ʻO ka hemo ʻana o thyroid gland

Anter

• Nā kumu o ka hana ʻana o ka thyroid
• Nā ʻano o ke kahakaha thyroid
• Lobectomy
• ʻOhana thyroidectomy
• Huina thyroidectomy
• Pehea e hana ai i ke kahakaha thyroid?
• ʻO thyroidectomy Robotic
• Mālama hope
• Nā pilikia o ke kahakaha thyroid

ʻOki kino thyroid

ʻO ka thyroid kahi gland liʻiliʻi e like me ka butterfly. Aia ia ma ka ʻaoʻao ma lalo o ka ʻāʻī, ma lalo pono o ka pahu leo.

Hoʻokumu ka thyroid i nā homoni i lawe ʻia e ke koko i kēlā me kēia kiko i loko o ke kino. Kōkua ia i ka hoʻoponopono ʻana i ka metabolism - ke kaʻina e hoʻohuli ai ke kino i ka meaʻai i ka ikehu. He mea nui nō hoʻi ia i ka mālama pono ʻana i nā meaola a kōkua i ke kino e mālama i ka wela.

I kekahi manawa, hana ka thyroid i ka nui o ka hormone. Hiki paha iā ia ke hoʻomohala i nā pilikia kūkulu, e like me ka pehu ʻana a me ka ulu ʻana o nā cista a i ʻole nā ​​nodule. Pono paha ke kahakaha thyroid ke hiki mai kēia mau pilikia.

Hoʻopili ke kipona thyroid i ka hemo ʻana i nā mea āpau a i ʻole kekahi ʻāpana o ka gland thyroid. E hana ke kauka i kēia ʻoki ma kahi haukapila ʻoiai ka mea maʻi ma lalo o ka anesthesia ākea.

Nā kumu o ka hana ʻana o ka thyroid

ʻO ke kumu maʻamau o ke kahakaha thyroid ʻo ke kūana o nā nodule a i ʻole nā ​​tumors ma ka gland thyroid. ʻO ka hapa nui o nā nodule he benign, akā hiki i kekahi ke lilo i maʻi ʻaʻai a i ʻole precancerous.

Hiki i nā nodule benign ke hoʻopilikia i nā pilikia inā ulu nui lākou e ālai i ka puʻu, a i ʻole inā hoʻonāukiuki lākou i ka thyroid e hoʻonui i nā homone (kahi ʻano i kapa ʻia he hyperthyroidism).

Hiki i ke keʻoki kino ke hoʻoponopono i ka hyperthyroidism. ʻO ka Hyperthyroidism ka hopena pinepine o kahi maʻi autoimmune i kapa ʻia ʻo ka maʻi ʻo Graves.

Hoʻokumu ka maʻi o Graves i ke kino e kuhi hewa ʻole i ka gland thyroid ma ke ʻano he kino haole a hoʻouna i nā mea ʻino e hoʻouka iā ia. Hoʻopili kēia mau mea ʻino i ka thyroid, e hoʻonui ai i ka hormone.

ʻO kekahi kumu o ke kahakaha thyroid ʻo ka pehu a hoʻonui paha o ka pona thyroid. Kuhi ʻia kēia ma ke ʻano he goiter. E like me nā nodule nui, hiki i nā goiters ke ālai i ka ʻāʻī a hoʻopilikia i ka ʻai ʻana, ka ʻōlelo ʻana, a me ka hanu ʻana.

Nā ʻano o ke kahakaha thyroid

Aia kekahi mau ʻano like ʻole o ke kahakaha thyroid. ʻO ka mea maʻamau ka lobectomy, subtotal thyroidectomy, a me ka nui o ka thyroidectomy.

Lobectomy

I kekahi manawa, ʻo ka nodule, ka pehu, a me ka pehu paha ka mea i pili i ka hapalua o ka pona thyroid. Ke hiki kēia, e lawe ke kauka i hoʻokahi wale nō o nā lobes ʻelua. ʻO ka ʻāpana i waiho ʻia ma hope e mālama i kekahi a i ʻole kāna mau hana āpau.

ʻOhana thyroidectomy

Lawe kahi thyroidectomy subtotal i ka gland thyroid akā haʻalele ia ma hope o kahi liʻiliʻi o kaʻiʻo thyroid. Mālama kēia i kahi hana thyroid.

Nui nā poʻe i loaʻa i kēia ʻano ʻoki kino e hoʻomohala i ka hypothyroidism, kahi ʻano i kū ʻia ke hana ʻole ka thyroid i nā hormona. Mālama ʻia kēia me nā mea hoʻohui hormone i kēlā me kēia lā.

Huina thyroidectomy

Lawe ʻia kahi thyroidectomy āpau i ka thyroid āpau a me ka momona o ka thyroid. Kūpono kēia ʻoki ke pili nā nodule, ka pehu ʻana, a i ʻole ka mumū i ka gland thyroid āpau, ai ʻole ke loaʻa ka maʻi ʻaʻai.

Pehea e hana ai i ke kahakaha thyroid?

Hana ʻia ke kahakaha thyroid ma kahi haukapila. He mea nui ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe ma mua o kāu ʻoki kino.

