Me ako ngāwari tātou mō te Thoracoscopy, he whakamātautau e uru ana ki te whakauru i tētahi kāmera ki roto i te uma.

Kua kī atu tō tākuta kia whai 'Thoracoscopy' koe? Tērā pea i mataku koe i tō rongonga i te ingoa. "He aha tēnei?" "He pokanga nui?" "He tino uaua?" He maha ngā pātai pēnei kua puta ake ki tō hinengaro. Engari ehara i te mea whakamataku pērā i tō whakaaro. He tikanga tino noa, he haumaru, he tino māmā hoki. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea i roto i te huarahi tino māmā, i roto i te huarahi ka whakakore i ngā pātai me ngā mataku katoa kei a koe mō tēnei mea.

He aha te tikanga o te Thoracoscopy?

Whakaarohia, e whakapae ana te tākuta kei roto i tō uma tētahi mea e hē ana, arā, kei te wāhi kei reira ngā pukahukahu. Engari kāore anō kia taea e te hihi-X, e te karapa CT rānei te tautuhi he aha rawa te hē. I tēnei wā, he aha te pai mēnā ka taea e koe te tomo ki roto ki te tirotiro? Koinei te whakamahinga o tēnei tikanga e kiia nei ko te Thoracoscopy.

He whakarāpopototanga noa iho tēnei, ko te tapahi i tētahi tapahi iti rawa ki te kiri o te uma , ka whakauru i tētahi kāmera iti mā roto. Ko te ingoa o tēnei kāmera he thoracoscope . He ngongo angiangi, he rite te rahi ki te pene. He kāmera, he rama kei te pito. Ina whakaurua tēnei kāmera, ka kitea mārama e te tākuta ōu pūkahukahu, te wāhi huri noa i ngā pūkahukahu (e kiia nei e tātou ko te wāhi pleural i roto i te rongoā), te diaphragm, me ngā mea katoa o roto, pērā i te pakitara o te uma, i runga i tētahi mata pouaka whakaata nui (aroturuki).

He maha ngā wā ka mahia tēnei tikanga hei wāhanga o tētahi tikanga pokanga e kiia nei ko te Pokanga Ataata-Āwhina-Tāroa (VATS) . Ko te tikanga o tēnei, kāore te taote pokanga e titiro ki tō tinana, engari ka titiro ki ngā whakaahua i runga i taua mata pouaka whakaata nui, ā, ka mahi i te pokanga me te tino ātaahua, me te whakamahi i ngā taputapu iti. He hangarau tino matatau tēnei.

He whakamātautau tēnei, he maimoatanga rānei?

Ko te whakautu ki tēnei pātai ko, "Ka taea e koe te mahi i ngā mea e rua." He rerekē i runga i te take e mahi ana koe i tēnei.

• Te Tātaritanga o te Thoracoscopy: I ētahi wā ka hiahia noa te tākuta ki te kite i te āhua o roto. Tērā pea ka hiahia rātou ki te tango i tētahi wahi kiko iti rawa mai i tētahi wāhi whakapae hei tirotiro. Ka kiia tēnei he koiora . He rite ki tētahi kaitirotiro e haere ana ki roto, e rapu ana i ngā taunakitanga. Ka kiia tēnei i ētahi wā he Pleuroscopy .

• Mō te maimoatanga (Therapeutic Thoracoscopy): I ētahi wā, ka mōhiotia te tino pūtake o te raruraru. Kātahi ka whakamahia tēnei tikanga hei rongoā i taua raruraru. Arā, ka mahia hei wāhanga o te pokanga.

I roto i ngā āhuatanga hea e hiahiatia ai te thoracoscopy?

