Yayinda ake gano ciwon maganin ciwon maganin ciwon thyroid, sakamakon haka shi ne cewa karin ciwon maganin thyroid-da aka sani da thyroidectomies -ana yin su. Yayinda yawancin rikitarwa bayan an yi tunanin tiyata ne a cikin ƙananan ƙananan ƙwayar, binciken ya gano cewa rates zai iya zama mafi girma fiye da yadda aka ruwaito. Har ila yau binciken ya nuna cewa kungiyoyi da yawa suna fuskantar hadarin rikice-rikice a cikin shekara bayan aikin tiyata.
Ya zuwa yanzu, mafi yawan binciken da aka yi game da rikitarwa bayan da aka yi aikin tiyata a asibitoci musamman ko cibiyoyin kiwon lafiya, wanda yawa daga cikinsu ke yin babban ƙwayar magunguna na thyroid. Ƙwararrun likitocin tiyata da kuma tiyata wanda ke nuna yawancin thyroidectomies a kowace shekara an nuna su suna da ƙananan ƙwayar wahala.
Binciken da aka gudanar a shekara ta 2017 ya duba magungunan likitoci, asibitoci, da kuma tiyata. Sakamakon da aka ruwaito a cikin Journal of Clinical Endocrinology da Metabolism , ya dubi kimanin marasa lafiya 28,000 waɗanda ke dauke da ciwon maganin thyroid don bambantaccen maganin ciwon maganin thyroid, an kimanta tsawon shekaru 13.
Sakamakon binciken
Masu binciken sun gano:
- Kusan kashi 1,820 (kashi 6.5 cikin 100) marasa lafiya sun haifar da rikice-rikice masu tasowa, ciki har da zazzabi, kamuwa da cuta, hematoma, abubuwan kirkiro, da thromboembolic events (jini clots)
- Kusan 3,427 (kashi 12.3%) ya haifar da tiyata-wasu matsalolin ciki har da hypoparathyroidism / hypocalcemia (ƙananan matakan calcium saboda lalacewa ga parathyroid gland), da kuma inganci ko lalacewar jijiyoyin laryngeal da muryoyin murya
Yawan da ake samu daga tilasta aikin tiyata ya kasance mafi girma a cikin kungiyoyi uku:
- Magunguna waɗanda suka kai shekaru 65, wadanda suka fi sau uku sun fuskanci rikitarwa fiye da waɗanda shekarunsu suka kai 65 (A cikin kashi 10 cikin dari na tsofaffin marasa lafiya suka kamu da matsalolin da suka faru, kuma kashi 19 cikin 100 na fama da matsaloli na musamman. Ga wadanda basu da shekaru 65, yawan kuɗin da aka samu a kashi 3 cikin dari da kashi 6 cikin 100)
- Marasa lafiya waɗanda ke da sauran yanayin kiwon lafiya, wanda ake kira comorbidities
- Magunguna da ciwon ciwon maganin ciwon maganin ciwon maganin ciwon maganin ciwon maganin ciwon daji, wanda ke da matukar damuwa a kashi 23 cikin 100
A cewar marubucin marubuci, Maria Papaleontiou, MD na Michigan Medicine:
Wannan kashi 12 cikin dari na marasa lafiya duk suna da maganin ƙuƙwalwar ƙyalƙwarar ƙwayar cuta. Yawancin likitocinmu suna nuna adadin kashi 1 zuwa 3. Wannan shi ne abin da muka yi tunani. Thyroidectomy an dauke shi a matsayin lafiya mai kyau a gaba ɗaya, amma wasu mutane sun fi sauki kuma suna buƙatar karin hankali a kulawa da baya.
Mene Ne Ma'anar Ma'anar Marasa lafiya?
Babban masanin binciken Megan Haymart, MD na Michigan Medicine ya ce:
Idan muka yi aiki tare da marasa lafiya don magance ciwon maganin thyroid, muna yin la'akari da amfani da hadari. Wannan binciken ya nuna akwai karin matsaloli daga tiyata don ciwon daji na thyroid fiye da yadda aka sa ran. Yana bayar da dama ga ilmantar da marasa lafiya da masu samarwa don rage matsaloli da kuma inganta sakamakon.
Wannan binciken yana da abubuwan da ke faruwa ga marasa lafiya har zuwa dama don rage matsaloli.
- Idan ka fada cikin ɗaya daga cikin uku-hadarin haɗari - fiye da 65, wasu yanayin kiwon lafiya, ko ciwon daji ciwon ciwon daji - ya kamata ka yi la'akari da neman da kuma yin tiyata a wani makaman da ke yin babban ƙwayar magungunan thyroid, tare da likitan likita wanda ke da gwaninta a cikin aikin tiyata. (Ka lura cewa yawancin ciwon maganin thyroid a Amurka ana aikata su ta hanyar likita masu ƙananan ƙarfin.)
- Tabbatar ku tattauna alamun da hadari na hypoparathyroidism da hypocalcemia tare da likitan ku, kuma ku kula da bayyanar cututtuka bayan tiyata.
- Tattauna da bukatar yin aikin tiyata tare da likita. A cewar Dr. Haymart, "Tattaunawa game da iyakance tiyata don waɗanda ke fama da ƙananan haɗari na iya zama daidai. Koda a cikin marasa lafiya marasa lafiya, haɗarin ƙwayar murfin murya har yanzu kashi 2 cikin dari kuma hadarin hypoparathyroidism shine kashi 8. Wannan ya fi yadda muke son gani. Shin akwai wasu hanyoyin da za a iya yi wa ɗanda marasa lafiya marasa aiki sosai? Idan magungunan ciwon daji yana da irin wannan kamfani amma hadari na matsalolin lokaci mai tsawo zai zama kasa, muna buƙatar samar wa marasa lafiya wannan zabin. "
Kalma Daga
A cewar asibitin New York na Columbia-Presbyterian, daya daga cikin cibiyoyin tiyata, wanda likitancin likitanka wanda ke iya haifar da ƙananan tarzomar aikin tiyata - ya aikata fiye da 1,000 thyroid da / ko parathyroid surgeries a cikin ko aikinta.
A cewar Amirka Yourroid Association:
Bugu da ƙari, likita mai horar da likitancinka ya fi kyau ya yi horo kuma ya yi aikin tiyata akai-akai. Rashin ƙuntatawa na maganin thyroid yana da ƙananan lokacin da mai aikin likita mai aiki ya aikata aiki mai yawa a kowace shekara. Dole ne marasa lafiya su tambayi likitan likitan su inda za su je don yin aikin taƙarin maganin kawanci ko kuma inda za ta aiko da dangi.
Don samun babban girma, dandana thyroid likita mai fiɗa, za ka iya so su karanta game da yadda za a sami saman thyroid likita mai fiɗa .
> Sources:
> Ƙungiyar Amirka Thyroid Association. "Thyroid Tiyata." Online: http://www.thyroid.org/thyroid-surgery/
> Papaleontiou M, Hughes DT, Guo C, Banerjee M, Haymart MR. Binciken da aka samo asali daga yawan mutane a yayin da ake yin waraka don Thyroid Cancer. Jaridar Clinical Endocrinology & Metabolism, 2017; DOI: 10.1210 / jc.2017-00255 A layi: https://academic.oup.com/jcem/article-abstract/doi/10.1210/jc.2017-00255/3778176/Saboda-Based-Assessment-of-Complications?redirectedFrom = cikakke