ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka resection o ka māmā

Ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono lākou e wehe i kahi hapa a i ʻole ko lākou mau māmā āpau ma o ke ʻoki ʻana, he mea maʻamau ke manaʻo i kahi kaumaha nui a me ka makaʻu. " Pehea lā wau e ola ai me ka ʻole o ka māmā?" "ʻAʻole anei he ʻoki nui kēia?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā ʻo ka ʻoiaʻiʻo, ʻo kēia ka hopena maikaʻi loa no kekahi mau maʻi olakino, ka mea e hana ʻia nei me ka holomua me ka holomua o ka ʻepekema lapaʻau. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki ʻana i ka māmā, a i ʻole 'Lung Resection' e like me ka mea i kapa ʻia ma ka ʻepekema lapaʻau, ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka resection o ka māmā?

ʻO kēia ke ʻano o ke ʻoki ʻana i ka māmā, a i ʻole ka 'pulmonary resection'. I ka ʻōlelo maʻalahi, pili ia i ka wehe ʻana i kahi ʻāpana maʻi a i ʻole i hōʻino ʻia o kou māmā, a i ʻole ka māmā holoʻokoʻa. Hiki paha kēia ma muli o ke kanesa, kahi maʻi koʻikoʻi, a i ʻole kekahi maʻi ʻē aʻe. I kekahi manawa, hana ʻia kahi biopsy e lawe i kahi ʻāpana o ka ʻiʻo no ka hoʻāʻo ʻana e hoʻoholo i ke kumu pololei o ka maʻi.

Loaʻa iā kākou ʻelua mau māmā i loko o ko kākou umauma. Ua māhele ʻia kēlā me kēia o kēia mau māmā i nā ʻāpana liʻiliʻi, e like me ka ʻiʻo o ka ʻalani. Kāhea mākou i kēia mau 'lobes' a i ʻole nā ​​ʻāpana. ʻEkolu lobes o kou māmā ʻākau a ʻelua lobes o kou māmā hema . No laila, ma kēia ʻoki kino, hiki ke wehe ʻia kahi lobe, kahi ʻāpana o kahi lobe, a i ʻole ka māmā holoʻokoʻa. ʻO ka mea mua āu e pono ai e hoʻomanaʻo, ʻoiai he ʻoki kino nui kēia, hiki nō iā ʻoe ke ola i kahi ola maʻamau ʻoiai inā hoʻokahi wale nō māmā a i ʻole kekahi ʻāpana o ka māmā i wehe ʻia.

He aha nā ʻano o nā ʻoki kino o ka māmā?

Aia kekahi mau ala e hana ai i kēia ʻoki kino. Aia ia i ke ʻano o ka maʻi a me ka nui o ka māmā e pono ai ke wehe ʻia. E nānā kākou i nā ʻano nui.

He aha nā ʻano kūlana e hana ʻia ai kēia ʻoki kino?

Nui nā kumu e hana ʻia ai ke ʻoki ʻana i ka māmā. ʻO nā kumu nui:

• Ka maʻi ʻaʻai māmā: ʻOi loa aku no nā maʻi ʻaʻai mua (nā pae I, II, a me III paha).
• Ke laha ka maʻi kanesa mai nā ʻōpū ʻē aʻe i nā māmā: Kapa mākou i kēia he 'maʻi kanesa metastatic'.
• Nā puʻupuʻu maikaʻi a i ʻole nā ​​​​nodules māmā.
• Bronchiectasis: ʻO kahi kūlana kahi e hoʻonui mau ʻia ai nā alaea a piha i ka mucus.
• ʻEmphysema : ʻO ia ke ʻano i hōʻino ʻia ai nā ʻeke ea i loko o nā māmā, e pilikia ai ka hanu ʻana.
• Nā abscess a i ʻole nā ​​cysts i piha i ka pus.
• Ka pōʻino nui i nā māmā ma muli o kahi ulia.

ʻO nā ʻano hana nui ʻelua no ka hana ʻana i ke ʻoki kino

Hoʻohana nui nā kauka lapaʻau i ʻelua mau ʻano hana e hana ai i kēia hana.

1. ʻO ke ʻoki ʻana i ka ʻōpū: ʻO kēia ke ʻano hana i hana ʻia me nā ʻoki liʻiliʻi. Kāhea pū mākou i kēia ʻo VATS (Video-Assisted Thoracoscopic Surgery) no ka pōkole. Maanei, hana ʻia kekahi mau lua liʻiliʻi ma ka umauma, hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (Thoracoscope) ma loko, a hana ʻia ke ʻoki ʻana me ka hoʻohana ʻana i nā lako kūikawā i ka wā e nānā ana ma kahi monitor. Ke hana ʻia me ka hoʻohana ʻana i ka ʻenehana robotic, kapa mākou iā ia ʻo RVATS (Robotic VATS). ʻO ka pōmaikaʻi o kēia ʻano hana, ʻaʻole ʻeha iki a ho'ōla wikiwiki.

