Puʻupuʻu ʻāʻī

ʻO ka puʻu ʻāʻī kekahi puʻupuʻu, puʻupuʻu, a ʻōhū paha i ka ʻāʻī.

Nui nā kumu o nā puʻupuʻu i ka ʻāʻī. ʻO nā puʻupuʻu maʻamau a i ʻole ka huʻupuʻu e hoʻonui ʻia nā lymph node. Hiki ke hoʻokumu ʻia kēia mau mea e nā maʻi koʻohune a viral paha, ka maʻi ʻaʻai (malignancy), a i ʻole nā ​​kumu kūʻē ʻē aʻe.

ʻO nā pehu salivary pehu ma lalo o ka iwi ā hiki i ka maʻi a i ʻole ke kanesa. Hoʻokumu ʻia nā puʻupuʻu o nā ʻāʻī o ka ʻāʻī e ka ʻeha a i ʻole ka torticollis. Aia kēia mau puʻupuʻu i mua o ka ʻāʻī. ʻO nā lū i ka ʻili a i ʻole ma lalo pono o ka ʻili ke kumu pinepine ʻia e nā cist, e like me nā cyst sebaceous.

Hoʻokumu pū ka pona thyroid i ka pehu a i ʻole hoʻokahi a ʻoi paha mau lumps. Hiki i kēia ma muli o ka maʻi thyroid a i ʻole ke kanesa. ʻO ka hapanui o nā maʻi ʻaʻai o ka pona thyroid ulu lohi. Hoʻola pinepine ʻia lākou me ke kahakaha, ʻoiai inā lākou i noho no kekahi mau makahiki.

Pono e nānā koke ʻia nā puʻu ʻāʻī āpau i nā keiki a me nā mākua e ka mea mālama ola. I nā keiki, ʻo ka hapa nui o nā puʻu ʻāʻī e kumu ʻia e nā maʻi i hiki ke mālama ʻia. Pono e hoʻomaka koke i ka mālama ʻana e pale i nā pilikia a i ʻole ka laha ʻana o ka maʻi.

I ke ʻano o nā mākua, piʻi ka likelihood o ka puʻupuʻu i kahi maʻi ʻaʻai. Heʻoiaʻiʻo maoli kēia no ka poʻe puhihi a inu paha i ka ʻalekohola he nui. ʻO ka hapa nui o nā puʻupuʻu i ka poʻe mākua ʻaʻole ka maʻi ʻaʻai.

ʻO nā puʻupuʻu i ka ʻāʻī mai nā wahi lymph pehu i hiki ke kumu ʻia e:

• ʻO ka maʻi bacteria a viral paha
• Kanesa
• Maʻi thyroid
• Ka hopena hoʻowali

ʻO nā puʻupuʻu i ka ʻāʻī ma muli o ka hoʻonui ʻia ʻana o nā galani salivary e:

• Maʻi kīnā
• Puʻupuʻu
• Tumo kelepaʻi
• Pōhaku i ke kaula salivary

E ʻike i kāu mea nāna e hāʻawi ke kumu o ka ʻāʻī o ka ʻāʻī i mālama ʻia.

Kāhea i kāu mea hāʻawi inā loaʻa ka ʻāʻī ʻole o ka ʻāʻī a i ʻole nā ​​lumps i kou ʻāʻī.

E lawe ka mea hāʻawi i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino.

E nīnau ʻia paha ʻoe i nā nīnau e like me:

• Aia ma hea ka puʻupuʻu?
• He puʻupuʻu paʻakikī a palupalu paha ia, pliable (neʻe iki), ʻeke-like (cystic) nuipaʻa?
• He ʻeha ʻole anei?
• Ua pehu anei ka ʻāʻī holoʻokoʻa?
• Ua ulu nui aʻe paha? Ma nā mahina ʻehia?
• Loaʻa paha iā ʻoe ka hū a i ʻole nā ​​hōʻailona ʻē aʻe?
• He paʻakikī paha kāu e hanu ai?

Inā kuhi ʻia ʻoe me ka thyroid goiter, pono ʻoe e ʻai i ka lāʻau a i ʻole e ʻoki ʻia e wehe iā ia.

Pono paha ʻoe i nā hoʻokolohua aʻe inā manaʻo ka mea hāʻawi i kahi nodule thyroid:

• CT scan o ke poʻo a i ʻole ʻāʻī
• Nānā thyroid radioactive
• ʻO ka biopsy thyroid

Inā hoʻokumu ʻia ka puʻupuʻu e kahi maʻi bacteria, pono paha ʻoe e lawe i nā lāʻau ʻaloʻalo. Inā he kumu noncancerous a cyst paha ke kumu, pono ʻoe i kahi ʻoki e wehe iā ia.

Lū i ka ʻāʻī

• ʻŌnaehana Lymphatic
• Puʻupuʻu ʻāʻī

Nugent A, El-Deiry M. ʻIʻike ʻokoʻa o ka nui o ka 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 114.

ʻO Pfaff JA, Moore GP. ʻĀtolaryngology. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 62.

Wareing MJ. Ka pepeiao, ka ihu a me ka ʻāʻī. I: Glynn M, Drake WM, eds. Nā Hana Lapaʻau ʻo Hutchison. 24th ed. Piladelapia, PA: Elsevier; 2018: chap 21.