Hypophysectomy

Zamkati

• Kodi mitundu yosiyanasiyana ya njirayi ndi iti?
• Kodi njirayi imachitika bwanji?
• Kodi kuchira ndikutani panjira iyi?
• Ndiyenera kuchita chiyani ndikachira?
• Kodi zovuta zake zingakhale zotani?
• Maganizo ake

Chidule

Hypophysectomy ndi opaleshoni yochitidwa kuti ichotse chithokomiro cha pituitary.

Matenda a pituitary, omwe amatchedwanso hypophysis, ndi tinthu tating'onoting'ono tomwe takhala pansi pa ubongo wanu. Imayang'anira mahomoni omwe amapangidwa m'matenda ena ofunikira, kuphatikiza ma adrenal ndi ma chithokomiro.

Hypophysectomy imachitika pazifukwa zingapo, kuphatikizapo:

• Kuchotsa zotupa kuzungulira khungu la pituitary
• kuchotsedwa kwa craniopharyngiomas, zotupa zopangidwa ndi minofu yozungulira gland
• chithandizo cha matenda a Cushing's, omwe amapezeka thupi lanu likakhala ndi mahomoni ambiri a cortisol
• kukonza masomphenya pochotsa minofu yambiri kapena misa kuchokera kuzungulira gland

Gawo lokha la gland ndi lomwe limatha kuchotsedwa pomwe zotupa zimachotsedwa.

Kodi mitundu yosiyanasiyana ya njirayi ndi iti?

Pali mitundu ingapo ya hypophysectomy:

• Transsphenoidal hypophysectomy: Matenda a pituitary amatulutsidwa kudzera m'mphuno kudzera pa sinusid spusoid, chotsekera pafupi ndi mphuno yanu. Izi zimachitika kawirikawiri mothandizidwa ndi microscope yochitira opaleshoni kapena kamera ya endoscopic.
• Tsegulani craniotomy: Matenda a pituitary amatulutsidwa pochotsa pansi kutsogolo kwa ubongo wanu kudzera pakabowo kakang'ono m'chigoba chanu.
• Ma Radiosurgery Opanga: Zida za chisoti cha opaleshoni zimayikidwa mkati mwa chigaza kudzera titseko tating'onoting'ono. Matenda a pituitary ndi zotupa kapena matupi oyandikana nawo zimawonongedwa, pogwiritsa ntchito radiation pochotsa minofu inayake posunga minofu yoyandikana nayo. Njirayi imagwiritsidwa ntchito makamaka pazotupa zazing'ono.

Kodi njirayi imachitika bwanji?

Musanachitike, onetsetsani kuti mwakonzeka pochita izi:

• Kutenga masiku angapo osagwira ntchito kapena kuchita zinthu zina zachilendo.
• Pemphani wina kuti akutengereni kunyumba mukachira.
• Sanjani mayesero ojambula ndi dokotala wanu kuti adziwe ziwalo zomwe zili pafupi ndi vuto lanu.
• Lankhulani ndi dokotala wanu wa opaleshoni zamtundu wanji wa hypophysectomy womwe ungakuthandizeni kwambiri.
• Saina fomu yovomereza kuti mudziwe zovuta zonse zomwe zingachitike.

Mukafika kuchipatala, mudzakulowetsani kuchipatala ndikupemphedwa kuti musinthe chovala chaku chipatala. Dokotala wanu adzakutengerani kuchipinda chochitira opaleshoni ndikukupatsani mankhwala oletsa ululu kuti musagone mukamachita izi.

Ndondomeko ya hypophysectomy imadalira mtundu womwe inu ndi dokotala wanu mukugwirizana.

Kuti muchite transsphenoidal hypophysectomy, mtundu wofala kwambiri, dokotala wanu:

1. kumakuikani pamalo otsamira pang'ono mutu wanu ukhazikika kotero kuti sungayende
2. imapanga mabala ang'onoang'ono angapo pansi pa mlomo wanu wakumtunda komanso kudzera kutsogolo kwa sinus cavity yanu
3. amaika speculum kuti mpweya wanu ukhale wotseguka
4. amaika endoscope kuti muwone zithunzi za m'mphuno mwanu pazenera
5. amaika zida zapadera, monga mtundu wa ma forceps otchedwa pituitary rongeurs, kuti achotse chotupacho ndi gawo lake kapena gland yonse
6. amagwiritsa ntchito mafuta, fupa, chichereŵechereŵe, ndi zinthu zina zopangira opaleshoni kuti amangenso malo amene chotupacho ndi England zinachotsedwa
7. amaika yopyapyala mankhwala ndi antibacterial mafuta m'mphuno kuteteza magazi ndi matenda
8. timasonkha mabala mu nkusani patsekeke ndi pa mlomo chapamwamba ndi sutures

Kodi kuchira ndikutani panjira iyi?

