Ua haʻi aku ke kauka iā ʻoe e pono ʻoe e hana i kahi ʻoki e wehe i kou kelepa thyroid ? He mea maʻamau loa ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā. Akā ʻo ka ʻoiaʻiʻo, he ʻoki kēia i hana ʻia e nā poʻe he nui ma Sri Lanka a puni ka honua, a pau pinepine ia me ka holomua. No laila, ʻaʻohe kumu e makaʻu ai. E kamaʻilio kākou e pili ana i kēia ʻoki thyroid , a i ʻole `(Thyroidectomy)`, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka hana ʻoki ʻana i ka thyroid?
I ka ʻōlelo maʻalahi, ʻo ka thyroidectomy ka wehe ʻoki ʻana i ka ʻāpana a pau o ka thyroid gland, kahi gland ʻano pepeke i loko o kou ʻāʻī. Hoʻopuka kēia gland i nā hormones koʻikoʻi he nui e kaohi ana i ka metabolism o kou kino.
ʻElua ʻano nui o kēia ʻoki kino:
- ʻO ka Thyroidectomy holoʻokoʻa: ʻO kēia kahi e wehe ʻia ai kou kelepa thyroid holoʻokoʻa.
- ʻO ka Thyroidectomy hapa/Hemithyroidectomy: Pili kēia i ka wehe ʻana i ka lobe ʻākau a hema paha o ke gland.
ʻO ke ʻano o ke ʻoki kino āu e pono ai e pili ana i kou kūlana. E hana pū kāu kauka a me ke kauka ʻoki kino e hoʻoholo i ka mea kūpono loa iā ʻoe.
No ke aha ʻoe e pono ai ke ʻoki kino thyroid?
Aia kekahi mau kumu e manaʻo ai ke kauka e hana ʻoe i kēia ʻoki kino. E nānā kākou i nā kumu nui.
| Ke kumu no ke ʻoki kino | I ka ʻōlelo maʻalahi… |
|---|---|
| Nā puʻupuʻu thyroid | He mau puʻupuʻu nā nodules i hana ʻia i ka wā e hui pū ai nā pūnaewele i loko o ke kelepa thyroid. Hiki i kekahi o kēia ke lilo i maʻi kanesa. Hiki i nā nodules ʻē aʻe ke hana i nā hormones ma mua o ka mea e pono ai. |
| ʻO ka goiter | Ka hoʻonui ʻia ʻana o ke kelepa thyroid. Inā lilo kēia i mea nui loa, hiki iā ia ke ʻomi i ka ʻōpū hanu ( bronchi ) a i ʻole ka esophagus (paipu meaʻai) ma ka ʻāʻī, e paʻakikī ai ka hanu ʻana a me ke ale ʻana. |
| Hoʻonui ʻia nā hormones ( hyperthyroidism ) | Hoʻopuka ka ʻōpū thyroid i nā hormones he nui ma mua o ka mea e pono ai ke kino. Inā ʻaʻole hiki ke kāohi ʻia kēia me ka lāʻau lapaʻau, ʻo ke ʻoki kino wale nō ka hopena. |
| Ka maʻi ʻaʻai thyroid | Inā nānā ʻia kahi puʻupuʻu a hōʻoia ʻia he maʻi kanesa, hana ʻia ke ʻoki kino e wehe ai. |
He aha kāu e hana ai ma mua o ke ʻoki kino? (Hoʻomākaukau)
Ma mua o ke ʻoki ʻana, e wehewehe pono kāu kauka i kāu mea e pono ai ke hana. ʻO kēia ka mea maʻamau e hana ʻia:
- Nā hoʻāʻo: Hiki i kahi scan ultrasound o kou ʻāʻī ke kōkua i ke kuhikuhi ʻana i kahi kikoʻī o ka puʻupuʻu. Inā he puʻupuʻu, hiki ke hana ʻia kahi ʻomi nila liʻiliʻi e hoʻoholo ai inā he maʻi kanesa.
- Hoʻāʻo leo:Makemake paha kāu kauka e nānā i ke ʻano o ka hana ʻana o kāu mau kaula leo.
- Ka Hoʻokele Lāʻau Lapaʻau: Inā kiʻekiʻe loa kou pae hormone thyroid , hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi iā lākou ma mua o ke ʻoki ʻana. Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, e like me nā lāʻau hoʻokahe koko, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou. E haʻi aku ʻo ia iā ʻoe inā pono ʻoe e hoʻōki i ka lawe ʻana i kēlā mau lāʻau lapaʻau ma mua o ke ʻoki ʻana.
- Hoʻokē ʻai: E noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke ʻoki kino. E hāʻawi ʻia iā ʻoe nā ʻōlelo kikoʻī e pili ana i kēia mau manawa.
He aha ka mea e hana ʻia i ka lā o ka hana?
E hele mua mai kahi anesthesiologist a hāʻawi iā ʻoe i ka anesthesia laulā, kahi e hoʻohiamoe loa ai iā ʻoe. No laila, ʻaʻole ʻoe e ʻeha. E kau ʻia kahi ʻōmole hanu ma kou puʻu e kōkua iā ʻoe e hanu i ka wā o ke ʻoki ʻana.
He nui nā ala a ke kauka lapaʻau e wehe ai i ka kelepa thyroid:
- Ke ʻano hana kuʻuna: Hana ʻia ke ʻoki ʻana ma o kahi ʻoki liʻiliʻi ma ke alo o ka ʻāʻī.
