Kuvhiya chirwere chetachiona

Iyo thyroid gland inowanzo kuve iri kumberi kwemutsipa.Utachiona hunodzokorodza hunoreva nzvimbo isina kujairika yezvose kana chikamu chegland pasi pechifuva (sternum).

Iyo yekudzosera kumashure goiter inogara iri yekufungisisa mune vanhu vane hura hunonamira kunze kwemutsipa. Goiter inodzokororwa kazhinji inokonzeresa kusave nezviratidzo zvemakore. Inowanzoonekwa kana chipfuva x-ray kana CT scan ichiitwa kune chimwe chikonzero. Chero zviratidzo zvinowanzo kuve nekuda kwekumanikidza kwezvivakwa zviri padhuze, senge mhepo yemhepo (trachea) uye kumedza chubhu (esophagus).

Kuvhiya kubvisa zvachose goiter kunogona kukurudzirwa, kunyangwe iwe usina zviratidzo.

Munguva yekuvhiyiwa:

• Iwe unogamuchira general anesthesia. Izvi zvinoita kuti uvete uye usakwanise kunzwa kurwadziwa.
• Iwe unorara nemusana nemutsipa wako wakawedzerwa zvishoma.
• Chiremba anovhiya anoita kucheka (incision) kumberi kwemutsipa wako wepazasi pamusoro pemapfupa ehuro kuti aone kana hure hunogona kubviswa pasina kuvhura chipfuva. Kazhinji yenguva, kuvhiyiwa kunogona kuitwa nenzira iyi.
• Kana huwandu hwacho hwakadzika mukati mechipfuva, chiremba anovhiya anoita incision pamwe nepakati pebhokisi rako rechipfuva. Iyo goiter yese inobviswa.
• Chubhu inogona kusiiwa panzvimbo yekubvisa mvura neropa. Inowanzo bviswa mu1 kusvika kumazuva maviri.
• Izvo zvakavharwa zvakavharwa ne stitches (sutures).

Uku kuvhiya kunoitwa kubvisa zvachose huwandu. Kana ikasabviswa, inogona kumanikidza yako trachea uye esophagus.

Kana iyo goiter inodzokororwa yave iriko kwenguva yakareba, unogona kunetseka nekumedza chikafu, kurwadziwa kwakapfava munzvimbo yemutsipa, kana kufema kwekufema.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

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

Njodzi dzekudzokororwazve utachiona kuvhiya ndeiyi:

• Kukuvara kwezvipenga zveparathyroid (zvidiki zvidiki padhuze neiyo thyroid) kana kuropa ravo, zvichikonzera yakaderera calcium
• Kukuvadza kune trachea
• Kukanganiswa kwesophagus
• Vocal tambo kukuvara

Pakati pevhiki usati wavhiyiwa:

• Iwe ungangoda kuve nemiedzo inoratidza chaipo panowanikwa utachiona hwako. Izvi zvinobatsira chiremba anovhiya kuwana utachiona panguva yekuvhiyiwa. Iwe unogona kunge uine CT scan, ultrasound, kana imwe bvunzo yekufungidzira.
• Iwe unogona zvakare kuda mushonga weiyo thyroid kana ayodhini kurapwa mavhiki maviri kusvika maviri usati wavhiyiwa.

Udza mupiki wako nezveese mishonga yaunotora, kunyangwe iya yakatengwa isina mushonga. Izvi zvinosanganisira mishonga uye zvinowedzera.

Mazuva akati wandei pasvondo asati avhiyiwa:

• Iwe unogona kukumbirwa kumbomira kwenguva pfupi kutora ropa-kutetepa 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 mupiki wako nezveese mishonga yaunotora, kunyangwe iya yakatengwa isina 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 ungangoda kugara muchipatara husiku husiku mushure mekuvhiyiwa kuti iwe ugone kutaridzirwa chero kubuda ropa, shanduko mucalcium level, kana matambudziko ekufema

Unogona kuenda kumba mangwana kana kuvhiya kwacho kwaitwa kuburikidza nemutsipa. Kana bhokisi rakavhurwa, unogona kugara muchipatara kwemazuva akati wandei.

Iwe ungangove unokwanisa kusimuka uye kufamba pazuva kana kana zuva mushure mekuvhiyiwa. Zvinofanira kutora angangoita mavhiki matatu kusvika mana kuti iwe upore zvizere.

Unogona kuva nemarwadzo mushure mekuvhiyiwa. Kumbira mupiki wako kuti akupe mirayiridzo yekuti ungatora sei mishonga yekurwadziwa kana waenda kumba.

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.

Substernalthyroid - kuvhiya; Mediastinal goiter - kuvhiya

• Retrosternal thyroid

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.

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