo yotsatirayi ndikuwona maupangiri omwe angathandize anthu opanda chithokomiro kukhala ndi moyo wabwino:

Pakachotsedwa theka la chithokomiro, sikuti nthawi zonse pamafunika kusintha mahomoniwa chifukwa theka lotsalayo limatha kusintha mahomoni omwe thupi limafunikira. Chifukwa chake, adotolo ayenera kuyitanitsa kuyesa magazi ndi ma ultrasound kuti aone zotsatira za opaleshoniyi komanso momwe milingo ya mahomoni amenewa ilili m'magazi pafupifupi mwezi umodzi atachotsa gawo la chithokomiro. Munthawi yodikirayi, munthuyo ayenera kuyang'anira zizindikiro zosintha chithokomiro, monga kusintha kusamba, kukokana, miyendo yotopa kapena kumva kulira. Onetsetsani zizindikiro zonse za vuto la chithokomiro.

Kuchotsa chithokomiro chonenepa?

Mukachotsa chithokomiro chonse osachita m'malo mwa mahomoni, pakhoza kukhala hypothyroidism, ndipo chimodzi mwazikhalidwe za izi ndikukula kwakukula ndi kutupa kwa thupi. Chifukwa chake, ndikofunikira kumwa mankhwalawo m'malo mwa mahomoni omwe chithokomiro chimatulutsa kuti chikhale cholemera moyenera ndikugwiranso ntchito zina za thupi, monga kuwongolera kutentha koyenera. Chifukwa chake, munthu akamachotsa chithokomiro kwathunthu, ayenera kumwa mankhwala a chithokomiro kwa moyo wake wonse.

Kuchotsa theka lokha la chithokomiro kumathanso kuyambitsa kunenepa, pomwe theka lotsala silimatha kupanga mahomoni omwe thupi limafunikira. Chifukwa chake, kuwonjezera pakuwunika chithokomiro nthawi ndi nthawi, m'pofunika kuwona ngati zizindikiro zokhudzana ndi hypothyroidism zikuwonekera. Pezani mayeso asanu omwe amayesa chithokomiro.

Ngati dotolo akuvomereza chithandizo chamankhwala a Radioactive Iodine atachotsa chithokomiro, sikutheka kuyamba kumwa mahomoni a chithokomiro, motero m'masiku 30 awa pakati pa njira imodzi ndi ina, sizachilendo kuti anthu azikhala otupa, akumva mutu. ndende, koma nthawi yopanda mankhwala ndikofunikira kuti iwonjezere mphamvu ya iodotherapy, yomwe imatha kuthana ndi maselo owopsa. Pambuyo pa chithandizo ichi, adokotala amalimbikitsa kumwa mankhwala a chithokomiro, ndipo zizindikilo zosasangalatsa ziyenera kutha m'masiku ochepa.