Hypophysectomy

Wadatacce

• Menene nau'ikan nau'ikan wannan aikin?
• Yaya ake yin wannan aikin?
• Menene farfadowa daga wannan hanyar?
• Me yakamata nayi lokacin da na murmure?
• Menene yiwuwar rikicewar wannan aikin?
• A zama na gaba

Bayani

Hypophysectomy shine aikin tiyata don cire gland.

Pituitary gland, wanda ake kira hypophysis, karamar gland ce wacce take a kwance a ƙasan kwakwalwarka. Yana sarrafa homonin da aka samar a wasu mahimmin gland, gami da adrenal da thyroid gland.

Hypophysectomy ana yin sa ne saboda wasu dalilai, wadanda suka hada da:

• cire ciwace-ciwace a kusa da gland
• cire craniopharyngiomas, ciwace-ciwacen da aka yi da nama daga kewayen gland
• jiyya na ciwon Cushing, wanda ke faruwa yayin da jikinka ya kamu da yawancin hormone cortisol
• inganta hangen nesa ta cire ƙarin nama ko taro daga kewayen gland

Wani ɓangare na gland shine za'a iya cire lokacin da aka cire marurai.

Menene nau'ikan nau'ikan wannan aikin?

Akwai nau'ikan hypophysectomy da yawa:

• Tsarin Transsphenoidal hypophysectomy: Ana fitar da glandon pituitary ta hancin ka ta sinus din sphenoid, rami kusa da bayan hancin ka. Ana yin wannan galibi tare da taimakon ko dai madubin likita ko na kyamara ta endoscopic.
• Buɗe craniotomy: Ana fitar da glandon ta pituitary ta hanyar daga shi daga karkashin gaban kwakwalwarka ta wata karamar budewa a kwanyar ka.
• Tattaunawar Stereotactic: Ana sanya kayan aiki a kwalkwalin tiyata a cikin kwanyar ta ƙananan buɗewa. Ana lalata glandon da ke kewaye da ciwace-ciwacen mahaifa ko kyallen takarda, ta amfani da radiation don cire takamaiman kyallen takarda yayin adana lafiyayyen nama a kusa da su. Wannan hanya ana amfani dashi mafi yawa akan ƙananan ƙari.

Yaya ake yin wannan aikin?

Kafin aikin, tabbatar cewa a shirye kake ta yin waɗannan abubuwa masu zuwa:

• Auki kwanaki kaɗan daga aiki ko wasu ayyukan na yau da kullun.
• Shin wani ya kai ka gida lokacin da ka warke daga aikin.
• Shirya gwajin hoto tare da likitanka don su iya sanin kyallen takarda a kusa da glandon ka.
• Yi magana da likitanka game da wane nau'in hypophysectomy zai yi aiki mafi kyau a gare ku.
• Sa hannu kan takardar izinin don ku san duk haɗarin da ke cikin aikin.

Lokacin da kuka isa asibiti, za'a shigar da ku cikin asibiti kuma a nemi ku canza zuwa rigar asibiti. Daga nan likitanku zai kai ku dakin tiyata kuma ya ba ku maganin rigakafi don kiyaye ku barci yayin aikin.

Tsarin hypophysectomy ya dogara da nau'in da ku da likitan ku kuka yarda dashi.

Don yin transsphenoidal hypophysectomy, mafi yawan nau'in, likitan ku:

1. sanya ku a cikin yanayin kwanciyar hankali tare da kwantar da kanku don haka ba zata iya motsawa ba
2. yana sanya kananan yanyanka da yawa a karkashin lebenka na sama kuma ta gaban gaban raminka na sinus
3. ya sanya takamaiman abin rubutu don barin kogon hancinka ya bude
4. anunshi na'urar kare bayanan kallon hotunan da aka tsara na hancin hancinka a kan allo
5. saka kayan aiki na musamman, kamar nau'ikan karfi da ake kira pituitary rongeurs, don cire kumburin da wani bangare ko dukkan gland din na pituitary
6. yana amfani da mai, kashi, guringuntsi, da wasu kayan aikin tiyata don sake gina yankin da aka cire kumburi da glandar
7. yana saka gauze da aka yi amfani da shi tare da maganin shafawa na antibacterial a cikin hanci don hana zub da jini da cututtuka
8. ya dinka yankewa a cikin ramin sinus kuma a saman lebe tare da dinki

Menene farfadowa daga wannan hanyar?

