ʻO ke ʻoki ʻana i ka iwi ʻauwae (ʻoki ʻana i ka hui ʻana o ka ʻauwae): Nā mea āu e pono ai ke ʻike

Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e wehe ʻia kekahi hapa o kou ʻāwae haʻahaʻa ma ke ʻoki ʻana, hiki iā ʻoe ke manaʻo i ka makaʻu nui a me ka haʻalulu. Ke lohe ʻoe e pili ana i kēia ʻoki ʻana i kapa ʻia ʻo 'mandibulectomy', nui paha nā nīnau i loko o kou manaʻo. He mea maʻamau ka loaʻa ʻana o nā nīnau e like me, "E loli anei koʻu helehelena?", "E hiki anei iaʻu ke kamaʻilio a ʻai hou?" Akā, mai hopohopo. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia ʻoki ʻana, no ke aha i hana ʻia ai, pehea e hana ʻia ai, a me nā mea e manaʻo ai ma hope o ke ʻoki ʻana ma ke ʻano maʻalahi a maopopo.

I ka ʻōlelo maʻalahi, he aha ka mandibulectomy?

I ka ʻōlelo maʻalahi, ʻo ka mandibulectomy ka wehe ʻoki ʻana i kahi hapa a i ʻole kou iwi ʻauwae haʻahaʻa (mandible) āpau. I kekahi manawa ua kapa ʻia kēia he 'mandibular resection'.

Hoʻoholo pinepine nā kauka e hana i kēia ʻano ʻoki kino inā he puʻupuʻu kanesa ma ka iwi ʻauwae, inā he maʻi koʻikoʻi, a inā ua hōʻino ʻia ka iwi ʻauwae e kekahi maʻi. ʻO ka pahuhopu nui ka wehe loa ʻana i ka ʻāpana maʻi a kāohi i ka maʻi mai ka laha hou ʻana.

He aha nā ʻano nui o kēia ʻoki kino?

Hiki ke hoʻokaʻawale ʻia ke ʻoki ʻana o ka Mandibulectomy i ʻelua ʻano nui. Aia ia i ka nui o ka iwi ʻauwae i wehe ʻia. E nānā kākou i kēlā mau ʻano ʻelua.

Ma hea ʻoe e loaʻa ai nā iwi no ke kūkulu hou ʻana?

Ma kahi mandibulectomy segmental, lawe nā kauka ʻoki i ka iwi, nā ʻiʻo, ka ʻili, a me nā kīʻaha koko (nā aʻa a me nā veins) mai kahi ʻāpana ʻē aʻe o kou kino e kūkulu hou i kou iwi ʻā. Ua kapa ʻia kēia he "free-flap reconstruction." E noʻonoʻo e like me ka lawe ʻana i kahi ʻāpana lole a hoʻopili hou iā ia e hoʻoponopono i kahi ʻāpana i haehae ʻia o kou lole.

ʻO nā wahi e lawe pinepine ʻia ai nā iwi a me nā ʻiʻo no kēia:

• Ka wāwae lalo: ʻO ka hapa pinepine, lawe ʻia kahi ʻāpana o ka iwi fibula.
• ʻŌpae poʻohiwi: I kekahi mau hihia, hiki ke wehe ʻia kekahi ʻāpana o ka ʻaoʻao poʻohiwi.
• ʻŪhā: Hiki ke lawe ʻia kekahi ʻāpana o ka iwi ʻūhā no kēia kumu.

I kekahi manawa, hiki ke hoʻohana ʻia nā papa metala a i ʻole nā ​​​​​​hoʻopili iwi mai kahi mea hāʻawi ʻē aʻe. E wehewehe kāu hui lapaʻau i kēia iā ʻoe.

I nā hihia hea e pono ai kēia ʻoki kino?

E hoʻohana ke kauka i kēia ʻano hana no kekahi mau kumu kikoʻī loa. ʻO kekahi o lākou, ʻo ia nā kumu nui.