Hypophysectomy imatenga ola limodzi kapena awiri. Njira zina, monga stereotaxis, zimatha kutenga mphindi 30 kapena kuchepera.

Mumatha pafupifupi maola awiri mukuchira kuchipatala pambuyo poti muchite opaleshoni. Kenako, mudzatengedwera kuchipinda chachipatala ndikupumula usiku wonse ndi mzere wamadzimadzi (IV) wamadzi kuti musunge madzi pomwe mukuchira.

Mukachira:

• Kwa tsiku limodzi kapena awiri, muziyenda mozungulira mothandizidwa ndi namwino mpaka mutha kuyendanso nokha. Ndalama zomwe mumayang'ana zidzayang'aniridwa.
• Kwa masiku angapo oyamba atachitidwa opaleshoni, mukayezetsa magazi ndikuwona masomphenya kuti muwonetsetse kuti masomphenya anu sanakhudzidwe. Magazi amatha kutuluka m'mphuno nthawi ndi nthawi.
• Mukachoka kuchipatala, mudzabweranso pafupifupi milungu isanu ndi umodzi kapena isanu ndi itatu kuti mudzakumane ndi nthawi yotsatira. Mukakumana ndi adotolo anu komanso endocrinologist kuti muwone momwe thupi lanu likuyankhira pakusintha kotheka pakupanga mahomoni. Kusankhidwa uku kungaphatikizepo kuwunika pamutu komanso kuyesa magazi ndi masomphenya.

Ndiyenera kuchita chiyani ndikachira?

Mpaka pomwe dokotala anena kuti ndibwino kutero, pewani kuchita izi:

• Osaphulitsa, kuyeretsa, kapena kumata chilichonse m'mphuno mwako.
• Osapinda patsogolo.
• Osakweza chilichonse cholemera kuposa mapaundi 10.
• Osasambira, kusamba, kapena kuyika mutu m'madzi.
• Osayendetsa kapena kugwiritsa ntchito makina akuluakulu.
• Osabwerera kuntchito kapena zochita zanu zatsiku ndi tsiku.

Kodi zovuta zake zingakhale zotani?

Zinthu zina zomwe zingachitike chifukwa cha opaleshonizi ndi monga:

• Madzi amadzimadzi (CSF) kutuluka: CSF madzimadzi mozungulira ubongo wanu ndi msana kutayikira mu dongosolo lanu lamanjenje. Izi zimafuna chithandizo ndi njira yotchedwa lumbar puncture, yomwe imaphatikizapo kuyika singano mumsana mwanu kuti muthe madzi owonjezera.
• Hypopituitarism: Thupi lanu silimatulutsa mahomoni moyenera. Izi zitha kufunikira kuti zichiritsidwe ndimankhwala obwezeretsa mahomoni (HRT).
• Matenda a shuga: Thupi lanu silimayang'anira bwino kuchuluka kwa madzi mthupi lanu.

Onani dokotala wanu nthawi yomweyo ngati muwona zovuta zotsatirazi mukamachita izi:

• Kutuluka magazi pafupipafupi
• kumva kwambiri ludzu
• kutaya masomphenya
• Chotsani madzi otuluka m'mphuno mwanu
• kukoma kwamchere m'kamwa mwako
• Kutsekula kuposa zachilendo
• kupweteka kwa mutu kosachoka ndi mankhwala opweteka
• malungo akulu (101 ° kapena kupitilira apo)
• kumverera kugona nthawi zonse kapena kutopa ndikatha opaleshoni
• kutapira pafupipafupi kapena kutsekula m'mimba

Maganizo ake

Kuchotsa chithokomiro chanu ndi njira yayikulu yomwe ingakhudze kuthekera kwa thupi lanu kutulutsa mahomoni.

Koma opaleshoniyi imatha kuthandizira kuthana ndi mavuto azaumoyo omwe atha kukhala ndi zovuta zina.

Mankhwala ambiri amapezekanso m'malo mwa mahomoni omwe thupi lanu silingatulutse okwanira.