ʻO ka hemo ʻana o ka momona thyroid

ʻO ka wehe ʻana i ka gland thyroid e wehe i nā mea āpau a ʻāpana paha o ka pona thyroid. ʻO ka gland thyroid kahi gland butterfly-shaped aia ma loko o ka mua o ka ʻāʻī lalo.

ʻO ka pākana thyroid kahi ʻāpana o ka ʻōnaehana hormone (endocrine). Kōkua ia i kou kino e hoʻoponopono i kāu metabolism.

Aia i ke kumu o kou lawe ʻana i kou gland thyroid, ʻo ke ʻano o ka thyroidectomy āu e loaʻa ai:

• ʻO ka nui o ka thyroidectomy, kahi e hemo ai ka gland holoʻokoʻa
• Subtotal a i ʻole hapa thyroidectomy, kahi e hemo ai kahi ʻāpana o ka gland thyroid

E loaʻa iā ʻoe kahi anesthesia ākea (hiamoe a ʻaʻohe ʻeha) no kēia ʻoki kino. I nā hihia maʻamau, hana ʻia ke kaha me ka anesthesia kūloko a me ka lāʻau e hoʻomaha ai iā ʻoe. E ala ana ʻoe, akā ʻaʻohe ʻeha.

Ma ke ʻoki kino:

• Lawe ke kauka i kahi ʻoki ākea i mua o kou ʻāʻī lalo ma luna pono o nā iwi kola.
• Lawe ʻia a pau a ʻāpana paha o ka gland ma o ka ʻoki.
• Mālama ke kaukipō e hōʻino ʻole i nā kīʻaha koko a me nā aʻalolo i kou ʻāʻī.
• Hiki ke hoʻokomo ʻia kahi pahu liʻiliʻi (catheter) i loko o ka wahi e kōkua ai i ka hoʻokahe ʻana i ke koko a me nā wai ʻē aʻe e kūkulu. E hoʻoneʻe ʻia ke kahawai i 1 a i ʻole 2 mau lā.
• Hoʻopili ʻia nā ʻoki me nā sutures (humuhumu).

Hiki ke hana i kahi ʻoki e wehe i kāu thyroid āpau i 4 mau hola. Lōʻihi paha ka manawa inā lawe ʻia kahi hapa o ka thyroid.

ʻO nā ʻenehana hou e koi ana i kahi incision liʻiliʻi ma kahi kokoke i ka thyroid a i ʻole nā ​​wahi ʻē aʻe a pili i ka hoʻohana ʻana o endoscopy i hoʻomohala ʻia.

Hiki i kāu kauka ke koi aku i ka hemo ʻana o ka thyroid inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻO kahi ulu thyroid liʻiliʻi (nodule a cyst paha)
• ʻO kahi pākeke thyroid e hana nui loa ia he mea weliweli ia (thyrotoxicosis)
• Ka maʻi ʻaʻai o ka thyroid
• Nā tumors noncancerous (benign) o ka thyroid e hana nei i nā ʻōuli
• ʻO ka pehu thyroid (nontoxic goiter) mea paʻakikī iā ʻoe e hanu a ale paha

Hiki paha iā ʻoe ke ʻoki inā loaʻa iā ʻoe kahi gland thyroid overactive a makemake ʻole ʻoe e mālama i ka iodine radioactive, a i ʻole hiki ʻole ke mālama ʻia me nā lāʻau antithyroid.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau, nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

Nā pilikia o ka thyroidectomy e komo pū me:

• Hoʻopilikia i nā aʻalolo i kāu mau leo ​​leo a me ka larynx.
• ʻO ke kahe ʻana a me ke kahakaha ʻana o ke kahawai.
• Ke piʻi nui nei i nā pae hormonone thyroid (aia wale nō a puni ka manawa o ke ʻoki ʻana).
• ʻO ka ʻeha i nā ʻōpū parathyroid (nā glands liʻiliʻi kokoke i ka thyroid) ai ʻole i kā lākou lako koko. Hiki i kēia ke kumu i kahi pae haʻahaʻa o ka calcium i loko o kou koko (hypocalcemia).
• ʻO ka nui o ka homone thyroid (ka ʻino thyroid). Inā loaʻa iā ʻoe kahi gland thyroid overactive, e mālama ʻia ʻoe me ka lāʻau.

