Njengoko umdlavuza we-thyroid ufumaneka, umphumo wukuthi uphando oluninzi lwe-thyroid-olubizwa ngokuba yi- thyroidectomi- lwenziwa. Nangona izinga leengxaki emva kokuhlinzwa ngonyango lucingelwa ukuba lincinci, uphando lufumene ukuba ixabiso lingaba liphezulu kunokuba libikwe ngaphambili. Uphando luye lwabonisa ukuba amaqela amaninzi asemngciphekweni omkhulu weengxaki kwi-year emva kokuhlinzwa kwe-thyroid.
Okwangoku, ininzi yezifundo malunga neengxaki emva kokuhlinzwa kwe-thyroid zaqhutyelwa kwizibhedlele ezithile okanye kumaziko ezonyango, amaninzi awo ayenomthamo ophezulu wezonyango ze-thyroid. Abagqirha abaphezulu kunye neendawo zokuhlinzwa ezenza amanani amaninzi e-thyroidectomi ngonyaka ziye zaboniswa ukuba zinezinga elincinci kakhulu leengxaki.
Ucwaningo lwamaziko angama-2017 lubhekiselele kumagqirha aphakamileyo aphezulu kunye neendleko eziphantsi, izibhedlele kunye namaziko okuhlinzwa. Iziphumo ezichazwe kwiNgxelo yeCliniki Endocrinology kunye neMetabolism , yabheka izigulane ezingaba ngu-28 000 ezinobomi be-thyroid ezahlukileyo okanye zomhlaza we-thyroid, zivavanywa ngaphezu kweminyaka engama-13.
Iziphumo zophando
Abaphandi bafumene:
- Izigulane ezingama-1,820 (6.5 ekhulwini) izigulane ziphuhlise iintlobo ezahlukeneyo zeengxaki zokusebenza, kubandakanya ukukhulelwa komzimba, ukusuleleka, i-hematoma, iziganeko ze-cardiopulmonary, kunye neziganeko ze-thromboembolic (i-blood clots)
- I-3,427 (i-12.3%) yavelisa iimeko ze-thyroid ezichaphazelekayo ezibandakanya i-hypoparathyroidism / i-hypocalcemia (amanqanaba aphantsi e-calcium ngenxa yomonakalo kwiintlanzi eziziphathekayo), kunye nokukhubazeka okanye ukulimala kwiimbambo ze-laryngeal kunye neentambo zamagama
Iingxaki zeengxaki ezivela kwindlela yokuhlinzwa ye-thyroid zaziphakamileyo kakhulu kumaqela amathathu:
- Izigulane ezingaphezu kweminyaka engama-65 ubudala, ababenamathuba amathathu okufumana ubunzima kunabo abangaphantsi kweminyaka yobudala engama-65 (i-10 ekhulwini yezigulane zezilwanyana ezikhulile zenze iimeko eziqhelekileyo kunye neepesenti ezingama-19 zineengxaki ezithile ze -roid. amaxabiso ayenama-3 ekhulwini kunye nama-6 ekhulwini, ngokulandelana)
- Izigulane ezinezinye iimeko zempilo, ezibizwa ngokuba yi-comorbidities
- Izigulane ezinomdlavuza ophezulu we-thyroid, oye waba nezinga eliphezulu leengxaki kwiingama ezingama-23
Ngokwe-author of study, uMary Papaleontiou, MD eMicrosoft Medicine:
Iipesenti ezili-12 zezigulane zizonke zinobuchopho be-thyroid ezinxulumene noko. Uninzi lwagqirha lucacisa i-1 ukuya kwi-3 kwipesenti yeepesenti. Le yinto emithathu esiyicingayo. I-thyroidectomy ithathwa njengenkqubo ekhuselekileyo ngokubanzi, kodwa abanye abantu basengozini kwaye badinga ingqwalaselo eyongezelelweyo kwiinkonzo zangaphambi kokusesikweni.
Yintoni Ethetha Ngabantu Abagulayo?
