ʻO ka moʻo o ka nila maikaʻi

ʻO ke kuʻi o ka nila kuʻikuʻi o kahi kaona thyroid kahi hana e hemo ai i nā keena thyroid no ka hoʻokolokolo ʻana. ʻO ka gland thyroid kahi gland butterfly-shaped aia ma loko o ka mua o ka ʻāʻī lalo.

Hana ʻia kēia hōʻike ma ke keʻena ʻoihana olakino a i ʻole kahi haukapila. ʻAʻole paha e hoʻohana ʻia ka lāʻau numbing (anesthesia). No ka lahilahi o ka nila, ʻaʻole pono ʻoe i kēia lāʻau.

Moe ʻoe i kou kua me ka uluna ma lalo o kou poʻohiwi me kou ʻāʻī hoʻonui ʻia. Hoʻomaʻemaʻe ʻia ka pūnaewele biopsy. Hoʻokomo ʻia kahi kui kele i loko o kāu thyroid, kahi e ʻohiʻohi ai i kahi laʻana o nā hunaola thyroid a me ka wai. Lawe ʻia ka nila. Inā ʻaʻole hiki i ka mea hāʻawi ke manaʻo i ka pūnaewele biopsy, hiki iā lākou ke hoʻohana i ka ultrasound a i ʻole kahi scan CT e alakaʻi i kahi e waiho ai ka nila. ʻO nā ultrasound a me CT scans nā hana ʻeha ʻole e hōʻike i nā kiʻi i loko o ke kino.

Hoʻohana ʻia ka pilikia i ka pūnaewele biopsy e hoʻōki i ke kahe ʻana o ke kahe. A laila uhi ʻia ka pūnaewele me ka wahī.

E haʻi i kāu mea hāʻawi inā loaʻa nā lāʻau āpau i ka lāʻau, pilikia i ke kahe ʻana, a hāpai paha. Eia nō hoʻi, e nānā i kāu papa inoa i kahi papa inoa o nā lāʻau āpau āu e lawe ai, e like me nā lāʻau lapaʻau a me nā lāʻau ʻoi loa.

I kekahi mau lā i kahi pule ma mua o kāu biopsy, noi ʻia ʻoe e haʻalele no ka manawa pōkole i ka lawe ʻana i nā lāʻau hoʻoliʻiliʻi koko. ʻO nā lāʻau e pono ai ʻoe e hōʻoki i ka lawe pū ʻana:

• ʻAspirin
• ʻO Clopidogrel (Plavix)
• Ibuprofen (Advil, Motrin)
• Naproxen (Aleve, Naprosyn)
• Warfarin (Coumadin)

E kamaʻilio pono me kāu mea hāʻawi ma mua o ka hoʻokū ʻana i nā lāʻau.

Inā hoʻohana ʻia ka lāʻau numbing, ʻike paha ʻoe i kahi ʻūlū i ka hoʻokomo ʻia ʻana o ka nila a kuʻi ʻia ka lāʻau.

Ke hele nei ka nila biopsy i loko o kāu thyroid, ʻike paha ʻoe i kahi kaomi, akā ʻaʻole pono ia ʻeha.

Hiki paha iā ʻoe ke hōʻoluʻolu iki ma kou ʻāʻī ma hope. Hiki paha iā ʻoe ke hōʻeha iki, a hala koke.

He hōʻike kēia e hōʻoia ai i ka maʻi thyroid a i ʻole ka maʻi ʻaʻai thyroid. Hoʻohana pinepine ʻia ia e ʻike inā he noncancerous a maʻi ʻaʻai ʻole paha nā nodules thyroid i hiki i kāu mea hoʻolako ke ʻike a ʻike ʻia paha ma kahi ultrasound.

Hōʻike kahi hopena maʻamau i ka kiko o ka thyroid ke nānā aku maʻamau a ʻaʻole ʻike ʻia nā hunaola he maʻi ʻaʻai ma lalo o kahi microscope.

Nā hualoaʻa kūpono ʻole paha:

• ʻO ka maʻi thyroid, e like me goiter a i ʻole thyroiditis
• Nā Tumors Noncancerous
• Maʻi ʻaʻai thyroid

ʻO ka makaʻu nui ke kahe ʻana i ke koko a i ʻole a puni ka gland thyroid. Me ke kahe koko nui, loaʻa paha ke kaomi o ka pehu (trachea). Kākaʻikahi kēia pilikia.

ʻO ka thyroid nodule ka nila maikaʻi e makemake i ka biopsy; ʻO Biopsy - thyroid - nila kuʻi; ʻO ka biopsy thyroid-nila kele; Thyroid nodule - ʻiʻini; ʻO ka maʻi ʻaʻai thyroid - makemake nui

• Nānā Endocrine
• ʻO ka biopsy gland thyroid

Ahmad FI, Zafereo ME, Lai SY. Ka mālama ʻana i nā neoplasms thyroid. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 122.

Faquin WC, Fadda G, Cibas ES. Ka makemake nui o ka nila keleona: Ka ʻōnaehana Bethesda 2017. I: Randolph GW, hoʻoponopono. ʻO keʻoki o ka thyroid a me ka Parathyroid Glands. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2021: chap 11.

Filetti S, Tuttle RM, Leboulleux S, Alexander EK. ʻO ka goiter diffuse nontoxic, nā maʻi thyroid nodular, a me nā maʻi maʻi thyroid. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 14.