He puʻu ma kou ʻāʻī, paʻakikī ke ale ʻana, a i ʻole he hopohopo paha e pili ana i ka thyroiditis a i ʻole ke kanesa thyroid… ua ʻōlelo anei kāu kauka i kahi ʻoki kino e wehe i kou kelepa thyroid ? He mea maoli loa ke manaʻo hopohopo a kaumaha paha ke lohe ʻoe i ka huaʻōlelo "ʻoki kino." Hoʻomaopopo mākou he mea hopohopo paha ia, akā ma ke aʻo ʻana i nā ʻoiaʻiʻo e pili ana i kahi ` Thyroidectomy` ma ke ʻano maʻalahi, hiki iā ʻoe ke hōʻoluʻolu i ka hapa nui o kēlā makaʻu. E hele pū kākou ma waena o nā mea āpau e pono ai ʻoe e ʻike.
I nā ʻōlelo maʻalahi: He aha ka Thyroidectomy?
ʻO ka mea mua, e hoʻomaopopo kākou i ke ʻano o ka thyroid gland. He ʻano liʻiliʻi ia, e like me ka pepeke, aia ma ke alo o kou ʻāʻī, e kū pono ana i kou windpipe (trachea). ʻOiai he liʻiliʻi ia, he kuleana koʻikoʻi kona i loko o kou kino, e kaohi ana i nā kaʻina hana koʻikoʻi e like me kou metabolism.
ʻO ka `Thyroidectomy` he hana ʻoki e wehe ai i ke kelepa thyroid holoʻokoʻa (`Total Thyroidectomy`) a i ʻole kekahi hapa o ia mea (`Partial Thyroidectomy`). E like me ka wehe ʻana i kahi niho i hōʻino ʻia, hana ʻia kēia ʻoki e wehe i ke kelepa thyroid a i ʻole kekahi hapa o ia mea i hoʻopilikia ʻia e kahi maʻi.
No ke aha he mea pono ai kēia ʻoki kino?
Ke noʻonoʻo nei paha ʻoe, "No ke aha e wehe ai au i kuʻu thyroid inā e hana maikaʻi ana ia?" Aia kekahi mau kumu kūpono. E wehewehe pono kākou iā lākou.
| Kumu no ke ʻoki kino | ʻO ke ʻano o ia mea... |
|---|---|
| Nā puʻupuʻu thyroid | He mau ulu kēia i loko o ke kelepa thyroid. ʻAʻole ka hapa nui he maʻi kanesa , akā hiki i kekahi. Hiki i kekahi ke hana i nā hormones thyroid he nui loa. Inā he kānalua no ka maʻi kanesa, e paipai kāu kauka e wehe. |
| ʻO ka goiter | Pili kēia i ka hoʻonui ʻia ʻana o ke kelepa thyroid. I kona ulu ʻana, hiki iā ia ke kaomi i kou ʻōpū hanu (trachea) a me ka ʻōpū meaʻai (esophagus), e hana ana i nā hōʻailona e like me ka pilikia o ka hanu ʻana a me ka pilikia o ka moni ʻana . Hana ʻia ke ʻoki kino e hōʻoluʻolu i kēia kaomi. |
| Ka maʻi ʻaʻai thyroid | Inā ʻike ʻia nā hunaola kanesa i loko o kou thyroid, ʻo ke ʻoki kino ke kūlana gula e wehe loa ai iā lākou. I ka manawa pinepine, wehe ʻia ka gland holoʻokoʻa, a i kekahi mau hihia, hiki ke hoʻomaʻemaʻe ʻia nā lymph node kokoke. |
| Hyperthyroidism | Hana ʻia kēia i ka wā e hana nui ai kou gland, e hana ana i nā hormones ma mua o ka mea e pono ai kou kino. Inā ʻaʻole hiki i ka lāʻau lapaʻau ke mālama i kēia, hiki i kāu kauka ke kuhikuhi i ke ʻoki ʻana ma ke ʻano he lāʻau lapaʻau hope loa. |
He aha nā ʻano o ka Thyroidectomy?
ʻElua ʻano nui. Na kāu kauka lapaʻau e hoʻoholo i ka mea kūpono loa ma muli o kāu mau pono olakino kikoʻī.
- Holoʻokoʻa Thyroidectomy: Wehe ʻia ke kelepa thyroid holoʻokoʻa. Hoʻohana pinepine ʻia kēia no ke kanesa thyroid a i ʻole nā hihia goiter koʻikoʻi.