- ʻO ke ʻano hana ʻoki liʻiliʻi (MIVAT): Hana ʻia ke ʻoki ma o kahi ʻoki liʻiliʻi loa me ke kōkua o kahi kāmela.
- Nā ʻano hana e waiho ʻole ai i nā ʻeha: Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kahi ʻoki ma kahi i ʻike ʻole ʻia, e like me loko o ka waha a i ʻole ma ka ʻāʻī.
Inā ʻoe e hana ʻoki kino no ke kanesa, e nānā kāu kauka i nā lymph nodes a puni kou thyroid a e wehe paha iā lākou inā ua pālahalaha nā hunaola kanesa . Ma hope o ke ʻoki kino, e pani ʻia ka ʻoki me kahi suture hiki ke hoʻoheheʻe ʻia a hoʻopili ʻia kahi glue kūikawā i ka ʻili. ʻO ka maʻamau, he 1-3 mau hola e wehe ai i ka gland holoʻokoʻa.
Aia kekahi mau pilikia i kēia ʻoki kino?
He ʻoki kino palekana loa ka thyroidectomy. Eia nō naʻe, e like me nā ʻoki kino nui a pau, aia kekahi mau pilikia kakaikahi loa.
- Kahe koko: Hiki i ke kahe koko nui ke pilikia i ka hanu ʻana.
- Nā loli leo: Inā he pōʻino i nā kaula leo, hiki i ka leo ke lilo i palahalaha.
- Ka hōʻino ʻana i nā kelepa parathyroid: Hoʻopili ʻia i ke kua o ka kelepa thyroid ʻehā mau kelepa liʻiliʻi loa i kapa ʻia ʻo nā kelepa parathyroid. ʻO kēia ke kuleana no ka kaohi ʻana i nā pae calcium i loko o ko mākou kino. Inā hōʻino ʻia kēia mau mea i ka wā o ke ʻoki ʻana, hiki ke hāʻule nā pae calcium i loko o ke koko.
Akā e hoʻomanaʻo, he mea kakaikahi loa kēia mau pilikia. E hana kāu kauka ʻoki i kā lākou mea maikaʻi loa e pale aku iā lākou.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? (Hoʻōla hou ʻana)
Ma hope o ka anesthesia, ke hoʻi hou ʻoe i ka ʻike, hiki iā ʻoe ke ʻai māmā a me ka inu. E noho mau ʻoe ma ka haukapila no hoʻokahi pō.
- ʻEha ka ʻāʻī: E ʻeha iki paha kou ʻāʻī no hoʻokahi a ʻelua paha lā no ka mea ua paʻa ka ʻōmole hanu.
- Nā lāʻau homona: Inā wehe ʻia kou kelepa thyroid holoʻokoʻa, pono ʻoe e lawe i kahi lāʻau homona (Levothyroxine) i kēlā me kēia lā no ke koena o kou ola e pani i ka homona āna i hana ai. He mea maʻalahi loa kēia. E wehewehe mua kāu kauka i kēia iā ʻoe.
- Nā papa kalipuna: I kekahi manawa ua kuhikuhi ʻia nā papa kalipuna no kekahi mau pule e pale aku ai i nā pae kalipuna haʻahaʻa o ke koko.
- Hoʻōla a me ka ʻeha: Ma kahi o 2-3 pule e hoʻōla piha ai. 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 waiho ʻia kahi ʻeha liʻiliʻi ma ka ʻāʻī. E mae mālie kēia i ka hala ʻana o ka manawa.
Āhea ʻoe e pono ai e kamaʻilio me ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana mai i ka home mai ke ʻoki ʻana, e kāhea koke aku i kāu kauka.
| Hōʻailona | Ka nānā kūikawā |
|---|---|
| Ua pehu ka ʻoki, ʻulaʻula, ke kahe nei ka pus, a i ʻole ke kahe nui nei ke koko. | E ʻimi koke i ke kōkua lapaʻau. |
| Loaʻa ke kuni ma luna o 101°F (38°C). | He hōʻailona paha kēia o kahi maʻi. |
| Ka maeʻe a ʻūlū paha ma ka maka, nā lima, a i ʻole nā lehelehe, a i ʻole ka manaʻo o ka maeʻe ma nā manamana lima. | He hōʻailona paha kēia o ka haʻahaʻa o ka calcium. E hoʻomaopopo koke i kāu kauka. |
| Paʻakikī nui ka hanu ʻana. | Me ka hoʻokaʻulua ʻole, e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. |
He mea maʻamau ka hopohopo e pili ana i kekahi ʻoki kino. Akā, he hana palekana a holomua ka ʻoki kino thyroid no ka hapa nui o nā kānaka. Inā he mau nīnau a hopohopo paha kāu, mai makaʻu e nīnau i kāu kauka.
Leka Lawe-Home
- He hana maʻamau ka thyroidectomy i palekana a holomua hoʻi i ka hapa nui o nā hihia. No laila, mai makaʻu pono ʻole.
- Inā he mau nīnau a kānalua paha kāu e pili ana i ke ʻoki kino, e kūkākūkā me kāu kauka.
- Inā wehe ʻia kou kelepa thyroid holoʻokoʻa, pono ʻoe e lawe i kahi pila hormone i kēlā me kēia lā no ke koena o kou ola. Akā, ʻaʻole ia he mea nui e hoʻopilikia i kou ola o kēlā me kēia lā.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai e pili ana i ka lāʻau lapaʻau a me ka mālama ʻeha.
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