Nammude Arogyam March 2018 | Page 62

ssX-tdmbvUv {KÙn F{X-hsc \o¡w-sN-¿-Ww ssXtdm-bnUv {KÙn¡v Ccp-h-ihpw tem_vkpw (Lobes) \Sp¡v CkvXp-aÊv ( Isthumus) F¶ `mKhpw Dïv. ]ïv ikv{X-{Inb sN¿p-t¼mÄ Ccp-h-i-¯pw {KÙn-bpsS Hcp `mKw hnSm-dp-ïm-bn-cp-¶p. B `m-K¯v ]ns¶bpw apg-IÄ hcp-t¼mÄ cïm-aXpw ikv{X-{InbsN¿p-¶Xv hfsc ZpjvI-c-am-Wv. Ct¸mÄ an¡-hmdpw, FSp-¡p¶ tem_v ]qÀ®-ambpw amäp-I -bmWv kÀP³amÀ sN¿m-dp-Å-Xv. cïpcoXn-bn-epÅ ikv{X-{In-b-IÄ Ct¸mÄ \ne-hn-ep-ïv. 1. Hemi Thyroidectomy Hcp hihpw \Sp-`m-Khpw ]qÀ®-ambpw amäp-¶p. 2. Total Thyroidectomy {KÙn-bpsS Ccp-h-ihpw ]qÀ®-ambpw amäp-¶p. -¯pÅ aS-¡n-em-Wv km-[m -c-W-bmbn apdn-hp-ïm-¡p-¶ -Xv. Rc-¼p-Ifpw Iym³kÀ \nb-{´n-¡p¶ ]mcm-ssX -tdmbvUv {KÙn-Ifpw ]cn-¡v -h-cmsX ssXtdmbvUv \o¡wsN¿p -¶p. Igp-¯nsâhi¯v apdn-hp-ïm¡n sN¿p¶ emä-d ssXtdmbvUIvS-an (Lateral Thyroidectomy) bpw Igp¯n\v ]n³`m-Kt¯m, I£-¯ntem apdn-hp -ïm¡n tdmt_m-«nsâ klm-b-t¯msS sN¿p¶ tdmt_m-«nIvkÀP-dnbpw Nne-t¸mÄ sN¿m-dp-ïv. Xmt¡mÂZzmc ikv{X-{Inb (Endoscopic Thyroidectomy) I£-¯nepw s\©n-ep -ap-ïm-Ip¶ \mtem At©m Xosc sNdnb HEMI THYROIDECTOMY HEMI THYROIDECTOMY slanssXtdm-bvU-IvSan KpW-§Ä : 1. adp-`mKs¯ ssXtdmbvUv tem_n ssXtdm-Ivkn³ D¸m -Zn-¡-s¸-Sp-¶-Xn\m KpfnI Ign-t¡ï Bhiyw hcp-¶n-Ã. tZm-j-§Ä : 1. B `mK¯v apg Dïm-hp -¶ptïm F¶v XpSsc kvIm³ sNbvXv t\mt¡-ïn- h-cp-¶p. 2. ]cn-tim-[\m- ^ew (Biopsy Report) Iym³kÀ F¶p hcn-I-bm-sW 62 \½p-sS B-tcm-Kyw | amÀ¨v 2018 TOTAL THYROIDECTOMY TOTAL THYROIDECTOMY -¦nÂ, s]s«¶pXs¶ _m¡n-h¨ `mKw cïm -aXv Hm¸-td-j³ sNbvXv amtäïn hcp-¶p. C¡m -c-W-§Ä sImïv IqSp -X tcmKn-Ifpw ]qÀ®mbpw {KÙn \o¡w sNbvXp acp¶pIgn-¡p-¶ coXn -bmWv kzoI-cn-¡p-¶-Xv. hnhn[ ikv{X-{Inbm coXn-IÄ Xpd-¶p-ff ikv{X-{Inb (Open Surgery) Igp-¯nsâXmsg `mK