Kodi tiyenera kudziwa zonse zokhudza opaleshoni ya lobectomy?

Kodi inuyo kapena munthu wina amene mumamudziwa adauzidwa ndi dokotala kuti akufunika opaleshoni chifukwa cha vuto la mapapo? Ndizachilendo kumva mantha pang'ono, kufuna kudziwa zambiri, komanso kukhala ndi mafunso ambiri panthawi ngati iyi. Mwina mukudzifunsa zinthu monga, "Kodi opaleshoniyi ndi yayikulu? Kodi idzapweteka? Nchiyani chimachitika pambuyo pake?" Kotero lero tikambirana m'njira yosavuta komanso yochezeka za opaleshoni yayikulu ya mapapo yotchedwa 'lobectomy.' Tiyeni tiwone chomwe chiri, chifukwa chake chachitika, komanso zomwe muyenera kudziwa za iyo.

Kodi opaleshoni ya lobectomy ndi chiyani mwachidule?

Mwachidule, opaleshoni ya lobectomy ndi kuchotsa gawo la mapapo anu opaleshoni. Mapapo athu amapangidwa ndi ma lobes angapo, kapena ma lobes. Papu lamanja lili ndi ma lobes atatu ndipo papu lamanzere lili ndi ma lobes awiri. Opaleshoniyi imachotsa gawo lokhalo la mapapo lomwe lili ndi matenda, pomwe mbali zina zathanzi za mapapo zimasungidwa.

Opaleshoni iyi nthawi zambiri imachitika ngati chithandizo cha khansa ya m'mapapo yomwe imayamba msanga (khansa ya m'mapapo yomwe si ya maselo ang'onoang'ono). Komanso, nthawi zina dokotala angasankhe kuchotsa gawo laling'ono la lobe m'malo mwa lobe yonse. Izi zimatchedwa segmentectomy.

Kuwonjezera pa khansa ya m'mapapo, opaleshoniyi ingachitike pazifukwa zina zingapo.

Kodi opaleshoni iyi imachitidwa bwanji?

Mosiyana ndi kale, masiku ano, opaleshoniyi nthawi zambiri imachitika popanda kutsegula pachifuwa, pogwiritsa ntchito mabala ang'onoang'ono kwambiri. Timatcha izi 'njira zochepetsera kufalikira'. Pali njira ziwiri zazikulu.

1. VATS (Opaleshoni Yothandizidwa ndi Kanema ya Thoracoscopic):Izi zimaphatikizapo kudula nthiti zanu pang'ono, kuyika kamera kakang'ono ka kanema kudzera pa kamera imodzi ndi zida zina zochitira opaleshoni kudzera pa kudula zina pachifuwa panu. Dokotalayo amachita opaleshoniyo pamene akuyang'ana chithunzi chowoneka bwino cha mapapu anu pazenera lalikulu. Njirayi sikutanthauza kuswa kapena kusuntha nthiti iliyonse.

2. KOTS (Robot-Assisted Thoracoscopic Surgery): Izi zikufanana ndi VATS, koma apa dokotala wa opaleshoni amawongolera zidazo pogwiritsa ntchito manja angapo a robotic.

Komabe, nthawi zina zovuta, madokotala angafunike kuchita opaleshoni mwa kudula chifuwa chachikulu ndikusuntha nthiti pang'ono. Njira imeneyi imatchedwa thoracotomy .

Kodi mumakonzekera bwanji musanachite opaleshoni?

Opaleshoni yayikulu ngati iyi isanachitike, mayeso angapo amachitidwa kuti adziwe bwino momwe thanzi lanu lilili.

• Kuwunika thupi lonse.
• Mayeso ojambulira zithunzi monga X-ray ya pachifuwa, CT scan, kapena PET scan.
• Mayeso a ntchito ya m'mapapo kuti aone ngati pali vuto la kupuma.
• Kutenga chidutswa chaching'ono cha minofu ya m'mapapo kapena ma lymph nodes kuti akachiwone (biopsy).
• Kuyezetsa magazi.
• Mayeso monga `(ECG)` ndi `(echocardiogram)` kuti aone momwe mtima ukuyendera.

Ngati muli ndi khansa ya m'mapapo, kudziwa ngati yafalikira ku ziwalo zina za thupi (staging) ndikofunikira pokonzekera chithandizo. Komanso, ngati muli ndi mbiri ya matenda a mtima, muyenera kuonana ndi dokotala wa mtima musanachite opaleshoni. Dokotala wogonetsa anthu ogonetsa adzakufotokozerani momwe mungathanirane ndi ululu panthawi ya opaleshoni komanso mutatha opaleshoni.

Dokotala adzakudziwitsaninso pasadakhale nthawi yomwe muyenera kusiya kudya ndi kumwa usiku woti opaleshoni ichitike.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?

Pambuyo pa opaleshoni, mudzadzutsidwa ndi kutumizidwa ku chipinda chochiritsira. Pano, mudzapatsidwa mankhwala oletsa ululu wanu. Mukangozindikira bwino, chubu chopumira chidzachotsedwa. Anthu ambiri sakumbukira izi.

• Kenako mudzasamutsidwira ku chipinda cha odwala ambiri kapena nthawi zina ku chipinda cha odwala odwala kwambiri (ICU).
• Dothi limodzi kapena awiri otulutsira mpweya m'chifuwa mwanu adzaikidwa m'chifuwa mwanu kuti achotse madzi ndi mpweya wochuluka kuchokera pamalo omwe opaleshoniyo inachitikira. Madzi otuluka m'chifuwa akachepa, dokotalayo adzachotsa machubuwo.
• Ogwira ntchito zachipatala adzakulimbikitsani kuti muzitsokomola pafupipafupi komanso kuchita masewera olimbitsa thupi opumira kwambiri . Izi ndizofunikira kwambiri kuti mapapu anu achire.
• Mankhwala ochepetsa magazi ndi zipangizo zopondereza magazi zimagwiritsidwa ntchito poletsa magazi kuundana m'miyendo mukakhala pabedi.
• Kukuthandizani kuyenda tsiku lotsatira opaleshoni ndi gawo lofunika kwambiri pakuchira.

Ngati mwachitidwa opaleshoni pogwiritsa ntchito njira monga VATS kapena RATS, muyenera kukhala m'chipatala kwa masiku awiri kapena atatu okha. Kuchira kumafulumiranso. Ngati mwachitidwa opaleshoni yotsegula pachifuwa, muyenera kukhala m'chipatala kwa masiku atatu kapena anayi . Mukapita kunyumba, mudzapatsidwa mankhwala amphamvu ochepetsa ululu kuti mugwiritse ntchito kwa pafupifupi sabata imodzi. Ngakhale kuti mutha kuchita ntchito yanu kunyumba, ndibwino kukhala ndi munthu wapafupi kuti akuthandizeni.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Ubwino waukulu wa opaleshoniyi ndikuti imapereka mwayi wabwino kwambiri wochira kwathunthu kwa munthu amene ali ndi khansa ya m'mapapo yomwe ili mu gawo loyambirira . Ndi chiyembekezo chabwino kwambiri. Ndipo monga maopaleshoni onse, pali zoopsa zina zomwe zingachitike.

Kodi mukufuna kukaonananso ndi dokotala liti?

Mukabwerera kunyumba, ngati mukumva zizindikiro za matenda monga kutentha thupi, kuzizira, ndi kutopa kwambiri , muyenera kuyimbira dokotala nthawi yomweyo.

Dokotala wanu adzakonza zoti mudzabwerenso kwa dokotala wanu patatha milungu imodzi kapena itatu mutachita opaleshoni yanu. Adzakujambulani X-ray pachifuwa chanu, adzayang'ana mabala anu, ndikukambirana za momwe mwapitira patsogolo. Kutengera ndi gawo la khansa yanu, mutha kutumizidwa kwa dokotala wa khansa . Matenda anu adzayang'aniridwa ndi CT scans nthawi ndi nthawi pazaka zisanu zikubwerazi.