Ngaba wena okanye umntu omaziyo uxelelwe ngugqirha ukuba ufuna utyando ngenxa yengxaki yemiphunga? Kuqhelekile ukuba uzive usoyika kancinci, unomdla, kwaye unemibuzo emininzi ngexesha elinje. Usenokuba uzibuza izinto ezinje, "Ngaba olu lutyando olukhulu? Ngaba luza kuba buhlungu? Kwenzeka ntoni emva koko?" Ngoko ke namhlanje siza kuthetha ngendlela elula neyobuhlobo malunga notyando olukhulu lwemiphunga olubizwa ngokuba yi-'lobectomy.' Makhe sibone ukuba yintoni, kutheni lwenziwa, kunye noko kufuneka ukwazi ngalo.
Yintoni i-lobectomy ngokulula?
Ngamafutshane, i-lobectomy kukususwa kwenxalenye (i-lobe) yomphunga wakho ngotyando. Imiphunga yethu yenziwe ngee-lobes ezininzi, okanye ii-lobes. Umphunga wasekunene une-lobes ezintathu kwaye umphunga wasekhohlo une-lobes ezimbini. Olu tyando lususa kuphela inxalenye enesifo yomphunga, ngelixa lugcina ezinye iindawo eziphilileyo zomphunga.
Olu tyando ludla ngokwenziwa njengonyango lomhlaza wemiphunga okwinqanaba lokuqala (umhlaza wemiphunga ongengoweseli encinci). Kwakhona, ngamanye amaxesha ugqirha unokugqiba ekubeni asuse inxalenye encinci yelobe endaweni yelobe yonke. Oku kubizwa ngokuba yi-segmentectomy.
Ukongeza kumhlaza wemiphunga, olu tyando lunokwenziwa ngenxa yezizathu ezininzi.
| Izizathu zokuba ne-lobectomy |
|---|
| - Iingxaki ezithile zemiphunga zokuzalwa. |
| - Ukonakala kwemiphunga ngenxa yosulelo okanye unyango lwemitha. |
| - Umhlaza osasazeke emiphungeni (i-metastasis) usuka kwezinye iindawo zomzimba. |
| - Ukopha ngenxa yomonakalo wemiphunga. |
Olu tyando lwenziwa njani?
Ngokungafaniyo nangaphambili, kule mihla, olu tyando ludla ngokwenziwa ngaphandle kokuvula isifuba, kusetyenziswa imingxunya emincinci kakhulu. Oku sikubiza ngokuba 'ziindlela ezihlaselayo kancinci'. Kukho iindlela ezimbini eziphambili.
1. I-VATS (Utyando lweThoracoscopic oluncediswa yiVidiyo):Oku kuquka ukwenza imingxunya emincinci kakhulu kwiimbambo zakho, ukufaka ikhamera yevidiyo encinci kwenye kunye nezixhobo zotyando ngezinye izigxunyeko esifubeni sakho. Ugqirha wenza utyando ngelixa ejonga umfanekiso ocacileyo wemiphunga yakho kwiscreen esikhulu. Le ndlela ayifuni ukwaphuka okanye ukuhambisa naziphi na iimbambo.
2. IINGCATHU (Utyando lweThoracoscopic oluncediswa yiRobot): Oku kufana neVATS, kodwa apha ugqirha ulawula izixhobo ngoncedo lweengalo ezininzi zerobhothi.
Eyona nzuzo inkulu yezi ndlela zombini kukungabi nantlungu ingako, ukuchacha ngokukhawuleza, kunye nokuhlala ixesha elifutshane esibhedlele.
Nangona kunjalo, kwezinye iimeko ezinzima, oogqirha banokufuneka benze utyando ngokwenza utyando olukhulu esifubeni baze bahambise iimbambo kancinci. Le nkqubo ibizwa ngokuba yi-thoracotomy .
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando olukhulu olufana nolu, kwenziwa uvavanyo oluninzi ukuze kuhlolwe ngokuchanekileyo imeko yakho yempilo.
- Uvavanyo olupheleleyo lomzimba.
- Uvavanyo lwemifanekiso olufana ne-X-ray yesifuba, i-CT scan, okanye i-PET scan.
- Uvavanyo lomsebenzi wemiphunga ukujonga ubunzima bokuphefumla.
- Ukuthatha iqhekeza elincinci lesicubu semiphunga okanye ii-lymph nodes ukuze zihlolwe (i-biopsy).
- Uvavanyo lwegazi.
- Uvavanyo olufana no-`(ECG)` kunye no-`(echocardiogram)` ukujonga ukusebenza kwentliziyo.
Ukuba unomhlaza wemiphunga, ukwazi ukuba usasazeke na kwamanye amalungu omzimba (ukucwangcisa) kubalulekile ekucwangciseni unyango. Kwakhona, ukuba unembali yesifo sentliziyo, unokufuna ukubona ugqirha wentliziyo ngaphambi kotyando. Ingcali yokubulala iintlungu iza kuchaza indlela yokulawula iintlungu ngexesha nasemva kotyando.
Okubaluleke kakhulu: Ukuba uyatshaya, kubalulekile ukuyeka ngokupheleleyo kwiiveki ezimbalwa ngaphambi kotyando. Ukwenza njalo kunokunciphisa kakhulu umngcipheko weengxaki emva kotyando.
