He aha ka Thyroidectomy? Ke Kumu, ke Kaʻina Hana & Hoʻōla

ʻO ka thyroidectomy kahi hana ʻoki e wehe i nā mea a pau a i ʻole kekahi ʻāpana o kou ʻōpū thyroid. Aia kēia ʻōpū e like me ka pepe i ke kumu o kou ʻāʻī a hana i nā hormones e hoʻoponopono i kou metabolism, ka puʻuwai, a me ka mahana o ke kino. Ke hiki ʻole ke mālama ʻia nā pilikia thyroid me ka lāʻau lapaʻau wale nō, ʻo ka ʻoki ʻana paha ke ala maikaʻi loa e kōkua iā ʻoe e ʻoi aku ka maikaʻi.

He aha ka thyroidectomy?

ʻO ka thyroidectomy ka wehe ʻana i ka ʻōpū thyroid, ma kahi hapa a i ʻole pau. Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ka ʻaoʻao lalo o kou ʻāʻī e komo palekana i ka ʻōpū thyroid. Lawe maʻamau ka hana i 1-2 mau hola, ma muli o ka nui o ka ʻōpū e pono ai ke wehe ʻia.

Aia nā ʻano thyroidectomy like ʻole e pili ana i kou kūlana. Wehe ka thyroidectomy hapa i kahi ʻāpana wale nō o ka ʻōpū, ʻoiai e wehe ka thyroidectomy piha i ka ʻōpū holoʻokoʻa. E ʻōlelo ke kauka i ke ala maikaʻi loa no kou kūlana.

Hana ʻia kēia ʻoki ma lalo o ka anesthesia maʻamau, no laila e hiamoe loa ʻoe a ʻoluʻolu i ka wā o ke kaʻina hana. Hiki i ka hapa nui o nā kānaka ke hele i ka home i ka lā hoʻokahi a i ʻole ma hope o ka noho ʻana i ka pō ma ka haukapila.

No ke aha e hana ʻia ai ka thyroidectomy?

Paipai ʻia ka thyroidectomy ke hoʻopilikia nui nā pilikia thyroid i kou olakino a ʻaʻole hiki ke mālama pono ʻia me ka lāʻau lapaʻau. E ana pono ke kauka i nā pōmaikaʻi a me nā pilikia ma mua o ka ʻōlelo ʻana i ka ʻoki ʻana ma ke ʻano he koho maikaʻi loa no ʻoe.

Hiki i kekahi mau maʻi ke koi i ka thyroidectomy, a ʻo ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻoi aku ka hilinaʻi i kāu hoʻolālā lapaʻau:

• Ka maʻi 'aʻai thyroid: ʻO ke kumu maʻamau no ka wehe ʻana i ka thyroid holoʻokoʻa, ʻoi loa ke loaʻa a i ʻole ke kānalua ʻia nā pūnaewele maʻi 'aʻai
• Goiter nui: Ke hoʻokumu ka ʻōpū thyroid i hoʻonui ʻia i ka pilikia o ka ʻai ʻana, ka hanu ʻana, a i ʻole e hana i nā hopohopo cosmetic
• Thyroid hana nui (hyperthyroidism): Ke ʻaʻole e kāohi nā lāʻau lapaʻau a me ka iodine radioactive i ka hana ʻana o ka hormone nui
• Nodules thyroid kānalua: Ke hiki ʻole ke ʻike maopopo ʻia nā puʻupuʻu i loko o ka thyroid he maikaʻi ma o ka hoʻāʻo ʻana
• Maʻi o Graves: He maʻi autoimmune e hana ana i ka hyperthyroidism koʻikoʻi ʻaʻole e pane i nā lāʻau lapaʻau ʻē aʻe

E kūkākūkā kāu hui mālama ola i kāu kūlana kikoʻī, e hōʻoia ana e maopopo iā ʻoe ke kumu e ʻōlelo ʻia nei ke ʻoki ʻana a me nā koho ʻē aʻe e loaʻa ana.

He aha ke kaʻina hana no ka thyroidectomy?

