In-In Depth Tarisa
Kuvhiya pamuroyi weganda kunozivikanwa se thyroidectomy. Muchikamu chino, tsvaga zvikonzero zvekuvhiya kwehutano, maitiro ekuvhiya kwehutano, uye chii chaunotarisira mberi uye shure kwekuvhiyiwa.
Zvikonzero zvekuvhiya kweKiroid
Kuropwa kwekorosi kunoitwa mumamiriro akawanda ezvinhu:
- sekurapa kwekenza yepachirwere
- apo utachiona hwakawedzerwa (goiter) kana huturu hwakawanda hunokonzera zvinokonzera, kufema kana kumedza zvinetso
- mumukadzi ane pamuviri, apo hyperthyroidism yake isingadzorwiki nemishonga yeitroithyroid , uye inoda kurapwa nokukurumidza
- apo mamwe maitiro ekurapa kwe hyperthyroidism - kureva,. antithyroid mishonga kana iodine inokonzerwa nemasasa haana kumbobudirira. (Izvi zvinoshanda muUnited States kunze kweU.S., chirwere dzimwe nguva chinoshandiswa sehutano hwe hyperthyroidism kare kana kuti panzvimbo yeyodine inodhaka.)
- pakati pevana, kana mushandi kana mubereki anoda kuvhara iodine inonzi radioactive
- apo murwere anoramba mishonga ye antithyroid kana iodine inonzi radioactive
- apo murwere achida kuedza kutora pamuviri nokukurumidza mushure mekurapa
Kusarudza Chiremba
Matambudziko anowanzoita nevanovhiya vasina ruzivo rwakawanda runoita chirwere chetroji, saka iva nechokwadi chokuti chiremba wako ane chiitiko chakakura mukuvhiya kwetroji. Iwe unogona kuwana zvakawanda muhurukuro pamusoro pekuwana Top Topic Chiremba .
Mhando dzeTyroid Surgery
Kune zvitatu zvakasiyana-siyana zvekuvhiya kwehutano:
- Total Thyroidectomy - Complete Removal of the Thyroid
Iyi ndiyo inowanzoshandiswa pakuvhiyiwa kwetroji, uye inowanzoshandiswa nekenza yekemikari, uye kunyanya, kanzira dzechisimba, dzakadai se medullary kana aplastic cancer yekenza . Inoshandiswawo kune goiter uye Graves '/ hyperthyroidism kurapwa. - Subtotal / Partial Thyroidectomy - Kubviswa kwehafu yeTroroid Gland
Nokuda kwekushanda uku, kenza inofanira kunge idiki uye isiri-ine utsinye - follicular kana papillary - uye iri kune rumwe rutivi rweglandu. Kana chirwere chetachiona kana chetachiona chisina kukwana chinowanzoitwa, kazhinji, vanachiremba vanovhima vanoita maitiro ehutachiona ehutachiona anobva ku1 kusvika ku5 magamu kune rumwe rutivi / lobe yehutachiona. A Harley Dunhill nzira yakakurumbirawo, umo mune hobectomy yakazara kune rumwe rutivi, uye kune imwe nzvimbo pane imwe, kusasiya 4 kusvika ku5 magirasi ehutachiona yakasara.
- Thyroid Lobectomy - Kubviswa kweChitatu Chetatu CheGland
Izvi hazviwanzoshandiswi zvekenza yekenza, sezvo masero anouraya anofanira kunge ari maduku uye asingasviki.
Nyaya yehutachiwana / hushoma, kana yehutachiona hwehutachiona hunopesana. Vamwe vashandi vanosarudza kuita utachiona hwemahara pazvinenge zvichiita, vachifunga kuti vachabva vachisiya hutachiwana hwakakwana kuti vadzivirire hypothyroidism. (Iro thyroidectomy yakakwana inoda kusvika zana muzana yekukonzera hypothyroidism). Ngozi ye hypothyroidism ne-subtotal thyroidectomy, asi, yakakwirira kwazvo, uye dzimwe nyanzvi dzinoti makumi manomwe kubva muzana yevarwere vanowana utachiona hwe thyroidectomy huchava hypothyroid. Sezvo imwe yezvikonzero zvikonzero zvekutora utachiona hwehutachiona ndeyekudzivirira hypothyroidism, uye icho chinangwa chinowanikwa mune zvishomanana chete zvezviitiko, nyanzvi dzinowedzera kuwedzera kuti hakuna humwe humwe humwe humwe huripo hunobatsira kutora utachiona hwehutachiona, uye hunowanzogara uchirumbidza utachiona hwetachiona.