Ugqirha uza kukwazisa kwangaphambili ukuba kufuneka uyeke nini ukutya nokusela ngobusuku obungaphambi kotyando.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, uza kuvuswa uthunyelwe kwicandelo lokuchacha. Apha, uza kunikwa amayeza okulawula iintlungu zakho. Wakuba uphilile engqondweni, umbhobho wokuphefumla uza kususwa. Abantu abaninzi abakukhumbuli oku.
- Emva koko uza kudluliselwa kwigumbi eliqhelekileyo okanye ngamanye amaxesha kwiyunithi yokhathalelo oluphezulu (ICU).
- Imisele enye okanye ezimbini zesifuba ziya kufakwa esifubeni sakho ukuze kususwe ulwelo olugqithisileyo kunye nomoya kwindawo apho kwenziwe khona utyando. Xa ubungakanani bolwelo oluphuma kuzo bunciphile, ugqirha uza kususa iityhubhu.
- Abasebenzi bezonyango baza kukukhuthaza ukuba ukhohlele rhoqo kwaye wenze umthambo wokuphefumla nzulu . Oku kubaluleke kakhulu ukuze imiphunga yakho ibuyele esiqhelweni.
- Izixhobo zokunciphisa igazi kunye nezixhobo zokucinezela zisetyenziselwa ukuthintela ukuqhekeka kwegazi emilenzeni ngelixa usebhedini.
- Ukukunceda uhambe ngosuku olulandela utyando nako kuyinxalenye ebalulekileyo yenkqubo yokuphiliswa.
Ukuba utyandwa usebenzisa indlela efana neVATS okanye iRATS, kuya kufuneka uhlale esibhedlele iintsuku ezimbini okanye ezintathu kuphela. Ukuchacha kuyakhawuleza. Ukuba utyando lwesifuba oluvulekileyo, kuya kufuneka uhlale esibhedlele iintsuku ezintathu ukuya kwezine . Xa ubuyela ekhaya, uya kunikwa amayeza okudambisa iintlungu anamandla okusebenzisa malunga neveki. Nangona unokwenza umsebenzi wakho ekhaya, kulungile ukuba nomntu okufutshane onokukunceda.
Ziziphi iingenelo kunye neengozi zalo tyando?
Eyona nzuzo inkulu yolu tyando kukuba lunika ithuba elihle lokuphiliswa ngokupheleleyo komntu onomhlaza wemiphunga okwinqanaba lokuqala . Elo lithemba elikhulu. Njengazo zonke iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo.
| Iingozi Ezinokubakho Ezinxulumene Notyando | |
|---|---|
| Ukungahambi kakuhle kwentliziyo | Eyona ntliziyo ingaqhelekanga ixhaphakileyo yi-"Atrial Fibrillation". |
| Ukopha | Kungafuneka ukuvula isifuba kwakhona okanye ukunika igazi. |
| Ukuvuza komoya okuvela emiphungeni | Ukuvuza komoya okuhlala ixesha elingaphezu kweentsuku ezintlanu. |
| Ezinye iingozi | Ukuqhekeka kwegazi emilenzeni, umonakalo wemithambo-luvo, usulelo, kunye nokuphefumla kancinci xa usenza umthambo. |
Ewe, i-lobectomy lutyando olukhulu. Kodwa ukufa ngenxa yolu tyando kunqabile kakhulu. Iingozi zingancitshiswa ngakumbi ngokufumana unyango esibhedlele kunye neqela lezonyango elinamava okwenza olu hlobo lotyando rhoqo.
Ufuna ukuphinda umbone ugqirha kwakhona nini?
Emva kokuba ubuyele ekhaya, ukuba ubonakalisa iimpawu zosulelo, ezinje ngomkhuhlane, ukubanda, kunye nokudinwa kakhulu , kufuneka ufowunele ugqirha wakho ngoko nangoko.
Ugqirha wakho uza kucwangcisa utyelelo olulandelayo kwiiveki ezi-1 ukuya kwezi-3 emva kotyando lwakho. Uza kuthatha i-X-ray yesifuba sakho, ahlole amanxeba akho, aze axoxe ngenkqubela yakho. Ngokuxhomekeke kwinqanaba lomhlaza wakho, ungathunyelwa kwingcali yomhlaza . Imeko yakho iya kuhlolwa nge-CT scans rhoqo kwiminyaka emihlanu ezayo.
Umyalezo Wokuya Ekhaya
- I-Lobectomy, nangona ilutyando olukhulu, lolona nyango lubalaseleyo lomhlaza wemiphunga okwinqanaba lokuqala olunokubonelela ngonyango olupheleleyo.
- Iindlela zanamhlanje ezifana neVATS kunye neeRATS zibangela ukuba iintlungu zingabi ninzi kwaye zikhawuleze ziphile.
- Izinto ezifana nokuyeka ukutshaya ngaphambi kotyando zinokunciphisa kakhulu umngcipheko weengxaki.
- Ukulandela imiyalelo kagqirha (njengokuzilolonga ukuphefumla nokuhamba) kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
- Ungaze woyike ukubuza ugqirha wakho ngayo nantoni na ongayiqondiyo okanye oyixhalabeleyo.
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