Paparinga pupuhi? Me kōrero tātou mō te pokanga repe parotid (Parotidectomy)!

He pupuhi iti, he puku rānei kei mua i tō taringa, kei te paparinga? He mamae rānei kei taua wāhi i a koe e kai ana? Ko te take o ēnei mea he raruraru pea kei te repe parotid, e tata ana ki tō taringa. Koinei te repe matua e whakaputa ana i te huware i roto i tō tātou waha. Nō reira, ko te pokanga e mahia ana mō ngā raruraru o tēnei repe e kiia ana ko te Parotidectomy. He maha ngā tāngata e mataku ana ina rongo rātou i tēnei ingoa. Engari ki te mōhio tika koe ki tēnei, ka taea e koe te whakakore i taua mataku. I tēnei rā, ka kōrerohia e tātou tēnei mea mā te ngāwari, i roto i te huarahi e mārama ai koe.

He aha te tikanga o te tango i te parotid i roto i te mangai?

Ko te tango i te parotidectomy he pokanga tango i te katoa, i te wāhanga rānei o tō repe parotid. Whakaarohia, kei mua i ō tātou taringa ēnei repe parotid e rua, i te paparinga. Ko tā rātou mahi matua he whakaputa huware. Ina kai tātou, mā tēnei huware ka māmā ake te horomi kai, ā, ka noho makuku tonu ō tātou waha.

Nā, he aha i hiahia ai koe ki te tango i tēnei repe? E rua ngā take matua:

1. Ngā pukupuku: I ētahi wā ka puta he pukupuku i roto i tēnei repe. Ko te nuinga o ēnei pukupuku he pukupuku noa, he pukupuku pai . Heoi, he iti noa iho ka taea te mate pukupuku. Nō reira, i muri i te mōhio ki te momo pukupuku, ka mahia tēnei pokanga hei tango.

2. Ngā Kōhatu Huware: Ka puta he "kōhatu huware" ki ētahi tāngata e aukati ana i ngā awa e kawe ana i te huware ki tēnei repe. Ka pupuhi pea te repe, ka mamae nui hoki i te wā e kai ana. Ka taea hoki e ia te arahi ki ngā mate pāwera maha. I roto i ēnei āhuatanga, me mahi pea he pokanga.

He aha ngā momo matua o tēnei pokanga?

Ko te momo pokanga ka mahia e koe ka whakawhirinaki ki te wāhi kei reira te pukupuku, te raruraru rānei. He io tino nui e rere ana i roto i tō repe parotid. Ko te io kanohi. Ina menemene tātou, ina kati ō tātou kanohi, ina nekehia ō tātou waha, ka whakahaerehia ēnei nekehanga katoa e tēnei io. Nō reira, ka whakahaerehia e ngā tākuta tēnei pokanga me te kore e pakaru tēnei io.

E rua ngā momo pokanga matua, kei runga i te wāhi e pā ana te raruraru.

Ka taea hoki te whakamahi i ngā momo e rua hei tango i ngā kōhatu huware. Mā tō tākuta e whakatau ko tēhea pokanga e hiahiatia ana e koe i muri i te tirotiro i a koe.

Me pēhea te whakarite i mua i te pokanga?

He mea noa te mataku me te mataku i te wā e whakarite ana mō te pokanga. Engari mā te mōhiotanga me te whakamahere tika, ka taea e koe te whakahaere i ngā mea katoa. Ka hoatu e tō taote pokanga he huinga tohutohu mārama ki a koe mō ngā mea hei mahi. Koinei ngā mea ka tonoa koe kia mahi:

