Cov thyroid caj pas tshem tawm

Cov thyroid caj pas tshem tawm yog kev phais kom tshem tawm tag nrho lossis ib feem ntawm cov thyroid caj pas. Lub qog ua haujlwm lub caj pas yog lub caj dab npauj npaim nyob hauv sab xub ntiag ntawm lub caj dab qis.

Cov thyroid caj pas yog ib feem ntawm qhov ua haujlwm tshuaj (endocrine). Nws pab koj lub cev tswj koj cov metabolism.

Raws li yog vim li cas koj thiaj li coj koj lub qog thyroid tawm, hom thyroidectomy uas koj muaj yuav yog a:

• Tag nrho cov thyroidectomy, uas tshem tawm tag nrho cov qog
• Subtotal lossis ib nrab ntawm thyroidectomy, uas tshem qee qhov ntawm cov thyroid caj pas

Koj yuav muaj tshuaj loog (tsaug zog thiab tsis hnov ​​mob) rau qhov kev phais mob no. Tsawg tsawg zaus, qhov kev phais mob yog ua tiav nrog cov tshuaj loog hauv zos thiab tshuaj kom koj nyob zoo. Koj yuav tsaug zog, tab sis tsis pub mob.

Thaum phais:

• Tus kws phais mob txiav ua kab tav toj hauv ntej ntawm koj lub caj dab qis sab saud ntawm pob txha dab tshos.
• Tag nrho lossis qee qhov ntawm lub qog raug tshem tawm los ntawm kev txiav.
• Tus kws phais yuav tsum tau ceev faj kom tsis txhob ua kom cov hlab ntshav thiab hlab ntshav hauv koj lub caj dab.
• Lub raj xa dej me me (cov raj yas) yuav tso rau thaj chaw kom pab txhaws ntshav thiab lwm yam kua dej tawm los. Qhov dej ntws yuav tshem tawm hauv 1 lossis 2 hnub.
• Cov ntawv txiav raug kaw nrog sutures (stitches).

Kev phais mob tshem tawm tag nrho koj lub qog yuav siv sijhawm ntev li 4 teev. Nws yuav siv sijhawm tsawg dua yog tias tsuas yog ib feem ntawm cov thyroid raug tshem tawm.

Cov tswv yim tshiab uas yuav tsum tau phais me me nyob ze ntawm lub qog lossis lwm qhov chaw thiab uas cuam tshuam nrog kev siv qog nqaij hlav txhawm rau tau tsim.

Koj tus kws kho mob yuav pom zoo kom tshem tawm cov qog yog tias koj muaj qee yam hauv qab no:

• Txoj kev loj hlob qog me me (nodule lossis cyst)
• Lub qog ua haujlwm (thyroid caj pas) yog li overactive nws yog txaus ntshai (thyrotoxicosis)
• Mob cancer ntawm lub qog
• Cov hlav qog nqaij (tsis ua haujlwm ntev) ntawm cov thyroid uas ua rau cov tsos mob tshwm sim
• Lub qog o (tsis mus nrog) ua rau koj ua pa lossis nqos nyuaj

Koj kuj tseem tuaj yeem tau phais yog tias koj muaj lub qog ua ntshav siab thiab tsis xav kom muaj kev kho mob radioactive iodine, lossis koj tsis tuaj yeem raug kho nrog tshuaj antithyroid.

Kev phom sij ntawm cov tshuaj loog thiab kev phais mob suav nrog:

• Kev tsis haum tshuaj, teeb meem ua pa
• Los ntshav, ntshav txhaws, kis kab mob

Kev phom sij ntawm thyroidectomy suav nrog:

• Kev raug mob rau cov hlab ntsha hauv koj lub suab pob ntseg thiab caj pas.
• Los ntshav thiab ob leeg caj pas ua tsis tau.
• Kev nce siab ntxiv ntawm cov thyroid hormones ntau ntau (tsuas yog ib puag ncig lub sijhawm ntawm kev phais).
• Kev raug mob rau cov qog ntshav parathyroid (qog ntshav me nyob ze rau lub qog) lossis mus rau lawv cov ntshav. Qhov no tuaj yeem ua rau cov ntshav calcium qis ib ntus hauv koj cov ntshav (hypocalcemia).
• Ntau dhau los cov thyroid hormone (cov cua daj cua dub thyroid). Yog tias koj muaj lub qog ua ntshav ua ke, koj yuav tau noj tshuaj kho.

