Ngaba masijonge ngaphakathi esifubeni? Yonke into malunga neThoracoscopy ngokulula!

Xa ugqirha wakho esithi unengxaki esifubeni sakho, enye indlela yokufumana ukuba yintoni kanye kanye nokuba kwenzeka ntoni ngaphakathi kuthiwa yi-thoracoscopy. Mhlawumbi ukhe waliva eli gama ngaphambili. Makhe sijonge ukuba yintoni, yenziwa njani, kwaye ingaba kukho into omele uyoyike.

Yintoni iThoracoscopy?

Ngamafutshane, i-thoracoscopy luvavanyo oluncinci olujonga umphezulu wemiphunga yakho kunye nendawo ejikeleze yona (ebizwa ngokuba yi-pleural space). Oogqirha basebenzisa ikhamera ekhazimlayo nekhanyayo ebizwa ngokuba yi-thoracoscope ukujonga imiphunga yakho. Oku kunokujonga izinto ezifana ne-diaphragm yakho, i-esophagus, udonga lwesifuba, kunye ne-lymph nodes. Ngamanye amaxesha, iqhekeza elincinci lesicubu (elibizwa ngokuba yi-biopsy) linokuthathwa kwindawo ofuna ukuyihlola.

Rhoqo, olu tyando lwethoracoscopy lwenziwa njengenxalenye yotyando lwethoracoscopy oluncediswa yividiyo (VATS) . Oku kuvumela oogqirha abakwigumbi lotyando ukuba babone ngokucacileyo okungaphakathi esifubeni kwisikrini esikhulu sevidiyo. Kufana nokufaka ikhamera emngxunyeni omncinci uze ujonge ngaphakathi.

Ziziphi iintlobo ze-thoracoscopy?

Ngoku khangela, le thoracoscopy isetyenziswa ngendlela eyahlukileyo.

• Uvavanyo lweThoracoscopy: Ngamanye amaxesha ugqirha wakho uya kusebenzisa oku ukubona ukuba kukho ingxaki esifubeni sakho, okanye ukuthatha iqhekeza elincinci lesicwili (i-biopsy) ukuze livavanywe. Oku ngamanye amaxesha kubizwa ngokuba yi-pleuroscopy .
• I-Therapeutic Thoracoscopy: Ngamanye amaxesha, le ndlela isetyenziselwa ukunyanga isifo, oko kukuthi, ukwenza utyando. Le yindlela esetyenziswa kwindlela yotyando engaphantsi kakhulu ekhankanyiweyo ngaphambili ebizwa ngokuba yi-`VATS` okanye `Video-Assisted Thoracoscopic Surgery`.

Isetyenziswa nini i-Thoracoscopy?

Kaloku ke, kuxa kutheni apho ugqirha egqiba ekubeni enze utyando lwe-thoracoscopy okanye lwe-VATS?

• Xa ufuna ukwazi ulwazi oluchanekileyo olungakhange lufumaneke kwi-X-ray yesifuba sakho, kwi-CT scan, okanye kwi-ultrasound.
• Xa kufuneka ususe inxalenye yomaleko ongaphakathi wodonga lwesifuba, obizwa ngokuba yi-pleura.
• Susa iindawo ezonakeleyo zemiphunga (oku kubizwa ngokuba yi-'lung volume reduction surgery').
• Susa iipokotho zomoya ezikwimiphunga.
• Susa inxalenye yomhlaza yemiphunga (oku kubizwa ngokuba yi-'lung resection').
• Susa ulwelo olungeyomfuneko oluqokelelene kwindawo ye-pleural ejikeleze imiphunga kwaye usebenzise amayeza okuthintela ulwelo ukuba lungaphinde luqokeleleke (oku kubizwa ngokuba yi-pleurodesis).

Olu vavanyo/utyando lunokwenziwa, ingakumbi ukuba unomhlaza wemiphunga okanye i-mesothelioma. Lungasetyenziselwa nokunyanga umhlaza we-thymus gland kunye nomhlaza womqala.

Umahluko phakathi kweThoracoscopy kunye neThoracotomy

Ngoku usenokuba uzibuza, kukwakho nenkqubo ebizwa ngokuba yi-thoracotomy, kwaye yintoni umahluko phakathi kwayo ne-thoracoscopy. I-thoracotomy lutyando olubandakanya ukwenza umsikelo omkhulu esifubeni. Kodwa i-thoracoscopy yinkqubo engenabungozi kangako.

