Adrenal gland kubviswa

Adrenal gland kubviswa iko kuvhiya uko imwe kana maviri adrenal gland anobviswa. Iyo adrenal gland chikamu cheiyo endocrine system uye iri pamusoro peitsvo chete.

Iwe unozogamuchira general anesthesia iyo inokutendera iwe kuve wakarara uye kurwadziwa pasina panguva yekuvhiyiwa.

Adrenal gland kubvisa kunogona kuitwa nenzira mbiri. Mhando yekuvhiyiwa yauinayo inoenderana nedambudziko riri kurapwa.

• Nekuvhiya kwakavhurika, chiremba anovhiya anoita kucheka kukuru (incision) kubvisa gland.
• Nema laparoscopic maitiro, akati wandei mashoma akachekwa anoitwa.

Chiremba anovhiya achakurukura kuti ndeipi nzira iri nani kwauri.

Mushure mokunge adrenal gland yabviswa, inoendeswa kune chiremba kuti aongororwe pasi pe microscope.

Iyo adrenal gland inobviswa kana paine inozivikanwa kenza kana kukura (mashoma) inogona kunge iri cancer.

Dzimwe nguva, uremu mudrenal gland hunobviswa nekuti hunoburitsa mahormone anogona kukonzeresa mhedzisiro.

• Imwe yemamota akajairika ipheochromocytoma, iyo inogona kukonzera kukwirira kweropa zvakanyanya
• Zvimwe zvinokanganisa zvinosanganisira Cushing syndrome, Conn syndrome, uye adrenal mashoma echikonzero chisingazivikanwe

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Kuita kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Kukuvadza kunhengo dziri pedyo mumuviri
• Ronda rinopwanya rakavhurika kana kuputira maturu kuburikidza neiyo incision (incisional hernia)
• Acute adrenal dambudziko umo musina kukwana cortisol, hormone inogadzirwa neadrenal glands

Udza chiremba wako kana mukoti:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kukumbirwa kuti umbomira kutora vatete veropa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), nevamwe.
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa.

Ukasvuta, edza kurega. Kusvuta kunononoka kupora uye kunowedzera njodzi kumatambudziko. Kumbira mubatsiri wako wehutano kuti abatsire kurega.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Paunenge uri muchipatara, unogona:

• Kumbira kuti ugare padivi pemubhedha uye ufambe pazuva rimwechete rekuvhiyiwa kwako
• Iva nechubhu, kana catheter, iyo inobva mudundira rako
• Iva nechidhinha chinobuda kuburikidza nekucheka kwako kwekuvhiya
• Kusakwanisa kudya kwekutanga 1 kusvika kumazuva matatu, uye ipapo unozotanga nezvinwiwa
• Kurudzirwa kuti uite kufema maekisesaizi
• Pfeka masokisi akakosha ekudzivirira kuwanda kweropa
• Gamuchira kupfura pasi peganda rako kudzivirira kugwamba kweropa
• Gamuchira mushonga wemarwadzo
• Ita kuti BP yako itariswe uye ramba uchingogamuchira kurapwa kweropa

Iwe unozoburitswa mu1 kana maviri mazuva mushure mekuvhiyiwa.

Kumba:

• Tevedza rairo yekuti ungazvichengete sei iwe uchipora.
• Iwe unogona kubvisa kupfeka uye kugeza zuva rakatevera rekuvhiyiwa, kunze kwekunge chiremba wako akakuudza neimwe nzira.
• Unogona kunge uine marwadzo uye ungangoda kutora mushonga wekurwadziwa.
• Iwe unogona kutanga kuita zvimwe zvishoma zviitiko.

Kupora kubva pakuvhiya kwakavhurika kunogona kurwadza nekuda kwenzvimbo yekucheka kwekuvhiya kuripo. Kudzoreredza mushure me laparoscopic maitiro kazhinji kazhinji anokurumidza.

Vanhu vanovhiya laparoscopic kuvhiyiwa kazhinji vanokurumidza kupora pane kuvhiya kwakashama. Kunyatsoita kwaunoita mushure mekuvhiyiwa kunoenderana nechikonzero chekuvhiyiwa:

• Kana iwe ukavhiyiwa Conn syndrome, ungatofanira kugara pamishonga yeropa.
• Kana iwe ukavhiyiwa Cushing syndrome, uri panjodzi yezvinetso zvinoda kurapwa. Wako mupi anogona kukuudza zvakawanda nezve izvi.
• Kana iwe ukavhiyiwa pheochromocytoma, mhedzisiro yacho inowanzo kuve yakanaka.

Adrenalectomy; Kubvisa adrenal glands

Lim SK, Rha KH. Kuvhiya kweadrenal glands. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsamba 66.

Smith PW, Hanks JB. Kuvhiyiwa kweAdrenal. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 111.

Yeh MW, Livhits MJ, Duh QY. Idzo adrenal glands. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 39.