Iwe kana mumwe munhu waunoziva akamboudzwa nachiremba kuti anoda kuvhiyiwa dambudziko remapapu here? Zvakajairika kunzwa kutya, kuda kuziva, uye kuva nemibvunzo yakawanda panguva yakaita seiyi. Ungave uchishamisika zvinhu zvakaita sekuti, "Uku kuvhiyiwa kukuru here? Kucharwadza here? Chii chinoitika mushure meizvozvo?" Saka nhasi tichataura nenzira iri nyore uye ine hushamwari nezvekuvhiyiwa kukuru kwemapapu kunonzi 'lobectomy.' Ngationei kuti chii, nei kuchiitwa, uye zvaunoda kuziva nezvazvo.
Chii chinonzi lobectomy muchidimbu?
Zvichitaurwa zviri nyore, kubviswa kwe lobectomy kubvisa chikamu chemapapu ako. Mapapu edu anoumbwa nema lobes akati wandei, kana kuti ma lobes. Bapu rekurudyi rine ma lobes matatu uye bapu rekuruboshwe rine ma lobes maviri. Kuvhiyiwa uku kunobvisa chikamu chemapapu chine chirwere chete, ukuwo kuchichengetedza zvimwe zvikamu zvemapapu zvine hutano.
Kuvhiyiwa uku kunowanzoitwa sekurapa kenza yemapapu iri padanho rekutanga (kenza yemapapu isiri diki). Zvakare, dzimwe nguva chiremba anogona kusarudza kubvisa chikamu chidiki cheganda panzvimbo peganda rese. Izvi zvinonzi segmentectomy.
Kuwedzera kune kenza yemapapu, kuvhiyiwa uku kunogona kuitwa nekuda kwezvimwe zvikonzero zvakawanda.
| Zvikonzero zvekuvhiyiwa lobectomy |
|---|
| - Mamwe matambudziko emapapu ekuzvarwa nawo. |
| - Kukuvara kwemapapu nekuda kwehutachiona kana kurapwa nemwaranzi. |
| - Gomarara rakapararira kumapapu (metastasis) richibva kune dzimwe nhengo dzemuviri. |
| - Kubuda ropa nekuda kwekukuvara kwemapapu. |
Kuvhiyiwa uku kunoitwa sei?
Kusiyana nekare, mazuva ano, kuvhiyiwa uku kunowanzoitwa pasina kuvhura chipfuva, uchishandisa maburi madiki diki. Tinoti izvi 'nzira dzisinganyanyi kukuvadza'. Kune nzira mbiri huru.
1. VATS (Vhidhiyo-Assisted Thoracoscopic Surgery):Izvi zvinosanganisira kucheka mbabvu dzako kadiki-diki, kuisa kamera diki yevhidhiyo kuburikidza neimwe uye zvishandiso zvekuvhiya kuburikidza nezvimwe zvichemo muchipfuva chako. Chiremba anovhiya uyu achitarisa mufananidzo wakajeka wemapapu ako pachiratidziro chikuru. Nzira iyi haidi kutyora kana kufambisa mbabvu.
2. MAKONZWI (Robot-Assisted Thoracoscopic Surgery): Izvi zvakafanana neVATS, asi pano chiremba anovhiya anodzora michina nerubatsiro rwemaoko akawanda erobhoti.
Chinhu chikuru chinobatsira pakurapa kwese uku ndechekuti marwadzo mashoma, kupora nekukurumidza, uye kugara kwenguva pfupi muchipatara.
Zvisinei, mune dzimwe nguva dzakaoma, vanachiremba vanogona kuvhiyiwa nekucheka chipfuva zvikuru uye kufambisa mbabvu zvishoma. Maitiro aya anonzi thoracotomy .
Unogadzirira sei usati wavhiyiwa?
Usati wavhiyiwa zvakanyanya seizvi, bvunzo dzinoverengeka dzinoitwa kuti unyatsoongorora hutano hwako.
- Kuongororwa kwemuviri kwakakwana.
- Miedzo yekufungidzira yakaita se X-ray yechipfuva, CT scan, kana PET scan.
- Kuongororwa kwebasa remapapu kuti vaone kana paine matambudziko ekufema.
- Kutora chidimbu chidiki chenyama yemapapu kana ma lymph nodes kuti chiongororwe (biopsy).
- Kuongororwa kweropa.
- Miedzo yakaita se `(ECG)` uye `(echocardiogram)` yekutarisa mashandiro emoyo.
Kana uine kenza yemapapu, kuziva kana yapararira kune dzimwe nhengo dzemuviri (staging) kwakakosha pakuronga kurapwa. Zvakare, kana uine nhoroondo yechirwere chemwoyo, ungangoda kuona chiremba wemwoyo usati wavhiyiwa. Chiremba weanotindivadza achatsanangura maitiro ekugadzirisa marwadzo panguva yekuvhiyiwa uye mushure mekuvhiyiwa.
Chinonyanya kukosha: Kana uchisvuta, zvakakosha kuti urege zvachose mavhiki mashoma usati wavhiyiwa. Kuita izvi kunogona kuderedza zvikuru njodzi yematambudziko mushure mekuvhiyiwa.
Chiremba achakuudzawo pachine nguva kuti unofanira kurega kudya nekunwa riini husiku husati hwaitwa oparesheni.
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchamutswa woendeswa kuchipatara. Pano, uchapihwa mushonga wekudzora marwadzo ako. Kana wangoziva zvizere, chubhu yekufema ichabviswa. Vanhu vazhinji havayeuki izvi.
- Uchazoendeswa kuchipatara kana kuti kuchipatara chevarwere vane chirwere chakanyanya (ICU).
- Dhowa rimwe kana maviri epachipfuva achaiswa muchipfuva chako kubvisa mvura yakawandisa nemhepo kubva munzvimbo yakavhiyiwa. Kana huwandu hwemvura yabuda maari hwaderera, chiremba achabvisa machubhu acho.
- Vashandi vezvehutano vachakukurudzira kuti ugare uchikosora uye uite maekisesaizi ekufema zvakadzama . Izvi zvakakosha kuti mapapu ako apore.
- Mishonga yekuderedza ropa uye michina yekumanikidza inoshandiswa kudzivirira kuumbwa kweropa mumakumbo paunenge uri pamubhedha.
- Kukubatsira kufamba zuva rapfuura mushure mekuvhiyiwa chikamu chakakosha chekupora.
Kana ukavhiyiwa uchishandisa nzira yakaita seVATS kana RATS, unongoda kugara muchipatara kwemazuva maviri kana matatu chete. Kupora kunokurumidzawo. Kana ukavhiyiwa chipfuva chakavhurika, unozofanira kugara muchipatara kwemazuva matatu kusvika mana . Paunodzokera kumba, uchapihwa mishonga yakasimba yekurwadziwa kweinenge vhiki. Kunyangwe uchigona kuzviitira basa rako kumba, zvakanaka kuva nemumwe munhu ari pedyo kuti akubatsire.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Chinhu chikuru chekuvhiyiwa uku ndechekuti kunopa mukana wakanakisa wekuporeswa kwakakwana kune munhu ane kenza yemapapu iri padanho rekutanga . Iyoyo tariro huru. Uye semamwe mavhiyirwo ese, kune dzimwe njodzi dzinobatanidzwa.
| Njodzi Dzinogona Kuitika Dzinobatanidzwa Nekuvhiyiwa | |
|---|---|
| Kusarongeka kwekurova kwemoyo | Kurova kwemoyo kusingawanzoitiki kunowanzoitwa ndi "Atrial Fibrillation". |
| Kubuda ropa | Zvingangoda kuvhura chipfuva zvakare kana kupa ropa. |
| Kubuda kwemhepo kubva mumapapu | Kubuda kwemhepo kunotora mazuva anopfuura mashanu. |
| Dzimwe njodzi | Kugwamba kweropa mumakumbo, kukuvara kwetsinga, utachiona, uye kushaya mweya paunenge uchirovedza muviri. |
Ehe, kubviswa kwechibereko (lobectomy) kuvhiyiwa kukuru. Asi kufa nekuda kwekuvhiyiwa uku hakuwanzoitiki. Njodzi dzinogona kuderedzwa zvakanyanya nekurapwa kuchipatara uye nechikwata chevanachiremba vane ruzivo rwekuita kuvhiyiwa kwerudzi urwu nguva nenguva.
Unoda kunoona chiremba zvakare riini?
Kana wadzokera kumba, kana ukaona zviratidzo zvehutachiona, zvakaita sefivha, kutonhora, uye kuneta zvakanyanya , unofanira kufonera chiremba wako nekukasika.
Chiremba wako acharonga kushanyazve mushure mevhiki imwe kusvika nhatu mushure mekuvhiyiwa kwako. Achakutora X-ray yechipfuva chako, oongorora maronda ako, uye okurukura kufambira mberi kwako. Zvichienderana nedanho regomarara rako, unogona kutumirwa kuna chiremba wekenza . Mamiriro ako achaongororwa neCT scans nguva nenguva mumakore mashanu anotevera.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweLobectomy, kunyangwe kuri kuvhiyiwa kukuru, ndiyo nzira yakanakisisa yekurapa kenza yemapapu iri padanho rekutanga iyo inogona kupa mushonga wakakwana.
- Nzira dzemazuva ano dzakadai seVATS neMAKOnzo dzinoita kuti marwadzo asanyanya kuderera uye kuti munhu akwanise kupora nekukurumidza.
- Zvinhu zvakaita sekurega kusvuta usati wavhiyiwa zvinogona kuderedza zvikuru njodzi yematambudziko.
- Kutevedzera mirairo yachiremba (yakadai sekurovedza muviri kufema uye kufamba) mushure mekuvhiyiwa kwakakosha kuti munhu apore nekukurumidza.
- Usambotya kubvunza chiremba wako nezvechinhu chausinganzwisisi kana chauri kunetseka nacho.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga