He pupuhi iti i te kaki, he uaua ki te horomi, he mate pukupuku tairoi rānei... Kua kōrerotia e te tākuta ki a koe tētahi pokanga hei tango i te repe tairoi mō tētahi take pēnei? He mea noa te mataku me te manukanuka ina rongo koe i tēnei. "Ko wai kāore e pai ki tētahi pokanga?" ka whakaaro pea koe. Engari ki te mōhio tika tātou, ki te ngāwari hoki mō tēnei pokanga e kiia nei ko te ` Thyroidectomy` , ka taea te whakakore i taua mataku ki tētahi wāhi nui. Nō reira, me kōrero tātou mō ngā mea katoa mō tēnei i tēnei rā.

Ki te kī ngāwari, he aha te tango i te tairoiti?

Āe, me titiro tuatahi tātou ki te repe tairoiti. He okana iti te repe tairoiti, he āhua pūrerehua, kei mua o tō kaki, kei ia taha o tō puku manawa. Ahakoa he iti, he nui āna mahi. He maha ngā tukanga nui o te tinana e whakahaere ana i roto i a ia, pērā i te pākia o te kai.

Ko te 'Thyroidectomy' e pā ana ki te tango pokanga o te repe tairoiti, ahakoa te tango katoa ('Total Thyroidectomy') me te tango wāhanga anake rānei ('Partial Thyroidectomy'). Pērā i te tango i te niho pirau, ko te mahi i konei ko te tango i te repe tairoiti, i tētahi wāhanga rānei kua pakaru i tētahi mate hauora.

He aha mātou i hiahia ai ki te mahi i tēnei mahi?

"He aha koe ka tango ohorere ai i tētahi tairoi tino ora?" tērā pea koe e whakaaro ana. He maha ngā take matua mō tēnei. Me titiro matatau tātou ki aua take.

He aha ngā momo pokanga tango tairoiti?

E rua ngā momo pokanga matua. Mā tō tākuta e whakatau ko tēhea momo te mea pai mōu i runga i tō āhua.

• Te tango katoa i te repe tairoiti: Koinei te wāhi e tangohia katoatia ai, e tata ana rānei te tango katoa i tō repe tairoiti. He tikanga tēnei e whakamahia ana i ngā wā o te mate pukupuku tairoiti, te mate pukupuku rānei kua horapa puta noa i te repe.
• Te tango hapa o te repe tairoiti: Ka kiia hoki tēnei ko te 'Hemithyroidectomy', ko te 'Lobectomy' rānei. E rua ngā wāhanga matua o te repe tairoiti (ngā lobes). Ka tangohia e tēnei pokanga tētahi o ngā wāhanga e rua. Ka whakamahia tēnei tikanga mēnā he puku kei te taha kotahi anake o te repe.

Ngā pātai nui hei pātai atu ki te tākuta i mua i te pokanga

He tika ki a koe te pātai i ō pātai katoa i mua i te pokanga, ā, mā tēnā ka āwhina i a koe ki te whakamama i ō mataku. Anei ētahi pātai ka taea e koe te pātai ki tō tākuta.

• He aha ahau i hiahia ai ki tēnei pokanga, e te tākuta? Kāore ianei he maimoatanga kē atu mō tōku mate?
• He aha ngā mōrearea o tēnei pokanga? He aha ngā tūponotanga o ngā raruraru?
• E hia te nui o taku repe tairoiti e whakaarohia ana ka tangohia? Katoa? He wāhanga noa iho rānei?
• Me tango e au ngā pire homoni tairoi mō te toenga o tōku oranga i muri i te pokanga? (He pātai tēnei a te tini tāngata)
• Kia pēhea te roa o taku noho ki te hōhipera i muri i te pokanga? Kia pēhea te roa ka hoki anō ahau ki te āhua noa?

Mā ngā whakautu ki ēnei pātai ka pai ake tō māramatanga ki te tukanga katoa.

