He puku i roto i tō kaki, he uaua ki te horomi, he āwangawanga rānei mō te mate tairoi , te mate pukupuku tairoi rānei… kua tūtohutia e tō tākuta he pokanga hei tango i tō repe tairoi? He mea tino noa te manukanuka, te taumahatanga rānei ina rongo koe i te kupu "pokanga." E mārama ana mātou he mea whakamataku, engari mā te ako i ngā meka mō te ' Tōtiroitia ' i roto i te huarahi māmā, ka taea e koe te whakamama i te nuinga o taua mataku. Me tirotiro ngātahi tātou i ngā mea katoa e hiahia ana koe ki te mōhio.
He Kupu Ngāwari: He aha te Tātaritanga o te Tairoiro?
Tuatahi, kia mārama tātou he aha te repe tairoiti. He okana iti, he āhua pūrerehua, kei mua o tō kaki, e tū tata ana ki tō puku manawa (trachea). Ahakoa he iti, he mahi nui tāna i roto i tō tinana, e whakahaere ana i ngā tukanga nui pēnei i tō pākia o te tinana.
Ko te `Thyroidectomy` he tikanga pokanga hei tango i te repe tairoiti katoa (`Total Thyroidectomy`) i tētahi wāhanga rānei (`Partial Thyroidectomy`). Pērā i te tango i tētahi niho pakaru, ka mahia tēnei pokanga hei tango i te repe tairoiti, i tētahi wāhanga rānei kua pāngia e tētahi mate hauora.
He aha i tika ai tēnei pokanga?
Tērā pea kei te whakaaro koe, "He aha me tango ai taku tairoi mēnā kei te pai te mahi?" He maha ngā take tika. Me wehewehe mārama tātou i a rātou.
| Take mō te Pokanga | He aha te tikanga... |
|---|---|
| Ngā Pona o te Tairoi | He tipu ēnei i roto i te repe tairoiti. Ko te nuinga ehara i te matepukupuku , engari ko ētahi ka matepukupuku. Ko ētahi ka nui rawa ngā homoni tairoiti e puta mai ana. Mena kei te whakapaehia he matepukupuku, ka tūtohu tō tākuta kia tangohia. |
| Ko te puku | E pā ana tēnei ki te whakanui o te repe tairoiti. I a ia e tipu ana, ka pēhi pea ki tō pūhā (trachea) me tō pūhā kai (esophagus), ka puta ai ngā tohu pēnei i te uaua ki te manawa me te uaua ki te horomi . Ka mahia he pokanga hei whakamama i tēnei pēhanga. |
| Matepukupuku tairoi | Mena ka kitea he pūtau matepukupuku i roto i tō tairoi, ko te pokanga te paerewa koura hei tango katoa i a rātou. He maha ngā wā ka tangohia te repe katoa, ā, i ētahi wā, ka horoia pea ngā kōpū lymph tata. |
| Te mate taiaki toto nui | Ka puta tēnei ina nui rawa te mahi a tō repe, ka nui ake ngā homoni e whakaputaina ana i tā te tinana e hiahia ana. Mēnā kāore e taea e te rongoā te whakahaere i tēnei, ka tūtohu pea tō tākuta kia pokanga hei rongoā whakamutunga. |
He aha ngā momo tango i te tairoidi?
E rua ngā momo matua. Mā tō taote pokanga e whakatau ko tēhea te mea tino tika i runga i ō hiahia hauora.
- Tātaritanga katoa o te repe tairoiti: Ka tangohia katoatia te repe tairoiti. Ko te tikanga tēnei ka whakamahia mō te mate pukupuku tairoiti, mō ngā mate pukupuku kino rānei.
- Te tango hapa o te tairoiti: E mōhiotia ana ko te 'Hemithyroidectomy' ko te 'Lobectomy' rānei, ko te tango i tētahi o ngā pūrua e rua o te tairoiti. He maha ngā wā ka whakamahia tēnei mēnā kua wehea tētahi pūrua ki tētahi taha.
Ko te momo pokanga e hiahiatia ana e koe ka whakatauhia mā te mahi tahi a tō Tākuta Endocrinologist me te Tākuta Pokanga. Kāore he take e manukanuka ai—kei roto koe i ngā ringa ngaio.
Ngā pātai hei pātai atu ki tō tākuta i mua i te pokanga
He tika tāu te pātai, ā, he huarahi kaha tēnei hei whakaiti i tō manukanuka i mua i te pokanga. Anei ētahi pātai nui me pātai e koe:
- He aha i tika ai tēnei pokanga mōku? He huarahi kē atu anō kāore e hiahiatia he pokanga?
- He aha ngā mōrearea o tēnei pokanga, ā, he pēhea te auau o ngā raruraru ka pā mai?
- E hia te nui o taku repe tairoiti ka tangohia?
- Me tango e au te rongoā homoni tairoi mō te toenga o tōku oranga?
- Kia pēhea te roa o taku noho i te hōhipera, ā, kia pēhea te roa o te tukanga whakaora?
Mā te mārama o ngā whakautu ki ēnei ka āwhina i a koe kia noho rite ake.