• Ki te kaipaipa koe, kati: Ka whakaroa te kaipaipa i te whakaora o te patunga, nō reira he mea tino nui kia mutu te kaipaipa i te iti rawa i ētahi wiki i mua i te pokanga.
• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Mena kei te tango koe i ngā rongoā whakaiti toto (pēnei i te aspirin, clopidogrel), ngā huaora, ngā rongoā tuku iho rānei, kia mōhio koe ki te kōrero ki tō tākuta mō ēnei. Tērā pea ka tonoa koe kia mutu te tango i ētahi o ēnei i mua i te pokanga.
• Kia mōhio ki te wā e nohopuku ai: Kimihia kia hia ngā hāora e hiahiatia ana e koe hei karo i te kai me te inu i mua i te pokanga.
• Pātai atu mēnā me noho tonu koe ki te hōhipera: Kimihia i mua i te wā mēnā ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te pokanga, mēnā rānei me noho tonu koe ki te hōhipera mō te rā kotahi, e rua rānei.
• Whakaritea kia āwhina tetahi i a koe ina tae koe ki te kāinga: Haunga te kawe i a koe ki te kāinga i muri i te pokanga, he mea tino nui kia whai tetahi hei āwhina i a koe i te rā tuatahi.

Ngā whakamātautau i mua i te pokanga

Mena he pukupuku, ka whakahaerehia pea e te tākuta ētahi o ēnei whakamātautau i mua i te pokanga hei whakatau i tōna āhua tuturu.

• Te Whakapūngao Ngira Pai (FNA): Ko te whakamahi i tētahi ngira pai rawa atu hei tango i tētahi tauira iti o ngā pūtau mai i te puku. Kātahi ka whakamatautauria te tauira hei kite mēnā he matepukupuku, kāore rānei.
• Matawai CT, matawai MRI rānei:Mena kei te tata rawa te puku ki te io kanohi nui, ka mahia ēnei matawai. Kātahi ka taea e te taote pokanga te whakamahere i te huarahi pai hei tango i te puku me te kore e kino te io.

Me pēhea te mahi i te pokanga?

I roto i te rūma pokanga, ka hoatu e te tohunga whakamoe he rongoā mā roto i tētahi ngongo iti (raina IV) i roto i tētahi uaua i tō ringa, ka moe rawa koe. Nō reira, kāore koe e mamae i te wā e pokangahia ana. Kātahi ka whai te taote pokanga i ēnei mahi:

1. Tapahi: Ka tīmata te tapahi i mua i tō taringa, i raro i te pū taringa, ā, whai muri i te kōpiko tūturu i te tihi o tō kaki. He iti ake te tūponotanga ka kitea he koha i tēnei tapahi i muri mai.

2. Te whakaatu i te repe: Kātahi ka hutia te kiri ki muri kia kitea te repe parotid. Tērā pea ka whakamahia he taputapu aroturuki io ​​kanohi hei aroturuki mō te kino o te io kanohi i te wā o te tikanga.

3. Te tango i te repe: Muri iho, ka tangohia tetahi wāhanga, tetahi wāhanga rānei o te repe. Mena kua whakaūtia e ngā whakamātautau kua horapa te mate pukupuku ki ngā kōpū lymph tata, ka tangohia hoki aua kōpū lymph i taua wā anō.

4. Te tuitui i te tapahi: Kia tangohia te repe, ka tuia pai te tapahi kia piri tahi.

5. Te whakauru i tētahi paipa (Waipa Pokanga): Hei whakamutunga, ka whakauruhia he ngongo iti, angiangi (waipa) hei tango i te toto, i ētahi atu wai rānei ka kohia ki roto i te patunga.

E rua ki te whā hāora te roa o tēnei pokanga katoa.

He aha ngā painga me ngā mōrearea pea o te pokanga?

Pērā i ngā pokanga katoa, he pai ngā painga o te pokanga tango parotid, me ētahi mōrearea me ngā pānga taha anō hoki.

Ngā painga matua o te pokanga

Mena he pukupuku pai, ka taea e tēnei pokanga te whakaora katoa. Koinei hoki te rongoā tino whai hua mō ngā kōhatu huware me ngā mate e puta mai ana i aua kōhatu. Mena he pukupuku matepukupuku, ka taea te tango i mua i te horapa ki ētahi atu wāhanga o te tinana, ka nui ake te tūponotanga ki te whakaora i te mate. Heoi, i ētahi wā ka tūpono anō ngā pukupuku matepukupuku kia hoki mai anō .