• Ka maʻi ʻaʻai waha: Inā ua pālahalaha kahi maʻi ʻaʻai i loko o ka waha, ma ke alelo, nā ʻāʻī, a i ʻole ka papālina, i ka iwi ʻauwae.
• ʻAʻai kanesa Oropharyngeal: Inā pālahalaha ka maʻi kanesa e hoʻomaka ana ma ka ʻaoʻao waena o ka puʻu i ka iwi ʻauwae.
• Ka Maʻi Iwi (Osteomyelitis): Inā loaʻa iā ʻoe kahi maʻi bacteria koʻikoʻi i pālahalaha i ka iwi ʻauwae a ʻaʻole pane mai i ka lāʻau lapaʻau.
• ʻO ka Osteonecrosis o ka ʻāwae: Inā make ka iwi ʻāwae ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku ka bisphosphonates) a i ʻole ka radiation therapy.
• Nā ulia pōpilikia koʻikoʻi: Inā ua haki ka iwi ʻauwae i mau ʻāpana i kahi ulia pōpilikia koʻikoʻi a ua hōʻino nui ʻia ʻaʻole hiki ke hoʻoponopono ʻia ma kekahi ʻano ʻē aʻe.

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

Aia kahi manawa hoʻomākaukau ma mua o ke ʻoki ʻana, kahi e loaʻa ai i ka hui lapaʻau kahi ʻike piha o kou kūlana.

• Nā hoʻāʻo: CT scan e ana pololei i ka nui a me ka laha o ka puʻupuʻu a i ʻole ka wahi i hōʻino ʻia i loko o kou iwi ʻauwaeHana ʻia nā hoʻokolohua e like me kēia. Inā hana ʻia ke ʻoki hana hou ʻana, hana ʻia nā hoʻokolohua kūikawā e nānā i ke olakino o nā kīʻaha koko ma kahi o ka mea hāʻawi.
• Hālāwai me ka hui lapaʻau: Hana ʻia kēia ʻoki kino e kahi hui kauka multidisciplinary. Hiki i kēia hui ke komo pū me kahi kauka ʻoki kino poʻo a me ka ʻāʻī, kahi kauka hana hou, a me kahi kauka waha. E kūkākūkā kikoʻī lākou i ke ʻoki kino me ʻoe.
• Nā mea e hoʻōki ai: E aʻo ʻia ʻoe e pale i nā mea e hoʻonui ai i ke kahe ʻana o ke koko a i ʻole e hoʻopilikia i ke kaʻina hana ho'ōla i ka wā o ke ʻoki ʻana.
• ʻAila
• Nā lāʻau hoʻopau ʻeha e like me ka aspirin a me ka ibuprofen
• Ka puhipaka ʻana (cigarette) - He mea hōʻino loa kēia i ke kaʻina hana ho'ōla.
• ʻO kekahi mau lāʻau Ayurvedic a i ʻole nā ​​​​lāʻau lapaʻau

Mea nui: E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, ʻoiai nā huaora.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

He hana ʻoki kino paʻakikī kēia e lōʻihi ai kekahi mau hola. Akā, ʻaʻohe ou mea e hopohopo ai. E noho ʻoe ma lalo o ka anesthesia laulā i ke kaʻina hana holoʻokoʻa, no laila e hiamoe maikaʻi ʻoe.

I ka Marginal Mandibulectomy ...

1. E hana ke kauka ʻoki i kahi ʻoki ma loko o kou papālina.

2. Wehe ʻia ka puʻupuʻu a i ʻole ka ʻāpana maʻi o ka iwi ʻauwae, me kahi ʻiʻo olakino liʻiliʻi a puni.

3. Ua pani ʻia a ua humuhumu ʻia nā ʻoki.

I ka ʻoki ʻana o ka Mandibulectomy Segmental...

He hana lōʻihi iki kēia. Hiki i ʻelua mau hui ʻoki kino ke hana like. ʻOiai kekahi hui e hana i ke ʻoki ʻūhā, hoʻomākaukau ka hui ʻē aʻe i kahi i hāʻawi ʻia ai.

1. ʻO ka mea mua, ua wehe ʻia ka iwi ʻauwae maʻi me nā ʻiʻo a puni.

2. Hoʻouna ʻia nā ʻāpana i wehe ʻia i ka hale hana no ka hoʻāʻo ʻana e ʻike inā aia nā hunaola kanesa a inā paha ua laha lākou.

3. Nānā ʻia hoʻi e ʻike inā ua pālahalaha ke kanesa i nā lymph nodes ma ka ʻāʻī.

4. Lawe ke kime ʻoki kino ʻē aʻe i nā ʻāpana iwi, ʻili, a me nā aʻa koko e pono ai mai kahi i hoʻopili ʻia ai ka iwi (e.g., ka wāwae).

