E aʻo kākou e pili ana i ke ʻoki kino endocrine ma nā ʻōlelo maʻalahi.

Ua lohe paha ʻoe i kā mākou mau hoaaloha a me nā ʻohana e kamaʻilio ana e pili ana i nā mea e like me ka "pilikia thyroid" a me ka "ʻōpū ʻāʻī". I kekahi manawa ʻōlelo ke kauka he pono kēia i ke ʻoki kino. He mea maʻamau ke manaʻo iki i ka makaʻu. Akā ke hoʻomaopopo pono ʻia ʻoe e pili ana i kēia mau mea, hiki iā ʻoe ke lanakila ma luna o kēlā makaʻu. I kēia lā ke kamaʻilio nei mākou e pili ana i nā ʻoki kino i hana ʻia ma nā glands e hana ana i nā hormones i loko o ko mākou kino, ʻo ia hoʻi, 'Endocrine Surgery'.

He aha kēia ʻōnaehana endocrine?

I ka ʻōlelo maʻalahi, ʻo kēia ka ʻōnaehana o nā glands i loko o ko kākou kino e hana ana i nā hormones. E noʻonoʻo iā ia e like me ka ʻōnaehana leka o kahi ʻoihana nui. Hoʻokuʻu kēia mau glands i nā ʻelele kemika i kapa ʻia he hormones i loko o ke koko. Hele kēia mau hormones ma ke kino a haʻi i kēlā me kēia ʻōkana e "hana i kēia."

No laila, kaohi kēia ʻōnaehana i nā mea nui he nui i loko o ko mākou kino.

• Ka ulu kino a me ka ulu ʻana o ka moekolohe
• Ka hanu ʻana
• ʻO ka Metabolism - ke kaʻina hana e hoʻololi ai i ka meaʻai a mākou e ʻai ai i ikehu
• Nā neʻe kino
• Ka hāpai ʻana a me ka hānau keiki ʻana
• Ko mākou mau manaʻo

Inā ʻaʻole hana pono kēia gland, inā paha e hana nui ana i nā hormones a i ʻole kakaikahi, e nalowale ke kaulike o ko mākou kino a ulu ka maʻi. ʻO ia ka manawa e pono ai ke ʻoki kino.

ʻO wai nā kelepa e pili nui ana i kēia mau ʻoki kino?

ʻOiai aia kekahi mau kelepaʻa i loko o ka ʻōnaehana endocrine, koi pinepine ʻia ke ʻoki ʻana no nā maʻi o nā kelepaʻa nui ʻekolu.

1. ʻŌpū Thyroid: Aia kēia ma ke alo o ko kākou ʻāʻī, i ke ʻano o ka pulelehua. ʻO kēia ke haku o ka metabolism o ko kākou kino. Ua like ia me ka mea hoʻolalelale e kāohi ana i ka wikiwiki o ka ʻenekini o ke kaʻa. ʻO kēia ka mea e hoʻoholo ai i ka wikiwiki o ka hoʻohana ʻana o ko kākou kino i ka ikehu a me ka hana ʻana i ka wela.

2. Nā ʻŌpū Parathyroid: He ʻehā kēia mau ʻōpū liʻiliʻi e like me ka nui o ka pī. Aia lākou ma hope o ke ʻōpū thyroid. ʻO kā lākou hana nui ka hoʻomalu ʻana i nā pae o ka calcium a me ka phosphorus i loko o ke kino. He mea nui loa kēia no ka ikaika o ko kākou mau iwi.

3. Nā ʻŌpū Adrenal: Aia kēia mau mea ma luna o ko kākou mau puʻupaʻa, e like me ʻelua pāpale. Hoʻopuka kēia mau ʻōpū i nā hormones wahine, a me nā hormones e like me ka cortisol, i hoʻokuʻu ʻia i ka wā e kaumaha ai kākou. Kōkua pū lākou i ka hoʻomalu ʻana i ke koko.

He aha nā kūlana olakino maʻamau e pono ai ke ʻoki kino?

