So ɛsɛ sɛ yehu biribiara fa lobectomy ho?

So oduruyɛfo bi aka akyerɛ wo anaa obi a wunim no sɛ ɛsɛ sɛ wɔyɛ wɔn oprehyɛn wɔ ahurututu mu haw bi ho? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra, wopɛ sɛ wuhu nneɛma pii, na wunya nsɛmmisa pii wɔ bere a ɛte sɛɛ mu. Ebia woresusuw nneɛma te sɛ, "So eyi yɛ oprehyɛn kɛse? So ɛbɛyɛ yaw? Dɛn na ɛba wɔ ɛno akyi?" Enti ɛnnɛ yɛbɛka ahurututu mu oprehyɛn kɛse bi a wɔfrɛ no ‘lobectomy’ ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so. Ma yɛnhwɛ nea ɛyɛ, nea enti a wɔyɛ, ne nea ɛsɛ sɛ wuhu fa ho.

Dɛn ne lobectomy wɔ nsɛm a ɛnyɛ den mu?

Sɛ yɛbɛka no tiawa a, lobectomy yɛ oprehyɛn a wɔde yi w’ahurututu no fã bi (lobe) fi hɔ. Yɛn ahurututu no yɛ ntini, anaa ntini pii. Nifa ahurututu wɔ ntini abiɛsa na benkum ahurututu wɔ ntini abien. Saa oprehyɛn yi yi ahurututu no fã a yare no nkutoo fi hɔ, bere a ɛkora ahurututu no afã horow a aka a ɛte apɔw no so no.

Wɔtaa yɛ oprehyɛn yi sɛ aduru a wɔde sa ahurututu mu kokoram a edi kan (ahurututu mu kokoram a ɛnyɛ nkwammoaa nketenkete). Afei nso, ɛtɔ mmere bi a oduruyɛfo no betumi asi gyinae sɛ obeyi awotwaa no fã ketewaa bi pɛ mmom sen sɛ obeyi abon no nyinaa afi hɔ. Wɔfrɛ eyi sɛ segmentectomy.

Wɔ ahurututu mu kokoram akyi no, wobetumi ayɛ oprehyɛn yi esiane nneɛma afoforo pii nti.

Ɔkwan bɛn so na wɔyɛ oprehyɛn yi?

Nea ɛnte sɛ bere a atwam no, nnansa yi, wɔtaa yɛ oprehyɛn yi a wonbue koko no, na wɔde ntwitwiridii nketenkete paa na edi dwuma. Yɛfrɛ eyi ‘akwan a ɛnyɛ den koraa’. Akwan titiriw abien na ɛwɔ hɔ.

1. VATS (Ahurututu mu Oprehyɛn a Wɔde Video Boa):Eyi hwehwɛ sɛ wotwa wo mpampam nketenkete paa pii, wode video mfoninitwa afiri ketewaa bi fa biako mu na wode nnwinnade a wɔde yɛ oprehyɛn fa ntwitwiridii afoforo mu hyɛ wo moma so. Oduruyɛfo a ɔyɛ oprehyɛn no yɛ oprehyɛn no bere a ɔrehwɛ w’ahurututu mfonini a emu da hɔ wɔ screen kɛse bi so no. Saa kwan yi nhwehwɛ sɛ wobubu mpampam biara anaasɛ wotutu.

2. RATS (Robot-Assisted Thoracoscopic Surgery): Eyi te sɛ VATS, nanso ɛha no, oduruyɛfo a ɔyɛ oprehyɛn no de robɔt nsa pii boa na ɛhwɛ nnwinnade no so.

Nanso, wɔ nsɛm bi a emu yɛ den mu no, ebia ɛho behia sɛ nnuruyɛfo yɛ oprehyɛn denam ntwitwiridii kɛse a wobetwa wɔ koko mu na wɔama mparow no atew kakra no so. Wɔfrɛ saa adeyɛ yi sɛ thoracotomy .

Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?

Ansa na wɔbɛyɛ oprehyɛn kɛse te sɛ eyi no, wɔyɛ nhwehwɛmu ahorow pii de hwɛ w’akwahosan tebea pɛpɛɛpɛ.

• Nipadua mu nhwehwɛmu a edi mũ.
• Mfoninitwa nhwehwɛmu te sɛ koko mu X-ray, CT scan, anaa PET scan.
• Ahurututu mu dwumadi ho sɔhwɛ ahorow de hwɛ sɛ ɛyɛ den sɛ ɔbɛhome anaa.
• Ahurututu mu ntini anaa ntini nketenkete bi a wɔbɛfa akɔyɛ nhwehwɛmu (biopsy).
• Mogya mu nhwehwɛmu.
• Sɔhwɛ te sɛ `(ECG)` ne `(echocardiogram)` de hwɛ sɛnea koma no yɛ adwuma.

