Totarisa mukati mechipfuva here? Zvese nezve Thoracoscopy zviri nyore!

Kana chiremba wako akati une dambudziko nechipfuva chako, imwe nzira yekuziva kuti chii chaizvo uye zviri kuitika mukati inonzi thoracoscopy. Pamwe wakambonzwa izwi iri kare. Ngatione kuti chii, rinoitwa sei, uye kana paine chekutya.

Chii chinonzi Thoracoscopy?

Zvichitaurwa zviri nyore, thoracoscopy ibvunzo diki rinoongorora pamusoro pemapapu ako nenzvimbo yakaapoteredza (inonzi pleural space). Vanachiremba vanoshandisa kamera yakatetepa, ine chiedza inonzi thoracoscope kuti vatarise mapapu ako. Izvi zvinogona kutarisa zvinhu zvakaita sediaphragm yako, esophagus, chipfuva, uye lymph nodes. Dzimwe nguva, chidimbu chidiki chenyama (chinonzi biopsy) chinogona kutorwa kubva panzvimbo yaunoda kuongorora.

Kazhinji, kuvhiyiwa kwethoracoscopy uku kunoitwa sechikamu chekuvhiyiwa kwethoracoscopy nevhidhiyo (VATS) . Izvi zvinobvumira vanachiremba vari mukamuri rekuvhiyira kuti vaone zviri mukati mechipfuva zvakajeka pavhidhiyo hombe. Zvakafanana nekuisa kamera nepaburi diki wotarisa mukati.

Ndezvipi mhando dze thoracoscopy?

Zvino tarisai, nzira iyi yekubvisa tumarara inoshandiswa neimwe nzira.

• Kuongorora Thoracoscopy: Dzimwe nguva chiremba wako anoshandisa izvi kuona kana paine dambudziko mukati mechipfuva chako, kana kutora chidimbu chidiki chenyama (biopsy) kuti chiongororwe. Izvi dzimwe nguva zvinonzi pleuroscopy .
• Kuvhiyiwa kweThoracoscopy yekurapa: Dzimwe nguva, nzira iyi inoshandiswa kurapa chirwere, kureva kuvhiyiwa. Izvi ndizvo zvinoshandiswa munzira yekuvhiyiwa yambotaurwa inonzi `VATS` kana `Video-Assisted Thoracoscopic Surgery`.

Thoracoscopy inoshandiswa rini?

Saka, ndedzipi nguva apo chiremba anosarudza kuita kuvhiyiwa kwe thoracoscopy kana VATS?

• Kana uchida kuziva ruzivo chairwo rwakanga rusina kuwanikwa neX-ray yechipfuva chako, CT scan, kana ultrasound.
• Kana uchida kubvisa chikamu chemukati memadziro echipfuva, chinonzi pleura.
• Bvisa zvikamu zvemapapu zvakakuvara (izvi zvinonzi `kuvhiyiwa kwekuderedza huwandu hwemapapu`).
• Bvisa mapombi emhepo ari mumapapu.
• Bvisa chikamu chegomarara chemapapu (izvi zvinonzi `kubviswa kwemapapu`).
• Bvisa mvura isina kufanira yakaungana munzvimbo yepleural yakakomberedza mapapu uye shandisa mushonga wekumisa mvura kuti isaungane zvakare (izvi zvinonzi pleurodesis).

Kuongororwa/kuvhiyiwa uku kunogona kuitwa, kunyanya kana uine kenza yemapapu kana mesothelioma. Inogona zvakare kushandiswa kurapa kenza yethymus gland uye kenza yegurokuro.

Kusiyana pakati peThoracoscopy neThoracotomy

Zvino ungave uchishamisika kuti, kunewo nzira inonzi thoracotomy, uye musiyano uripi pakati peiyo nethoracoscopy. Thoracotomy kuvhiyiwa kunosanganisira kugadzira kucheka kukuru pachipfuva. Asi thoracoscopy inzira isinganyanyi kupindira.

Zvakanakira nzira iyi ye thoracoscopy ndeizvi:

• Unogona kupora nekukurumidza.
• Marwadzo acho mashoma.
• Matambudziko mushure mekuvhiyiwa mashoma.