- ʻO ka Thyroidectomy hapa: ʻIke ʻia hoʻi he `Hemithyroidectomy` a i ʻole `Lobectomy`, pili kēia i ka wehe ʻana i hoʻokahi wale nō o nā lobes ʻelua o ka thyroid. Hoʻohana pinepine ʻia kēia inā ua hoʻokaʻawale ʻia kahi nodule i kekahi ʻaoʻao.
Hoʻoholo ʻia ke ʻano o ke ʻoki kino āu e pono ai ma o ka laulima ʻana ma waena o kāu Endocrinologist a me Surgeon. ʻAʻohe pono e hopohopo—aia ʻoe i loko o nā lima loea.
Nā nīnau e nīnau aku ai i kāu kauka ma mua o ke ʻoki kino
ʻO kāu kuleana ka nīnau ʻana i nā nīnau, a he ala ikaika ia e hōʻemi ai i kou hopohopo ma mua o ke ʻoki kino. Eia kekahi mau nīnau koʻikoʻi āu e nīnau ai:
- No ke aha he mea pono kēia ʻoki kino noʻu? Aia kekahi mau koho ʻē aʻe ʻaʻole ʻoki kino?
- He aha nā pilikia o kēia ʻoki kino, a pehea ka maʻamau o nā pilikia e hiki mai ana?
- ʻEhia ka nui o koʻu kelepa thyroid e wehe ʻia?
- Pono anei au e lawe i ka lāʻau lapaʻau hormone thyroid no ke koena o koʻu ola?
- ʻEhia ka lōʻihi o koʻu noho ʻana ma ka haukapila, a pehea ka lōʻihi o ke kaʻina hana ho'ōla?
ʻO ka loaʻa ʻana o nā pane maopopo i kēia mau mea e kōkua iā ʻoe e mākaukau hou aku.
Pehea wau e hoʻomākaukau ai no ke ʻoki kino?
E like me nā hana ʻoki kino āpau, he mea nui ka hoʻomākaukau. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī i kūpono i kou olakino. E ʻoluʻolu e hahai pono iā lākou.
He mau pule ma mua o kāu ʻoki kino
- Nā Hoʻāʻo Hōʻoia: Hiki i kāu kauka ke ʻōlelo aku i kahi Thyroid Ultrasound e kiʻi i kahi kiʻi maopopo o ka puʻupuʻu . Inā he hopohopo paha he ʻino ka nodule, hiki iā ʻoe ke hana i kahi Fine Needle Aspiration (biopsy) , kahi e hōʻiliʻili ʻia ai kahi hāpana cell liʻiliʻi me ka hoʻohana ʻana i kahi nila.
- Loiloi Leo: Hiki i kāu kauka ke loiloi i ka hana o kāu mau kaula leo e hōʻoia i ka hana pololei ʻana.
- Lāʻau lapaʻau: Inā kiʻekiʻe loa kāu pae hormone thyroid, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau ma mua o ke ʻoki ʻana e hoʻomalu iā lākou.
- Puhipaka: Inā ʻoe e puhipaka, e aʻo ikaika aku kāu kauka iā ʻoe e haʻalele. Hiki i ka puhipaka ke hoʻopilikia i ka anesthesia a hoʻolohi i ke kaʻina hana ho'ōla o kou kino.
Ma kahi o hoʻokahi pule ma mua o ke ʻoki kino
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau: E hōʻoia e haʻi i kāu mea mālama ola e pili ana i nā mea āpau āu e lawe ai, me nā lāʻau lapaʻau i kuhikuhi ʻia, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. E aʻo lākou iā ʻoe i nā lāʻau lapaʻau e hoʻomau a me nā mea e hoʻōki ma mua o kāu ʻoki kino.
- Nā Lāʻau Hoʻomāmā Koko: Inā ʻoe e lawe ana i ka lāʻau hoʻomāmā koko, pono ʻoe e hoʻōki i ka lawe ʻana i kēia mau mea no kekahi manawa, akā ma lalo wale nō o ke alakaʻi kikoʻī a kāu kauka. Mai hoʻōki i kēia mau lāʻau me ka ʻole o ke kūkākūkā mua ʻana me kāu kauka.
Ma mua o ke ʻoki kino
Pono ʻoe e hoʻokē ʻai (e hōʻole i nā meaʻai a me nā mea inu āpau) no kekahi mau hola ma mua o kou hana ʻana. E hāʻawi aku nā limahana o ka haukapila iā ʻoe i nā kuhikuhi maopopo e pili ana i kēia mau alakaʻi.
He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?
ʻAʻole pono ʻoe e hopohopo, no ka mea, e hiamoe ʻoluʻolu ana ʻoe i ka wā o ke kaʻina hana.
