Kodi munanena kuti mukufuna kuyang'ana mkati mwa chifuwa chanu? Tiyeni tikambirane za mediastinoscopy!

Nthawi zina, madokotala akamaganiza kuti pali vuto pachifuwa panu, ndiko kuti, malo pakati pa mapapo anu, amalamula kuti muyesedwe mwapadera kuti adziwe bwino lomwe. Umenewo ndi mayeso otchedwa mediastinoscopy. Dzinalo lingamveke lachilendo pang'ono, koma lero tikambirana momveka bwino zinthu zambiri, monga zomwe zimachitika ndi izi, chifukwa chake zimachitika, momwe zimachitikira, komanso ngati muyenera kuziopa. Ngati inunso dokotala wakuuzani kuti muyenera kuchita mayeso otere, ndikutsimikiza kuti nkhaniyi idzakhala yofunika kwambiri kwa inu.

Kodi mediastinoscopy iyi ndi chiyani?

Mwachidule, mediastinoscopy ndi opaleshoni yomwe imalola dokotala wanu kuwona bwino pakati pa chifuwa chanu, malo omwe ali pakati pa mapapu anu (omwe madokotala amati mediastinum) . Malo awa ndi kwawo kwa ziwalo zofunika monga mtima wanu, mmero wanu , ndi trachea yanu .

Ndiye mukuona bwanji izi? Madokotala amagwiritsa ntchito chida chapadera chotchedwa mediastinoscope . Chili ngati chubu chopyapyala. Chili ndi kuwala kochepa ndi kamera kumapeto kwake. Dokotala amatha kuwona zomwe kamera imawona pa chowunikira. Chinthu china chapadera cha chida ichi ndichakuti chingatenge chitsanzo cha minofu , lymph node (izi ndi ziwalo za dongosolo lomwe limalimbana ndi matenda m'thupi lathu), kapena china chilichonse chomwe sichili chachilendo, monga chotupa, ndikuchitumiza ku labu.

Kodi kusiyana pakati pa Mediastinotomy ndi Mediastinoscopy ndi kotani?

Mwina munamvapo za mawu ena, mediastinotomy. Njira zonsezi zimaphatikizapo kuyang'ana malo omwe ali pakati pa chifuwa otchedwa mediastinum ndikutenga zitsanzo kuchokera pamenepo. Njira zonsezi zimagwiritsidwanso ntchito kudziwa ngati matenda monga khansa afalikira.

Koma pali kusiyana pang'ono. Mu opaleshoni ya mediastinotomy, kabowo kakang'ono kamapangidwa mwachindunji pachifuwa, zomwe zikutanthauza kuti pakhungu pamakhala kudula kuti pakhale njira yolowera. Mu opaleshoni ya mediastinoscopy, kabowo kakang'ono kwambiri kamapangidwa ndipo chubu chotchedwa mediastinoscope chimayikidwa. Ngakhale kuti opaleshoni ya mediastinotomy imalola dokotalayo kuwona malo ochulukirapo, kabowoko kamakhala kakang'ono ndipo nthawi yochira imakhala yayitali pang'ono. Mu opaleshoni ya mediastinoscopy, kabowoko kamakhala kakang'ono, kotero kuchira kumachitika mwachangu.

Chifukwa chiyani mediastinoscopy imachitika?

Pakhoza kukhala zifukwa zingapo zomwe dokotala angakupempheni kuti muyesedwe.

• Chifukwa chachikulu ndikuyang'ana mosamala kuti muwone ngati pali vuto lililonse pakati pa mapapo awiriwa (mediastinum).
• Tengani ma lymph nodes pamenepo ndipo muwone ngati muli ndi khansa.Nthawi zina izi zimachitikanso kuti aone ngati khansa yochokera kwina yafalikira ku ma lymph nodes awa.
• Ngati muli ndi khansa m'mapapu anu, thymus gland (yomwenso ndi gland yaying'ono pachifuwa chapamwamba), kapena m'mero, mayesowa angathandize kudziwa kuopsa, kapena gawo, la khansa .
• Ngakhale kuti si kawirikawiri, nthawi zina izi zingachitike ngati mukuganiza kuti muli ndi matenda m'mapapo .
• Imathanso kuzindikira matenda monga lymphoma, sarcoidosis (matenda omwe amayambitsa kutupa pang'ono m'mbali zosiyanasiyana za thupi), kapena mesothelioma (mtundu wa khansa ya m'mapapo) .

