He ʻano hana hou no ke ʻoki ʻana i ka umauma - E aʻo kākou i nā mea āpau e pili ana iā VATS (ʻoki ʻana i ka umauma i kōkua ʻia e ke wikiō)

Ke ʻōlelo ʻoe a i ʻole kekahi āu i ʻike ai e pono lākou e hana i ke ʻoki umauma, makaʻu iki ʻoe, ʻeā? Ke lohe mākou i ka huaʻōlelo "ʻoki umauma," manaʻo mākou i kahi ʻoki nui, kekahi mau lā ma ka haukapila, a me ka nui o ka ʻeha. He kūpono maoli kēlā makaʻu. Akā i kēia manawa, ua holomua nui ka ʻepekema lapaʻau. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano hana ʻoki umauma ʻaʻole pono ia mau ʻoki nui, akā, he mau ʻoki liʻiliʻi. Ua kapa ʻia kēia ʻo VATS. ʻOkoʻa nā pono i nā mea maʻi, ka manawa hoʻōla, a me nā mea ʻē aʻe he nui mai nā ʻoki kuʻuna. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī .

I ka ʻōlelo maʻalahi, he aha ka VATS?

ʻO ka inoa piha o VATS ʻo ia ka Video-assisted thoracic surgery . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi "video-assisted thoracic surgery." ʻOiai paha e kani paʻakikī ka inoa, he maʻalahi loa ka mea e hana ʻia ma kēia kaʻina hana.

E noʻonoʻo e pili ana i ia mea, ʻo ka maʻamau ke hana ʻoe i ke ʻoki umauma, pono ʻoe e hana i kahi ʻoki nui ma ka ʻāpana umauma, ma o nā iwi ʻaoʻao e hiki ai i nā ʻōpū e like me nā māmā a i ʻole ka puʻuwai. Ua kapa ʻia kēia he `(Thoracotomy)`. Akā ma ke ʻano VATS, ʻaʻole ʻoe e hana i kahi ʻoki nui. Akā, hana wale ʻoe i kekahi mau lua liʻiliʻi, ma kahi o hoʻokahi ʻīniha a hapa paha, ma waena o nā iwi ʻaoʻao.

A laila, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia iā ia (he thoracoscope) ma o kekahi o kēia mau lua i loko o ka lua umauma. Hoʻonui kēia kāmela i nā mea āpau i loko o ka umauma, me nā ʻōpū a me nā ʻiʻo, a hōʻike maopopo iā ia ma kahi monitor wikiō. I kēia manawa hiki i ke kauka lapaʻau ke nānā i kēia wikiō a hoʻokomo i nā mea hana ʻokiʻoki palupalu ma o nā lua liʻiliʻi ʻē aʻe e hana i ke ʻokiʻoki me ka pololei loa. Ua like ia me kahi pāʻani wikiō, akā he hana paʻakikī a kuleana hoʻi.

He ʻano hana ʻoki kino minimally invasive kēia, ʻo ia hoʻi, he liʻiliʻi nā ʻoki e pili ana. ʻO ke ʻano kēia, ʻoi aku ka liʻiliʻi o ka ʻeha, ke kahe koko, a me ka manawa hoʻōla e ʻike ai ka mea maʻi.

He aha nā ʻano maʻi i mālama ʻia me ke ʻoki ʻana o VATS?

Hoʻohana ʻia ke ʻoki kino VATS no ka ʻike ʻana a me ka mālama ʻana i nā maʻi he nui o ka umauma. He mea kaulana loa ia no ka maʻi kanesa māmā . Hoʻohana ʻia nō hoʻi no ka maʻi kanesa metastatic i laha i nā māmā mai nā wahi ʻē aʻe.

Ma waho aʻe o kēia kumu nui, he mea pono ke ʻoki ʻana o VATS no kekahi mau maʻi ʻē aʻe. E nānā kākou i ke ʻano o lākou.

