ʻO ke ʻoki ʻana o Maxillectomy: Mai makaʻu kākou a e makaʻala i kēia

Ke haʻi aku ke kauka iā ʻoe e pono ʻoe e hana i kahi ʻoki nui ma kahi ʻāpana o kou maka, he mea maʻamau ke manaʻo nui i ka makaʻu a me ka haʻalulu. I kēlā manawa, nui nā nīnau e hiki mai ana i ka noʻonoʻo. "He aha ke ʻano o kēia ʻoki? He aha ka mea e hiki mai ana iaʻu? E loli anei koʻu helehelena?" He mea maʻamau ka noʻonoʻo ʻana i nā mea e like me kēia. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki he mea paʻakikī iki hoʻi, akā i kekahi manawa he mea nui ia e hoʻopakele i nā ola. ʻO ia ka maxillectomy.

I ka ʻōlelo maʻalahi, he aha ka maxillectomy?

ʻO ka maxillectomy ka wehe ʻoki ʻana i ka ʻāpana a pau a i ʻole kekahi hapa o kou iwi ʻauwae luna (maxilla). E noʻonoʻo i kēia ʻano: ʻo ka maxilla ka ʻāpana o kou ʻauwae e kau ana ma luna o kou lehelehe luna, ma nā ʻaoʻao ʻelua o kou ihu, a kahi e hoʻomaha ai kou mau niho luna. Ma hope o kēia ʻoki ʻana, pono pinepine ʻoe e hana i ke ʻoki hana hou e hoʻihoʻi i ka ʻāpana i wehe ʻia.

No ke aha he mea pono e hana i kēia ʻano ʻoki kino?

I ka hapanui o nā hihia, ʻo ke kumu nui o kēia ʻoki kino, ʻo ia ke kanesa. Paipai nui ʻia kēia ʻoki kino inā ua ulu a laha paha ke kanesa i kēia mau ʻāpana o kou kino.

• Ka maʻi ʻaʻai o ka maxilla .
• Ka maʻi ʻaʻai nasopharyngeal.
• ʻO ke kanesa e kū ana ma luna o ke kaupaku o kou waha ua kapa ʻia ʻo ia he kanesa waha.
• Nā puʻupuʻu sinonasal .

Eia kekahi, pono paha kēia ʻoki kino i kekahi manawa ma muli o kahi maʻi fungal koʻikoʻi loa (invasive fungal sinusitis) . Hoʻokumu ʻia kēia e kahi maʻi koʻikoʻi a me ka luku ʻia ʻana o nā ʻiʻo i loko o nā lua sinus ke hanu ʻia kekahi mau ʻano fungi.

ʻO ka ʻāwae luna wale nō anei ka mea e wehe mau ʻia?

ʻAʻole. Inā ua pālahalaha ke kanesa i nā ʻiʻo kokoke, pono paha e wehe ʻia kekahi o kēlā ʻiʻo. I kēia hihia, hiki ke wehe ʻia nā mea āpau a i ʻole kekahi hapa o kēia mau mea:

• Maka
• Palau paʻakikī
• ʻO ke aʻalolo e hāʻawi ana i ka manaʻo i ka ʻili ma lalo o ka maka
• Nā iwi a puni ka maka (Orbit/eye socket)
• Papahele orbital
• Nā niho i koe ma ka ʻāwae luna e wehe ʻia ana
• ʻAuwaha waimaka

Hana ʻia kēia hoʻoholo e kahi hui o nā loea, nāna e aʻo pono i ka nui o ke kanesa, pehea i laha ai, a me nā kumu ʻē aʻe he nui, e like me nā hoʻokolohua e like me MRI a me CT scans. E wehewehe kāu kauka i nā kikoʻī āpau iā ʻoe.

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He aha nā ʻano o nā ʻoki maxillectomy?

ʻO ke ʻano o ke ʻoki kino e pili ana i ka nui a me kahi o ka puʻupuʻu. I mea e maʻalahi ai iā ʻoe ke hoʻomaopopo, e nānā kākou i kēia mau ʻano ma kahi papa.

He aha nā mea hou aʻe e pono ai me kēia ʻoki kino?

Pono paha ʻoe e kū i kekahi mau mea ʻē aʻe i ka wā a ma hope paha o kēia ʻoki kino.

