Kana iwe uine chirwere chetachiona, chinonzi thyroidectomy, zvakakosha kuziva zvaunotarisira maererano nemigumisiro, zvinetso zvingaita, uye nzira yekudzorera zvakare.
Kurudyi Pashure Kokuvhiya
Mushure mokuvhiyiwa kwetroroid yako, kana iwe uchigara muchipatara kana kuti uchivhiyiwa kwenguva refu, iwe pachako uchangopedza maawa akawanda muimba yekudzikinura. Nezuva rokutanga, vanachiremba vazhinji vanokukurudzira kuti ugare pamubhedha. Chiremba wako achaita, zvisinei, zvichida anoratidza kuti iwe unotanga kufamba-famba iwe nekukurumidza sezvinobvira ipapo.
Kana iwe uri muchipatara, iwe unogona kuramba uchinge uchinge uchinge uchinge uchinge uchinge uchinge wadya, sezvo kumedza uye kudya kunogona kuoma munguva yekutanga maawa makumi maviri nemaviri mushure mekuvhiyiwa. Kana iwe wakasunungurwa, unogona kuedza kuedza zvinodhaka kana zvekudya zvakaderera zvakanyanya kusvikira kumedza zvimwe zvekudya zviri nyore.
Migumisiro Yechirwere yeTyroidectomy
Iwe unogona kuve nemigumisiro yenguva pfupi, isina kuoma yakareba mushure mekuvhiyiwa kwetachiona. Izvi zvinogona kusanganisira:
- Marwadzo paanomedza, kana mumutsipa: Inhamo inogona kubva kubva kufema kufema kana mushure mekuvhiyiwa kana kubva pakuvhiyiwa pachako. Izvi zvinofanira kuderera mukati memazuva mashoma; kune-over-the-non-steroidal marwadzo reliever, kufanana ne ibuprofen, inogona kubvisa kusagadzikana.
- Mitsipa yakashata uye unyoro: Maitiro ako angave ari kubata musoro wako zvakasimba mune imwe nzvimbo mushure mekuvhiyiwa, uye izvi zvinogona kukonzera mutsi uye musimba kutseuka. Zvakanaka kuita zvinyoro zvishoma uye maitiro ekufambisa maitiro kuitira kuti utsi hwakasimba huve mumutsipa. Kungoshandura musoro wako kurudyi, zvino kuvhara chigunha chako kudarika cheputi kusvikira musoro wako wakatarisana necheboshwe kunogona kubatsira kusunungura misungo yakaoma.
- Zvinetso zvezwi: Inzwi rako rinogona kunge rakanyanyisa, rinongoseka, kana rakaneta. Vamwe vanhu vanoona kuti nguva dzekutya dzinogona kuramba kwenguva yakareba kwemwedzi miviri kusvika mitatu.
- Mhepo inoputika: Kana iwe waive nefema yekufema panguva yakawanda anesthesia, inogona kutsamwisa mhepo yako uye inogona kuita kuti unzwe sokunge iwe une chimwe chinhu chakaiswa mumutsipa wako. Uku kunzwa kunowanzoenda mukati memazuva mashanu.
Zvinetso Pashure Pokuvhiya
Kuvhiyiwa kwehutano kunofungidzirwa zvakachengeteka. Nepo zvinetso zvisingashamisi, pane zvakawanda zvinogona kuitika. Izvi zvinosanganisira hypoparathyroidism uye hypocalcemia, uye chirwere chemarara chinokanganisa.
Hypoparathyroidism uye Hypocalcemia
Hypoparathyroidism iri pasi pekushanda kwezvinyorwa zveparathyroid. Basa revanhu vanoratidzirwa nderokudzora muviri wemakisikiti emuviri wako. Kana ivo vanonzi parathyroid vakakuvadzwa kana kuti vasina kunaka panguva yekuvhiyiwa, uku kunetseka kunogona kukonzera kuvhara kwenguva pfupi kana kusingaperi, izvo zvinoguma nechesika ye calcium, inonzi hypocalcemia.