Me pēhea tā tātou whakarite mō te mahi?

Pērā i ngā pokanga katoa, me whakarite tēnei. Mā tō tākuta koe e hoatu he tohutohu mārama mō tēnei.

He torutoru wiki i mua i te pokanga

• Ngā Whakamātautau: Tērā pea ka tonoa he matawai ultrasound o te tairoi hei tirotiro i te wāhi tika o te puku . Mēnā he ruarua kei te mate pukupuku te puku, ka taea te mahi i tētahi tango ngira pai (biopsy) , arā, ko te tango i tētahi tauira iti o ngā pūtau ki tētahi ngira.
• Whakamātautau reo: Ka taea te whakamātautau i te mahi a ō taura reo , e whakaputa ana i tō reo.
• Rongoā: Mena he tino tiketike ngā taumata o te homoni tairoi, ka tonoa koe kia tīmata i te rongoā i mua i te pokanga hei whakahaere i taua taumata.
• Momi hikareti: Mena he kaipaipa koe, ka tino tohutohu tō tākuta kia mutu te kaipaipa, nā te mea ka taea e te kaipaipa te whakararuraru i te mahi whakamoe me te tukanga whakaora.

Tata ki te wiki i mua i te pokanga

• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā kua tohua, ngā huaora, ngā rongoā otaota, me ngā tāpiringa. Māna koe e kōrero ko ēhea ngā rongoā me tango e koe, me ēhea hoki me mutu te tango i te rā o tō pokanga.
• Ngā rongoā whakaiti toto: Ki te mea kei te tango koe i ngā rongoā whakaiti toto, me mutu noa iho ēnei i runga i te tohutohu a tō tākuta. Kaua rawa e mutu te tango me te kore he tohutohu a tō tākuta.

I mua i te pokanga

Te nohopuku (te karo i te kai me te inu i tua atu i te wai) mō ētahi haora i mua i te pokanga.Me tatari koe. Ka whiwhi koe i ngā tohutohu mārama mai i te hōhipera mō tēnā.

He aha ngā mea ka tupu i te wā o te mahi?

Kāore koe e hiahia ki te whakaaro nui ki tēnei mea, nā te mea kua moe pai koe.

I mua i te pokanga, ka whakamoea koe e te tohunga whakamoe , ā, ka whakamoea rawatia koe . Nō reira, kāore koe e mamae. Hei whakangawari ake i te manawa i te wā o te pokanga, ka whakatakotoria he ngongo manawa ki roto i tō korokoro.

He maha ngā huarahi e taea ai e te taote pokanga te tae atu ki te repe tairoi:

• Tikanga tuku iho: Ka mahia te pokanga mā te tapahi iti i te kokonga o te kaki. Ka mahia tēnei hei whakaiti i te koha.
• Angioplasty iti-whakakotahi (MIVAT): Ka mahia tēnei pokanga mā roto i tētahi tapahi iti rawa me te āwhina o tētahi kāmera.
• Ngā tikanga kore-ira: Kei te wātea ngā tikanga pokanga ināianei mā te tapahi i ngā wāhi kāore e kitea ngā ira, pērā i roto i te waha me raro i ngā kēkē.
• He tino onge: Mena kua tae te pūkahukahu ki roto i te uma, me mahi pea mā te wheua uma.

Mena he mate pukupuku te pokanga, ka tangohia e te taote pokanga he tauira o ngā kōpū waikura e karapoti ana i te repe tairoi ka tirotirohia. Mena ka kitea kua horapa te mate pukupuku ki reira, ka tangohia pea aua kōpū waikura.

I te mutunga o te pokanga, ka whakatakotoria ngā tuitui rewa ki roto, ā, ka pania he momo kāpia motuhake ki runga i te kiri.

Ko te tikanga, e 1-3 hāora te roa o te pokanga hei tango i te repe tairoi katoa. He poto ake te wā e pau ana i te pokanga hei tango i tētahi wāhanga anake o te repe.

He aha ngā mōrearea o tēnei mahi?

Tuatahi, he tino haumaru te tango i te tairoiti i te nuinga o ngā wā . He onge ngā raruraru. Heoi, pērā i ngā pokanga katoa, he tūponotanga kei reira.

• Te toto nui rawa: He tino onge tēnei, engari ki te tupu, ka ārai pea te ara manawa i te toto totoka, ā, ka uaua ai te manawa.
• Te kino o ngā taura reo: Ka tata rawa atu ngā io e whakahaere ana i te reo ki te repe tairoi. Mēnā ka pakaru ēnei io i te wā o te pokanga, ka puta pea he reo pākū , he ngoikore rānei. He wā poto noa iho tēnei. Ka tino tupato ngā taote pokanga ki te tautuhi i ēnei io, me te karo hoki i te kino.
• Te kino o ngā repe parathyroid: E piri ana ki te tuara o te repe thyroid, e whā ngā repe iti, he rite te rahi ki ngā pata raihi e whā. Ka kiia ēnei he repe parathyroid. Mā rātou e whakahaere ngā taumata konupūmā i roto i te tinana. Mena ka pakaru ēnei i te wā pokanga, ka heke pea ngā taumata konupūmā i roto i te toto (hypocalcemia) .

Ka nui ake te tūponotanga ka puta ēnei āhuatanga mōrearea mēnā kei te pāngia koe e te mate pukupuku kua horapa haere, mēnā koinei tō pokanga tuarua mō te tairoi, mēnā rānei he nui rawa te mate puku.

Kia pēhea te roa o te wā e ora katoa ai?

Ka noho koe ki te hōhipera mō te kotahi, e rua rānei ngā rā. Kia ara ake koe i te rongoā whakamoe, ka taea e koe te kai i ngā kai māmā me te inu wai. Tērā pea ka mamae tō korokoro mō ētahi rā nā te ngongo manawa i whakatakotoria i te wā o te pokanga.

I mua i tō hokinga ki te kāinga, ka whiwhi koe i ngā tohutohu mō te tiaki i tō tapahi.

I te nuinga o te wā, ka tino pai ake tō hauora i roto i ngā wiki e rua, e toru rānei . Heoi, me tatari koe kia rua wiki pea i mua i te tīmatanga o ngā mahi pēnei i te whakakorikori tinana me te hiki taumaha.

Mō te koha

Ae, ka toe he koha iti ki mua o te kaki. Tērā pea kei waenganui i te 1-2.5 inihi te rahi. Heoi, ka tapahia tēnei e te tākuta ki roto i tētahi kōpiko i te kiri o te kaki, kia kore ai e kitea i roto i te wā. Tērā pea ka roa te 12-18 marama ki te ora katoa o te koha. I te tīmatanga, tera pea he whero, he paku piki ake, engari i roto i te wā, ka memeha haere, ka mārama ake te tae, ka rite ki te kiri. Whaia ngā tohutohu a tō tākuta hei āwhina i te tere o te ora o tō koha.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu.

I muri i te hokinga ki te kāinga, he mea nui kia mahi tonu mēnā ka puta he raruraru. Kia tūpato ki ngā tohu e whai ake nei.

Ehara i te mea ngāwari te aro atu ki tētahi pokanga. He mea noa te mataku me te ruarua. Heoi, he tikanga haumaru te tango i te tairoiti e mahia ana i ngā wā katoa, ā, he tino angitu ngā hua. He pai te ora o te nuinga o te tangata i muri i te pokanga, inā koa mēnā ko te pokanga he tango i ngā pūtau matepukupuku, ā, he nui te wairua marino. Ki te mea kei te āwangawanga tonu koe, kaua e wehi ki te kōrero ki tō tākuta. Kei reira rātou hei āwhina i a koe.