2. ʻOki Hāmama / Thoracotomy:He hana nui kēia. Ma kēia kaʻina hana, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou ʻōpū, wehe i kou umauma ma waena o nā iwi ʻaoʻao ʻelua, a hiki i kou mau māmā. Hoʻohana pinepine ʻia kēia kaʻina hana e wehe i kahi ʻāpana nui o ka māmā a i ʻole i nā hihia paʻakikī.

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

Pono ka hoʻomākaukau maikaʻi no ke ʻano hana ʻoki kino e like me kēia. Na kāu kauka e hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no kēia.

• Pono ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu) no kekahi mau hola ma mua o ke ʻoki kino.
• Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora a me nā mea hoʻohui. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ke ʻoki ʻana.
• Inā he mea puhi paka ʻoe, pono ʻoe e haʻalele . Hiki i ka haʻalele ʻana i ka puhi paka ke hōʻemi nui i nā pilikia e kū mai ana ma hope o ke ʻoki ʻana.
• E mākaukau no kekahi mau lā ma ka haukapila. Eia kekahi, e hoʻonohonoho i kahi e kiʻi iā ʻoe ke hoʻi ʻoe i ka home.
• Ma mua o ke ʻoki ʻana, pono e hana ʻia kekahi mau mea, e like me nā hoʻāʻo koko, nā hoʻāʻo hana māmā, X-ray umauma, CT scan, a me nā hoʻāʻo puʻuwai (ECG) .

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? E aʻo kākou e pili ana i ka wā hoʻōla

Ma hope o ke ʻoki kino, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla a hiki i kou ala ʻana, a laila e hoʻoneʻe ʻia i kahi keʻena. E noho mau ʻoe ma ka haukapila no ʻelua a ʻekolu mau lā a i hoʻokahi pule. E hilinaʻi kēia manawa i ke ʻano o ke ʻoki kino āu i hana ai a me ka wikiwiki o kou hoʻōla ʻana.

Ma hope o ke ʻoki ʻana , e hoʻokomo ʻia kahi ʻōmole umauma i loko o kou umauma e wehe i ke kahe nui a me ka ea e hōʻiliʻili ana i loko o kou umauma. Hoʻopaʻa pinepine ʻia kēia no hoʻokahi a ʻelua paha lā a laila wehe ʻia.

E manaʻo paha ʻoe i ka pōkole o ka hanu a me ka luhi i ka wā mua. He mea maʻamau kēia. E aʻo aku ke limahana lapaʻau iā ʻoe pehea e hanu hohonu ai a hana i nā hoʻomaʻamaʻa ʻū e hoʻomau i ka hana pono ʻana o kou mau māmā. Hiki ke hāʻawi ʻia iā ʻoe ka oxygen no kekahi manawa pōkole.

ʻOkoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka.

• Inā hana ʻia ke ʻoki ma o kahi ʻoki liʻiliʻi e like me VATS , hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o ʻelua pule.
• Inā he ʻoki kino nui e like me ka thoracotomy , hiki ke hala i hoʻokahi mahina a ʻoi aʻe paha e ho'ōla piha ai.

Aia kekahi mau pilikia a me nā pilikia?

E like me nā hana ʻoki kino nui a pau, aia kekahi mau pilikia e pili ana, a he mea nui e ʻike iā lākou.

• Ka leaka ʻana o ka ea mai nā māmā
• Nā hewa o ka puʻuwai (Arrhythmia)
• Ka hōʻiliʻili ʻana o ke koko i loko o ka umauma (Hemothorax)
• Nā maʻi e like me ka maʻi pneumonia
• Nā maʻi i nā ʻoki
• ʻO ka embolism pulmonary
• Nā hopena i ka anesthesia

Ke hana nei kāu hui lapaʻau i kā lākou mea maikaʻi loa e hōʻemi i kēia mau pilikia. Hiki iā ʻoe ke hōʻemi hou aku i kēia mau pilikia ma ka pale ʻana i ka puhipaka a me ka hahai pono ʻana i nā ʻōlelo a kāu kauka.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

Ma hope o ka hoʻi ʻana i ka home, he mea nui loa e hana koke inā ʻike ʻia kekahi mau hōʻailona pōpilikia.

Hiki i kahi māmā i wehe ʻia ke hana hou?

ʻAʻole. ʻAʻole e like me ko kākou akepaʻa, ʻaʻole ulu hou ka ʻiʻo māmā ma hope o ka wehe ʻia ʻana ma ke ʻoki ʻana. Akā, hoʻololi ke kino i kēia loli. Hoʻomaka ka ʻiʻo māmā i koe e hana me ka ʻoi aku ka maikaʻi. No laila, i ka hala ʻana o ka manawa, ʻaʻole paha ʻoe e ʻike nui i kahi ʻokoʻa.