Hahai ka hana thyroidectomy i kahi kaʻina hana akahele, i kēlā me kēia ʻanuʻu i hoʻolālā ʻia e wehe palekana i kāu ʻōpū thyroid me ka pale ʻana i nā mea nui a puni ia. Loaʻa i kāu hui ʻokiʻoki ka ʻike nui i ka hana ʻana i kēia kaʻina hana a e mālama i nā mea a pau e hōʻoia i kou palekana.

Eia ka mea e hana ʻia i ka wā o kāu thyroidectomy:

1. Anesthesia: E loaʻa iā ʻoe ka anesthesia maʻamau e hōʻoia e hōʻoluʻolu loa ʻoe a hiamoe i ka wā o ke ʻoki
2. Kūlana: E hoʻonoho ʻia kou ʻāʻī a kākoʻo ʻia e hāʻawi i kāu kauka lapaʻau i ke komo maikaʻi loa i kou ʻāʻī thyroid
3. ʻIki: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao haʻahaʻa o kou ʻāʻī, e hahai pinepine ana i ka ʻili maoli
4. Wehe ʻana i ka ʻāʻī: Hoʻokaʻawale pono kāu kauka lapaʻau i ka ʻāʻī thyroid mai nā ʻiʻo a me nā kīʻaha koko a puni
5. Palekana nerve: Mālama kūikawā ʻia e pale i nā aʻalolo laryngeal e hoʻomalu ana i kou mau leo
6. Mālama parathyroid: Mālama pono ʻia nā ʻāʻī parathyroid liʻiliʻi e hoʻomalu ana i nā pae calcium ke hiki
7. Panina: Pani ʻia ka ʻoki me nā sutures a i ʻole ke kāpili ʻoki, a hiki ke waiho ʻia kahi wai liʻiliʻi no ka manawa

ʻO ka hana holoʻokoʻa e lawe maʻamau i 1-2 mau hola, ʻoiai e lōʻihi paha inā e hana ana ʻoe i ka thyroidectomy piha a i ʻole inā he pilikia. E mālama kāu kauka lapaʻau iā ʻoe a me kou ʻohana i ka wā o ke kaʻina hana.

Pehea e hoʻomākaukau ai no kāu thyroidectomy?

ʻO ka hoʻomākaukau ʻana no ka thyroidectomy e pili ana i kekahi mau ʻanuʻu koʻikoʻi e kōkua i ka hōʻoia ʻana e hele maʻalahi kāu ʻoki a e ʻoluʻolu loa kāu hoʻōla. E alakaʻi kāu hui mālama ola iā ʻoe ma kēlā me kēia ʻanuʻu hoʻomākaukau a pane i nā nīnau āu e loaʻa ai.

I nā pule ma mua o kāu ʻoki, pono ʻoe e mālama i kekahi mau mea nui:

• Nā hoʻokolohua ma mua o ka hana: Nā hana koko, he EKG paha, a me nā haʻawina kiʻi e hōʻoia ai ua mākaukau ʻoe no ke ʻoki
• Nānā lāʻau: Pono paha e hoʻōki a hoʻoponopono ʻia kekahi mau lāʻau ma mua o ke ʻoki, ʻoiai nā mea hoʻoheheʻe koko
• Hoʻoponopono ʻana i ka hormone thyroid: Inā he hyperthyroidism kou, pono paha ʻoe i ka lāʻau e hoʻoponopono mua i kāu pae hormone
• Nā ʻōlelo aʻoaʻo hoʻokēʻai: Pono ʻoe e hoʻōki i ka ʻai a me ka inu ʻana i kekahi manawa ma mua o ke ʻoki, ma hope o ke aumoe
• Hoʻolālā hoʻonohonoho: E hoʻonohonoho i ka lawe ʻana i ka home a me ke kōkua ʻana i nā hana i kēlā me kēia lā no nā lā mua

E hāʻawi kāu kauka lapaʻau i nā ʻōlelo kikoʻī e pili ana i kou kūlana. ʻO ka hahai ʻana i kēia mau ʻanuʻu hoʻomākaukau e kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia a kākoʻo i kahi hana hoʻōla maʻalahi.

