He tikanga hou mō te pokanga uma - Me ako tātou i ngā mea katoa mō te VATS (Pokanga uma āwhina-ataata)

Ina kī mai koe, ina kī mai rānei tētahi e mōhio ana koe me pokanga tōna uma, ka mataku koe, tika? Ina rongo tātou i te kupu "pokanga uma," ka whakaaro tātou ki tētahi motu nui, ki ētahi rā i te hōhipera, me te nui o te mamae. He tika tonu taua mataku. Engari ināianei, kua tino whanake te pūtaiao hauora. I tēnei rā, ka kōrero tātou mō tētahi tikanga pokanga uma kāore e hiahiatia he motu nui, engari he motu iti. Ka kiia tēnei ko te VATS. He rerekē ngā painga ki ngā tūroro, te wā whakaora, me te maha atu o ngā mea i ngā pokanga tuku iho. Me kōrero taipitopito tātou mō tēnei.

He aha te tikanga o te VAT?

Ko te ingoa katoa o VATS ko te Ataata-āwhina pokanga uma . I te reo Sinhala, ko tōna tikanga he "ataata-āwhina pokanga uma." Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho ngā mahi e mahia ana i roto i tēnei tikanga.

Whakaarohia, i te nuinga o te wā, ina mahi koe i te pokanga uma, me tapahi nui koe i te uma, mā roto i ngā rara kia tae atu ki ngā okana pēnei i te pukahukahu, i te ngākau rānei. Ka kiia tēnei he `(Thoracotomy)`. Engari i roto i te tikanga VATS, kāore koe e tapahi nui pēnei. Engari, ka hanga noa koe i ētahi kōhao iti, tata ki te inihi, ki te haurua rānei, i waenganui i ngā rara.

Kātahi ka tukuna he ngongo angiangi me te kāmera e piri ana ki roto (he thoracoscope) mā roto i tētahi o ēnei kōhao ki roto i te kōhao o te uma. Ka whakanuia e tēnei kāmera ngā mea katoa i roto i te uma, tae atu ki ngā whekau me ngā kiko, ā, ka whakaaturia māramatia i runga i te aroturuki ataata. Ināianei ka taea e te taote pokanga te mātaki i tēnei ataata me te whakauru i ngā taputapu pokanga ātaahua mā roto i ētahi atu kōhao iti hei mahi i te pokanga me te tino tika. He rite ki tētahi kēmu ataata, engari he mahi tino uaua, he mahi kawenga hoki.

He momo pokanga iti rawa te whakaekenga tēnei, arā, he iti noa ngā tapahi. Ko te tikanga tēnei he iti ake te mamae, te toto, me te wā whakaora o te tūroro.

He aha ngā momo mate e rongoatia ana e te pokanga VATS?

E whakamahia ana te pokanga VATS hei tātaritanga me te rongoā i ngā mate maha o te uma. He tino rongonui mō te mate pukupuku pūkahukahu . E whakamahia ana hoki mō te mate pukupuku metastatic kua horapa ki ngā pūkahukahu mai i ētahi atu wāhi.

Haunga tēnei take matua, he pai te pokanga VATS mō ētahi atu mate. Kia kite tātou he aha ēnei mate.

Ngā momo pokanga VATS

Ka whakamahia e ngā taote pokanga te hangarau VATS hei mahi i ngā momo pokanga, tae atu ki:

• Te tango i te pūkahukahu VATS: Ko te tango i tētahi wāhanga mate o te pūkahukahu tēnei.
• Te tango i te wedge: Te tango i tētahi wahi iti o te kiko pukahukahu he āhua kōne.
• Lobectomy: Ko te tango katoa i tētahi o ngā pūkahukahu.
• Pneumonectomy: Te tango katoa i te pukahukahu kotahi.
• Te tango i te ngongo kai: Te tango i te paipa kai nā tētahi take pēnei i te mate pukupuku.
• Thymectomy: Te tango i te repe thymus mate.
• `Whakapaipai`:Te tango i ngā kiriuhi me ngā kōpura kua pangia kua hanga huri noa i ngā pukahukahu, kia taea ai e ngā pukahukahu te whānui tika anō.
• Pokanga whakaiti i te rōrahi o te pukahukahu (LVRS): I roto i ngā āhuatanga pēnei i te COPD, ka tangohia ngā wāhanga kua pakaru o te pukahukahu, kia taea ai e ngā wāhanga hauora te mahi tika.

Me pēhea taku whakarite mō tēnei pokanga?

Pērā i ngā pokanga katoa, me whakarite marie tēnei. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta. I te nuinga o te wā ka tonoa koe kia mahi i ngā mea penei:

• Nohopuku: Ka tohutohuhia koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te pokanga.
• Te Whakamutu i te Rongoā: Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, inā koa ngā rongoā whakaiti toto, ngā huaora, me ngā rongoā Ayurvedic, i mua i te pokanga. Kōrerohia tēnei ki tō tākuta.
• Te whakamutu i te kai paipa: Mena he kai paipa koe, he mea nui kia mutu rawa te kai paipa, i te iti rawa i ētahi wiki i mua i te pokanga. Ka pā mai pea ngā raruraru i te wā o te rongoā whakamoe, ā, ka whakaroa i te whakaoranga i muri i te pokanga.

Me whai whakamātautau anō hoki koe hei tirotiro i tō hauora tinana i mua i te pokanga.

