Thaum koj lossis ib tug neeg koj paub hais tias lawv yuav tsum tau phais lub hauv siab, koj ntshai me ntsis, puas yog? Thaum peb hnov lo lus "phais lub hauv siab," peb xav txog qhov phais loj, ob peb hnub nyob hauv tsev kho mob, thiab mob heev. Qhov kev ntshai ntawd yeej yog qhov tseeb. Tab sis tam sim no, kev tshawb fawb kho mob tau nce qib ntau heev. Hnub no, peb yuav tham txog txoj kev phais lub hauv siab uas tsis tas yuav phais loj, tab sis yuav tsum tau phais me me xwb. Qhov no hu ua VATS. Cov txiaj ntsig rau cov neeg mob, lub sijhawm rov zoo, thiab ntau yam ntxiv txawv ntawm kev phais ib txwm muaj. Cia peb tham txog qhov no kom meej .
Hauv lwm lo lus, VATS yog dab tsi?
Lub npe tag nrho ntawm VATS yog Video-assisted thoracic surgery . Hauv Sinhala, nws txhais tau tias "video-assisted thoracic surgery." Txawm hais tias lub npe yuav zoo li nyuaj, qhov tshwm sim hauv cov txheej txheem no yooj yim heev.
Xav txog nws, feem ntau thaum koj ua phais hauv siab, koj yuav tsum ua ib qho kev phais loj hauv thaj tsam hauv siab, hla cov tav kom ncav cuag cov kabmob xws li lub ntsws lossis lub plawv. Qhov no hu ua '(Thoracotomy)'. Tab sis hauv txoj kev VATS, koj tsis ua qhov kev phais loj heev. Hloov chaw, koj tsuas yog ua ob peb lub qhov me me, kwv yees li ib nti lossis ib nrab, ntawm cov tav.
Tom qab ntawd, ib lub raj nyias nyias uas muaj lub koob yees duab txuas rau nws (lub thoracoscope) raug xa mus rau hauv ib qho ntawm cov qhov no mus rau hauv lub hauv siab. Lub koob yees duab no ua kom txhua yam hauv lub hauv siab loj dua, suav nrog cov kabmob thiab cov nqaij, thiab qhia meej meej rau ntawm lub vijtsam video. Tam sim no tus kws phais tuaj yeem saib cov yeeb yaj kiab no thiab ntxig cov cuab yeej phais mos mos los ntawm lwm cov qhov me me kom ua qhov phais nrog qhov tseeb heev. Nws zoo li kev ua si video, tab sis yog ib txoj haujlwm nyuaj heev thiab muaj lub luag haujlwm.
Qhov no yog ib hom kev phais mob uas tsis tas phais ntau, uas txhais tau tias yuav tsum muaj qhov txiav tsawg heev. Qhov no txhais tau tias tus neeg mob yuav mob tsawg dua, los ntshav tsawg dua, thiab yuav siv sijhawm rov zoo dua.
Cov kab mob twg raug kho nrog kev phais VATS?
Kev phais VATS siv los kuaj mob thiab kho ntau yam kab mob ntawm lub hauv siab. Nws yog qhov nrov tshwj xeeb rau mob qog noj ntshav hauv lub ntsws . Nws kuj tseem siv rau mob qog noj ntshav uas tau kis mus rau lub ntsws los ntawm lwm qhov chaw.
Ntxiv rau qhov laj thawj tseem ceeb no, kev phais VATS muaj txiaj ntsig zoo rau ntau yam kab mob. Cia peb saib seb lawv yog dab tsi.
| Mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob qog noj ntshav ntawm txoj hlab pas lossis thymus | Txhawm rau tshem tawm cov mob qog noj ntshav uas tshwm sim hauv cov kav dej zaub mov (esophagus) lossis cov qog thymus hauv lub hauv siab sab saud. |
| Kev ntws dej ntawm lub ntsws | Ib qho kua dej uas sib sau ua ke hauv lub pleura, lub daim nyias nyias uas nyob ib puag ncig lub ntsws. Qhov kev phais no yog ua los tshem tawm cov kua dej no thiab nrhiav qhov ua rau. |
| Kab mob ntsws thiab kab mob | Txhawm rau kho cov mob xws li COPD thiab cov kab mob ntsws hnyav. |
| Pericardial effusion (kua dej sib sau ua ke nyob ib puag ncig lub plawv) | Cov kua dej sib sau ua ke hauv lub hnab ncig lub plawv. Txhawm rau tshem tawm cov no. |
| Kev tawm hws ntau dhau (Hyperhidrosis) | Txhawm rau tswj cov hlab ntsha uas ua rau hws ntau dhau hauv xib teg thiab lwm qhov ntawm lub cev. |
| Myasthenia gravis | Txhawm rau tshem tawm cov thymus qog uas cuam tshuam nrog cov kab mob ua rau cov leeg tsis muaj zog. |
Hom kev phais VATS
Cov kws phais siv VATS thev naus laus zis los ua ntau yam kev phais, suav nrog:
- Kev phais mob ntsws VATS: Qhov no suav nrog kev tshem tawm ib feem ntawm lub ntsws uas muaj mob.
- Kev txiav tawm ntawm lub ntsws: Tshem tawm ib daim me me uas zoo li lub khob hliav qab.
- Kev phais mob ntsws (Lobectomy): Kev tshem tawm tag nrho ib feem ntawm lub ntsws.
- Pneumonectomy: Tshem tawm tag nrho ib lub ntsws.
- Kev phais tshem cov kav dej noj mov vim muaj teeb meem xws li mob qog noj ntshav.
- Kev phais thymectomy: Tshem tawm cov qog thymus uas muaj mob.
- Kev Kho Kom Zoo Nkauj:Tshem tawm cov daim nyias nyias uas muaj kab mob thiab cov qhov txhab uas tau tsim nyob ib puag ncig lub ntsws thiab cia lub ntsws nthuav dav dua.
- Kev phais txo qhov ntim ntawm lub ntsws (LVRS): Hauv cov mob xws li COPD, cov qhov puas ntawm lub ntsws raug tshem tawm, ua rau cov qhov noj qab haus huv ua haujlwm tau zoo.
Kuv yuav tsum npaj li cas rau qhov kev phais no?
Ib yam li lwm yam kev phais mob, qhov no yuav tsum tau npaj kom zoo. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom meej. Feem ntau yuav hais kom koj ua tej yam xws li:
- Kev Yoo Mov: Koj yuav raug qhia kom tsis txhob noj mov lossis haus dej ob peb teev ua ntej phais.
- Tsum Tsis Txhob Noj Tshuaj: Tej zaum yuav muaj lus nug kom koj tsum tsis txhob noj qee yam tshuaj, tshwj xeeb yog cov tshuaj uas ua rau cov ntshav nyias, cov vitamins, thiab cov tshuaj Ayurvedic, ua ntej phais. Tham txog qhov no nrog koj tus kws kho mob.
- Tso kev haus luam yeeb: Yog tias koj yog ib tug neeg haus luam yeeb, nws yog ib qho tseem ceeb uas yuav tsum tso tag nrho, tsawg kawg yog ob peb lub lis piam ua ntej phais. Kev haus luam yeeb tuaj yeem ua rau muaj teeb meem thaum lub sijhawm siv tshuaj loog thiab qeeb kev rov zoo tom qab phais.
Koj tseem yuav tsum tau kuaj ntau zaus kom paub tseeb tias koj lub cev noj qab nyob zoo ua ntej phais.
- Kev kuaj ntshav: Kev kuaj xws li kev suav cov ntshav tag nrho (CBC).
- Kev kuaj plawv: EKG lossis 'kev kuaj kev ntxhov siab thaum tawm dag zog'.
- Kev kuaj duab xws li X-ray hauv siab lossis CT scan / PET scan.
- Kev kuaj xyuas kev ua haujlwm ntawm lub ntsws: Saib seb koj lub ntsws ua haujlwm zoo npaum li cas.
- Kev kuaj mob endoscopy sab saud lossis barium nqos X-ray.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Tsis txhob txhawj txog qhov no. Tom qab koj raug coj mus rau chav phais, koj yuav raug muab tshuaj loog ua ntej. Qhov no txhais tau tias koj yuav tsaug zog tag nrho thiab yuav tsis hnov dab tsi li. Koj yuav tsis hnov mob lossis tsis xis nyob kom txog thaum phais tas.
Cov pab pawg phais ces ua raws li cov kauj ruam no:
1. Koj yuav raug tig thiab muab tso rau sab uas txawv ntawm sab uas yuav phais.
2. Yuav muaj ob peb qhov me me (feem ntau yog 2-4) txiav rau hauv lub hauv siab, kwv yees li ib nti sib nrug, ntawm cov tav. Qee zaum kuj muaj ib txoj kev "uniport VATS - U-VATS", uas ua los ntawm ib lub qhov.
3. Muab ib lub koob yees duab (thoracoscope) ntxig rau hauv ib lub qhov thiab sab hauv ntawm lub hauv siab yuav pom tau ntawm lub vijtsam video.
4. Cov cuab yeej phais tshwj xeeb raug ntxig los ntawm lwm qhov thiab, thaum saib cov duab pom ntawm cov yeeb yaj kiab, cov nqaij mob lossis cov kab mob uas yuav raug tshem tawm raug tshem tawm kom zoo zoo.
5. Tom qab phais lawm, yuav muab ib lub raj tso rau hauv siab ib ntus kom cov pa lossis cov kua dej ntau dhau uas yuav sib sau ua ke hauv lub hauv siab tawm mus.
6. Thaum kawg, cov qhov txiav me me raug kaw nrog cov xov uas yaj tau lossis cov staples.
Hauv qee lub tsev kho mob uas siab heev, qhov kev phais no txawm tias ua tiav los ntawm kev siv 'kev siv tshuab robotic'. Nyob ntawd, tus kws kho mob ua qhov kev phais thaum saib ntawm lub vijtsam computer thiab tswj lub caj npab robotic. Kev phais VATS rau mob qog noj ntshav hauv lub ntsws feem ntau siv sijhawm li ob txog peb teev.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Qhov tseem ceeb tshaj plaws, VATS muaj txiaj ntsig zoo dua li kev phais mob qhib hauv siab ('Thoracotomy'). Txawm li cas los xij, zoo li txhua qhov kev phais mob, nws tsis yog tsis muaj nws cov kev pheej hmoo.
Cia peb saib ob qho no sib cais.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Lub sijhawm pw hauv tsev kho mob luv luv: Feem ntau koj tuaj yeem mus tsev tau hauv 1-2 hnub. | Kev tsis sib xws ntawm lub plawv dhia (Arrhythmias). |
| Tsawg dua qhov mob thiab caws pliav: Vim tias tsis muaj qhov phais loj, muaj tsawg dua qhov mob thiab qhov caws pliav kuj tsawg heev. | Cov ntshav txhaws thiab mob stroke. |
| Rov qab ua haujlwm ua pa sai sai: Lub ntsws rov zoo sai. | Lub ntsws tawg ('Pneumothorax') lossis cov hnab cua hauv lub ntsws tsis ua haujlwm zoo ('Atelectasis'). |
| Kev pheej hmoo tsawg ntawm kev kis kab mob: Cov qhov txiav me me, yog li muaj kev pheej hmoo tsawg ntawm kev kis kab mob. | Kev los ntshav sab hauv thiab kev los ntshav ntau dhau. |
| Rov qab mus rau lub neej ib txwm sai sai: Koj tuaj yeem mus ua haujlwm sai sai thiab tau txais haujlwm. | Cov kab mob ua pa xws li mob ntsws. |
| - | Kev puas tsuaj rau cov kabmob ib puag ncig, cov hlab ntsha, lossis cov hlab ntsha. |
Tom qab phais tas, yuav muaj dab tsi tshwm sim thiab yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Tom qab phais tas, cov nqaij uas raug tshem tawm yuav raug xa mus rau chav kuaj mob kom kuaj. Qhov no hu ua 'Biopsy' . Tus 'Pathologist' yuav kuaj cov nqaij ntawd hauv qab lub tshuab microscope kom pom tias puas muaj cov hlwb qog noj ntshav, cov cim qhia tias muaj kab mob, lossis lwm yam mob. Koj txoj kev kho mob ntxiv yuav raug txiav txim siab raws li daim ntawv qhia ntawd.
