Pono anei mākou e ʻike i nā mea āpau e pili ana i ka lobectomy?

Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pono lākou e hana ʻoki no ka pilikia o ka māmā? He mea maʻamau ka makaʻu iki, ka hoihoi, a me ka nui o nā nīnau i ka manawa e like me kēia. Ke noʻonoʻo nei paha ʻoe i nā mea e like me, "He ʻoki nui anei kēia? E ʻeha anei? He aha ka mea e hana ʻia ma hope o kēlā?" No laila, i kēia lā e kamaʻilio mākou ma ke ʻano maʻalahi a aloha hoʻi e pili ana i kahi ʻoki nui o ka māmā i kapa ʻia ʻo 'lobectomy.' E nānā kākou i ke ʻano o ia mea, no ke aha i hana ʻia ai, a me nā mea āu e pono ai e ʻike e pili ana i ia mea.

He aha ka lobectomy ma nā huaʻōlelo maʻalahi?

I ka ʻōlelo maʻalahi, ʻo ka lobectomy ka wehe ʻoki ʻana i kahi ʻāpana (lobe) o kou māmā. Hana ʻia ko mākou mau māmā i kekahi mau lobes, a i ʻole lobes. ʻEkolu lobes o ka māmā ʻākau a ʻelua lobes o ka māmā hema. Wehe wale kēia ʻoki ʻana i ka ʻāpana maʻi o ka māmā, me ka mālama ʻana i nā ʻāpana olakino i koe o ka māmā.

Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa māmā mua (ʻaʻai kanesa māmā ʻaʻole liʻiliʻi). Eia kekahi, i kekahi manawa e hoʻoholo paha ke kauka e wehe i kahi ʻāpana liʻiliʻi o ka lobe ma kahi o ka lobe holoʻokoʻa. Ua kapa ʻia kēia he segmentectomy.

Ma waho aʻe o ke kanesa o ka māmā, hiki ke hana ʻia kēia ʻoki no kekahi mau kumu ʻē aʻe.

Pehea e hana ʻia ai kēia ʻoki kino?

ʻAʻole e like me ka wā ma mua, i kēia mau lā, hana pinepine ʻia kēia ʻoki kino me ka wehe ʻole ʻana i ka umauma, me ka hoʻohana ʻana i nā ʻoki liʻiliʻi loa. Kāhea mākou i kēia ʻo 'nā ʻano hana minimally invasive'. ʻElua mau ʻano hana nui.

1. VATS (ʻoki kino Thoracoscopic i kōkua ʻia e ke wikiō):ʻO kēia ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa i loko o kou mau iwi ʻaoʻao, ke hoʻokomo ʻana i kahi kāmela wikiō liʻiliʻi ma o kekahi a me nā mea hana ʻoki ma o nā ʻoki ʻē aʻe i loko o kou umauma. Hana ke kauka ʻoki i ke ʻoki ʻana me ka nānā ʻana i kahi kiʻi maopopo o kou mau māmā ma kahi pale nui. ʻAʻole pono kēia ʻano hana i ka haki ʻana a i ʻole ka hoʻoneʻe ʻana i kekahi mau iwi ʻaoʻao.

2. ʻIOLE (Robot-Assisted Thoracoscopic Surgery): Ua like kēia me VATS, akā ma ʻaneʻi ke kāohi nei ke kauka lapaʻau i nā lako me ke kōkua o kekahi mau lima robotic.

Eia nō naʻe, i kekahi mau hihia paʻakikī, pono paha nā kauka e hana i ke ʻoki ʻana ma ka hana ʻana i kahi ʻoki nui aʻe ma ka umauma a me ka hoʻoneʻe iki ʻana i nā iwi ʻaoʻao. Ua kapa ʻia kēia kaʻina hana he thoracotomy .

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o kahi ʻoki kino nui e like me kēia, hana ʻia kekahi mau hoʻokolohua e loiloi pololei i kou kūlana olakino.

• He hoʻokolokolo kino piha.
• Nā hoʻokolohua kiʻi e like me ka X-ray umauma, CT scan, a i ʻole PET scan.
• Nā hoʻāʻo hana pulmonary e nānā i nā pilikia hanu.
• Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo māmā a i ʻole nā ​​​​kikowaena lymph node no ka hoʻokolokolo ʻana (biopsy).
• Nā hoʻāʻo koko.
• Nā hoʻokolohua e like me `(ECG)` a me `(echocardiogram)` e nānā i ka hana o ka puʻuwai.

