He pehu liʻiliʻi ma ka ʻāʻī, paʻakikī i ka moni ʻana, a i ʻole ke kanesa thyroid ... Ua haʻi aku anei ke kauka iā ʻoe e pili ana i kahi hana e wehe ai i ke kelepa thyroid no kekahi kumu e like me kēia? He mea maʻamau loa ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia. "ʻO wai ka mea makemake ʻole i kahi hana?" e noʻonoʻo paha ʻoe. Akā inā ʻike pololei mākou a maʻalahi e pili ana i kēia hana i kapa ʻia ʻo ` Thyroidectomy` , hiki ke hoʻopau ʻia kēlā makaʻu i kahi nui. No laila, e kamaʻilio kākou e pili ana i nā mea āpau e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka thyroidectomy?
ʻAe, e nānā mua kākou i ke ʻano o ka thyroid gland. He ʻano pepeke liʻiliʻi ka thyroid gland aia ma ke alo o kou ʻāʻī, ma kēlā ʻaoʻao kēia ʻaoʻao o kou ʻōpū hanu. ʻOiai he liʻiliʻi ia, hana nui kāna hana. Hoʻomalu ia i nā kaʻina hana koʻikoʻi he nui i loko o ke kino, e like me ka metabolism.
I kēia manawa, ʻo ke ʻano o ka "Thyroidectomy" ʻo ia ka wehe ʻana i ke kelepa thyroid, ma ke ʻano holoʻokoʻa (ʻo ia hoʻi "Total Thyroidectomy") a i ʻole ma kahi hapa wale nō (ʻo ia hoʻi "Partial Thyroidectomy"). E like me ka wehe ʻana i ka niho pala, ʻo ka mea e hana ʻia nei ma ʻaneʻi, ʻo ia ka wehe ʻana i ke kelepa thyroid a i ʻole kekahi hapa o ia mea i hōʻino ʻia e kekahi ʻano maʻi.
No ke aha mākou e pono ai e hana i kēia hana?
"No ke aha ʻoe e wehe koke ai i kahi thyroid olakino maikaʻi loa?" e noʻonoʻo paha ʻoe. Aia kekahi mau kumu nui no kēia. E nānā pono kākou i kēlā mau kumu.
| Ke kumu no ke ʻoki kino | ʻO ke ʻano kēia... |
|---|---|
| Nā puʻupuʻu thyroid | He mau puʻupuʻu kēia o nā ʻāpana e hana ʻia ana i loko o ke kelepa thyroid. ʻAʻole ka hapa nui o kēia mau mea he maʻi kanesa . Eia nō naʻe, hiki i kekahi mau puʻupuʻu ke lilo i maʻi kanesa. Hiki i kekahi mau puʻupuʻu ke hana i ka hormone thyroid ma mua o ka mea e pono ai. Inā he kānalua e pili ana inā he maʻi kanesa kahi puʻupuʻu a ʻaʻole paha, hiki i kāu kauka ke ʻōlelo e wehe iā ia. |
| ʻO ka goiter | He huaʻōlelo kēia i lohe ʻia e ka poʻe he nui ma ko kākou ʻāina. I ka ʻōlelo maʻalahi, he hoʻonui ʻia ia o ke kelepa thyroid. Ke nui ka kelepa ma kēia ʻano, hoʻomaka ia e kaomi ma luna o ka trachea a me ka esophagus ma ka ʻāʻī. A laila, hiki ke ʻike ʻia nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a me ka paʻakikī o ka ale ʻana i ka meaʻai . I ia mau hihia, wehe ʻia ka kelepa e hōʻoluʻolu i kēia kaomi. |
| Ka maʻi ʻaʻai thyroid | Inā ʻike ʻia nā hunaola kanesa e ulu ana i loko o ke kelepa thyroid, ʻo ke ʻoki kino ke ala maikaʻi loa e wehe loa ai i nā hunaola kanesa. I ka manawa pinepine, wehe ʻia ka kelepa holoʻokoʻa, a inā pono, wehe ʻia nā kikowaena lymph a puni. |
| Hyperthyroidism | He kūlana kēia e lilo ai ke kelepa thyroid i mea hana nui a hana i nā hormones ma mua o ka mea e pono ai ke kino. ʻOiai aia nā lāʻau lapaʻau no kēia, i kekahi mau hihia, inā ʻaʻole hiki i nā lāʻau lapaʻau ke kaohi iā ia a i ʻole no nā kumu ʻē aʻe, hiki i nā kauka ke kuhikuhi i ke ʻoki ʻana. |
He aha nā ʻano o nā ʻokiʻoki thyroidectomy?
