Utachiona Gland Kubviswa

Zvemukati

• Zvikonzero zvekuvhiyiwa kwetachiona
• Mhando dzekuvhiyiwa kwetachiona
• Lobectomy
• Subtotal thyroidectomy
• Yakazara thyroidectomy
• Kuvhiya kwetachiona kunoitwa sei?
• Robotic thyroidectomy
• Aftercare
• Ngozi dzekuvhiyiwa kwetachiona

Kuvhiyiwa kweTyroid

Utachiona idanho diki rakaumbwa kunge shavishavi. Inowanikwa muchikamu chepazasi chepamberi pemutsipa, pazasi pezwi bhokisi.

Utachiona hunoburitsa mahormone anotakurwa neropa kwese nyama mumuviri. Inobatsira kudzora metabolism - maitiro ayo muviri unoshandura chikafu kuita simba. Inoitawo basa mukuchengetedza mitezo ichishanda nemazvo uye kubatsira muviri kuchengetedza kupisa.

Dzimwe nguva, iyo thyroid inoburitsa yakawandisa mahormone. Inogona zvakare kukudziridza matambudziko ehurongwa, senge kuzvimba uye kukura kwema cysts kana ma nodule. Kuvhiyiwa kweiyo Thyroid kunogona kudikanwa kana izvi zvinetso zvikaitika.

Kuvhiyiwa kwehutachiona kunosanganisira kubvisa zvose kana chikamu chetachiona. Chiremba achaita kuvhiya uku muchipatara apo murwere ari pasi peanesthesia.

Zvikonzero zvekuvhiyiwa kwetachiona

Chikonzero chakajairika chekuvhiyiwa kwehutachiona ndiko kuvapo kwemanundu kana mamota pane iyo gland gland. Mazhinji ma nodule ari benign, asi mamwe anogona kunge aine cancer kana precancerous.

Kunyangwe benign maqhumu anogona kukonzera matambudziko kana akakura akakwana kutadzisa huro, kana kana achisimudzira utachiona kuti huwedzere kubereka mahormone (mamiriro anonzi hyperthyroidism).

Kuvhiya kunogona kugadzirisa hyperthyroidism. Hyperthyroidism inowanzo kuve mugumisiro we autoimmune disorder inonzi Graves 'chirwere.

Chirwere cheGraves chinokonzeresa kuti muviri usazivise gland yeganda semuviri wekunze uye utumire masoja ekudzivirira chirwere. Aya ma antibodies anopisa utachiona, zvichikonzera kuwanda kwehomoni.

Chimwe chikonzero chekuvhiyiwa kwetachiona ndiko kuzvimba kana kuwedzera kweiyo gland yegland. Izvi zvinonzi gomarara. Kufanana nemadiki makuru, goiters anogona kuvhara huro uye kupindira pakudya, kutaura, uye kufema.

Mhando dzekuvhiyiwa kwetachiona

Kune mhando dzakasiyana dzakasiyana dzekuvhiyiwa kwetachiona. Iwo akajairika ndeye lobectomy, subtotal thyroidectomy, uye yakazara thyroidectomy.

Lobectomy

Dzimwe nguva, nodule, kuzvimba, kana kuzvimba zvinokanganisa chete hafu yegland gland. Kana izvi zvikaitika, chiremba achabvisa imwe chete yemamwe mairi. Chikamu chakasiiwa chinofanirwa kuchengetedza zvimwe kana zvese zvaro basa.

Subtotal thyroidectomy

Iyo subtotal thyroidectomy inobvisa iyo yegland gland asi inosiya kumashure mashoma ehutachiona tishu. Izvi zvinochengetedza rimwe utachiona basa.

Vanhu vazhinji vanoitwa rudzi urwu rwekuvhiya vanokudziridza hypothyroidism, chiitiko chinoitika kana utachiona husina kuburitsa mahormone akakwana. Izvi zvinobatwa nemahomoni ezuva nezuva ekuwedzera.

Yakazara thyroidectomy

Yakazara thyroidectomy inobvisa iyo yese utachiona uye iyo thyroid tishu. Uku kuvhiyiwa kwakakodzera kana mapundu, kuzvimba, kana kuzvimba zvichikanganisa utachiona hwese, kana kana gomarara riripo.

Kuvhiya kwetachiona kunoitwa sei?

Kuvhiyiwa kwehutachiona kunoitika muchipatara. Zvakakosha kuti usadya kana kunwa chero chinhu pakati pehusiku usati wavhiyiwa.

