Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi i mua o kou pepeiao, ma kou papālina? I kekahi manawa, ʻaʻohe ʻeha, akā i kekahi manawa, ʻeha paha ke ʻai ʻoe. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. ʻO ke kumu o kēia puʻupuʻu he puʻupuʻu a he pōhaku paha i loko o kekahi o nā kelepa salivary nui i loko o ko kākou waha. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻoki kūikawā i hana ʻia i loko o ia ʻano kūlana. Mai hopohopo, e wehewehe kākou i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha ka Parotidectomy?
I ka ʻōlelo maʻalahi, ʻo ka Parotidectomy kahi hana ʻoki e wehe ai i kahi hapa a i ʻole nā ʻāpana salivary āpau i mua o kou mau pepeiao i kapa ʻia ʻo Parotid Gland. ʻO kēia nā glands salivary nui loa i loko o ko mākou kino. Ke ʻai mākou, kōkua kēia mau glands i ka hana ʻana i ka saliva e maʻalahi ai ke ale.
No ke aha ʻoe e pono ai e wehe i kēia gland? ʻElua mau kumu nui:
1. Nā puʻupuʻu: Inā ulu kahi puʻupuʻu ma kēia ʻōpū, hiki ke lilo i maʻi ʻaʻai a i ʻole benign.
2. Nā Pōhaku Huʻi: I kekahi manawa, hiki i nā "pōhaku" ke hana ʻia i loko o kēia gland, e ālai ana i nā ducts e lawe ana i ka huʻi. Hiki i kēia ke hana i ka hōʻiliʻili ʻana o ka huʻi a hoʻoulu i ka gland e pehu a lilo i ʻeha.
Aia i nā kūlana e like me kēia e hoʻoholo ai nā kauka e hana i kēia ʻoki kino.
Aia kekahi mau ʻano nui o kēia ʻoki kino?
ʻAe, ʻo ke ʻano o ka hana ʻana o kēia ʻoki kino e pili ana i kahi o ka puʻupuʻu a i ʻole ka pilikia. ʻO kahi aʻalolo koʻikoʻi loa e kaohi ana i ko mākou helehelena, e like me ka wā e minoʻaka ai mākou a pani i ko mākou mau maka, e holo ana ma o kou gland parotid. Kapa mākou ia he aʻalolo maka . Aia ʻelua ʻāpana o ka gland ma luna a ma lalo o kēia aʻalolo. No laila, ua māhele ʻia ke ʻoki kino i ʻelua ʻano.
1. Parotidectomy Superficial: Pili kēia i ka wehe ʻana i kahi puʻupuʻu mai ke kelepaʻi ma luna o ke aʻalolo maka. Hana pinepine ʻia kēia ʻano hana ʻoki kino.
2. Parotidectomy holoʻokoʻa: Ma kēia, inā he puʻupuʻu ma ka ʻāpana hohonu ma lalo o ke aʻalolo maka, a inā ua pālahalaha ka puʻupuʻu i nā ʻāpana ʻelua, e wehe ʻia ka gland holoʻokoʻa.
E nānā ke kauka iā ʻoe a, inā pono, e hana i nā scan e hoʻoholo pono i ke ʻano o ke ʻoki kino āu e pono ai.
Pehea ʻoe e hoʻomākaukau ai no ke ʻoki kino?
ʻOiai he hana ʻoki kino kēia, aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau no ma mua o ka hana ʻana. Na kāu kauka ʻoki kino (he kauka otolaryngologist - he kauka pepeiao, ihu, a me ka puʻu) e hāʻawi iā ʻoe i nā ʻōlelo kikoʻī no kēia.
I nā manawa e like me kēia, he manaʻo maikaʻi ka lawe ʻana mai i kahi lālā o ka ʻohana a i ʻole he hoaaloha me ʻoe i kou hele ʻana e ʻike i ke kauka. Ma kēlā ala, inā poina iā ʻoe kekahi mea, hiki i kēlā kanaka ke hoʻomanaʻo iā ia a kōkua iā ʻoe.
Eia nā mea āu e hana pinepine ai:
- Inā ʻoe e puhipaka, pono ʻoe e hoʻōki ma mua o ke ʻoki ʻana. Hoʻopaneʻe ka puhipaka i ka ho'ōla ʻana o ka ʻeha.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau (e laʻa, no ka maʻi diabetes, ke koko kiʻekiʻe) a i ʻole nā huaʻai āu e lawe nei. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ke ʻoki ʻana.
- E ʻike pono i ka wā e pono ai ke hoʻōki i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana.
