Puʻupuʻu ʻāʻī - hoʻokuʻu
ʻO ka dissection ʻāʻī kahi ʻoki e wehe i nā lymph node i kou ʻāʻī. Hiki i nā keena mai nā kanesa i ka waha a i ʻole ka ʻāʻī ke huakaʻi i ka wai lymph a paʻa i kāu mau lymph node. Lawe ʻia nā lymph node i mea e pale aku ai i ka maʻi ʻaʻai mai nā maʻi ʻē aʻe o kou kino.
E noho ana paha ʻoe i ka haukapila no 2 a 3 mau lā. I mea e mākaukau ai no ka hoʻi ʻana i ka home, ua loaʻa paha iā ʻoe ke kōkua me:
- Ke inu nei, ʻai ana, a kamaʻilio pū paha
- Ke mālama nei i kou ʻeha ʻoki ma nā ʻauwai
- Ke hoʻohana nei i kou mau poʻohiwi a me kou ʻāʻī
- Ka hanu ʻana a me ka lawelawe ʻana i nā huna i kou ʻāʻī
- Ke mālama nei i kou ʻeha
E hāʻawi aku kāu mea mālama ola iā ʻoe i ka palapala no ka lāʻau ʻeha. Hoʻopiha ia ke hele ʻoe i ka home no laila loaʻa iā ʻoe ka lāʻau ke pono ʻoe. Lawe i kāu lāʻau ʻeha ke hoʻomaka ʻoe i ka ʻeha. Ke kali lōʻihi e lawe iā ia e ʻae ai i kou ʻeha e ʻoi aku ka maikaʻi ma mua o ka mea.
Mai lawe i ka aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn). Hoʻonui kēia mau lāʻau i ke kahe ʻana o ke kahe.
E loaʻa iā ʻoe nā staples a i ʻole nā suture i ka ʻeha. Hiki paha iā ʻoe ke ʻulaʻula a me ka pehu no nā mau pule he ʻelua ma hope o ke kaʻoki ʻana.
Hiki paha iā ʻoe ke kahe i kou ʻāʻī ke haʻalele ʻoe i ka haukapila. E haʻi ka mea hāʻawi iā ʻoe pehea e mālama ai ia.
ʻO ka manawa hoʻōla e kaukaʻi ʻia i ka nui o nā mea i lawe ʻia.
Hiki iā ʻoe ke ʻai i kāu mau meaʻai maʻamau ke hāʻawi ʻole kāu mea hāʻawi iā ʻoe i kahi papaʻai kūikawā.
Inā ʻeha ka ʻāʻī o kou ʻāʻī a me kou puʻu i ka paʻakikī e ʻai:
- E lawe i kāu lāʻau ʻeha i 30 mau minuke ma mua o ka ʻai ʻana.
- Koho i nā meaʻai palupalu, e like me ka maiʻa pala, ʻai cereal, a me nā ʻiʻo a me nā mea kanu i kāwulu ʻia.
- E kaupalena i nā meaʻai paʻakikī e nau, e like me nā ʻili hua, nā nati, a me nā ʻiʻo paʻakikī.
- Inā nāwaliwali kekahi ʻaoʻao o kou alo a waha paha, e nau i ka meaʻai ma ka ʻaoʻao ikaika o kou waha.
