Me titiro tātou ki roto i te uma? Ngā mea katoa mō te Thoracoscopy i roto i ngā kupu māmā!

Ina kī mai tō tākuta he raruraru tōu ki tō uma, ko tētahi huarahi hei kimi i te āhua o te raruraru me te āhua o roto ko te thoracoscopy. Kua rongo pea koe i tēnei kupu i mua. Me titiro tātou ki te āhua o tēnei raruraru, me pēhea te mahi, me te mea he mea hei wehi.

He aha te tirotiro i te torakoskopi?

He whakarāpopototanga noa iho, he whakamātautau iti te thoracoscopy e titiro ana ki te mata o ō pūkahukahu me te wāhi e karapoti ana i a rātou (e kiia nei ko te pleural space). Ka whakamahia e ngā tākuta he kāmera angiangi, he mārama e kiia nei ko te thoracoscope hei tirotiro i ō pūkahukahu. Ka taea e tēnei te tirotiro i tō diaphragm, tō esophagus, tō pakitara uma, me ngā kōpū lymph. I ētahi wā, ka tangohia pea he wahi iti o te kiko (e kiia nei ko te biopsy) mai i te wāhi e hiahia ana koe ki te tirotiro.

He maha ngā wā, ka mahia tēnei tirotiro puku hei wāhanga o te pokanga tirotiro puku ataata (VATS) . Mā tēnei ka taea e ngā taote pokanga i roto i te rūma pokanga te kite mārama i ngā mea kei roto i te uma i runga i te mata ataata nui. He rite ki te maka kāmera mā roto i tētahi kōhao iti ka titiro ki roto.

He aha ngā momo tirotiro thoracoscopy?

Titiro, he rerekē te whakamahinga o tēnei tirotiro roro.

• Tātaritanga o te Thoracoscopy: I ētahi wā ka whakamahia tēnei e tō tākuta hei tirotiro mēnā he raruraru kei roto i tō uma, hei tango rānei i tētahi wahi kiko iti (biopsy) hei whakamātautau. I ētahi wā ka kiia tēnei he pleuroscopy .
• Te Tirotirotiro Rongoā: I ētahi wā, ka whakamahia tēnei tikanga hei rongoā i tētahi mate, arā, hei mahi pokanga. Koinei te mea e whakamahia ana i roto i te tikanga pokanga iti rawa te whakaekenga kua whakahuatia ake nei, e kiia nei ko te `VATS`, ko te `Pokanga Tirotirotiro Rongoā Āwhina Ataata` rānei.

Āhea te whakamahinga o te thoracoscopy?

Āe, i roto i ēhea wā ka whakatau te tākuta ki te mahi i te thoracoscopy, i te pokanga VATS rānei?

• Ina hiahia koe ki te mōhio ki ngā mōhiotanga tika kāore i kitea e tō hihi-X o tō uma, tō matawai CT, tō ultrasound rānei.
• Ina hiahia koe ki te tango i tētahi wāhanga o te paparanga o roto o te pakitara o te uma, e kiia nei ko te pleura.
• Tangohia ngā wāhanga kua pakaru o ngā pukahukahu (e kiia ana tēnei ko te 'pokanga whakaiti i te rahinga o te pukahukahu').
• Tangohia ngā pute hau i roto i ngā pukahukahu.
• Tangohia te wāhanga matepukupuku o te pukahukahu (e kiia ana tēnei ko te 'tangohanga pukahukahu').
• Tangohia te wai kāore e hiahiatia kua kohia i roto i te wāhi pleural huri noa i ngā pukahukahu, ka whakamahi i te rongoā hei aukati i te kohi anō o te wai (e kiia ana tēnei ko te pleurodesis).

Tērā pea ka mahia tēnei whakamātautau/pokanga, inā koa mēnā he mate pukupuku pūkahukahu, he mesothelioma rānei tōu. Ka taea hoki te whakamahi hei rongoā i te mate pukupuku o te repe thymus me te mate pukupuku esophageal.

Te rerekētanga i waenga i te Thoracoscopy me te Thoracotomy

Tērā pea kei te whakaaro koe, he tikanga anō kei te kiia ko te thoracotomy, ā, he aha te rerekētanga i waenganui i tēnā me te thoracoscopy. He pokanga te thoracotomy e hiahiatia ana kia tapahia he wahi nui ki te uma. Engari he iti ake te kaha o te thoracoscopy ki te mahi i tēnei.