Pehea e heluhelu ai i kāu hopena thyroidectomy?

ʻO ka hoʻomaopopo ʻana i kāu hopena thyroidectomy e pili ana i ka nānā ʻana i nā mea i loaʻa i ka hana a me ka hōʻike pathology o ka ʻiʻo i wehe ʻia. E wehewehe kāu kauka lapaʻau i kēia mau hopena iā ʻoe ma ke kikoʻī, akā ʻo ka ʻike ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau no kēia mau kamaʻilio.

E haʻi ka hōʻike pathology iā ʻoe i ka mea i loaʻa i loko o kāu ʻiʻo thyroid. Inā ua hana ʻia ʻoe no ka maʻi maʻi i manaʻo ʻia, e hōʻoia kēia hōʻike inā aia nā cell maʻi a, inā pēlā, ke ʻano a me ke kahua. No nā kūlana maikaʻi, e wehewehe ka hōʻike i ke ʻano kikoʻī o ka maʻi thyroid āu i loaʻa.

Ma hope o ke ʻoki ʻana, pono nō hoʻi ʻoe i nā hoʻokolohua koko maʻamau e nānā i kāu pae hormone thyroid. Inā ua loaʻa iā ʻoe kahi thyroidectomy holoʻokoʻa, pono ʻoe e lawe i ka lāʻau pani hormone thyroid no ke ola. E hoʻoponopono kāu kauka i kāu lāʻau lapaʻau e pili ana i kēia mau hopena hoʻokolohua koko e mālama i kāu pae hormone i ka pae kūpono.

Pehea e mālama ai i kou olakino ma hope o ka thyroidectomy?

ʻO ka mālama ʻana i kou olakino ma hope o ka thyroidectomy e kālele ana i ka hoʻololi ʻana i nā hormones, ka nānā ʻana i nā pilikia, a me ke kākoʻo ʻana i kou ola hou ʻana. ʻO ka hapa nui o nā kānaka e hana maikaʻi loa ma hope o ke ʻoki ʻana i ka thyroid a hiki ke hoʻi i kā lākou hana maʻamau i loko o kekahi mau pule.

Inā ua loaʻa iā ʻoe kahi thyroidectomy piha, pono ʻoe e lawe i ka lāʻau lapaʻau hoʻololi hormone thyroid i kēlā me kēia lā no ke koena o kou ola. Hoʻololi kēia lāʻau i nā hormones a kāu ʻōpū thyroid i hana ai. E hana pū kāu kauka me ʻoe e ʻimi i ka mahele kūpono e hana ai ʻoe i kou maikaʻi.

He mea nui nā manawa hālāwai maʻamau no ka nānā ʻana i kou ola hou ʻana a me nā pae hormone. E hoʻonohonoho kāu hui mālama ola i kēia mau manawa a e hōʻike iā ʻoe i ka mea e manaʻo ai i kēlā me kēia kipa.

He aha nā mea pilikia no nā pilikia thyroidectomy?

ʻOiai he hana palekana ka thyroidectomy, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu hui ʻoki e mālama i nā hana kūpono a hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu mālama.

Nui nā mea e hiki ke hoʻonui i kou pilikia o nā pilikia i ka wā a ma hope paha o ke ʻoki:

• ʻO ke ʻoki ʻana i ka ʻāʻī ma mua: Hiki i ka ʻiʻo ʻeha mai nā hana mua ke paʻakikī i ke ʻoki
• Goiter nui: Hiki ke paʻakikī ke wehe i nā ʻōpū thyroid i hoʻonui nui ʻia
• Hyperthyroidism: Hoʻonui ka thyroid hana nui i ka pilikia o ke kahe ʻana a me nā pilikia ʻē aʻe
• Ka maʻi ʻaʻai me ka laha: ʻO ka maʻi ʻaʻai holomua e koi ana i ke ʻoki nui e lawe i nā pilikia kiʻekiʻe
• Nā kūlana olakino: ʻO ka maʻi puʻuwai, nā maʻi kahe koko, a i ʻole nā pilikia olakino koʻikoʻi ʻē aʻe
• ʻO ka makahiki kahiko: ʻO ka pilikia o ke ʻoki kiʻekiʻe, ʻoiai he nui nā mākua kahiko e hana maikaʻi loa

