Yu gɛt smɔl swɛlin ɔ lump bifo yu yes, na di say we yu de chɛk? Ɔ yu kin fil pen na da say de we yu de it? Di tin we kin mek dɛn kayn tin ya kin bi prɔblɛm wit di parotid gland, we de nia yu yes. Dis na di men gland we de mek saliva na wi mɔt. So, di ɔpreshɔn we dɛn kin du fɔ prɔblɛm wit dis gland dɛn kɔl am Parotidectomy. Bɔku pipul dɛn kin fred we dɛn yɛri dis nem. Bɔt if dɛn tɛl yu gud gud wan bɔt dis, yu go ebul fɔ pul da fred de igen. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Parotidectomy?
Parotidectomy na di ɔpreshɔn fɔ pul ɔl ɔ pat pan yu parotid gland. Tink bɔt am, dɛn tu parotid gland ya de bifo wi yes, na di chɛst eria. Di men wok we dɛn de du na fɔ mek saliva. We wi de it, dis saliva de mek am izi fɔ swɛla it ɛn mek wi mɔt wet.
So wetin mek yu nid fɔ pul dis gland? Tu men rizin dɛn de:
1. Tכmכro: sכmtεm tכmכro kin fכm na dis gland. Bɔku pan dɛn tumbu ya na benign, nɔmal tumor . Bɔt, smɔl nɔmba kin gɛt kansa. So, afta dɛn dɔn no ustɛm di tumbu i bi, dɛn kin du dis ɔpreshɔn fɔ pul am.
2. Saliva Ston: sכm pipul dεn kin gεt "salivary ston" we de blכk di dakt dεm we de kכri saliva to dis gland. Dis kin mek di gland swel ɛn mek yu fil pen bad bad wan we yu de it. I kin mek bak pɔsin gɛt infɛkshɔn ɔltɛm. If na so i bi, i kin nid fɔ du ɔpreshɔn.
Wetin na di men kayn ɔpreshɔn we dɛn kin du?
Di kayn ɔpreshɔn we yu go du go dipen pan usay di tumbu ɔ prɔblɛm de. Wan rili impɔtant nerv de rɔn tru yu parotid gland. Na di fes nerve. We wi de smayl, lɔk wi yay, ɛn muv wi mɔt, na dis nerv de kɔntrol ɔl dɛn muvmɛnt ya. So dɔktɔ dɛn kin du dis ɔpreshɔn ɛn dɛn nɔ kin pwɛl dis nerv.
Tu men kayn ɔpreshɔn de dipen pan usay di prɔblɛm de.
| Di kayn ɔpreshɔn we dɛn kin du | Tɔk bɔt |
|---|---|
| Supɛrfishal Parotidektomi we dɛn kin du | Dis min se yu fɔ pul di pat nɔmɔ pan di gland we de ɔp di fes nerv. Bɔku tɛm, if di tumbu de na dis say, dɛn kin du dis ɔpreshɔn. |
| Tɔtɔl Parotidektomi we dɛn kin du | If di tumbu de dip insay di gland, dat na ɔnda di fes nerve, ɔ if i dɔn spre ɔlsay na di gland, dɛn go gɛt fɔ pul di gland kpatakpata. |
Dɛn kin yuz dɛn tu kayn dɛn ya bak fɔ pul di ston dɛn we de na di saliva. Yu dɔktɔ go disayd us ɔpreshɔn yu nid afta i dɔn chɛk yu.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Na nɔmal tin fɔ fil smɔl fred ɛn fred we yu de rɛdi fɔ ɔpreshɔn. Bɔt if yu gɛt di rayt infɔmeshɔn ɛn plan, yu go ebul fɔ manej ɔltin. Yu dɔktɔ we de du ɔpreshɔn go gi yu klia tin dɛn bɔt wetin fɔ du. Bɔku tɛm, na dɛn tin ya dɛn go aks yu fɔ du:
- If yu de smok, stɔp: Fɔ smok kin mek yu wund nɔ wɛl, so i rili impɔtant fɔ lɛ yu stɔp fɔ smok at le sɔm wiks bifo yu du di ɔpreshɔn.
- Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek: If yu de tek tin dɛn we de mek yu blɔd tan (lɛk aspirin, klopidogrel), vaytamɛn, ɔ tradishɔnal mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn. Dɛn kin aks yu fɔ stɔp sɔm pan dɛn bifo dɛn du yu ɔpreshɔn.
- No ustɛm fɔ fast: Fɛn ɔmɔs awa yu nid fɔ avɔyd fɔ it ɛn drink bifo yu du di ɔpreshɔn.
- Aks if yu go gɛt fɔ de na ɔspitul: Fɔ no bifo tɛm if yu kin go na os di sem de afta dɛn dɔn du yu ɔpreshɔn, ɔ if yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez.
- Arenj fɔ mek pɔsin ɛp yu we yu rich na os: Apat frɔm we i go kɛr yu go na os afta dɛn dɔn du yu ɔpreshɔn, i rili impɔtant fɔ gɛt pɔsin fɔ ɛp yu di fɔs de.
