Ukuba unobungozi be-thyroid, eyaziwa ngokuba yi-thyroidectomy, kubalulekile ukwazi ukuba ulindele ntoni ngokwemiphumo emibi, ubunzima beengxaki, kunye nenkqubo yokuhlaziya.
Ngaphambi kokuPiliswa
Emva kokuhlinzwa kwakho kwe-thyroid, nokuba uhlala esibhedlele okanye uphethwe unyango, uza kuchitha iiyure eziliqela kwigumbi lokubuyisela. Ngosuku lokuqala, oogqirha abaninzi bancoma ukuba uhlale embhedeni. Kodwa ugqirha wakho uya kucinga ukuba uqala ukuhamba ngokukhawuleza emva koko.
Ukuba uhlala esibhedlele, unokuhlala ungena kwi-intravenous drip for the nutrition, njengokugwinya nokutya kunzima kunzima kwiiyure ezingama-24 zokuqala emva kokuhlinzwa. Ukuba ukhululiwe, unokunqwenela ukuzama utywala okanye ukutya okunothileyo kude uginye ezinye ukutya kukhululekile.
Imiphumo emibi ye-Thyroidectomy
Unokufumana ezinye zexeshana ezifutshane, ezingekho ngaphantsi kwemiphumo emva kokuhlinzwa kwe-thyroid. Ezi ziquka:
- Ubunzima xa ugwinya, okanye entanyeni yendawo: Ubunzima buvela kwiphubhu yokuphefumula emva kokuhlinzwa okanye kwindlela yokuhlinzwa. Oku kufuneka kuphephe phakathi kweentsuku ezimbalwa; i-ibuprofen, i-ibuprofen, inokukhupha umonakalo.
- Ukuxhatshazwa kweentambo kunye nobubele: Ukuthambekela kwakho kunokubamba intloko ngokukhawuleza kwisithuba esisodwa emva kokuhlinzwa, kwaye oku kunokubangela uxinzelelo lwentamo nentlungu. Kukulungele ukuthambisa ngokulula kunye neendlela ezininzi zokunyakaza ukukhusela ukuqina komsipha entanyeni. Ukutshintsha nje intloko yakho ngakwesokudla, ukugqithisa i-chin yakho kwisibilini kuze kube yintloko yakho ibhekane nekhohlo kunokunceda ukhulule izihlunu ezinzima.
- Iingxaki zezwi: Izwi lakho linokuthi likhulu, lihlebe, okanye lidiniwe. Abanye abantu bafumanisa ukuba ixesha lokudumala lingahlala ixesha elide kwiinyanga ezimbini ukuya kwethathu.
- Isiphephelo esinomsindo: Ukuba unesipopu sokuphefumula ngexesha le-anesthhesia jikelele, inokucaphukisa i-windpipe kwaye inokukwenza uzive ngathi unento enamathele emqaleni wakho. Esi sininzi sithatha iintsuku ezintlanu.
Iingxaki Emva koPilisi
Utyando lwe-thyroid lubhekwa ngokukhuselekileyo kakhulu. Ngelixa iingxaki aziqhelekanga, zininzi ezinokuthi zenzeke. Ezi ziquka i-hypoparathyroidism kunye ne-hypocalcemia, kunye nomonakalo wesondlo.
Hypoparathyroidism kunye ne-Hypocalcemia
I-Hypoparathyroidism ingaphantsi kwee-glands ze-parathyroid. Umsebenzi we-parathyroids ukulawula amanqanaba omzimba wakho we-calcium. Ukuba i-parathyroid yonakaliswe okanye iyenziwa ngexesha lotyando, le ntlungu ingabangela ukuvalwa kancinci okanye okusisigxina, okuphumela kwizinga le calcium ephantsi, ebizwa ngokuba yi-hypocalcemia.
I-hypoparathyroidism engapheliyo ayiqhelekanga, kodwa i-hypoparathyroidism engapheliyo ichaphazela malunga neepesenti ezingama-7 zezigulane. Ezinye izigulane, nangona kunjalo, zisengozini enkulu ye-hypoparathyroidism kunye ne-hypocalcemia. Imiba yengozi iquka:
- unyango lwe- hyperthyroidism okanye isifo se-Graves
- utyando lwe-goiter multinodular
- i-thyroidectomy epheleleyo, kunokuba i-lobectomy
- intambo ye-neck dissection yomdlavuza we-thyroid, oquka ukususa i-lymph nodes kunye ne-lymph tissue kwi-thyroid
- ukuphinda unyango lwe-thyroid
Xoxa ngemingcipheko yakho ye-hypoparathyroidism kunye nodokotela wakho ogqirha, kwaye qiniseka ukukhankanya naziphi na iimpawu onokuzifumana. Iimpawu, ezidla ngokubonakala ngeveki yokuqala emva kokuhlinzwa, zingabandakanya:
- ukuphazamiseka nokugubha umlomo emlonyeni wakho, izandla, kunye nezantsi kweenyawo zakho
- ukuziva ngokukrakra kwesikhumba sakho
- iincampu zeesistim kunye neepasms
- ezintle iintloko
- uxhalaba
- ukuxinezeleka
Ezi ziqhamo zivame ukuqala ngosuku okanye ezimbini emva kokuhlinzwa. Akunqabile ukuba le mpawu ibonakale emva kweeyure ezingama-72.
