So yɛbɛhwɛ koko no mu? Biribiara a ɛfa Thoracoscopy ho wɔ nsɛm a ɛnyɛ den mu!

Sɛ wo duruyɛfo ka sɛ wowɔ ɔhaw bi wɔ wo moma so a, ɔkwan biako a wobɛfa so ahu nea ɛyɛ ne nea ɛrekɔ so wɔ mu no ankasa ne thoracoscopy. Ebia woate saa asɛmfua yi pɛn. Momma yɛnhwɛ nea ɛyɛ, sɛnea wɔyɛ, ne sɛ ebia biribi wɔ hɔ a ɛsɛ sɛ yesuro anaa.

Dɛn ne Thoracoscopy?

Sɛ yɛbɛka no tiawa a, thoracoscopy yɛ sɔhwɛ ketewaa bi a ɛhwɛ w’ahurututu no ani ne baabi a atwa ho ahyia (a wɔfrɛ no pleural space). Nnuruyɛfo de mfoninitwa afiri a ɛyɛ tratraa a kanea wom a wɔfrɛ no thoracoscope di dwuma de hwɛ w’ahurututu. Eyi betumi ahwɛ wo diaphragm, esophagus, wo koko fasu, ne lymph nodes. Ɛtɔ da bi a, wobetumi ayi ntini ketewaa bi (a wɔfrɛ no biopsy) afi baabi a wopɛ sɛ wohwehwɛ mu no.

Mpɛn pii no, wɔyɛ saa ahurututu mu nhwehwɛmu yi sɛ video a wɔde hwɛ ahurututu mu oprehyɛn (VATS) fã . Eyi ma nnuruyɛfo a wɔyɛ oprehyɛn a wɔwɔ oprehyɛn dan mu no hu nea ɛwɔ koko no mu pefee wɔ video screen kɛse bi so. Ɛte sɛ nea wode mfoninitwa afiri afa tokuru ketewaa bi mu na woahwɛ mu.

Dɛn ne thoracoscopy ahorow?

Afei hwɛ, wɔde saa thoracoscopy yi di dwuma wɔ ɔkwan foforo so.

• Diagnostic Thoracoscopy: Ɛtɔ da bi a wo duruyɛfo de eyi bedi dwuma de ahwɛ sɛ ɔhaw bi wɔ wo moma so anaa, anaasɛ ɔbɛfa ntini ketewaa bi (biopsy) akɔyɛ nhwehwɛmu. Ɛtɔ mmere bi a wɔfrɛ eyi pleuroscopy .
• Therapeutic Thoracoscopy: Mmere foforo nso, wɔde saa kwan yi sa yare bi, kyerɛ sɛ, wɔyɛ oprehyɛn. Eyi ne nea wɔde di dwuma wɔ oprehyɛn kwan a wɔadi kan aka ho asɛm a wɔmfa biribiara nhyɛ mu a wɔfrɛ no `VATS` anaa `Video-Assisted Thoracoscopic Surgery` no mu.

Bere bɛn na wɔde Thoracoscopy di dwuma?

Wiɛ, ɛnde, nsɛm bɛn mu na oduruyɛfo si gyinae sɛ ɔbɛyɛ thoracoscopy anaa VATS oprehyɛn?

• Bere a ɛsɛ sɛ wuhu nsɛm pɔtee a wo koko X-ray, CT scan, anaa ultrasound antumi anhu no.
• Bere a ɛsɛ sɛ wuyi koko no fasu no mu fã bi a wɔfrɛ no pleura no.
• Yi ahurututu no afã horow a asɛe (wɔfrɛ eyi `lung volume reduction surgery`).
• Yi mframa kotoku a ɛwɔ ahurututu no mu.
• Yi ahurututu no fã bi a kokoram wom (wɔfrɛ eyi `lung resection`).
• Yi nsu a ɛho nhia a aboaboa ano wɔ ahurututu no mu ahurututu no mu na fa nnuru siw nsu no kwan sɛ ɛbɛboaboa ano bio (wɔfrɛ eyi pleurodesis).

Wobetumi ayɛ nhwehwɛmu/oprehyɛn yi, titiriw sɛ wowɔ ahurututu mu kokoram anaa mesothelioma a. Wobetumi nso de asa thymus gland kokoram ne esophageal kokoram.

Nsonsonoe a ɛda Thoracoscopy ne Thoracotomy ntam

Afei ebia worebisa wo ho sɛ, adeyɛ bi nso wɔ hɔ a wɔfrɛ no thoracotomy, na nsonsonoe bɛn na ɛda ɛno ne thoracoscopy ntam. Thoracotomy yɛ oprehyɛn a wɔde twa koko kɛse bi. Nanso thoracoscopy yɛ adeyɛ a ɛnyɛ den koraa.

Mfaso a ɛwɔ saa thoracoscopy kwan yi so ne:

• Wubetumi ho atɔ wo ntɛm.
• Ɛyaw no sua.
• Nsɛnnennen a ɛba wɔ oprehyɛn akyi no sua.