Kodi pali anthu omwe sakufuna kulemba mayeso awa?

Inde, si aliyense amene angachitidwe opaleshoni ya mediastinoscopy. Anthu ena sangakhale oyenera opaleshoniyi. Mwachitsanzo:

• Anthu omwe ali ndi chotupa chosatheka kuchitidwa opaleshoni chomwe ndi chachikulu kwambiri moti sichingachotsedwe ndi opaleshoni.
• Anthu omwe adachitidwapo opaleshoni ya mediastinoscopy kale (chifukwa zitha kukhala zovuta pang'ono nthawi yachiwiri).
• Anthu omwe adapatsidwa chithandizo cha radiation kudera la pachifuwa (chifukwa minofu yomwe ili m'derali mwina yasintha).

Pazifukwa ngati izi, ndi udindo wa dokotala kusankha ngati mayesowa ndi oyenera kwa inu kapena ayi.

Ndani amachita izi mediastinoscopy?

Izi zimachitika ndi dokotala wa opaleshoni ya mtima kapena dokotala wamkulu . Zimachitidwanso m'chipinda chochitira opaleshoni . Chifukwa, ngati chinachake chachitika mwadzidzidzi, monga kutuluka magazi ambiri kuposa momwe mumayembekezera, muyenera kukhala okonzeka kupita ku opaleshoni yayikulu kuti muyilamulire (ndiko kuti, opaleshoni yodula fupa lapakati pa chifuwa - sternotomy , kapena opaleshoni yodula pakati pa nthiti - thoracotomy) . Chifukwa chake, izi zimachitika pamalo omwe ali ndi malo otere.

Kodi mumakonzekera bwanji izi?

Mukakonzekera kuchita opaleshoni ya mediastinoscopy, pali zinthu zingapo zomwe muyenera kukonzekera masiku angapo pasadakhale.

• Muyenera kuchita mayeso omwe dokotala wanu walamula, omwe angaphatikizepo X-ray pachifuwa, CT scan, ndi mayeso a pulmonary function .
• Ngati mukumwa mankhwala ochepetsa magazi, dokotala wanu mwina angakuuzeni kuti musiye kumwa mankhwalawa masiku angapo mayeso asanachitike . Funsani dokotala wanu kuti akupatseni malangizo enieni.
• Mudzapemphedwa kuti musiye kudya ndi kumwa kwa maola angapo musanayesedwe . Izi zikutanthauza kuti muyenera kukhala ndi m'mimba yopanda kanthu.

Dokotala wanu kapena namwino adzakufotokozerani zonsezi. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.

Kodi iyi ndi mayeso a tsiku lomwelo?

Inde, nthawi zambiri mumatha kupita kunyumba tsiku lomwelo ndi mediastinoscopy (njira yochizira matenda akunja) . Koma musanapite kunyumba, dokotala wanu adzafufuza ngati mungathe kuchita izi:

• Kodi mungayende popanda thandizo?
• Kodi mungamwe zakumwa ngati madzi ?
• Kodi mungathe kukodza mwachizolowezi?
• Kodi mungathe kulamulira ululu wanu ? (Ndiye kuti, kodi ululu wachepa chifukwa cha mankhwala omwe mukumwa?)

Ngati zinthu izi zili bwino, ndikulola kuti mupite kwanu.

Kodi njira imeneyi ya mediastinoscopy imachitidwa bwanji?

Tsopano tiyeni tiwone momwe tingachitire mayeso awa pang'onopang'ono.

