Sua Pneumonectomy, oprehyɛn a wɔyɛ de yi ahurututu biako koraa no ho ade.

Obiara a ɔte sɛ wɔayɛ n’ahurututu nyinaa oprehyɛn no ho yeraw no kakra, ɛnte saa? Ɛyɛ oprehyɛn kɛse bi. Nanso ade a ɛho hia sen biara a ɛsɛ sɛ wuhu ne sɛ wɔ tebea horow bi mu, titiriw wɔ nsɛm te sɛ ahurututu mu kokoram mu no, ebetumi ayɛ adeyɛ a egye nkwa. Enti ɛnnɛ, momma yɛnka oprehyɛn a wɔfrɛ no Pneumonectomy yi, mfaso ne ɔhaw ahorow a ɛwom, ne nea ɛkɔ so wɔ oprehyɛn no akyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ntease wom so.

Sɛ yɛbɛka no tiawa a, dɛn ne Pneumonectomy yi?

Pneumonectomy yɛ oprehyɛn a wɔde yi w’ahurututu no biako. Yɛwɔ ahurututu abien, biako wɔ nifa na biako wɔ benkum. Sɛ woyi nifa ahurututu a, wɔfrɛ no nifa ahurututu, na sɛ woyi benkum ahurututu a, wɔfrɛ no benkum ahurututu.

Wobu eyi sɛ ahurututu mu resection kɛse efisɛ ɛyɛ den sen oprehyɛn te sɛ ``lobectomy`` anaa ``wedge resection``, a woyi ahurututu no fã ketewaa bi pɛ.

Oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ a wɔde yi ahurututu mu ntini:

• Simple/Standard Pneumonectomy: Eyi hwehwɛ sɛ woyi w’ahurututu nyinaa, na ebia woyi ntini ne ntini a ɛbɛn wo no bi.
• Extrapleural Pneumonectomy: Eyi yɛ oprehyɛn a ɛsõ kakra. Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi nea edidi so yi fi hɔ:
• Ahurututu a ɛyɛ ma.
• Pleura yɛ ntini a atwa ahurututu ne koko fasu ho ahyia.
• Nea ɛkata koma no ho (pericardium).
• Diaphragm no afã horow, ntini a ɛwɔ ahurututu no ase.

Nnuruyɛfo a wɔyɛ oprehyɛn fa akwan abien so yɛ oprehyɛn yi. Biako ne amanne kwan so thoracotomy, a nea ɛka ho ne sɛ wotwa koko no mu. Ɔfoforo no yɛ ntwitwiridii ketewaa bi a wɔfrɛ no video-assisted thoracic surgery (VATS). Ɛwom sɛ VATS ntumi nkɔ nipadua no mu kɛse de, nanso ɛnyɛ nea ɛfata ayarefo nyinaa.

Tebea ahorow bɛn na wɔyɛ oprehyɛn yi ma?

Wɔtaa yɛ saa oprehyɛn yi sɛ kokoram a atrɛw akɔ ahurututu mu anaa afi ahurututu mu no yare. Nanso, ebetumi nso ayɛ tebea afoforo pii ano aduru. Momma yɛnhwɛ nea wɔyɛ.

Hena na ɔfata ma oprehyɛn yi?

Nnuruyɛfo begyina nneɛma pii so asi gyinae sɛ wofata ma oprehyɛn yi anaa.

• Sɛ wo kokoram no wɔ ahurututu biako pɛ mu (na ɛntrɛw nkɔ mmeae afoforo) na wubetumi anya ayaresa koraa denam ahurututu no a wubeyi so.
• Ɛdenam baabi a kokoram no wɔ so no, ebia ɛrentumi nyɛ yiye sɛ wobeyi afi hɔ koraa a wonyi ahurututu no nyinaa mfi hɔ .
• Sɛ wo koma, mogya ntini, ne w’ahurututu a aka no wɔ akwahosan pa a ɛbɛma woatumi agyina oprehyɛn no ano a .

Afei nso, wɔntaa nkamfo oprehyɛn yi nkyerɛ nnipa a wɔn ahurututu ntumi nyɛ adwuma yiye, wɔn koma mu ntini mu yare a emu yɛ den, anaasɛ wɔn mogya ntumi nkɔ yiye.

Dɛn na ɛba ansa na wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?

Nna anaa adapɛn kakraa bi ansa na wɔayɛ wo oprehyɛn no, wo duruyɛfo no bɛyɛ nhwehwɛmu pii de ahwɛ sɛnea wo koma ne w’ahurututu reyɛ adwuma. Ebia eyinom bi ne ahurututu mu dwumadi mu nhwehwɛmu, echocardiograms, CT scan, koko mu X-ray, ne mogya mu nhwehwɛmu.