Tom qab phais lawm, koj yuav tau txais tshuaj los tswj qhov mob. Tsis tas li ntawd, cov kws tu mob thiab cov kws kho lub cev yuav txhawb kom koj ua pa tob tob . Kev taug kev kuj tseem ceeb heev rau kev rov zoo sai.
Ua ntej koj mus tsev, tus kws kho mob yuav tshem lub raj hauv siab tawm.
Lub sijhawm rov zoo yuav txawv ntawm ib tus neeg mus rau ib tus neeg thiab nyob ntawm hom kev phais uas tau ua. Qee qhov kev phais yuav siv sijhawm tsawg li ob lub lis piam los rov zoo, thaum lwm qhov yuav siv sijhawm ntev txog yim lub lis piam.
Ua tib zoo saib xyuas cov no tom qab koj mus tsev:
- Hloov cov ntaub qhwv rau ntawm qhov txhab tsis tu ncua raws li koj tus kws kho mob qhia.
- Tsis txhob tsav tsheb lossis nqa khoom hnyav kom txog thaum tus kws kho mob hais kom koj ua.
- Taug kev me ntsis tsawg kawg yog peb zaug hauv ib hnub kom tiv thaiv cov ntshav txhaws hauv koj ob txhais ceg.
- Noj tshuaj tua kab mob thiab tshuaj tua kab mob raws sijhawm.
- Nco ntsoov mus rau lub tsev kho mob rau hnub uas tau teev tseg rau kev kuaj dua.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Yog koj muaj cov tsos mob zoo li no tom qab rov qab los tsev, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd .
- Yog tias koj mob hauv siab heev .
- Yog koj xav tias ua pa nyuaj .
- Yog koj pom cov cim qhia tias muaj kev kis kab mob . Piv txwv li:
- Liab, o, lossis daj ntawm cov kua dej nyob ib puag ncig qhov txiav.
- Ua npaws.
Tsis txhob tso tseg cov tsos mob no. Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev kho mob sai sai.
Xaus lus, VATS yog ib qho kev nce qib loj hauv kev phais mob hauv siab. Rau ib tus neeg uas tawm tsam kab mob xws li mob qog noj ntshav, nws yog ib qho kev pab zoo uas yuav rov zoo sai tom qab phais, mob tsawg dua, thiab rov qab mus rau lawv lub neej ib txwm sai dua. Yog tias koj tau teem sijhawm rau hom kev phais no, tsis txhob ntshai, nrog koj tus kws kho mob tham txog nws kom meej, thiab nug tag nrho cov lus nug uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- VATS yog ib txoj kev phais mob niaj hnub uas ua tiav yam tsis muaj qhov phais loj hauv lub hauv siab, siv lub koob yees duab los ntawm cov qhov me me.
- Qhov mob, kev pw hauv tsev kho mob, thiab lub sijhawm rov zoo yog tsawg dua li kev phais qhib hauv siab ib txwm muaj.
- Txoj kev no yog siv los kho ntau yam kab mob ntawm lub hauv siab, suav nrog mob qog noj ntshav hauv lub ntsws.
- Ib yam li txhua qhov kev phais mob, muaj qee qhov kev pheej hmoo, yog li ntawd, tham nrog koj tus kws kho mob ua ntej phais.
- Yuav kom rov zoo sai thiab zoo, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia kho mob ua ntej thiab tom qab phais.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus