Mphumu ndi matenda omwe amavutitsa kwambiri ndipo amasokoneza moyo watsiku ndi tsiku, omwe amadwala matendawa okha ndi omwe amadziwa. Kupuma movutikira, kumva ngati chifuwa chawo chachepa, osatha kupita kulikonse popanda chopumira chawo... Zinthu ngati izi zimapangitsa kuti zikhale zovuta kuchita ntchito zawo zatsiku ndi tsiku moyenera, sichoncho? Izi zimakhala zovuta kwambiri kwa iwo omwe sangathe kulamulira mphumu yawo ngakhale atagwiritsa ntchito mankhwala omwe dokotala wawapatsa komanso chopumira chawo moyenera. Chifukwa chake, lero tikambirana za njira yapadera, yamakono yochiritsira yomwe ingathandize anthu omwe ali ndi mphumu yoopsa chonchi. Imeneyo ndi Bronchial Thermoplasty .
Mwachidule, kodi Bronchial Thermoplasty ndi chiyani?
Chabwino, tiyeni tinene izi mwachidule. Tangoganizani kuti pali minofu yaying'ono yozungulira payipi ya mpweya (timaitcha kuti trachea) mkati mwa mapapo anu. Mwa munthu yemwe ali ndi mphumu, minofu iyi imachepa mosafunikira, ndiko kuti, imalimba. Kenako payipi ya mpweya imakhala yopapatiza. Monga momwe mukamakanikiza payipi yamadzi, imakhala yovuta kuyenda, pamene bronchi imakhala yopapatiza, imakhala yovuta kupuma. Tikakhala ndi mphumu, ndicho chimatipangitsa kupuma movutikira ndipo chifuwa chathu chimalimba.
Bronchial Thermoplasty ndi njira yochizira yomwe imagwiritsa ntchito kutentha koyenera ku minofu yolimba komanso yokhuthala iyi, zomwe zimathandiza kuimasula. Kunena zoona, izi nthawi zambiri zimachitika ndi katswiri wa mapapu. Iye amagwiritsa ntchito chubu chopyapyala kuti alowe m'njira zanu zopumira ndikuyika kutentha ku minofu. Minofu iyi ikamasuka, singathe kufinya mwamphamvu monga kale. Izi zimatsegula njira zopumira, zomwe zimapangitsa kuti kupuma kukhale kosavuta.
Chofunika ndichakuti iyi si njira yothetsera mphumu. Komabe, ingachepetse kwambiri kuopsa kwa zizindikiro za mphumu komanso kuchuluka kwa matenda a mphumu.
Kodi chithandizochi n'choyenera kwa ndani?
Iyi si njira yochizira matenda a mphumu kwa odwala onse. Kupopera kwa bronchial nthawi zambiri kumalimbikitsidwa kwa anthu omwe ali ndi mphumu yayikulu omwe sangathe kuyiletsa ndi mankhwala wamba.
Tiyeni tiwone tanthauzo la "mphumu yoopsa" motere.
| Udindo | Kufotokozera kosavuta |
|---|---|
| Sizimayang'aniridwa ndi mankhwala wamba | Ngati zizindikiro zanu za mphumu (kupuma movutikira, chifuwa, kutsekeka pachifuwa) zikupitirirabe ngakhale mutagwiritsa ntchito mankhwala opumira omwe mwapatsidwa, mankhwala akumwa, kapena jakisoni wapadera (biologics). |
| Zotsatira pa moyo wabwino | Ngati mphumu yanu ikusokoneza zochita zanu za tsiku ndi tsiku, kugona, ntchito, ndi kuchita masewera olimbitsa thupi nthawi zonse. |
| Kuukira pafupipafupi kwa mphumu | Ngati mumakumana ndi matenda a mphumu pafupipafupi komanso mukuvutika kupuma kuposa masiku onse. |
| Kuyenera kugonekedwa m'chipatala | Ngati mphumu yanu yakula kwambiri, zomwe zikutanthauza kuti mukuvutika kupuma ndipo muyenera kupita kuchipatala kuti mukalandire chithandizo. |
Ngati muli ndi vuto lofananalo, mutha kukambirana ndi dokotala wanu za chithandizo cha Bronchial Thermoplasty ndikusankha ngati chili choyenera kwa inu.
Kodi mumakonzekera bwanji musanalandire chithandizo?
Mukasankha kulandira chithandizochi ndi dokotala wanu, pamafunika kukonzekera pasadakhale. Dokotala nthawi zambiri amakupatsani malangizo monga awa:
- Mudzapemphedwa kuti musadye kapena kumwa chilichonse kwa maola osachepera asanu ndi atatu musanalandire chithandizo.
- Mudzapemphedwa kumwa mapiritsi a steroid (monga prednisolone) kwa masiku awiri kapena atatu musanalandire chithandizo. Izi ndi zoletsa kutupa ndi zizindikiro zomwe zingachitike mutalandira chithandizo.
- Popeza chithandizochi chimachitika pansi pa mankhwala oletsa ululu, simudzatha kuyendetsa galimoto mukatha chithandizocho. Chifukwa chake, mudzapemphedwa kuti mukonze zoti wina akutengereni kunyumba pasadakhale .
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Zimene zimachitika tsiku la chithandizochi zimachitika mwadongosolo kwambiri.
1. Choyamba, mudzapatsidwa mankhwala oletsa ululu kudzera m'mitsempha kuti musamve kupweteka kapena kusasangalala. Chifukwa chake, mudzakhala mukugona nthawi yonse ya chithandizo.
