Ua aʻo aku anei kāu kauka iā ʻoe e pono ʻoe i kahi hana e wehe ai i kou kelepa thyroid ? He mea maʻamau loa ke manaʻo hopohopo a kaumaha paha i ka lohe ʻana i kēia. Eia nō naʻe, e ʻoluʻolu e ʻike he hana maʻamau kēia i hana pono ʻia e nā poʻe he nui ma ka honua holoʻokoʻa, me ʻaneʻi ma Sri Lanka. ʻAʻohe pono e hopohopo. Ma Nirogi Lanka, e kamaʻilio kākou e pili ana i kēia ʻoki thyroid — a i ʻole "Thyroidectomy" — ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo maʻalahi.
He aha ke ʻano o ka Thyroidectomy?
I ka ʻōlelo maʻalahi, ʻo ka "Thyroidectomy" ka wehe ʻoki ʻana i ka ʻāpana a pau o kou ʻōpū thyroid i loko o kou ʻāʻī. He ʻāpana koʻikoʻi kēia ʻōpū o kou kino e hoʻoponopono ana i ka metabolism a hana i nā hormones koʻikoʻi.
ʻElua ʻano nui o kēia ʻoki kino:
- ʻO ka Thyroidectomy holoʻokoʻa: Ua wehe ʻia kou kelepa thyroid holoʻokoʻa.
- ʻO ka Thyroidectomy hapa/Hemithyroidectomy: Hoʻokahi wale nō lobe (ʻaoʻao ʻākau a hema paha) o ke gland i wehe ʻia.
ʻO ke ʻano kikoʻī o ke ʻoki kino āu e pono ai ma muli o kou kūlana lapaʻau. E hana pū ana kāu kauka a me ke kauka ʻoki kino e hoʻoholo i ke ala maikaʻi loa nou.
No ke aha he mea e pono ai ke ʻoki kino thyroid?
Aia kekahi mau kumu e ʻōlelo ai ke kauka i kēia ʻoki kino. E nānā kākou i nā mea nui.
| Kumu no ke ʻoki kino | Ma nā huaʻōlelo maʻalahi ... |
|---|---|
| Nā puʻupuʻu thyroid | Nā puʻupuʻu i hana ʻia e ka ulu ʻana o nā pūnaewele i loko o ka thyroid. Hiki i kekahi ke maʻi kanesa, aʻo kekahi e hana paha i nā hormones keu. |
| ʻO ka goiter | He ʻōhū thyroid i hoʻonui ʻia. Inā ulu nui loa ia, hiki iā ia ke kaomi i kou trachea (windpipe) a i ʻole esophagus, e pilikia ai ka hanu ʻana a i ʻole ke ale ʻana. |
| Hyperthyroidism | Hoʻopuka ka ʻōpū thyroid i nā hormones he nui ma mua o ka mea e pono ai kou kino. He koho ke ʻoki kino inā ʻaʻole hiki ke mālama ʻia kēia ma o ka lāʻau lapaʻau. |
| Ka maʻi ʻaʻai thyroid | Inā hōʻoia ka biopsy i ke alo o nā hunaola kanesa, hana ʻia ke ʻoki ʻana e wehe i nā ʻiʻo i hoʻopilikia ʻia. |
Ke hoʻomākaukau nei no kāu ʻoki kino
E wehewehe pono ana kāu kauka i nā hana e pono ai ʻoe e hana ma mua o kāu hana ʻoki kino. ʻO ka maʻamau, ʻo ia hoʻi:
- Hoʻāʻo: Kōkua kahi scan ultrasound i ka ʻimi pololei ʻana i nā nodules. Inā loaʻa kahi puʻupuʻu, hiki iā ʻoe ke hana i kahi Fine Needle Aspiration (FNA) e kāpae i ka maʻi kanesa.
- Loiloi Leo: Hiki i kāu kauka ke nānā i ka hana o kāu kaula leo.
- Ka Hoʻokele Lāʻau Lapaʻau: Inā kiʻekiʻe kou pae hormone thyroid , hiki ke kuhikuhi ʻia ka lāʻau lapaʻau e hoʻopaʻa iā lākou. E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko a i ʻole nā lāʻau lapaʻau ʻē aʻe, no ka mea e aʻo aku lākou iā ʻoe inā e hoʻomau a hoʻōki paha iā lākou.
- Hoʻokē ʻai: E aʻo ʻia ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ke ʻoki ʻana. E loaʻa iā ʻoe nā alakaʻi kikoʻī no kēia manawa.
He aha ka mea e hana ʻia i ka lā o kāu hana?
I ka wā mua, e hāʻawi kahi anesthesiologist i ka anesthesia laulā e hōʻoia i kou hiamoe loa a ʻaʻohe ʻeha. I ka wā o ke kaʻina hana, e kau ʻia kahi ʻōmole hanu e kōkua iā ʻoe. Hiki i kāu kauka lapaʻau ke koho mai kekahi mau ʻano hana:
- Ke ʻAno Kuʻuna: Hana ʻia kahi ʻoki liʻiliʻi ma ke alo o kou ʻāʻī.
- MIVAT (Minimally Invasive Video-Assisted Thyroidectomy): Hana ʻia ke ʻoki ʻana ma o kahi ʻoki liʻiliʻi loa me ke kōkua o ke kāmela.
- Nā ʻAno Hana ʻOle Kaila: Hana ʻia ke komo ʻana ma o nā wahi huna, e like me loko o ka waha a ma o ka ʻāʻī paha.