Umbhali ophezulu ofundayo uMegan Haymart, MD waseMichigan Medicine wathi:
Xa sisebenzisana nezigulana ukunyanga umdlavuza we-thyroid, sihlala siqhathanisa inzuzo kunye nobungozi. Olu pho nonongo lubonisa ukuba kuneengxaki ezininzi ukusuka ekutyunjweni komhlaza we-thyroid kunokuba kulindeleke. Iphakamisa ithuba lokufundisa izigulane kunye nababoneleli ngenjongo yokunciphisa iingxaki kunye nokuphucula iziphumo.
Olu phando luneempembelelo ezininzi kwizigulane kunamathuba okunciphisa iingxaki.
- Ukuba uwela kwelinye lala maqela emingcipheko-ngaphaya kwama-65, ezinye iimeko zempilo, okanye umhlaza ophezulu-kufuneka uqikelele ukufuna nokutyunjwa kwiziko elenza uphando oluninzi lwe-thyroid, kunye nodokotela ogqirha onobuchule kwi-thyroid. (Qaphela ukuba uninzi lwezonyango ze-thyroid e-US zenziwa ngabagulane abancinci.)
- Qinisekisa ukuxoxa ngemiqondiso kunye neengozi ze-hypoparathyroidism kunye ne-hypocalcemia kunye nodokotela wakho ogqirha, kwaye uqaphele iimpawu emva kokuhlinzwa.
- Xoxa ngesidingo sokuhlinzwa kunye nodokotela wakho. Ngokutsho kukaDkt. Haymart, "Ingxoxo malunga nokunyanzeliswa kokunciphisa abantu abanesifo esichengeni isifo esifanelekileyo. Ngaphandle kwezigulane ezinobungozi obuphantsi, umngcipheko wezwi lokukhubazeka usengama-2 ekhulwini kwaye umngcipheko we-hypoparathyroidism ngowama-8 ekhulwini. Oku kuphakamileyo kunokuba sifuna ukubona. Ngaba kukho iindlela zokwenza ukuhlinzwa okungaphantsi kwezi gulane? Ukuba ulawulo lomhlaza luncedo lufana noko, kodwa ingozi yeengxaki zexesha elide kuya kuba ngaphantsi, kufuneka sinike izigulane ngale ndlela. "
ILizwi
Ngokutsho kweSibhedlele sase-Columbia-Presbyterian yaseNew York, esinye sezikhungo eziphambili ze-thyroid zonyango, unogqirha onguchwepheshe we-thyroid-owodwa unokubangela ukuba uhlalutyo oluncinci lwe-compressary-luyenze ngaphezu kwe-1,000 ye-thyroid kunye / wakhe msebenzi.
Ngokutsho kwe-American Thyroid Association:
Ngokuqhelekileyo, utyando lwe-thyroid luyenziwa ngunyango ogqirha oye wafumana uqeqesho olukhethekileyo kwaye owenza utyando lwe-thyroid rhoqo. I-complication rate yezinto ze-thyroid iyancipha xa usebenzo lwenziwe ngugqirha owenza umsebenzi omkhulu we-thyroid ngamnye ngonyaka. Izigulane kufuneka zicele ugqirha wazo othethayo apho uya kuhamba khona okanye ahlale apho angayithumela ilungu lentsapho.
Ukufumana ugqirha we-thyroid ophezulu, onobuchopho, onokufuna ukufunda malunga nendlela yokufumana ugqirha ophezulu we-thyroid .
> Imithombo:
> I-American Thyroid Association. "Utyando lwe-Thyroid." Online: http://www.thyroid.org/thyroid-surgery/
> Papaleontiou M, Hughes DT, Guo C, Banerjee M, Haymart MR. UkuHlola okuSelelwe ngabemi beNkathazo emva koPhephalo lweChrotic Cancer. Umbhalo we-Clinical Endocrinology & Metabolism, 2017; I-DOI: 10.1210 / jc.2017-00255 I-intanethi: https://academic.oup.com/jcem/article-abstract/doi/10.1210/jc.2017-00255/3778176/I -Publication-Based-Assessment-Complications?redirectedFrom = ngokupheleleyo