E loiloi pono kāu kauka lapaʻau i nā mea pilikia pilikino a kūkākūkā pehea e pili ai lākou i kāu kūlana. ʻAʻole ia he manaʻo e loaʻa ana iā ʻoe nā pilikia inā he mau mea pilikia kāu, akā kōkua ia i kāu hui e hoʻomākaukau pono.

He aha nā pilikia hiki ke loaʻa mai i ka thyroidectomy?

ʻOiai e ola ana ka hapa nui o nā kānaka mai ka thyroidectomy me ka ʻole o nā pilikia nui, he mea nui e hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke ʻike iā lākou i ka wā mua a ʻimi i ka mālama kūpono. Hana kāu hui lapaʻau i nā hana e hōʻemi i kēia mau pilikia.

ʻO nā pilikia maʻamau ka mea hiki ke mālama ʻia a he manawa pōkole pinepine:

• Nā loli leo manawa: Hoarseness a i ʻole nāwaliwali o ka leo e hoʻomaikaʻi maʻamau i loko o kekahi mau pule
• Nā pae calcium haʻahaʻa: Hāʻule manawa pōkole i ka calcium inā pili nā ʻāpana parathyroid i ka wā o ke ʻoki
• Ke kahe ʻana o ke koko: He mea maʻamau ke kahe ʻana o ke koko, akā pono paha ke kahe nui ʻana i ka mālama hou
• Maʻi: Maʻi ma ka pūnaewele ʻoki, ʻoiai ʻaʻole maʻamau kēia me ka mālama kūpono
• Hoʻokumu ʻia ʻana o nā ʻōpala: E mae nui ka hapa nui o nā ʻōpala i ka manawa a hiki ke hōʻemi ʻia me ka mālama kūpono

ʻO nā pilikia koʻikoʻi akā kakaʻikahi e pili ana i nā loli leo mau inā ua pōʻino ke aʻalolo laryngeal recurrent, a me nā pae calcium haʻahaʻa mau inā ʻaʻole hiki ke mālama ʻia nā ʻāpana parathyroid. E kūkākūkā kāu kauka lapaʻau i kēia mau pilikia no kāu kūlana.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka thyroidectomy?

Pono ʻoe e hoʻokaʻaʻike i kāu hui mālama ola inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana ma hope o kāu thyroidectomy. ʻOiai he maʻamau kekahi ʻoluʻolu ʻole a me nā loli ma hope o ke ʻoki ʻana, pono kekahi mau hōʻailona i ka nānā olakino koke.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• He ʻeha nui ma ka ʻāʻī a i ʻole ka pehu ʻana: ʻOi loa inā e ʻinoʻino ana ma mua o ka maikaʻi ʻana
• He paʻakikī i ka hanu ʻana a i ʻole ka ʻai ʻana: Hōʻike paha kēia mau mea i ka pehu ʻana a i ʻole ke kahe ʻana o ke koko i kou ʻāʻī
• Nā hōʻailona o ka maʻi: He kuni, ʻulaʻula nui, mehana, a i ʻole ka wai mai kāu ʻoki
• He ʻeha nui a i ʻole ka ʻeha: ʻOi loa a puni kou waha a i ʻole i kou mau lima a me nā wāwae
• Nā ʻiʻo ʻiʻo a i ʻole ka ʻeha: Hōʻike paha kēia i nā pae calcium haʻahaʻa
• Nā loli leo nui: ʻOi loa inā e nāwaliwali loa kou leo a i ʻole hiki ʻole iā ʻoe ke ʻōlelo

No ka nānā maʻamau, e ʻike maʻamau ʻoe i kāu kauka lapaʻau i loko o hoʻokahi a ʻelua pule ma hope o ke ʻoki ʻana, a laila maʻamau e nānā i kāu mau pae hormone a me ka hoʻōla holoʻokoʻa. Mai kānalua e hoʻokaʻaʻike me nā nīnau a i ʻole nā hopohopo.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka thyroidectomy

Q1: ʻO ka thyroidectomy ke ʻano lapaʻau maikaʻi loa no ka maʻi maʻi thyroid?

