Kodi tiyang'ane mkati mwa chifuwa? Zonse zokhudza Thoracoscopy mwachidule!

Dokotala wanu akakuuzani kuti muli ndi vuto pachifuwa chanu, njira imodzi yodziwira bwino lomwe chomwe chili ndi zomwe zikuchitika mkati mwake imatchedwa thoracoscopy. Mwina munamvapo mawu awa kale. Tiyeni tiwone chomwe chili, momwe chimachitikira, komanso ngati pali chilichonse choopa.

Kodi Thoracoscopy ndi chiyani?

Mwachidule, thoracoscopy ndi mayeso ang'onoang'ono omwe amayang'ana pamwamba pa mapapu anu ndi malo ozungulira (otchedwa pleural space). Madokotala amagwiritsa ntchito kamera yopyapyala, yowala yotchedwa thoracoscope kuti ayang'ane mapapu anu. Izi zitha kuwona zinthu monga diaphragm yanu, mmero, khoma la pachifuwa, ndi ma lymph nodes. Nthawi zina, chidutswa chaching'ono cha minofu (chotchedwa biopsy) chingachotsedwe pamalo omwe mukufuna kufufuza.

Kawirikawiri, opaleshoni ya thoracoscopy iyi imachitika ngati gawo la opaleshoni ya thoracoscopic yothandizidwa ndi kanema (VATS) . Izi zimathandiza madokotala omwe ali m'chipinda chochitira opaleshoni kuti aone zomwe zili mkati mwa chifuwa momveka bwino pazenera lalikulu la kanema. Zili ngati kuyika kamera kudzera m'bowo laling'ono ndikuyang'ana mkati.

Kodi mitundu ya thoracoscopy ndi iti?

Tsopano taonani, thoracoscopy iyi imagwiritsidwa ntchito mwanjira ina.

• Kuzindikira Matenda a Thoracoscopy: Nthawi zina dokotala wanu amagwiritsa ntchito izi kuti aone ngati pali vuto m'chifuwa mwanu, kapena kuti atenge chidutswa cha minofu (biopsy) kuti akayesedwe. Izi nthawi zina zimatchedwa pleuroscopy .
• Kuchiza Thoracoscopy: Nthawi zina, njira iyi imagwiritsidwa ntchito pochiza matenda, kutanthauza, kuchita opaleshoni. Izi ndi zomwe zimagwiritsidwa ntchito mu njira yopangira opaleshoni yomwe yatchulidwa kale yotchedwa `VATS` kapena `Video-Assisted Thoracoscopic Surgery`.

Kodi thoracoscopy imagwiritsidwa ntchito liti?

Chabwino, ndiye, ndi nthawi ziti pamene dokotala amasankha kuchita opaleshoni ya thoracoscopy kapena VATS?

• Mukafuna kudziwa zambiri zenizeni zomwe X-ray yanu ya pachifuwa, CT scan, kapena ultrasound sizinapezeke.
• Mukafunika kuchotsa gawo la mkati mwa khoma la pachifuwa, lotchedwa pleura.
• Chotsani mbali zowonongeka za mapapo (izi zimatchedwa `opaleshoni yochepetsera kuchuluka kwa mapapo`).
• Chotsani matumba a mpweya m'mapapo.
• Chotsani gawo la khansa m'mapapo (izi zimatchedwa `kuchotsa mapapo`).
• Chotsani madzi osafunikira omwe asonkhana m'malo ozungulira mapapo ndipo gwiritsani ntchito mankhwala kuti madziwo asasonkhanitsidwenso (izi zimatchedwa pleurodesis).

Kuyezetsa/opaleshoni iyi kungachitike, makamaka ngati muli ndi khansa ya m'mapapo kapena mesothelioma. Ingagwiritsidwenso ntchito pochiza khansa ya thymus gland ndi khansa ya m'mero.

Kusiyana pakati pa Thoracoscopy ndi Thoracotomy

Tsopano mwina mukudabwa, palinso njira yotchedwa thoracotomy, ndipo kodi kusiyana kwake ndi chiyani ndi thoracoscopy. Thoracotomy ndi opaleshoni yomwe imaphatikizapo kudula kwambiri pachifuwa. Koma thoracoscopy ndi njira yosavulaza kwambiri.

Ubwino wa njira iyi ya thoracoscopy ndi:

• Mukhoza kuchira mwachangu.
• Ululu ndi wochepa.
• Mavuto pambuyo pa opaleshoni ndi ochepa.

