Kubviswa kwetachiona

Kubviswa kweglandi kuvhiyiwa kubvisa zvese kana chikamu chetachiona. Iyo thyroid gland igland-yakaita gland iri mukati memberi kwemutsipa wezasi.

Iyo thyroid gland chikamu chehomoni (endocrine) system. Inobatsira muviri wako kudzora metabolism yako.

Zvichienderana nechikonzero chekuti uri kubviswa gland rako, rudzi rwe thyroidectomy yauinayo ichave iri:

• Yakazara thyroidectomy, iyo inobvisa iyo yese gland
• Subtotal kana kukwana thyroidectomy, iyo inobvisa chikamu chetachiona gland

Iwe unenge uine anesthesia yakajairika (wakarara uye unorwadza-wakasununguka) wekuvhiya uku. Muzviitiko zvisingawanzoitika, kuvhiya kunoitwa neinesthesia yemuno uye mushonga wekukuzorodza. Iwe unenge wamuka, asi usina kurwadziwa.

Munguva yekuvhiyiwa:

• Chiremba anovhiya akacheka akatwasuka kumberi kwemutsipa wako wezasi pamusoro pemapfupa ekora.
• Yese kana chikamu chegland chinobviswa kuburikidza nekucheka.
• Chiremba anovhiya anongwarira kuti arege kukuvadza tsinga dzeropa uye tsinga mumutsipa wako.
• Chubhu diki (catheter) inogona kuiswa munzvimbo kubatsira kubvisa ropa uye zvimwe zvinwiwa zvinovaka. Dhureni racho richabviswa mu1 kana mazuva maviri.
• Kucheka kwakavharwa nemasuture (stitches).

Kuvhiya kubvisa yako utachiona hwese kunogona kutora kusvika maawa mana. Zvinogona kutora nguva shoma kana chikamu chetachiona chete chabviswa.

Hutsva hunyanzvi hunoda hushoma kucheka padhuze neiyo thyroid kana kune dzimwe nzvimbo uye izvo zvinosanganisira kushandiswa kweendoscopy zvakagadzirwa.

Chiremba wako anogona kukurudzira kubvisa utachiona kana uine chero chinotevera:

• Kukura kwehutachiona hudiki (nodule kana cyst)
• Iyo gland yegland yakanyanyisa kuita zvine njodzi (thyrotoxicosis)
• Kenza yehutachiona
• Noncancerous (benign) mamota eiyo thyroid ari kukonzera zviratidzo
• Utachiona kuzvimba (isina chepfu goiter) inoita kuti zvikuomere kufema kana kumedza

Iwe unogona zvakare kuvhiyiwa kana iwe uine yakanyanyisa kukora utachiona gland uye usingade kuve nemwaranzi inouraya iodine kurapwa, kana iwe haugone kurapwa nemishonga yeantithyroid.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Reaction kumishonga, matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dze thyroidectomy dzinosanganisira:

• Kukuvadza kumitsipa mumatambo ako ezwi uye mudonzvo.
• Kubuda ropa pamwe nekukanganisa nzira yemumhepo.
• Kukwira kwakasimba mumaturoni mahormone (kungotenderedza nguva yekuvhiyiwa).
• Kukuvadza kune zvipembenene zveparathyroid (madiki madiki padhuze neiyo thyroid) kana kuropa ravo. Izvi zvinogona kukonzeresa kwenguva pfupi yakadzika yecalcium muropa rako (hypocalcemia).
• Yakawandisa thyroid hormone (thyroid dutu). Kana iwe uine yakanyanyisa gland gland, iwe ucharapwa nemushonga.

Pakati pevhiki usati wavhiyiwa:

• Iwe ungangoda kuve nemiedzo inoratidza chaipo panowanikwa hutachiona husina kujairika. Izvi zvinobatsira chiremba anovhiya kuwana kukura panguva yekuvhiyiwa. Iwe unogona kunge uine CT scan, ultrasound, kana imwe bvunzo yekufungidzira.
• Chiremba wako anogona zvakare kuita yakanaka tsono chishuwo kuti uone kana kukura kwacho kusiri kwecancerous kana cancer. Usati wavhiyiwa, tambo yako yezwi basa inogona kuongororwa.
• Iwe unogona zvakare kuda mushonga weiroid kana eodine kurapwa masvondo maviri kusvika maviri usati wavhiyiwa.

Mazuva akati wandei pasvondo asati avhiyiwa:

• Iwe unogona kukumbirwa kumbomira kwenguva pfupi kutora ropa rekuonda mishonga. Izvi zvinosanganisira aspirin, ibuprofen (Advil), naproxen (Aleve), clopidogrel (Plavix), warfarin (Coumadin), pakati pevamwe.
• Zadza chero zvirevo zvemushonga wekurwadziwa uye calcium yauchazoda mushure mekuvhiyiwa.
• Udza mupi wako wezvehutano nezve mishonga yese yaunotora, kunyangwe iya yakatengwa pasina mushonga. Izvi zvinosanganisira mishonga uye zvinowedzera. Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora chero mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Iva nechokwadi chekusvika kuchipatara nenguva.

Iwe uchaenda kumba zuva re kana zuva rakatevera rekuvhiyiwa. Muzviitiko zvisingawanzoitika, ungangoda kupedza kusvika mazuva matatu muchipatara. Iwe unofanirwa kukwanisa kumedza zvinwiwa usati waenda kumba.

Mupiki wako anogona kutarisa huwandu hwecalcium muropa rako mushure mekuvhiyiwa. Izvi zvinoitwa kazhinji kana iyo yegland yese yabviswa.

Unogona kunge uine marwadzo mushure mekuvhiyiwa. Kumbira mupiki wako kuti akupe mirayiridzo yekuti ungatora sei mishonga yekurwadziwa kana waenda kumba.

Zvinofanira kutora angangoita mavhiki matatu kusvika mana kuti iwe upore zvizere.

Tevedzera chero mirairo yekuzvichengeta iwe kana waenda kumba.

Mhedzisiro yekuvhiyiwa iyi inowanzo kuve yakanakisa. Vanhu vazhinji vanofanirwa kutora utachiona hwehormone mapiritsi (utachiona hwehomoni kutsiva) kwehupenyu hwavo hwese kana gland rese rabviswa.

Yese thyroidectomy; Partial thyroidectomy; Thyroidectomy; Subtotal thyroidectomy; Kenza yehutachiona - thyroidectomy; Gomarara repapillary - thyroidectomy; Goiter - thyroidectomy; Thyroid mapfundo - thyroidectomy

• Kuchengeta ronda rekuvhiya - rakavhurika
• Kubvisa gland - kubuda

• Mwana thyroid thyroid
• Thyroidectomy - akateedzana
• Incision yekuvhiya gland yegland

Ferris RL, Turner MT. Zvishoma zvinokanganisa vhidhiyo-inobatsira thyroidectomy. Mune: Myers EN, Snyderman CH, eds. Inoshanda Otolaryngology Musoro uye Neck Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits. 79.

Kaplan EL, Angelos P, James BC, Nagar S, Grogan RH. Kuvhiya kwetachiona. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 96.

Patel KN, Yip L, Lubitz CC, et al. Pfupiso yehutungamiriri yeAmerican Association yeEndocrine Vanachiremba ekuvhiya mirayiridzo yeiyo chaiyo yekuvhiya manejimendi chirwere chetachiona muvakuru. Ann Kuvhiya. 2020; 271 (3): 399-410. PMID: 32079828 pubmed.ncbi.nlm.nih.gov/32079828/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Utachiona. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 36.