Ugqirha wakho uya kucebisa ngokukhawuleza i- calcium supplementation . Buza ugqirha ukuba ufanele ufumane iipilisi ze-calcium ngesandla ngaphambi kokuhlinzwa kunye nendlela omele uqhubeke ngayo xa unempawu.
Ukuba uthabatha i-calcium yeempawu ze-hypocalcemia, ukugubungela kunye nokugubha ngokugqithiseleyo kuya kuhamba emva kweyure iyure emva kokuthatha i-calcium. Nangona iingcali zicetyiswa ukuba uthathe i-calcium rhoqo ngokufunekayo ukulawula iimpawu zakho, qiniseka ukuxoxa ngale ngagqirha wakho ngaphambili.
I-hypocalcemia kufuneka ilahleke kwiintsuku ezisixhenxe ukuya kwi-10. Ukuba ayithethi, xela ugqirha wakho. Ukuba ungomnye wezigulana ezimbalwa ezenza i- hypoparathyroidism engunaphakade, unyango lwe-calcium kunye ne- vitamin D yobomi.
Ukuba izilwanyana ezingenakukwazi ukulondolozwa ngexesha le-thyroidectomy yakho yonke, abanye oogqirha baya kunqumla iingqungqutyana zibe ziincinci kwaye bazifake kwi-muscle-ihlombe lakho, umzekelo-apho umxube we-gland ungasebenza ukulawula izinga le-calcium yomzimba.
Laryngeal Nerve Damage
Kuqikelelwa omnye kwii-250 ze-thyroid zonyango, umonakalo owenziwe kwiimbilini ze-laryngeal, izibilini ezilawula ilizwi.
Izimpawu eziphambili ziquka:
- ubunzima bokufaka ilizwi
- ilizwi elidlulileyo
- ukukhathala kwezwi
- ulwahlulo lokunciphisa amagama
Ngokuqhelekileyo, utshintsho lwezwi lusexeshana, ngoko ilizwi liya kubuya eliqhelekileyo kwiiveki ezimbalwa; utshintsho olusisigxina. Ukusetyenziswa kwezilingo zesigidi ngexesha lotyando sele liqhelekile, nangona kunjalo, njengoko ezi zixhobo ezigqityiweyo zinganciphisa kakhulu ingozi yomonakalo.
Ixesha lokuPhumula
Ugqirha wakho uya kucetyiswa ukuba uthathe iiveki ezimbini ukuya kuphinda ubuyele emsebenzini naseminye imisebenzi eqhelekileyo. Kufuneka ukwazi ukubuyela ekuqhubeni nasekuthatheni kwenye imisebenzi, kunye nemidlalo engaqhagamshelana nayo, ngokukhawuleza ukuba unokuguqula intloko ngokuqhelekileyo kwaye ungenayo intlungu okanye ubunzima. Qiniseka ukuba uyayicima le ngqapheli yakho kuqala, nangona kunjalo.
Ngokuqhelekileyo kufuneka ubuyele kumgqirha ukuze ulandelelwano olulandelayo emva kweeveki ezintathu emva kokuhlinzwa.
Ukunyamekela Ukunyuswa Kwakho
Ngoxa iingubo ezifakwe kwi-incision yakho ziya kwenza ukuba ukwazi ukuhlamba okanye ukuhlamba emva kokuhlinzwa, akufanele ungene phantsi, udibanise, okanye uhlambe umtshini wakho. Emva kokutyhila, ungase ufune ukusebenzisa i-dryer dry set to "cool" ukuze uyomise ukukhangela.