ʻO ka thyroidectomy ka mea maʻamau i ka lapaʻau mua no ka maʻi maʻi thyroid, ʻoi loa no nā ʻōpū nui a i ʻole nā ʻano maʻi maʻi ʻino. No ka nui o nā kānaka me ka maʻi maʻi thyroid, ʻo ka wehe ʻana i ka gland thyroid e hāʻawi i ka manawa maikaʻi loa o ka hoʻōla a pale i ka laha ʻana o ka maʻi maʻi. Eia nō naʻe, hiki ke nānā ʻia nā maʻi maʻi thyroid liʻiliʻi loa ma mua o ka wehe koke ʻana, ma muli o kou kūlana kikoʻī a me ka ʻōlelo aʻoaʻo a kāu kauka.

Q2: E loaʻa anei iaʻu ke kaumaha ma hope o ka thyroidectomy?

Hiki ke loli ke kaumaha ma hope o ka thyroidectomy akā ʻaʻole hiki ʻole. Inā ʻoe e lawe i kāu lāʻau lapaʻau hormone thyroid e like me ka mea i kauoha ʻia a mālama i nā pae hormone kūpono, pono e hana maʻamau kāu metabolism. ʻIke kekahi poʻe i nā loli kaumaha manawa i ka wā e hoʻoponopono ʻia ai ko lākou pae hormone, akā mālama ka hapa nui o nā kānaka i ke kaumaha paʻa i ka wā e hoʻomaikaʻi ʻia ai kā lākou lāʻau.

Q3: Pehea ka lōʻihi o ka hoʻōla ʻana o ka thyroidectomy?

Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau i loko o 2-3 pule ma hope o ka thyroidectomy. E luhi paha ʻoe i ka pule mua a i ʻole ʻelua, a e ʻeha a paʻakikī paha kou ʻāʻī. Hiki ke hoʻomaka hou ʻia nā hana māmā i loko o kekahi mau lā, akā pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻoikaika kino ikaika no kahi o 2-3 pule. E hāʻawi kāu kauka lapaʻau iā ʻoe i nā alakaʻi kikoʻī e pili ana i kāu hoʻōla pilikino.

Q4: Hiki iaʻu ke ola i ke ola maʻamau me ka ʻole o koʻu thyroid?

ʻAe, hiki iā ʻoe ke ola piha a maʻamau ma hope o ka thyroidectomy. Me ka lāʻau lapaʻau hoʻololi hormone thyroid kūpono, e hana kou kino e like me ia ma mua o ke ʻoki. Nui ka poʻe e ʻoi aku ka maikaʻi ma hope o ke ʻoki ʻana, ʻoiai inā he pilikia thyroid ko lākou e hana ana i nā hōʻailona. ʻO ke kī ka hana pū ʻana me kāu hui mālama ola e ʻimi i ka mahele hoʻololi hormone kūpono no ʻoe.

Q5: E loli mau anei koʻu leo ma hope o ka thyroidectomy?

ʻO ka hapa nui o nā kānaka e ʻike wale i nā loli leo manawa ma hope o ka thyroidectomy, me ko lākou leo e hoʻi ana i ka maʻamau i loko o kekahi mau pule. ʻAʻole maʻamau nā loli leo mau, e hana ana i ka liʻiliʻi ma mua o 5% o ka poʻe i loaʻa kēia ʻoki. Mālama nui kāu kauka lapaʻau i ka pale ʻana i nā aʻalolo e hoʻomalu i kou mau kaula leo i ka wā o ke kaʻina hana. Inā ʻoe e ʻike i nā loli leo, hiki i ka therapy ʻōlelo ke kōkua pinepine i ka hoʻomaikaʻi ʻana i ka maikaʻi o kou leo.