Ngā raruraru me ngā mōrearea pea

He pokanga uaua ake tēnei, nā te mea me tino tiakina te io kanohi. Nō reira, ka puta pea ētahi raruraru. Engari he wā poto noa iho te nuinga o ēnei .

Hei tāpiritanga, tera anō ētahi mōrearea noa ka kitea i roto i tētahi pokanga.

• Te uruparenga mate pāwera ki ngā mamae
• He nui rawa te kohi wai huri noa i te patunga
• Te toto nui rawa
• Te kohi toto i roto i te patunga (hematoma)

Ngā pānga taha noa

Ka taea e koe te tumanako i ngā mea e whai ake nei i muri i te pokanga:

• Mamae me te pupuhi: Ka roa pea te mamae me te pupuhi i te wāhi i pokangahia mō te wiki, e rua rānei.
• Te uaua ki te kai: Tērā pea ka uaua koe ki te kai nā te mamae o tō kauae. Ka memeha haere tēnei i muri i ngā wiki e rua ki te whā.

He aha ngā mea ka tupu i muri i te pokanga?

Kia hoki mai tō māramatanga, ka noho koe ki te rūma whakaora. Ka tirohia e te hunga nēhi tō manawa me tō toto toto i ia wā. Ka hoatu he rongoā ki a koe hei āwhina i te mamae. Tērā pea ka tonoa koe kia menemene, kia katia ō kanohi, kia pōuri hoki hei tirotiro kei te mahi tika ō io kanohi.

I mua i tō hokinga ki te kāinga, ka hoatu he whakamārama taipitopito ki a koe mō te tiaki i tō patunga me te waikeri kua whakatakotoria. Ka kīia atu hoki ki a koe te wā tika hei toro atu ki te tākuta. Tērā pea ka rite te āhua o tēnei kaupapa:

• 1-2 ngā rā i muri i te pokanga: Tangohia te waikeri.
• 5-7 ngā rā i muri i te pokanga: Mena i whakamahia ngā tuitui kore e rewa, tangohia.
• 4-6 wiki i muri i te pokanga: Me toro atu anō ki tō taote pokanga kia kite ai mēnā kua ora te patunga.

Kia pēhea te roa o te wā e ora ai?

E hia wiki te roa kia tino ora ai. Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi noa i muri i te rua wiki pea . Heoi, e hia marama pea, e hia tau rānei, kia ngaro katoa ai te ngoikore o te kanohi, te ngoikore rānei.

Mena he mate pukupuku tōu, he aha te āhua o te tiaki mō te wā roa?

Ka taea e ngā pukupuku o te repe parotid te hoki mai anō i ētahi wā. Nō reira, ka tirotirohia koe e tō tākuta mō ngā tau i muri i te pokanga. Ka taea e te mahi whakamātautau auau me te tatari mō ngā hua te whakararuraru i te hinengaro. He mea nui kia kōrero koe ki tō tākuta me tō whānau mō ō āwangawanga i ngā wā penei.

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu!

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga mai i te pokanga, waea atu ki tō tākuta i runga i te wā tonu.

• Mena he nui te mamae e pā mai ana, ā, kāore e memeha ahakoa te tango i te rongoā.
• Ki te mea kei te kino haere te ngoikore, te māuiui rānei o tō kanohi.
• Mena kei te turuturu te patunga i te pulu, te wai, te toto rānei .
• Mena ka wera te wāhi huri noa i te patunga ina pā atu , ka mamae rānei ina pā atu.
• Mena he haunga kino e puta mai ana i te patunga.

Ko te tikanga o ēnei mea ka pangia pea te patunga, nō reira he mea nui kia rapu wawe i te maimoatanga.