Kana chiremba akakuudza iwe kana mumwe munhu waunoziva kuti unofanira kuvhiyiwa chipfuva, zvakajairika kuti unzwe kutya zvishoma. Pfungwa yekuti "kuvhiyiwa kukuru kuchabvisa chipfuva" ndiyo inouya mupfungwa dzako. Asi nhasi uno, sainzi yezvekurapa yafambira mberi zvakanyanya. Ndosaka pava nenzira yekuti "kuvhiyiwa kwekiyi" yekurapa zvirwere zvakawanda zvechipfuva, iyo inoitwa kuburikidza nemaburi madiki pasina kucheka kukuru. Ndizvo zvatinodaidza kuti VATS.
Chii chaizvo chinonzi VATS?
VATS inomiririra Video-Assisted Thoracic Surgery . Zvichitaurwa zviri nyore, ivhiyiwa inoitirwa mukati mechipfuva nerubatsiro rwekamera yevhidhiyo. "Thoracic" zvinoreva chikamu chechipfuva chiri pakati pemutsipa nedumbu. Nzvimbo iyi ndipo panowanikwa nhengo dzakawanda dzakakosha dzakadai semwoyo, mapapu, uye gurokuro.
Fungidzira... Mukuvhiyiwa uku, pachinzvimbo chekuchekwa kukuru pachipfuva chako, chiremba anoita chekwa kadiki pakati pembabvu dzako mbiri uye anoisa chubhu diki ine kamera diki (yatinodaidza kuti thoracoscope ) kuburikidza nayo. Mifananidzo kubva pakamera iyi inoratidzwa pachidzitiro chikuru (monitor). Zvadaro, kucheka kamwe chete kana kaviri kadiki kunogadzirwa uye zvishandiso zvinonaka zvinodiwa pakuvhiyiwa zvinoiswa kuburikidza nazvo. Iye zvino chiremba anogona kutarisa mifananidzo iri pachidzitiro ichocho uye kurapa dambudziko riri mukati mechipfuva nemazvo.
Uku kuvhiyiwa kusinganyanyi kukuvadza muviri. Izvi zvinoreva kuti kukuvara, mavanga, uye kurwadziwa kwemuviri zvishoma pane kuvhiyiwa kwechinyakare.
Muzviitiko zvipi apo kuvhiyiwa kweVATS kunodiwa?
VATS inonyanya kushandiswa kuongorora nekurapa kenza yemapapu uye kenza yakapararira, asi inoshandiswawo kune mamwe mamiriro akawanda.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kenza yeMapapu | Kuziva bundu regomarara (biopsy) kana kuribvisa. |
| Kenza yegurokuro kana thymus gland | Kurapa kenza munhengo idzi. |
| Kubuda kwePleural | Kana mvura yaungana mumapapu, tsvaga chikonzero chacho wobvisa mvura yacho. |
| Zvirwere zvemapapu zvakaita seCOPD | Muzvirwere zvemapapu zvisingaperi, kubvisa zvikamu zvemapapu zvakakuvara. |
| Kukwira kwemafuta mumuviri | Sekurapa kwekudzikira kwedikita. |
| Myasthenia Gravis | Kubvisa thymus gland muchirwere ichi chinopedza simba tsandanyama. |
Mhando huru dzekuvhiyiwa kweVATS
- Kubviswa kwemapapu eVATS: Izvi zvinosanganisira kubviswa kwechikamu chemapapu chine chirwere. Chidimbu chidiki (`wedge resection`), chikamu chose (`lobectomy`), kana kuti mapapu ese (`pneumonectomy`) chinogona kubviswa.
- Kubviswa kwechikamu chegurokuro chine chirwere: Kubviswa kwechikamu chegurokuro chine chirwere.
- Thymectomy: Kubviswa kwe thymus gland ine chirwere.
- Kushongedza: Kubviswa kweganda rine utachiona kana mavanga akakomberedza mapapu.
Ndinofanira kugadzirira sei ndisati ndavhiyiwa?
Izvi zvakakosha zvikuru. Unofanira kutevedzera mirairo yachiremba wako nemazvo .
- Uchakumbirwa kutsanya (kurega kudya kana kunwa) kwemaawa mashoma usati wavhiyiwa.
- Ungakumbirwa kuti urege kutora mimwe mishonga, mavhitamini, uye zvigadzirwa zvemiti kwenguva pfupi .
- Kana uri munhu anosvuta, unofanira kurega .