Ma mua o ka hoʻomaka ʻana o ke ʻoki kino, e hāʻawi kahi anesthesiologist i ka anesthesia laulā e hōʻoia i kou ʻike ʻole ʻana , ʻo ia hoʻi, ʻaʻole ʻoe e ʻeha. I mea e kōkua ai iā ʻoe e hanu maʻalahi, e kau ʻia kahi ʻōmole hanu ma kou puʻu i ka wā o ke ʻoki kino.
Hiki i ke kauka lapaʻau ke hoʻohana i kekahi mau ala e komo ai i ka thyroid gland:
- Ke ʻAno Kuʻuna: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili maoli o kou ʻāʻī e hōʻemi i nā ʻeha i ʻike ʻia.
- ʻO ka Minimally Invasive Video-Assisted Thyroidectomy (MIVAT): Hana ʻia kēia ʻoki ma o kahi ʻoki liʻiliʻi loa me ka hoʻohana ʻana i ke alakaʻi kamera.
- Nā ʻAno Hana ʻAʻohe ʻŌpala: Aia kekahi mau ʻano hana hou e hiki ai ke komo i ka thyroid ma o ka waha a ma lalo paha o ka ʻāʻī, me ka waiho ʻole ʻana i kahi ʻōpala ʻāʻī ʻike ʻia.
- Nā Hihia Kākaʻikahi: Inā ua pālahalaha ka goiter i loko o ka lua o ka umauma, pono paha ke kaʻina hana e pili ana i ka iwi umauma i kekahi manawa.
Inā ʻo ke ʻoki ʻana no ka mālama ʻana i ke kanesa, hiki i ke kauka lapaʻau ke biopsy i nā lymph nodes a puni. Inā ua pālahalaha ke kanesa i kēia mau nodes, hiki ke wehe ʻia.
I ka pau ʻana o ke kaʻina hana, ua pani ʻia ka ʻoki me nā humuhumu kūloko hiki ke hoʻoheheʻe ʻia a me kahi kāpili ʻoki kūikawā ma ka ʻili.
ʻO ka maʻamau, ʻo ka wehe piha ʻana o ka thyroidectomy e lawe ma waena o 1 a 3 mau hola, ʻoiai ʻo ka wehe hapa ʻana e lōʻihi paha ka manawa.
He aha nā pilikia o kēia ʻoki kino?
He mea nui e ʻike he hana palekana loa ka thyroidectomy. He mea kākaʻikahi nā pilikia, akā e like me nā ʻoki kino āpau, aia kekahi mau pilikia.
- Kahe koko nui: ʻOiai he mea kakaikahi, hiki i ke kahe koko ke hana i kahi hematoma e kaomi ana i ke alaloa, e alakaʻi ana i nā pilikia hanu.
- Ka Poino o ke Aʻalolo o ke Kaula Leo: Holo kokoke loa nā aʻalolo e kaohi ana i kou leo i ka ʻōpū thyroid. Inā ʻeha kēia mau mea i ka wā o ke ʻoki ʻana, hiki iā ʻoe ke ʻike i kahi leo haʻalulu a nāwaliwali paha o ka leo. I ka hapanui o nā hihia, he manawa pōkole kēia. Mālama pono nā kauka lapaʻau e ʻike a pale i kēia mau aʻalolo.
- Ka Pōʻino i nā ʻŌpū Parathyroid: He ʻehā ou mau ʻōpū liʻiliʻi, e like me ka nui o nā hua laiki, i hoʻopili ʻia ma ke kua o kou thyroid. ʻO kēia nā ʻōpū Parathyroid , nāna e hoʻoponopono i nā pae calcium o kou kino. Inā hoʻopilikia ʻia lākou i ka wā o ke ʻoki ʻana, e hāʻule paha nā pae calcium o kou koko (Hypocalcemia) .
Hoʻonui ka likelika o kēia mau pilikia inā loaʻa iā ʻoe ka maʻi kanesa nui, inā he hana ʻoki thyroid hou kēia, a inā he goiter nui loa kou.
ʻEhia ka lōʻihi o ka ho'ōla piha ʻana?
E noho paha ʻoe ma ka haukapila no hoʻokahi a ʻelua paha lā. Ke ala loa ʻoe mai ka anesthesia, hiki iā ʻoe ke hoʻomaka e ʻai i nā meaʻai māmā a me nā wai. Hiki iā ʻoe ke ʻeha iki i ka puʻu no kekahi mau lā ma muli o ka paipu hanu.
Ma mua o kou hoʻokuʻu ʻia ʻana, e loaʻa iā ʻoe nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana i kāu ʻoki.
