Kuv Puas Yuav Tsum Tau Phais Mob Rau Kuv Lub Thyroid Nodule? Yuav Tsum Tau Txais Dab Tsi Los Ntawm Kev Phais Mob Thyroidectomy

Kev nrhiav pom tias koj muaj ib lub qog thyroid tuaj yeem ua rau koj ntshai heev. Lub qog thyroid, uas yog ib lub qog zoo li npauj npaim nyob rau ntawm koj lub caj dab, ua lub luag haujlwm tseem ceeb hauv kev tswj koj cov metabolism, cov zog, thiab lub plawv dhia. Thaum ib lub qog lossis lub qog tsim nyob rau hauv nws, cov lus nug tam sim ntawd feem ntau cov neeg mob nug yog: Qhov no puas txhais tau tias kuv muaj mob qog noj ntshav, thiab kuv puas yuav tsum tau phais?

Zoo hmoo, feem coob (ntau tshaj 90%) ntawm cov qog thyroid yog cov qog tsis muaj mob (tsis yog mob qog nqaij hlav). Txawm li cas los xij, muaj qee qhov xwm txheej tshwj xeeb uas kev phais tshem tawm yog txoj hauv kev nyab xeeb tshaj plaws.

Nov yog phau ntawv qhia txog kev soj ntsuam cov qog thyroid thiab yam yuav tsum tau xav txog los ntawm kev phais thyroidectomy, piav qhia los ntawm Dr Shalin Dubey, Sr Consultant General, Laparoscopic & Robotic Surgeon ntawm Apollo Hospitals Navi Mumbai.

Thaum Twg Yuav Tsum Tau Ua Kev Phais Mob Thyroid?

Tus kws phais mob feem ntau yuav pom zoo kom ua thyroidectomy, ib feem lossis tag nrho kev phais mob ntawm cov thyroid caj pas, raws li cov xwm txheej hauv qab no:

• Xav tias muaj mob qog nqaij hlav lossis paub tseeb tias muaj mob qog nqaij hlav: Yog tias kev kuaj mob Fine Needle Aspiration Cytology (FNAC biopsy) pom cov qe ntshav dawb lossis cov kev hloov pauv ntawm cov qe ntshav dawb uas txawv txav heev.
• Cov tsos mob ntawm kev nias: Txawm tias lub qog nodule tsis muaj teeb meem dab tsi los xij, nws tuaj yeem loj txaus kom nias rau koj lub raj cua (trachea) lossis esophagus, ua rau nyuaj rau nqos, khaus caj pas tas li, lossis ua tsis taus pa.
• Cov Pob Qij Txha Muaj Tshuaj Lom (Hyperthyroidism): Yog tias lub qog "kub," txhais tau tias nws tsim cov tshuaj hormones thyroid ntau dhau thiab tsis teb rau cov tshuaj tiv thaiv thyroid lossis kev kho mob iodine radioactive.
• Tshuaj pleev ib ce: Ib qho goiter loj, pom tseeb los yog ib qho pob ua rau pom tseeb thiab tsis xis nyob hauv caj dab.

Nkag Siab Txog Cov Txheej Txheem: Thyroidectomy Yog Dab Tsi?

Nyob ntawm seb lub qog loj npaum li cas thiab nws tus yam ntxwv zoo li cas, Dr. Dubey yuav ua ib qho ntawm ob qho kev hloov pauv tseem ceeb:

• Total Thyroidectomy: Tshem tawm tag nrho cov qog thyroid. Qhov no feem ntau yog qhov yuav tsum tau ua rau muaj mob qog nqaij hlav thyroid, cov qog ntshav loj loj, lossis cov mob Graves' hnyav.
• Kev phais tshem tawm cov qog ntshav hauv lub cev (Lobectomy): Tsuas yog ib lub lobe (ib nrab) ntawm lub thyroid raug tshem tawm, tawm hauv lub lobe noj qab haus huv uas tseem tshuav kom txuas ntxiv tsim cov tshuaj hormones ntuj.

Cov txheej txheem phais mob no ua tiav los ntawm kev siv tshuaj loog dav dav. Cov txheej txheem phais mob niaj hnub no tso cai rau kev cuam tshuam cov nqaij mos kom meej thiab tsawg kawg nkaus, tsom mus rau kev tiv thaiv cov hlab ntsha laryngeal uas rov tshwm sim (uas tswj koj cov hlab ntsha hu nkauj) thiab cov qog parathyroid (uas tswj cov calcium hauv lub cev).

Yuav Tsum Xav Li Cas Thaum Lub Sij Hawm Rov Qab Kho Mob Thyroidectomy Tag Nrho

Txawm hais tias kev phais mob zoo li nyuaj heev, kev phais thyroidectomy yog ib qho txheej txheem zoo heev, ib txwm muaj nrog cov ntaub ntawv zoo heev ntawm kev nyab xeeb.

1. Lub Sijhawm Tom Qab Kev Kho Mob Tam Sim Ntawd

Feem ntau cov neeg mob nyob hauv tsev kho mob li 1 txog 2 hnub kom lawv saib xyuas koj. Tej zaum koj yuav mob caj pas me ntsis, mob caj dab, lossis lub suab nrov ib ntus vim yog lub raj ua pa uas siv thaum lub sijhawm siv tshuaj loog. Feem ntau qhov no yuav ploj mus hauv ob peb hnub.

2. Kev Kho Mob thiab Qhov Mob

Feem ntau qhov mob tom qab phais mob tsis hnyav heev mus rau qhov nruab nrab thiab yooj yim kho nrog cov tshuaj noj. Qhov phais raug kaw siv cov xov uas yaj sai lossis cov kua nplaum phais kom ntseeg tau tias muaj qhov caws pliav tsawg kawg nkaus. Koj yuav raug qhia kom ua kom koj lub caj dab qhuav rau ob peb hnub thawj zaug thiab tsis txhob ncab koj lub caj dab mus rau tom qab.

3. Kev Tswj Xyuas Hormone Mus Ntev

Yog koj phais tshem tag nrho cov thyroid, koj lub cev yuav tsis tsim cov tshuaj hormones thyroid lawm. Yuav kom hloov tau lawv, koj yuav hloov mus rau kev noj tshuaj hloov cov tshuaj hormones thyroid txhua hnub, mus tas li (Levothyroxine). Cov tshuaj no zoo ib yam li cov tshuaj hormones ntuj, ua rau koj lub cev zom zaub mov zoo li qub. Yog tias koj tsuas yog tshem tawm ib feem xwb, koj lub qog uas seem yuav tsim cov tshuaj hormones txaus yam tsis tas yuav siv tshuaj.

Kev Tshawb Nrhiav Koj Cov Kauj Ruam Tom Ntej

Yog tias koj tau kuaj pom tias muaj qog hauv caj dab lossis tab tom nrhiav kev pom zoo zaum ob ntawm daim ntawv qhia txog kev kuaj mob, kev teem sijhawm rau kev soj ntsuam hauv tsev kho mob yog koj qhov kauj ruam tom ntej zoo tshaj plaws.

Sab laj nrog ib tus kws tshaj lij uas koj ntseeg siab rau kev saib xyuas endocrine siab heev. Teem sijhawm sab laj ua ntej nrog Dr Shalin Dubey ntawm Apollo Tsev Kho Mob los tham txog koj cov kev xaiv kho mob hnub no.