Inā ʻoe e hana ʻia ana no ke ʻoki ʻana no ka maʻi kanesa, e nānā pono kāu kauka ʻoki i nā lymph node e hoʻopuni ana i kou thyroid a e wehe paha iā lākou inā he hōʻike e hōʻike ana ua laha nā hunaola kanesa . Ke pau ke kaʻina hana, e pani ʻia ka ʻoki me ka hoʻohana ʻana i nā sutures hiki ke hoʻoheheʻe ʻia, a e hoʻopili ʻia kahi glue kūikawā ma luna o ka ʻili. ʻO ka maʻamau, ʻo ka thyroidectomy holoʻokoʻa e lawe ma waena o 1 a 3 mau hola.
Aia kekahi mau pilikia e pili ana i kēia ʻoki kino?
Ua manaʻo ʻia he kaʻina hana palekana loa ka thyroidectomy. Eia nō naʻe, e like me nā ʻoki kino nui a pau, aia kekahi mau pilikia kakaikahi e pono ai ʻoe e makaʻala:
- Kahe ʻana o ke koko: ʻO ke kahe koko nui e hiki ai ke alakaʻi i nā pilikia hanu.
- Nā Hoʻololi Leo: Inā hoʻopilikia ʻia kāu mau kaula leo i ka wā o ke kaʻina hana, hiki iā ʻoe ke ʻike i ka hoarseness.
- Ka Pōʻino i nā ʻĀpana Parathyroid: Aia ma hope pono o ka thyroid he ʻehā mau ʻāpana liʻiliʻi i ʻike ʻia ʻo
(Parathyroid glands), nāna e hoʻoponopono i nā pae calcium o kou kino. Inā hoʻopilikia ʻia kēia mau mea i ka wā o ke ʻoki ʻana, e hāʻule paha kāu mau pae calcium koko.
E ʻoluʻolu e hoʻomanaʻo he mea kakaikahi loa kēia mau pilikia. E hana kāu hui ʻoki kino i nā hana āpau e pale aku ai iā lākou.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? (Hoʻōla hou ʻana)
Ke ala ʻoe mai ka anesthesia, hiki iā ʻoe ke loaʻa i ka meaʻai māmā a me nā wai. E noho mau ʻoe ma ka haukapila no hoʻokahi pō.
- ʻEha ka ʻāʻī: Ma muli o ke ʻōmole hanu i hoʻohana ʻia i ka wā o ke ʻoki ʻana, hiki i kou ʻāʻī ke ʻeha no hoʻokahi a ʻelua paha lā.
- Hoʻololi Hormone: Inā ua wehe ʻia kou thyroid holoʻokoʻa, pono ʻoe e lawe i kahi papa hormone
(Levothyroxine)i kēlā me kēia lā no ke koena o kou ola . He hana maʻalahi kēia a kāu kauka e kūkākūkā kikoʻī ai me ʻoe. - Nā Mea Hoʻohui Kalikuma: I kekahi manawa, hiki i kāu kauka ke kuhikuhi i nā mea hoʻohui kalikuma no kekahi mau pule e mālama i kou pae koko.
- Ho'ōla a me ka ʻeha: ʻO ka ho'ōla piha ʻana he 2-3 pule ka lōʻihi. ʻOi aku ka maikaʻi o ka pale ʻana i ka hoʻoikaika kino nui a i ʻole ka hāpai kaumaha no hoʻokahi a ʻelua paha pule. E loaʻa kahi ʻeha liʻiliʻi ma kou ʻāʻī, kahi e mae mālie ai i ka hala ʻana o ka manawa.
Āhea ʻoe e hoʻokaʻaʻike aku ai i kāu kauka?
Ke hoʻi ʻoe i ka home, e ʻoluʻolu e kelepona koke aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:
| Hōʻailona | Hana wikiwiki |
|---|---|
| Pehu, ʻulaʻula, kahe ʻana o ka pus, a i ʻole ke kahe koko nui ma kahi i ʻoki ʻia. | E ʻimi koke i ke kōkua lapaʻau. |
| Ke kuni i ʻoi aku ma mua o 101°F (38°C). | Hiki paha i kēia ke hōʻike i kahi maʻi. |
| ʻO ka maneʻo a i ʻole ke ʻāʻī ʻana ma kou maka, lehelehe, a i ʻole nā manamana lima. | He hōʻailona paha kēia o ka haʻahaʻa o ka calcium. E hoʻomaopopo koke i kāu kauka. |
| Ka paʻakikī nui o ka hanu ʻana. | Mai hoʻokaʻulua; e hele koke i ka keʻena ulia pōpilikia kokoke loa i ka haukapila. |
He mea maʻamau ka hopohopo e pili ana i kekahi ʻoki kino. Eia nō naʻe, he hana maʻamau a holomua loa ka thyroidectomy no nā poʻe he nui. Inā he mau nīnau a hopohopo paha kāu, mai kānalua e nīnau i kāu kauka ma Nirogi Lanka.
Leka Lawe-Home
- He hana palekana a pono hoʻi ka thyroidectomy; ʻaʻohe pono e hopohopo pono ʻole.
- Inā he mau nīnau a kānalua paha kāu e pili ana i ke ʻoki kino, e ʻoluʻolu e kūkākūkā ākea me kāu kauka.
- Inā wehe ʻia kou thyroid holoʻokoʻa, pono ʻoe e lawe i kahi papa hormone i kēlā me kēia lā, ka mea e lilo koke ia i ʻāpana maʻamau o kāu hana maʻamau.
- E hahai mau i nā ʻōlelo aʻoaʻo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai e pili ana i ka lāʻau lapaʻau a me ka mālama ʻana i nā ʻeha.
