Iwe kana mumwe munhu waunoziva akamboudzwa nachiremba kuti chikamu chemapapu ako chinofanira kubviswa here? Zvakajairika kunzwa kutya kukuru uye kuzvidya mwoyo paunonzwa mazwi iwayo. "Vari kubvisa chidimbu chemapapu angu here? Ndichakwanisa kufema here mushure meizvozvo? Izvi zvine njodzi here?" Pamwe une mibvunzo yakawanda yakaita seiyi mupfungwa dzako. Usazvidya mwoyo. Nhasi, tichataura nezvekuvhiyiwa uku, kunonzi lobectomy, nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi lobectomy?
Kuvhiyiwa kwe lobectomy kubvisa chikamu chemapapu ako, kana kuti "lobe," kuvhiyiwa. Waizviziva here kuti mapapu edu ekurudyi ane mativi matatu uye mapapu edu ekuruboshwe ane maviri? Kuvhiyiwa uku kunobvisa chidimbu chine chirwere chete, zvichiita kuti chidimbu chine hutano chisaparare.
Kuvhiyiwa uku kunowanzoitwa sekurapa kenza yemapapu iri padanho rekutanga. Inzira inoshanda zvikuru yekurapa, kunyanya kenza yemapapu isiri masero madiki . Dzimwe nguva, chiremba anogona kusarudza kubvisa chikamu chimwe chete chechikamu. Izvi zvinonzi segmentectomy .
| Zvikonzero zvikuru zvekuvhiyiwa lobectomy | |
|---|---|
| Matambudziko egomarara | Kubvisa kenza yemapapu (kunyanya padanho rekutanga), bundu rekenza yemapapu, uye bundu rakapararira kumapapu richibva kune dzimwe nhengo dzemuviri. |
| Utachiona uye kukuvara | Kudzosera shure kukuvara kusingadzoreki kumapapu kunokonzerwa nezvinhu zvakaita sehutachiona hwakakomba (semuenzaniso TB) kana kurapwa nemwaranzi. |
| Matambudziko kubva pakuzvarwa | Kugadzirisa zvimwe zvikanganiso zvinoitika panguva yekuumbwa kwemapapu pakuzvarwa. |
| Kubuda ropa | Kana paine kubuda ropa kusingadzoreki nekuda kwekukuvadzwa kwemapapu, chikamu ichocho chingada kubviswa. |
Ndedzipi nzira dzekuvhiya?
Kare, rudzi urwu rwekuvhiya rwaiitwa nekucheka chipfuva nekubvisa mbabvu. Izvi zvinonzi thoracotomy . Asi ikozvino, nekuda kwekufambira mberi kwetekinoroji, kuvhiya kwakawanda kunoitwa nenzira dzisinganyanyi kupindira . Zvichitaurwa zviri nyore, kuvhiya uku kunoitwa nepaburi diki shoma, pasina kucheka kukuru.
- VATS (Video-Assisted Thoracoscopic Surgery): Izvi zvinosanganisira kucheka zvidimbu zvidiki padivi pechipfuva, kuisa kamera diki kuburikidza neimwe, uye kuisa zvishandiso zvekuvhiya kuburikidza nemamwe macheka. Chiremba anoita kuvhiya uku achitarisa mukati memapapu pachidzitiro chikuru. Nzira iyi haidi kutyora kana kufambisa mbabvu.
- Makonzo (Robot-Assisted Thoracoscopic Surgery): Izvi zvakafanana zvikuru neVATS. Zvisinei, pano chiremba anovhiya anodzora zvishandiso achishandisa system yemaoko erobhoti. Izvi zvinoita kuti kuvhiya kuitwe zvinyoro nyoro uye nemazvo.
Nzira itsva idzi dzinoita kuti kurwadziwa kushoma mushure mekuvhiyiwa, kupora nekukurumidza, uye kugara muchipatara kwenguva pfupi.
Tinogadzirira sei kuvhiyiwa uku?
Sezvo uku kuri kuvhiyiwa kukuru, bvunzo dzinoverengeka dzichaitwa nguva isati yasvika kuti muviri wako uzive kuti wakagadzirira sei. Usavhunduke mushure mekuona izvi. Izvi zvese ndezvekuchengetedza kwako.
