Ɗauki mai zurfin gani
Tiyata akan thyroid gland shine ake kira thyroidectomy. A cikin wannan labarin, bincika dalilai na tiyata, nau'in tiyata, da abin da za ku yi tsammani kafin da kuma bayan tiyata.
Dalilai ga Thyroid Tiyata
An yi aikin tiyata a cikin wasu yanayi:
- a matsayin magani ga ciwon daji na thyroid
- lokacin da kararka (goiter) ko nodules namu na haifar da kwaskwarima, numfashi ko haɗiye matsalolin
- a cikin wata mace mai ciki, lokacin da rashin maganin hyperthyroidism ba zai iya sarrafa shi ba daga maganin antithyroid , kuma yana buƙatar gaggawa
- lokacin da wasu nau'o'in maganin hyperthyroidism - watau ,. maganin antithyroid ko iodine rediyo ba su da tasiri. (Wannan ya dace a Amurka A waje Amurka, ana tilasta tiyata a wasu lokuta a matsayin magani na hyperthyroidism kafin ko a'a maimakon Idinin rediyo.)
- a cikin yara, idan mai aikatawa ko iyaye yana so ya guje wa iodine rediyo
- lokacin da mai haƙuri ya ƙi maganin antithyroid ko magungunan rediyo
- lokacin da mai haƙuri yana so ya yi ƙoƙari ya yi ciki da sauri bayan magani
Zabi wani likitan likita
Rikici sun fi dacewa da likitocin likita wadanda basu da kwarewar yin aikin tiyata, don haka ka tabbata cewa likitan likitanka yana da kwarewa sosai a tiyata. Za ka iya samun ƙarin bayani a cikin labarin game da Nemo Top Thyroid likita .
Irin Thyroid tiyata
Akwai manyan nau'i uku na tiyata:
- Duka Thyroidectomy - Cire Gyara Thyroid
Wannan shi ne mafi yawan al'ada na tiyata, kuma ana amfani dashi da ciwon ciwon thyroid, kuma musamman magunguna, irin su medullary ko anaplastic thyroid ciwon daji . Haka kuma ana amfani dashi don goiter da Gudanar da ƙwayoyin cuta / kulawa da hyperthyroidism. - Subtotal / Sakamakon Thyroidectomy - Gyara rabin rabi na Thyroid Gland
Don wannan aiki, ciwon daji ya zama ƙananan kuma ba mai tsaurin kai ba - follicular ko papillary - kuma ya ƙunshi ɗaya gefen gland. Yayin da aka yi amfani da ƙwayar cuta ko tsaka-tsakinka, yawanci ne, likitocin likitoci suna aiwatar da ƙwayar thyroidectomy da ke cikin ƙasa wadda ta bar daga 1 zuwa 5 grams a kowane gefe / lobe na thyroid. Hanyar Harley Dunhill yana da kyau, wanda akwai adadin nau'in tsinkaye a gefe ɗaya, kuma a cikin ɗayan, yana barin 4 zuwa 5 grams na abin da ke cike da maganin thyroid.
- Yourroid Lobectomy - Gyara kawai game da Quarter na Gland
Wannan shi ne mafi yawancin amfani da ciwon maganin thyroid, kamar yadda kwayoyin cututtuka suka zama ƙananan kuma ba masu m.
Maganar wani abu mai sauki / m, vs. total thyroidectomy ne mai kawo rigima. Wasu likitoci sun fi son yin aikin takaicinka a duk lokacin da zai yiwu, suna gaskantawa cewa za su bar bayan da zafin jikinka don hana hypothyroidism. (A total thyroidectomy yana da kusan kashi 100 damar damar haifar da hypothyroidism). Hadarin hypothyroidism tare da subtotal thyroidectomy shi ne, duk da haka, quite high, kuma wasu masana sun ce fiye da kashi 70 na marasa lafiya da ke karɓar maganin thyroidectomy zai zama hypothyroid. Tun da daya daga cikin manyan dalilai na thyroidectomy shine ya hana hypothyroidism, kuma wannan burin yana samuwa ne kawai a cikin ƙananan ƙananan lokuta, masana sun ƙara yarda cewa babu wani ƙarin amfani ga magungunan ka, kuma suna bada shawarar yawancin kawancinka.