ʻElua ʻano nui o ke ʻoki kino. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa iā ʻoe ma muli o kou kūlana.
- ʻO ka Thyroidectomy holoʻokoʻa: ʻO kēia kahi e wehe loa ʻia ai kou kelepa thyroid a kokoke paha. Hoʻohana pinepine ʻia kēia kaʻina hana i nā hihia o ke kanesa thyroid a i ʻole ka goiter i pālahalaha ma loko o ka kelepa.
- ʻO ka Thyroidectomy hapa: Ua kapa ʻia kēia he 'Hemithyroidectomy' a i ʻole 'Lobectomy'. ʻElua mau ʻāpana nui (lobes) o ka thyroid gland. Hoʻopau kēia ʻoki kino i hoʻokahi o nā ʻāpana ʻelua. Hoʻohana pinepine ʻia kēia ʻano hana inā he puʻupuʻu ma kekahi ʻaoʻao o ka gland.
ʻO ka hoʻoholo e pili ana i ke ʻoki kino āu e pono ai e hana ʻia e kāu endocrinologist a me ke kauka ʻoki ma hope o ka nānā ʻana i kou kūlana olakino. No laila, mai hopohopo no ia mea.
Nā nīnau koʻikoʻi e nīnau aku i ke kauka ma mua o ke ʻoki ʻana
He kuleana kou e nīnau i kāu mau nīnau a pau ma mua o ke ʻoki ʻana, a e kōkua ia i ka hōʻoluʻolu ʻana i kou mau makaʻu. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka.
- No ke aha e pono ai kēia ʻoki kino, e ke kauka? ʻAʻohe anei he mau lāʻau lapaʻau ʻē aʻe no koʻu maʻi?
- He aha nā pilikia o kēia hana? He aha nā kūlana o nā pilikia?
- ʻEhia ka nui o koʻu kelepa thyroid āu e manaʻo nei e wehe ʻia? ʻO ia āpau? A i ʻole he hapa wale nō?
- Pono anei au e lawe i nā lāʻau hormone thyroid no ke koena o koʻu ola ma hope o ke ʻoki ʻana? (He nīnau kēia a ka poʻe he nui)
- ʻEhia ka lōʻihi o koʻu noho ʻana ma ka haukapila ma hope o ke ʻoki ʻana? ʻEhia ka lōʻihi e hoʻi ai i ka maʻamau?
ʻO nā pane i kēia mau nīnau e hāʻawi iā ʻoe i kahi ʻike maikaʻi aʻe i ke kaʻina holoʻokoʻa.
Pehea mākou e hoʻomākaukau ai no ka hana?
E like me nā ʻoki kino āpau, pono kēia i kekahi hoʻomākaukau. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia.
He mau pule ma mua o ke ʻoki kino
- Nā hoʻāʻo: Hiki ke kauoha ʻia kahi scan ultrasound thyroid e ʻike pono i kahi o ka puʻupuʻu . Inā he kānalua inā he maʻi kanesa ka puʻupuʻu, hiki ke hana ʻia kahi ʻomi nila maikaʻi (biopsy) , ʻo ia hoʻi ka lawe ʻana i kahi hāpana liʻiliʻi o nā cell me kahi nila.
- Hoʻāʻo leo: Hiki ke hoʻāʻo ʻia ka hana o kāu mau kaula leo , ka mea e hana ai i kou leo.
- Lāʻau lapaʻau: Inā kiʻekiʻe loa nā pae hormone thyroid, e noi ʻia ʻoe e hoʻomaka i ka lāʻau lapaʻau ma mua o ke ʻoki ʻana e kaohi iā ia.
- Puhipaka: Inā he mea puhipaka ʻoe, e aʻo maoli aku kāu kauka iā ʻoe e haʻalele, no ka mea, hiki i ka puhipaka ke hoʻopilikia i ka anesthesia a me ke kaʻina hana ho'ōla.
Ma kahi o hoʻokahi pule ma mua o ke ʻoki kino
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau i kauoha ʻia, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. E haʻi aku ʻo ia iā ʻoe i nā lāʻau lapaʻau āu e lawe ai a me nā mea āu e hoʻōki ai i ka lawe ʻana i ka lā o kāu ʻoki kino.
- Nā lāʻau hoʻokahe koko: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, pono ʻoe e hoʻōki iā lākou no kekahi manawa ma ke ʻōlelo aʻo a kāu kauka. Mai hoʻōki i ka lawe ʻana iā lākou me ke ʻole o ke aʻo a kāu kauka.