Iingenelo zale ndlela ye-thoracoscopy zezi:

• Ungachacha ngokukhawuleza.
• Intlungu incinci.
• Iingxaki emva kotyando zimbalwa.

Nangona kunjalo, ngamanye amaxesha, ukuba inkqubo echanekileyo ayinakwenziwa ngokukhuselekileyo nge-thoracoscopy, ugqirha unokufuneka enze i-thoracotomy.

Ngubani owenza i-thoracoscopy?

Le thoracoscopy, okanye i-pleuroscopy, inokwenziwa yingcali yakho yemiphunga . Nangona kunjalo, inkqubo ebizwa ngokuba yiVideo-Assisted Thoracoscopy Surgery (VATS) kufuneka yenziwe ngugqirha wemiphunga .

Ndingayilungiselela njani i-thoracoscopy?

Kukwakho nendlela ekufuneka uzilungiselele ngayo ngaphambi kolu vavanyo/utyando.

• Kwiintsuku ezimbalwa ngaphambi kotyando, ugqirha wakho uza kukuxelela ukuba uyeke ukusebenzisa amayeza athile (afana ne-aspirin) athintela igazi ukuba lingajiyi lula, oko kuthetha ukuba andisa ukopha .
• Ungacelwa ukuba ungatyi okanye ungaseli ngosuku lotyando.

Kuthatha ixesha elingakanani utyando lweThoracoscopic?

Ixesha elifunekayo kolu tyando lwe-thoracoscopic lingahluka. Ngokwesiqhelo lingathatha naphi na ukusuka kwisiqingatha seyure ukuya kwiiyure ezininzi . Ukuba kufuneka into enzima ngaphezu kokuthatha nje isampuli yethishu, kuya kuthatha ixesha elide.

Kwenzeka ntoni ngexesha le-thoracoscopy?

Kulungile, ngoku masibone ukuba kuza kwenzeka ntoni ngexesha lotyando. Utyando lwe-'Video-Assisted Thoracoscopy Surgery (VATS)', kwaye uphantsi kwe-anesthesia jikelele . Oko kuthetha ukuba awuva nto, ulele. Amaxesha amaninzi, oku kwenziwa nge-'thomalaliso' encinci.

Ugqirha ulandela la manyathelo:

1. Uza kunikwa isibulali-zintlungu ngesisombululo setyuwa esifakwe emthanjeni (i-`IV`).

2. Ityhubhu ifakwa emqaleni wakho kwaye umatshini ulawula ukuphefumla kwakho (oku kunciphisa omnye wemiphunga yakho okwethutyana, okwenza utyando lube lula).

3. Esifubeni sakho, phakathi kwembambo yesixhenxe, yesithandathu, neyesine,Kwenziwa imingxunya emibini okanye emithathu emincinci, engaphantsi kwesiqingatha sesentimitha .

4. Ngokusikwa kube kanye, ikhamera ye-thoracoscope ifakwa kwindawo ye-pleural ejikeleze imiphunga.

5. Ezinye izixhobo ezincinci ezifunekayo kolu tyando zifakwa ngezinye izisikelo.

6. Iisampulu zithathwa kwiindawo ezibonakala zingaqhelekanga, okanye kwenziwe utyando oluyimfuneko.

7. Emva koko khupha ikhamera kunye nazo zonke ezinye izixhobo.

8. Kufakwa umbhobho wesifuba esifubeni sakho ukuze kukhutshwe umoya kwimiphunga yakho kwaye kubuyiselwe umphunga owileyo kwimeko yesiqhelo.

9. Ukuthunga iziqwenga.

10. Uvuswa kwakhona kwaye wenziwa ukuba uphefumle wedwa.

Yintoni onokuyilindela emva kwe-thoracoscopy?

Emva kotyando, kuza kuthatha ixesha ukuba uphile emva kotyando. Umphimbo wakho nomlomo wakho usenokuziva ungaphilile okwethutyana. Awuyi kuvunyelwa ukuba utye okanye usele de ukungabi namdla kuphele. Ngenxa yombhobho wokuphefumla, ilizwi lakho lisenokuba litsho ngelizwi eliphantsi kwaye umqala wakho unokuba buhlungu ngosuku olulandelayo emva kotyando. Usenokuba nentlungu ethile apho kwenziwe khona imingxunya.

Musa ukoyika, ugqirha uza kukunika amayeza afunekayo kule ntlungu.