He maha ngā take e taunaki ai te tākuta i tēnei tikanga. Ko ngā take matua ko:

• Kimihia ngā mōhiohio kāore i kitea i roto i ngā whakamātautau pēnei i te hihi-X o te uma, te matawai CT, me te matawai ultrasound.
• Tangohia tētahi wāhanga o te paparanga o roto o te pakitara o te uma (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.
• Mena he matepukupuku kei roto i ngā pukahukahu, tangohia te wāhanga matepukupuku (tango pukahukahu).
• Tangohia te wai nui kua kohia i te taha o ngā pukahukahu, ā, whakamahia he rongoā hei ārai i te kohi anō o te wai (e kiia ana tēnei ko te 'pleurodesis').

Tērā pea e tika ana tēnei pokanga, inā koa mō te hunga whai mate pēnei i te mate pukupuku pūkahukahu , te mesothelioma rānei (te mate pukupuku o te arai o ngā pūkahukahu). Ka whakamahia hoki hei rongoā i ngā mate pukupuku o te repe thymus, o te esophagus rānei i roto i te uma.

He aha te rerekētanga i waenga i te Thoracoscopy me te Thoracotomy?

Kua rongo pea koe i te kupu tango uma . Ahakoa he pokanga uma ēnei e rua, he rerekētanga nui kei waenganui i ngā mea e rua. He rite te tango uma ki te "titiro mā roto i tētahi kōhao kī." He rite te tango uma ki te "whakatuwhera i tētahi tatau".

Kia tirohia te rerekētanga o ēnei tikanga e rua i tēnei ara.

I ētahi wā, i muri i te tīmatanga o te thoracoscopy, ki te whakatau te taote pokanga kāore e taea te whakaoti haumaru i te pokanga mā roto i ēnei tapahi iti, ka huri pea rātou ki te thoracotomy me te tapahi nui ake. He mea tēnei hei tiaki i a koe.

Me pēhea te whakarite i mua i te pokanga?

Ahakoa ehara tēnei i te pokanga nui, e hiahiatia ana ētahi whakaritenga.

• Kōrero ki tō tākuta: Kōrerohia ki tō tākuta ngā rongoā katoa, ngā huaora, me ngā rongoā otaota e tangohia ana e koe. Ina koa mēnā kei te tango koe i ngā rongoā whakaiti toto (pēnei i te aspirin, clopidogrel, warfarin rānei ), pātai atu mēnā me mutu te tango i aua rongoā i ētahi rā i mua i tō pokanga.
• Nohopuku: I te rā o te pokanga, ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea mō ngā hāora maha (ko te tikanga he 6-8 hāora) i mua i te pokanga. Hei ārai i te pikinga o ngā ihirangi o te puku ki roto i te puku i te wā e rongoātia ana.

Me pēhea te mahi i te pokanga i te taahiraa i te taahiraa

I te rā o tō pokanga, mā te mōhio ki ngā mea hei tūpono i roto i te rūma pokanga ka āwhina i te whakaiti i tō manukanuka. Ka roa pea te pokanga mai i te hawhe haora ki te maha hāora, i runga i ngā mahi e mahia ana i roto.

1. Whakamoemiti: Tuatahi, ka tukuna koe ki raro i te whakamoemiti whānui. Ko te tikanga o tēnei kāore koe e rongo i tetahi mea i te wā o te pokanga, ā, ka moe katoa koe. Ka hoatu te rongoā mā roto i tētahi ngongo iti (IV cannula) kua whakanohoia ki roto i tō ringa.

2. Te hono atu ki te mīhini manawa: I muri i tō moe, ka whakanohoia he ngongo mā roto i tō korokoro ki roto i tō pūwero hau, ā, ka honoa ki te mīhini manawa (he `pūwero manawa`). Ka manawa tēnei mīhini māu kia mutu rā anō te pokanga. Kāore koe e rongo i tētahi o ēnei mea.

3. Te tapahi i ngā wahi iti:Muri iho, ka mahia e te taote pokanga kia rua, kia toru rānei ngā tapahi iti, kaua e neke atu i te hawhe inihi, ki roto i tō uma, i waenganui i ō rara.

4. Te whakauru i te kāmera me ngā taputapu: Mā te tapahi kotahi, ka whakaurua te kāmera (te 'thoracoscope') i kōrerotia e tātou i mua ake nei. Mā ētahi atu tapahi, ka whakaurua ngā taputapu tino angiangi, roa e hiahiatia ana mō te pokanga.