I fayn fɔ mek yu kam wit yu fambul ɔ padi wit yu we yu go si dɔktɔ. We yu de tɔk to di dɔktɔ, di ɔda pɔsin kin rayt impɔtant tin dɛn. Da we de, yu nɔ go fɔgɛt ɛnitin.
Test dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn
If tumbu de, di dɔktɔ kin du bɔku pan dɛn tɛst ya bifo dɛn du di ɔpreshɔn fɔ no di rayt we aw i tan.
- Fine-Needle Aspiration (FNA): dis involv fכ yuz wan rili fayn nidul fכ tek sכm sכm sεl dεm frכm di tכmכro. Dɔn dɛn kin tɛst di sampul fɔ si if i gɛt kansa ɔ i nɔ gɛt kansa.
- CT skan ɔ MRI skan:If di tכmכro de rili nia di imכtant fes nerv, dεn kin du dεn skan dεm ya. Dɔn di dɔktɔ we de du di ɔpreshɔn kin plan di bɛst we fɔ pul di tumbu we nɔ go pwɛl di nerve.
Aw dɛn kin du di ɔpreshɔn?
Insay di ɔpreshɔn rum, di dɔktɔ we de anestez go gi yu mɛrɛsin tru wan smɔl tiub (IV layn) we de insay wan vein na yu an, we go mek yu slip ɔl. So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. Dɔn di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
1. Insishכn: dεn kin mek di insishכn stat bifo yu yes, dכn di ia lכb, εn fכ fala wan nכmal kris na di tכp pat pan yu nεk. Dis say we dɛn kɔt am nɔ kin sho ɛni skata leta.
2. fכ mek di gland kכmכt: afta dat dεn de pul di skin bak fכ sho di parotid gland. Dɛn kin yuz divays fɔ wach di fes nerv fɔ wach if di fes nerve dɔn pwɛl we dɛn de du di prɔsidyu.
3. Fɔ pul di gland: Dɔn, dɛn kin pul pat ɔ ɔl di gland. If tɛst dɔn sho se di kansa dɔn go na di limf no dɛm we de nia, dɛn kin pul dɛn limf no dɛm de bak di sem tɛm.
4. Stich di say we dɛn kɔt: Afta dɛn dɔn pul di gland, dɛn kin siŋ di say we dɛn kɔt bak togɛda fayn fayn wan.
5. Fɔ put dreyn (Surgical Drain): Fɔ dɔn, dɛn kin put smɔl, tin tiub (drein) fɔ pul ɛni blɔd ɔ ɔda wata we kin gɛda insay di wund.
Dis ɔl ɔpreshɔn kin tek lɛk tu to 4 awa so .
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, Parotidectomy ɔpreshɔn gɛt in bɛnifit dɛn ɛn sɔm risk ɛn sayd ɛfɛkt dɛn bak.
Di men bɛnifit dɛn we pɔsin kin gɛt we i du ɔpreshɔn
If na benign tumor, dis ɔpreshɔn kin mɛn am kpatakpata. Na di tritmɛnt bak we de wok fayn pas ɔl fɔ di saliva ston ɛn di infɛkshɔn dɛn we kin kɔmɔt frɔm am. If na kansa tumbu, dɛn kin pul am bifo i go na ɔda pat na di bɔdi, we go gi bɛtɛ chans fɔ mɛn di sik. Bɔt sɔntɛnde, di tumbu dɛn we gɛt kansa kin gɛt prɔblɛm fɔ kam bak .
Di prɔblɛm dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin
Dis na ɔpreshɔn we kɔmplikt smɔl, bikɔs dɛn nid fɔ tek tɛm protɛkt di fes nerve. So sɔm prɔblɛm dɛn kin apin. Bɔt bɔku pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ .
| Kɔmplikɛshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Di fes, yes, ɔ jaw we de swɛla | Afta dɛn dɔn du di ɔpreshɔn, yu kin fil lɛk se yu de fil lɛk yu yes ɛn yu chɛst. Dis kin dɔn smɔl smɔl insay tri to 4 mɔnt, sɔm tɛm dɛn kin dɔn insay wan ia. |
| Fes Wiknɛs | Bikɔs ɔf di tɛnsiɔn we de na di fes nerve we dɛn de du di ɔpreshɔn, wan say na di fes kin tan lɛk se i dɔn drɔp fɔ sɔm tɛm, di kɔna na di mɔt nɔ kin tɔn ɔp fayn we yu de smayl, ɛn i kin at fɔ lɔk di yay. Dis kin wɛl bak ɔlsay insay sɔm wik ɔ mɔnt. |
| Di sik we dɛn kɔl Frey’s Syndrome | Dis na smɔl strenj kɔndishɔn. I kin apin sɔm mɔnt afta dɛn dɔn du di ɔpreshɔn. We yu de it, di chɛst we de na di sayd we dɛn de du di ɔpreshɔn we de swet na in kin apin. Wan tritmɛnt de fɔ dis. |
| Fɔs Bayt Sindrom | We a tek di fɔs bayt fɔ ɛni it, a kin fil shap pen na di say we dɛn du di ɔpreshɔn. Dis pen kin apin nɔmɔ wit di fɔs bayt ɛn i kin go wit di bayt we de afta dat. |
Apat frɔm dat, sɔm kɔmɔn prɔblɛm dɛn de we pɔsin kin si wit ɛni ɔpreshɔn.