Permanent hypoparathyroidism haigoni, asi nguva duku hypoparathyroidism inobata anenge 7 muzana yevarwere. Vamwe varwere, asi, vari pangozi ye hypoparathyroidism uye hypocalcemia. Zvinokonzera ngozi zvinosanganisira:
- kuvhiyiwa kwe hyperthyroidism kana chirwere cheGraves
- kuvhiyiwa kwevanhu vakawanda
- uzere nehutachiona hwehutachiona, panzvimbo yehutakiti
- Central neck neck dissection yekenza yekenza, iyo inosanganisira kubvisa lymph nodes uye lymph tissue mukati mehutachiona
- kudzokorora chirwere chetachiona
Kurukurai mungozi yako ye hypoparathyroidism nechiremba wako, uye iva nechokwadi chekutaura chero zvingave zviratidzo zvinowanikwa. Zviratidzo, izvo zvinowanzoonekwa vhiki yekutanga mushure mekuvhiyiwa, zvinogona kusanganisira:
- kupera uye kushungurudza manzwiro pamiromo yako, maoko, uye pasi petsoka dzako
- manzwiro anonyadzisa mukati meganda rako
- mitsipa nemapasms
- zvakaipa headaches
- kuzvidya mwoyo
- kuora mwoyo
Zviratidzo izvi zvinowanzotanga pazuva kana maviri mushure mekuvhiyiwa. Hazvisi nyore kuti zviratidzo izvi zvionekwe mushure memaawa 72.
Chiremba wako acharamba achikurudzira kwekanguva calcium supplementation . Bvunza chiremba wako kana iwe uchifanira kunge uine mahwendefa e-calcium pamaoko usati wavhiyiwa uye kuti unofanira kuenderera sei kana iwe une zviratidzo.
Kana iwe ukatora calcium yezviratidzo zve hypocondcemia, kutinhira uye kupera kunowanzoenda mukati kwehafu yeawa mushure mokutora calcium. Nepo vashandi vanowanzokurudzira kuti utore calcium kakawanda sezvaunoda kudzora zviratidzo zvako, iva nechokwadi chekukurukura izvi nechiremba wako zvisati zvaitika.
Iyo hypocalcemia inofanira kupera mumazuva manomwe kusvika kune gumi. Kana zvikasadaro, taura chiremba wako. Kana iwe uri mumwe wevarwere vashomanana vanovandudza hypoparathyroidism , chirwere che calcium uye vitamini D yeupenyu.
Kana zvipembenene zvisinganzwisisiki hazvigone kuchengetwa munguva yehutachiona hwehutachiona, vamwe vanachiremba vanochera zvipembenene muzvidimbu zviduku vobva vakuvadza mumuviri-fudzi rako, somuenzaniso-apo gland rinogona kushanda kuronga muviri we calcium level.
Laryngeal Nerve Damage
Muchifungidzirwa chimwe chete pamakirini makumi maviri nemakumi mashanu emapurisa, chirwere chacho chakaitwa kumasana emvura, mitsipa inodzora inzwi.
Zvinonyanya kukosha zvinosanganisira:
- kuoma kunofungidzira izwi
- inzwi rinopenya
- inzwi kuneta
- kuderera kwemashoko
Kazhinji, izwi rinoshanduka ndezvenguva pfupi, saka izwi rinodzokera kune rakanaka mukati memavhiki mashoma; kuchinja kwekusingaperi kunowanika. Kushandiswa kwemagetsi ekuvhiya panguva yekuvhiyiwa kwave kwakawanda, zvisinei, sezvo zvigadzirwa izvi zvinoshandiswa zvinogona kuderedza zvikuru njodzi yekukuvara.
Kudzorera Nguva
Chiremba wako angangodaro akakurudzira kuti utore vhiki mbiri kusvika maviri kuti udzokezve usati wadzokera kubasa uye mamwe mabasa anowanzoitwa. Iwe unofanirwa kudzoka kunotyaira uye kupindira kune mamwe mabasa, pamwe nemitambo isingatauri, pakarepo iwe unogona kutora musoro wako kazhinji uye pasina marwadzo kana kuoma. Iva nechokwadi chokuti unojekesa izvi nechiremba wako chiremba, zvisinei.
Iwe unowanzodikanwa kudzokera kunechiremba wekuvhiya kwekutevera-kutarisa kwemavhiki matatu mushure mekuvhiyiwa.
Kuchengeta Zvaunoita
Kunyange zvazvo kupfeka kwakaiswa pamusoro pekuiswa kwako kuchaita kuti zvive nyore kuti iwe ushambidze kana kushambidza mushure mekuvhiyiwa, iwe haufaniri kuvhara, kuchenesa, kana kusvitsa tsvina yako. Mushure mokuratidza, iwe ungada kushandisa shangu dzomusoro dzakaiswa ku "kunonoka" kuti uome incision.
Kupfeka pamusoro pekudzikisa kwako kunowanzotanga kuva chena uye kubvisa mukati mevhiki. Kamwe kana kupfeka kwawa, iwe unogona kutanga kushandisa gel, garo, vitamini E, kana kuti cocoa batare kuti ubatsire kuporesa uye kuderedza kuora. Iwe unogona kuona kugunun'una kana kuderera zvishoma kupoteredza ruvara. Kana iwe ukacherechedza humwe hukuru hwekudzimba, iwe unofanirwa kuonana nechiremba wako chiremba pakarepo, sezvo icho chinogona kuva chiratidzo chekutapukirwa. Nokufamba kwenguva, ruvara runogona kutora ruvara rwepini uye unonzwa zvakaoma. Kuoma kunowanzokwira kwemavhiki mashure mushure mekuvhiyiwa uye zvino kunodarika pamwedzi miviri kusvika kumatatu anotevera.
Hormone Replacement
Varwere vanowana utachiona hwehutachiona- uye vazhinji vevarwere vanowana hutachiona hwetachiona (zvichibviswa kubvisa gland) -va kuziva kuti utachiona hwavo hunokwanisika kubereka hormone yakakwana yehutachiona, zvichiita kuti iite hypothyroid. Paunenge uine hypothyroid, iwe unoda mushonga wekodzero yekuchinja mishonga . Chiremba wako haafaniri kukurukurirana izvi newe, saka iva nechokwadi kuti uchataurirana naye kana iwe uchitanga mishonga yekirori, iyo mishonga, uye pamyero ipi iwe usati wasunungurwa.
Kana iwe usingakurumidzi kuiswa mushonga weHermone, tarisa kunyatsotarisa zviratidzo zve hypothyroidism, uye unomiririra kuongororwa zvakazara nokukurumidza apo chero zviratidzo zvikaonekwa. Zviratidzo zve hypothyroidism zvinosanganisira kuneta, kusvibisa, kuora mwoyo, kuoma kuisa pfungwa, zvinetso zvepfungwa, kusatsanangurwa kana kuwedzerwa kuwanda, ganda rakaoma, yakaoma uye / kana ganda rakaoma, bvudzi rakaoma, kurasikirwa nevhudzi , kunzwa kunotonhora (kunyanya pamagumo), kuvhiringidzika, makumbo, marwadzo akabatana , carpal tunnel syndrome , kuwedzera kwekuenda kumwedzi, pasi pepabonde, uye dzimwe nguva nguva, pakati pevamwe. Iwe uchawana tsanangudzo yakawanda ye hypothyroidism checklist online.
Shoko Rinobva
Kuziva zvaunotarisira usati wapora chirwere chetachiona kunobatsira kutsungirira zvinogona kuitika, kuderedza zvinetso, uye kuve nyore kugadzirisa chirongwa. Sezvakaitwa nekuvhiya chero kupi zvako, zvinowanzova nemibvunzo, zvinetseka, uye zvichida kunyange kunzwa kunzwa kunetseka. Kurukurai zviri mupfungwa dzako nachiremba wenyu.
Ziva kuti njodzi yezvinetso zvakakosha ndeyepamusoro kwehutachiona hwehu yega yakaenzana nehutachiona hwetroroidectomy. Kana iwe uine utachiona hwehutachiwana, dzidza zvaunogona kuita kuti uwane zvakanyanya uye nyore nyore kupora uye iva nechokwadi chekutevera mazano achiremba zvakanaka. Pasinei nemhando yekuvhiya, zvinetso zvinowanzoitawo nevarapiki vanove vasina ruzivo rwakawanda runoita chirwere chetachiona , saka zvakakosha kuve nechokwadi kuti une chiremba wechiremba wekodhi. Mamwe mapurisa ehutano ekuvhiya anokurudzira kusarudza chiremba anovhiya uyo akaita chirwere chinenge chiuru chetachiona.
> Sources:
> Benkhadoura M. "Recurrent laryngeal nerve kukuvara uye hypoparathyroidism rates mu reoperative chirwere chetachiona chirwere." Turk J Surg. 2017 Mar 1; 33 (1): 14-17.
> Braverman, MD, Lewis E., naRobert D. Utiger, MD. Werner uye Ingbar's The Thyroid: Chimwe Chinokosha uye Chirongwa Chekunyora. 10th ed., Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.
> Erbil Yesim., Et. al. "Kufananidzira kwezvinhu zvinowanzoitika maitiro echirwere uye chirwere chepoparathyroidism mushure mekuvhiyiwa kwehutano" Clinical Otolaryngology 32 (1), 32-37.
> New York Thyroid Center. Columbia Department of Surgery - College of Physicians and Surgeons.
> Quaglino F, et. al. "Ikoko Utachiona Hunobata Rini Zvakanaka?" European Thyroid Journal. 2017 Apr; 6 (2): 94-100.