Ma mua o ke ʻoki kino
Ka hoʻokē ʻai ʻana (ka pale ʻana i ka meaʻai a me nā mea inu ʻē aʻe ma mua o ka wai) no kekahi mau hola ma mua o ke ʻoki ʻana.Pono ʻoe e kali. E loaʻa iā ʻoe nā ʻōlelo aʻoaʻo maopopo mai ka haukapila mai e pili ana i kēlā.
He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?
ʻAʻole pono ʻoe e noʻonoʻo nui i kēia, no ka mea, ua hiamoe loa ʻoe.
Ma mua o ke ʻoki ʻana, e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia a hoʻomoe loa iā ʻoe . No laila, ʻaʻole ʻoe e ʻeha. I mea e maʻalahi ai ka hanu ʻana i ka wā o ke ʻoki ʻana, e kau ʻia kahi ʻōmole hanu ma kou puʻu.
Aia kekahi mau ala no ke kauka e hiki ai i ka thyroid gland:
- ʻAno hana kuʻuna: Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kahi ʻoki liʻiliʻi ma ka ʻāʻī. Hana ʻia kēia e hōʻemi i ka ʻeha.
- Mini-incisional angioplasty (MIVAT): Hana ʻia kēia ʻoki ma o kahi ʻoki liʻiliʻi loa me ke kōkua o kahi kāmela.
- Nā ʻano hana ʻoki ʻole: Aia i kēia manawa nā ʻano hana no ke ʻoki ʻana ma ka hana ʻana i nā ʻoki ma nā wahi i ʻike ʻole ʻia ai nā ʻeha, e like me loko o ka waha a ma lalo o nā ʻāʻī.
- Kākaʻikahi loa: Inā ua hele ka gallbladder a hiki i ka umauma, pono paha e hana ʻia ma o ka iwi umauma.
Inā no ke kanesa ke ʻoki ʻana, e lawe ke kauka ʻoki i kahi hāpana o nā lymph node a puni ka thyroid gland a nānā iā lākou. Inā ʻike ʻia ua pālahalaha ke kanesa ma laila, hiki ke wehe ʻia kēlā mau lymph node.
I ka pau ʻana o ke ʻoki kino, hoʻokomo ʻia nā humuhumu hiki ke hoʻoheheʻe ʻia i loko a hoʻopili ʻia kahi ʻano kelu kūikawā ma luna o ka ʻili.
ʻO ka maʻamau, ʻo ke ʻoki ʻana e wehe i ke kelepa thyroid holoʻokoʻa he 1-3 mau hola. ʻOi aku ka liʻiliʻi o ka manawa e lawe ai ke ʻoki ʻana e wehe i kahi hapa wale nō o ke kelepa.
He aha nā pilikia o kēia hana?
ʻO ka mea mua, he ʻoki palekana loa ka thyroidectomy i ka hapa nui o nā hihia . He kākaʻikahi nā pilikia. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia.
- Ke kahe koko nui: He mea kakaikahi loa kēia, akā inā hana ia, hiki i kahi ʻūpā koko ke ālai i ke alaloa a hoʻopilikia i ka hanu ʻana.
- Ka hōʻino ʻana i nā kaula leo: Hele kokoke loa nā aʻalolo e kāohi ana i ka leo i ka ʻōpū thyroid. Inā hōʻino ʻia kēia mau aʻalolo i ka wā o ke ʻoki ʻana, hiki ke loaʻa kahi leo haʻalulu a nāwaliwali paha. He manawa pōkole pinepine kēia. Akahele loa nā kauka lapaʻau e ʻike i kēia mau aʻalolo a pale i ka hōʻino ʻana iā lākou.
- Ka hōʻino ʻana i nā kelepa parathyroid: Hoʻopili ʻia i ke kua o ka kelepa thyroid, aia ʻehā mau kelepa liʻiliʻi e like me ka nui o ʻehā mau hua laiki. Ua kapa ʻia kēia mau kelepa parathyroid. Hoʻomalu lākou i nā pae calcium i loko o ke kino. Inā hōʻino ʻia kēia mau mea i ka wā o ke ʻoki ʻana, hiki i nā pae calcium i loko o ke koko ke hāʻule (hypocalcemia) .
ʻOi aku ka nui o ka hiki ʻana mai o kēia mau mea pilikia inā loaʻa iā ʻoe ke kanesa holomua, inā ʻo kēia kāu ʻoki kino thyroid ʻelua, a inā he goiter nui loa kou.
