Kuchotsa Gland Gland

Zamkati

• Zifukwa za opaleshoni ya chithokomiro
• Mitundu ya opaleshoni ya chithokomiro
• Zojambulajambula
• Chiwerengero cha thyroidectomy
• Chiwerengero cha thyroidectomy
• Kodi opaleshoni ya chithokomiro imachitika bwanji?
• Matenda a robotic thyroidectomy
• Pambuyo pa chisamaliro
• Kuopsa kwa opaleshoni ya chithokomiro

Opaleshoni ya chithokomiro

Chithokomiro ndi kansalu kakang'ono kokhala ngati gulugufe. Ili kumapeto kwenikweni kwa khosi, pansi pamawu a mawu.

Chithokomiro chimatulutsa mahomoni omwe magazi amatengera m'thupi lililonse. Zimathandizira kuwongolera kagayidwe kake - njira yomwe thupi limasinthira chakudya kukhala mphamvu. Imathandizanso kuti ziwalo zizigwira ntchito bwino ndikuthandizira thupi kuteteza kutentha.

Nthawi zina, chithokomiro chimatulutsa timadzi tambiri. Zitha kukhalanso ndi zovuta pakapangidwe kake, monga kutupa ndi kukula kwa zotupa kapena zopindika. Kuchita opaleshoni ya chithokomiro kungakhale kofunikira mavutowa akachitika.

Kuchita opaleshoni ya chithokomiro kumaphatikizapo kuchotsa zonse kapena gawo la chithokomiro. Dokotala adzachita opaleshoniyi kuchipatala pomwe wodwalayo akudwala matenda oletsa ululu.

Zifukwa za opaleshoni ya chithokomiro

Chifukwa chofala kwambiri cha kuchitidwa opaleshoni ya chithokomiro ndi kupezeka kwa tinthu tating'onoting'ono kapena zotupa pa chithokomiro. Mitundu yambiri yamtunduwu imakhala yopanda vuto, koma ina imatha kukhala ya khansa kapena yotsogola.

Ngakhale ma nodule omwe ali ndi vuto akhoza kubweretsa mavuto ngati akukula mokwanira kuti athane ndi pakhosi, kapena ngati atulutsa chithokomiro kuti chichulukitse mahomoni (vuto lotchedwa hyperthyroidism).

Kuchita opaleshoni kumatha kukonza hyperthyroidism. Hyperthyroidism nthawi zambiri imachitika chifukwa cha matenda am'magazi omwe amadziwika kuti Graves '.

Matenda a manda amachititsa kuti thupi lizindikire chithokomiro ngati chachilendo ndikutumiza ma antibodies kuti amukanthe. Ma antibodies awa amatulutsa chithokomiro, ndikupangitsa kuchuluka kwa mahomoni.

Chifukwa china chochitira opaleshoni ya chithokomiro ndi kutupa kapena kukulitsa kwa chithokomiro. Izi zimatchedwa goiter. Monga maqhubu akuluakulu, ma goit amatha kutseka pakhosi ndikusokoneza kudya, kuyankhula, komanso kupuma.

Mitundu ya opaleshoni ya chithokomiro

Pali mitundu ingapo ya opareshoni ya chithokomiro. Chofala kwambiri ndi lobectomy, subtotal thyroidectomy, ndi thyroidectomy yathunthu.

Zojambulajambula

Nthawi zina, nodule, kutupa, kapena kutupa kumangokhudza theka la chithokomiro. Izi zikachitika, dokotala amachotsa mbali imodzi yokha mwa awiriwo. Gawo lomwe latsalira liyenera kukhalabe ndi zina kapena ntchito zake zonse.

Chiwerengero cha thyroidectomy

Thyroidectomy yochepetsetsa imachotsa chithokomiro koma imasiya masamba ochepa a chithokomiro. Izi zimasunga chithokomiro.

Anthu ambiri omwe amachitidwa opaleshoni yamtunduwu amakhala ndi hypothyroidism, zomwe zimachitika pomwe chithokomiro sichimatulutsa mahomoni okwanira. Izi zimathandizidwa ndi zowonjezera ma hormone tsiku ndi tsiku.

Chiwerengero cha thyroidectomy

Thyroidectomy yathunthu imachotsa chithokomiro chonse ndi minofu ya chithokomiro. Kuchita opaleshoniyi ndikofunikira pomwe ma nodule, kutupa, kapena kutupa kumakhudza chithokomiro chonse, kapena khansa ikupezeka.

Kodi opaleshoni ya chithokomiro imachitika bwanji?