2. Kenako, dokotalayo amagwiritsa ntchito bronchoscope.Chimodzi, chubu chopyapyala, chosinthasintha chokhala ndi kamera yolumikizidwa, chimadutsa pakamwa panu kupita ku njira zopumira za mapapo anu.
3. Chipangizo china chapadera chimayikidwa kudzera mu chubu ichi ndipo chimapereka kutentha kolamulidwa (`radiofrequency energy`) kumadera omwe minofu yokhuthala ili. Kutentha kumeneku kumapangitsa minofu kupyapyala.
4. Dokotala akamaliza kuchiza madera onse ofunikira, amachotsa mosamala bronchoscope.
Njira yonseyi nthawi zambiri imatenga pakati pa mphindi 45 ndi ola limodzi .
Pambuyo pa chithandizo ndi njira yonse yothandizira
Pambuyo pa chithandizo, madokotala ndi anamwino adzakuyang'anirani kwa maola angapo mpaka mutadzuka kuchokera ku opaleshoni yoletsa kupweteka. Ngati zizindikiro zanu za mphumu zikuipiraipira kapena mukukumana ndi zotsatira zina zoyipa, mungafunike kukhala m'chipatala usiku womwewo.
Chofunika kwambiri ndichakuti chithandizochi chisachitike nthawi imodzi. Kuti muchiritse madera onse a mapapo, muyenera kupita ku magawo atatu a chithandizo .
- Gawo la pansi la mapapo akumanja limachiritsidwa nthawi imodzi.
- Mu gawo lina, gawo la pansi la phapo lamanzere lidzachiritsidwa.
- Mu gawo lachitatu, mbali zakumtunda za mapapo onse awiri zimachiritsidwa.
Pali kusiyana kwa milungu itatu pakati pa magawo awa.
Kodi ubwino, zoopsa, ndi zotsatirapo zake ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, Bronchial Thermoplasty ili ndi ubwino wake komanso zoopsa zina ndi zotsatirapo zake. Ndikofunikira kumvetsetsa bwino izi.
| Ubwino | Zoopsa ndi Zotsatirapo |
|---|---|
| Kuchepetsa kuopsa ndi kuchuluka kwa zizindikiro za mphumu. | Kuwonjezeka kwakanthawi kwa zizindikiro (chifuwa, kupuma movutikira, kupweteka pachifuwa) kwa masiku angapo mutalandira chithandizo (nthawi zambiri izi zimatha mkati mwa sabata imodzi). |
| Kuchepa kwa matenda a mphumu. | Chiopsezo chochepa chogonekedwa m'chipatala chifukwa cha zizindikiro zoopsa. |
| Kukweza moyo wabwino. | Kuopsa kwa matenda m'mapapo. |
| Kafukufuku wasonyeza kuti zotsatira zabwino zimakhalapo kwa zaka zosachepera 10. | Kawirikawiri, pamakhala chiopsezo cha matenda monga kugwa kwa gawo la mapapo (`atelectasis`) kapena kukulirakulira kwa njira zopumira (`bronchiectasis`). |
Nthawi yoti mukaonane ndi dokotala ndikupita kuchipatala nthawi yomweyo
Pambuyo pa chithandizo, ndikofunikira kudziwa kusiyana pakati pa kusasangalala kwabwinobwino, komwe kumayembekezeredwa ndi matenda akuluakulu omwe amafunikira chisamaliro chachangu.
| Zochitika zofunika kuziganizira | |
|---|---|
| Lankhulani ndi dokotala wanu: | |
| Kambiranani za mafunso kapena nkhawa zomwe mungakhale nazo musanayambe kapena mutalandira chithandizo. Mwachitsanzo, "Dokotala, ndili ndi chifuwa pang'ono, kodi ndi zachilendo?" | |
| Pitani ku Dipatimenti Yoona Zadzidzidzi (ETU) yapafupi nthawi yomweyo: | |
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Mphumu ikhoza kukhala vuto lomwe lingawononge moyo wanu. Makamaka ngati mphumu yanu imayamba mobwerezabwereza, mungaphonye zina mwa zinthu zosangalatsa kwambiri m'moyo. Bronchial Thermoplasty si njira imodzi yokha yothetsera vutoli. Komabe, ngati mukuona kuti mphumu yanu ikukhudza kwambiri moyo wanu, ngakhale mutamwa mankhwala omwe mwapatsidwa, ndi bwino kulankhula ndi dokotala wanu kuti mukambirane ngati chithandizochi kapena njira zina zochiritsira zili zoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- Bronchial Thermoplasty ndi njira yapadera yothandizira mphumu yovuta yomwe singathetsedwe ndi mankhwala achikhalidwe.
- Izi zimatenthetsa minofu yokhuthala yozungulira njira zopumira mpweya ndipo zimapangitsa kuti ikhale yopyapyala, zomwe zimapangitsa kuti kupuma kukhale kosavuta.
- Izi sizichitika mu gawo limodzi, koma zimakhala ndi magawo atatu a chithandizo omwe amakhala otalikirana kwa milungu itatu.
- Ngakhale kuti iyi si njira yochiritsira mphumu, ingachepetse kwambiri zizindikiro ndi kuukira kwa mphumu.
- Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zina ndi zotsatirapo zake kwakanthawi.
- Muyenera kukambirana za chithandizochi ndi dokotala wa mapapo kapena dokotala wanu kuti mudziwe ngati chili choyenera kwa inu.
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