Nanso ɛtɔ mmere bi a, sɛ wontumi mfa thoracoscopy nyɛ oprehyɛn pɔtee no dwoodwoo a, ebia ɛsɛ sɛ oduruyɛfo no yɛ thoracotomy.

Hena na ɔyɛ thoracoscopy?

W’ahurututu ho oduruyɛfo betumi ayɛ saa thoracoscopy anaa pleuroscopy yi . Nanso, ɛsɛ sɛ oduruyɛfo a ɔyɛ ahurututu mu oprehyɛn yɛ adeyɛ a wɔfrɛ no Video-Assisted Thoracoscopy Surgery (VATS) no .

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma thoracoscopy?

Ɔkwan bi nso wɔ hɔ a ɛsɛ sɛ wofa so siesie wo ho ansa na wɔayɛ sɔhwɛ/oprehyɛn yi.

• Nna kakraa bi ansa na woayɛ oprehyɛn no, wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi (te sɛ aspirin) a ɛmma mogya ntumi nkɔ ntɛmntɛm, a ɛkyerɛ sɛ ɛma mogya tu kɔ soro no nom .
• Ebia wɔbɛka akyerɛ wo nso sɛ kwati adidi anaa anonne da a wɔbɛyɛ oprehyɛn no.

Bere tenten ahe na Thoracoscopic Surgery gye?

Bere a wɔde yɛ oprehyɛn a wɔde hwɛ ahurututu yi betumi ayɛ soronko. Mpɛn pii no ebetumi agye dɔnhwerew fã kosi nnɔnhwerew pii . Sɛ biribi a ɛyɛ den sen ntini mu nhwɛsode a wɔbɛfa kɛkɛ ho hia a, ebegye bere tenten.

Dɛn na ɛba bere a wɔreyɛ thoracoscopy no?

Okay, afei ma yɛnhwɛ nea ɛkɔ so wɔ oprehyɛn yi mu. Woreyɛ `Video-Assisted Thoracoscopy Surgery (VATS)`, na wowɔ aduru a wɔde kum wo nyinaa ase . Ɛno kyerɛ sɛ wonte biribiara nka, woada. Ɛntaa mma koraa sɛ wɔde `sedation` kakra bi na ɛyɛ eyi.

Oduruyɛfo a ɔyɛ oprehyɛn no di anammɔn yi akyi:

1. Wɔbɛma wo aduru a wɔde kum nipadua no denam nkyene a wɔde ma wɔ ntini bi mu (`IV`) so.

2. Wɔde afiri bi si wo menewam na afiri bi hwɛ wo home so (eyi ma w’ahurututu biako so tew bere tiaa bi, na ɛma oprehyɛn no yɛ mmerɛw).

3. Wo koko mu, mpampam a ɛto so ason, asia ne anan ntam, .Wɔyɛ ntwitwiridii nketenkete abien anaa abiɛsa a ennu nsateakwaa fã .

4. Ɛdenam ntwitwiridii biako so no, wɔde thoracoscope mfoninitwa afiri no hyɛ ahurututu no mu ahurututu no mu.

5. Wɔde nnwinnade nketewa afoforo a ehia ma oprehyɛn no fa mmeae afoforo a wɔatwa no mu.

6. Wɔfa nhwɛsode fi mmeae a ɛte sɛ nea ɛnyɛ ne kwan so, anaasɛ wɔyɛ oprehyɛn a ɛho hia.

7. Afei yi mfoninitwa afiri no ne nnwinnade afoforo nyinaa fi mu.

8. Wɔde ahurututu mu afiri bi hyɛ wo moma so de yi mframa fi w’ahurututu mu na ama ahurututu a abubu no asan ayɛ sɛnea na ɛte kan no.

9. Sɛ wɔpam nneɛma a wɔatwitwa.

10. Wɔsan nyane wo bio na wɔma wo hom wɔ w’ankasa wo ho.

Dɛn na wubetumi ahwɛ kwan bere a wɔayɛ wo thoracoscopy awie no?

Sɛ wɔyɛ oprehyɛn no wie a, ebegye bere kakra ansa na wo ho atɔ wo wɔ aduru a wɔde kum wo no mu. Ebia wo menewa ne w’ano bɛte nka bere tiaa bi. Wɔremma wo nnidi anaa nnom kosi sɛ akisikuru no bɛbrɛ. Esiane ɔhome afiri no nti, wo nne betumi ayɛ dede kakra na wo menewa nso ayɛ wo yaw da a edi oprehyɛn no akyi. Ebia wobɛte ɛyaw bi nso wɔ baabi a wotwitwaa mu no.

Nsuro, oduruyɛfo no bɛma wo aduru a ɛho hia ma ɛyaw yi.

Sɛ wɔayi wo ntini (biopsies) afi wo nsam, anaasɛ wɔayi nsu afi w’ahurututu ho atwa wo ho ahyia a, wobɛnya koko mu nsuo a ɛwɔ wo koko mu da koro anaa nnanu. Wobɛyɛ wo koko X-ray nso de ahwɛ ahu sɛ ɔhaw biara nni w’ahurututu mu.

