Mediastinoscopy: E aʻo kākou e pili ana i kēia ʻoki kino e ʻimi ai i ka maʻi ʻaʻai umauma ma ke ʻano maʻalahi (Mediastinoscopy)

Ua haʻi aku anei kāu kauka iā ʻoe e pono ʻoe e hana i kahi mediastinoscopy? Pono ʻoe i makaʻu iki i kou lohe ʻana i kēlā inoa, ʻeā? Pono ʻoe i loaʻa i nā nīnau he nui e like me, 'He aha kēia? He hana nui anei? E ʻeha anei?' He mea maʻamau loa ia. ʻAʻole ia he mea kupanaha i ka wā e lohe ai ʻoe i kahi huaʻōlelo hou, a i ka wā e kapa ʻia ai he ʻoki kino, manaʻo iki ʻoe i ka hopohopo. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia mediastinoscopy, no ke aha i hana ʻia ai, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Mediastinoscopy?

ʻAe, e wehewehe mua kākou i kēia. ʻO ka mediastinoscopy kahi hana ʻoki kino e hiki ai i kāu kauka ke nānā pono i loko o kou umauma, ʻoiai ka hakahaka ma waena o kou mau māmā (ʻo ia ka mea a mākou e kapa nei ʻo mediastinum i ka lāʻau lapaʻau).

E noʻonoʻo e pili ana i ia mea, he mea nui loa kēia hakahaka ma waena o nā māmā ʻelua i loko o ko kākou umauma. No ka mea, aia ma ʻaneʻi nā ʻāpana koʻikoʻi he nui e like me ko kākou puʻuwai, trachea, a me ka esophagus . No laila, hoʻohana ʻia kēia ʻano hana ke makemake mākou e ʻike inā he mea ʻē ma kēia wahi, e like me ka puʻupuʻu a i ʻole ka lymph node i hoʻonui ʻia.

Hoʻohana ʻia kahi mea hana kūikawā i kapa ʻia he mediastinoscope no kēia kaʻina hana. Ua like ia me kahi ʻōmole lahilahi me kahi kāmela a me ke kukui i hoʻopili ʻia. Me ka hoʻohana ʻana i kēia mea hana, hiki i nā kauka ke ʻike maopopo i ka mea i loko o ka umauma. ʻAʻole hiki iā lākou ke ʻike wale nō, akā hiki iā lākou ke lawe i kahi hāpana ʻiʻo mai kahi lymph node a i ʻole kekahi puʻupuʻu ʻē aʻe ma laila a hoʻouna aku no ka hoʻokolokolo ʻana (kapa mākou i kēia he biopsy).

He aha ka ʻokoʻa ma waena o ka Mediastinoscopy a me ka Mediastinotomy?

Hiki paha iā ʻoe ke lohe i ka huaʻōlelo mediastinotomy. Hana ʻia nā mea ʻelua e nānā i ka ʻāpana mediastinum o ka umauma. Akā aia kahi ʻokoʻa iki.

• Mediastinoscopy: Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi (ma kahi o hoʻokahi ʻīniha) ma ka ʻāʻī a hoʻokomo i kahi scope ma loko. He liʻiliʻi ka ʻoki, no laila e ho'ōla koke ia.
• Mediastinotomy: Pili kēia i ka hana ʻana i kahi ʻoki nui iki ma ka umauma a nānā pololei i loko. ʻAe kēia ʻano hana i ke kauka e ʻike hou aku i loko, akā ʻoi aku ka nui o ka ʻoki, no laila ʻoi aku ka lōʻihi o ka manawa ho'ōla.

No ke aha ʻoe e makemake ai e hana i kēia hoʻokolohua?

Aia kekahi mau kumu e kauoha ai ke kauka i kēia hoʻāʻo. ʻO nā kumu nui:

• E hōʻoia i kahi kānalua o ka maʻi kanesa:Inā ʻike ʻoe i kahi mea ʻē i loko o kou umauma ma kahi X-ray a i ʻole CT scan, pono ʻoe e lawe i kahi ʻāpana ʻiʻo a nānā iā ia e ʻike pono inā he maʻi ʻaʻai a ʻaʻole paha. He mea nui loa kēia ʻano hana no kēlā.
• E hoʻoholo i ke kahua o ke kanesa: Inā ua ʻike mua ʻia kekahi me ke kanesa māmā, ke kanesa thymus gland, a i ʻole ke kanesa esophageal , hana ʻia kēia hoʻāʻo e ʻike i ka mamao o kona laha ʻana. Ma ke ʻano kūikawā, kōkua ia e ʻike inā ua laha ke kanesa i nā lymph node kokoke. Penei e hoʻoholo ʻia ai ke kahua o ke kanesa a koho ʻia ka lāʻau lapaʻau maikaʻi loa.
• E ʻike i nā maʻi ʻē aʻe: ʻAʻole wale ke kanesa, hoʻohana ʻia kēia hoʻāʻo i kekahi manawa e ʻimi i nā maʻi i loko o nā māmā, a e ʻike i nā kūlana ʻē aʻe e like me lymphoma, sarcoidosis, a mesothelioma paha .

Aia kekahi poʻe makemake ʻole e hana i kēia ʻoki kino?

ʻAe, ʻaʻole kūpono kēia ʻoki kino no nā kānaka a pau. I kekahi mau hihia, hiki ke pilikia. ʻOi loa aku no ka poʻe e like me:

• No ka poʻe i loaʻa kahi puʻupuʻu hiki ʻole ke ʻoki ʻia a ʻoi aku ka nui e hiki ʻole ke wehe ʻia ma ke ʻoki ʻana.
• No ka poʻe i loaʻa i ka mediastinoscopy ma mua (no ka mea, hiki i ka ʻiʻo ʻeha mai ka ʻoki mua ke paʻakikī a pilikia hoʻi ke hana hou i ka lua o ka manawa).
• No ka poʻe i loaʻa i ka radiation therapy ma ka ʻāpana umauma (hiki ke paʻakikī ke ʻoki ʻana no ka mea ua loli ke ʻiʻo ma ia wahi ma muli o ka radiation).

E nānā kāu kauka iā ʻoe a e hana i ka hoʻoholo maikaʻi loa e pili ana i kēia.

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

ʻOiai he hana ʻoki kino kēia, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka hoʻomākaukau ʻana ma mua. He mea nui loa e hahai pololei i kēlā mau kuhikuhi.

Pehea e hana ʻia ai ke ʻoki kino?

ʻAe, e nānā kākou i ka mea e hana ʻia ana i loko o ka lumi hana. Mai hopohopo, hana ʻia kēia mau mea a pau ma lalo o ka anesthesia laulā, ʻo ia hoʻi, ua hoʻomoe ʻia ʻoe i ʻole ʻoe e manaʻo i kekahi mea.

1. Anesthesia: ʻO ka mea mua, hoʻokomo ʻia kahi IV i loko o kahi aa koko ma kou lima a hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻohiamoe loa iā ʻoe.

2. Paipu hanu: Me kou ʻike ʻole, ua kau ʻia kahi paipu hanu ma kou puʻu a ua ʻae ʻia ʻoe e hanu ma o kahi mīkini (ventilator).

3. ʻOki liʻiliʻi: Hana ʻia kahi ʻoki liʻiliʻi ma kahi o hoʻokahi ʻīniha ma lalo o kou ʻāʻī, ma luna pono o kou iwi umauma.

4. Ke hoʻokomo ʻana i ka mea kani: Hoʻokomo ke kauka lapaʻau i kahi mea kani i kapa ʻia he mediastinoscope ma o kēlā ʻoki ʻana.

5. Ka hoʻokolokolo ʻana a me ka hāpana ʻana: Hoʻokomo ke kauka iā ia a nānā i nā wahi e nānā ʻia me kahi kāmela. Inā he mau lymph node a ʻiʻo paha e kānalua ʻia, lawe ʻia kahi hāpana (biopsy) me ka hoʻohana ʻana i kahi mea hana liʻiliʻi e like me ka ʻokiʻoki ma ka mea hana like.

6. Ka wehe ʻana i ka hāmeʻa a me ka humuhumu ʻana: Ma hope o ka pau ʻana o ka hana, e lawe i waho i ka hāmeʻa a humuhumu i ka ʻoki liʻiliʻi me kahi kaula hiki ke hoʻoheheʻe ʻia a i ʻole ke kaula maʻamau.

7. Ke ala ʻana mai ka anesthesia: ʻO ka hope loa, e hoʻāla hou ʻia ʻoe a e wehe ʻia ka ʻōmole hanu.

ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o kēia kaʻina hana holoʻokoʻa, akā i kekahi manawa hiki ke lōʻihi iki.

He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? Pehea ka manawa hoʻōla?

E ʻike mau ana ʻoe i kahi ʻano palupalu iki no kekahi mau hola ma hope o kou ala ʻana mai ka anesthesia. I ka hapanui o nā hihia, he hana outpatient kēia, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila.

• Ke hoʻi nei i ka home: Eia nō naʻe, no ka mea ua hāʻawi ʻia ʻoe i ka anesthesia , ʻaʻole hiki iā ʻoe ke hoʻokele. Pono ʻoe i kahi lālā o ka ʻohana a i ʻole hoaaloha e hoʻokele iā ʻoe i ka home.
• Nā pilikia:Ma muli o ke komo ʻana o ka ʻōmole hanu, hiki iā ʻoe ke ʻike i kahi ʻano ʻūlū ma kou puʻu a me kou waha, ka ʻeha, a me ke kunu ʻana no kekahi lā aʻe. Mai hopohopo no kēlā. E ʻeha iki nō hoʻi kahi i ʻoki ʻia no kekahi mau lā. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēlā.
• Nā hoʻāʻo: I kekahi manawa ma hope o ke ʻoki ʻana, loaʻa paha iā ʻoe kahi X-ray umauma e hōʻoia i ʻaʻohe pilikia me kou mau māmā.

He aha nā pilikia o ka mediastinoscopy?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi. ʻOiai he haʻahaʻa loa ka likelika o kēia mau mea, he mea nui e makaʻala iā lākou.

He haʻahaʻa loa ka pilikia o ka make mai kēia ʻoki kino (ma kahi o 0.09%). No laila, mai makaʻu pono ʻole i kēia.

ʻEhia ka lōʻihi e hiki mai ai nā hopena?

E hoʻouna ʻia ka biopsy i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana, a hiki ke hala kekahi mau lā ma mua o ka hōʻea ʻana o ka hōʻike. Ke hiki mai ka hōʻike, e wehewehe kāu kauka iā ʻoe a kūkākūkā i nā ʻanuʻu aʻe a me ka lāʻau lapaʻau.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

He mea maʻamau ka loaʻa ʻana o kekahi mau ʻehaʻeha liʻiliʻi ma hope o kou hoʻi ʻana i ka home. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke i kāu kauka . A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.

• ʻEha nui o ka umauma
• He kuni kiʻekiʻe loa
• Paʻakikī ka hanu ʻana
• Inā ʻulaʻula loa ka wahi i ʻoki ʻia, pehu, a ke puka mai nei ka wai e like me ka pus

Mai hoʻowahāwahā i nā mea e like me kēia.