Thyroidectomy: Kuvhiya Kuchenesa Utachiona Gland

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Chirwere cheTyroid

Kuvhiya kwekorosi, inozivikanwa se thyroidectomy, inzira yekubvisa zvose kana chikamu chetachiona chetachiona. Izvi zvinoitwa nokuda kwezvikonzero zvakasiyana-siyana, zvichibva pakenza yekemikari kune kuwedzera kwechirwere chechirwere. Kuvhiya kunopesana zvichienderana nemamiriro ezvinhu anokonzera utachiona uye kuti utachiona hwakawanda hunofanira kubviswa sei.

Utachiona hwehutano hwakaumbwa seguruvhiri uye hunozorora pamucheto wehuro. Inogona kunzwika pakuongorora muzviitiko zvakawanda, asi kazhinji haisi kuonekwa kune zvisingatarisirwi. Kana utachiona hwawedzerwa, hunogona kuonekwa, mune dzimwe nguva hukaita hukuru hwebhokisi yegorofu. Mune varwere vakawanda, pane zvigunwe zvina zvinosangana nejeri yeganda, inonzi "gland parathyroid". Kunyange zvazvo zita racho rakafanana nechetachiona, mabasa ehutachiona uye parathyroid zvakasiyana chaizvo.

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Matambudziko eTyroid

Kune mana mana makuru emhando yezvinetso zvehutano izvo zvinoita kuti chirwere chakakosha. Matambudziko anowanzojairika ehutachiona ndiwo hypothyroidism uye hyperthyroidism, izvo zvinetso nehuwandu hwehomoni iyo gland inovanzika. Zvimwe zvinetso zviviri zvinokonzera chirwere chetachiona zvinodiwa zvipembenene zvinowedzera utachiona uye kenza yehutachiona.

Utachiona hwakavanza mahomoni maviri, thyroxine (T4) uye triiodothyronine (T3). Aya mahomoni anoshanda pamwe chete kuti atungamirire muviri wemagetsi.

Hypothyroidism chirwere apo utachiona hunobudisa mahomoni mashoma uye hunogona kuita kuti vatano vachinetseke, kuora mwoyo, aches uye kurwadziwa uye kuwedzera kuwedzera. Secondary hypothyroidism is thyroid problem inotanga neimwe yezvimwe zvipembenene, hypothalamus, uye pituitary. Muzviitiko zvakanyanya, hypothyroidism inogona kuguma nemamiriro ezvinhu anotyisa anonzi "myxedema coma."

Muzviitiko zvakawanda, hypothyroidism inobatwa nyore nyore nehutano panzvimbo (synthetic) hormones. Kuvhiya hakusi kunowanzodiwa kunze kwekuti gland iri kuwedzerwa kana chirwere.

Zvinokonzera Hypothyroidism:

• Kuderedza utachiona hudiki zvikuru
• Zvirwere zvepachivande
• Radiation
• Kuvhiya kubvisa utachiona
• Tumhanho yehutachiona - zvose zvinorwara uye kenza
• Mishonga inosanganisira Lithium, Amiodarone (Cordarone), Interferon uye kuchinja kwehutano

Hyperthyroidism ndiyo yakanyatsopesana ne hypothyroidism, ine zvakawanda chaizvo T3 kana T4 iri kubudiswa. Mamiriro acho ezvinhu anowanzozivikanwa sechitachiona chinopedza simba.

Zvinokonzera Hyperthyroidism:

• Graves chirwere (chinowanzokonzera chikonzero)
• Iodine yakawandisa
• Kuwanda kwetachiona hormone panzvimbo
• Tumhanho yei testes
• Tumhanho yemashizha

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Parathyroid Glands: Chii?

Zvinyorwa zvePathyroid zvinosara mumutsipa uri pedyo nehutachiona, asi pasinei nokufananidzwa mumazita, vanoita mabasa akasiyana. Kune zviduku zvina zvisinganzwisisiki zvinosara pedyo nehutachiona. Hazviwanzobviswa panguva yeutachiona.

Basa rezvipembenene zvinokonzera mahara ndezvekutonga huwandu hwe calcium mumuviri. Iyo gland inogadzira uye inobudisa hormone parathyroid. Kana ikakisium mumuviri yakadzika, mamwe hormone yakavanzwa. Kazhinji kaccium muropa uye maronda ane chirwere chepathyroid anoderedza huwandu hwehomoni.

Apo hormone yepathyroid inosunungurwa mumuviri, mapfupa emuviri anonunura mamwe emashizha ayo. Nokufamba kwenguva, huwandu hwehomoni inokonzera hutachiona hunogona kukonzera osteoporosis, kana kuti isina simba uye ine bfupa mapfupa.

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Miedzo Kupera Kuvhiya kweTroroid

Vasati vavhiyiwa, miedzo ichaitwa, kusanganisira kuongorora kwemuviri, kuongororwa kweropa, uye biopsy inogona kuitwa. Izvi zvichabatsira kuziva zvose zviri mukati mehutano hwetachiona uye kutanga kwechinetso. Mune zvimwe zviitiko, chirwere chetachiona chinenge chisinganyanyi kukosha kwemahomoni chinogona kunge chiri kutarisana nedambudziko ne pituitary kana hypothalamus. Kuyera ropa kunogona kugona kuti gland chii chinetso.

Miedzo Yakajairika Kupera Kuvhiya Kwechiropi:

• TSH: Mhinduro ichave yakaderera hyperthyroidism, yakakwirira ye hypothyroidism
• T4: Ikoko ihu hyperthyroidism, yakaderera hypothyroidism
• T3: Mazinga akakwirira anowanzoratidza hyperthyroidism
• Kuratidzwa kwekupedzisira: Chiremba anoshandisa chiridzwa chine chiedza uye kamera pairi kutarisa mukati memutsipa uye nzvimbo yehutachiona
• x-ray
• Nyuchi : Chidimbu chengano chinonzi biopsy chinogona kuitwa kuti chiongorore masero ehutachiona pasi pe microscope
• Thyroid scan

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Zvikonzero zvekuvhiya kweKiroid

Kune zvikonzero zvakawanda zvekuti chirwere cherosiyo chinodikanwa. Zvimwe zvinetso zvinokanganisa basa rehutachiona, asi vamwe vanongochinja hukuru hwetachiona. Mune zvimwe zviitiko, kuwedzera kwetachiona gland, kunyange kana chirwere chetachiona chiri kushanda zvakajairika, chinofanira kushandiswa chirwere. Ichi ndechokuti utachiona huri pamusoro pemhepo uye sezvo huchiwedzera hukuru, hunogona kukonzera kuoma kufema.

Zvikonzero zvekuvhiya kweKiroid

• Kanzira yehutachiona
• Hyperthyroidism isingabvumi kune dzimwe mishonga
• Hypothyroidism nekuwedzera kweglandu
• Goiter: Kuwedzera kwechirwere cheglandi chinogona kukanganisa basa remhepo uye sopu

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Ngozi dzeKuvhiya kweTyroid

Mukuwedzera kune njodzi dzakawanda dzekuvhiya uye njodzi dzeanesthesia , chirwere chetachiona chinokonzera ngozi.

Ngozi dzeKuvhiya kweTyroid

• Hoarseness kana tambo yekutaura zvinetso
• Permanent change in voice
• Huro inorwadza
• Dysphagia, kunetseka kubvumira
• Calcium inoshaya (kana zvirwere zvepathyroid zvichibviswa kana kukuvadzwa)

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Mhando dzeTyroid Surgery

Kune mhando dzakawanda dzekuvhiya kwehutano. Kuti unzwisise kusiyana kwemaitiro, zvinokosha kuti unzwisise maitiro ehutachiona. Iyo gland yakafanana nechitarisiko kune chimiro cheflyfly. Chimwe nechimwe "mapiko" akaumbwa nerebe, uye akabatana nechirwere chetachiona kana "muviri" weguruvara.

• Chikamu chisina kukodzera chebhakitiriro chekuvhiya: Chimwe chikamu chetachiona chetachiona chakabviswa
• Lobectomy chirwere chetachiona: Chirwere chose chetachiona chakabviswa
• Lobectomy ne isthmusectomy thyroid surgery: Rimwe rebe, pamwe chete neestthmus, rinobviswa.
• Kushandisa utachiona hwehutachiona: Zvakawanda zvetachiona zvinobviswa, asi chikamu chinoshanda chinoramba chiri (chinowanzoshandiswa pakurapa zvirwere zveGraves)
• Total Thyroidectomy: Lobes ose uye isthmus inobviswa

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Kuvhiya Kwechirwere: Nzira

Utachiona hutano hunotanga nekuiswa kwekupedzisira kwegomba , rinoteverwa nehutungamiri hwehuwandu hweanesthesia . Kamwe iyo anesthesia inotanga kushanda, inotanga inotanga nekisikiti chakaita 2 masendimita kusvika masendimita masere yakareba yakareba pamusoro petachiona. Kubva pane zviedzo zvakaitwa musati maitiro uye maitiro ehutachiona, kutsunga kwekupedzisira kwehutachiona hunofanira kubviswa hunoitwa.

Panguva ino, chikamu kana zvikamu zvehutachiona zvinobviswa uchishandisa scalpel. Kunyatsotarisirwa kunotorwa kuti isakakuvadza kana kuvhiringidza glandi yepathyroid uye tambo dzezwi, zvose zviri mumutsipa pedyo nejeri.