ʻEhia ka lōʻihi e hoʻōla piha ai?
E noho ʻoe ma ka haukapila no hoʻokahi a ʻelua paha lā. Ke ala loa ʻoe mai ka anesthesia, hiki iā ʻoe ke ʻai i nā meaʻai māmā a inu i nā wai. Hiki paha iā ʻoe ke ʻeha iki i ka puʻu no kekahi mau lā ma muli o ka ʻōmole hanu i kau ʻia i ka wā o ke ʻoki ʻana.
Ma mua o kou hoʻi ʻana i ka home, e loaʻa iā ʻoe nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu ʻoki.
ʻO ka maʻamau, e ʻoi aku ka maikaʻi o kou manaʻo i loko o ʻelua a ʻekolu mau pule . Eia nō naʻe, pono ʻoe e kali ma ka liʻiliʻi he ʻelua pule ma mua o kou hoʻomaka hou ʻana i nā hana e like me ka hoʻoikaika kino a me ka hāpai ʻana i nā mea kaumaha.
E pili ana i ka ʻeha
ʻAe, e waiho ʻia kahi ʻeha liʻiliʻi ma ke alo o ka ʻāʻī. Hiki i kēia ke anawaena mai 1-2.5 ʻīniha. Eia nō naʻe, e hana ke kauka i kēia ʻoki ma kahi ʻili o ka ʻāʻī, no laila e emi iki ka ʻike ʻia ʻana i ka hala ʻana o ka manawa. Hiki i ka ʻeha ke hala i 12-18 mau mahina e ho'ōla piha ai. I ka wā mua, he ʻulaʻula paha a piʻi iki aʻe, akā i ka hala ʻana o ka manawa, e mae wale ia i kahi kala māmā a lilo i ʻulaʻula me ka ʻili. E hahai i nā ʻōlelo a kāu kauka e kōkua i kou ʻeha e ho'ōla koke.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
Ma hope o ka hoʻi ʻana i ka home, he mea nui e hana koke inā kū mai kekahi pilikia. E makaʻala i nā hōʻailona ma lalo nei.
| Hiʻohiʻona e hoʻolohe ai | He aha e hana ai |
|---|---|
| Ka pehu ʻana, ke kahe ʻana o ke koko, a i ʻole ka wai e like me ka nahu e kahe ana mai ka wahi i ʻoki ʻia. | E hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU) . |
| Kuni** (ʻoi aku ma mua o 101°F / 38°C). | E kāhea koke aku i kāu kauka. |
| ʻO ka maneʻo a i ʻole ke ʻano ʻūlū ma ka maka, nā lima, a i ʻole nā lehelehe (he hōʻailona paha kēia o ka haʻahaʻa o ka calcium). | E haʻi koke aku i kāu kauka. ʻAʻole kēia he kūlana e kali ai. |
ʻAʻole maʻalahi ke alo ʻana i kekahi ʻoki kino. He mea maʻamau ka loaʻa ʻana o nā makaʻu a me nā kānalua. Eia nō naʻe, he hana palekana ka thyroidectomy i hana mau ʻia a he mau hopena holomua loa. Hoʻōla maikaʻi ka hapa nui o ka poʻe ma hope o ke ʻoki kino, ʻoiai inā ʻo ke ʻoki kino e wehe i nā hunaola kanesa, a he manaʻo nui o ka hōʻoluʻolu. Inā he mau hopohopo kāu, mai makaʻu e kamaʻilio me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.
Leka Lawe-Home
- ʻO ka Thyroidectomy kahi ʻoki maʻamau a palekana loa hoʻi e mālama ai i nā maʻi thyroid.
- E hoʻomaopopo pono i ke kumu e pono ai ʻoe i kēia ʻoki kino. Mai makaʻu e nīnau i ke kauka.
- E hahai pono i nā ʻōlelo a ke kauka (e lawe ana i ka lāʻau lapaʻau, e hoʻokē ʻai ana) ma mua o ke ʻoki kino.
- He mau pule ka lōʻihi e ho'ōla piha ai mai ke ʻoki ʻana, a he mea nui loa ka hoʻomaha a me ka mālama pono ʻana i kēlā manawa.
- Inā ua wehe loa ʻia ke kelepa thyroid, pono ʻoe e lawe i nā pila hormone thyroid (Levothyroxine) no ke koena o kou ola. He mea maʻalahi loa kēia.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (pehu ʻana, kuni, mae ʻana o ka ʻōpū) ma hope o ke ʻoki ʻana, e ʻimi koke i ke kōkua lapaʻau.
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