Ukugubha phezu kwe-incision yakho ngokuqhelekileyo kuya kuba mhlophe kwaye kuphephe iiveki. Xa isambatho siwa, ungaqala ukusebenzisa i-gel yecala, i-alo, i-vitamin E, okanye ibhotela ibinceda ukuphulukisa nokunciphisa. Unokwazi ukuphazamisa okanye ukunyakaza okufutshane kwinqaba. Ukuba ubona ukuvuvukala okuphawulekayo, kufuneka uqhagamshelane ne-surgeon yakho ngokukhawuleza, kuba oko kungabonakalisa intsholongwane. Emva kwexesha, inqamla ingathatha umbala obomvu kwaye uzive nzima. Ukuqina kancinci malunga neeveki ezintathu emva kokuhlinzwa kwaye ke kuncibilike kwiinyanga ezimbini ezizayo ukuya kwiinyanga ezintathu.
IHormone Replacement
Izigulane ezifumana i- thyroidectomy yakho yonke - kwaye uninzi lwezigulane ezifumana i- thytectectomy subtotal (ukutshatyalaliswa kwintsimbi). Xa u-hypothyroid, uzakufuna izidakamizwa zempilisi ye-thyroid . Ugqirha wakho akakwazi ukuxoxa ngale nto, ngoko qi niseka ukuba ube nencoko naye xa uza kuqalisa unyango lwe-thyroid, luluphi unyango, kunye nawaphi umlinganiselo ngaphambi kokukhutshwa.
Ukuba ungekho ngokukhawuleza ubeke imithi ye-hormone ye-thyroid, jonga ngokucophelela iimpawu ze-hypothyroidism, kwaye unyanzele ukuvavanya ngokukhawuleza emva kokuba kukho naziphi iimpawu ezibonakalayo. Iimpawu ze-hypothyroidism zibandakanya ukukhathala, ukusila, ukuxinezeleka, ukukhathazeka, ukukhunjulwa kwengqondo, ukungabonakali okanye ubuninzi obunzima, isikhumba esomileyo, i-coarse kunye / okanye isikhumba esomeleleyo, iinwele ezomileyo, ukulahleka kweenwele , ukuziva kubanda (ikakhulukazi ekupheleni) iintlungu, intlungu edibeneyo , i- carpal tunnel syndrome , ukunyuka kwexesha lokunyuka komzimba, ukuhamba kwezesondo eziphantsi, kunye nexesha eliqhelekileyo, phakathi kwezinye. Uza kufumana iimpawu ze-hypothyroidism ezongeziweyo kwi-intanethi.
ILizwi
Ukwazi oko ungalindela ngaphambi kokuba unyango lwakho lwe-thyroid lube luncedo ekujonganeni nemiphumo emibi, ukunciphisa iingxaki, nokufumana inkqubo elula yokubuyisela. Njengoko naluphi na ukuhlinzwa, kuyinto eqhelekileyo ukuba nemibuzo, ukukhathazeka, mhlawumbi uziva unento encinci. Xoxa ngezinto ezisengqondweni yakho nodokotela wakho.
Yazi ukuba umngcipheko weengxaki ezinzulu ziphezulu kwi- thyroidectom yonke xa kuthelekiswa ne-thytectectomy subtotal. Ukuba unayo i-thyroidectomy yakho yonke, funda into ongayenza ukuze uphucule ngokukhawuleza kwaye kulula ukuqinisekisa ukuba ulandele iziphakamiso zegqirha zakho kakuhle. Kungakhathaliseki uhlobo lotyando, iingxaki zinokuthi zenzeke kakhulu ngabagqirha abanamava angaphantsi okwenza utyando lwe- thyroid , ngoko kubalulekile ukuqinisekisa ukuba unogqirha wezobuchopho. Ezinye iziphathimandla ze-thyroid zincoma ukuba ukhethe ugqirha oye wenza ubuncinane ubuchopho be-1000.
> Imithombo:
> Benkhadoura M. "Ukulimala kwentsholongwane ye-laryngeal kunye nama-hypoparathyroidism amazinga ekusebenzisweni kwe-thyroid." Turk J Surg. 2017 uMar 1; 33 (1): 14-17.
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. UWerner no-Ingbar I-Thyroid: Isicatshulwa esibalulekileyo kunye neZiklinikhi. I-10, Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.
> Erbil Yesim., Kunye. al. "Iziganeko zokuqhelisela ukukhubazeka kwentsholongwane ye-laryngeal kunye ne-hypoparathyroidism emva kokuhlinzwa kwe-thyroid" I- Otolaryngology Clinic 32 (1), 32-37.
> I-New York Isiko seTyroid. Isebe Lophando Lophando lwe-Columbia - Ikholeji yoogqirha kunye noogqirha.
> Quaglino F, kunye. al. "Xa i-Thyroidectomy ikhetha njani?" I-European Thyroid Journal. 2017 kuMatshi; 6 (2): 94-100.