- E nīnau inā pono ʻoe e noho i ka haukapila ma hope o ke ʻoki ʻana, a inā hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
- E hoʻonohonoho i kekahi e hele pū me ʻoe i ka home a me kekahi e mālama iā ʻoe no nā hola 24 mua a i ʻole kekahi mau lā ma hope o kou hoʻi ʻana i ka home.
Nā hoʻokolohua ma mua o ke ʻoki ʻana
Inā he puʻupuʻu, hiki i ke kauka ke hana i kekahi mau hoʻokolohua ma mua o ke ʻoki ʻana:
- ʻO ka hoʻohemo ʻana i ka nila maikaʻi (FNA): Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu me ka hoʻohana ʻana i kahi nila maikaʻi a hoʻāʻo ʻia no nā hunaola kanesa.
- CT scan a i ʻole MRI scan: Inā kokoke loa ka puʻupuʻu i ke aʻalolo maka koʻikoʻi, hiki i kēia mau scan ke kōkua i ke kauka ʻoki, e like me ka palapala ʻāina, e makaʻala ʻaʻole e hōʻino i kēlā aʻalolo i ka wā o ke ʻoki ʻana.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻAʻole ʻoe e manaʻo i kekahi mea e pili ana i kēia, no ka mea, e hana ʻia ke ʻoki ʻana ma lalo o ka anesthesia laulā a e hiamoe maikaʻi ʻoe.
Hana ke kauka lapaʻau i kēia mau hana:
1. Ke ʻoki ʻana: Hana ʻia kahi ʻoki e hoʻomaka ana ma mua o kou pepeiao, e hele ana ma lalo o ka pepeiao, a ma hope o kahi ʻūmiʻi maoli ma luna o kou ʻāʻī. Hana ʻia kēia i ʻole e ʻike maʻalahi ʻia ka ʻoki ma hope.
2. Ke hōʻike ʻana i ke aʻalolo: Huki ʻia ka ʻili i hope e hōʻike i ke aʻalolo parotid. I kēia manawa, hiki ke hoʻohana ʻia kahi mea nānā i ke aʻalolo maka e nānā no ka hōʻino ʻia o ke aʻalolo maka.
3. Ka wehe ʻana i ke gland: Wehe pono ʻia ka ʻāpana pono o ke gland a i ʻole ke gland holoʻokoʻa. Inā hōʻoia nā hoʻokolohua he maʻi kanesa ia a ua ʻike ʻia ua pālahalaha i nā lymph nodes kokoke, e wehe pū ʻia kēlā mau lymph nodes i ka manawa like.
4. Ke humuhumu ʻana i ka ʻoki: A laila e humuhumu maikaʻi ʻia ka ʻoki.
5. Ke hoʻokomo ʻana i kahi ʻauwai: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi (ʻauwai ʻoki) e pale i ke koko a i ʻole nā wai ʻē aʻe mai ka hōʻiliʻili ʻana i loko o ka ʻeha a e hoʻokahe iā lākou i waho. Wehe ʻia kēia i hoʻokahi a ʻelua paha lā.
ʻO ka maʻamau, ʻelua a ʻehā hola ka lōʻihi o kēia hana holoʻokoʻa.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, loaʻa i kēia ʻoki kino nā pono a me nā pilikia.
ʻO ka pōmaikaʻi nui , hiki iā ia ke ho'ōla i ka maʻi ma ke kelepa parotid. Inā he puʻupuʻu maʻamau ia, e ho'ōla loa ʻia ma hope o ke ʻoki ʻana. Inā he puʻupuʻu kanesa ia, hiki ke wehe ʻia ma mua o ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino a hiki ke hoʻopakele i nā ola. He lāʻau lapaʻau kūpono hoʻi ia no ka ʻeha nui a me nā maʻi i hoʻokumu ʻia e nā pōhaku salivary.
Eia nō naʻe, no ka mea he ʻoki kino paʻakikī kēia, aia kekahi mau pilikia a me nā hopena ʻaoʻao e hiki ke loaʻa. ʻO ka hapa nui o kēia mau mea he manawa pōkole wale nō.