• Ngā whakamātautau toto: Ngā whakamātautau pēnei i te tatau toto katoa (CBC).
• Ngā whakamātautau ngākau: He EKG, he 'whakamātautau ahotea whakakori tinana' rānei.
• Ngā whakamātautau whakaahua pēnei i te hihi-X o te uma, te matawai CT/PET rānei.
• Whakamātautau mahi a ō pukahukahu: Tirohia te pai o te mahi a ō pukahukahu.
• Ko te tirotiro endoskopi o runga, ko te hihi-X rānei mō te horomi barium.

He aha ngā mea ka tupu i te wā e pokangahia ana?

Kaua e manukanuka ki tēnei. Whai muri i tō haria ki te rūma pokanga, ka tukuna tuatahitia he rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe rawa koe, ā, kāore koe e rongo i tetahi mea. Kāore koe e rongo i te mamae, i te kore whakamarie rānei kia mutu rā anō te pokanga.

Kātahi ka whai te tīma pokanga i ēnei mahi:

1. Ka hurihia koe, ka whakanohoia ki te taha e anga atu ana ki te taha e mahia ai te pokanga.

2. He maha ngā tapahi iti (e 2-4 te nuinga) ka mahia ki te uma, tata ki te inihi te tawhiti, i waenganui i ngā rara. I ētahi wā ka whakamahia anō hoki te tikanga "uniport VATS - U-VATS", ka mahia mā roto i te kōhao kotahi.

3. Ka whakauruhia he kāmera (thoracoscope) mā roto i tētahi o ngā kōhao, ā, ka mātakihia te taha o roto o te uma i runga i te mata ataata.

4. Ka whakaurua ngā taputapu pokanga motuhake mā roto i ngā kōhao kē atu, ā, i a koe e titiro ana ki ngā whakaahua i runga i te ataata, ka tangohia marietia te kiko mate, te wāhanga okana rānei e tika ana kia tangohia.

5. I muri i te pokanga, ka whakatakotoria he ngongo uma mō te wā poto hei tango i te hau, i te wai rānei e kohia ana i roto i te kōhao o te uma.

6. Hei whakamutunga, ka katihia ngā tapahi iti ki ngā tuitui wairewa, ki ngā tāpare rānei.

I ētahi hōhipera matatau, ka mahia tēnei pokanga mā te whakamahi i te 'hangarau karetao'. I reira, ka mahi te tākuta i te pokanga me te titiro ki te mata rorohiko me te whakahaere i te ringa karetao. Ko te pokanga VATS mō te mate pukupuku pūkahukahu e rua ki te toru hāora te roa.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Kia tirohia motuhaketia ēnei e rua.

He aha te mea ka tupu i muri i te pokanga, ā, kia pehea te roa o te wa e ora ai?

I muri i te pokanga, ka tukuna te kiko kua tangohia ki te taiwhanga hei whakamātautau. Ka kiia tēnei he 'Biopsy' . Ka tirotirohia e te 'Pathologist' te kiko i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku, he tohu mate, he mate rānei. Ka whakatauhia tō maimoatanga anō i runga i taua pūrongo.

I muri i te pokanga, ka hoatu he rongoā ki a koe hei whakahaere i te mamae. Waihoki, ka akiakihia koe e ngā nēhi me ngā kaiwhakaora tinana ki te mahi i ngā mahi whakakorikori manawa hōhonu . He mea tino nui hoki te hikoi mō te tere o te ora.

I mua i tō hokinga ki te kāinga, ka tangohia e te tākuta te ngongo o te uma.

He rerekē te roa o te wā whakaora i ia tangata, i ia tangata, ā, kei te momo pokanga e mahia ana. Ko ētahi pokanga e rua wiki noa iho te roa hei whakaora, ko ētahi e waru wiki te roa.

Kia tiakina ēnei mea i muri i tō hokinga ki te kāinga:

• Whakarerekētia ngā takai i ngā motu i ia wā, i ia wā, kia rite ki ngā tohutohu a tō tākuta.
• Kaua e taraiwa, kaua hoki e hiki i ngā mea taumaha kia tohutohu rā anō te tākuta.
• Hīkoi pakupaku kia toru ngā wā i te rā hei ārai i te toto e pupuhi ana i ō waewae.
• Tangohia ngā rongoā whakamamae mamae me ngā rongoā paturopi kua tohua i te wā tika.
• Kia mahara ki te haere ki te whare hauora i te rā kua whakaritea mō te tirotiro anō.

Āhea ahau me waea atu ki te tākuta?

Ki te puta mai ēnei tohu i muri i tō hokinga ki te kāinga, me waea atu tonu koe ki tō tākuta .

• Mena ka pāngia koe e te mamae nui o te uma .
• Ki te mea kei te raru koe i te manawa .
• Mena ka kite koe i ngā tohu o te mate urutā . Hei tauira:
• He whero, he pupuhi, he kōwhai rānei te rerenga mai i te taha o te patunga.
• Te kirika.

Kaua e warewarehia ēnei tohu. He mea tino nui kia tere te rapu maimoatanga.

Hei whakamutunga, he whanaketanga nui te VATS i roto i te mara o te pokanga uma. Mō te tangata e whawhai ana ki tētahi mate pēnei i te mate pukupuku, he tino whakamarie te kaha ki te ora wawe i muri i te pokanga, te iti ake o te mamae, me te hoki wawe ki tōna oranga noa. Mena kua whakaritea koe mō tēnei momo pokanga, kaua e mataku, kōrerohia ki tō tākuta mō tēnei mea, me te pātai i ō pātai katoa.