Ɔkwan foforo a wɔfa so yɛ koko oprehyɛn - Momma yensua biribiara fa VATS (Video-assisted thoracic surgery) ho

Sɛ wo anaa obi a wunim no ka sɛ ɛsɛ sɛ wɔyɛ wɔn koko oprehyɛn a, ehu ka wo kakra, ɛnte saa? Sɛ yɛte asɛmfua "koko mu oprehyɛn" a, yesusuw ntwitwiridii kɛse bi, ayaresabea nna kakraa bi, ne ɛyaw pii ho. Saa ehu no fata ankasa. Nanso seesei, aduruyɛ ho nyansahu anya nkɔso kɛse. Ɛnnɛ, yɛrebɛka ɔkwan bi a wɔfa so yɛ koko mu oprehyɛn a enhia sɛ wɔtwitwa akɛse saa, na mmom wɔtwitwa mu nketenkete ho asɛm. Wɔfrɛ eyi VATS. Mfaso a ɛwɔ so ma ayarefo, bere a wɔde ma wɔn ho tɔ wɔn, ne nneɛma afoforo pii yɛ soronko wɔ oprehyɛn a wɔyɛ wɔ amanne kwan so no ho. Momma yɛnka eyi ho asɛm nkɔ akyiri .

Sɛ yɛbɛka no tiawa a, dɛn ne VATS?

VATS din mũ no nyinaa ne Video-assisted thoracic surgery . Wɔ Sinhala kasa mu no, ɛkyerɛ "ahurututu mu oprehyɛn a wɔde video boa." Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ den de, nanso nea ɛkɔ so wɔ saa adeyɛ yi mu no yɛ mmerɛw yiye.

Susuw ho hwɛ, mpɛn pii no sɛ woreyɛ wo koko oprehyɛn a, ɛsɛ sɛ wotwa kɛse wɔ wo koko no fã, fa mpampam no mu na ama woadu akwaa te sɛ ahurututu anaa koma no ho. Wɔfrɛ eyi `(Thoracotomy)`. Nanso wɔ VATS kwan no so no, wonyɛ ntwitwiridii kɛse saa. Mmom no, woyɛ ntokuru nketenkete kakraa bi, bɛyɛ nsateakwaa biako anaa fã, wɔ mparow no ntam kɛkɛ.

Afei, wɔde afiri teateaa bi a mfoninitwa afiri bi abata ho (thoracoscope) fa ntokuru yi biako mu kɔ koko no mu. Saa mfoninitwa afiri yi ma biribiara a ɛwɔ koko no mu, a akwaa ne ntini ahorow ka ho, yɛ kɛse, na ɛkyerɛ no pefee wɔ video monitor so. Mprempren oduruyɛfo a ɔyɛ oprehyɛn no betumi ahwɛ video yi na ɔde oprehyɛn nnwinnade a ɛyɛ mmerɛw afa ntokuru nketewa afoforo mu de ayɛ oprehyɛn no pɛpɛɛpɛ kɛse. Ɛte sɛ video so agodie, nanso ɛyɛ adwuma a ɛyɛ den yiye na asɛyɛde wom.

Eyi yɛ oprehyɛn bi a wɔmfa biribiara nhyɛ mu, a ɛkyerɛ sɛ ɛhwehwɛ sɛ wɔtwitwa mu kakraa bi. Eyi kyerɛ sɛ ɔyarefo no nte ɛyaw, mogya, ne bere a ɔde bɛsan atɔ no pii.

Nyarewa ahorow bɛn na wɔde VATS oprehyɛn sa?

Wɔde VATS oprehyɛn di dwuma de hu nyarewa pii a ɛwɔ koko mu na wɔsa. Ɛyɛ nea agye din titiriw ma ahurututu mu kokoram . Wɔde di dwuma nso ma kokoram a atrɛw akɔ ahurututu mu afi mmeae afoforo.

Wɔ ntease titiriw yi akyi no, mfaso wɔ VATS oprehyɛn so ma nyarewa afoforo dodow bi. Ma yɛnhwɛ nea wɔyɛ.