Abin da Kayi Kwarewa don Kwarewa
A mafi yawan lokuta, tiyata na thyroid ba musamman mawuyaci, kuma yawanci daukan ba fãce sa'o'i biyu.
Cire rabin rabin thyroid yana ɗaukar minti 45 zuwa sa'a, don haka idan an cire glanden duka, tiyata zai wuce kimanin awa daya da rabi.
Duba tare da likitan likitanka game da magunguna da kake dauka, da kuma abin da ya kamata ka / ya kamata ba a cikin kwanaki kafin aikin tiyata.
Za a iya tambayarka a cikin asibiti a ranar da kake aiki. Yawanci, likitan likitanka zai yi tambaya kada ku ci ko shan bayan tsakar dare da dare kafin a tilasta ku.
Kwafi ko Asibiti?
Dangane da yanayin mai haƙuri, za'a iya yin shiri a cikin dare ko dare na asibiti. Kwararre na maganin kawanci yana kara karuwa, duk da haka, bincike ya nuna cewa tilasta aikin tiyata ne mai lafiya, tasiri - kuma maras tsada - ga mafi yawan marasa lafiya, kuma zai iya zama mafi alhẽri ga dakunan asibiti na asibiti.
Janar ko Ƙananan Yanki?
An yi amfani da tiyata ta hanyar maganin ciwon maganin da ke ci gaba da maganin rigakafi. Wasu likitocin likita a yanzu suna amfani da maganin rigakafi na gida, da magunguna, duk da haka, suyi aikin tiyata.
Abubuwan da ake amfani da su a cikin gida suna da dangantaka da kwanciyar hankali na ƙofar asibitin, raguwa sosai lokacin aikin tiyata, da kuma rage tsufa da tashin hankali bayan tiyata.
Idan ka zaɓi maganin rigakafi na gida, likitanka zai ba ka magani mai mahimmanci don yankin kawanci, tare da magungunan magani don taimaka maka ka kwantar da hankali. Amma, za ku yi farkawa a lokacin aikin tiyata, kuma ku iya hulɗa da likitan ku.
Ba likitoci da yawa suna horar da su don yin tiyata a karkashin maganin rigakafi na gida. Don haka idan kana so ka ci gaba da wannan zabin, tabbatar da cewa likitan likitanka ya aikata wasu ciwon maganin thyroid da maganin rigakafi na gida. (Wasu masana sun ce ku nemi likita wanda ya yi wannan hanya akalla sau 50.)
Hanyar M hanya
A tiyata, likitan likita za ta yanke minti 3 zuwa 5-inch a fadin tushe na wuyanka a gaba. Fatar jiki da tsoka suna ja da baya don nunawa glandar thyroid. An yi yawancin gyare-gyare domin ya zama a cikin ƙwayar fata a cikin wuyanka, yana sanya shi ƙasa da sananne.
Jigon jini zuwa gland shine "a ɗaure," kuma an gano alamar parathyroid (don a kiyaye su). Kwararren sai ya raba trachea daga thyroid, kuma ya kawar da duk ko ɓangare na gland.
Yawancin likitoci suna amfani da ƙyama, amma kuna iya tambayar likitan likitanku kafin lokacin da ya yi amfani da shi, saboda abin da ba'a iya ɗauka ba zai haifar da ƙananan sauƙi. Idan kana da tarihi na rashin lafiyan fata na halayen jikinka zuwa ƙaura, za ka iya so ka tambayi likita game da yin amfani da kayan aikin hypoallergenic.