Zvaunogona Kuziva Kuziva
Kakawanda, kuvhiyiwa kwetachiona hakusi kunyanya kuoma, uye kazhinji kunotora nguva inopfuura maawa maviri.
Kubviswa kwehafu yeserosi inotora maminitsi makumi mashanu kusvika paawa, naizvozvo kana gland rose iri kubviswa, chirwere chichapedza nguva nehafu.
Tarisa nechiremba wako chiremba nezvemishonga yauri kutora, uye izvo zvaunofanirwa kuita / hazvifaniri kutora mumazuva asati avhiyiwa.
Iwe unogona kunyanya kubvunzwa kuti uende muchipatara mangwanani ekuvhiya kwako. Kazhinji, chiremba wako achakumbira kuti urege kudya kana kunwa mushure meusiku pakati peusiku husiku husati hwavhiyiwa.
Kunze Kwechipatara kana Kuvhirwa Kwechipatara?
Zvichienderana nemamiriro emurwere, usiku husiku kana husiku husiku hwechipatara kugara kungarongwa. Kunze kwekuvhiya kwehutachiona kuri kuwedzera kukurumbira, zvisinei, uye kutsvakurudza kunoratidza kuti kunze kwekuvhiya kwetrojiya yakachengeteka, inoshanda - uye inodhura zvakanyanya -kune varwere vazhinji, uye inogona kunge yakanakisisa kune zvechipatara chisingaiti chipatara chinogara.
Jenheta kana Yemunharaunda Anesthesia?
Kuvhiyiwa kwehutano kunowanzoitwa neine general anesthesia. Vamwe vanachiremba vari kushandisa ikozvino aneshehesia, pamwe chete nekuderedza, zvisinei, kuita chirwere chetachiona.
Zvikomborero zvepanharaunda anesthesia ndeyokuti inosanganiswa nehupfupi muchipatara kugara, nguva shoma chaiyo yekuvhiya, uye kusuruvara kudarika uye kushungurudzwa kwepfungwa pashure pokuvhiyiwa.
Kana ukasarudza anesthesia yemunharaunda yako, chiremba wako achakupa iwe kushaya mishonga yemishonga panzvimbo yekemikari, pamwe chete nekunyengera kunobatsira kuti urambe wakadzikama. Iwe unogona, zvakadaro, uve wakamuka panguva yekuvhiyiwa, uye unokwanisa kutaura nechiremba wako.
Haasi vashandi vanovhiya vanodzidziswa kuita chirwere chetachiona pasi peanesthesia yemunharaunda. Saka kana iwe uchida kupfuurira nechisarudzo ichi, iva nechokwadi chokuti chiremba wako akaita chirwere chetachiona kazhinji neanesthesia yemo. (Dzimwe nyanzvi dzinokurudzira kuti utsvake chiremba anovhiya uyo akaita izvi nenzira dzinopfuura makumi mashanu.)
Iyo Inzira Yokuvhiya
Mukuvhiyiwa, chiremba anovhiya achacheka 3 kusvika ku 5-inch inch incision kumucheto wemutsipa wako mberi. Ganda nemisumbu zvinodheredzwa kuti vuratidze chirwere chetrojeni. Iko kunowanzoitwa kuitira kuti inowira mudanga reganda iri mumutsipa wako, zvichiita kuti zvisaonekwe.
Ropa kune gland "rakabatanidzwa," uye maronda epathyroid anozivikanwa (kuitira kuti anogona kuchengetedzwa). Chiremba wacho anobva aparadzanisa terechea kubva kuhutachiona, uye anobvisa zvose kana chikamu cheganda.