Sɛ wowɔ ahurututu mu kokoram a, nim a wubehu sɛ ebia atrɛw akɔ nipadua no afã afoforo (staging) no ho hia ma ayaresa ho nhyehyɛe. Afei nso, sɛ wowɔ komayare bi a, ebia ebehia sɛ wokɔ koma ho oduruyɛfo nkyɛn ansa na wɔayɛ wo oprehyɛn. Oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛkyerɛkyerɛ sɛnea wobedi ɛyaw ho dwuma bere a wɔreyɛ oprehyɛn ne bere a wɔreyɛ oprehyɛn no mu.

Oduruyɛfo no nso bedi kan abɔ wo amanneɛ bere a ɛsɛ sɛ wugyae adidi ne anonne anadwo a edi oprehyɛn no anim.

Dɛn na ɛba wɔ oprehyɛn no akyi? Bere tenten ahe na egye na obi ho atɔ no?

Sɛ wɔyɛ oprehyɛn no wie a, wɔbɛnyan wo na wɔde wo akɔ baabi a wɔhwɛ wɔn a wɔyare no. Ɛha yi, wɔbɛma wo nnuru a wode bedi wo yaw so. Sɛ w’adwene mu da hɔ yiye a, wobeyi ahome afiri no afi hɔ. Nnipa pii nkae eyi.

• Afei wɔde wo bɛkɔ ayaresabea a wɔhwɛ ayarefoɔ nyinaa anaa ɛtɔ da bi a wɔde wo bɛkɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen (ICU).
• Wɔde nsuo a ɛkɔ wo koko mu baako anaa mmienu bɛhyɛ wo moma so de ayi nsuo ne mframa a ɛboro soɔ afiri baabi a wɔyɛɛ oprehyɛn no. Sɛ nsu dodow a efi wɔn mu no so tew wie a, oduruyɛfo no beyi nsukorade no afi hɔ.
• Aduruyɛfo no bɛhyɛ wo nkuran sɛ taa kɔfefe na yɛ apɔw-mu-teɛteɛ a ɛma wohome kɔ akyiri . Eyi ho hia yiye na ama w’ahurututu no ho atɔ wo.
• Wɔde nnuru a ɛma mogya yɛ mmerɛw ne mfiri a wɔde mia mogya no di dwuma na amma mogya antɔ wo nan mu bere a woda mpa so no.
• Boa a wobɛboa wo ma woanantew da a edi oprehyɛn akyi no nso yɛ ayaresa no fã titiriw.

Sɛ wɔde ɔkwan bi te sɛ VATS anaa RATS yɛ wo oprehyɛn a, ɛho behia sɛ wotra ayaresabea hɔ nnansa anaa nnansa pɛ . Sɛ obi ho tɔ no nso ntɛmntɛm. Sɛ wɔyɛ wo koko oprehyɛn a wɔabue mu a, ɛho behia sɛ wotra ayaresabea hɔ nnansa kosi anan . Sɛ wokɔ fie a, wɔbɛma wo nnuru a ano yɛ den a wɔde kum ɛyaw a wode bedi dwuma bɛyɛ dapɛn biako. Ɛwom sɛ w’ankasa wubetumi ayɛ w’ankasa adwuma wɔ fie de, nanso eye sɛ wubenya obi a ɔbɛn wo ma waboa wo.

Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?

Mfaso kɛse a ɛwɔ oprehyɛn yi so ne sɛ ɛma obi a ɔwɔ ahurututu mu kokoram a edi kan no nya hokwan a eye sen biara sɛ wɔbɛsa no yare koraa . Ɛno yɛ anidaso kɛse. Na te sɛ oprehyɛn nyinaa no, asiane ahorow bi wɔ mu.

Bere bɛn na wopɛ sɛ wokɔ oduruyɛfo nkyɛn bio?

Sɛ wokɔ fie wie a, sɛ wunya ɔyare mmoawa ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, ne ɔbrɛ a ɛtra so , ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara.

Wo duruyɛfo bɛyɛ nhyehyɛe sɛ ɔbɛkɔ akɔhwɛ wo wɔ wo oprehyɛn no akyi adapɛn 1 kosi 3. Ɔbɛyɛ wo moma so X-ray, ahwɛ w’akuru no mu, na wabɔ wo nkɔso ho nkɔmmɔ. Ebia wɔde wo bɛkɔ kokoram ho ɔyaresafo nkyɛn, a egyina baabi a wo kokoram no wɔ so . Wɔde CT scan bɛhwɛ wo tebea no bere ne bere mu wɔ mfe anum a edi hɔ no mu.