Zvisinei, dzimwe nguva, kana nzira chaiyo isingagone kuitwa zvakachengeteka ne thoracoscopy, chiremba angafanira kuita thoracotomy.

Ndiani anoita thoracoscopy?

Kuvhiyiwa kweTsamba iyi, kana kuti pleuroscopy, kunogona kuitwa nachiremba wemapapu . Zvisinei, nzira iyi inonzi Video-Assisted Thoracoscopy Surgery (VATS) inofanira kuitwa nachiremba wechipfuva .

Ndinofanira kugadzirira sei thoracoscopy?

Panewo nzira yaunofanira kugadzirira nayo usati waongororwa/kuvhiyiwa uku.

• Mazuva mashoma usati wavhiyiwa, chiremba wako achakuudza kuti urege kushandisa mimwe mishonga (yakadai seaspirin) inodzivirira ropa kuti risagwambe, zvichireva kuti inowedzera kubuda ropa .
• Unogonawo kukumbirwa kuti usadye kana kunwa pazuva rekuvhiyiwa.

Kuvhiyiwa kweThoracoscopic kunotora nguva yakareba sei?

Nguva inodiwa pakuvhiyiwa uku kwepachipfuva inogona kusiyana. Kazhinji inogona kutora kubva pahafu yeawa kusvika maawa akati wandei . Kana paine chimwe chinhu chakaoma kupfuura kungotora sampuli yenyama, zvinotora nguva yakareba.

Chii chinoitika panguva ye thoracoscopy?

Zvakanaka, ngationei zvinoitika panguva yekuvhiyiwa uku. Uri kuvhiyiwa kwe "Video-Assisted Thoracoscopy Surgery (VATS)", uye uri pasi peanesthesia . Izvi zvinoreva kuti haunzwi chero chinhu, wakarara. Kashoma, izvi zvinoitwa nekungorara zvishoma.

Chiremba anovhiya anotevera matanho aya:

1. Uchapihwa mushonga unonyaradza marwadzo kuburikidza nemushonga wesaline unoiswa mutsinga ('IV').

2. Pombi inoiswa pahuro pako uye muchina unodzora kufema kwako (izvi zvinoderedza mapapu ako kwenguva pfupi, zvichiita kuti kuvhiyiwa kuve nyore).

3. Muchipfuva chako, pakati pembabvu yechinomwe, yechitanhatu, neyechina,Kuchekwa kudiki kaviri kana katatu, kusingasviki hafu yeinji, kunoitwa.

4. Kuburikidza nekuchekwa kamwe chete, kamera ye thoracoscope inopinzwa munzvimbo ye pleural yakatenderedza mapapu.

5. Zvimwe zvishandiso zvidiki zvinodiwa pakuvhiyiwa zvinoiswa kuburikidza nemamwe macheko.

6. Mienzaniso inotorwa kubva munzvimbo dzinoita sedzisina kujairika, kana kuvhiyiwa kunodiwa kunoitwa.

7. Wobva wabvisa kamera nezvimwe zvese zvinoshandiswa.

8. Chubhu yechipfuva inoiswa muchipfuva chako kuti ibvise mweya mumapapu ako uye idzorere mapapu akadonha kuti adzokere pakare.

9. Kusona zvidimbu.

10. Unomutswa zvakare wobva waita kuti ukwanise kufema wega.

Chii chaungatarisira mushure mekuvhiyiwa kwe thoracoscopy?

Mushure mekuvhiyiwa, zvinotora nguva kuti upore kubva pakuvhiyiwa. Huro nemuromo wako zvinogona kunzwa sekunge zvisisina simba kwenguva yakati. Hauzobvumirwi kudya kana kunwa kusvika kusanzwa simba kwapera. Nekuda kwechubhu yekufema, inzwi rako rinogona kunge rakashoshoma uye pahuro pako panogona kunge panorwadza zuva rakatevera kuvhiyiwa. Unogonawo kurwadziwa pakagadzirwa mavanga.

Usatya, chiremba achakupa mushonga unodiwa pakurwadziwa uku.

Kana wakambotorwa masampuli enyama (biopsy) kubva kwauri, kana kuti wakabviswa mvura mumapapu ako, unenge uine chubhu yechipfuva muchipfuva chako kwezuva rimwe kana maviri. Uchaongororwawo neX-ray yechipfuva kuti uve nechokwadi chekuti hapana matambudziko mumapapu ako.

Kazhinji, mushure mekuvhiyiwa kwemhando idzi dzechifuva, unofanirwa kugara muchipatara machubhu echipfuva aripo. Asi dzimwe nguva, kana pasina chikuru chaitwa, unogona kuenda kumba mushure memaawa mashoma ekuzorora. Kana ukadaro, unofanira kuita kuti shamwari kana hama ikutore uende nayo kumba.

Thoracoscopy inorwadza here?

Iri idambudziko rinosangana nevanhu vazhinji. Hauzonzwi kurwadziwa panguva yekuvhiyiwa kwechipfuva nekuti unenge warapwa mushonga wekuti usanzwa kurwadziwa. Mushure mekuvhiyiwa, unogona kutora mishonga inoderedza marwadzo kuti ubatsire nekurwadziwa kwezvichekwa.

Zvinotora nguva yakareba sei kuti munhu apore kubva pakuvhiyiwa kwethoracoscopy?

Zvinotora mavhiki maviri kuti munhu atangezve kuita mabasa ake enguva dzose mushure mekuvhiyiwa uku. Kazhinji zvinotora mavhiki mana kusvika matanhatu kuti apore zvizere.

Thoracoscopy ine njodzi here?

Sekune chero nzira ipi zvayo yekurapa, pane njodzi diki. Huwandu hwerufu nekuda kwekurapwa kwegomarara remudumbu hunofungidzirwa kuti hwakaderera zvikuru, pa0.3%. Pakuvhiyiwa kwegomarara remudumbu nemavhidhiyo, huwandu hwacho hwakakwira zvishoma. Zvisinei, huwandu hwematambudziko ekurapwa kwegomarara remudumbu hwese huri pakati pe2% ne11% . Izvi zvinosanganisira matambudziko madiki neakakomba.

Ndezvipi njodzi dzekuwana thoracoscopy?

Ndezvipi zvinetso zvinogona kuitika kana munhu akaitwa thoracoscopy?

• Kubuda ropa.
• Utachiona mumapapu kana maronda.
• Kupindwa nechando.
• Kuungana kwemhepo munzvimbo yepleural kana pedyo nepaburi.
• Mapapu akaputsika.
• Kuungana kwemvura mumapapu.

Mhedzisiro yacho ndeipi? Inoti chii?

Mushure mekuvhiyiwa, chiremba achakuudza kana dambudziko rawakaita rakagadziriswa kana kwete. Zvakare, mushure mekunge zvabuda murabhoritari zvabuda, vachakuudza kana nyama yakabviswa ine kenza kana kuti isina njodzi. Kana uine kenza, uchakwanisawo kuziva kuti iri kupi muhurongwa hwekurapa kenza .

Zvinogona kutora mazuva akati wandei kuti rabhoritari yechipatara iongorore matishu uye ipe mishumo.

Ndinofanira kufonera chiremba rini?

Paunodzokera kumba mushure mekuvhiyiwa, unofanira kufonera chiremba wako nekukasika kana ukaona chimwe chezviratidzo izvi:

• Kutadza kufema zvakanaka.
• Kupindwa nechando.
• Kurwadziwa kwechipfuva.
• Kuzvimba kutsva muchipfuva kana mumutsipa.

Zvinhu zvinonyanya kukosha zvaunofanira kurangarira

Fungidzira kuti zvinoshamisa sei kukwanisa kuona uye dzimwe nguva kurapa matambudziko ari muchipfuva chako kuburikidza nekuchekwa kudiki diki uchishandisa nzira iyi inonzi thoracoscopy. Kana usina chokwadi nezvechimwe chinhu kana uine kusava nechokwadi, usazeza kubvunza chiremba wako. Kana uchinzwisisa zvakanaka bvunzo/kuvhiyiwa uku, kutya kwako kuchaderera zvikuru. Zvakakoshawo kutevedzera mirairo yakapihwa usati wavhiyiwa uye kutevedzera mirairo yakapihwa nachiremba wako panguva yekupora mushure mekuvhiyiwa.

Chifuva , kuvhiyiwa kwemapapu, VATS, pleuroscopy, kuongororwa kwechipfuva, kuvhiyiwa kusingapindi zvakanyanya, zvirwere zvekufema