- Alɛji riakshɔn to pen kil
- Fluid we de gɛda pasmak rawnd di wund
- Blɔd we de kɔmɔt pasmak
- Blɔd we kin gɛda insay di wund (hematoma) .
Kɔmɔn sayd ɛfɛkt dɛn
Yu kin ɛkspɛkt dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn:
- Pen ɛn swel: Pen ɛn swel na di say we dɛn de du di ɔpreshɔn kin kɔntinyu fɔ wan ɔ tu wik.
- I nɔ kin izi fɔ it: Yu kin gɛt sɔm prɔblɛm fɔ it bikɔs yu nɔ kin fil fayn na yu jaw. Dis go stɔp afta tu to 4 wik.
Wetin kin apin afta di ɔpreshɔn?
We yu gɛt kɔnshɛns bak, yu go de na di rum fɔ wɛl. Di wan dɛn we de wok na di nɔs dɛn go de chɛk yu puls ɛn yu blɔd prɛshɔn ɔltɛm. Dɛn go gi yu mɛrɛsin fɔ ɛp fɔ mek yu fil pen. Dɛn kin aks yu bak fɔ smayl, lɔk yu yay tayt, ɛn kray fɔ chɛk if yu fes nerv dɛn de wok fayn.
Bifo yu go na os, dɛn go ɛksplen yu gud gud wan bɔt aw fɔ kia fɔ yu wund ɛn di dreyn we dɛn dɔn put. Dɛn go tɛl yu bak ustɛm fɔ go to dɔktɔ. Dis schedule kin luk lɛk dis:
- 1-2 de afta di ɔpreshɔn: Put di dreyn.
- 5-7 de afta di ɔpreshɔn: If dɛn yuz stich dɛn we nɔ de sɔlv, pul dɛn.
- 4-6 wik afta di ɔpreshɔn: Si yu ɔpreshɔn dɔktɔ bak fɔ chɛk if di wund dɔn wɛl.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek sɔm wiks fɔ mek i wɛl ɔl. Bɔrku pipul kin kam bak to dɛn nɔrmal tin dɛm afta lɛk tu wiks . Bɔt i kin tek sɔm mɔnt, ɔ ivin wan ia fɔ mek di fes we nɔ gɛt bɛtɛ trɛnk ɔ we wikɛd nɔ de igen.
If yu gɛt kansa, aw de kia fɔ yu fɔ lɔng tɛm tan lɛk?
Parotid gland tumor dεm kin kam bak sכmtεm. So, yu dɔktɔ go de wach yu fɔ lɔng lɔng tɛm afta dɛn dɔn du di ɔpreshɔn. If yu gɛt fɔ du tɛst ɔltɛm ɛn wet fɔ di rizɔlt, dat kin mek yu fil bad. I impɔtant fɔ tɔk to yu dɔktɔ ɛn yu fambul bɔt di tin dɛn we de mɔna yu pan tɛm dɛn lɛk dis.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn kam bak na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ we yu nɔ go te.
- If yu gɛt siriɔs pen we nɔ de stɔp ivin afta yu dɔn tek mɛrɛsin.
- If yu fil se yu fes de swɛt ɔ yu wik de wɔs.
- If di wund de kɔmɔt na di pus, wata, ɔ blɔd .
- If di say we de rawnd di wund fil wam we yu tɔch am ɔ i de at we yu tɔch am.
- If bad bad smel de kɔmɔt na di wund.
Dɛn tin ya min se di wund kin gɛt di sik, so i impɔtant fɔ go to tritmɛnt kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Parotidectomy na ɔpreshɔn fɔ pul pat ɔ ɔl di parotid gland, we na wan saliva gland we de nia yu chɛst, as tritmɛnt fɔ kɔndishɔn dɛn lɛk tumbu ɔ saliva ston.
- Bifo yu du dis ɔpreshɔn, fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan (stɔp fɔ smok, tɛl dɛn bɔt di mɛrɛsin dɛn we yu de tek).
- Bikɔs dis ɔpreshɔn kin gɛt fɔ du wit di fes nerve, we de kɔntrol di we aw pɔsin de sho in fes, prɔblɛm dɛn lɛk we in fes kin swɛt fɔ sɔm tɛm ɔ we i wik kin apin. Bɔku pan dɛn tin ya kin sɔlv as tɛm de go.
- I rili impɔtant fɔ tek kia ɔf di wund gud gud wan afta dɛn dɔn du di ɔpreshɔn ɛn nɔ mis di apɔntinmɛnt dɛn we di dɔktɔ gi yu.
- If yu gɛt ɛni prɔblɛm, lɛk pen we nɔ kɔmɔn, swel, ɔ pus we de kɔmɔt na di wund, tɛl yu dɔktɔ wantɛm wantɛm.
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