Lura: Mafi yawan aikin tiyata yana yin amfani da fasaha na gargajiya. Amma wasu masu aikin sunyi aikin tiyata, wanda ya haɗa da yin amfani da ƙaramin girman kyamara a cikin wuyansa. Ana kwashe gas din carbon dioxide a cikin wuyan yanki don taimakawa wajen saukaka ganin aiki da gland. Ana sanya ƙaramin ƙananan ƙananan ƙwayar, kuma ƙaramin motsi mai haske tare da gefen ɓalle-tsalle yana shigar da shi ta hanyar haɗuwa. Wannan tube ne mai kayan aiki wanda ake amfani dasu don cire thyroid. Ƙarewa na Endoscopic, saboda ya haɗa da ƙananan ƙananan ƙananan ƙananan ƙasa da ƙasa ɗaya, yawanci yakan bar baƙi a fili, kuma yana ba da damar sauyawa zuwa aiki na al'ada. Wani lokaci, maganin shigarwa yana ƙarƙashin hannu - wanda aka sani da tiyata axillary. Ƙarshen endoscopic ba na kowa ba ne, duk da haka, za ku bukaci samun likitan likita mai kwarewa don yin wadannan magunguna, da kuma gano ko ya dace da yanayin ku.
Bayan Yin Hoto
Bayan an tilastawa, za ku kasance a ƙarƙashin kallo a asibiti a kalla 6 hours. Idan kana da tilasta aikin tiyata, za a iya cire ka bayan wannan batu.
Kafin ka dakatar da shi, an yi amfani da gyare-gyare naka tare da takalmin mai tsabta mai tsabta wanda ake kira colloidium. (Wannan yana ba ka damar yin wanka ko shawagi bayan tiyata.)
A takaice, idan akwai damuwa game da zub da jini ko kuma idan karoid yana da girma kuma aikin tiyata ya bude babban filin budewa, za a bar raguwa a cikin ciwo don hana ruwa daga haɗuwa. Kuna buƙatar komawa likitan likita a 'yan kwanaki bayan an cire magudin.
Akwai wasu cututtukan sakamako na gajeren lokaci na yau da kullum da za ka iya shawo bayan tiyata, ciki har da ciwo lokacin da haɗiye, da wuyan wuyansa. Yawancin marasa lafiya sun zama hypothyroid bayan tiyata kuma suna buƙatar gyaran maganin hormone. Ana tattauna waɗannan batutuwa a mafi zurfin zurfi a cikin labarin a kan Saukewa Bayan Tayar da Tawanka .
Duk da yake matsalolin ba su da na kowa, wasu na iya nunawa bayan aikin tiyata. Wadannan sun hada da hypoparathyroidism da hypocalcemia, da lamentngeal nerve damage. Alamomi zasu iya haɗawa da ƙididdigar da kuma tingling a kusa da lebe, hannayenka, da ƙafar ƙafafunka, ƙwayar tsoka da spasms, ciwon kai, damuwa, damuwa, damuwa, da wahalar yin magana da ƙarfi. Za ka iya karanta game da shi a cikin Rarraba Bayan Thyroid Tiyata .
Sources:
Braverman, MD, Lewis E., da Robert D. Utiger, MD. Werner da Ingbar ta Yourroid: Wani Mahimmanci da Kalmomi Text. 9th ed., Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.
Cibiyar yanar gizo na Yourroid Center ta yanar gizo ta Columbia, Online.
Ku, Chun-Fan et. al. "Kwayar thyroidectomy tana maye gurbin yourroidectomy wanda ya fi dacewa da magani ga cututtuka na Graves," ANZ Journal of Surgery , Volume 75 Fitowa 7 Page 528-531, Yuli 2005 Online
Lal, Geeta et. al. "Kamfanin Thyroidectomy Ya Kamata Ya zama Dokar Da Yafi So Don Gudanar da Gyaran Cututtuka?" Thyroid , Jun 2005, Vol. 15, A'a. 6: 569 -574 Online.
Moreno, Pablo, et. al. "Subtotal Yourroidectomy: Hanyar da ke da nasaba don cimma nasarar kula da cututtuka a cikin cututtukan cututtuka." Dalilai masu ilimin ganewa, " Jaridar Duniya na Hoto , Volume 30, Lamba 11, Nuwamba 2006, shafi 1950-1956 (7)
Rosato, L, et. al. "Matsalar jinsin thyroidectomy duka: hadarin, rigakafi da magani" Chir Ital . 2002 Sat-Oct; 54 (5): 635-42.
Shomon, Mary J., Rayuwa da Kyau da Hypothyroidism: Abin da Yoru Doctor ba ya gaya maka cewa kana bukatar ka sani, 2nd Edition, HarperCollins, 2005, Online.