Ke hōʻea ʻoe i ka haukapila, e nānā ʻoe a laila hele i kahi wahi hoʻomākaukau kahi e wehe ai ʻoe i kou kapa a kau i ka ʻaukā lole. E hoʻokomo kahi kahu i IV i kou pulima a i kou lima e lawelawe i nā wai a me nā lāʻau.

Ma mua o ke kaha ʻana, e launa ʻoe me kāu kauka. E hana lākou i kahi hoʻokolokolo wikiwiki a pane i kāu mau nīnau āu e pili ana i ke kaʻina hana. E hui pū ʻoe me ke anesthesiologist nāna e lawelawe i ka lāʻau e hiamoe ai ʻoe ma loko o ke kaʻina hana.

Ke hiki i ka manawa no ke ʻoki ʻana, e komo ʻoe i ka lumi hana ma kahi gurney. E hoʻokomo ka mea anesthesiologist i ka lāʻau i loko o kāu IV. ʻIke paha ka lāʻau i ke anuanu a ʻū paha ke komo i loko o kou kino, akā e hoʻokau koke ia iā ʻoe i kahi hiamoe nui.

E hana ka mea ʻokiʻoki i kahi incision ma luna o ka gland thyroid a hoʻoneʻe pono i nā mea āpau a ʻāpana paha. Ma muli o ka liʻiliʻi o ka thyroid a hoʻopuni ʻia e nā aʻa a me nā glands, hiki ke hana i 2 mau hola a ʻoi paha.

E ala ʻoe i loko o ka lumi hoʻōla, kahi e hōʻoia ai nā limahana ua ʻoluʻolu ʻoe. E nānā lākou i kāu mau hōʻailona koʻikoʻi a lawelawe i nā lāʻau ʻeha e like me ka mea e pono ai. Ke kū nei ʻoe i kahi kūlana paʻa, e hoʻoili lākou iā ʻoe i kahi lumi kahi e noho ai ʻoe ma lalo o ka nānā no 24 a 48 mau hola.

ʻO thyroidectomy Robotic

Kāhea ʻia kahi ʻano ʻoki ʻē aʻe he thyroidectomy robotic. I loko o kahi robotic thyroidectomy, hiki i ke kaukipō ke wehe i nā mea āpau a ʻāpana paha o ka thyroid ma o kahi axillary incision (ma o ka armpit) a i ʻole transorally (ma o ka waha).

Mālama hope

Hiki paha iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau i ka lā ma hope o ke kaha ʻana. Eia nō naʻe, e kali no 10 mau lā, a i ʻole e hāʻawi aku kāu kauka iā ʻoe e ʻae, e komo i nā hana ikaika e like me ka hoʻoikaika kiʻekiʻe.

E ʻeha paha kou ʻāʻī no kekahi mau lā. Hiki paha iā ʻoe ke lawe i kahi lāʻau ʻehaʻeha loa e like me ibuprofen a i ʻole acetaminophen e hōʻoluʻolu ai i ka ʻeha. Inā ʻaʻole hāʻawi kēia mau lāʻau i ke kōkua, hiki i kāu kauka ke kuhikuhi i ka lāʻau narcotic pain.

Ma hope o kāu ʻoki ʻana, hiki iā ʻoe ke hoʻomohala i ka hypothyroidism. Inā kū kēia, e kau kauka i kekahi ʻano o levothyroxine e kōkua i ka lawe ʻana i kāu pae hormonone i ke kaulike. Lawe paha ia i kekahi mau hoʻoponopono a me nā hoʻāʻo ʻana i ke koko e ʻike i nā mea ʻoi loa no ʻoe.

Nā pilikia o ke kahakaha thyroid

E like me kēlā me kēia ʻoki nui, halihali ʻia ke kahakaha thyroid i ka makaʻu o ka hopena maikaʻi ʻole i ka anesthetic ākea. ʻO nā pilikia ʻē aʻe e pili ana i ka kahe nui ʻana o ke kahe a me ka maʻi.

ʻAʻole hiki iki nā pōpilikia i ke kahakaha thyroid. Eia nō naʻe, ʻo nā mea ʻino maʻamau ʻelua ʻo:

• poino i nā aʻalolo laryngeal hou (nā aʻalolo e pili ana i kāu mau leo ​​leo)
• poino i nā pākino parathyroid (glands e kaohi i ka pae o ka calcium i loko o kou kino)

Hiki i nā mea hoʻopili ke mālama i nā pae haʻahaʻa o ka calcium (hypocalcemia). Hoʻomaka ke hoʻomaka ʻana o ka mālama ʻana. E hoʻomaopopo i kāu kauka inā ʻike ʻoe i ka makaʻu a i ʻole jittery a i ʻole inā hoʻomaka ka mimiki ʻana o kou mau mākala. ʻO kēia nā hōʻailona o ka calcium liʻiliʻi.

ʻO nā mea maʻi āpau e loaʻa ana i kāu thyroidectomy, kahi hapa wale nō e ulu i ka hypocalcemia. ʻO ka poʻe e hoʻomohala i ka hypocalcemia, e ola hou i ka makahiki 1.