Inā loaʻa iā ʻoe ka maʻi ʻaʻai māmā, he mea nui ka ʻike inā ua laha aku i nā ʻāpana ʻē aʻe o ke kino (staging) no ka hoʻolālā ʻana i ka mālama ʻana. Eia kekahi, inā he mōʻaukala kou o ka maʻi puʻuwai, pono paha ʻoe e ʻike i kahi cardiologist ma mua o ke ʻoki ʻana. E wehewehe ka anesthesiologist pehea e mālama ai i ka ʻeha i ka wā a ma hope o ke ʻoki ʻana.

E hoʻomaopopo mua nō hoʻi ke kauka iā ʻoe i ka manawa e pono ai ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i ka pō ma mua o ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki kino, e hoʻāla ʻia ʻoe a hoʻouna ʻia i ka ʻāpana hoʻōla. Maanei, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kāohi i kou ʻeha. Ke hoʻomaopopo piha ʻoe, e wehe ʻia ka ʻōmole hanu. ʻAʻole hoʻomanaʻo ka nui o ka poʻe i kēia.

• A laila e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻi laulā a i kekahi manawa i ka ʻāpana mālama koʻikoʻi (ICU).
• E kau ʻia hoʻokahi a ʻelua paha mau ʻōmole hoʻokahe umauma i loko o kou umauma e wehe i ke kahe nui a me ka ea mai kahi i hana ʻia ai ke ʻoki kino. Ke emi ka nui o ka wai e puka mai ana mai loko mai o lākou, e wehe ke kauka i nā ʻōmole.
• E paipai nā limahana lapaʻau iā ʻoe e ʻū pinepine a hana i nā hoʻomaʻamaʻa hanu hohonu . He mea nui loa kēia no ka hoʻōla ʻana o kou mau māmā.
• Hoʻohana ʻia nā lāʻau hoʻokahe koko a me nā mea hoʻopili e pale aku i ke kāpili ʻana o ke koko i nā wāwae i kou wā e moe ana.
• ʻO ke kōkua ʻana iā ʻoe e hele i ka lā ma hope o ke ʻoki ʻana he ʻāpana nui nō hoʻi ia o ke kaʻina hana ho'ōla.

Inā hana ʻia ʻoe i ke ʻoki kino me ka hoʻohana ʻana i kahi ʻano hana e like me VATS a i ʻole RATS, pono ʻoe e noho i ka haukapila no ʻelua a ʻekolu paha lā . ʻOi aku ka wikiwiki o ka hoʻōla ʻana. Inā hana ʻia ʻoe i ke ʻoki kino umauma hāmama, pono ʻoe e noho i ka haukapila no ʻekolu a ʻehā lā . Ke hoʻi ʻoe i ka home, e hāʻawi ʻia iā ʻoe nā lāʻau ʻeha ikaika e hoʻohana ai no hoʻokahi pule. ʻOiai hiki iā ʻoe ke hana i kāu hana ponoʻī ma ka home, he mea maikaʻi ke loaʻa kekahi kokoke no ke kōkua.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ʻo ia ka hāʻawi ʻana i ka manawa kūpono loa e ho'ōla piha ai i kahi kanaka me ka maʻi kanesa māmā i ke kahua mua . He manaʻolana nui kēlā. A e like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

Ma hope o kou hoʻi ʻana i ka home, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻūlū, a me ka luhi nui , pono ʻoe e kāhea koke i kāu kauka.

E hoʻonohonoho kāu kauka i kahi kipa hahai ma hope o 1 a 3 mau pule ma hope o kāu ʻoki ʻana. E lawe ʻo ia i kahi X-ray o kou umauma, e nānā i kou mau ʻeha, a e kūkākūkā i kou holomua. Ma muli o ke kahua o kou maʻi ʻaʻai, hiki ke kuhikuhi ʻia ʻoe i kahi oncologist . E nānā ʻia kou kūlana me nā scan CT i nā manawa maʻamau i nā makahiki ʻelima e hiki mai ana.