Lub lim piam ua ntej koj phais:

• Tej zaum koj yuav tsum tau muaj qhov kev ntsuam xyuas uas qhia qhov tseeb qhov twg lub qog ua haujlwm ntawm lub qog nyob qhov twg. Qhov no yuav pab tus kws phais neeg pom qhov kev loj hlob thaum phais. Koj tuaj yeem tso duab CT, ntsuas ultrasound, lossis lwm yam kev sim duab.
• Koj tus kws kho mob tseem yuav ua lub koob zoo xav saib qhov kev loj hlob tsis zoo lossis mob qog nqaij hlav. Ua ntej kev phais mob, koj lub suab muaj nuj nqi yuav raug tshuaj xyuas.
• Koj tseem yuav xav tau cov tshuaj thyroid lossis kev kho mob iodine 1 mus rau 2 lub lis piam ua ntej koj phais.

Ob peb hnub mus rau ib lis piam ua ntej kev phais mob:

• Tej zaum yuav kom koj tsum tsis txhob noj tshuaj pab ntshav ib ntus. Cov no suav nrog cov tshuaj aspirin, ibuprofen (Advil), naproxen (Aleve), clopidogrel (Plavix), warfarin (Coumadin), thiab lwm yam.
• Sau cov tshuaj rau qhov mob muab tshuaj pleev thiab calcium uas koj xav tau tom qab phais mob.
• Qhia koj tus kws kho mob txog txhua yam tshuaj uas koj noj, txawm tias koj yuav yam tsis muaj daim ntawv xaj yuav tshuaj. Qhov no suav nrog tshuaj ntsuab thiab tshuaj ntxiv. Nug koj tus kws kho mob seb koj yuav tsum noj cov tshuaj twg hnub phais mob.
• Yog koj haus luam yeeb, sim nres. Nug koj tus kws khomob kom pab.

Hnub ntawm kev phais mob:

• Ua raws li cov lus qhia txog thaum twg tsum kom txhob noj thiab haus.
• Noj cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Nco ntsoov tuaj txog tsev kho mob kom ncav sijhawm.

Koj yuav nyob mus tsev hnub lossis hnub tom qab phais tas. Muaj qee zaus, koj yuav tsum siv sijhawm ntev txog 3 hnub hauv tsev khomob. Koj yuav tsum tau nqos kua haus ua ntej koj yuav mus tsev.

Koj tus kws kho mob yuav kuaj saib cov calcium nyob hauv koj cov ntshav tom qab kev phais mob. Qhov no ua tau ntau zaus thaum tag nrho cov thyroid caj pas raug tshem tawm.

Koj yuav muaj qee qhov mob tom qab phais mob. Nug koj tus kws kho mob cov lus qhia txog yuav ua li cas kom noj cov tshuaj mob tom qab koj mus tsev.

Nws yuav siv li 3 mus rau 4 lub lis piam rau koj kom koj rov zoo los.

Ua raws li cov lus qhia kom saib xyuas koj tus kheej tom qab koj mus tsev.

Qhov tshwm sim ntawm kev phais no feem ntau zoo heev. Cov neeg feem coob yuav tsum noj cov tshuaj thyroid hormone (hloov cov thyroid hormones txaus) mus tas lawv lub neej thaum tag nrho cov qog tshem tawm.

Tag nrho cov thyroidectomy; Ib nrab thyroidectomy; Thyroidectomy; Xa cov thyroidectomy; Mob qog noj ntshav - thyroidectomy; Papillary mob cancer - thyroidectomy; Goiter - thyroidectomy; Lub qog nodules - thyroidectomy

• Kev phais mob kho mob - qhib
• Cov thyroid caj pas tshem tawm - tawm

• Tus me nyuam lub qog anatomy
• Thyroidectomy - koob
• Kev phais rau cov thyroid caj pas phais

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Kaplan EL, Angelos P, James BC, Nagar S, Grogan RH. Kev phais mob ntawm lub qog. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 96.

Patel KN, Yip L, Lubitz CC, li al. Cov ntsiab lus ntawm Kev Raug Koom Nrog Asmeskas Kev Koom Tes ntawm Kev Ua Phem Rau Kev Kho Mob Endocrine cov lus qhia rau kev tswj hwm phais mob qog ntshav ntawm cov qog ntshav hauv cov neeg laus. Ann SurgCov. 2020; 271 (3): 399-410. PMID: 32079828 pubmed.ncbi.nlm.nih.gov/32079828/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Lub qog. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnubCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: cha 36.