VATS oprehyɛn ahorow

Nnuruyɛfo a wɔyɛ oprehyɛn de VATS mfiridwuma di dwuma de yɛ oprehyɛn ahorow, a nea ɛka ho ne:

• VATS ahurututu a wotwa: Eyi hwehwɛ sɛ woyi ahurututu no fã bi a yare fi hɔ.
• Wedge resection: Ahurututu mu ntini ketewaa bi a ɛte sɛ kɔne a woyi fi hɔ.
• Lobectomy: Ahurututu no mu ntini biako a woyi fi hɔ koraa.
• Pneumonectomy: Woyi ahurututu biako fi hɔ koraa.
• Esophagectomy: Aduan paipu a woyi fi hɔ esiane biribi te sɛ kokoram nti.
• Thymectomy: Woyi thymus ntini a yare no fi hɔ .
• `Nneɛma a wɔde twitwiw nipadua no mu`: .Ntini a ɔyare mmoawa wom ne akuru a ayɛ atwa ahurututu no ho ahyia a wobeyi afi hɔ na wɔama ahurututu no atrɛw yiye bio.
• Ahurututu mu oprehyɛn a wɔtew so (LVRS): Wɔ tebea horow te sɛ COPD mu no, woyi ahurututu no afã horow a asɛe no fi hɔ, na ɛma afã horow a ɛte apɔw no yɛ adwuma yiye.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma oprehyɛn yi?

Te sɛ oprehyɛn biara no, eyi hwehwɛ sɛ wosiesie wɔn ho yiye. Nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Mpɛn pii no wɔbɛka akyerɛ wo sɛ yɛ nneɛma te sɛ:

• Mmuadadi: Wɔbɛtu wo fo sɛ kwati adidi anaa anonne nnɔnhwerew kakraa bi ansa na wɔayɛ oprehyɛn no.
• Nnuru a Wobɛgyae: Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom, titiriw nnuru a ɛma mogya tu, vitamin, ne Ayurvedic nnuru, ansa na woayɛ oprehyɛn. Wo ne wo duruyɛfo nsusuw eyi ho.
• Sigaretnom a wubegyae: Sɛ woyɛ obi a ɔnom sigaret a, ɛho hia sɛ wugyae koraa, anyɛ yiye koraa no adapɛn kakraa bi ansa na wɔayɛ wo oprehyɛn. Sigaretnom betumi de nsɛnnennen aba bere a wɔreyɛ aduru a wɔde kum nipadua no na ama ne ho atɔ no akyɛ wɔ oprehyɛn akyi.

Ɛho behia nso sɛ woyɛ nhwehwɛmu pii de hwɛ sɛnea wo nipadua te ansa na wɔayɛ oprehyɛn no.

• Mogya mu nhwehwɛmu: Nhwehwɛmu te sɛ mogya dodow a edi mũ (CBC).
• Koma mu nhwehwɛmu: EKG anaa `Apɔw-mu-teɛteɛ adwennwen sɔhwɛ`.
• Mfoniniyɛ mu nhwehwɛmu te sɛ chest X-ray anaa CT scan / PET scan.
• Ahurututu mu dwumadi ho nhwehwɛmu: Hwɛ sɛnea w’ahurututu reyɛ adwuma yiye.
• Atifi endoscopy anaa barium mene X-ray.

Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?

Mma eyi nhaw wo. Sɛ wɔde wo kɔ oprehyɛn dan mu wie a, wobedi kan ama wo aduru a wɔde kum nipadua no nyinaa. Wei kyerɛ sɛ wobɛda koraa na worente biribiara nka. Worente ɛyaw anaa ahotɔ biara nka kosi sɛ oprehyɛn no bɛba awiei.

Afei oprehyɛn kuw no di anammɔn yi akyi:

1. Wɔbɛdan wo na wɔde wo ato ɔfã a ɛne ɔfã a wɔbɛyɛ oprehyɛn no di nhwɛanim no so.

2. Wɔyɛ ntwitwiridii nketenkete pii (mpɛn pii no 2-4) wɔ koko no mu, a ɛda ntam bɛyɛ nsateakwaa biako, wɔ mparow no ntam. Ɛtɔ da bi a, ``uniport VATS - U-VATS'' kwan nso wɔ hɔ, a wɔfa tokuru baako mu na ɛyɛ.

3. Wɔde mfoninitwa afiri (thoracoscope) fa ntokuru no biako mu na wɔhwɛ koko no mu wɔ video screen so.

4. Wɔde oprehyɛn nnwinnade titiriw fa ntokuru afoforo no mu na bere a wɔrehwɛ mfonini ahorow a wohu wɔ video no so no, wɔde ahwɛyiye kɛse yi ntini anaa akwaa no fã a yare no fi hɔ.