Ukuba ukhe wathathwa iisampulu zezicubu (ii-biopsy) kuwe, okanye ulwelo olususwe kwimiphunga yakho, uya kuba nombhobho wesifuba esifubeni sakho usuku olunye okanye ezimbini. Uya kuthathwa ne-X-ray yesifuba ukuqinisekisa ukuba akukho ngxaki kwimiphunga yakho.

Ixesha elininzi, emva kolu hlobo lotyando lwe-thoracoscopic, kufuneka uhlale esibhedlele ngelixa iityhubhu zesifuba zisebenza. Kodwa ngamanye amaxesha, ukuba akukho nto inkulu yenziweyo, ungaya ekhaya emva kweeyure ezimbalwa zokuphumla. Ukuba wenza njalo, kuya kufuneka ucele umhlobo okanye isihlobo ukuba sikuse ekhaya.

Ngaba i-Thoracoscopy ibuhlungu?

Le yingxaki abantu abaninzi abanayo. Awuyi kuva ntlungu ngexesha le-thoracoscopy kuba ufakwe i-anesthesia. Emva kotyando, ungasela amayeza okudambisa iintlungu ukunceda kwiintlungu ezikwimigqomo.

Kuthatha ixesha elingakanani ukuphola emva kwe-thoracoscopy?

Kuthatha malunga neeveki ezimbini ukuqala imisebenzi eqhelekileyo emva kolu tyando. Ngokuqhelekileyo kuthatha malunga neeveki ezine ukuya kwezintandathu ukuze umntu aphile ngokupheleleyo.

Ngaba i-Thoracoscopy iyingozi?

Njengakwezinye iinkqubo zonyango, kukho umngcipheko omncinci. Izinga lokufa ngenxa ye-medical thoracoscopy liqikelelwa ukuba liphantsi kakhulu, kwi-0.3%. Kwi-video-assisted thoracoscopy, izinga liphezulu kancinci. Nangona kunjalo, izinga leengxaki kuzo zombini iinkqubo liphakathi kwe-2% kunye ne-11% . Oku kuquka iingxaki ezincinci nezinzulu.

Zithini iingozi ze-thoracoscopy?

Ziziphi iingxaki ezinokubakho ze-thoracoscopy?

• Ukopha.
• Usulelo oluvela emiphungeni okanye emanxebeni.
• Ifiva.
• Ukuqokelelana komoya kwindawo yepleural okanye kufutshane nendawo yokusikwa.
• Umphunga owileyo.
• Ukuqokelelana kolwelo olujikeleze imiphunga.

Zithini iziphumo? Ithini?

Emva kotyando, ugqirha uza kukuxelela ukuba ingxaki obunayo ilungisiwe okanye ayilungiswanga. Kwakhona, emva kokuba iziphumo zelebhu zifikile, baza kukuxelela ukuba izicubu ezisusiweyo zinomhlaza okanye azinabungozi. Ukuba unomhlaza, uya kukwazi nokufumanisa ukuba uphi na kwinkqubo yokumisela umhlaza .

Kungathatha iintsuku ezininzi ukuba ilabhoratri yesibhedlele ivavanye iisampulu zezicubu kwaye inike iingxelo.

Ndifanele ndimtsalele umnxeba nini ugqirha?

Xa ubuyela ekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko ukuba ufumana naziphi na kwezi mpawu:

• Ubunzima bokuphefumla.
• Ifiva.
• Iintlungu zesifuba.
• Ukudumba okutsha esifubeni okanye entanyeni.

Ezona zinto zibalulekileyo ekufuneka uzikhumbule

Khawuthelekelele indlela emangalisayo ngayo ukukwazi ukubona kwaye ngamanye amaxesha unyange iingxaki ezingaphakathi esifubeni sakho ngokusebenzisa nje imingxunya embalwa emincinci ngale nkqubo ibizwa ngokuba yi-thoracoscopy. Ukuba awuqinisekanga ngento ethile okanye unamathandabuzo, ungathandabuzi ukubuza ugqirha wakho. Ukuba uyiqonda kakuhle le vavanyo/utyando, uloyiko lwakho luya kuncipha kakhulu. Kubaluleke kakhulu ukulandela imiyalelo enikiweyo ngaphambi kotyando kwaye ulandele imiyalelo enikiweyo ngugqirha wakho ngexesha lokuchacha emva kotyando.

I- Thoracoscopy, utyando lwemiphunga, i-VATS, i-pleuroscopy, uhlolo lwesifuba, utyando olungenalo utyando, izifo zokuphefumla