E nānā kākou i loko o ka umauma? ʻO nā mea āpau e pili ana i ka Thoracoscopy ma nā huaʻōlelo maʻalahi!

Ke ʻōlelo mai kāu kauka he pilikia kou me kou umauma, ʻo kekahi ala e ʻike pono ai i ke ʻano o ia mea a me nā mea e hana nei i loko, ʻo ia ka thoracoscopy. Ua lohe paha ʻoe i kēia huaʻōlelo ma mua. E nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, a inā paha he mea e makaʻu ai.

He aha ka Thoracoscopy?

I ka ʻōlelo maʻalahi, he hoʻāʻo liʻiliʻi ka thoracoscopy e nānā ana i ka ʻili o kou mau māmā a me ka hakahaka a puni lākou (i kapa ʻia ʻo ka pleural space). Hoʻohana nā kauka i kahi kāmela lahilahi a mālamalama i kapa ʻia ʻo thoracoscope e nānā i kou mau māmā. Hiki i kēia ke nānā i kou diaphragm, esophagus, paia umauma, a me nā lymph nodes. I kekahi manawa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (i kapa ʻia he biopsy) mai ka wahi āu e makemake ai e nānā.

I ka manawa pinepine, hana ʻia kēia thoracoscopy ma ke ʻano he ʻāpana o kahi ʻoki thoracoscopic kōkua wikiō (VATS) . ʻAe kēia i nā kauka ʻokiʻoki i loko o ka lumi hana e ʻike maopopo i ka mea i loko o ka umauma ma kahi pale wikiō nui. Ua like ia me ke kau ʻana i kahi kāmela ma o kahi lua liʻiliʻi a nānā i loko.

He aha nā ʻano o ka thoracoscopy?

E nānā, ua hoʻohana ʻia kēia thoracoscopy ma ke ʻano ʻokoʻa.

• ʻO ka Thoracoscopy Diagnostic: I kekahi manawa e hoʻohana kāu kauka i kēia e ʻike inā he pilikia i loko o kou umauma, a i ʻole e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻāʻo ʻana. I kekahi manawa ua kapa ʻia kēia he pleuroscopy .
• ʻO ka Thoracoscopy Lapaʻau: I nā manawa ʻē aʻe, hoʻohana ʻia kēia ʻano hana e mālama ai i kahi maʻi, ʻo ia hoʻi, e hana i ke ʻoki kino. ʻO kēia ka mea i hoʻohana ʻia ma ke ʻano ʻoki kino minimally invasive i ʻōlelo ʻia ma mua i kapa ʻia ʻo `VATS` a i ʻole `Video-Assisted Thoracoscopic Surgery`.

I ka manawa hea e hoʻohana ʻia ai ka thoracoscopy?

ʻĀ, a laila, i nā hihia hea e hoʻoholo ai ke kauka e hana i kahi thoracoscopy a i ʻole ke ʻoki ʻana o VATS?

• Ke pono ʻoe e ʻike i ka ʻike pololei i loaʻa ʻole i kāu X-ray umauma, CT scan, a i ʻole ultrasound.
• Ke pono ʻoe e wehe i kahi ʻāpana o ka papa o loko o ka paia o ka umauma, i kapa ʻia ʻo pleura.
• E wehe i nā ʻāpana i hōʻino ʻia o nā māmā (ua kapa ʻia kēia ʻo 'lung volume reduction surgery').
• Wehe i nā ʻeke ea i loko o nā māmā.
• E wehe i kahi ʻāpana kanesa o ka māmā (ua kapa ʻia kēia he 'lung resection').
• E wehe i ka wai pono ʻole i hōʻiliʻili ʻia ma ka hakahaka pleural a puni nā māmā a hoʻohana i ka lāʻau lapaʻau e pale ai i ka hōʻiliʻili hou ʻana o ka wai (ua kapa ʻia kēia ʻo pleurodesis).

Hiki ke hana ʻia kēia hoʻāʻo/ʻoki kino, ʻoiai inā loaʻa iā ʻoe ka maʻi kanesa māmā a i ʻole mesothelioma. Hiki ke hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa thymus a me ka maʻi kanesa esophageal.

ʻO ka ʻokoʻa ma waena o ka Thoracoscopy a me ka Thoracotomy

I kēia manawa ke noʻonoʻo nei paha ʻoe, aia kekahi kaʻina hana i kapa ʻia he thoracotomy, a he aha ka ʻokoʻa ma waena o kēlā a me ka thoracoscopy. ʻO ka thoracotomy kahi ʻoki kino e pili ana i ka hana ʻana i kahi ʻoki nui ma ka umauma. Akā, ʻo ka thoracoscopy kahi kaʻina hana i emi iki ka invasive.

ʻO nā pōmaikaʻi o kēia ʻano thoracoscopy:

• Hiki iā ʻoe ke ho'ōla koke.
• Ua emi ka ʻeha.
• He kakaikahi nā pilikia ma hope o ke ʻoki ʻana.

Eia nō naʻe, i kekahi manawa, inā ʻaʻole hiki ke hana palekana ʻia ke kaʻina hana pololei me ka thoracoscopy, pono paha ke kauka e hana i kahi thoracotomy.

ʻO wai ka mea e hana i ka thoracoscopy?

Hiki ke hana ʻia kēia thoracoscopy, a i ʻole pleuroscopy, e kāu kauka pulmonologist . Eia nō naʻe, pono e hana ʻia ke kaʻina hana i kapa ʻia ʻo Video-Assisted Thoracoscopy Surgery (VATS) e ke kauka ʻoki thoracic .

Pehea e hoʻomākaukau ai no ka thoracoscopy?

Aia kekahi ala e pono ai ʻoe e hoʻomākaukau ma mua o kēia hoʻāʻo/ʻoki kino.

• I kekahi mau lā ma mua o ke ʻoki ʻana, e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (e like me ka aspirin) e pale ai i ke koko mai ka maʻalahi o ke kāpili ʻana, ʻo ia hoʻi ke hoʻonui nei i ke kahe ʻana o ke koko .
• Hiki ke noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana i ka lā o ke ʻoki kino.

Pehea ka lōʻihi o ke ʻoki ʻana o ka Thoracoscopic?

Hiki ke ʻokoʻa ka manawa e pono ai no kēia ʻoki thoracoscopic. Hiki ke hala maʻamau mai ka hapalua hola a i kekahi mau hola . Inā pono kahi mea paʻakikī ma mua o ka lawe wale ʻana i kahi hāpana ʻiʻo, e lōʻihi ka manawa.

He aha ka mea e hana ʻia i ka wā o ka thoracoscopy?

ʻAe, e nānā kākou i ka mea e hana ʻia ana i kēia ʻoki kino. Ke hana ʻia nei ʻoe i kahi `Video-Assisted Thoracoscopy Surgery (VATS)`, a aia ʻoe ma lalo o ka anesthesia laulā . ʻO ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea, ke hiamoe nei ʻoe. Kākaʻikahi loa, hana ʻia kēia me kahi `sedation` liʻiliʻi.

Hana ke kauka lapaʻau i kēia mau hana:

1. E hāʻawi ʻia ʻoe i kahi lāʻau hoʻomaha ma o kahi wai saline i hāʻawi ʻia i loko o kahi aa (he `IV`).

2. Hoʻokomo ʻia kahi ʻōmole ma kou puʻu a hoʻomalu kahi mīkini i kou hanu ʻana (hoʻēmi kēia i kekahi o kou mau māmā no kekahi manawa, e maʻalahi ai ke ʻoki ʻana).

3. I loko o kou umauma, ma waena o nā iwi ʻaoʻao ʻehiku, ʻeono, a me ka hā,Hana ʻia ʻelua a ʻekolu paha mau ʻoki liʻiliʻi, ʻaʻole i emi iho ma mua o ka hapalua ʻīniha .

4. Ma o hoʻokahi ʻoki ʻana, ua hoʻokomo ʻia ke kāmela thoracoscope i loko o ka hakahaka pleural a puni nā māmā.

5. Hoʻokomo ʻia nā mea hana liʻiliʻi ʻē aʻe e pono ai no ke ʻoki ʻana ma o nā ʻoki ʻē aʻe.

6. Lawe ʻia nā laʻana mai nā wahi i ʻike ʻia he ʻano ʻē, a i ʻole e hana ʻia ke ʻoki kino e pono ai.

7. A laila e lawe i waho i ke kāmela a me nā lako ʻē aʻe a pau.

8. Hoʻokomo ʻia kahi ʻōmole umauma i loko o kou umauma e wehe i ka ea mai kou mau māmā a hoʻihoʻi i ka māmā i hiolo i ke kūlana maʻamau.

9. Ke humuhumu ʻana i nā ʻoki.

10. Hoʻāla hou ʻia ʻoe a hana ʻia e hanu iā ʻoe iho.

He aha kāu e manaʻo ai ma hope o ka thoracoscopy?

Ma hope o ke ʻoki ʻana, e lōʻihi ka manawa e hoʻōla ai ʻoe mai ka anesthesia. Hiki i kou puʻu a me kou waha ke manaʻo he mae no kekahi manawa. ʻAʻole ʻoe e ʻae ʻia e ʻai a inu paha a pau ka mae. Ma muli o ka ʻōmole hanu, hiki ke ʻano ʻūlū iki kou leo ​​a hiki ke ʻeha kou puʻu i ka lā ma hope o ke ʻoki ʻana. Hiki nō hoʻi iā ʻoe ke loaʻa kahi ʻeha ma kahi i hana ʻia ai nā ʻoki.

Mai makaʻu, na ke kauka e hāʻawi iā ʻoe i ka lāʻau lapaʻau e pono ai no kēia ʻeha.

Inā ua lawe ʻia nā hāpana ʻiʻo (biopsies) mai ou aku, a i ʻole ua lawe ʻia ka wai mai kou mau māmā a puni, e loaʻa iā ʻoe kahi ʻōmole umauma i loko o kou umauma no hoʻokahi a ʻelua paha lā. E loaʻa pū iā ʻoe kahi X-ray umauma e hōʻoia ʻaʻohe pilikia me kou mau māmā.