Komabe, nthawi zina, ngati njira yeniyeniyo singathe kuchitidwa bwino ndi thoracoscopy, dokotala angafunike kuchita thoracotomy.

Ndani amachita thoracoscopy?

Dokotala wa opaleshoni ya thoracoscopy, kapena pleuroscopy, akhoza kuchita opaleshoniyi . Komabe, opaleshoni yotchedwa Video-Assisted Thoracoscopy Surgery (VATS) iyenera kuchitika ndi dokotala wa opaleshoni ya chifuwa .

Kodi ndiyenera kukonzekera bwanji thoracoscopy?

Palinso njira yomwe muyenera kukonzekera musanayesedwe/opaleshoni iyi.

• Masiku angapo opaleshoni isanachitike, dokotala wanu adzakuuzani kuti musiye kumwa mankhwala ena (monga aspirin) omwe amaletsa magazi kuundana mosavuta, zomwe zikutanthauza kuti amawonjezera kutuluka kwa magazi .
• Mungapemphedwenso kuti musadye kapena kumwa tsiku la opaleshoni.

Kodi opaleshoni ya thoracoscopic imatenga nthawi yayitali bwanji?

Nthawi yofunikira pa opaleshoni ya thoracoscopic iyi ingasiyane. Nthawi zambiri imatha kutenga pakati pa theka la ola mpaka maola angapo . Ngati pakufunika chinthu chovuta kwambiri kuposa kungotenga minofu, zimatenga nthawi yayitali.

Kodi chimachitika ndi chiyani pa nthawi ya thoracoscopy?

Chabwino, tsopano tiyeni tiwone zomwe zikuchitika pa opaleshoni iyi. Mukuchita opaleshoni ya `Video-Assisted Thoracoscopy Surgery (VATS)`, ndipo muli pansi pa anesthesia wamba . Izi zikutanthauza kuti simukumva chilichonse, mukugona. Nthawi zambiri, izi zimachitika ndi `kupumula pang'ono`.

Dokotala wa opaleshoni amatsatira njira izi:

1. Mudzapatsidwa mankhwala oletsa ululu kudzera mu saline solution yomwe imayikidwa mumtsempha (`IV`).

2. Chitoliro chimayikidwa pakhosi panu ndipo makina amawongolera kupuma kwanu (izi zimachepetsa mapapu anu kwakanthawi, zomwe zimapangitsa kuti opaleshoniyo ikhale yosavuta).

3. M'chifuwa mwanu, pakati pa nthiti yachisanu ndi chiwiri, yachisanu ndi chimodzi, ndi yachinayi,Mabala awiri kapena atatu ang'onoang'ono, osakwana theka la inchi, amapangidwa.

4. Kudzera mu kudula kamodzi, kamera ya thoracoscope imayikidwa mu malo ozungulira mapapo.

5. Zida zina zazing'ono zofunika pa opaleshoni zimayikidwa kudzera m'mabala ena.

6. Zitsanzo zimatengedwa kuchokera kumadera omwe akuoneka kuti ndi osazolowereka, kapena opaleshoni yofunikira imachitika.

7. Kenako tulutsani kamera ndi zida zina zonse.

8. Chitoliro cha pachifuwa chimayikidwa m'chifuwa chanu kuti chichotse mpweya m'mapapo anu ndikubwezeretsa mapapo omwe agwa kuti akhale abwinobwino.

9. Kusoka zodula.

10. Umadzukanso ndipo umapumira wekha.

Kodi mungayembekezere chiyani mutachita opaleshoni ya thoracoscopy?

Pambuyo pa opaleshoni, zimatenga nthawi kuti muchire kuchokera ku opaleshoni yoletsa kupweteka. Pakhosi ndi pakamwa panu zingamveke ngati dzanzi kwa kanthawi. Simudzaloledwa kudya kapena kumwa mpaka dzanzi litatha. Chifukwa cha chubu chopumira, mawu anu akhoza kukhala onyowa pang'ono ndipo pakhosi panu pakhoza kukhala lopweteka tsiku lotsatira opaleshoni. Muthanso kukhala ndi ululu pamene mabala adadulidwa.

Musachite mantha, dokotala adzakupatsani mankhwala ofunikira pa ululu uwu.