5. Hoʻohālikelike ʻia ka iwi i unuhi ʻia e like me ka ʻāpana i wehe ʻia mai ka ʻāwae.

6. I mea e hoʻolako ai i ke koko i nā ʻiʻo i hoʻoili ʻia, ua hoʻopili pono ʻia kēlā mau kīʻaha koko i nā kīʻaha koko i loko o kou ʻāʻī.

7. Hoʻopili ʻia ka ʻāwae hou i ka ʻāwae me ka hoʻohana ʻana i nā papa metala kūikawā a me nā wili, a ua pani ʻia a humuhumu ʻia nā ʻoki.

Nā mea ʻē aʻe e pili ana i ke ʻoki kino

Ma hope o ke ʻoki ʻana, pono paha ʻoe i kahi lāʻau hou aʻe e mālama i kou mau niho a me kou ʻāwae i ke kūlana kūpono a e maʻalahi ai ka hanu ʻana.

• Nā kaola hoʻopaʻa a me nā kaula laholio: Hoʻokomo ʻia kēia mau mea i loko o ka waha e mālama i nā niho a me ka ʻāwae i ke kūlike kūpono.
• ʻO ke kaʻina hana o ke alahaka:I nā lā mua ma hope o ke ʻoki kino, ua kau ʻia kahi paipu ma ke alo o ka ʻāʻī i loko o ka windpipe (trachea) e maʻalahi ai ka hanu ʻana no ka mea e pehu ka puʻu. He manawa pōkole kēia.
• ʻŌmole hānai: Ma muli o ka paʻakikī o ka ʻai ʻana ma ka waha, hoʻokomo ʻia kahi ʻōmole ma ka ihu i loko o ka ʻōpū e hāʻawi i ka meaʻai e pono ai a me ka meaʻai wai.

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

Pono ka wā hoʻōla i ke ahonui iki.

• Noho ma ka haukapila: Ma muli o ke ʻano o ke ʻoki kino āu e hana ai, pono paha ʻoe e noho ma ka haukapila no ʻelua lā a ʻelua pule. ʻO ka ʻoki kino segmental ka mea maʻamau e koi i kahi noho lōʻihi.
• Ke hoʻi ʻoe i ka home: Ma hope o kou hoʻi ʻana i ka home, he mea nui loa ia e hahai pono i nā ʻōlelo aʻoaʻo a kāu kauka. E aʻo ʻia ʻoe pehea e mālama ai i kou mau ʻoki i ka maʻemaʻe a pehea e ʻai ai. Loaʻa paha iā ʻoe kahi ʻōmole hānai ke hoʻi ʻoe i ka home, a i ʻole e ʻōlelo ʻia paha ʻoe e ʻai wale i nā meaʻai wai. E lawe i nā lāʻau ʻeha i hāʻawi ʻia iā ʻoe i ka manawa kūpono.
• Nā lāʻau lapaʻau ʻē aʻe: I kou wā e hoʻōla ai, pono paha ʻoe i ke kōkua mai kahi mea lapaʻau ʻōlelo a me kahi mea lapaʻau kino e kōkua iā ʻoe e aʻo e ale a ʻōlelo hou. Inā ua hana ʻia ʻoe i ke ʻoki no ka maʻi kanesa, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy a i ʻole chemotherapy e pepehi i nā hunaola kanesa i koe.

ʻEhia ka lōʻihi e hoʻōla piha ai?

He paʻakikī ke hāʻawi i ka manawa kikoʻī no kēia. He ʻokoʻa ia mai kēlā kanaka a kēia kanaka a ma muli o ke ʻano o ke ʻoki kino.

• He wikiwiki ka ho'ōla ʻana ma hope o kahi mandibulectomy hapa.
• Hiki i ka ho'ōla ʻana ma hope o ka mandibulectomy segmental a me ke kūkulu hou ʻana ke lilo i mau mahina. He manawa ka lōʻihi e aʻo hou ai pehea e ale ai, ʻai ai, a ʻōlelo ai.
• He mau pule paha e hoʻi ai i ka hana. Pono paha ʻoe e kali hou aku e hoʻomaka i nā hana paʻakikī e like me ka hoʻoikaika kino. E hāʻawi kāu hui lapaʻau iā ʻoe i kahi papa hana e kūpono iā ʻoe.

He aha nā hōʻailona e pono ai ke kipa koke ʻana i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e ʻimi koke i ke kōkua lapaʻau. Inā pono, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.