Cirewar glandon parathyroid

Parathyroidectomy shine aikin tiyata don cire glandon parathyroid ko cututtukan parathyroid. Kwayoyin parathyroid suna bayan glandar thyroid a wuyan ku. Wadannan gland suna taimakawa jikinka wajen kula da sinadarin calcium a cikin jini.

Za ku sami maganin sa barci gaba ɗaya (barci da rashin ciwo) don wannan tiyatar.

Yawancin lokaci ana cire gland na parathyroid ta amfani da m2-to 4-inch (5- zuwa 10-cm) a yanka a wuyanka. Yayin aikin tiyata:

• Yawanci ana yin shi a tsakiyar wuyanka kawai ƙarƙashin apple ɗin Adam.
• Likitan likitan ku zai nemo cututtukan parathyroid guda huɗu ya cire duk wanda ke cuta.
• Kuna iya yin gwajin jini na musamman yayin aikin tiyata wanda zai tabbatar da cewa duk an cire glandon cuta.
• A wasu lokuta ba safai ake samun irin wannan ba, idan ana bukatar cire wadannan gland din guda hudu, ana dasa wani bangare a gaban goshin. Ko kuma, an dasa shi a cikin tsoka a gaban wuyanku kusa da glandar thyroid. Wannan yana taimakawa wajen tabbatar da matakin alli na jikinka a matakin lafiya.

Musamman nau'in aikin tiyata ya dogara da inda cututtukan parathyroid marasa lafiya suke. Nau'in tiyata sun haɗa da:

• Invananan cutarwa mai saurin motsa jiki. Kuna iya karɓar harbi kaɗan kaɗan na mai binciken rediyo kafin wannan tiyatar. Wannan yana taimakawa wajen haskaka glandon cuta. Idan kana da wannan harbin, likitanka zaiyi amfani da bincike na musamman, kamar kanfanin Geiger, don gano glandon parathyroid. Likitan likitan ku zai yi karamar yanka (inci 1 zuwa 2; ko kuma 2.5 zuwa 5 cm) a gefen wuyan ku, sannan kuma ya cire glandon da ke cuta ta wannan. Wannan aikin yana ɗaukar awa 1.
• Video-taimaka parathyroidectomy. Likitanka zai yi ƙananan yanka biyu a wuyanka. Isaya don kayan aiki, ɗayan kuma don kyamara. Kwararren likitan ku zaiyi amfani da kyamara don duba yankin kuma zai cire cututtukan gland tare da kayan aikin.
• Endoscopic parathyroidectomy. Likitanka zai yi ƙananan yanka biyu ko uku a gaban wuyanka kuma ɗaya a saman saman wuyan wuyanka. Wannan yana rage tabon da ake gani, zafi, da lokacin dawowa. Wannan yankan bai fi inci 2 ba (inci 5). Hanyar cire duk wani cututtukan cututtukan cututtukan parathyroid suna kama da bidiyo mai taimakawa parathyroidectomy.

Mai ba da sabis na kiwon lafiya na iya bayar da shawarar wannan tiyatar idan ɗayan ko fiye na gland na parathyroid suna samar da kwayar parathyroid da yawa. Wannan yanayin ana kiran sa hyperparathyroidism. Sau da yawa ana haifar da shi ta ƙananan ƙwayar cuta (benign) wanda ake kira adenoma.

Likitan likitan ku zaiyi la'akari da dalilai da yawa lokacin yanke shawarar yin tiyata da kuma irin tiyatar da zata fi dacewa da ku. Wasu daga cikin waɗannan dalilai sune:

• Shekarunka
• Matakan Calcium a cikin fitsarinku da jini
• Ko kuna da alamun bayyanar

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

• Amsawa ga magunguna ko matsalolin numfashi
• Zub da jini, toshewar jini, ko kamuwa da cuta

Hadarin ga parathyroidectomy sune:

• Rauni ga glandar thyroid ko buƙatar cire wani ɓangare na glandar thyroid.
• Hypoparathyroidism. Wannan na iya haifar da ƙananan ƙwayoyin calcium waɗanda ke da haɗari ga lafiyar ku.
• Rauni ga jijiyoyin da ke zuwa ga tsokoki waɗanda ke motsa igiyar muryar ku. Kuna iya samun ƙarancin murya ko rauni wanda zai iya zama na ɗan lokaci ko na dindindin.
• Rashin numfashi. Wannan yana da wuya sosai kuma kusan koyaushe yana wucewa makonni da yawa ko watanni bayan tiyata.

Parathyroid gland yanada kadan. Wataƙila kuna buƙatar yin gwaje-gwaje waɗanda ke nuna daidai inda glandarku suke. Wannan zai taimaka wa likitan ku don gano cututtukan parathyroid a yayin tiyata. Biyu daga cikin gwaje-gwajen da zaka iya yi shine hoton CT da duban dan tayi.

Faɗa wa likitanka:

• Idan kun kasance ko wataƙila kuna da ciki
• Waɗanne magunguna, bitamin, ganye, da sauran abubuwan ƙarin da kuke sha, har ma waɗanda kuka saya ba tare da takardar sayan magani ba

A lokacin mako kafin aikinka:

• Cika duk wani umarni na maganin ciwo da alli da za ku buƙaci bayan tiyata.
• Ana iya tambayarka ka daina shan abubuwan kara jini. Wadannan sun hada da NSAIDs (asfirin, ibuprofen), bitamin E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), da clopidegrel (Plavix).
• Tambayi likitan ku game da wane irin kwayoyi yakamata ku sha a ranar tiyata.

A ranar tiyata:

• Bi umarni game da rashin ci da sha.
• Theauki magungunan da likitanka ya gaya maka ka sha da ɗan ƙaramin shan ruwa.
• Zuwanka asibiti akan lokaci.

Sau da yawa, mutane na iya komawa gida a ranar da za a yi musu tiyata. Zaka iya fara ayyukanka na yau da kullun cikin fewan kwanaki. Zai dauki kimanin sati 1 zuwa 3 kafin ka warke sarai.

Dole ne a tsaftace yankin tiyatar kuma a bushe. Kuna iya buƙatar shan ruwa kuma ku ci abinci mai laushi na yini ɗaya.

Kira likitan ku idan kuna da wata damuwa ko girgiza a bakinku cikin awanni 24 zuwa 48 bayan tiyata. Wannan yana faruwa ne ta ƙananan calcium. Bi umarni game da yadda ake shan abubuwan karin kuzarinka.

Bayan wannan aikin, yakamata kuyi gwajin jini na yau da kullun don bincika ƙimar ku.

Mutane yawanci suna murmurewa jim kaɗan bayan wannan tiyatar. Saukewa na iya zama mafi sauri lokacin da aka yi amfani da dabaru marasa amfani.

Wani lokaci, ana buƙatar wani tiyata don cire ƙarin ƙwayoyin parathyroid.

Cire glandon parathyroid; Parathyroidectomy; Hyperparathyroidism - parathyroidectomy; PTH - parathyroidectomy

• Kula da rauni na tiyata - a buɗe

• Parathyroidectomy
• Parathyroidectomy - jerin

Coan KE, Wang TS. Farkon Hyperparathyroidism. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 779-785.

Quinn CE, Udelsman R. Kwayoyin parathyroid. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 37.