Pono pinepine ke ʻoki kino ke ulu kahi puʻupuʻu i loko o kahi gland, lilo i maʻi kanesa, a lilo paha i mea hana nui a ʻaʻole hiki ke kāohi ʻia me ka lāʻau lapaʻau. E nānā kākou i nā maʻi nui e pono ai ke ʻoki kino no kēlā me kēia gland.

Hiki i ke kauka loea i nā maʻi hormonal ke hana i ke ʻoki kino?

He nīnau kēia a nā poʻe he nui e nīnau ai. He mau kauka endocrinologists e mālama i kēia mau maʻi me ka lāʻau lapaʻau. ʻAʻole lākou e hana i ke ʻoki kino. Inā pono ʻoe i ke ʻoki kino, e kuhikuhi kēlā kauka iā ʻoe i kahi kauka ʻoki kino . Loaʻa i kekahi mau haukapila nā kauka ʻoki kino endocrine i loaʻa i ka hoʻomaʻamaʻa kūikawā ma kēia mau kelepa hormone. ʻOi aku ka maikaʻi inā hiki iā lākou ke hana i ke ʻoki kino iā lākou iho.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

E wehewehe pono ana kāu kauka ʻoki iā ʻoe i ka mea e hana ai ma mua o ke ʻoki ʻana.

• E noi ʻia ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu paha) no kekahi mau hola ma mua o ke ʻoki kino.
• Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a me nā wikamina no kekahi manawa.
• Inā ʻoe e puhipaka ana, he mea pono ʻoe e hana i ka haʻalele ʻana.

Eia kekahi, pono ʻoe e hana i kekahi mau hoʻokolohua e loiloi pololei i kou kūlana.

• Nā hoʻāʻo koko: E nānā i ka hana o ke kelepa a me nā pae hormone.
• Nā scan kiʻi: Hiki ke hana ʻia kahi ultrasound, CT scan, a i ʻole MRI scan e ʻike i ka nui a me ka wahi o ka gland a i ʻole ka tumor.
• Biopsy nila: Inā he puʻupuʻu, hana ʻia kēia hoʻāʻo e hōʻoia inā he maʻi kanesa.
• Laryngoscopy: Hana ʻia kēia e nānā i ke olakino o kou mau kaula leo, ʻoiai ma mua o ke ʻoki ʻana i ka thyroid.

Aia kekahi mau ala e hiki ai ke hana i ke ʻoki kino.

Ma muli o kou kūlana, e koho kāu kauka ʻoki i ke kaʻina hana ʻoki kūpono loa. ʻEkolu mau ʻano hana nui.

1. ʻOki Hāmama: ʻO kēia ke ʻano kuʻuna. ʻOki ʻia ka ʻili ma luna o ke gland a wehe pololei ʻia ke gland. Pono kēia ʻano hana no nā mea e like me nā puʻupuʻu kanesa nui.

2. ʻO ke ʻoki Laparoscopic: Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." Ma kahi o hoʻokahi ʻoki nui, hana ʻia kekahi mau ʻoki liʻiliʻi a hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela ma o ka ʻoki, a hana ʻia ke ʻoki ma lalo o ka maka makaʻala o kahi monitor. ʻO ka hopena , emi ka ʻeha, a wikiwiki ka ho'ōla ʻana.

3. ʻO ke ʻoki ʻana i ka robot: Ua like kēia me ke ʻoki laparoscopic. Eia nō naʻe, ma ʻaneʻi ke hana nei ke kauka ʻoki i ke ʻoki ʻana ma ka kaohi ʻana i kahi lima robotic. ʻAe kēia i ka ʻoki ʻana i ʻoi aku ka pololei a me ka pololei.

Hiki i ke ʻoki kino ke lōʻihi mai hoʻokahi a ʻekolu a ʻehā hola, ma muli o ka paʻakikī o kou kūlana. Hana ʻia kēia mau ʻoki kino a pau ma lalo o ka anesthesia laulā, ʻo ia hoʻi, hāʻawi ʻia ʻoe i kahi mea hoʻomaha e hoʻomoe iā ʻoe . No laila, ʻaʻole ʻoe e ʻeha.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. Loaʻa paha iā ʻoe kahi ʻeha iki o ka puʻu a me kekahi mau palapū ma kahi i ʻoki ʻia. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēlā.

