Yu dɔn ɛva notis wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Sɔntɛnde, i nɔ kin mek yu fil pen, bɔt sɔntɛnde i kin at we yu de it. Na nɔmal tin fɔ mek yu fred smɔl we yu si sɔntin lɛk dis. di tin we kin mek dis bכku kin bi na wan tכmכro כ ston we de na wan pan di men saliva gland dεm na wi mכt. Tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du na dis kayn tin. Nɔ wɔri, lɛ wi ɛksplen ɔltin insay simpul wɔd dɛn.
Wetin na Parotidectomy?
Fɔ tɔk am simpul wan, Parotidectomy na ɔpreshɔn we de pul pat ɔ ɔl di saliva gland dɛn we de bifo yu yes we dɛn kɔl Parotid Gland. Dis na di big big saliva gland dɛm na wi bɔdi. We wi de it, dɛn gland ya kin ɛp fɔ mek saliva fɔ mek i izi fɔ swɛla.
So wetin mek yu nid fɔ pul dis gland? Tu men rizin dɛn de:
1. Tumɔs: If tumbu kam na dis gland, i kin gɛt kansa ɔ i kin bi fayn.
2. Saliva Ston dεm: sכmtεm, "ston" kin fכm na dis gland, we de blכk di dakt dεm we de kכri saliva. Dis kin mek di saliva gɛda ɛn mek di gland swel ɛn mek i fil pen.
Na insay tin dɛn lɛk dis, di dɔktɔ dɛn kin disayd fɔ du dis ɔpreshɔn.
Yu tink se men kayn ɔpreshɔn dɛn de we dɛn kin du?
Yɛs, di we aw dɛn kin du dis ɔpreshɔn kin dipen pan usay di tumbu ɔ di prɔblɛm de. Wan rili impɔtant nerve we de kɔntrol wi fes ɛksprɛshɔn, lɛk we wi de smayl ɛn lɔk wi yay, de rɔn tru yu parotid gland. Wi kin kɔl am di fes nerve . tu pat dεm de na di gland oba εn dכn dis nεv. Fɔ fala dis, dɛn sheb di ɔpreshɔn to tu kayn.
1. Superficial Parotidectomy: Dis involv fכ pul wan tכmכro frכm di gland we de oba di fes nεv. Bɔku tɛm, dɛn kin du dis kayn ɔpreshɔn.
2. Tכtal Parotidectomy: Insay dis, if tכmכro de na di dip pat כnda di fes nεv, כ if di tכmכro dכn spre to di tu pat dεm, dεn de pul di כl gland.
Di dɔktɔ go chɛk yu ɛn if nid de, i go du skan fɔ no ustɛm ɔpreshɔn yu nid fɔ du.
Aw yu kin rɛdi fɔ ɔpreshɔn?
Bikɔs dis na ɔpreshɔn, sɔm tin dɛn de we yu fɔ rɛdi fɔ bifo i apin. Yu sajin (wan otolaryngologist - wan yes, nos, ɛn trot dɔktɔ) go gi yu patikyula instrɔkshɔn bɔt dis.
Sɔmtɛm lɛk dis, i go fayn fɔ mek yu gɛt yu fambul ɔ padi wit yu we yu de go to dɔktɔ. Da we de, if yu fɔgɛt sɔntin, da pɔsin de go mɛmba am ɛn ɛp yu.
Na dɛn tin ya yu kin gɛt fɔ du:
- If yu de smok, yu fɔ stɔp bifo dɛn du yu ɔpreshɔn. Smok kin mek wund nɔ wɛl.
- Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin (e.g., fɔ dayabitis, blɔd prɛshɔn) ɔr vaytamɛn wae yu de tek. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners) sɔm dez bifo dɛn du di ɔpreshɔn.
- Fɔ no ustɛm yu fɔ stɔp fɔ it ɛn drink bifo dɛn du yu ɔpreshɔn.
- Aks if yu go gɛt fɔ de na ɔspitul afta di ɔpreshɔn, ɔ if yu kin go na os di sem de.
- Arenj fɔ mek sɔmbɔdi go wit yu na os ɛn sɔmbɔdi fɔ kia fɔ yu fɔ di fɔs 24 awa ɔ sɔm dez afta yu go bak na os.
Test dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn
If tumbu de, di dɔktɔ kin du bɔku tɛst dɛn bifo dɛn du di ɔpreshɔn:
- Fine-needle Aspiration (FNA): dεn kin tek wan rili sכm pat pan di tisu frכm di tכmכro we dεn de yuz fayn nidul εn tεst fכ kεnsar sεl dεm.
- CT skan ɔ MRI skan: If di tumbu de rili nia di impɔtant fes nerv, dɛn skan ya kin ɛp di dɔktɔ we de du di ɔpreshɔn, lɛk map, fɔ tek tɛm mek i nɔ pwɛl da nɛv de we dɛn de du di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu nɔ go fil natin bɔt dis, bikɔs dɛn go du di ɔpreshɔn ɔnda jenɛral anestezi ɛn yu go slip fayn.
Di dɔktɔ we de du di ɔpreshɔn kin fala dɛn tin ya:
1. Fɔ mek say we yu kɔt: Dɛn kin kɔt yu yes bifo yu yes, go dɔŋ di yes, ɛn fala wan natura l kris we de ɔp yu nɛk. Dɛn kin du dis so dat di say we dɛn kɔt nɔ go izi fɔ si leta.
2. fכ mek di gland kכmכt: dεn de pul di skin bak fכ mek di parotid gland kכmכt. dis tεm, dεn kin yuz wan fכs nerv mכnitor fכ mכnitor fכ di fεs nerv dεm we dεn dכn pwεl.