Nā ʻano o ke ʻoki kino VATS

Hoʻohana nā kauka lapaʻau i ka ʻenehana VATS e hana i nā ʻano hana like ʻole, me:

• ʻO ka ʻoki ʻana o ka māmā VATS: Pili kēia i ka wehe ʻana i kahi ʻāpana maʻi o ka māmā.
• ʻO ka wedge resection: Ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo māmā e like me ke ʻano o ka cone.
• Lobectomy: Ka wehe piha ʻana o kekahi o nā lobes o ka māmā.
• Pneumonectomy: Wehe piha ʻana i hoʻokahi māmā.
• ʻEsophagectomy: Wehe ʻana i ka paipu meaʻai ma muli o ke kumu e like me ke kanesa.
• Thymectomy: Wehe ʻana i ka ʻōpū thymus maʻi.
• `Hoʻonaninani`:Ke wehe nei i nā membrane i loaʻa i ka maʻi a me nā ʻōpala i hana ʻia a puni nā māmā a ʻae i nā māmā e hoʻonui pono hou.
• ʻO ke ʻoki ʻana i ka nui o ka māmā (LVRS): I nā kūlana e like me COPD, wehe ʻia nā ʻāpana i hōʻino ʻia o ka māmā, e ʻae ana i nā ʻāpana olakino e hana pono.

Pehea e hoʻomākaukau ai no kēia ʻoki kino?

E like me nā ʻoki kino āpau, pono kēia i ka hoʻomākaukau pono ʻana. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā kuhikuhi a kāu kauka. E noi pinepine ʻia ʻoe e hana i nā mea e like me:

• ʻO ka hoʻokē ʻai: E aʻo ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke ʻoki ʻana.
• Ke Hoʻōki ʻana i nā Lāʻau Lapaʻau: E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau hoʻokahe koko, nā huaora, a me nā lāʻau Ayurvedic, ma mua o ke ʻoki ʻana. E kūkākūkā i kēia me kāu kauka.
• Ke haʻalele ʻana i ka puhipaka: Inā he mea puhipaka ʻoe, he mea nui e haʻalele loa, ma ka liʻiliʻi he mau pule ma mua o ke ʻoki ʻana. Hiki i ka puhipaka ke hana i nā pilikia i ka wā o ka anesthesia a hoʻopaneʻe i ka hoʻōla ʻana ma hope o ke ʻoki ʻana.

Pono nō hoʻi ʻoe e hana i kekahi mau hoʻokolohua e nānā i kou olakino kino ma mua o ke ʻoki kino.

• Nā hoʻāʻo koko: Nā hoʻāʻo e like me ka helu koko piha (CBC).
• Nā hoʻāʻo puʻuwai: He EKG a i ʻole kahi 'hoʻāʻo koʻikoʻi hoʻoikaika kino'.
• Nā hoʻokolohua kiʻi e like me ka X-ray umauma a i ʻole CT scan / PET scan.
• Hoʻāʻo ʻana i ka hana o ka puʻuwai: E ʻike i ka hana maikaʻi o kou mau māmā.
• ʻO ke kiʻi X-ray o ka endoscopy luna a i ʻole ka barium ale.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

Mai hopohopo no kēia. Ma hope o kou lawe ʻia ʻana i ka lumi hana, e hāʻawi mua ʻia ʻoe i ka anesthesia laulā. ʻO ke ʻano kēia e hiamoe loa ʻoe a ʻaʻole ʻoe e manaʻo i kekahi mea. ʻAʻole ʻoe e manaʻo i ka ʻeha a i ʻole ka ʻoluʻolu ʻole a hiki i ka pau ʻana o ke ʻoki ʻana.

A laila e hahai ana ke kime ʻoki kino i kēia mau hana:

1. E hoʻohuli ʻia ʻoe a kau ʻia ma ka ʻaoʻao e kū pono ana i ka ʻaoʻao kahi e hana ʻia ai ke ʻoki kino.

2. Hana ʻia kekahi mau ʻoki liʻiliʻi (ʻo ka maʻamau he 2-4) ma ka umauma, ma kahi o hoʻokahi ʻīniha ke kaʻawale, ma waena o nā iwi ʻaoʻao. I kekahi manawa aia kekahi ʻano hana "uniport VATS - U-VATS", i hana ʻia ma o hoʻokahi puka.

3. Hoʻokomo ʻia kahi kāmela (thoracoscope) ma kekahi o nā lua a nānā ʻia ka ʻaoʻao o loko o ka umauma ma kahi pale wikiō.

4. Hoʻokomo ʻia nā mea hana ʻoki kūikawā ma o nā lua ʻē aʻe, a i ka nānā ʻana i nā kiʻi i ʻike ʻia ma ke wikiō, ua wehe pono ʻia ka ʻiʻo maʻi a i ʻole ka ʻāpana okana e wehe ʻia.

5. Ma hope o ke ʻoki ʻana, ua kau ʻia kahi ʻōmole umauma no kekahi manawa e hoʻokahe i kekahi ea a wai paha e hōʻiliʻili ana i loko o ka lua umauma.

6. ʻO ka hope loa, ua pani ʻia nā ʻoki liʻiliʻi me nā humuhumu hiki ke hoʻoheheʻe ʻia a i ʻole nā ​​staples.

Ma kekahi mau haukapila holomua, hana ʻia kēia ʻoki kino me ka hoʻohana ʻana i ka 'ʻenehana robotic'. Ma laila, hana ke kauka i ke ʻoki kino me ka nānā ʻana i ka pale kamepiula a me ka hoʻokele ʻana i kahi lima robotic. ʻO ka maʻamau, ʻelua a ʻekolu mau hola ka lōʻihi o ke ʻoki kino VATS no ka maʻi ʻaʻai māmā.

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

E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.

He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana a pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki ʻana, hoʻouna ʻia ka ʻiʻo i lawe ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he 'Biopsy' . Nānā kahi 'Pathologist' i ka ʻiʻo ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa, nā hōʻailona o ka maʻi, a i ʻole nā ​​​​​​kūlana ʻē aʻe. E hoʻoholo ʻia kāu lāʻau lapaʻau hou aʻe ma muli o kēlā hōʻike.

Ma hope o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i nā lāʻau lapaʻau e kāohi i ka ʻeha. Eia kekahi, e paipai nā kahu maʻi a me nā physiotherapists iā ʻoe e hana i nā hoʻomaʻamaʻa hanu hohonu . He mea nui loa hoʻi ka hele wāwae no ka hoʻōla wikiwiki ʻana.

Ma mua o kou hoʻi ʻana i ka home, e wehe ke kauka i ka ʻōmole umauma.

ʻOkoʻa ka manawa hoʻōla mai kēlā me kēia kanaka a ma muli o ke ʻano o ke ʻoki kino i hana ʻia. Hiki i kekahi mau ʻoki kino ke hala i ʻelua pule wale nō e hoʻōla ai, aʻo kekahi e hiki ke hala i ʻewalu pule.

E mālama i kēia mau mea ma hope o kou hoʻi ʻana i ka home:

• E hoʻololi pinepine i nā lole ma nā ʻoki e like me ke kauoha a kāu kauka.
• Mai hoʻokele a hāpai paha i nā mea kaumaha a hiki i ka wā e ʻōlelo aku ai ke kauka.
• E hele wāwae iki ma ka liʻiliʻi ʻekolu manawa i ka lā e pale aku ai i ke koko i loko o kou mau wāwae.
• E lawe i nā lāʻau lapaʻau a me nā antibiotics i kuhikuhi ʻia i ka manawa kūpono.
• E hōʻoia e hele i ke keʻena lapaʻau i ka lā i hāʻawi ʻia no ka hoʻokolokolo hou ʻana.

Āhea wau e kāhea aku ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia ma hope o ka hoʻi ʻana i ka home, pono ʻoe e kāhea koke aku i kāu kauka .

• Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma .
• Inā ʻoe e paʻakikī ana i ka hanu ʻana .
• Inā ʻike ʻoe i nā hōʻailona o kahi maʻi . Eia kekahi laʻana:
• ʻUlaʻula, pehu, a i ʻole ke kahe melemele a puni ka ʻoki.
• Kuni.

Mai hoʻowahāwahā i kēia mau hōʻailona. He mea nui loa ka ʻimi koke ʻana i ka lāʻau lapaʻau.

I ka hopena, he holomua nui ʻo VATS ma ke kahua o ke ʻoki ʻana i ka umauma. No kekahi e hakakā nei i kahi maʻi e like me ke kanesa, he mea hōʻoluʻolu nui ia e hiki ke hoʻōla koke ma hope o ke ʻoki ʻana, ʻike i ka ʻeha liʻiliʻi, a hoʻi koke i ko lākou ola maʻamau. Inā ua hoʻonohonoho ʻia ʻoe no kēia ʻano ʻoki ʻana, mai makaʻu, e kamaʻilio pono me kāu kauka e pili ana i ia mea, a e nīnau i nā nīnau a pau āu e loaʻa ai.