ʻOki kino thyroid

Aia ka gland thyroid ma mua o ka ʻāʻī.Kuhi kahi thyroid retrosternal i kahi kūpono ʻole o nā mea āpau a ʻāpana paha o ka gland thyroid ma lalo o ka umauma (sternum).

ʻO ka goiter retrosternal ka mea e noʻonoʻo mau ai i ka poʻe i loaʻa ka nui i waho o ka ʻāʻī. Hoʻokumu pinepine kahi goiter retrosternal i nā hōʻailona no nā makahiki. ʻIke pinepine ʻia ke hana ʻia kahi umauma x-ray a CT scan paha no kekahi kumu ʻē aʻe. ʻO nā ʻōuli ma muli o ke kaomi ma luna o nā hale kokoke, e like me ka windpipe (trachea) a me ka moni ale (esophagus).

ʻO ke ʻoki no ka hemo loa ʻana o ka goiter e paipai ʻia, ʻoiai inā ʻaʻohe ou mau ʻōuli.

Ma ke ʻoki kino:

• Loaʻa iā ʻoe ka anesthesia laulā. Hiamoe kēia a ʻaʻole hiki iā ʻoe ke ʻeha.
• Moe ʻoe i kou kua me ka hoʻonui ʻia o kou ʻāʻī.
• Hana ke kaukoki i kahi ʻoki (incision) i mua o kou ʻāʻī lalo ma luna pono o nā iwi kola e hoʻoholo ai inā hiki ke hemo ka nui me ka wehe ʻole o ka pahu. ʻO ka hapanui o ka manawa, hiki ke hana i kēia ʻoki ʻana i kēia ala.
• Inā hohonu ka nui i loko o ka umauma, hana ka mea lapaʻau i kahi ʻokiʻoki ma ka waena o kou iwi iwi. Lawe ʻia ka goiter holoʻokoʻa.
• E waiho ʻia kahi paipu i wahi e hoʻokahe ai i ka wai a me ke koko. Lawe ʻia ia i 1 a 2 mau lā.
• Hoʻopili ʻia nā ʻokiʻoki me nā humuhumu (sutures).

Hana ʻia kēia ʻoki e hoʻopau loa i ka nui. Inā ʻaʻole ia e hemo ʻia, hiki iā ia ke hoʻokau i kou trachea a me kou esophagus.

Inā lōʻihi ka noho ʻana o ka goiter retrosternal ma laila, hiki iā ʻoe ke paʻakikī i ka ale ʻana i ka meaʻai, ka ʻeha haʻahaʻa ma ka ʻāʻī, a me ka hanu ʻole.

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

ʻO nā pōʻino o ke kahakaha thyroid retrosternal:

• Ka hōʻino ʻana i nā glands parathyroid (nā glands liʻiliʻi kokoke i ka thyroid) a i ʻole i kā lākou lako koko, e hopena ai i ka calcium liʻiliʻi
• Poino i ka trachea
• Perforation o ka esophagus
• ʻO ka hōʻeha ʻana o ke kaula leo

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 kāu gland thyroid. E kōkua kēia i ke kaukipō e ʻike i ka thyroid i ka wā o ke ʻoki. Loaʻa paha iā ʻoe kahi CT scan, ultrasound, a i ʻole nā ​​hōʻike kiʻi ʻē aʻe.
• Pono paha ʻoe i ka lāʻau lapaʻau thyroid a iodine paha i nā lāʻau lapaʻau 1 i 2 mau pule ma mua o ke kahakaha ʻana.

E haʻi i kāu mea hoʻolako 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.

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 hōʻemi koko. 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 hoʻolako 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.

Pono paha ʻoe e noho i ka haukapila i ka pō ma hope o ke kaha ʻana i hiki iā ʻoe ke kiaʻi ʻia no ke kahe ʻana o ke koko, ka loli o ka pae calcium, a me nā pilikia hanu.

Hiki paha iā ʻoe ke hoʻi i ka home i ka lā aʻe inā hana ʻia ke ʻoki ma o ka ʻāʻī. Inā wehe ʻia ka pahu, noho ʻoe i ka haukapila no kekahi mau lā.

Hiki paha iā ʻoe ke ala aʻe a hele wāwae i ka lā a i ʻole ka lā ma hope o ke kaha ʻana. Ma kahi o 3 a 4 mau pule paha ʻoe e ola hou ai.

Loaʻa paha iā ʻoe ka ʻeha ma hope o ke kaha 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.

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.

Substernalthyroid - ʻoki kino; Mediiter medium goiter - ʻoki kino

• Tiroidetretrode kūwaho

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.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. ʻOhana. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 36.