Aliyense amachita mantha pang'ono akamva za opaleshoni m'malo monga pakhosi, kumbuyo kwa pakamwa, kapena pansi pa lilime, sichoncho? Koma tsopano ukadaulo wapita patsogolo kwambiri. Pali njira yochitira opaleshoni yamtunduwu mkamwa, popanda kudula khosi ndi nsagwada monga kale. Njira yatsopanoyi, yomwe imachitika mothandizidwa ndi loboti, imatchedwa TORS, yomwe imatanthauza Transoral Robotic Surgery. Lero, tikambirana izi mwachidule.
Mwachidule, kodi TORS ndi chiyani?
TORS ndi njira yomwe dokotala wa opaleshoni amagwiritsa ntchito kompyuta kuti azilamulira manja a robotic. Tangoganizirani kuti kamera kakang'ono ndi zida zochitira opaleshoni zayikidwa kudzera pakamwa panu ndikutsika pakhosi panu. Dokotalayo amalamulira manja a robotic kuchokera pa console ya kompyuta pamene akuyang'ana mawonekedwe omveka bwino a 3D kuchokera pa kamera.
Manja a roboti awa ali ngati kutambasula manja a dokotala. Koma adapangidwa kuti akhale ofewa, okhazikika, komanso osinthasintha kuposa dzanja la munthu. Izi zimawathandiza kuchotsa zotupa za khansa mkati mwa pakamwa, monga zomwe zili pakhosi ndi pansi pa lilime, zomwe nthawi zambiri zimakhala zovuta kuzifikira, popanda kudula ming'alu kunja. Ukadaulo womwe umagwiritsidwa ntchito kwambiri pa izi ndi ``da Vinci® Surgical System``.
Kale, kuti muchotse chotupa pamalo awa, munkayenera kuchita opaleshoni ya mandibulotomy (njira yopangira opaleshoni yomwe imaphatikizapo kudula fupa la nsagwada yapansi). Unali opaleshoni yovuta kwambiri yomwe inkatenga maola 10-12 ndipo inkatenga nthawi yayitali kuti ichiritse. Chifukwa cha TORS, njira yovutayi tsopano yatha kwambiri.
Ndi matenda ati omwe amachiritsidwa ndi opaleshoni ya TORS?
Ngakhale opaleshoni ya TORS imagwiritsidwa ntchito makamaka pa khansa ya mutu ndi khosi, tsopano imagwiritsidwa ntchito kwambiri pa matenda omwe si khansa.
| Mtundu wa matenda | Zitsanzo ndi mafotokozedwe |
|---|---|
| Khansa za Mutu ndi Khosi | |
| Khansa ya m'kamwa | Khansa zomwe zimapezeka kumbuyo kwa pakhosi, makamaka pansi pa lilime kapena m'ma tonsils. Khansa zokhudzana ndi kachilombo ka HPV ndizofala pakati pa izi. |
| Khansa ya hypopharyngeal | Khansa zomwe zimapezeka pansi pa mmero, pansi pa kholingo. |
| Khansa ya m'phuno | Khansa yomwe imapezeka mu kholingo (bokosi la mawu), lomwe limapanga mawu anu. |
| Matenda Osakhala Khansa | |
| Zotupa ndi ma glands osakhala khansa | Zotupa zosavulaza komanso ziphuphu zodzaza ndi madzi mkamwa. |
| Kulephera kugona mokwanira | Monga chithandizo cha vuto lomwe kupuma kumakhala kovuta chifukwa cha kutsekeka kwa njira yopumira mpweya panthawi yogona. |
| Matenda a tonsillitis a chilankhulo | Kutupa ndi matenda a ma tonsils omwe ali pansi pa lilime. |
Ndani woyenera opaleshoni iyi?
Opaleshoni ya TORS si ya aliyense. Dokotala wanu adzasankha ngati ndinu woyenera opaleshoniyi. Adzaganizira zinthu zambiri, kuphatikizapo thanzi lanu lonse, kapangidwe ka mutu ndi khosi lanu, komanso kukula kwa khansa .
Opaleshoni iyi nthawi zambiri siilimbikitsidwa kwa anthu omwe ali ndi matenda awa:
- Ngati khansa yafalikira kwambiri moti singachotsedwe ndi opaleshoni.
- Ngati mankhwala oletsa ululu ndi oopsa chifukwa cha kupuma movutikira.
- Ngati n'kovuta kuyika zida chifukwa cha pakamwa panu kukhala kakang'ono kwambiri kapena pazifukwa zina.
- Ngati pali chiopsezo chotaya magazi ambiri panthawi ya opaleshoni.
Dokotala amene akukufufuzani adzakulangizani ma TOR ngati ali ndi chidaliro kuti ndi mankhwala otetezeka komanso ogwira mtima kwambiri kwa inu, ataganizira zonsezi.