5. Te tirotiro, te maimoatanga rānei: Inaianei ka titiro te tākuta ki te mata pouaka whakaata, ka āta tirotiro i te roto o te uma. Mena e hiahiatia ana he koiora, ka tangohia, mena he wāhanga hei tango, ka tangohia, ka mahia rānei te maimoatanga e tika ana.

6. Te tango i ngā taputapu: Kia oti te mahi, ka tangohia te kāmera me ngā taputapu katoa.

7. Te Whakaurunga o te Ngongo Uma: Muri iho, ka whakauruhia he ngongo kirihou ('ngongo uma') ki roto i te kōhao uma mā roto i tētahi o ngā tapahi. Ka mahia tēnei hei tango i te hau, i te wai rānei kua kohia i muri i te pokanga. Me waiho tēnei ki tōna wāhi mō te kotahi, e rua rānei ngā rā.

8. Te tuitui i ngā tapahi: Hei whakamutunga, ka tuituia ngā tapahi iti ki ngā tuitui.

9. Te oho ake i te rongoā whakamoe: Ka ata whakaarahia koe e te tākuta whakamoe. Ina taea e koe te manawa ko koe anake, ka tangohia te ngongo i roto i tō korokoro.

He aha ngā mea hei tumanakohia i muri i te pokanga?

Kia oti te pokanga, ka whakawhitia koe ki te wāhanga.

• Te hiamoe: Nā ngā pānga o ngā rongoā whakamoe, ka hiamoe koe, ka kore ora hoki mō tētahi wā.
• Korokoro mamae: Nā te mea i whakaurua te ngongo manawa, tera pea ka paku mamae te korokoro, ka rerekē te reo mō te rā kotahi, e rua rānei.
• Mamae: Ka pāngia koe e te mamae i ngā wāhi i tapahia. Ka hoatu he rongoā whakamamae hei āwhina i tēnei.
• Ngongo Uma: Ka noho tonu te ngongo uma ki tōna tūranga mō te rā kotahi, e rua rānei. Me noho koe ki te hōhipera kia tangohia rā anō.
• X-ray o te uma: Ka mahia anō he X-ray o te uma hei tirotiro mēnā kei te mahi tika ngā pukahukahu.
• Kai: Tērā pea ka mākūkū tō korokoro me tō waha i te tīmatanga. Kāore koe e whakaaetia kia kai, kia inu rānei kia ngaro rā anō te mākūkū.

I te nuinga o te wā ka taea e koe te tīmata anō i ō mahi o ia rā i muri i te rua wiki pea. E whā ki te ono wiki pea te roa ka tino ora ai koe.

He mōrearea kei roto i tēnei?

Pērā i ngā tikanga hauora katoa, he iti noa te mōrearea kei roto. Heoi, he tikanga tino haumaru. He tino iti te reiti mate, 0.3%. He tino iti hoki ngā raruraru ka pā mai.

Ngā raruraru pea (Ngā Tūponotanga)

• Kia rere.
• Ngā mate motu, ngā mate pūkahukahu rānei.
• Te kirika.
• Te kohikohinga o te hau e tata ana ki te wāhi i tapahia, ki roto rānei i te wāhi o ngā pukahukahu.
• Puku pūkahukahu kua hinga.
• Te kohikohinga wai huri noa i ngā pukahukahu.

Ki te puta he mea pēnei, kua rite tō tākuta me ngā kaimahi o te hōhipera ki te rongoā. Nō reira kaua e manukanuka.

I muri i tō hokinga ki te kāinga, he aha te wā me toro atu koe ki te tākuta?

He mea tino nui kia rapu tohutohu hauora tonu atu mēnā ka pāngia koe e te mamae i muri i tō hokinga mai i te hōhipera. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, whakamōhio atu ki tō tākuta tonu atu, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.

He mea tino nui kia aro nui ki ēnei āhuatanga.