Dokotala akakuuzani inu kapena munthu amene mumamudziwa kuti muyenera kuchitidwa "opaleshoni ya pachifuwa," ndi zachilendo kumva mantha pang'ono. Lingaliro la "opaleshoni yayikulu yomwe idzachotsa pachifuwa" ndilo limabwera m'maganizo mwanga. Koma masiku ano, sayansi ya zamankhwala yapita patsogolo kwambiri. Ndicho chifukwa chake tsopano pali njira ya "opaleshoni ya keyhole" yochizira matenda ambiri pachifuwa, yomwe imachitika kudzera m'mabowo ang'onoang'ono popanda kudula kwakukulu. Ndicho chimene timatcha VATS.
Kodi VATS kwenikweni ndi chiyani?
VATS imayimira Video-Assisted Thoracic Surgery . Mwachidule, ndi opaleshoni yomwe imachitidwa mkati mwa chifuwa pogwiritsa ntchito kamera ya kanema. "Thoracic" imatanthauza gawo la chifuwa pakati pa khosi ndi m'mimba mwathu. Malo awa ndi komwe ziwalo zambiri zofunika monga mtima, mapapo, ndi mmero zimapezeka.
Tangoganizirani... Mu opaleshoni iyi, m'malo mopanga chotupa chachikulu pachifuwa panu, dokotalayo amadula pang'ono kwambiri pakati pa nthiti zanu ziwiri ndikuyika chubu chopyapyala chokhala ndi kamera kakang'ono (komwe timatcha thoracoscope ) kudzera mu iyo. Zithunzi kuchokera ku kamera iyi zimawonetsedwa pa sikirini yayikulu (monitor). Kenako, chotupa chimodzi kapena ziwiri zazing'ono zimapangidwa ndipo zida zofewa zofunika pa opaleshoniyo zimayikidwa kudzera mwa iwo. Tsopano dokotalayo amatha kuyang'ana zithunzi zomwe zili pa sikiriniyo ndikuthandizira vutoli lomwe lili mkati mwa pachifuwa molondola kwambiri.
Opaleshoni iyi si yovulaza kwambiri. Izi zikutanthauza kuti kuwonongeka, zipsera, ndi ululu wa thupi ndi zochepa kwambiri poyerekeza ndi opaleshoni yachikhalidwe.
Ndi nthawi ziti pamene opaleshoni ya VATS imafunika?
VATS imagwiritsidwa ntchito makamaka pozindikira ndi kuchiza khansa ya m'mapapo ndi khansa yofalikira, komanso imagwiritsidwanso ntchito pa matenda ena ambiri.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Khansa ya M'mapapo | Kuzindikira chotupa cha khansa (biopsy) kapena kuchichotsa. |
| Khansa ya esophagus kapena thymus gland | Kuchiza khansa m'ziwalo izi. |
| Kutuluka kwa Pleural | Ngati madzi akuchulukana m'mapapo, pezani chomwe chikuyambitsa vutoli ndikuchotsa madziwo. |
| Matenda a m'mapapo monga COPD | Mu matenda a m'mapapo osatha, kuchotsa ziwalo za m'mapapo zomwe zawonongeka. |
| Kuchuluka kwa madzi m'thupi | Monga chithandizo cha thukuta lopitirira muyeso. |
| Myasthenia Gravis | Kuchotsa thymus gland mu matenda awa omwe amafooketsa minofu. |
Mitundu yayikulu ya opaleshoni ya VATS
- Kuchotsa mapapo a VATS: Izi zikuphatikizapo kuchotsa gawo la mapapo lomwe lili ndi matenda. Chidutswa chaching'ono (`wedge resection`), lobe yonse (`lobectomy`), kapena mwina mapapu onse (`pneumonectomy`) chingachotsedwe.
- Kuchotsa Esophagectomy: Kuchotsa gawo la m'mero lomwe lili ndi matenda.
- Kuchotsa thymus gland: Kuchotsa thymus gland yodwala.
- Kukongoletsa: Kuchotsa nembanemba zomwe zili ndi kachilombo kapena minofu ya zipsera zomwe zili pafupi ndi mapapo.
Kodi ndiyenera kukonzekera bwanji ndisanachite opaleshoni?
Izi ndizofunikira kwambiri. Muyenera kutsatira malangizo a dokotala wanu molondola .
- Mudzapemphedwa kusala kudya (kusiya kudya kapena kumwa) kwa maola angapo opaleshoni isanachitike.
- Mungapemphedwe kuti musiye kumwa mankhwala enaake, mavitamini, ndi mankhwala azitsamba kwakanthawi .