Ko ngā painga o tēnei tikanga tirotiro thoracoscopy ko:

• Ka taea e koe te ora wawe.
• He iti iho te mamae.
• He iti noa ngā raruraru i muri i te pokanga.

Heoi, i ētahi wā, ki te kore e taea te mahi haumaru i te tukanga tika mā te thoracoscopy, me mahi pea te tākuta i te thoracotomy.

Ko wai ka mahi i te thoracoscopy?

Ka taea e tō tākuta manawa te mahi i tēnei thoracoscopy, pleuroscopy rānei. Heoi, ko te tikanga e kiia nei ko te Ataata-Āwhina Thoracoscopy Surgery (VATS) me mahi e te taote uma .

Me pēhea taku whakarite mō te thoracoscopy?

Tērā anō tētahi huarahi hei whakarite māu i mua i tēnei whakamātautau/pokanga.

• He torutoru ngā rā i mua i te pokanga, ka kī atu tō tākuta kia mutu te tango i ētahi rongoā (pērā i te aspirin) e ārai ana i te toto kia totoka ngāwari, arā, ka whakanui ake i te toto .
• Tērā pea ka tonoa koe kia kaua e kai, e inu rānei i te rā o te pokanga.

Kia pēhea te roa o te mahi pokanga thoracoscopic?

Ka rerekē pea te roa o te wā e hiahiatia ana mō tēnei pokanga thoracoscopic. I te nuinga o te wā ka roa pea mai i te hawhe haora ki te maha o ngā haora . Mena he mea uaua ake i te tango noa i te tauira kiko e hiahiatia ana, ka roa ake te wā.

He aha ngā mea ka tupu i te wā o te thoracoscopy?

Āe, me titiro tātou ki ngā mea ka puta i tēnei pokanga. Kei te whakahaerehia he 'Pokanga Ataata-Āwhina Thoracoscopy (VATS)', ā, kei raro koe i te rongoā whakamoe whānui . Ko te tikanga kāore koe e rongo i tetahi mea, kei te moe koe. He tino onge, ka mahia tēnei me te 'whakamarie' iti noa iho.

Ka whai te taote pokanga i ēnei mahi:

1. Ka tukuna he rongoā whakamoe ki a koe mā te wai tote ka tukuna ki roto i te uaua (he `IV`).

2. Ka whakatakotoria he ngongo ki roto i tō korokoro, ā, ka whakahaerea tō manawa e te mīhini (ka whakaitihia tētahi o ō pukahukahu mō te wā poto, kia māmā ake ai te pokanga).

3. I roto i tō uma, i waenganui i te whitu, te ono, me te tuawhā o ngā rara,E rua, e toru rānei ngā tapahi iti ka mahia, he iti iho i te hawhe inihi te whānui .

4. Mā te tapahi kotahi, ka whakaurua te kāmera thoracoscope ki roto i te wāhi pleural e karapoti ana i ngā pukahukahu.

5. Ka whakaurua ētahi atu taputapu iti e hiahiatia ana mō te pokanga mā roto i ngā tapahi kē atu.

6. Ka tangohia ngā tauira mai i ngā wāhi e āhua rerekē ana te āhua, e tika ana rānei te mahi pokanga.

7. Kātahi ka tangohia te kāmera me ngā taputapu katoa.

8. Ka whakauruhia he ngongo uma ki roto i tō uma hei tango i te hau i roto i ō pukahukahu, hei whakahoki anō i te pukahukahu kua hinga ki te āhua noa.

9. Te tuitui i ngā tapahi.

10. Ka whakaarahia anō koe, ā, ka meinga kia manawa koe ko koe anake.

He aha ngā mea ka taea e koe te tumanako i muri i te thoracoscopy?

I muri i te pokanga, ka roa pea te wā e ora ai koe i te rongoā whakamoe. Tērā pea ka ngoikore tō korokoro me tō waha mō tētahi wā. Kāore koe e whakaaetia kia kai, kia inu rānei kia memeha ra ano te ngoikore. Nā te ngongo manawa, tērā pea ka paku pāorooro tō reo, ā, tērā pea ka mamae tō korokoro i te rā i muri i te pokanga. Tērā pea ka mamae anō hoki koe i te wāhi i tapahia ai.

Kaua e wehi, mā te tākuta koe e hoatu te rongoā e tika ana mō tēnei mamae.