Opaleshoni ya chithokomiro imachitika mchipatala. Ndikofunika kuti musadye kapena kumwa chilichonse pakati pausiku musanachite opareshoni.

Mukafika kuchipatala, mumakawona ndikupita kumalo okonzekera kumene mukachotsa zovala zanu ndi kuvala mkanjo wachipatala. Namwino amaika IV m'manja mwanu kapena m'manja mwanu kuti mupatse madzi ndi mankhwala.

Musanachite opareshoni, mudzakumana ndi dotolo wanu. Achita kafukufuku mwachangu ndikuyankha mafunso aliwonse omwe mungakhale nawo pazomwe mukuchita. Mukakumana ndi katswiri wazamankhwala yemwe azikupatsani mankhwala omwe amakupangitsani kugona nthawi yonseyi.

Nthawi yakuchita opareshoni ikalowa m'chipinda chogwiritsira ntchito gurney. Dokotala wochititsa dzanzi adzakupatsani mankhwala mu IV yanu. Mankhwalawa amatha kumva kuzizira kapena kuluma pamene amalowa mthupi lanu, koma amangokupatsani tulo tofa nato.

Dokotalayo amatha kudulira chithokomiro ndikuchotsa mosamala gland yonse kapena gawo lake. Chifukwa chithokomiro chimakhala chaching'ono ndipo chimazunguliridwa ndi mitsempha ndi gland, njirayi imatha kutenga maola awiri kapena kupitilira apo.

Mudzadzuka m'chipinda chobwezeretsera, kumene ogwira ntchito adzaonetsetsa kuti mukukhala bwino. Awona zikwangwani zanu zofunika ndikupatsirani mankhwala opweteka pakufunika kutero. Mukakhala okhazikika, akusamutsani kuchipinda komwe mukhala komwe mukuyang'aniridwa kwa maola 24 mpaka 48.

Matenda a robotic thyroidectomy

Mtundu wina wa opaleshoni umatchedwa robotic thyroidectomy. Mu robotic thyroidectomy, dokotalayo amatha kuchotsa chithokomiro chonse kapena gawo lina kudzera pachikopa (kudzera kukhwapa) kapena kudzera pakamwa.

Pambuyo pa chisamaliro

Mutha kuyambiranso zambiri zomwe mumachita tsiku lotsatira kuchitidwa opaleshoni. Komabe, dikirani masiku osachepera 10, kapena mpaka dokotala atakupatsani chilolezo, kuti muchite zovuta monga kuchita masewera olimbitsa thupi.

Khosi lanu limamva kupweteka kwa masiku angapo. Mutha kumamwa mankhwala owawa ngati ibuprofen kapena acetaminophen kuti muchepetse kupweteka.Ngati mankhwalawa sakupatsani mpumulo, dokotala wanu akhoza kukupatsani mankhwala opweteka a narcotic.

Pambuyo pa opaleshoni yanu, mutha kukhala ndi hypothyroidism. Izi zikachitika, dokotala wanu adzakupatsani mtundu wina wa levothyroxine kuti athandize kuti mahomoni anu azikhala bwino. Zitha kutenga kusintha kosiyanasiyana ndi kuyesa magazi kuti mupeze mlingo woyenera wa inu.

Kuopsa kwa opaleshoni ya chithokomiro

Monga opaleshoni iliyonse yayikulu, opaleshoni ya chithokomiro imatha kukhala ndi chiopsezo chotenga mankhwala osokoneza bongo. Zowopsa zina zimaphatikizapo kutuluka magazi kwambiri ndi matenda.

Ngozi zapadera kuchitidwa chithokomiro sizimachitika kawirikawiri. Komabe, zoopsa ziwiri zomwe zimafala kwambiri ndi izi:

• kuwonongeka kwa mitsempha yam'mapapo mobwerezabwereza (mitsempha yolumikizidwa ndi zingwe za mawu)
• kuwonongeka kwa ma gland a parathyroid (glands omwe amalamulira calcium pamthupi lanu)

Zowonjezera zimatha kuchepetsa calcium (hypocalcemia). Chithandizo chikuyenera kuyamba posachedwa. Adziwitseni adotolo ngati mukuchita mantha kapena kutekeseka kapena minofu yanu ikayamba kugwedezeka. Izi ndi zizindikiro za calcium yotsika.

Mwa odwala onse omwe ali ndi thyroidectomy, ndi ochepa okha omwe angadwale hypocalcemia. Mwa iwo omwe akupanga hypocalcemia, adzachira mchaka chimodzi.