Momwe opaleshoni imachitikira komanso nthawi yochira
Kukonzekera musanachite opaleshoni
Dokotala wanu adzayitanitsa mayeso monga ma scan kuti akonze opaleshoni yanu. Mungafunikenso kuonana ndi katswiri wa matenda olankhula kuti akuthandizeni kuthana ndi mavuto omeza pambuyo pa opaleshoni. Dokotala wanu adzakupatsaninso malangizo okhudza kusadya kapena kumwa pambuyo pa pakati pausiku usiku woti opaleshoni ichitike komanso kusiya mankhwala ena, monga mankhwala ochepetsa magazi.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Opaleshoniyo imachitika pamene mukugonedwa mokwanira (mutagona). Kuti musamve kupweteka kulikonse. Dokotala adzaika kamera ya robotic ndi zida mkamwa mwanu ndikuwonera pa kompyuta kuti achotse khansayo kwathunthu. Nthawi zina, kudula pang'ono kungapangidwe pakhosi kuti aone ngati khansayo yafalikira ku ma lymph node m'khosi ndipo "kudula khosi" kungachitike kuti achotse ma lymph node ena .
Opaleshoni yokha imatenga pafupifupi maola 1.5 - 2, ndipo njira yonseyi ingatenge pafupifupi maola 4-5.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Uwu ndi umodzi mwa ubwino waukulu wa TORS. Nthawi zambiri mukhoza kupita kunyumba patatha masiku awiri kapena atatu kuchipatala. Mutha kuyambiranso ntchito zanu zachizolowezi mkati mwa milungu ingapo.
- Pakhoza kukhala kupweteka pakhosi ndi vuto lomeza kwa milungu iwiri kapena itatu mutachita opaleshoni.
- Panthawiyi, mungafunike kupatsidwa zakudya zomwe mukufunikira, ndipo mungafunike kuikidwa chubu chodyetsera cha kanthawi kudzera m'mphuno mwanu.
- Kuchira kumakhala kosiyana kwa aliyense, choncho ndikofunikira kumvetsera thupi lanu ndikutenga nthawi yanu kuti muchire.
Kodi ubwino waukulu wa opaleshoni ya TORS ndi uti?
Pali ubwino wambiri wa TORS poyerekeza ndi opaleshoni yachikhalidwe yotseguka.
- Kulondola kwambiri: Popeza mkono wa roboti ndi wofewa kwambiri, umatha kuchotsa maselo a khansa okha mwaluso kwambiri, kuchepetsa kuwonongeka kwa minofu yathanzi yozungulira.
- Kuchira mwachangu komanso kukhala kuchipatala kwa nthawi yochepa: Ngakhale kuti kale munkakhala m'chipatala kwa milungu 1-2, tsopano mutha kupita kunyumba m'masiku 2-3.
- Palibe zipsera zooneka: Popeza opaleshoniyi imachitika mkamwa monse, palibe zipsera zazikulu pakhosi kapena pankhope.
- Zotsatirapo zake zichepa: Chiwopsezo cha kutuluka magazi ambiri, mavuto a nthawi yayitali polankhula ndi kumeza n'chochepa kwambiri.
- Kuchepa kwa kufunikira kwa chithandizo china: Izi zitha kuchepetsa kapena kuthetseratu kuchuluka kwa mankhwala a radiation kapena chemotherapy omwe amafunikira pambuyo pa opaleshoni.
Zoopsa ndi nthawi yoti mukaonane ndi dokotala
Monga momwe zimakhalira ndi opaleshoni iliyonse, ma TOR ali ndi zoopsa zina. Komabe, izi ndizochepa kwambiri poyerekeza ndi opaleshoni yotseguka. Pali zoopsa zina, monga kutuluka magazi kwambiri (kutuluka magazi), kutulutsa chakudya kapena madzi m'mapapo, komanso kupuma movutikira. Zoopsazi zimachepetsedwanso ndi dokotala wodziwa bwino ntchito.
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni yanu, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Zizindikiro za matenda monga malungo.
- Zizindikiro za kutaya madzi m'thupi monga mkamwa wouma ndi mkodzo wakuda.
- Kutuluka magazi kuchokera pamalo ochitira opaleshoni.
- Kuvuta kwambiri kupuma kapena kumeza.
- Kusanza ndi kusanza.
- Kutupa kosazolowereka.
Uthenga Wopita Nawo Kunyumba
- TORS ndi njira yamakono yochitira opaleshoni ya robotic yomwe imagwiritsidwa ntchito pochotsa khansa kumbuyo kwa pakhosi ndi pakamwa.
- Ili ndi ubwino wambiri kuposa opaleshoni yachikhalidwe, kuphatikizapo kuchira msanga, kupweteka kochepa, komanso kusakhala ndi zipsera zakunja.
- Dokotala wanu adzaona ngati opaleshoniyi ndi yoyenera kwa inu atatha kufufuza matenda anu ndi thanzi lanu.
- Ngakhale kuti nthawi yochira ndi yochepa, ndikofunikira kwambiri kutsatira malangizo a dokotala molondola ndikufotokozera zizindikiro zilizonse zachilendo nthawi yomweyo.
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