• Hoʻouna ʻia kahi ʻāpana o ke kelepa i wehe ʻia i ka hale hana e nānā no ke kanesa (Biopsy)Hoʻouna ʻia. Hoʻoholo ʻia ka lāʻau lapaʻau e hiki mai ana ma muli o kēlā hōʻike. No ka laʻana, inā loaʻa iā ʻoe ka maʻi kanesa thyroid, pono paha ʻoe e hana i ka radioiodine therapy.
• I kekahi manawa, pono paha e lawe ʻia ka hormone i hana ʻia e ke kelepa i wehe ʻia ma ke ʻano he pila no ke koena o kou ola. No ka laʻana, inā e wehe ʻia kou kelepa thyroid holoʻokoʻa, pono ʻoe e lawe i ka hormone thyroxine i kēlā me kēia lā. ʻAʻole ia he mea nui, hoʻokahi wale nō pila i ka lā.

Nā pono a me nā pilikia kūpono o ke ʻoki kino

E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia mau ʻoki kino a me kekahi mau pōʻino liʻiliʻi.

Nā Pōmaikaʻi:

• Hiki ke ho'ōla loa ʻia ka maʻi.
• Ua hala nā hōʻailona, ​​ua maʻalahi ke ola.
• Inā he maʻi ʻaʻai ia, hiki ke pale ʻia mai ka laha ʻana.
• Ua hoʻemi ʻia ka pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe e like me ke koko kiʻekiʻe, ka maʻi puʻuwai, a me ka osteoporosis.

Nā Pōʻino:

• Ka maʻi ʻana.
• Ke kahe ʻana o ke koko.
• ʻO ka hōʻino ʻana i nā aʻalolo kokoke i kahi ʻoki. (No ka laʻana, inā ua hōʻino ʻia ke aʻalolo i nā kaula leo i ka wā o ke ʻoki ʻana i ka thyroid, hiki ke loli ka leo no kekahi manawa a mau loa paha. Eia nō naʻe, he haʻahaʻa loa kēia pilikia me kahi kauka ʻoki akamai.)
• Inā wehe ʻia nā kelepa parathyroid, e emi ana ka pae calcium i loko o ke koko (Hypoparathyroidism).

Mai makaʻu i kēia mau pilikia. E hana kāu kauka i nā hana e pono ai e hōʻemi i kēia mau mea āpau.

Ka manawa ho'ōla ma hope o ka ho'i 'ana i ka home

E mālama i kēia mau mea i ola koke ai ma hope o kou hoʻi ʻana i ka home.

• E hoʻomaha maikaʻi no hoʻokahi a ʻelua paha pule a pale i ka hāpai ʻana i nā mea kaumaha.
• E mālama i ka maʻemaʻe o ka ʻeha. E hoʻololi i ka ʻaʻahu e like me ke kuhikuhi a ke kauka.
• Hiki i nā mea e like me nā wai, nā mea inu anu, a me nā ʻāpana hau ke kōkua i ka ʻeha o ka puʻu.
• E lawe i nā lāʻau lapaʻau, nā pila hormone, a me ka calcium i kauoha ʻia e ke kauka i ka manawa kūpono.
• ʻO ka maʻamau, hiki iā ʻoe ke hoʻi i ka hana i loko o hoʻokahi a ʻelua paha pule.

I ka wā e pono ai ʻoe e ʻike koke i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.

• Ka pehu ʻana, ka ʻulaʻula, a i ʻole ka wai e like me ka pus e kahe ana mai kahi i ʻoki ʻia (he mau hōʻailona kēia o ka maʻi).
• Kuni.
• Ka paʻakikī o ka hanu ʻana a i ʻole ka loli o ka leo.
• Inā ʻike ʻoe i ka mae ʻole a i ʻole ke kani ʻana ma kou maka, lehelehe, lima, a i ʻole nā ​​wāwae (he hōʻailona paha kēia o ka haʻahaʻa o ka calcium).