| Ka hopena ʻaoʻao/pilikia | He wehewehe maʻalahi |
|---|---|
| ʻO ka numbness ma ka maka, ka pepeiao, a i ʻole ka ʻāwae | Hiki ke manaʻo ʻia he mae ka ʻili ma ka ʻaoʻao o ke ʻoki kino. E nalowale mālie ana kēia i loko o kekahi mau mahina a i hoʻokahi makahiki. |
| Ka nāwaliwali o ka helehelena | Ma hope o ke ʻoki ʻana, hiki ke pehu iki ke aʻalolo maka, e hana ana i kahi manaʻo o ka huki ʻana ma kekahi ʻaoʻao o ka maka, a me kahi ʻoluʻolu iki i ka wā e minoʻaka ai a pani paha i nā maka. Hoʻōla piha ʻia kēia i loko o kekahi mau pule a i ʻole mau mahina. He mea kākaʻikahi loa ka hōʻino mau loa. |
| ʻO ka maʻi Frey | He ʻano ʻē kēia kūlana. I kekahi mau mahina ma hope o ke ʻoki kino, ke ʻai ʻoe, hoʻomaka ʻoe e hou ma ka ʻaoʻao o kou papālina kahi i hana ʻia ai ke ʻoki kino. Aia kekahi lāʻau lapaʻau no kēia. |
| ʻO ka maʻi nahu mua | He ʻeha ʻoi ma ka ʻaoʻao ʻākau o ka ʻauwae i ka wā e ʻai mua ai i ka ʻai. Hoʻomaha pinepine kēia ma hope o kekahi manawa. |
| Ka hōʻiliʻili koko (Hematoma) | Hiki i ke koko ke hōʻiliʻili i loko o ka ʻeha a hoʻoulu i ka pehu. Hoʻokomo ʻia ka ʻauwai e pale aku i kēia. |
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ke ala ʻoe mai ka anesthesia, e noho ana ʻoe i loko o kahi lumi hoʻōla. E nānā mau ana ke kahu maʻi i kou pulse a me ke koko. E hāʻawi lākou iā ʻoe i ka lāʻau ʻeha. E noi paha lākou iā ʻoe e minoʻaka a pani pono i kou mau maka e nānā i ka hana pono ʻana o kou mau aʻalolo maka.
Ma mua o kou hoʻi ʻana i ka home, e aʻo ʻia ʻoe pehea e mālama ai i kou ʻeha, pehea e mālama ai i ka ʻauwai (inā loaʻa), a me ka wā e pono ai ʻoe e hoʻi e wehe i nā humuhumu a me ka ʻauwai.
ʻEhia ka lōʻihi e hoʻōla ai?
Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau ma hope o ʻelua pule. Eia nō naʻe, hiki i ka mae ʻana o ka maka a me ka nāwaliwali o ka maka ke hala i kekahi mau mahina a i hoʻokahi makahiki paha e hoʻōla piha ai. He mea nui e hoʻomanawanui.
Inā wehe ʻia kahi puʻupuʻu kanesa, pono ʻoe e ʻike pinepine i kāu kauka no ka manawa lōʻihi (hiki paha i 20 mau makahiki) e ʻike ai inā e hoʻi mai ia.
Āhea ʻoe e pono ai e ʻike i kāu kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- Inā loaʻa iā ʻoe ka ʻeha nui ʻaʻole ia e emi ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- Inā manaʻo ʻoe e hoʻonui ana ka mae a nāwaliwali paha o kou helehelena.
- Inā e kahe ana ka ʻeha i ka pus, ka wai, a i ʻole ke koko.
- Inā ʻulaʻula ka ʻāpana a puni ka ʻeha, wela ke pā, a ʻeha paha ke pā ʻia.
- Inā he ʻala ʻino e puka mai ana mai ka ʻeha mai.
ʻO kēia mau hōʻailona paha he mau hōʻailona ia o kahi maʻi, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻO ka parotidectomy kahi hana ʻoki e wehe ai i nā ʻōpū a i ʻole nā pōhaku mai ke kelepa salivary (parotid gland) aia ma mua o ka pepeiao.
- ʻOiai ua hana ʻia kēia ʻoki kino ma kahi kokoke i kahi aʻalolo maka koʻikoʻi loa, he mea nui e ʻimi i ke kōkua o ke kauka lapaʻau kūikawā.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua o ke ʻoki ʻana (e hoʻōki i ka puhipaka, e aʻo iā ʻoe iho e pili ana i nā lāʻau lapaʻau).
- He mea maʻamau ka ʻike ʻana i ka mae ʻana o ka maka a i ʻole ka nāwaliwali iki ma hope o ke ʻoki ʻana. E hoʻopau ʻia ka hapa nui o kēia mau mea i ka hala ʻana o ka manawa.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi i loko o ka ʻeha (pus, pehu nui, ʻulaʻula, kuni), mai hoʻokaʻulua a e hoʻomaopopo koke i kāu kauka.
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