| Bvunzo riri kuitwa | Chii chaunoona ipapo? |
|---|---|
| Kuongororwa kwemuviri | Chiremba achanzwisisa zvizere mamiriro ehutano hwako. |
| Kuskena Mifananidzo | Kuongororwa kwemapfupa epachipfuva, kuongororwa kweCT, uye kuongororwa kwePET zvinoshandiswa kuona nzvimbo chaiyo uye kukura kwedambudziko remapapu. |
| Miedzo yeMashandiro ePulmonary | Vachayera kuti mapapu ako ari kushanda zvakanaka sei uye kana uchizokwanisa kufema zvakanaka nechikamu chasara mushure mekuvhiyiwa. |
| Miedzo yeMwoyo | Miedzo yakaita seECG (electrocardiogram) uye echocardiogram ichaitwa kuti ione kana mwoyo wako uchikwanisa kutsungirira kuvhiyiwa kukuru kwakadaro. |
| Kuongororwa kwemuviri | Dzimwe nguva, vasati vavhiyiwa, sampuli diki yebundu remapapu kana ma lymph nodes ari pedyo inotorwa kuti iongororwe kana iri kenza kana kuti kwete. |
Pamusoro pebvunzo idzi, muchaonawo chiremba wemwoyo neanotindivadza. Chiremba anotindivadza achatsanangura mushonga weanotindivadza wauchapihwa panguva yekuvhiyiwa uye maitiro ekugadzirisa marwadzo mushure mekuvhiyiwa.
Chinonyanya kukosha: Kana uri munhu anoputa fodya, zvakakosha kurega nekukurumidza usati wavhiyiwa. Kurega kuputa fodya kunoderedza zvikuru njodzi yematambudziko mushure mekuvhiyiwa.
Chiremba achakuudzawo nguva chaiyo yaunofanira kurega kudya nekunwa husiku husati hwasvika hwekuvhiyiwa.
Chii chinoitika panguva yekuvhiyiwa?
Haufanire kunetseka nezvazvo zvachose. Uchapihwa mushonga wekutindivadza usati watanga kuvhiyiwa, saka uchange wakarara zvachose. Hauzonzwi kurwadziwa.
1. Chubhu inoiswa pahuro pako yobatanidzwa nemuchina (ventilator) kuti ikubatsire kufema.
2. Chubhu yemutsinga ichaiswa mutsinga iri muruoko rwako uye mushonga unodiwa uchapihwa kuburikidza nayo.
3. Chiremba anozotanga kuvhiya nekucheka chipfuva achishandisa nzira yeVATS, MAPFUPA, kana Thoracotomy yakambotaurwa nezvayo.
4. Mitsipa yeropa nemapazi ebronchial anotungamira kuchikamu chemapapu chakabatwa anoparadzaniswa nokungwarira uye chikamu chacho chinobviswa zvachose. Zvisinei, mitsipa yeropa nemapazi ebronchial anotungamira kune zvimwe zvikamu zvine hutano hazvina kukuvara.
5. Chikamu chakabviswa chinoiswa mubhegi rakakosha uye chinoburitswa mumuviri.
6. Kana iri kenza, mamwe matishu akaipoteredza achabviswa. Mamwe ma lymph nodes ari muchipfuva achabviswawo oendeswa kunoongororwa kuti aone kana kenza yacho yapararira.
7. Kana zvese zvapera, nyatsoongorora nzvimbo dzinobuda ropa wogeza zvakanaka wochenesa mukati mechipfuva.
8. Pakupedzisira, maburi anovharwa nemasitichi kana mastaple.
Kuvhiyiwa kwese kunowanzotora maawa maviri, asi izvi zvinogona kusiyana zvichienderana nekuoma kwekushanda kwekuvhiyiwa.
Chii chinoitika mushure mekuvhiyiwa? Ungarapwa sei muchipatara
Mushure mekuvhiyiwa, muchamutswa moendeswa kuchipatara, kwamuchapihwa mishonga yekudzora marwadzo enyu.
- Kana wangoziva zvizere, chubhu yekufema inobviswa. Vanhu vazhinji havatomboyeuki izvi.
- Zvadaro uchaendeswa kuchipatara kana kuti kuchipatara chevarwere vane chirwere chakanyanya (ICU).
- Uchaiswa chubhu imwe kana mbiri (chest drains) muchipfuva chako. Izvi zvinoburitsa mvura nemhepo yakawandisa zvinoungana pamapapu ako. Zvichabviswa mumazuva mashoma anotevera.
- Kurovedza muviri nekukosora nekufema: Vanamukoti vachakukurudzira kuti ugare uchikosora uye ufeme zvakadzika. Kunyangwe izvi zvingarwadza zvishoma, zvakakosha kuti mapapu ako arambe akasimba uye kudzivirira hutachiona.
- Kuti ropa risagwambe mumakumbo ako paunenge uri pamubhedha, unogona kutora mishonga inodzikisa ropa uye kupfeka michina yekudzvanya makumbo yako.
- Kubva pazuva rakatevera kuvhiyiwa, ndaifanira kutanga kufamba zvishoma nezvishoma ndichibatsirwa nevanamukoti.
Ngatiziveiwo nezvezvakanakira nenjodzi.
Sekunge kune chero kuvhiyiwa kupi zvako, kune zvakanakira pamwe nenjodzi.
Chakanakira chikuru:
Kune kenza yemapapu iri padanho rekutanga, kuvhiyiwa uku ndiko mukana wakanakisa wekupora zvakakwana .
