Ingubo yegilo ifaka isandla ekusebenzeni okujwayelekile komzimba wonke womuntu. Isici esiyinhloko salolu hlobo lwegundane yilokho angenawo amadokodo amancane.
I-gland isuswe ezimweni ezimbili:
- uma kukhona ukungasebenzi kwalesi sitho;
- uma kukhona isifo se-endocrine esimweni esinzima.
Ukususwa kwengubo akudluli umzimba ngaphandle kokulandelana, njengoba izinqubo ze-metabolic ezishintsha umzimba, ngakho isimo somzimba nesengqondo somuntu siphulwa.
Kunokuba kususwe ingubo ye-thyroid kusongela?
Imiphumela eminye emva kokukhishwa kwegciwane le-thyroid ivele ngokushesha ngemva kokusebenza - kuyisifo esibuhlungu, ukuvuvukala kwesayithi lokuhlobisa, ukuzwa okungajabulisi kuqala ukuvela ngemuva kwentamo. Lezi zimpawu aziyingozi futhi ziyanyamalala ezinsukwini ezingu-14-21 zodwa. Ngakho-ke, kufanele nje uzikhuthazelele. Ezinye iziguli zishintsha ngokuzwakalayo izwi labo. Lokhu kubangelwa umthelela we-tube intubation ngesikhathi se-anesthesia, esibhekwa ngumzimba njengesiyaluyalu.
Akuwona wonke amacala asusa yonke insimbi, ngakho imiphumela ingahluka. Uma ususa ingxenye enkulu yayo, khona-ke kungenzeka kube nokuntuleka okukhulu kwe- calcium emzimbeni. Kulolu daba, udokotela ubophezelekile ukwethula ukwelashwa kwezinto eziphilayo ezine-calcium eningi.
Isidakamizwa esivunyelwe, esinqunyiwe ngemuva kokusebenza, ngu-Levothyroxine. Kumele kuthathwe kuphela ngaphakathi. Umsebenzi wezidakamizwa ukuvimbela ukuvinjelwa kwehomoni ye-thyroid-stimulating ye-pituitary gland. Lokhu kusiza ukuvimbela ukuphindaphinda kwesisu esincike ku-TSH, kanye nokuthuthukiswa kwe- hypothyroidism yesibili. Uma udokotela engazange abeke i-Levothyroxine, khona-ke unesizathu sokuxhumana nomunye ochwepheshe.
Izinkinga emva kokususwa kwengubo ye-thyroid
Umsebenzi wokukhipha igciwane le-thyroid, njenganoma yikuphi ukuhlinzwa okusebenzayo, kungaba nemiphumela emibi kakhulu. Ngenhlanhla, kuleli cala azivamile, kodwa namanje kufanelekile ukwazi ngazo. Phakathi kwezinkinga ezivame kakhulu yilokhu okulandelayo:
- Ukulimala kwenzalo ephindaphindiwe. Umphumela walokhu kuxilongwa kuyinto ephazamisayo nobuthakathaka bezwi.
- Kungase kube nokuphulwa komsebenzi we-gland parathyroid. Uma ukuxilongwa okunjalo kuqinisekiswa, khona-ke isiguli sidinga ukuqokwa kwezidakamizwa ezifanele. Ngezinye izikhathi kuqhubeka kuze kube sekupheleni komuntu.
- Umphumela ongavamile kunazo zonke uphepha. Kuyinto engavamile ukuthi iziguli eziqhutshwa kuphela ezingu-0.2% zinezindawo, ngakho odokotela abaxwayisi ngaso sonke isikhathi ngalokhu emva kwesiguli.
- Umphumela ongavamile ngisho nangokwedlulele ukwedluliswa kwe-suture yokuhlinzwa. Kwenzeka okungekho kuka-0.1% we-opharetha.
Ukubuyiswa ngemva kokususwa kwegciwane le-thyroid
Ngaphambi kokusebenza kubalulekile ukuthola ukuthi ukuphila okuqhubekayo kuzoqhubeka kanjani, futhi kuyini isimo sezempilo ngemuva kokususwa kwengubo yegciwane. Ngokungangabazeki, isiguli kuzodingeka sishintshe indlela yokuphila evamile bese sethula imingcele ethile. Kulokhu, okuningi kuxhomeke odokotela. Ukubumbana nokusebenza kwezindlela kuphazamisa kakhulu ukusebenza komsebenzi obaluleke kakhulu wenyama. Kodwa izinguquko esimweni sangokomzimba nangokwengqondo asinakugwenywa, ngakho-ke, kulokhu kwenzeka, akudingekile ukusola odokotela abahlinzayo nodokotela olaphayo.
Izithibelo emva kokukhishwa kwegciwane le-thyroid zingatholakala kumthwalo. Ngakho-ke, phakathi nenkathi yokuthunyelwa kwesikhathi, akukhuthazwa ukuba ulayishwe ngokweqile ngemisebenzi yasendlini, ngoba imithwalo enjalo ingathinta isimo esijwayelekile. Kodwa akubheki ngokugeza izitsha, udinga ukugwema imithwalo esindayo - ifenisha ehambayo, ukulungisa nezinye izinto.