E nānā pono no ka ale ʻana i nā pilikia, e like me:
- ʻUla a ʻehaʻuha paha, i ka wā a ma hope paha o ka ʻai ʻana
- Kani ke kaniʻuhū mai kou puʻu i ka wā a ma hope paha o ka ʻai ʻana
- Hoʻopau ka puʻu ma hope o ka inu ʻana a ale ʻole paha
- Mālie mālie a ʻai paha
- Mā hope ka ʻai ʻana i ka ʻai ma hope o ka ʻai ʻana
- Hiccups ma hope o ka moni ʻana
- Hōʻoluʻolu ka umauma i ka wā a ma hope paha o ka ale ʻana
- ʻO ka pohō kaumaha i wehewehe ʻole ʻia
- Hiki iā ʻoe ke neʻe i kou ʻāʻī me ka mālie i ka ʻaoʻao, i luna a i lalo. Hāʻawi ʻia ʻoe i nā hoʻolālā e hoʻolōʻihi ai e hana ai ma ka home. Hōʻalo i ke kanana ʻana i nā ʻāʻī o kou ʻāʻī a hāpai paha i nā mea kaupaona ma mua o 10 paona (lbs) a i ʻole 4.5 kilokilo (kg) no 4 a 6 mau pule.
- E hoʻāʻo e hele wāwae i kēlā me kēia lā. Hiki iā ʻoe ke hoʻi i nā haʻuki (kolepa, kolepa, a me ka holo ʻana) ma hope o 4 a 6 mau pule.
- Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana i 2 a 3 mau pule. E noi i kāu mea lawelawe inā maikaʻi iā ʻoe e hoʻi i ka hana.
- Hiki iā ʻoe ke hoʻokele ke hiki iā ʻoe ke hoʻohuli i kou poʻohiwi a hiki i ka ʻike palekana. Mai kalaiwa ʻoiai ʻoe e inu nei i ka lāʻau ʻeha (narcotic) ʻeha. E noi i kāu mea hāʻawi ke maikaʻi inā hoʻomaka ʻoe e hoʻokele.
- E mālama pono i kou home i ka wā e ola ana.
Pono ʻoe e aʻo e mālama i kou ʻeha.
- Loaʻa paha iā ʻoe kahi kirimona antibiotic kūikawā i ka haukapila e ʻānai i kou ʻeha. E hoʻomau i ka hana i kēia 2 a i ʻole 3 mau manawa i ka lā ma hope o kou hoʻi ʻana i ka home.
- Hiki iā ʻoe ke ʻauʻau ma hope o kou hoʻi ʻana i ka home. E holoi mālie i kou ʻeha me ke kopa a me ka wai. MAI holoi a hoʻokuʻu i ka ua e kahe pono ma luna o kou ʻeha.
- Mai lawe i ka ʻauʻau ʻauʻau no nā pule mua ma hope o kou ʻoki ʻana.
Pono ʻoe e ʻike i kāu mea hoʻolako no kahi kipa hou ma 7 a 10 mau lā. E hoʻoneʻe ʻia nā sutures a i ʻole staples i kēia manawa.
Kāhea i kāu mea hāʻawi inā:
- Loaʻa ʻoe i ke kuni ma luna o 100.5 ° F (38.5 ° C).
- ʻAʻole holo kāu lāʻau ʻeha e hōʻoluʻolu i kou ʻeha.
- Ke kahe nei kou mau ʻeha ʻoki, ʻulaʻula a pumehana paha i ka pā, a i ʻole ka hoʻokahe, melemele, ʻōmaʻomaʻo, a me ka wai wai waiū.
- Loaʻa iā ʻoe nā pilikia me ka ʻauwai.
- ʻAʻole hiki iā ʻoe ke ʻai a lilo i ke kaupaona no ka moni ʻana i nā pilikia.
- ʻOkaʻewa a peʻa paha ʻoe ke ʻai ʻoe a ale paha.
- Paʻa ka hanu.
Dissection ʻāʻī Radical - hoʻokuʻu; Hoʻololi ʻia ka ʻāʻī huhū radical - hoʻokuʻu; Hoʻokaʻawale ʻāʻī koho - hoʻokuʻu
ʻO Callender GG, Udelsman R. ʻO ke kaʻina hana i ka maʻi ʻaʻai thyroid. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 782-786.
Robbins KT, Samant S, Ronen O. Hoʻokaʻawale ʻāʻī. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 119.
- Ka maʻi ʻaʻai a me ke poʻo ʻāʻī