- Ngati ndinu wosuta fodya, muyenera kusiya .
- Kuphatikiza apo, mayeso angapo angapangidwe musanachite opaleshoni, monga:
- Kuyezetsa magazi - mwachitsanzo, kuwerengera magazi onse (CBC).
- Mayeso omwe amayesa momwe mtima umagwirira ntchito - ngati ``(EKG)``.
- Mayeso ojambulira zithunzi monga X-ray ya pachifuwa, CT scan, kapena PET scan.
- Kuyesa ntchito ya m'mapapo.
- Mayeso monga `Upper Endoscopy`.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Pali ubwino ndi zoopsa pa opaleshoni iliyonse, koma opaleshoni ya VATS ili ndi ubwino wambiri komanso zoopsa zochepa kuposa opaleshoni yachikhalidwe yotseguka (`thoracotomy`).
| Ubwino | Zoopsa |
|---|---|
| Pali nthawi yochepa yoti munthu akhale kuchipatala. | Kusakhazikika kwa kugunda kwa mtima (arrhythmias). |
| Ululu ndi zipsera zimakhala zochepa pambuyo pa opaleshoni. | Kuundana kwa magazi kapena sitiroko. |
| Kupuma kumabwerera msanga kukhala kwabwinobwino. | Pneumothorax. |
| Chiwopsezo cha matenda ndi chochepa. | Kutuluka magazi mkati kapena matenda opatsirana. |
| Mukhoza kubwerera ku zochita zanu zachizolowezi mwachangu. | Mavuto opuma monga chibayo. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Pambuyo pa opaleshoni, mudzakhala m'chipatala kwa tsiku limodzi kapena awiri. Panthawiyi:
- Mudzapatsidwa mankhwala oletsa ululu .
- Limbikitsani kuchita masewera olimbitsa thupi opumira kwambiri komanso kuyenda. Izi zichepetsa chiopsezo cha mavuto.
- Chubu cha pachifuwa chomwe chimayikidwa panthawi ya opaleshoni chidzachotsedwa musanapite kunyumba.
Nthawi yochira imadalira mtundu wa opaleshoni yomwe mudachita. Zingatenge milungu iwiri kuti muchiritse kwathunthu. Nthawi zina zimatha kutenga milungu isanu ndi itatu . Mukapita kunyumba, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu mosamala.
- Sinthani ma dressing pa mabala ngati pakufunika.
- Pewani kunyamula zolemera.
- Pewani kuyendetsa galimoto ndi kupita kuntchito mpaka nthawi yomwe yakhazikitsidwa.
- Imwani mankhwalawo monga momwe dokotala wanenera.
- Yendani osachepera katatu patsiku kuti magazi asaundane m'miyendo yanu.
Kodi ndi zizindikiro ziti zomwe zimafuna kuti muyimbire dokotala nthawi yomweyo?
Ngati mukumva zizindikiro izi mutabwerera kunyumba, muyenera kudziwitsa dokotala wanu nthawi yomweyo .
- Kupweteka kwambiri pachifuwa
- Kuvuta kupuma
- Chotupacho chimakhala chofiira, chotupa, kapena chokhala ndi kutuluka kwachikasu.
- Malungo
Kupeza matenda a khansa ndi nthawi yovuta kwa aliyense. Pa nthawi ngati iyi, mpumulo uliwonse kuchokera ku chithandizo ndi nkhani yaikulu. VATS ndi njira yamakono yomwe siipweteka kwambiri ndipo imalola kuchira mwachangu kuposa opaleshoni yotseguka. Dokotala wanu adzakufotokozerani ngati izi ndi zoyenera kwa inu. Khalani omasuka kufunsa dokotala wanu mafunso aliwonse omwe mungakhale nawo.
Uthenga Wopita Nawo Kunyumba
- VATS ndi njira ya "opaleshoni ya keyhole" yomwe imagwiritsidwa ntchito pochiza matenda a pachifuwa.
- Popeza palibe mabala akuluakulu, ululu, zipsera, ndi nthawi yochepa yomwe munthu amakhala kuchipatala siichepa.
- Njira imeneyi imagwiritsidwa ntchito pochiza matenda angapo a pachifuwa, kuphatikizapo khansa ya m'mapapo.
- Ndikofunikira kuti munthu achire mwachangu kutsatira malangizo a dokotala mosamala musanachite opaleshoni komanso mutachita opaleshoni.
- Ngati mukukumana ndi zizindikiro zachilendo (kupweteka pachifuwa, kuvutika kupuma) mutachita opaleshoni, funsani upangiri wa dokotala nthawi yomweyo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu