Kunezifo eziningi ze-gland yegciwane, iningi lazo elitholakala emithini yemithi, isb. ukwelashwa okwelapha. Kodwa-ke, kwezinye izimo, odokotela banquma indlela yokwelashwa, okufaka ukukhishwa okugcwele noma okuncane kwendlala yegciwane. Noma yikuphi ukusebenza kulo mzimba kuyindlela yokwanda okuyinkimbinkimbi, ngoba i-gland inesakhiwo esiyinkimbinkimbi, futhi eduze kwayo kukhona ezinye izitho ezibalulekile - i-trachea, i-esophagus, kanye nama-vocal cords, imithini ye-lymphatic negazi, izinzwa.
Izinhlobo zokusebenza emgodini wegciwane kanye nezinkomba zazo
Imisebenzi yokukhipha igciwane le-thyroid noma ingxenye yalo ihlelwe ngabanye, ngokusho kwezinkomba eziqinile, emva kokuqeqeshwa okukhethekile. Ukungenelela okuhlinzekwayo kwenziwa nge-endocrinologist noma umnyango wokuhlinza jikelele.
Kunezinhlobo ezintathu eziyinhloko zokusebenza kwi-gland yegciwane. Ake sicabangele ngokuningiliziwe
I-thyroidectomy
Kusho ukususwa kwazo zonke izicubu ezinama-gland, lapho kwezinye izimo zingahlanganiswa nokususwa kwezingxenye ze-lymphatic zesifunda entanyeni. Lo msebenzi uwenziwa nge:
- ukutholakala kokulimala komzimba;
- nge-goiter ye-toxical (ngokungabikho kwezicubu ezingathintekile);
- kanye ne- goiter eyingozi (uma kwenzeka ibanga lesi-3 lihamba phambili, lapho kunezinkinga ezinkulu, ngokungabikho komthelela wokwelashwa okunamandla).
I-Hemithyroidectomy
Ukuhlinzwa ukukhipha i-lobe eyodwa yegland nge-isthmus. Lokhu kungenelela kwenziwa endabeni yokulimala okungahambisani nomzimba we-gland, ngokuvamile kaningi nge:
- ukutholakala kwama-nodes okumele kususwe, kwelinye lama-lobes of the gland;
- izicubu ze-follicular ze-gland gland ( carcinomas );
- i-adenoma enobuthi ye-gland yegciwane.
Ukutholwa kwe-gland yegciwane
Ukususwa kwengxenye yezicubu zomzimba kwenziwa, okuyinto engavamile kakhulu esetshenzisiwe manje ngenxa yokwakhiwa kwezibazi emathisini asele ngemva kokuhlinzwa futhi ingozi eyengeziwe yokubhekana nezinkinga uma kwenzeka isidingo sokwenza umsebenzi wesibili.
Njengamanje, ukungenelela kwendlala yegciwane
Ukususwa kwamaNodules we-Thyroid nge-Laser
Ukususwa kwe-Laser yezinyosi ze-thyroid kwenziwa uma lezi zakhiwo zizimele futhi zibe nobukhulu obungaphezu kwamamitha angu-4. Le ndlela isebenza kahle, inikeza ukulimala okuncane komzimba, ukungabi khona kwezibazi. Nokho, ukuthola ukwelashwa okuphelele kudinga ukwelashwa okude.