I loko o nā pule ma mua o kou ʻoki kino:

• Pono paha ʻoe e loaʻa i nā hoʻokolohua e hōʻike pololei i kahi o ka ulu thyroid maʻamau. E kōkua kēia i ke kaukipō e ʻike i ka ulu i ka wā o ke ʻoki. Loaʻa paha iā ʻoe kahi CT scan, ultrasound, a i ʻole nā ​​hōʻike kiʻi ʻē aʻe.
• Hiki paha i kāu kauka ke hana i kahi moʻo kuʻikuʻi maikaʻi e ʻike inā noncancerous a i ʻole maʻi ʻaʻai ka ulu. Ma mua o ke kahakaha ʻana, hiki ke nānā ʻia kāu hana kaula leo.
• Pono paha ʻoe i ka lāʻau lapaʻau thyroid a iodine paha i nā lāʻau lapaʻau 1 i 2 mau pule ma mua o kou ʻoki ʻana.

Nā lā he nui a i hoʻokahi pule ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele no ka lawe manawa ʻana i nā lāʻau lapaʻau lahilahi. Hoʻopili kēia i ka aspirin, ibuprofen (Advil), naproxen (Aleve), clopidogrel (Plavix), warfarin (Coumadin), a me nā mea ʻē aʻe ʻē aʻe.
• Hoʻopiha i nā kuhikuhi no ka lāʻau ʻeha a me ka calcium āu e pono ai ma hope o ke kahakaha ʻana.
• E haʻi i kāu mea mālama ola e pili ana i nā lāʻau āpau āu e lawe ai, ʻo nā mea hoʻi i kūʻai ʻia me ka ʻole o ka lāʻau. Hoʻopili kēia i nā mea kanu a me nā mea hoʻopiha. E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o ke ʻoki.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kou mea hoʻolako i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea pono i ka haukapila i ka manawa kūpono.

E hoʻi paha ʻoe i ka home i ka lā o a i ʻole ka lā ma hope o ke kaha ʻana. I nā hihia maʻamau, pono ʻoe e lilo a 3 mau lā i ka haukapila. Hiki iā ʻoe ke ale i nā wai ma mua o kou hoʻi ʻana i ka home.

E nānā paha kāu mea hāʻawi i ka pae calcium i loko o kou koko ma hope o ke kahakaha ʻana. Hana pinepine ʻia kēia i ka wā e hemo ai ka gland thyroid holoʻokoʻa.

Loaʻa paha iā ʻoe kahi ʻeha ma hope o ke kahakaha ʻana. E noi i kāu mea lawelawe no nā ʻōkuhi pehea e lawe ai i nā lāʻau ʻeha ma hope o kou hoʻi ʻana i ka home.

Ma kahi o 3 a 4 mau pule paha ʻoe e ola hou ai.

E hāhai i nā ʻōkuhi no ka mālama ʻana iā ʻoe iho ma hope o kou hoʻi ʻana i ka home.

ʻOi aku ka maikaʻi o ka hopena o kēia ʻoki. Pono ka hapa nui o ka poʻe i ka lawe ʻana i nā pilamoneoneoneone thyroid (pani honeoneone thyroid) no ke koena o ko lākou ola ke lawe ʻia ka gland holoʻokoʻa.

Huina thyroidectomy; Thyroidectomy hapa; ʻO kāu thyroidectomy; Subtotal thyroidectomy; Maʻi ʻaʻai thyroid - thyroidectomy; Maʻi ʻaʻai Papillary - thyroidectomy; Goiter - thyroidectomy; Thyroid nodules - thyroidectomy

• Mālama ʻeha ʻeha - wehe
• ʻO ka hemo ʻana o ka momona thyroid - hoʻokuʻu

• Anatomi thyroid keiki
• Thyroidectomy - moʻo
• Hoʻokiʻoki no ka ʻoki ʻana i ke kelala thyroid

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Kaplan EL, Angelos P, James BC, Nagar S, Grogan RH. ʻOki kino o ka thyroid. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 96.

Patel KN, Yip L, Lubitz CC, et al. ʻO ka hōʻuluʻulu mana o ka American Association of Endocrine Surgeons alakaʻi no ka mālama pono ʻana i ka lāʻau thyroid i nā mākua. ʻO Ann Surg. 2020; 271 (3): 399-410. PMID: 32079828 pubmed.ncbi.nlm.nih.gov/32079828/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. ʻOhana. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 36.