3. Fɔ pul di gland: Dɛn kin tek tɛm pul di pat we nid fɔ de pan di gland ɔ di wan ol gland. If tɛst kɔnfirm se na kansa ɛn dɛn si se i dɔn spre to 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: Dɔn dɛn kin siŋ di say we dɛn kɔt bak togɛda fayn fayn wan.
5. Fɔ put dreyn insay: Dɛn kin put smɔl tiub (surgical drein) fɔ mek blɔd ɔ ɔda wata nɔ gɛda insay di wund ɛn fɔ pul am kɔmɔt. Dɛn kin pul dis insay wan ɔ tu dez.
Dis ɔl ɔpreshɔn kin tek lɛk tu to 4 awa so.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
Di men bɛnifit na dat i kin mɛn di sik na di parotid gland. If na nɔmal tumbu, i go wɛl ɔl afta dɛn dɔn du am ɔpreshɔn. If na kansa tumbu, dɛn kin pul am bifo i go na ɔda pat dɛn na di bɔdi ɛn i kin sev pipul dɛn layf. Na fayn tritmɛnt bak fɔ siriɔs pen ɛn infɛkshɔn we kin kam wit ston na di saliva.
Bɔt bikɔs dis na ɔpreshɔn we kɔmpleks smɔl, sɔm prɔblɛm dɛn de ɛn sɔm bad tin dɛn de we kin apin. Bɔku pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ.
| Sayd ɛfɛkt/kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Di fes, yes, ɔ jaw we de swɛla | Di skin we de na di sayd we dɛn de du di ɔpreshɔn kin fil lɛk se i nɔ gɛt bɛtɛ trɛnk. Dis go dɔn smɔl smɔl fɔ sɔm mɔnt to wan ia. |
| Fes we wik | Afta dɛn dɔn du di ɔpreshɔn, di fes nerve kin swel smɔl, we kin mek pɔsin fil lɛk se i de pul wan say na di fes, ɛn i nɔ kin fil fayn smɔl we i de smayl ɔ lɔk in yay. Dis kin wɛl bak ɔlsay insay sɔm wik ɔ mɔnt. Damej we go de sote go nɔ kin apin so ɔltɛm. |
| Frey in sik we dɛn kɔl sindrom | Dis na smɔl tin we strenj tin. Afta sɔm mɔnt we dɛn du di ɔpreshɔn, we yu it, yu kin bigin fɔ swet na di sayd we yu chɛk usay dɛn du di ɔpreshɔn. Wan tritmɛnt de fɔ dis. |
| Fɔs bayt sindrom | Shap pen na di rayt say na di jaw we yu de tek di fɔs bayt we yu it. Bɔku tɛm, dis kin stɔp afta sɔm tɛm. |
| Blɔd we dɛn kin gɛda (Hematoma) . | Blɔd kin gɛda insay di wund ɛn mek i swel. Dɛn kin put di dreyn fɔ mek dis nɔ apin. |
Wetin kin apin afta di ɔpreshɔn?
We yu wek frɔm anestezi, yu go de na 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 mek yu fil pen. Dɛn kin aks yu fɔ smayl ɛn lɔk yu yay tayt fɔ chɛk if yu fes nerv dɛn de wok fayn.
Bifo yu go na os, dɛn go tɛl yu aw fɔ kia fɔ yu wund, aw fɔ kia fɔ di dreyn (if i de), ɛn ustɛm yu go nid fɔ go bak fɔ mek dɛn pul di stich dɛn ɛn pul di dreyn.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku tɛm yu kin bigin fɔ du yu nɔmal tin dɛn bak afta lɛk tu wiks so. Bɔt di swɛt we wi bin dɔn tɔk bɔt ɛn we in fes wik kin tek sɔm mɔnt ɔ ivin wan ia fɔ mek i wɛl ɔl. I impɔtant fɔ peshɛnt.
If dɛn pul wan kansa tumbu, yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ lɔng tɛm (sɔntɛm i go rich 20 ia) fɔ si if i kam bak.
Ustɛm yu nid fɔ go to yu dɔktɔ?
We yu go na os afta dɛn dɔn du di ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:
- If yu gɛt siriɔs pen we nɔ de stɔp ivin afta yu dɔn tek mɛrɛsin.
- If yu fil lɛk se yu fes de swɛ ɔ wik de bɔku mɔ ɛn mɔ.
- If di wund de kɔmɔt na di pus, wata, ɔ blɔd.
- If di say we de rawnd di wund rɛd, fil wam we yu tɔch am, ɔ i de at we yu tɔch am.
- If bad bad smel de kɔmɔt na di wund.
Dɛn sayn ya kin bi sayn fɔ se yu gɛt infekshɔn, so i impɔtant fɔ go to tritmɛnt kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Parotidectomy na ɔspitul we dɛn kin du fɔ pul di tɔŋ ɔ ston dɛn na di saliva gland (parotid gland) we de bifo di yes.
- Bikɔs dɛn kin du dis ɔpreshɔn nia wan rili impɔtant fes nerve, i impɔtant fɔ mek dɛn go to spɛshal dɔktɔ we de du ɔpreshɔn fɔ ɛp dɛn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo yu du di ɔpreshɔn (stɔp fɔ smok, tich yusɛf bɔt di mɛrɛsin dɛn).
- Na nɔmal tin fɔ mek yu fes nɔ fil fayn ɔ yu wik smɔl afta yu dɔn ɔpreshɔn yu. Bɔku pan dɛn tin ya go sɔlv as tɛm de go.
- If yu notis sayn dɛm fɔ infekshɔn na di wund (pus, swel pasmak, rɛd, fiva), nɔ delay ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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