Njodzi Dzingangoitika (Matambudziko):
Izvi hazviitiki kune wese munhu, asi zvakakosha kuti uzvizive.
- Atrial fibrillation - Iri ndiro dambudziko rinowanzoitika.
- Kubuda ropa zvakanyanya.
- Mhepo inobuda mumapapu iyo inogara kwemazuva akati wandei.
- Kugwamba kweropa mumakumbo.
- Utachiona hwepachipfuva.
- Zvirwere zvetsinga (semuenzaniso, kushanduka kwezwi).
- Kutadza kufema zvakanaka panguva yekurovedza muviri.
Nzira yakanakisisa yekuderedza njodzi idzi ndeyekusarudza chipatara chine vanachiremba vane ruzivo vanoita maoparesheni akadai kakawanda. Kana uine chero zvinokunetsa nezvenjodzi idzi, taura nachiremba wako nezvazvo pachena usati wavhiyiwa.
Nzira yekupora nekukurumidza sei mushure mekudzoka kumba?
Kana wakambovhiyiwa uchishandisa nzira yemazuva ano yakaita seVATS kana RATS, unokwanisa kudzokera kumba kubva kuchipatara mumazuva maviri kusvika matatu . Marwadzo acho akaderera, saka nguva yekupora inokurumidza. Unogona kudzokera kubasa rakareruka, sekushanda muhofisi, mushure memavhiki maviri. Kana uine basa rinoda kusimudza zvinhu zvinorema, uchafanira kuzorora kwemavhiki mana.
Kana ukavhiyiwa pachena (thoracotomy), waizofanira kugara muchipatara kwemazuva matatu kusvika mana , uye zvaizotora nguva yakati rebei kuti upore.
Mushure mekudzokera kumba:
- Uchapihwa mishonga inonyaradza marwadzo yakasimba kweinenge vhiki.
- Zvingave zvakanaka kana mumwe munhu aripo kuti abatsire pakutanga.
- Vamwe vanhu vangada kurapwa neoxygen vari kumba kwenguva yakati.
- Dzivisa kutyaira mota kusvika watora mishonga inoderedza marwadzo.
- Uchasangana nachiremba wako mukati mevhiki imwe kusvika nhatu mushure mekuvhiyiwa. Iye anogona kukurukura zvabuda muongororo yako, kuongorora maronda ako, uye kukupa mazano ekuti ungaenderera mberi sei.
Unofanira kutaura nachiremba rini?
Kana uine zviratidzo zvehutachiona, zvakaita sefivha, dzihwa, uye kuneta zvakanyanya, fonera chiremba wako nekukasika.
Mimwe mibvunzo mishoma yaungave nayo mupfungwa:
Uku kuvhiyiwa kukuru here?
Ehe , kubviswa kweropa (lobectomy) kuvhiyiwa kukuru nekuti mapapu ane mitsipa yeropa yakapfava uye yakakura. Saka pane njodzi.
Inguva yakareba sei yekurarama mushure mekuvhiyiwa?
Izvi zvinoenderana zvachose nedanho regomarara. Izvi zvinogona kuonekwa kubva mumushumo wezvirwere mushure mekuvhiyiwa. Kazhinji, kana ikabviswa pakutanga, mushonga wakakwana unogona kuwanikwa.
Ko kenza inogona kudzoka here?
Pane mukana. Ndosaka uchiongororwa neCT scans mwedzi mitanhatu yega yega kwemakore mashanu mushure mekuvhiyiwa. Kana kenza ikasadzoka mushure memakore mashanu, unoonekwa sewapora zvachose.
Unganzwa sekunge warambwa kana kupomerwa nenzanga kuti une kenza inokonzerwa nekusvuta. Zvakajairika kuva nemanzwiro iwayo, asi usanyanye kufunga nezvawo. Unofanira kushandisa simba rako rese kuti unzwe zviri nani nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Kubviswa kwechikamu chemapapu (lobe) kunoitwa nekubvisa chikamu chemapapu. Uyu mushonga unoshanda zvikuru wegomarara remapapu.
- Maitiro emazuva ano akadai seVATS neMAKOnzo zvino anoita kuti kurwadziwa kushoma mushure mekuvhiyiwa uye kupora nekukurumidza.
- Zvinhu zvakaita sekurega kusvuta usati wavhiyiwa zvinogona kuderedza zvikuru njodzi yematambudziko.
- Uku kuvhiyiwa kukuru, saka zvipe nguva yekupora zvizere. Usazeza kukumbira rubatsiro kubva kumhuri neshamwari.
- Kana muine mibvunzo kana zvinokunetsai nezvazvo, iva nechokwadi chekukurukura nezvazvo pachena nachiremba wenyu. Kuziva zviri mupfungwa dzenyu kuchavabatsira kuronga kurapwa kwenyu.
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