Mpɛn pii no, wɔ oprehyɛn ahorow a wɔde hwɛ ahurututu yi akyi no, ɛsɛ sɛ wotra ayaresabea bere a koko mu ntini no wɔ nea ɛwɔ hɔ no. Nanso ɛtɔ mmere bi a, sɛ wɔanyɛ biribi titiriw biara a, wubetumi akɔ fie bere a woagye w’ahome nnɔnhwerew kakraa bi awie no. Sɛ woyɛ saa a, ɛsɛ sɛ woma w’adamfo anaa wo busuani bi de wo kɔ fie.

So Thoracoscopy yɛ yaw?

Eyi yɛ ɔhaw a nnipa pii wɔ. Worente ɛyaw biara nka bere a wɔreyɛ wo thoracoscopy efisɛ wɔde aduru a ɛma obi dwensɔ ahyɛ wo mu. Sɛ woyɛ oprehyɛn no wie a, wubetumi anom nnuru a wɔde kum ɛyaw de aboa ma ɛyaw a ɛwɔ mmeae a wɔatwitwa no mu.

Bere tenten ahe na egye ansa na obi ho atɔ no wɔ thoracoscopy mu?

Egye bɛyɛ adapɛn abien ansa na wɔasan afi dwumadi ahorow a ɛfata ase wɔ oprehyɛn yi akyi. Mpɛn pii no, egye bɛyɛ adapɛn anan kosi asia ansa na ne ho atɔ no koraa.

So Thoracoscopy yɛ asiane?

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane ketewaa bi wɔ mu. Wɔbu akontaa sɛ nnipa dodoɔ a wɔwuwu wɔ aduruyɛ mu thoracoscopy mu no sua koraa, ɛyɛ 0.3%. Wɔ video-assisted thoracoscopy ho no, dodow no dɔɔso kakra. Nanso, nsɛnnennen dodow a ɛwɔ ayaresa abien no nyinaa mu no yɛ 2% kosi 11% . Nea ɛka eyi ho ne nsɛnnennen nketenkete ne nea emu yɛ den nyinaa.

Asiane bɛn na ɛwɔ thoracoscopy mu?

Dɛn ne nsɛnnennen a ebetumi afi thoracoscopy mu aba?

• Mogya a ɛretu.
• Nyarewa a ɛwɔ ahurututu mu anaasɛ nea wɔatwitwa.
• Huraeɛ.
• Mframa a ɛboaboa ano wɔ ahurututu no mu anaa baabi a ɛbɛn baabi a wɔatwa no.
• Ahurututu a abubu.
• Nsu a ɛboaboa ano wɔ ahurututu no ho.

Dɛn na efi mu ba? Dɛn na ɛka?

Wɔ oprehyɛn no akyi no, oduruyɛfo no bɛkyerɛ wo sɛ ebia wosiesiee ɔhaw a na wuhyia no anaasɛ wɔansiesie. Afei nso, bere a lab mu aba no aba akyi no, wɔbɛkyerɛ wo sɛ ebia ntini a wɔayi afi mu no yɛ kokoram anaasɛ ɛnyɛ hu. Sɛ wowɔ kokoram a, wubetumi ahu baabi a ɛwɔ wɔ kokoram gyinabea nhyehyɛe no mu nso .

Ebetumi agye nna pii ansa na ayaresabea aduruyɛdan no asɔ ntini ahorow no ahwɛ na wɔde amanneɛbɔ ahorow ama.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?

Sɛ wokɔ fie wɔ oprehyɛn akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a:

• Ɔhome a ɛyɛ den.
• Huraeɛ.
• Koko mu yaw.
• Koko anaa kɔn mu ahohoro foforo.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem

Susuw sɛnea ɛyɛ nwonwa sɛ wubetumi ahu na ɛtɔ mmere bi a wode ɔhaw ahorow a ɛwɔ wo koko mu no asa denam ntwitwiridii nketenkete kakraa bi pɛ so denam ɔkwan a wɔfrɛ no thoracoscopy yi so. Sɛ wunni ahotoso wɔ biribi ho anaasɛ w’adwene mu yɛ wo naa a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Sɛ wowɔ sɔhwɛ/oprehyɛn yi ho ntease pa a, wo suro so bɛtew kɛse. Ɛho hia yiye nso sɛ wubedi akwankyerɛ a wɔde ama ansa na wɔayɛ oprehyɛn no akyi na wudi akwankyerɛ a wo duruyɛfo de ama wo no akyi wɔ bere a wo ho bɛtɔ wo wɔ oprehyɛn no akyi no mu.

` Thoracoscopy, ahurututu mu oprehyɛn, VATS, pleuroscopy, koko mu nhwehwɛmu, oprehyɛn a wɔmfa nhyɛ mu pii, ɔhome mu nyarewa