Ngati mwatengedwa zitsanzo za minofu (biopsy) kuchokera kwa inu, kapena madzi ozungulira mapapo anu, mudzakhala ndi chubu cha pachifuwa panu kwa tsiku limodzi kapena awiri. Mudzachitidwanso X-ray pachifuwa kuti muwonetsetse kuti palibe vuto ndi mapapo anu.

Nthawi zambiri, mukatha opaleshoni ya thoracoscopic yamtunduwu, mumayenera kukhala m'chipatala pamene machubu a pachifuwa ali m'malo mwake. Koma nthawi zina, ngati palibe chachikulu chomwe chachitika, mutha kupita kunyumba mukapuma kwa maola ochepa. Ngati mutero, muyenera kupempha mnzanu kapena wachibale kuti akutengereni kunyumba.

Kodi thoracoscopy imapweteka?

Vutoli ndi lomwe anthu ambiri ali nalo. Simudzamva kupweteka kulikonse mukachita opaleshoni ya thoracoscopy chifukwa chakuti mwapatsidwa mankhwala oletsa ululu. Mukamaliza opaleshoni, mutha kumwa mankhwala ochepetsa ululu kuti muchepetse kupweteka kwa mabala.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire atachitidwa opaleshoni ya thoracoscopy?

Zimatenga pafupifupi milungu iwiri kuti munthu ayambirenso kuchita zinthu zachizolowezi pambuyo pa opaleshoniyi. Nthawi zambiri zimatenga pafupifupi milungu inayi kapena isanu ndi umodzi kuti achire bwino.

Kodi Thoracoscopy ndi yoopsa?

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali chiopsezo chochepa. Chiŵerengero cha imfa chifukwa cha opaleshoni ya thoracoscopy yachipatala chikuyembekezeka kukhala chotsika kwambiri, pa 0.3%. Pa opaleshoni ya thoracoscopy yothandizidwa ndi kanema, chiŵerengerocho ndi chokwera pang'ono. Komabe, chiŵerengero cha mavuto pa njira zonse ziwiri chili pakati pa 2% ndi 11% . Izi zikuphatikizapo mavuto ang'onoang'ono ndi aakulu.

Kodi zoopsa za opaleshoni ya thoracoscopy ndi ziti?

Kodi mavuto omwe angakhalepo chifukwa cha opaleshoni ya thoracoscopy ndi ati?

• Kutuluka magazi.
• Matenda m'mapapo kapena mabala.
• Malungo.
• Kusonkhana kwa mpweya m'malo olumikizirana mafupa kapena pafupi ndi malo odulira.
• Mapapu osweka.
• Kuchulukana kwa madzi m'mapapo.

Kodi zotsatira zake ndi ziti? Kodi imati chiyani?

Pambuyo pa opaleshoni, dokotala adzakuuzani ngati vuto lomwe munali nalo lakonzedwa kapena ayi. Komanso, zotsatira za labu zikadzabwera, adzakuuzani ngati minofu yomwe yachotsedwa ndi khansa kapena yosakhala ndi poizoni. Ngati muli ndi khansa, mudzathanso kudziwa komwe ili mu dongosolo lokonzekera khansa .

Zingatenge masiku angapo kuti labotale yachipatala iyese zitsanzo za minofu ndikupereka malipoti.

Kodi ndiyenera kuyimbira dokotala liti?

Mukapita kunyumba mutachita opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro izi:

• Kuvuta kupuma.
• Malungo.
• Kupweteka pachifuwa.
• Kutupa kwatsopano pachifuwa kapena pakhosi.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

Tangoganizirani momwe zimakhalira zodabwitsa kuona ndi nthawi zina kuchiza mavuto omwe ali pachifuwa mwa kungodula pang'ono pogwiritsa ntchito njira iyi yotchedwa thoracoscopy. Ngati simukudziwa bwino za chinachake kapena muli ndi kukayikira kulikonse, musazengereze kufunsa dokotala wanu. Ngati mukumvetsa bwino za mayeso/opaleshoni iyi, mantha anu adzachepa kwambiri. Ndikofunikiranso kutsatira malangizo omwe aperekedwa musanachite opaleshoni ndikutsatira malangizo omwe aperekedwa ndi dokotala wanu panthawi yochira pambuyo pa opaleshoni.

` Thoracoscopy, opaleshoni ya mapapo, VATS, pleuroscopy, kufufuza pachifuwa, opaleshoni yochepa kwambiri, matenda opumira