Da a wɔbɛyɛ oprehyɛn no, wɔbɛma wo aduru a ɛma obi dwensɔ koraa, enti worente ɛyaw biara, na worenkae biribiara a esii. Oduruyɛfo a ɔyɛ oprehyɛn no bɛtwa wo mpampam abien ntam wɔ w’afã ne w’akyi, ɔbɛma mpampam no atetew kakra na ama adu ahurututu no mu. Afei, woyi mframa a ɛwɔ ahurututu no mu no na wɔde ahwɛyiye yi fi hɔ. Sɛ ɛho hia a, woyi ntini afoforo a asɛe na wɔsan pam nea wɔatwa no bom. Saa adeyɛ yi nyinaa betumi agye nnɔnhwerew pii.

Dɛn na ɛba wɔ oprehyɛn no akyi?

Sɛ wɔyɛ oprehyɛn no wie a, ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi. Saa bere yi mu no, nnuruyɛfo kuw no bɛhwɛ wo oxygen dodow ne wo koma bɔ, na wɔbɛma wo nnuru a wode bedi ɛyaw no so.

Dɛn na ɛba baabi a hwee nni hɔ bere a wɔayi ahurututu no awie no?

Eyi yɛ ɔhaw a nnipa pii wɔ. Sɛ woyi ahurututu bi a, mframa hyɛ baabi a ɛwɔ hɔ ma. Nanso nkakrankakra, wɔ nna kakraa bi mu no, nipadua mu nsu hyɛ baabi a ɛhɔ yɛ ma . Bere kɔ so no, wo koma, wo ntini, ne akwaa afoforo piapia kakra kɔ saa ahunmu no mu. W’ahurututu a aka no nso yɛ kɛse na ɛyɛ nsakrae wɔ ne gyinabea foforo no mu.

Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?

Te sɛ oprehyɛn kɛse biara no, mfaso ne asiane a ɛwɔ ahurututu mu a wotwa no so. Ɛho hia sɛ wo ne wo duruyɛfo susuw eyinom ho pefee.

Sɛ obi ho tɔ no na ɔde ahurututu biako tra ase

Ebia ebegye asram pii ansa na ne ho atɔ no koraa. Saa bere yi mu no, ebia ɛbɛyɛ den ama wo sɛ wobɛyɛ adwuma sɛnea ɛsɛ.

• Wɔbɛto anohyeto ahorow wɔ dwumadi ahorow te sɛ nneɛma a emu yɛ duru a wɔma so ne karka ho.
• Wobɛte nka sɛ woabrɛ sen sɛnea wotaa yɛ na ɛho behia sɛ wogye w’ahome mpɛn pii.
• Ebia ɛbɛyɛ den bi wɔ ahomegye mu.

Eyinom bi bɛkɔ bere a woresa yare no, bere a afoforo nso betumi abɛyɛ wo "new normal." Ebegye bere ansa na yɛatumi ayɛ nsakrae wɔ mu.

Ɔkwan bɛn so na wobetumi ama ayaresa no ayɛ mmerɛw?

• Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Yɛ apɔw-mu-teɛteɛ ne ahomegye apɔw-mu-teɛteɛ no sɛnea wɔakyerɛ no pɛpɛɛpɛ.
• Nom w’aduru no wɔ bere ano.
• Hwɛ hu sɛ wobɛkɔ nna a wɔka sɛ san bra bɛkyerɛ wo no.
• Sɛ wowɔ ɔhaw anaa nsɛnnennen bi a, wo ne oduruyɛfo no nka ho asɛm.

Bere tenten a wubetumi de ahurututu biako atra ase no gyina nneɛma te sɛ nea enti a wɔyɛɛ wo oprehyɛn no, mfe a woadi, ne w’akwahosan nyinaa so. Ebia ɛsono sɛnea obi a wɔayɛ no oprehyɛn wɔ ɔyare mmoawa foforo bi nkwa nna mu no bɛyɛ soronko wɔ obi a wɔayɛ no oprehyɛn wɔ kokoram ho no ho.

Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara

Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi bere a wo ho retɔ wo a, frɛ wo duruyɛfo ntɛm ara :

• Sɛ mogya retu fa oprehyɛn kuru no aduru a wɔde kyekyere ho no mu a.
• Sɛ nsu bi a ɛyɛ huam a ɛsono ne kɔla fi kuru no ho reba a.
• Sɛ wowɔ ɔfe a nsuo anaa nsuo a ɛyɛ nwini pii a ne kɔla sesa a.
• Huraeɛ.
• Ɛyaw a wontumi nni so wɔ nnuru mpo mu.

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara:

• Mogya a wɔfefe.
• Ɔhome a ɛyɛ den kɛse.
• Koko mu yaw mpofirim a ɛyɛ den sɛ ɔbɛhome.
• Nhumu a wɔhwere.