Vanachiremba vakawanda vanoshandisa zvidimbu zvisingagadziriswi, asi iwe ungada kubvunza chiremba wako chiremba nguva yakakodzera iyo yaanogadzirira kushandisa, nokuti zvisizvo zvisingaitiki zvinowanzoita kuti zviduku zvishoma. Kana uine imwe nhoroondo yekugadzirisa ganda rekugadzirisa kune zvikamu zvekare, iwe ungada zvakare kubvunza chiremba wako nezvekushandisa hypoallergenic suture zvinhu.
Cherechedza: Kuvhiya kwakawanda kwehutori kunoitwa kuburikidza nehutsika hwemaitiro. Asi vamwe vashandi vanoita chirwere chetrogen endoscopic , izvo zvinosanganisira kushandisa duku kukudza kamera yakaiswa mumutsipa. Carbon dioxide gasi inoputirwa mumutsipa kunobatsira kuita kuti zvive nyore kuona nekushanda gland. Chimwe chidiki chiduku chinoshandiswa, uye chidimbu chiduku chine shandi-yakadaro-iyo inowanikwa kuburikidza neyo incision. Iyi tubhuti ndiro chigadzirwa chinoshandiswa kubvisa utachiona. Kuvhiyiwa kwenguva refu, nokuti inosanganisira zvipembenene zviviri zviduku zvishoma kudarika imwe masendimita, kazhinji zvinosiya kusika kudarika kusingaoneki, uye zvinobvumira kudzoka nokukurumidza kumabasa akajairika. Dzimwe nguva, nzvimbo inopinda iri pasi pemaoko - anozivikanwa sekuvhiya axillary. Kuvhiya kwenguva refu hakusi kuwanwa, zvisinei, uye iwe uchada kuwana chiremba chiremba ane ruzivo rwekuita mavhivhi aya, uye ongorora kana zvakakodzerwa nemamiriro ako chaiwo.
Pashure Kokuvhiya Kwako
Mushure mekuvhiyiwa, iwe kazhinji unogara uri pasi pekucherechedza kuchipatara kwemaawa matanhatu. Kana iwe uine chirwere chekubuda kunze, iwe unogona kusunungurwa mushure mokunge uchitaura.
Iwe usati wasunungurwa, kuvhara kwako kunowanzovharwa neganda rakachengeteka rinodzivirira mvura inonzi colloidium. (Izvi zvinokubvumira kushamba kana kushambidza mushure mekuvhiyiwa.)
Kazhinji, kana pane kunetseka nezvekubuda ropa kana kuti utachiona hwakakura kwazvo uye kuvhiyiwa kwakasiya nzvimbo huru yakazaruka, kudhonza kuchasiyiwa muvanga rako kuitira kuti utachiona hurege kuwedzerwa. Iwe uchada kudzokera kune chiremba upiyona mazuva mashomanana gare gare kuti chidonho chibviswa.
Pane dzimwe nguva zvinowanzoitika migumisiro yehutachiona iwe unogona kuitika mushure mekuvhiyiwa kwetroji, kusanganisira kurwadziwa kana uchimedza, uye kuoma kweutsipa. Vakawanda vanorwara vanovawo hypothyroid mushure mekuvhiyiwa uye vanoda utachiona hwemajoni huri panzvimbo iyo. Iyi nhaurirano inokurukurwa zvakadzama munyaya inotaura nezvekudzorera shure kwekuvhiya kweTroroid .
Kunyange zvazvo zvinetso zvisingashamisi, vashomanana vanogona kuratidza mushure mekuvhiyiwa kwetroyo. Izvi zvinosanganisira hypoparathyroidism uye hypocalcemia, uye chirwere chemarara chinokanganisa. Zviratidzo zvinogona kusanganisira kushaya simba uye kumira pamiromo yako, maoko, uye pasi pezvakumbo zvako, maziso emumakumbo uye marwadzo, maitiro akaipa, kushungurudzika, kuora mwoyo, kutya, uye kuoma kutaura zvakanzwika. Iwe unogona kuverenga zvakawanda pamusoro pazvo muDambudziko Pashure pokuvhiya kweTroroid .
Sources:
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Columbia Presbyterian Thyroid Center Web Site, Online.
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