1. Choyamba, mudzapatsidwa mankhwala oletsa ululu . Izi zikutanthauza kuti mudzakhala mukugona tulo tofa nato ndipo simudzamva chilichonse panthawi yonse ya opaleshoniyi. Mankhwalawa amaperekedwa kudzera mu kannula yomwe imayikidwa mumtsempha m'dzanja lanu.

2. Kenako chubu chopumira chimayikidwa pakhosi panu . Izi zikutanthauza kuti makina adzakupumirani panthawi yoyeserera.

3. Kenako, dokotalayo adzadula pang'ono kwambiri, pafupifupi inchi imodzi, pamwamba pa chifuwa chanu, pansi pa khosi lanu.

4. Kudzera mu kudulako , chida chotchedwa mediastinoscope chomwe ndatchula kale chimayikidwa.

5. Kenako pang'onopang'ono pitani nayo kumalo komwe mukufuna kukaona.

6. Pogwiritsa ntchito zida zazing'ono zomwe zili pa chipangizochi, zitsanzo zitha kutengedwa kuchokera ku ma lymph nodes kapena madera ena omwe amawoneka osazolowereka, kapena ngakhale chotupa chaching'ono chingachotsedwe kwathunthu.

7. Ntchito ikatha, mediastinoscope imachotsedwa.

8. Phimbani kachidutswa kakang'ono kameneko ndi ulusi wosungunuka kapena pulasitala womatira.

9. Kenako mudzadzutsidwa kuchokera ku opaleshoni ya anesthesia ndipo chubu chopumira chidzachotsedwa.

Tangoganizirani, zonsezi zimachitika uli mtulo tofa nato. Kotero sukumva chilichonse.

Kodi izi zitenga nthawi yayitali bwanji?

Kuchita opaleshoni ya mediastinoscopy nthawi zambiri kumatenga pafupifupi ola limodzi. Komabe, nthawi zina zimatenga nthawi yayitali ngati dokotala akufunika kuyang'ana mozama pang'ono, kutenga zitsanzo zambiri, kapena ngati vuto ladzidzidzi (monga kutuluka magazi) lachitika ndipo limafuna opaleshoni yayikulu, monga opaleshoni ya sternotomy kapena thoracotomy yomwe yatchulidwa pamwambapa, kuti ithetse vutoli.

Kodi nthawi yochira imakhala bwanji pambuyo pa mayeso?

Mudzagonabe pang'ono kwa maola angapo mutadzuka kuchokera ku mankhwala oletsa ululu.Izi ndi zachilendo. Ngati simukumva ululu kwambiri mutatha kuyezetsa, wachibale wanu kapena mnzanu akhoza kukutengerani kunyumba. Simungathe kuyendetsa galimoto tsiku limenelo chifukwa mudzakhala pansi pa mankhwala oletsa ululu.

Pakamwa panu ndi pakhosi panu padzamva dzanzi pang'ono kwa maola angapo. Izi zili choncho chifukwa cha chubu chopumira. Kuti mukhale otetezeka, madokotala sadzakulolani kudya kapena kumwa mpaka dzanzi litachepa. Tsiku lotsatira, mutha kukhala ndi chifuwa, mawu opweteka, kupweteka pakhosi, komanso kupweteka pang'ono pamalo odulidwa . Izi zidzatha patatha masiku ochepa.

Nthawi zina, mutatha kuyezetsa, mungayesedwenso ndi X-ray pachifuwa kuti muwonetsetse kuti palibe vuto lililonse m'mapapu anu.

Kodi izi zimapweteka?

Inde, pakhoza kukhala ululu wina pamene mayeso adachitika. Chifukwa chake muyenera kumwa mankhwala opweteka kwa masiku angapo. Dokotala adzakulemberani mankhwala ofunikira. Ngati mumwa mankhwalawo panthawi yoyenera, ululuwo ukhoza kuchepetsedwa kwambiri.

