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.
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.
| ʻAno o ke ʻoki kino | He aha ka mea i hana wale ʻia |
|---|---|
| ʻO ka ʻoki ʻana o ka maxillectomy waena | Ka wehe ʻana i ka ʻāwae luna a me nā niho pili kokoke i ka ihu. Hana pinepine ʻia no nā maʻi ʻaʻai i loko o ka ihu, i kekahi manawa hana ʻia me ka hoʻohana ʻana i kahi endoscope i hoʻokomo ʻia ma loko o ka puka ihu. |
| ʻOihana Maxillectomy | Ka wehe ʻana i ka ʻaoʻao haʻahaʻa o ka ʻāwae luna, nā niho, a me ka lehelehe luna. Hoʻokumu kēia i kahi lua ma ka lehelehe luna. Pono ka ʻiʻo i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino a i ʻole kahi prosthetic kūikawā e pani ai. |
| ʻO ke kūkulu ʻana o ka Maxillectomy | Ka wehe ʻana i ka ʻaoʻao o luna o ka ʻāwae o luna. Hiki i kēia ke pili i ka wehe ʻana i nā ʻāpana e like me ka maka, nā iwi a puni ka maka, a me ke kahawai waimaka. Pono ke ʻoki kino kūkulu hou nui. ʻOiai hiki i ka maka prosthetic ke hoʻihoʻi i ke ʻano, ʻaʻole hiki iā ia ke hoʻihoʻi i ka ʻike. |
| ʻO ka Maxillectomy hapa (hapa) | Ke wehe ʻana i kahi ʻāpana wale nō o ka ʻāwae luna me ka hoʻohana ʻana i kekahi o nā ʻano hana i ʻōlelo ʻia ma luna. |
| Maxillectomy holoʻokoʻa | Wehe ʻia ʻana o ka ʻāwae luna holoʻokoʻa, ka lehelehe luna, a me ke kākoʻo iwi ma lalo o ka maka ma kekahi ʻaoʻao o ka maka. Pono ke ʻoki hana hou nui a me nā mea hana prosthetic. |
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.
Leka Lawe-Home
- ʻOiai he hana nui ka maxillectomy, he hana ia e hoʻōla ai i ke ola.
- He hana ka ho'ōla hou ʻana e pono ai ka manawa a me ke ahonui. Pono paha ʻoe e hoʻomaʻamaʻa hou iā ʻoe iho e ʻōlelo a moni.
- Hiki ke loli kou helehelena, akā hiki ke hoʻihoʻi nui ʻia me ke ʻoki hana hou a me nā mea hana prosthetic.
- Aia kahi hui nui o nā kauka, nā mea hoʻōla ʻōlelo, a me nā mea lapaʻau meaʻai e kōkua iā ʻoe ma kēia huakaʻi.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.











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