Ciwan hypophysectomy yana daukar awa daya zuwa biyu. Wasu hanyoyin, kamar stereotaxis, na iya ɗaukar minti 30 ko ƙasa da hakan.

Za ku kwashe kimanin awanni 2 kuna murmurewa a sashin kula da bayan-tiyata a asibiti. Bayan haka, za a kai ku zuwa ɗakin asibiti ku huta cikin dare tare da layin ruwa mai ƙyama (IV) don kiyaye muku ruwa yayin da kuka murmure.

Yayin da kake murmurewa:

• Na kwana daya zuwa biyu, zaku yi yawo tare da taimakon mai jinya har sai kun sami damar yin tafiya da kanku kuma. Adadin da kuka farar za a kula.
• Don kwanakin farko bayan tiyata, za ku sha gwajin jini da gwajin gani don tabbatar ganinku bai yi tasiri ba. Jini zai iya malalowa daga hancinka lokaci-lokaci.
• Bayan barin asibiti, zaku dawo cikin kimanin makonni shida zuwa takwas don alƙawari na gaba. Za ku haɗu tare da likitanku da likitan ilimin likita don ganin yadda jikinku ke amsawa ga yiwuwar canje-canje a cikin samar da hormone. Wannan alƙawarin na iya haɗawa da sikan kai har ma da gwajin jini da gani.

Me yakamata nayi lokacin da na murmure?

Har sai likitan ku ya ce ba laifi yin hakan, guji yin waɗannan abubuwa masu zuwa:

• Kada a busa, tsabtace, ko sa wani abu a cikin hanci.
• Kada ku tanƙwara gaba.
• Kar a ɗauki abu mafi nauyi fiye da fam 10.
• Kada kayi iyo, kayi wanka, ko sanya kanka ƙarƙashin ruwa.
• Kada ku tuƙa ko ku yi aiki da kowane babban inji.
• Kar ku koma bakin aiki ko ayyukanku na yau da kullun.

Menene yiwuwar rikicewar wannan aikin?

Wasu sharuɗɗan da zasu iya haifar da wannan tiyatar sun haɗa da:

• Ruwan jijiyoyin jiki (CSF) leaks: Ruwan CSF a kusa da kwakwalwar ku da kashin baya ya shiga cikin tsarinku na juyayi. Wannan yana buƙatar magani tare da hanyar da ake kira hujin lumbar, wanda ya haɗa da saka allura a cikin kashin bayanku don zubar da ruwa mai yawa.
• Hypopituitarism: Jikin ku ba ya samar da homonu da kyau. Wannan na iya buƙatar a bi da shi tare da maganin maye gurbin hormone (HRT).
• Ciwon sukari insipidus: Jikinka baya kula da yawan ruwa a jikinka.

Duba likitanka nan da nan idan ka lura da wasu matsalolin masu zuwa bayan aikinka:

• yawan zubar hanci
• matsanancin jin ƙishirwa
• asarar gani
• bayyanannu ruwa yana fita daga hancinki
• dandano mai gishiri a bayan bakinka
• peeing fiye da al'ada
• ciwon kai wanda baya tafiya da magungunan ciwo
• zazzabi mai ƙarfi (101 ° ko mafi girma)
• jin bacci koyaushe ko gajiya bayan tiyata
• yawan amai ko gudawa

A zama na gaba

Samun gland your pituitary shine babban aikin da zai iya shafar ikon jikin ka don samar da hormones.

Amma wannan tiyata na iya taimakawa wajen magance al'amuran kiwon lafiya wanda hakan zai iya haifar da rikitarwa mai tsanani.

Hakanan akwai wadatattun magunguna don maye gurbin kwayoyin halittar da jikinku bazai iya wadatar da su ba.