• Ke kau ʻana o ka ʻōmole hānai: He mea pono kēia e hāʻawi i ka meaʻai no ka mea he paʻakikī ke lawe ʻana i ka meaʻai ma ka waha.
• Dacryocystorhinostomy: Hana ʻia kēia ʻoki kino e kāohi i ke kahe ʻana o nā waimaka (nā maka waimaka) inā e wehe ʻia ke ala waimaka.
• ʻO ka ʻoki ʻana i ka ʻāʻī: Inā he kānalua ua pālahalaha ke kanesa i nā lymph nodes ma ka ʻāʻī, e wehe ʻia.
• ʻO Tracheostomy e kōkua iā ʻoe e hanu: Inā manaʻo ʻia ka pehu ʻana ma kou alo ma hope o ke ʻoki ʻana e hoʻopilikia ana i kou alaloa, hiki ke hana ʻia kahi lua liʻiliʻi ma ke alo o kou ʻāʻī a hiki ke hoʻokomo ʻia kahi paipu e kōkua manawa pōkole iā ʻoe e hanu.
• ʻO ke ʻoki hana hou: He mea nui kēia no ka hoʻihoʻi ʻana i nā ʻāpana o ka maka i wehe ʻia.

He aha nā pono a me nā pilikia o ke ʻoki kino?

ʻO ka pōmaikaʻi nui , ʻo ia ka wehe ʻana i nā ʻiʻo kanesa a hoʻonui i ka manawa e ola ai .

Eia nō naʻe, e like me nā hana nui a pau, aia nā pilikia a me nā pilikia e hiki ke hana.

• Ke kahe koko a me ka ʻeha (Hematoma).
• Nā ʻūpā koko.
• Ke kuʻe nei ka lihilihi o lalo.
• Nā pilikia me ka hana o ka ʻōmole Eustachian, ka mea e hoʻopili ai i ka pepeiao a me ka ʻāʻī.
• Ka maʻi ʻana.
• ʻŌʻō ma ka papālina ma muli o ka hōʻino ʻia ʻana o ke aʻalolo.
• Ka hoʻokahe pinepine ʻana o nā maka (Epiphora).

E aʻo aku kāu hui lapaʻau iā ʻoe e pili ana i kēia mau pilikia.

Nā mea e pono ai ʻoe e ʻike e pili ana i ka manawa hoʻōla

ʻO ke ola hou ʻana ma muli o ke ʻano o ke ʻoki kino i hana ʻia ai ʻoe.

ʻOiai ma ka haukapila

I ka wā ho'ōla mua, hiki iā ʻoe ke manaʻo:

• Pono paha ʻoe e noho i ka haukapila a hiki i ʻelua pule , ʻoiai inā ua hana ʻia ʻoe i kahi ʻoki hana hou nui.
• E hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau no ka ʻeha, e pale aku i nā ʻūpā koko, a e pale aku i ka maʻi.
• E hāʻawi ʻia ka oxygen keu ma o ka tracheostomy.
• E hoʻolako ʻia ka meaʻai hoʻohui ma o kahi ʻōmole hānai.

Ma hope o ka hoʻi ʻana mai ka haukapila

• E pale i ka hana luhi a hiki i kou olakino maikaʻi ʻana.
• E ʻai wale i nā wai a me nā meaʻai palupalu a hiki i ka wā e ola ai nā ʻeha ʻoki.
• E hōʻalo i nā meaʻai a me nā mea inu wela , no ka mea, hiki ke mae kekahi mau ʻāpana o kou waha.

Hiki i ka ho'ōla ʻana ke hala i nā mahina, ʻoiai hoʻi e loaʻa hou ai ka hiki ke ʻōlelo a me ke ale. ʻO ke ahonui ke kī.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

Inā ʻike ʻoe i nā hōʻailona ma lalo nei i kou wā e hoʻōla ai, e kelepona koke aku i kāu kauka.

• Inā piʻi ka pehu ma ke ʻano ʻē .
• Inā ʻoe e paʻakikī ana i ka hanu ʻana .
• Kuni (he hōʻailona paha kēia o kahi maʻi).
• Inā he ʻeha hiki ʻole ke kāohi ʻia ma hope o ka lawe ʻana i nā mea hoʻomaha ʻeha.

Nā loea e kōkua iā ʻoe i kou wā e hoʻōla ai

ʻAʻole kēia he huakaʻi āu e hele hoʻokahi ai. Aia kahi hui o nā loea e kōkua iā ʻoe.

• Nā Kauka ʻAi Meaʻai: E hāʻawi i nā ʻōlelo aʻoaʻo no ka loaʻa ʻana o ka meaʻai āu e pono ai, ʻoiai inā paʻakikī ka ʻai ʻana.
• Nā kauka lapaʻau a i ʻole radiation oncologists: Hoʻonohonoho i nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy a me ka radiation therapy.
• Nā Kauka Hana Niho: Kōkua lākou iā ʻoe e loaʻa hou ka hiki ke ʻai me nā niho hana kūikawā a me nā mea hana.
• Nā mea hoʻōla ʻōlelo: Kōkua iā ʻoe e aʻo e ʻōlelo, moni, a ʻai hou.