ʻO ka hapa nui o ka manawa, ma hope o kēia ʻano ʻoki thoracoscopic, pono ʻoe e noho i ka haukapila ʻoiai e kau ana nā ʻōmole umauma. Akā i kekahi manawa, inā ʻaʻohe mea nui i hana ʻia, hiki iā ʻoe ke hoʻi i ka home ma hope o kekahi mau hola o ka hoʻomaha. Inā hana ʻoe, pono ʻoe e lawe i kahi hoaaloha a ʻohana paha iā ʻoe i ka home.

He ʻeha anei ka Thoracoscopy?

He pilikia kēia i loaʻa i nā poʻe he nui. ʻAʻole ʻoe e ʻeha i ka wā o ka thoracoscopy no ka mea ua anesthetized ʻia ʻoe. Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke lawe i nā lāʻau hōʻeha e kōkua i ka ʻeha ma nā ʻoki.

ʻEhia ka lōʻihi e ho'ōla ai mai ka thoracoscopy?

Ma kahi o ʻelua pule e hoʻi hou ai i nā hana maʻamau ma hope o kēia ʻoki kino. ʻO ka maʻamau, ma kahi o ʻehā a ʻeono pule e hoʻōla piha ai.

He mea weliweli anei ka Thoracoscopy?

E like me nā kaʻina hana lapaʻau a pau, aia kahi pilikia liʻiliʻi. Ua manaʻo ʻia he haʻahaʻa loa ka nui o ka make no ka thoracoscopy lapaʻau, ma 0.3%. No ka thoracoscopy kōkua wikiō, ʻoi aku ka kiʻekiʻe o ka nui. Eia nō naʻe, ʻo ka nui o ka pilikia no nā kaʻina hana ʻelua ma waena o 2% a me 11% . Hoʻokomo pū kēia i nā pilikia liʻiliʻi a me nā pilikia koʻikoʻi.

He aha nā pilikia o ka thoracoscopy?

He aha nā pilikia e hiki ke loaʻa mai kahi thoracoscopy?

• Ke kahe ʻana o ke koko.
• Nā maʻi i loko o nā māmā a i ʻole nā ​​​​ʻoki.
• Kuni.
• Ka hōʻiliʻili ʻana o ka ea i loko o ka hakahaka pleural a kokoke paha i ka ʻoki ʻana.
• Pūmāmā i hiolo.
• Ka hōʻiliʻili ʻana o ka wai a puni nā māmā.

He aha nā hopena? He aha ka mea i ʻōlelo ʻia?

Ma hope o ke ʻoki ʻana, e haʻi aku ke kauka iā ʻoe inā ua hoʻoponopono ʻia ka pilikia āu i loaʻa ai a ʻaʻole paha. Eia kekahi, ma hope o ka hiki ʻana mai o nā hopena lab, e haʻi lākou iā ʻoe inā he maʻi kanesa a maikaʻi ʻole paha ka ʻiʻo i wehe ʻia. Inā loaʻa iā ʻoe ka maʻi kanesa, hiki iā ʻoe ke ʻike i kona wahi i loko o ka ʻōnaehana staging cancer .

Hiki ke hala i kekahi mau lā no ka hale hoʻokolohua o ka haukapila e hoʻāʻo ai i nā hāpana ʻiʻo a hāʻawi i nā hōʻike.

Āhea wau e kāhea aku ai i ke kauka?

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• Paʻakikī ka hanu ʻana.
• Kuni.
• ʻEha ka umauma.
• He pehu hou ma ka umauma a i ʻole ka ʻāʻī.

ʻO nā mea nui loa e pono ai ʻoe e hoʻomanaʻo

E noʻonoʻo i ke kupaianaha o ka hiki ke ʻike a i kekahi manawa e mālama i nā pilikia i loko o kou umauma ma o kekahi mau ʻoki liʻiliʻi me kēia kaʻina hana i kapa ʻia ʻo thoracoscopy. Inā kānalua ʻoe i kekahi mea a i ʻole he kānalua paha, mai kānalua e nīnau i kāu kauka. Inā loaʻa iā ʻoe kahi ʻike maikaʻi o kēia hoʻāʻo/ʻoki kino, e hoʻemi nui ʻia kou makaʻu. He mea nui loa hoʻi e hahai i nā ʻōlelo kuhikuhi i hāʻawi ʻia ma mua o ke ʻoki kino a e hahai i nā ʻōlelo kuhikuhi i hāʻawi ʻia e kāu kauka i ka wā hoʻōla ma hope o ke ʻoki kino.

ʻO ka Thoracoscopy, ke ʻoki ʻana i ka māmā, VATS, pleuroscopy, nā hoʻokolokolo umauma, ke ʻoki ʻana i ka umauma me ka ʻole o ka hoʻopilikia ʻana, nā maʻi hanu