5. Sɛ wɔyɛ oprehyɛn wie a, wɔde koko mu afiri bi si hɔ bere tiaa bi na ama mframa anaa nsu a ɛboro so biara a ebia ɛreboaboa ano wɔ koko no mu no akɔ.

6. Awiei koraa no, wɔde nhama anaa nhama a ɛtumi nwura mu na ɛto ntwitwiridii nketenkete no mu.

Wɔ ayaresabea ahorow bi a ɛkɔ anim mu no, wɔde `robotic technology` mpo na ɛyɛ oprehyɛn yi. Ɛhɔ no, oduruyɛfo no yɛ oprehyɛn no bere a ɔrehwɛ kɔmputa so na ɔhwɛ robɔt abasa bi so no. VATS oprehyɛn a wɔde ma ahurututu mu kokoram taa gye bɛyɛ nnɔnhwerew abien kosi abiɛsa.

Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?

Momma yɛnhwɛ abien yi wɔ ɔkwan soronko so.

Dɛn na ɛba wɔ oprehyɛn no akyi na bere tenten ahe na egye ansa na ne ho atɔ no?

Sɛ wɔyɛ oprehyɛn wie a, wɔde ntini a wɔayi afi hɔ no kɔ aduruyɛdan mu kɔhwɛ. Wɔfrɛ eyi `Biopsy` . `Pathologist` hwehwɛ ntini no mu wɔ microscope mu hwɛ sɛ kokoram nkwammoaa bi wɔ hɔ, ɔyare mmoawa ho sɛnkyerɛnne, anaa tebea afoforo bi wɔ hɔ anaa. Wobegyina saa amanneɛbɔ no so ahu ayaresa foforo a wode bɛma.

Sɛ wɔyɛ oprehyɛn wie a, wɔbɛma wo nnuru a wode bedi ɛyaw no so. Afei nso, ayarehwɛfo ne apɔw-mu-teɛteɛ ho animdefo bɛhyɛ wo nkuran sɛ yɛ apɔw-mu-teɛteɛ a emu dɔ . Nantew nso ho hia yiye na ama obi ho atɔ no ntɛmntɛm.

Ansa na wobɛkɔ fie no, oduruyɛfo bi beyi koko mu afiri no afi hɔ.

Bere a wɔde ma obi ho tɔ no gu ahorow wɔ onipa biara mu na egyina oprehyɛn ko a wɔyɛ so. Oprehyɛn ahorow bi tumi gye adapɛn abien pɛ ansa na ne ho atɔ no, bere a afoforo nso betumi agye adapɛn awotwe.

Hwɛ nneɛma yi so bere a woakɔ fie awie no:

• Sesa ntade a wɔde kyekyere nneɛma a wɔatwitwa no daa sɛnea wo duruyɛfo kyerɛ no.
• Mfa kar anaa mma nneɛma a emu yɛ duru so kosi sɛ oduruyɛfo no bɛka akyerɛ wo.
• Anyɛ yiye koraa no, nantew kakra mprɛnsa da biara na amma mogya antɔ wo nan mu.
• Fa nnuru a wɔde kum ɛyaw ne nnuru a wɔde kum ɔyare mmoawa a wɔakyerɛw ama wo wɔ bere ano pɛpɛɛpɛ.
• Hwɛ hu sɛ wobɛkɔ ayaresabea hɔ wɔ da a wɔde ama sɛ wɔnsan nyɛ nhwehwɛmu no.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?

Sɛ wunya yare no ho sɛnkyerɛnne te sɛ eyinom bere a woasan aba fie akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara .

• Sɛ wote wo koko mu yaw kɛse a .
• Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome a .
• Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa a . Nhwɛsoɔ:
• Nsu a ɛyɛ kɔkɔɔ, ɛho ahonhon, anaa ɛyɛ kɔkɔɔ a atwa baabi a wɔatwa no ho ahyia.
• Huraeɛ.

Mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so. Ɛho hia yiye sɛ wohwehwɛ ayaresa ntɛm.

Sɛ yɛde rewie a, VATS yɛ nkɔso kɛse wɔ ahurututu mu oprehyɛn mu. Wɔ obi a ɔreko atia yare te sɛ kokoram fam no, ɛyɛ ahotɔ kɛse sɛ obetumi ho atɔ no ntɛm wɔ oprehyɛn akyi, ate ɛyaw kakraa bi, na wasan akɔ n’asetra a ɛfata mu ntɛm. Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn a ɛte sɛɛ a, nsuro, wo ne wo duruyɛfo nka ho asɛm yiye, na bisa nsɛm a wowɔ nyinaa.