E aʻo maʻalahi kākou e pili ana i ka Thoracoscopy, kahi hoʻokolokolo e pili ana i ke hoʻokomo ʻana i kahi kāmela i loko o ka umauma.

Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi 'Thoracoscopy'? Ua hopohopo iki paha ʻoe i kou lohe ʻana i ka inoa. "He aha kēia?" "He hana nui anei?" "He paʻakikī maoli anei?" Nui nā nīnau e like me kēia i hiki mai i ka noʻonoʻo. Akā, ʻaʻole ia he mea weliweli e like me kou manaʻo. He hana maʻamau loa ia, palekana, a maʻalahi hoʻi. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi loa, ma ke ʻano e hoʻopau ai i nā nīnau a me nā makaʻu āu e loaʻa ai e pili ana i ia mea.

I ka ʻōlelo maʻalahi, he aha ka Thoracoscopy?

E noʻonoʻo, ke kānalua nei ke kauka aia kekahi mea hewa i loko o kou umauma, ʻo ia hoʻi, ma kahi o nā māmā. Akā, ʻaʻole hiki i kahi X-ray a i ʻole kahi CT scan ke ʻike pololei i ke ʻano o ia mea. I ka manawa e like me kēia, pehea ka maikaʻi inā hiki iā ʻoe ke komo i loko a nānā? ʻO ia ke kumu o kēia kaʻina hana i kapa ʻia ʻo Thoracoscopy.

I ka ʻōlelo maʻalahi, pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi loa i ka ʻili o ka umauma a hoʻokomo i kahi kāmela liʻiliʻi ma loko. Ua kapa ʻia kēia kāmela he thoracoscope . He ʻōmole lahilahi ia e like me ka nui o ka penikala. Loaʻa iā ia kahi kāmela a me ke kukui ma ka hopena. Ke hoʻokomo ʻia kēia kāmela, hiki i ke kauka ke ʻike maopopo i kou mau māmā, ka hakahaka a puni nā māmā (ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo ka pleural space ), ka diaphragm, a me nā mea āpau i loko, e like me ka paia o ka umauma, ma kahi pale TV nui (monitor).

Hana pinepine ʻia kēia kaʻina hana ma ke ʻano he ʻāpana o ke kaʻina hana ʻoki kino i kapa ʻia ʻo Video-Assisted Thoracoscopic Surgery (VATS) . ʻO ke ʻano kēia, ʻaʻole nānā ke kauka ʻoki kino i kou kino, akā nānā i nā kiʻi ma kēlā pale TV nui, a hana i ke ʻoki kino me ke akahele loa, me ka hoʻohana ʻana i nā mea hana liʻiliʻi. He ʻenehana holomua loa kēia.

Ke hana ʻia nei kēia ma ke ʻano he hoʻāʻo a i ʻole he lāʻau lapaʻau?

ʻO ka pane i kēia nīnau, ʻo ia, "Hiki iā ʻoe ke hana i nā mea ʻelua." ʻOkoʻa ia ma muli o ke kumu āu e hana nei i kēia.

• ʻO ka Thoracoscopy Diagnostic: I kekahi manawa makemake wale ke kauka e ʻike i ka mea e hana nei i loko. A i ʻole, makemake paha lākou e lawe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kahi wahi kānalua e nānā. Kāhea mākou i kēia he biopsy . Ua like ia me kahi mākaʻi e hele ana a ʻimi i nā hōʻike. I kekahi manawa kapa ʻia kēia he Pleuroscopy .

• No ka mālama ʻana (Therapeutic Thoracoscopy): I kekahi manawa, ʻike ʻia ke kumu kikoʻī o ka pilikia. A laila hoʻohana ʻia kēia kaʻina hana e mālama ai i kēlā pilikia. ʻO ia hoʻi, hana ʻia ia ma ke ʻano he ʻāpana o kahi ʻoki kino.

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I ka manawa hea e pono ai ka thoracoscopy?

Aia kekahi mau kumu e paipai ai ke kauka i kēia kaʻina hana. ʻO nā mea nui:

• E huli i ka ʻike i loaʻa ʻole i nā hoʻokolohua e like me ka X-ray o ka umauma, CT scan, a me ka ultrasound scan.
• E wehe i kahi ʻāpana o ka papa o loko o ka paia umauma (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.
• Inā he maʻi kanesa i loko o nā māmā, e wehe i ka ʻāpana kanesa (resection māmā).
• E wehe i ke kahe keu i hōʻiliʻili a puni nā māmā a hoʻohana i ka lāʻau lapaʻau e pale ai i ka hōʻiliʻili hou ʻana o ke wai (ua kapa ʻia kēia ʻo 'pleurodesis').

Pono paha kēia ʻoki kino, ʻoiai no ka poʻe me nā maʻi e like me ke kanesa o ka māmā a i ʻole ka mesothelioma (ka maʻi kanesa o ka uhi o nā māmā). Hoʻohana ʻia nō hoʻi ia e mālama i nā maʻi kanesa o ka thymus gland a i ʻole esophagus ma ka umauma.

He aha ka ʻokoʻa ma waena o ka Thoracoscopy a me ka Thoracotomy?

Ua lohe paha ʻoe i ka huaʻōlelo thoracotomy . ʻOiai ʻo nā mea ʻelua he mau ʻoki umauma, aia kahi ʻokoʻa nui ma waena o nā mea ʻelua. Ua like ka Thoracoscopy me ka "nānā ʻana ma o kahi kī." Ua like ka Thoracotomy me ka "wehe ʻana i ka puka."

I ka ʻōlelo maʻalahi, he ʻoki kino ka thoracoscopy ma o nā ʻoki liʻiliʻi. ʻO ka thoracotomy kahi ʻoki kino e hana ʻia ma ka wehe ʻana i ka umauma a hana i kahi ʻoki nui.

E nānā kākou i ka ʻokoʻa ma waena o kēia mau ʻano hana ʻelua ma kēia ʻano.

I kekahi manawa, ma hope o ka hoʻomaka ʻana o kahi thoracoscopy, inā hoʻoholo ke kauka ʻoki ʻaʻole hiki ke hoʻopau palekana ʻia ke ʻoki ʻana ma o kēia mau ʻoki liʻiliʻi, hiki iā lākou ke hoʻololi i kahi thoracotomy me kahi ʻoki nui aʻe. Hana ʻia kēia no kou palekana.

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

ʻOiai ʻaʻole kēia he hana ʻoki kino nui, pono ia i kekahi hoʻomākaukau.

• E kamaʻilio me kāu kauka: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau āu e lawe ai. ʻOi loa inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (e like me ka aspirin, clopidogrel, a i ʻole warfarin ), e nīnau inā pono ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o kou ʻoki ʻana.
• Ka hoʻokē ʻai ʻana: I ka lā o ke ʻoki kino, e aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola (ʻo ka maʻamau he 6-8 mau hola) ma mua o ke kaʻina hana. ʻO kēia ke pale aku i nā mea o loko o ka ʻōpū mai ka piʻi ʻana i loko o ka ʻōpū i ka wā o ka anesthesia.

Pehea e hana ʻia ai ke ʻoki ʻana i kēlā me kēia ʻanuʻu

I ka lā o kou ʻoki kino, ʻo ka ʻike i ka mea e manaʻo ai ma ka lumi ʻoki kino hiki ke kōkua i ka hoʻēmi ʻana i kou hopohopo. Hiki i ke ʻoki kino ke hala i kēlā me kēia wahi mai ka hapalua hola a i kekahi mau hola, ma muli o ka mea e hana ʻia ana i loko.

1. Anesthesia: ʻO ka mea mua, e hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana a e hiamoe loa ʻoe. E hāʻawi ʻia ka lāʻau lapaʻau ma o kahi ʻōmole liʻiliʻi (IV cannula) i kau ʻia ma kou lima.

2. Hoʻohui i kahi ventilator: Ma hope o kou hiamoe ʻana, hoʻokomo ʻia kahi ʻōmole ma kou puʻu i loko o kou ʻōpū hanu a hoʻopili ʻia i kahi mīkini hanu (kahi ventilator). E hanu kēia mīkini nou a hiki i ka pau ʻana o ke ʻoki kino. ʻAʻole ʻoe e ʻike i kekahi o kēia.

3. Ke hana ʻana i nā ʻoki liʻiliʻi:ʻO ka mea aʻe, e hana ke kauka lapaʻau i ʻelua a ʻekolu paha mau ʻoki liʻiliʻi, ʻaʻole iʻoi aku ma mua o ka hapalua ʻīniha, ma kou umauma, ma waena o kou mau iwi ʻaoʻao.

4. Ke hoʻokomo ʻana i ke kāmela a me nā mea hana: Ma o hoʻokahi ʻoki ʻana, hoʻokomo ʻia ke kāmela (ka thoracoscope) a mākou i kamaʻilio ai ma mua. Ma o nā ʻoki ʻē aʻe, hoʻokomo ʻia nā mea hana lōʻihi a maikaʻi loa e pono ai no ke ʻoki ʻana.

5. Ka hoʻokolokolo ʻana a i ʻole ka lāʻau lapaʻau: I kēia manawa ke nānā nei ke kauka i ka pale TV a nānā pono i loko o ka umauma. Inā pono kahi biopsy, lawe ʻia, inā he ʻāpana e wehe ʻia, wehe ʻia, a i ʻole e hana ʻia ka lāʻau lapaʻau e pono ai.

6. Ke wehe ʻana i nā lako: Ma hope o ka pau ʻana o ka hana, lawe ʻia i waho ke kāmela a me nā lako ʻē aʻe a pau.

7. Hoʻokomo ʻana i ka ʻōmole umauma: A laila, hoʻokomo ʻia kahi ʻōmole palaki (ʻōmole umauma) i loko o ka lua umauma ma o kekahi o nā ʻoki. Hana ʻia kēia e wehe i kekahi ea a wai paha i hōʻiliʻili ʻia ma hope o ke ʻoki ʻana. Pono e waiho ʻia kēia ma kahi no hoʻokahi a ʻelua paha lā.

8. Ke humuhumu ʻana i nā ʻoki: ʻO ka hope loa, ua pani ʻia nā ʻoki liʻiliʻi i hana ʻia me nā humuhumu.

9. Ke ala ʻana mai ka anesthesia: I kēia manawa e hoʻāla mālie ke kauka anesthesiologist iā ʻoe. Ke hiki iā ʻoe ke hanu iā ʻoe iho, e wehe ʻia ka ʻōmole i loko o kou puʻu.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

Ma hope o ka pau ʻana o ke ʻoki kino, e hoʻoneʻe ʻia ʻoe i ka lumi mālama maʻi.

• Hiamoe: Ma muli o nā hopena o nā lāʻau hoʻomāmā, e hiamoe ʻoe a make no kekahi manawa.
• ʻEha ka ʻāʻī: Ma muli o ke komo ʻana o ka ʻōmole hanu, aia paha kahi ʻeha iki ma ka ʻāʻī a me kahi loli o ka leo no hoʻokahi a ʻelua paha lā.
• ʻEha: E ʻike ʻoe i kahi ʻeha ma nā wahi i ʻoki ʻia. E hāʻawi ʻia iā ʻoe nā lāʻau ʻeha e kōkua i kēia.
• ʻŌmole umauma: E noho ka ʻōmole umauma ma kahi no hoʻokahi a ʻelua paha lā. Pono ʻoe e noho i ka haukapila a hiki i ka wā e wehe ʻia ai.
• X-ray o ka umauma: E hana hou ʻia kahi X-ray o ka umauma e ʻike ai inā e hana pono ana nā māmā.
• ʻAi: Hiki i kou puʻu a me kou waha ke manaʻo he mae i ka wā mua. ʻAʻole ʻoe e ʻae ʻia e ʻai a inu paha a pau ka mae.

Hiki iā ʻoe ke hoʻomaka hou i kāu mau hana o kēlā me kēia lā ma hope o ʻelua pule. Hiki ke hala i ʻehā a ʻeono pule e hoʻōla piha ai.

Aia kekahi pilikia i loko o kēia?

E like me nā hana lapaʻau āpau, aia kahi pilikia liʻiliʻi e pili ana. Eia nō naʻe, he hana palekana loa ia. He haʻahaʻa loa ka nui o ka make, ma 0.3%. He haʻahaʻa loa hoʻi nā pilikia e hiki mai ana.

Nā pilikia hiki ke loaʻa (Nā pilikia)

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

Inā hana ʻia kekahi mea e like me kēia, ua mākaukau kāu kauka a me nā limahana o ka haukapila e mālama iā ia. No laila, mai hopohopo no ia mea.

Ma hope o kou hoʻi ʻana i ka home, i ka manawa hea ʻoe e ʻike ai i ke kauka?

He mea nui loa e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi ʻeha ma hope o kou hoʻi ʻana mai ka haukapila. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

He mea nui loa ia e hoʻolohe i kēia mau ʻano.