Manaʻo ka hapa nui o nā maʻi ua ho'ōla piha ʻia i loko o ʻelua a ʻekolu mau pule . Eia nō naʻe, pono ʻoe e kali ma ka liʻiliʻi he ʻelua pule ma mua o ka hoʻomaka hou ʻana i nā hana ikaika e like me ka hoʻoikaika kino a i ʻole ka hāpai kaumaha.
E pili ana i ka ʻeha
ʻAe, e waiho ana kahi ʻeha liʻiliʻi (ma kahi o 1 a 2.5 ʻīniha) ma ke kumu o kou ʻāʻī. Hoʻokomo nā kauka ʻoki i ka ʻoki ma kou mau ʻāʻī maoli, e hoʻemi ana i ka ʻike ʻia i ka hala ʻana o ka manawa. Hiki ke hala he 12-18 mau mahina no ka oʻo piha ʻana o kahi ʻeha. ʻOiai e ʻike ʻia he ʻulaʻula iki a piʻi aʻe paha i ka wā mua, e mae a palahalaha ia me ka hala ʻana o ka manawa. E hahai i ka ʻōlelo aʻo a kāu kauka no ka mālama ʻana i nā ʻeha e hoʻolaha i ka ho'ōla maikaʻi loa.
I ka manawa e ʻimi ai i ke kōkua lapaʻau wikiwiki
Inā ʻike ʻoe i kekahi mau hōʻailona hopohopo ma hope o ka hoʻi ʻana i ka home, he mea nui e hana koke.
| Hōʻailona Hoʻolaha | Hana e pono ai |
|---|---|
| Ka pehu ʻana, ke kahe ʻana o ke koko, a i ʻole ka kahe ʻana o ke koko ma kahi i ʻoki ʻia ai. | E kāhea koke aku i kāu kauka lapaʻau a i ʻole e hele i ka lumi pilikia kokoke loa. |
| Kuni (ma luna o 101°F / 38°C). | E kelepona koke aku i kāu kauka. |
| ʻO ka maneʻo a i ʻole ke kani ʻana ma ka maka, nā lima, a i ʻole nā lehelehe (he hōʻailona paha o ka calcium haʻahaʻa). | E hoʻomaopopo koke i kāu kauka; ʻaʻole pono e hoʻowahāwahā ʻia kēia. |
He hanana koʻikoʻi ka hana ʻana i kekahi ʻoki kino, a he mea maoli nō ka hopohopo. Eia nō naʻe, he hana maʻamau ka thyroidectomy me nā hopena maikaʻi loa. Hoʻōla maikaʻi ka hapa nui o ka poʻe, a ʻo ka poʻe e hana ʻia ana i ke ʻoki kino no ka maʻi kanesa e ʻike pinepine i kahi manaʻo nui o ka hōʻoluʻolu. Inā he mau hopohopo kāu, mai kānalua e kamaʻilio me kāu kauka—aia lākou ma laila e kākoʻo iā ʻoe ma kāu huakaʻi me Nirogi Lanka.
Nā Manaʻo Koʻikoʻi no kāu Mālama
- He hana ʻoki maʻamau ka thyroidectomy a palekana loa ia e hoʻohana ʻia no ka mālama ʻana i nā ʻano maʻi thyroid like ʻole ma Nirogi Lanka.
- He mea nui e hoʻomaopopo pono ʻoe i nā kumu o kāu ʻoki kino. Mai kānalua e nīnau i kāu kauka ʻoki kino i nā nīnau āu e loaʻa ai.
- E hahai pono i nā ʻōlelo aʻoaʻo ma mua o ke ʻoki ʻana a kāu kauka lapaʻau, ʻoiai e pili ana i nā papa hana lāʻau a me nā koi hoʻokē ʻai.
- ʻO ka ho'ōla piha ʻana he mau pule ka lōʻihi. He mea nui ka hoʻoikaika ʻana i ka hoʻomaha a me ka mālama pono ʻana ma hope o ke ʻoki ʻana i kēia manawa no kou ho'ōla ʻana.
- Inā wehe ʻia kou kelepa thyroid holoʻokoʻa, pono ʻoe e lawe i kahi mea hoʻohui hormone thyroid (Levothyroxine) i kēlā me kēia lā no ke ola. He ʻāpana maʻalahi loa kēia o kāu hana maʻamau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona hopohopo ma hope o ke ʻoki ʻana, e like me ka pehu nui, ke kuni, a i ʻole ke ʻano ʻūlū, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau a i ʻole e kelepona koke aku i nā lawelawe ulia pōpilikia.
Thyroidectomy, ʻoki kino thyroid, kelepa thyroid, goiter, maʻi ʻaʻai thyroid, Hyperthyroidism, kaʻina hana ʻoki kino