Me pēhea taku whakarite mō te pokanga?
Pērā i ngā mahi pokanga katoa, he mea nui te whakarite. Ka hoatu e tō tākuta he tohutohu motuhake e hāngai ana ki tō hauora. Me ata whai i ēnei tohutohu.
Ngā wiki i mua i tō pokanga
- Ngā Whakamātautau Tātaritanga: Ka tūtohu pea tō tākuta kia whakamahia he Ultrasound Thyroid hei tiki pikitia mārama o te puku . Mena he āwangawanga kei te kino te puku, ka taea te tango i te Fine Needle Aspiration (biopsy) , ka kohia he tauira pūtau iti mā te whakamahi i te ngira.
- Aromatawai Reo: Ka arotakehia pea e tō tākuta te mahi a ō taura reo kia mōhio ai kei te tika te mahi.
- Rongoā: Mena he tino teitei ngā taumata o ō homoni tairoi, ka tohua pea e tō tākuta he rongoā i mua i te pokanga hei whakahaere i aua taumata.
- Momi hikareti: Ki te momi hikareti koe, ka tino tohutohu tō tākuta kia mutu koe. Ka taea e te momi hikareti te whakararuraru i te rongoā whakamoe me te whakaroa i te tukanga whakaora o tō tinana.
Tata ki te Wiki i mua i te Pokanga
- Whakamōhiotia tō tākuta mō ngā rongoā katoa: Kia mahara ki te kōrero ki tō kaiwhakarato hauora mō ngā mea katoa e tangohia ana e koe, tae atu ki ngā rongoā kua tohua, ngā huaora, ngā rongoā otaota, me ngā tāpiringa. Mā rātou koe e tohutohu mō ngā rongoā hei haere tonu me ngā rongoā hei whakamutu i mua i tō pokanga.
- Ngā rongoā whakangawari toto: Mena kei te tango koe i ngā rongoā whakangawari toto, me mutu te tango i ēnei mō te wā poto, engari i raro i ngā tohutohu motuhake a tō tākuta. Kaua rawa e mutu te tango i ēnei rongoā me te kore e kōrero tuatahi ki tō tākuta.
I mua i te Pokanga
Me nohopuku koe (kāore e kai, kāore hoki e inu) mō ētahi hāora i mua i tō pokanga. Mā ngā kaimahi o te hōhipera koe e hoatu ki ngā tohutohu mārama mō ēnei aratohu.
He aha ngā mea ka tupu i te wā o te mahi?
Kāore he take e manukanuka ai koe, nā te mea ka moe pai koe i te roanga o te tukanga.
I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui kia kore ai koe e mōhio , arā, kāore koe e rongo i te mamae. Hei āwhina i a koe ki te manawa ngāwari, ka whakatakotoria he ngongo manawa ki roto i tō korokoro i te wā o te pokanga.
Tērā pea ka whakamahia e tō taote pokanga ētahi huarahi hei uru atu ki te repe tairoi:
- Huarahi Tuku Iho: Ka tapahia he wahi iti i te taha o te kiri maori o tō kaki hei whakaiti i te whara e kitea ana.
- Te Tātaritanga Tairoidi Āwhina Ataata iti rawa te whakaekenga (MIVAT): Ka mahia tēnei pokanga mā roto i tētahi tapahi iti rawa mā te whakamahi i te arataki a te kāmera.
- Ngā Huarahi Kore-Whā: He tikanga hou kei reira hei uru atu ki te tairoi mā te waha, i raro rānei i te kēkē, ā, kāore e kitea he whara i te kaki.
- Ngā Kēhi Onge: Mena kua horapa te goiter ki roto i te kōhao o te uma, i ētahi wā ka hiahiatia he maimoatanga e uru ana te wheua o te uma.
Mena he rongoā te mahi pokanga mō te mate pukupuku, ka taea e te taote te tango i te pūtau o ngā kōpū waikura e karapoti ana. Mena kua horapa te mate pukupuku ki ēnei kōpū, ka taea hoki te tango atu.
I te mutunga o te tikanga, ka katihia te tapahi ki ngā tuitui o roto ka taea te rewa, me tētahi kāpia pokanga motuhake e piri ana ki te mata o te kiri.
E 1 ki te 3 hāora te roa o te tango katoa i te tairoi, engari he poto ake te wā mō te tango hapa.
He aha ngā mōrearea o tēnei pokanga?
He mea nui kia mōhio koe he tino haumaru te tango i te tairoiti. He onge ngā raruraru, engari pērā i ngā pokanga katoa, kei reira ētahi mōrearea.
- Te Toto Nui Rawa: Ahakoa he onge, ka puta he hematoma i te toto ka pēhi i te ara manawa, ka raru ai te manawa.
- Te Pakaru o ngā Io o te Taura Reo: Ko ngā io e whakahaere ana i tō reo e tata ana ki te repe tairoi. Mena ka whara ēnei i te wā o te pokanga, tera pea ka pāngia koe e te reo pāorooro , e te ngoikore rānei o te reo. I te nuinga o te wā, he wā poto noa iho tēnei. Ka tino tupato ngā taote pokanga ki te tautuhi me te tiaki i ēnei io.
- Te Kino o ngā Repe Parathyroid: E whā ō repe iti, he rite te rahi ki ngā pata raihi, e piri ana ki te tuara o tō tairoi. Ko ngā repe Parathyroid ēnei, e whakahaere ana i ngā taumata konupūmā o tō tinana. Mena ka pāngia rātou i te wā e pokanga ana, ka heke pea ngā taumata konupūmā o tō toto (Hypocalcemia) .
Ka piki ake te tūponotanga o ēnei mōrearea mēnā he nui te mate pukupuku kei a koe, mēnā he pokanga tairoi anō tēnei, mēnā rānei he nui rawa te rahi o te puku.
Kia pēhea te roa o te whakaoranga katoa?
Tērā pea ka noho koe ki te hōhipera mō te kotahi, e rua rānei ngā rā. Kia oho ake koe i te rongoā whakamoe, ka taea e koe te tīmata ki te kai i ngā kai māmā me ngā wai. Tērā pea ka pāngia koe e te mamae ngawari o te korokoro mō ētahi rā nā te ngongo manawa.
I mua i tō tukunga i te hōhipera, ka whiwhi koe i ngā tohutohu motuhake mō te tiaki i tō tapahi.
Ko te nuinga o ngā tūroro e ora katoa ana i roto i ngā wiki e rua, e toru rānei . Heoi, me tatari koe kia rua wiki pea i mua i te tīmata anō i ngā mahi uaua pēnei i te whakakori tinana, te hiki taumaha rānei.
Mō te Koha
Ae, ka toe tonu he koha iti (tata ki te 1 ki te 2.5 inihi) ki te pūtake o tō kaki. Ka whakanohoia e ngā taote pokanga te tapahi i te taha o ngā kopa tūturu o tō kaki, kia kore ai e kitea i te roanga o te wā. E 12-18 marama pea ka pakari rawa te koha. Ahakoa he ahua whero, he piki rānei i te tīmatanga, ka memeha, ka papatahi i te roanga o te wā. Whaia ngā tohutohu a tō tākuta mō te tiaki i te koha hei whakatairanga i te whakaora pai.
Āhea te rapu awhina hauora tere
Ki te kite koe i ētahi tohu whakararuraru i muri i te hokinga ki te kāinga, he mea nui kia tere te mahi.
| Tohu Whakatūpato | Mahi e hiahiatia ana |
|---|---|
| Te pupuhi, te toto, te rerenga rānei i te wāhi i tapahia. | Whakapā atu ki tō taote pokanga tonu atu, haere rānei ki te Wāhanga Ohotata tata atu. |
| Te kirika (neke atu i te 38°C). | Whakapā atu ki tō tākuta tonu. |
| Te ngenge, te mākūkū rānei o te mata, o ngā ringa, o ngā ngutu rānei (he tohu pea tēnei o te iti o te konupūmā). | Me whakamōhio atu ki tō tākuta tonu; kaua tēnei e warewaretia. |
He mea nui te pokanga, ā, he mea maori te manukanuka. Heoi, he tikanga noa te tango i te tairoi, ā, he tino pai ngā hua. He pai te ora o te nuinga o te tangata, ā, he maha ngā wā ka tino marino te hunga e pokangahia ana mō te mate pukupuku. Mena kei te āwangawanga tonu koe, kaua e mangere ki te kōrero ki tō tākuta—kei reira rātou hei tautoko i a koe puta noa i tō haerenga ki Nirogi Lanka.
Ngā Kaupapa Matua mō tō Manaaki
- He tikanga pokanga noa te tango i te tairoiti, he tikanga tino haumaru hoki e whakamahia ana hei rongoā i ngā mate tairoiti maha i Nirogi Lanka.
- He mea nui kia mārama koe ki ngā take mō tō pokanga. Kaua rawa e mangere ki te pātai atu ki tō taote pokanga mō ngā pātai katoa e pā ana ki a koe.
- Me whai pūmau i ngā tohutohu a tō taote pokanga i mua i te pokanga, inā koa mō ngā wātaka rongoā me ngā whakaritenga nohopuku.
- E rua wiki pea te roa o te whakaoranga katoa. He mea nui te okioki me te tiaki tika i muri i te pokanga kia ora ai koe.
- Ki te tangohia katoatia tō repe tairoi, me tango e koe he tāpiringa homoni tairoi (Levothyroxine) i ia rā mō te oranga katoa. He wāhanga tino māmā tēnei o tō mahinga.
- Mena ka pāngia koe e ētahi tohu whakararuraru i muri i te pokanga, pērā i te pupuhi nui, te kirika, te wiri rānei, me rapu awhina hauora tonu atu, me whakapā atu rānei ki ngā ratonga whawhati tata.
Te tango i te tairoiti, te pokanga tairoiti, te repe tairoiti, te korokoro, te mate pukupuku tairoiti, te mate tairoiti nui, te pokanga