Mena kua tangohia he tauira kiko (biops) mai i a koe, kua tangohia rānei he wai i te taha o ō pukahukahu, ka whakauruhia he ngongo uma ki roto i tō uma mō te rā kotahi, e rua rānei. Ka tangohia hoki he hihi-X o tō uma hei tirotiro kāore he raruraru ki ō pukahukahu.

I te nuinga o te wā, i muri i ēnei momo pokanga thoracoscopic, me noho koe ki te hōhipera i te wā e mau ana ngā ngongo uma. Engari i ētahi wā, ki te kore he mahi nui e mahia ana, ka taea e koe te hoki ki te kāinga i muri i ētahi haora o te okiokinga. Ki te pena koe, me tono he hoa, he whanaunga rānei kia haria koe ki te kāinga.

He mamae te tango i te thoracoscopy?

He raruraru tēnei e pā ana ki te tini tāngata. Kāore koe e mamae i te wā o te thoracoscopy nā te mea kua whakamoea koe. I muri i te pokanga, ka taea e koe te tango i ngā rongoā whakamamae hei āwhina i te mamae o ngā motu.

Kia pēhea te roa o te wā e ora ai i muri i te thoracoscopy?

E rua wiki pea te roa hei tīmata anō i ngā mahi o ia rā i muri i tēnei pokanga. E whā ki te ono wiki pea te roa hei whakaora katoa.

He mea mōrearea te tirotiro i te thoracoscopy?

Pērā i ngā tikanga hauora katoa, he iti noa te mōrearea. E kiia ana he tino iti te reiti mate mō te tirotiro puku hauora, arā, 0.3%. Mō te tirotiro puku ataata, he paku teitei ake te reiti. Heoi, ko te reiti raruraru mō ngā tikanga e rua kei waenganui i te 2% me te 11% . Kei roto i tēnei ko ngā raruraru iti me ngā raruraru kino.

He aha ngā mōrearea o te tirotiro i te thoracoscopy?

He aha ngā raruraru ka puta mai i te thoracoscopy?

• Te toto.
• Ngā mate pāwera i roto i ngā pukahukahu, i ngā motu rānei.
• Te kirika.
• Te kohikohinga o te hau i roto i te wāhi pleural, i te taha rānei o te tapahi.
• Puku pūkahukahu kua hinga.
• Te kohikohinga wai huri noa i ngā pukahukahu.

He aha ngā hua? He aha te mea e kīia ana?

I muri i te pokanga, ka kī atu te tākuta mēnā kua whakatikahia te raruraru i pā ki a koe. I muri hoki i te putanga mai o ngā hua o te taiwhanga, ka kī atu rātou mēnā he mate pukupuku, he mate kino rānei te kiko i tangohia. Mēnā he mate pukupuku tōu, ka taea hoki e koe te kimi i tōna tūranga i roto i te pūnaha whakatauranga mate pukupuku .

E hia pea ngā rā ka roa pea mā te taiwhanga hōhipera e whakamātautau i ngā tauira kiko me te whakarato pūrongo.

Āhea ahau me waea atu ki te tākuta?

Ina hoki koe ki te kāinga i muri i te pokanga, me waea atu koe ki tō tākuta tonu mēnā ka pāngia koe e ēnei tohu:

• Te uaua ki te manawa.
• Te kirika.
• Mamae o te uma.
• He pupuhi hou i te uma, i te kaki rānei.

Ngā mea tino nui me maumahara koe

Whakaarohia te mīharo o te kite, me te rongoā i ngā raruraru o roto i tō uma mā roto i ētahi tapahi iti noa iho me tēnei tikanga e kiia nei ko te thoracoscopy. Mēnā kāore koe i te tino mōhio ki tētahi mea, he ruarua rānei āu, kaua e mangere ki te pātai ki tō tākuta. Mēnā kei a koe te māramatanga pai ki tēnei whakamātautau/pokanga, ka tino whakaitihia tō mataku. He mea nui hoki kia whai i ngā tohutohu i hoatu i mua i te pokanga, me te whai hoki i ngā tohutohu i hoatu e tō tākuta i te wā whakaora i muri i te pokanga.

` Te tirotiro i te uma, te pokanga pūkahukahu, te VATS, te tirotiro i te pleuroscopy, ngā whakamātautau uma, te pokanga iti rawa te whakaekenga, ngā mate manawa