He mea whakamataku te kitenga he pona tairoi tōu. Ko te tairoi, he repe āhua pūrerehua kei te pūtake o tō kaki, he mahi nui tāna ki te whakahaere i tō pākia o te tinana, i ngā taumata pūngao, me te tere o te manawa. Ina puta he pona, he pona rānei ki roto, ko te pātai tonu a te nuinga o ngā tūroro: He tohu tēnei kei a au te mate pukupuku, ā, me pokanga ahau?
He waimarie, ko te nuinga (neke atu i te 90%) o ngā pona tairoi he tino pai (kāore he mate pukupuku). Heoi, tera etahi ahuatanga motuhake ka noho ko te tango pokanga te huarahi mahi haumaru.
Anei tētahi aratohu haumanu mō te aromatawai i ngā pona tairoi me ngā mea hei tumanakohia mai i te tango i te tairoi, i whakamāramahia e Tākuta Shalin Dubey, Kaitohutohu Matua Matua, Taote Tākuta Laparoscopic me te Robotic i Apollo Hospitals Navi Mumbai.
Āhea te wā e hiahiatia ai te pokanga tairoi?
Ko te tikanga, ka tūtohu te taote pokanga whānui kia tangohia te repe tairoiti, arā, te tango wāhanga, te tango katoa rānei o te repe tairoiti, i raro i ēnei āhuatanga e whai ake nei:
- Te Mate Pūkahukahu i Whakapaetia, i Whakaūtia rānei: Mena ka kitea ngā pūtau matepukupuku, ngā huringa pūtau tino whakapae rānei i roto i te koiora Fine Needle Aspiration Cytology (FNAC).
- Ngā Tohumate Pēhi: Ahakoa he pai te āhua o te pona, ka taea e ia te tipu nui kia pēhi ki tō puku manawa (trachea) ki te korokoro rānei, ka uaua ai te horomi, ka kikiki tonu te korokoro, ka poto rānei te manawa.
- Ngā Pona Paitini (Hyperthyroidism): Mena he "wera" te pona, ko te tikanga ka nui rawa te hanga o ngā homoni tairoi, ā, kāore e aro ki ngā rongoā ārai-tairoi, ki te rongoā iodine radioactive rānei.
- Maharahara Paku: He puku, he pona rānei he nui, e kitea ana, e pupuhi ana i te kaki, e kore e pai te kitea.
Te Mārama ki te Tukanga: He aha te Tātaritanga o te Tairoiro?
I runga i te rahi me te āhua o te pona, ka whakahaerehia e Tākuta Dubey tētahi o ngā momo matua e rua:
- Tapeke Tiroiki: Te tango i te repe tairoiti katoa. He mea nui tēnei mō ngā mate pukupuku tairoiti, ngā goiter maha-nodular nui, ngā mate kino rānei o te mate Graves.
- Te tango i te hemithyroid (Te tango i te lobectomy): Kotahi anake te wāhanga (te haurua) o te tairoiti ka tangohia, ka waiho ko te wāhanga hauora e toe ana kia haere tonu te whakaputa i ngā homoni mā te taiao.
Ka mahia te tikanga i raro i te mate whakamoe whānui. Mā ngā tikanga pokanga hou ka taea te whakakore tika i ngā kiko, ā, ka aro nui ki te tiaki i ngā io laryngeal e tata ana (e whakahaere ana i ō taura reo) me ngā repe parathyroid (e whakahaere ana i ngā taumata konupūmā o te tinana).
Ngā mea hei tumanako atu i te wā e ora ai i te tango katoa o te tairoi
Ahakoa te ahua whakamataku o te pokanga, he tikanga tino pai te tango i te tairoi, he tikanga noa, ā, he tino pai te hītori o te haumaru.
1. Te Matapihi Whai Muri Tonu i te Mahi
Ko te nuinga o ngā tūroro ka noho ki te hōhipera mō te 1 ki te 2 rā hei aroturuki. Tērā pea ka pāngia koe e te mamae ngawari o te korokoro, te pakari o te kaki, te paku pāorooro rānei o tō reo mō te wā poto nā te ngongo manawa i whakamahia i te wā whakamoe. Ko te tikanga ka memeha haere tēnei i roto i ētahi rā.
2. Te Tiaki i te Mamae me te Whara
Ko te mamae i muri i te pokanga he ngawari ki te pāhekeheke, ā, he ngāwari te whakahaere mā te whakamahi i ngā rongoā ā-waha noa. Ka katihia te tapahi mā te whakamahi i ngā tuitui whakarewa matatau, i te kāpia pokanga rānei kia iti ai te koha whakapaipai. Ka tohutohuhia koe kia maroke te kaki mō ngā rā tuatahi, ā, kia kaua e totoro nui tō kaki ki muri.
3. Te Whakahaere Hormone mō te Wā Roa
Ki te tangohia katoatia tō tairoiti, kāore tō tinana e whakaputa i ngā homoni tairoiti. Hei whakakapi i ēnei, me whakamahi koe i te pire whakakapinga homoni tairoiti (Levothyroxine) mō ia rā, mō te wā katoa. Ka tino tāruatia e tēnei pire te homoni tūturu, ka noho noa tō pūnaha pākia. Ki te tangohia wāhanga noa iho, ka taea e tō puku e toe ana te whakaputa i ngā homoni e ranea ana me te kore e hiahiatia he rongoā.
Te Whakatere i ō Hikoinga e Whai Ake Nei
Mena kua tāpaetia tō mate he puku i tō kaki, kei te rapu rānei koe i tētahi whakaaro tuarua mō tētahi pūrongo koiora, ko te whakarite i tētahi aromatawai haumanu te mahi pai e whai ake nei.
Whakawhitiwhiti kōrero ki tētahi tohunga pono mō te tiaki endocrine matatau. Whakaritea he hui matua ki a Tākuta Shalin Dubey i Apollo Hospitals hei matapaki i ō whiringa maimoatanga i tēnei rā.
Te Hōhipera Pai rawa atu e tata ana ki ahau i Chennai