- Pamusoro pezvo, bvunzo dzinoverengeka dzinogona kurairwa usati wavhiyiwa, dzakadai se:
- Kuongororwa kweropa - semuenzaniso, kuverengwa kweropa rose (CBC).
- Miedzo inoongorora mashandiro emoyo - yakaita se ``(EKG)``.
- Miedzo yekufungidzira yakaita se chest X-ray, CT scan, kana PET scan.
- Kuongororwa kwebasa remapapu.
- Miedzo yakaita seye `Upper Endoscopy`.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kune mabhenefiti nenjodzi kune chero kuvhiyiwa, asi kuvhiyiwa kweVATS kune mabhenefiti akawanda uye njodzi shoma pane kuvhiyiwa kwekare kwakavhurika (`thoracotomy`).
| Mabhenefiti | Njodzi |
|---|---|
| Nguva yekupedza muchipatara haichanyanyi kukosha. | Kusashanda zvakanaka kwemoyo (Arrhythmias). |
| Marwadzo uye mavanga mashoma mushure mekuvhiyiwa. | Kugwamba kweropa kana sitiroko. |
| Maitiro ekufema anodzoka nekukurumidza kune zvakajairika. | Pneumothorax. |
| Njodzi yekubatwa nechirwere ishoma. | Kubuda ropa mukati kana hutachiona. |
| Unogona kudzokera kumabasa ako enguva dzose nekukurumidza. | Matambudziko ekufema akadai sepneumonia. |
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchava muchipatara kwezuva rimwe kana maviri. Munguva iyi:
- Uchapihwa mushonga wekudzora marwadzo .
- Kurudzirai kurovedza muviri kufema zvakadzika uye kufamba. Izvi zvinoderedza njodzi yematambudziko.
- Chubhu yechipfuva inoiswa panguva yekuvhiyiwa ichabviswa usati waenda kumba.
Nguva yekupora inoenderana nerudzi rwekuvhiyiwa kwawakaitwa. Zvinogona kutora mavhiki maviri kuti upore zvizere. Dzimwe nguva zvinogona kutora kusvika mavhiki masere . Mushure mekudzokera kumba, zvakakosha kuti unyatsotevedzera mirairo yachiremba wako.
- Chinja mapfekero pakucheka kana zvichidikanwa.
- Dzivisa kusimudza zvinorema.
- Dzivisa kutyaira mota uye kuenda kubasa kusvika nguva yakatarwa yakwana.
- Inwa mushonga wacho sezvawakarairwa nachiremba.
- Famba-famba katatu pazuva kuti ropa risagwambe mumakumbo ako.
Ndezvipi zviratidzo zvinoda kuti ufonere chiremba wako nekukasika?
Kana ukaona chimwe chezviratidzo izvi mushure mekunge waenda kumba, unofanira kuzivisa chiremba wako nekukasika .
- Kurwadziwa kwakanyanya pachipfuva
- Kuoma kufema
- Chinochekwa chinotsvuka, chinozvimba, kana kuti chinobuda ropa rakaita yero.
- Kupindwa nechando
Kuongororwa kwegomarara inguva yakaoma kune chero ani zvake. Panguva yakaita seiyi, chero zororo kubva mukurapwa inyaya huru. VATS inzira yemazuva ano isinganyanyi kurwadza uye inobvumira kupora nekukurumidza pane kuvhiyiwa pachena. Chiremba wako achakutsanangurira kana izvi zvakakunakira. Inzwa wakasununguka kubvunza chiremba wako chero mibvunzo yaungave nayo.
Mharidzo Yekuenda Nayo Kumba
- VATS inzira yekuvhiya inonzi "keyhole surgery" inoshandiswa kurapa zvirwere zvepachipfuva.
- Sezvo pasina mavanga makuru, kurwadziwa, mavanga, uye nguva inopedzerwa muchipatara hainyanyi kuderera.
- Nzira iyi inoshandiswa kurapa zvirwere zvakawanda zvepachipfuva, kusanganisira kenza yemapapu.
- Zvakakosha kuti munhu akurumidze kupora kuti anyatsotevedzera mirairo yachiremba asati avhiyiwa uye mushure mekuvhiyiwa.
- Kana ukaona zviratidzo zvisingawanzoitiki (kurwadziwa muchipfuva, kuoma kufema) mushure mekuvhiyiwa, tsvaga rubatsiro rwechiremba nekukasika.
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