Ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ʻoe e hana i kahi "ʻoki umauma," he mea maʻamau ke makaʻu iki. ʻO ka manaʻo o "ʻoki nui e wehe ai i ka umauma" ka mea e hiki mai ana i ka noʻonoʻo. Akā i kēia lā, ua holomua nui ka ʻepekema lapaʻau. ʻO ia ke kumu i loaʻa ai kahi ʻano "ʻoki puka kī" e mālama ai i nā maʻi he nui o ka umauma, kahi i hana ʻia ma o nā lua liʻiliʻi me ka ʻole o ka hana ʻana i nā ʻoki nui. ʻO ia ka mea a mākou e kapa nei he VATS.
He aha maoli ka VATS?
ʻO VATS ke kū nei no ke ʻoki kino Thoracic Video-Assisted . I ka ʻōlelo maʻalahi, he ʻoki kino ia i hana ʻia i loko o ka lua umauma me ke kōkua o kahi kāmela wikiō. ʻO "Thoracic" e pili ana i ka ʻāpana o ka umauma ma waena o ko mākou ʻāʻī a me ka ʻōpū. ʻO kēia kahi kahi i loaʻa ai nā ʻōpū koʻikoʻi he nui e like me ko mākou puʻuwai, nā māmā, a me ka esophagus.
E noʻonoʻo... Ma kēia ʻoki kino, ma kahi o ka hana ʻana i kahi ʻoki nui ma kou umauma, hana ke kauka i kahi ʻoki liʻiliʻi loa ma waena o ʻelua o kou mau iwi ʻaoʻao a hoʻokomo i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi (kapa mākou i kēia he thoracoscope ) ma o ia mea. Hōʻike ʻia nā kiʻi mai kēia kāmela ma kahi pale nui (monitor). A laila, hana ʻia hoʻokahi a ʻelua paha mau ʻoki liʻiliʻi a hoʻokomo ʻia nā mea hana palupalu e pono ai no ke ʻoki kino ma o lākou. I kēia manawa hiki i ke kauka ke nānā i nā kiʻi ma kēlā pale a mālama pono i ka pilikia i loko o ka umauma.
He hana ʻoki kino minimally invasive kēia. ʻO ke ʻano kēia, ʻoi aku ka liʻiliʻi o ka pōʻino, ka ʻeha, a me ka ʻeha o ke kino ma mua o nā hana ʻoki kino kuʻuna.
I nā hihia hea e pono ai ke ʻoki ʻana o ka VATS?
Hoʻohana nui ʻia ʻo VATS no ka ʻike ʻana a me ka mālama ʻana i ka maʻi kanesa o ka māmā a me ka maʻi kanesa metastatic, akā hoʻohana ʻia nō hoʻi no nā kumu ʻē aʻe he nui.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻaʻai māmā | No ka ʻike ʻana i kahi puʻupuʻu kanesa (biopsy) a i ʻole e wehe aku. |
| Ka maʻi ʻaʻai o ka esophagus a i ʻole ka thymus gland | No ka mālama ʻana i nā maʻi ʻaʻai i loko o kēia mau ʻōpū. |
| Ka hoʻokahe ʻana o ka pleural | I nā hihia o ka hōʻiliʻili ʻana o ka wai a puni nā māmā, e ʻimi i ke kumu a wehe i ke wai. |
| Nā maʻi māmā e like me COPD | I nā maʻi māmā mau loa, e wehe i nā ʻāpana māmā i hōʻino ʻia. |
| ʻO ka Hyperhidrosis | Ma ke ʻano he lāʻau lapaʻau no ka hou nui. |
| ʻO ka maʻi ʻaʻai nui | No ka wehe ʻana i ka thymus gland i kēia maʻi e hoʻonāwaliwali ai i nā ʻiʻo. |
Nā ʻano nui o nā ʻoki kino VATS
- ʻO ka ʻoki ʻana o ka māmā VATS: Pili kēia i ka wehe ʻana i kahi ʻāpana maʻi o ka māmā. Hiki ke wehe ʻia kahi ʻāpana liʻiliʻi (`wedge resection`), kahi lobe holoʻokoʻa (`lobectomy`), a i ʻole ka māmā holoʻokoʻa (`pneumonectomy`).
- ʻEsophagectomy: Wehe ʻana i kahi ʻāpana maʻi o ka esophagus.
- Thymectomy: Wehe ʻana i ka ʻōpū thymus maʻi.
- Hoʻonaninani: Wehe ʻana i nā membrane i loaʻa i ka maʻi a i ʻole nā ʻiʻo ʻeha e hoʻopuni ana i nā māmā.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
He mea nui loa kēia. Pono ʻoe e hahai pololei i nā ʻōlelo a kāu kauka .
- E noi ʻia ʻoe e hoʻokē ʻai (e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana) no kekahi mau hola ma mua o ke ʻoki kino.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, nā huaora, a me nā huahana lāʻau lapaʻau no kekahi manawa .
- Inā he mea puhi paka ʻoe, pono ʻoe e hoʻōki .
- Eia kekahi, hiki ke kauoha ʻia kekahi mau hoʻokolohua ma mua o ke ʻoki ʻana, e like me:
- Nā hoʻāʻo koko - no ka laʻana, kahi helu koko piha (CBC).
- Nā hoʻāʻo e nānā i ka hana o ka puʻuwai - e like me ka "(EKG)".
- Nā hoʻokolohua kiʻi e like me ka X-ray umauma, CT scan, a i ʻole PET scan.
- Hoʻāʻo hana puʻuwai.
- Nā hoʻokolohua e like me ka 'Upper Endoscopy'.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
Aia nā pono a me nā pilikia i kekahi ʻoki kino, akā ʻoi aku ka nui o nā pono o ke ʻoki kino VATS a ʻoi aku ka liʻiliʻi o nā pilikia ma mua o ke ʻoki kino hāmama kuʻuna ('thoracotomy').
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| Ua emi ka manawa e hoʻolilo ai i loko o ka haukapila. | Nā ʻano like ʻole o ka puʻuwai (Arrhythmias). |
| Ua emi ka ʻeha a me ka ʻeha ma hope o ke ʻoki ʻana. | ʻO ke koko paʻa a i ʻole ka hahau ʻana. |
| Hoʻi koke ke kaʻina hana hanu i ka maʻamau. | ʻO ka puʻu koko. |
| Haʻahaʻa ka pilikia o ka maʻi. | Ke kahe koko ʻana o loko a i ʻole nā maʻi. |
| Hiki iā ʻoe ke hoʻi koke i nā hana maʻamau. | Nā pilikia hanu e like me ka maʻi niumonia. |
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 noho ʻoe ma ka haukapila no hoʻokahi a ʻelua paha lā. I loko o kēia manawa:
- E hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi i ka ʻeha .
- E paipai i nā hoʻomaʻamaʻa hanu hohonu a me ka hele wāwae. E hōʻemi kēia i ka pilikia o nā pilikia.
- E wehe ʻia ka ʻōmole umauma i hoʻokomo ʻia i ka wā o ke ʻoki ʻana ma mua o kou hoʻi ʻana i ka home.
Aia ka manawa hoʻōla i ke ʻano o ke ʻoki kino āu i hana ai. Hiki ke hala i ʻelua pule e hoʻōla piha ai. I kekahi manawa hiki ke hala a hiki i ʻewalu pule . Ma hope o kou hoʻi ʻana i ka home, he mea nui loa e hahai pono i nā ʻōlelo a kāu kauka.
- E hoʻololi i nā lole ma nā ʻoki e like me ka mea e pono ai.
- E pale i ka hāpai ʻana i nā mea kaupaona.
- Mai hoʻokele kaʻa a hele i ka hana a hiki i ka manawa i kauoha ʻia.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka.
- E hele wāwae ma ka liʻiliʻi ʻekolu manawa i ka lā e pale aku ai i ke koko i loko o kou mau wāwae.
He aha nā hōʻailona e pono ai ʻoe e kāhea koke aku i kāu kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomaopopo koke i kāu kauka .
- ʻEha nui o ka umauma
- Paʻakikī ka hanu ʻana
- Lilo ka ʻoki i ʻulaʻula, pehu, a i ʻole he kahe melemele.
- kuni
He manawa paʻakikī ka loaʻa ʻana o kahi hōʻailona o ka maʻi kanesa no kekahi. I ka manawa e like me kēia, he mea nui ka hōʻoluʻolu mai ka lāʻau lapaʻau. He ʻano hana hou ʻo VATS i emi iki ka ʻeha a hiki ke hoʻōla wikiwiki ma mua o ke ʻoki kino hāmama. E wehewehe kāu kauka iā ʻoe inā kūpono kēia iā ʻoe. E ʻoluʻolu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai.
Leka Lawe-Home
- He hana "keyhole surgery" ka VATS i hoʻohana ʻia e mālama ai i nā maʻi o ka umauma.
- ʻOiai ʻaʻohe ʻoki nui, ua emi ka ʻeha, ka ʻōpala, a me ka manawa i hoʻolilo ʻia ma ka haukapila.
- Hoʻohana ʻia kēia ʻano hana no ka mālama ʻana i kekahi mau maʻi umauma, e like me ke kanesa o ka māmā.
- He mea nui no ka ho'ōla koke ʻana e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ke ʻoki ʻana.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻeha o ka umauma, paʻakikī i ka hanu) ma hope o ke ʻoki ʻana, e ʻimi koke i ke kōkua lapaʻau.
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