Paunosvika kuchipatara, unoongorora uye wozoenda kunzvimbo yekugadzirira uko kwaunobvisa mbatya dzako uye kupfeka jasi rechipatara. Mukoti anoisa IV muchanza chako kana ruoko rwako kupa zvinwiwa nemushonga.

Usati wavhiyiwa, uchasangana nachiremba wako. Vachaita ongororo nekukurumidza uye vopindura chero mibvunzo iwe yaungave uine nezve maitiro. Iwe zvakare uchasangana neanesthesiologist uyo achange achipa mushonga uyo unoita kuti iwe urare munzira dzese.

Kana yave nguva yekuvhiyiwa, iwe unopinda mukamuri yekuvhiya pane gurney. Anesthesiologist anozobaya mushonga muIV yako. Mushonga unogona kunzwa kutonhora kana kubaya paunopinda mumuviri wako, asi unokurumidza kukuisira iwe kuhope huru.

Chiremba anovhiya anozoita cheki pamusoro peiyo gland uye nekunyatso bvisa zvese kana chikamu chegland. Nekuti iyo utachiona idiki uye yakakomberedzwa netsinga uye gland, maitiro anogona kutora maawa maviri kana kupfuura.

Iwe unozomukira mukamuri rekudzoreredza, uko vashandi vanozove nechokwadi chekuti wakasununguka. Ivo vanozoongorora ako akakosha zviratidzo uye vanopa marwadzo mishonga pazvinenge zvichidikanwa. Kana iwe uri mukugadzikana mamiriro, ivo vanokuendesa iwe kune imwe kamuri iyo iwe yaucharamba uchitariswa kwemaawa makumi maviri nemana kusvika makumi mana.

Robotic thyroidectomy

Imwe mhando yekuvhiya inonzi robotic thyroidectomy. Mune robhoti thyroidectomy, chiremba anovhiya anogona kubvisa zvese kana chikamu chetachiona kuburikidza neacillary incision (kuburikidza nehapwa) kana nechokunze (kuburikidza nemuromo).

Aftercare

Unogona kutangazve zvizhinji zvezviitiko zvako zvakajairwa zuva rakatevera rekuvhiyiwa. Zvisinei, mirira kwemazuva gumi, kana kusvikira chiremba wako akupa mvumo, kuti uite zviitiko zvinotyisa zvakadai sekukwikwidza kwakanyanya.

Huro yako ingangonzwa kurwadziwa kwemazuva akati wandei. Iwe unogona kutora mushonga wepamusoro-the-counter senge ibuprofen kana acetaminophen kuti ubvise kusuwa.Kana mishonga iyi isingapi ruregerero, chiremba wako anogona kukupa mushonga wekurwadziwa.

Mushure mekuvhiyiwa kwako, unogona kukura hypothyroidism. Kana izvi zvikaitika, chiremba wako anokupa imwe fomu ye levothyroxine kuti ubatsire kuunza mahormone ako muyero. Zvinogona kutora akati wandei kugadziridzwa uye kuongororwa kweropa kuti uwane yakanyanya dhiyo iwe.

Ngozi dzekuvhiyiwa kwetachiona

Sezvo nekuvhiyiwa kukuru, kuvhiyiwa kwetachiona kunotakura njodzi yekukanganisa kuita kweanesthetic. Dzimwe njodzi dzinosanganisira kubuda ropa kwakanyanya uye hutachiona.

Njodzi dzakanangana nekuvhiyiwa kwetachiona hazviwanzo kuitika. Zvisinei, njodzi mbiri dzinowanzoitika ndedzekuti:

• kukanganisa kune dzokororo laryngeal tsinga (tsinga dzakabatana nezwi rako tambo)
• kukuvara kune zvipenga zveparathyroid (gland dzinodzora mwero wecalcium mumuviri wako)

Supplements inogona kubata yakaderera mazinga ecalcium (hypocalcemia). Kurapa kunofanira kutanga nekukurumidza sezvazvinogona. Zivisa chiremba wako kana iwe uchinzwa kutya kana jittery kana kana mhasuru dzako dzatanga kupunzika. Izvi zviratidzo zvecalcium yakaderera.

Pakati pevarwere vese vane thyroidectomy, vashoma chete ndivo vanozoita hypocalcemia. Kune avo vanoita hypocalcemia, vachapora mugore rimwe chete.