Bhiopsy inogona kuitwawo kuti iongorore mishonga yetachiona, iyo parathyroid uye, zvisingawanzoitiki, lymph nodes dziri pedyo. Izvi zvinoitwa kuti ave nechokwadi chokuti chikamu chetachiona chakasara, kana chiripo, hachisi chirwere. Mune zvimwe zviitiko, mhuka yacho inoongororwa nechirwere chechirwere pakarepo, kuitira kuti chirwere chechipiri kubvisa chikamu chinorwara chetachiona hachidikanwi.

Kana kamwechete yekodhi yakabviswa uye chero sarudzo dzinodiwa dzakatorwa, nzvimbo yacho inoongororwa nekubuda ropa. Kamwe chirwere ichi chichivimba kuti hapana kubuda ropa, iko kuvharwa kwakavharwa. Inogona kuvharwa ne staples kana sutures , uye pane dzimwe nguva, chirwere chinogadzirwa chinogona kuiswa kuti chibvise mvura kubva munzvimbo mumazuva mushure mekuvhiyiwa.

Kamwe kamwe bhanhire risina kuchena rinoshandiswa kune kuvharwa, chirwere chacho chinopedzwa. Anesthesia inorega uye mishonga inopiwa kupa munhu murwere. Murwere anobva atorwa kunzvimbo yekudzikinura kuti aongororwe zvakanyatsogadziriswa apo izvo zvakasara zvinopera simba.

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Kudzoka Pashure Kokuvhiya Kwechiroyi

Mushure mokuvhiyiwa kwetroroid yako, iwe uchaendeswa kunzvimbo yekudzikinura. Zvakanaka kuti unzwe kurwadziwa mumutsipa wako mushure mekuita chirwere chetachiona. Mhopa yako inogonawo kuora, uye zvinogona kukuvadza kutaura uye kumedza. Izvi zvakajairika pakarepo kutevera nzira. Muzviitiko zvakawanda, iwe uchagara muchipatara kweusiku hwekutanga hwekudzoka kwako kuti uongororwe chero matambudziko, akadai sokubuda ropa kana kuoma kufema.

Pakutanga, iwe uchange uchitora kutora mvura. Kana iwe uchikwanisa kunwa mvura pasina dambudziko, iwe uchada kutanga kudya kudya kwakanaka mangwanani anotevera. Muzviitiko zvizhinji, iwe uchakwanisa kudzokera kune chikafu chinowanikwa mukati meawa makumi matanhatu nemaviri ekuvhiya, uchidzivirira chero matambudziko asina kuitika.

Vakawanda varwere vanogona kudzokera kumusha maawa masere mushure mekuita. Usati wapera, iwe uchapiwa mirayiridzo yekuti ungatarisira sei kushandiswa kwako kwokuvhiya uye nguva yekuona chiremba wako.

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Upenyu Mushure mekuvhiya kweTroroid

Mushure mekuvhiyiwa kuti ubvise utachiona hwako, muviri wako hauchazogadziri mahomoni eroid. Aya mahomoni achatsiviwa nemishonga inoshandiswa nemishonga. Kunyange zvazvo synthroid ichinyorwa chinokonzera utachiona huchiendesa mberi, unogona kuwana kuti vanhu vanotaura nezveboka rose remishonga inoshandiswa mishonga se "synthroid."

Utachiona hwako huchitsvaga hunogona kutanga pakarepo mushure mekuvhiyiwa kwako kana kuti ingatangwa mavhiki mashoma gare gare, zvichienderana nemamiriro ezvinhu akaita kuti kuvhiyiwa kuve kwakakodzera. Kana imwechete iyo inotanga kushandiswa, inofanira kunyatsoongororwa kuchengetedza zviratidzo zve hyper kana hypothyroidism.

Nhamba ye calcium uye vitamini D muropa rako inogonawo kuongororwa. Mune zvimwe zviitiko, kuwedzera kwezuva nezuva kuchave kuchidiwa zuva nezuva. Izvi zvinonyanya kuitika kana zvipembenene zvepathyroid zvakabatanidzwa muitiro.

Kana imwe nguva mishonga yakanyatsoiswa zvakanaka, unofanira kutanga uchinzwa uwandu hwemagetsi. Zviratidzo zvekunyengera kunoramba kuchiita, kuneta uye kunzwa kusingaperi kuneta kunofanira kuudzwa kunechiremba anotarisira utachiona hwako hwekutsvaga mushonga.

Kana iwe uine zvinetso zvinoramba zvichiitika nezwi rako kana kusatya pashure pokuvhiyiwa, rega chiremba wako azive. Kunyange zvazvo izvi zvikamu zvinokonzera zvikaitika pakarepo mushure mekuvhiyiwa, vanofanira kugadzirisa panguva yekudzorera.

> Sources:

> Parathyroid Function. Endocrineweb.com

> Thyroid Diseases National Institutes of Health

> Thyroid Function Test. The American Thyroid Association