Kodi zoopsa zake ndi ziti?

Nthawi zambiri, njira ya mediastinoscopy siimayambitsa mavuto akulu. Komabe, nthawi zambiri, anthu ena amakumana ndi zotsatirazi:

• Chibayo (matenda a m'mapapo).
• Pneumothorax (mapapo omwe amadzaza ndi mpweya ndipo amakhala ang'onoang'ono kuposa masiku onse. Izi zingafunike kuti pakhale chubu chaching'ono kuti mpweya uchotsedwe.)
• Kutuluka magazi. (Nthawi zambiri izi zimakhala zazing'ono, koma nthawi zambiri zimakhala zovuta kwambiri moti zimafunika opaleshoni.)
• Chilonda chodwala.

Ngati tikulankhula za chiopsezo cha imfa pankhaniyi, ndi chiwerengero chochepa kwambiri, pafupifupi 0.09 peresenti. Izi zikutanthauza kuti anthu osakwana m'modzi mwa anthu 10,000 omwe amayesedwa (pafupifupi asanu ndi anayi mwa anthu 10,000) ali ndi chiopsezo chachikulu chotere. Choncho palibe chodetsa nkhawa nacho. Komabe, popeza pali chiopsezo chochepa pa opaleshoni iliyonse, ndi bwino kudziwa zimenezo.

Kodi vuto lofala kwambiri ndi liti?

Kutuluka magazi ndi vuto lofala pang'ono kuposa mavuto ena, koma nthawi zambiri limathetsedwa.

Kodi zotsatira zake zimakhala bwanji? Kodi zikutiuza chiyani?

Chidziwitso chomwe chapezeka pambuyo poti chitsanzo cha biopsy chatengedwa panthawi ya mediastinoscopy yanu chatumizidwa ku labotale kuti akayesedwe chithandiza dokotala wanu kudziwa gawo la khansa yanu. Gawo la khansa yanu ndi kukula kwa chotupacho komanso ngati chafalikira kumadera apafupi kapena kutali. Chidziwitsochi chithandiza dokotala wanu kusankha chithandizo chomwe chili chabwino kwa inu.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Zingatenge masiku angapo kuti zitsanzo za minofu zifufuzidwe mu labotale.Kenako, ngati zatsimikizika kuti muli ndi khansa, dokotalayo adzafunika nthawi yochulukirapo kuti apange dongosolo la chithandizo lomwe lingakukondereni bwino kutengera zotsatira zake. Choncho muyenera kukhala oleza mtima mpaka mutapeza zotsatira zake.

Kodi muyenera kuyimbira dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi mutabwerera kunyumba, imbani dokotala wanu nthawi yomweyo kapena pitani kuchipatala chapafupi.

• Ngati kupweteka pachifuwa kukuwonjezeka, kapena ngati kupweteka pachifuwa kwatsopano kukubuka.
• Ngati mukumva malungo aakulu.
• Ngati kuli kovuta kupuma, ngati kuli ngati malungo.
• Ngati malo odulidwawo ndi ofiira kwambiri, otupa, ndipo mafinya akutuluka.

Musanyalanyaze zinthu ngati izi.

Kotero, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera apa?

Chabwino, ndikuganiza kuti tsopano mwamvetsa bwino za mediastinoscopy yomwe takambirana lero.

Kumbukirani, nthawi zambiri iyi ndi mayeso otetezeka. Dokotala adzalamula izi kuti amvetse bwino za vuto lanu ndikukupatsani chithandizo chabwino kwambiri chomwe mukufuna.

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi izi, musaope kulankhula ndi dokotala wanu. Adzakufotokozerani zonse. Chofunika kwambiri ndikutsatira malangizo a dokotalayo molondola. Kenako zonse zidzayenda bwino. Ndikufunirani kuti muchire mwachangu!

` Mediastinoscopy, Kuwunika mapapo, Opaleshoni pachifuwa, Lymph nodes, Kuzindikira khansa, Matenda opuma