Ngaba ugqirha wakho ukuxelele ukuba kufuneka wenze i-mediastinoscopy? Umele ukuba woyika kancinci xa usiva elo gama, akunjalo? Umele ukuba ubunemibuzo emininzi efana nokuthi, 'Yintoni le? Ngaba lutyando olukhulu? Ngaba luza kubuhlungu?' Kuqhelekile kakhulu. Akumangalisi ukuba xa usiva igama elitsha, nokuba libizwa ngokuba lutyando, uzive unexhala. Ngoko ke namhlanje, masithethe ngokuba yintoni le mediastinoscopy, kutheni yenziwa, indlela eyenziwa ngayo, kunye nokuba kwenzeka ntoni emva koko, ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni iMediastinoscopy?
Kulungile, masiqale siwuhlalutye lo mba. I-mediastinoscopy yindlela yotyando evumela ugqirha wakho ukuba ajonge nzulu ingaphakathi lesifuba sakho, ingakumbi indawo ephakathi kwemiphunga yakho (esiyibiza ngokuba yi-mediastinum kunyango).
Cinga ngako oku, le ndawo iphakathi kwemiphunga emibini ngaphakathi esifubeni sethu ibaluleke kakhulu. Kuba amalungu amaninzi abalulekileyo afana nentliziyo yethu, i-trachea, kunye ne-esophagus afumaneka apha. Ngoko ke le ndlela isetyenziswa xa sifuna ukubona ukuba kukho into engaqhelekanga kule ndawo, njengethumba okanye i-lymph node ekhulisiweyo.
Kusetyenziswa isixhobo esikhethekileyo esibizwa ngokuba yi-mediastinoscope kule nkqubo. Sifana nombhobho omncinci onekhamera kunye nesibane esiqhotyoshelweyo kuyo. Besebenzisa esi sixhobo, oogqirha banokubona ngokucacileyo okungaphakathi esifubeni. Abakwazi ukubona kuphela, kodwa banokuthatha isampuli yezicubu kwi-lymph node okanye kwenye ithumba apho baze bayithumele ukuze ihlolwe (oku sikubiza ngokuba yi-biopsy).
Yintoni umahluko phakathi kweMediastinoscopy kunye neMediastinotomy?
Ungaliva negama elithi mediastinotomy. Zombini zenzelwe ukujonga indawo ye-mediastinum esifubeni. Kodwa kukho umahluko omncinci.
- I-Mediastinoscopy: Oku kuquka ukwenza umsikelo omncinci (malunga ne-intshi enye) entanyeni nokufaka i-scope kuyo. Umsikelo mncinane, ngoko ke uphola ngokukhawuleza.
- I-Mediastinotomy: Oku kuquka ukwenza umsikelo omkhulu kancinci esifubeni nokujonga ngqo ngaphakathi. Le ndlela ivumela ugqirha ukuba abone okungakumbi ngaphakathi, kodwa umsikelo mkhulu, ngoko ke ixesha lokuphiliswa lide.
Ngamafutshane, i-mediastinoscopy ifana nokujonga ngesitshixo somnyango wegumbi. I-mediastinotomy ifana nokuvula ucango ujonge ngaphakathi. Nangona injongo yazo zombini ifana, inkqubo kunye nexesha lokuchacha zahlukile.
Kutheni ufuna ukwenza olu vavanyo?
Kukho izizathu ezahlukeneyo zokuba ugqirha angayalela olu vavanyo. Ezona zizathu ziphambili zezi:
- Qinisekisa ukuba kukho umntu orhanelwa ukuba unomhlaza:Ukuba ubona into engaqhelekanga esifubeni sakho kwi-X-ray okanye kwi-CT scan, kufuneka uthathe iqhekeza lesicwili usihlolisise ukuze uqiniseke ukuba ngumhlaza okanye akunjalo. Le ndlela ibaluleke kakhulu kuloo nto.
- Fumana inqanaba lomhlaza: Ukuba umntu sele efunyenwe enomhlaza wemiphunga, umhlaza we-thymus gland, okanye umhlaza we-esophageal , olu vavanyo lwenziwa ukuze kubonwe ukuba lusasazeke kangakanani na. Ngokukodwa, kunceda ukubona ukuba umhlaza usasazeke na kwii-lymph nodes ezikufutshane. Le yindlela inqanaba lomhlaza elichongwa ngayo kwaye kukhethwa unyango olungcono.
- Ukuchonga ezinye izifo: Ayisiyomhlaza kuphela, olu vavanyo ngamanye amaxesha lusetyenziselwa ukukhangela usulelo emiphungeni, kunye nokuxilonga ezinye iimeko ezifana ne -lymphoma, i-sarcoidosis, okanye i-mesothelioma .
Ngaba kukho abantu abangafuniyo ukwenza olu tyando?
Ewe, olu tyando alufanelekanga kuye wonke umntu. Kwezinye iimeko, lunokuba yingozi. Ingakumbi kubantu abafana:
- Kwabo banethumba elingasebenziyo elikhulu kakhulu ukuba lingasuswa ngotyando.
- Kwabo bakha benza i-mediastinoscopy ngaphambili (kuba izicwili zesilonda ezivela kwisilonda sangaphambili zinokwenza kube nzima kwaye kube yingozi ukuyenza okwesibini).
- Kwabo baye bafumana unyango lwe-radiation kwindawo yesifuba (utyando lunokuba nzima kuba izicubu ezikuloo ndawo zitshintshile ngenxa ye-radiation).
Ugqirha wakho uza kukuhlola aze enze isigqibo esifanelekileyo malunga noku.
Uzilungiselela njani ngaphambi kotyando?
Ekubeni le yinkqubo yotyando, ugqirha wakho uza kukunika imiyalelo yendlela yokulungiselela kwangaphambili. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo.
| Icandelo eliza kulungiswa | Oko kufuneka ukwenze |
|---|---|
| Uvavanyo lwezonyango | Ngaphambi kotyando, ugqirha wakho uya ku-odola izinto ezifana ne-X-ray yesifuba, i-CT scan, kunye novavanyo lomsebenzi wamaphaphu. Yenza konke oku ngexesha. |
| Amayeza owasebenzisayo | Ukuba uthatha nantoni na ethintela ukujiya kwegazi (izinto ezinciphisa igazi), kuya kufuneka uyeke ukuzithatha kwiintsuku ezimbalwa ngaphambi kotyando. Qiniseka ukuba uthetha nogqirha wakho ngale nto kwaye ufumane ingcebiso. Mxelele ngazo zonke amayeza owasebenzisayo. |
| Ukuzila ukutya | Uza kucelwa ukuba uyeke ukutya nokusela ngokupheleleyo kwiiyure ezimbalwa ngaphambi kotyando (ngesiqhelo malunga nobusuku). Landela le miyalelo ngokuchanekileyo. |
Lwenziwa njani olu tyando?
Kulungile, ngoku masibone ukuba kwenzeka ntoni ngaphakathi kwigumbi lotyando. Ungakhathazeki, konke oku kwenzeka phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba ulaliswa ukuze ungeva nto.
1. I-Anesthesia: Okokuqala, i-IV ifakwa emthanjeni ongalweni yakho uze unikwe amayeza aza kukwenza ulale ubuthongo ngokupheleleyo.
2. Umbhobho wokuphefumla: Ngaphandle kokuba wena ungazi, umbhobho wokuphefumla ufakwa emqaleni wakho kwaye uvumelekile ukuphefumla ngomatshini (i-ventilator).
3. Ukusikwa okuncinci: Ukusikwa okuncinci kwenziwa malunga ne-intshi enye ngaphantsi kwentamo yakho, ngaphezulu nje kwethambo lesifuba sakho.
4. Ukufaka isixhobo: Ugqirha ufaka isixhobo esibizwa ngokuba yi-mediastinoscope kuloo mngxuma.
5. Uvavanyo kunye nokuthatha iisampulu: Ugqirha uyayifaka aze ajonge iindawo eziza kuhlolwa ngekhamera. Ukuba kukho naziphi na ii-lymph nodes okanye izicubu ezikrokrelekayo, isampuli (i-biopsy) ithathwa kusetyenziswa isixhobo esincinci esifana nesikere kwisixhobo esinye.
6. Ukususa isixhobo nokusithunga: Emva kokuba umsebenzi ugqityiwe, khupha isixhobo uze uthunge umqhekezo omncinci ngentambo enyibilikayo okanye intambo eqhelekileyo.
7. Ukuvuka emva kokusebenzisa i-anesthesia: Ekugqibeleni, uza kuvuswa kwakhona kwaye umbhobho wokuphefumla uza kususwa.
Le nkqubo yonke idla ngokuthatha malunga neyure , kodwa ngamanye amaxesha ingathatha ixesha elide.
Kwenzeka ntoni emva kotyando? Linjani ixesha lokuchacha?
Uza kuziva udiniwe kancinci kangangeeyure ezimbalwa emva kokuba uvukile kwi-anesthesia. Kwiimeko ezininzi, le yinkqubo yokulaliswa ngaphandle, oko kuthetha ukuba akufuneki uhlale esibhedlele.
- Ukuya ekhaya: Nangona kunjalo, ekubeni unikwe i-anesthesia , awuzukukwazi ukuqhuba. Uza kufuna ilungu losapho okanye umhlobo ukuba akuqhubele ekhaya.
- Ubunzima:Ukususela oko kwafakwa ityhubhu yokuphefumla, usenokuba nomuzwa wokurhawuzelela emqaleni nasemlonyeni wakho, intlungu, kunye nokukhohlela ngosuku olulandelayo. Ungakhathazeki ngaloo nto. Indawo yokusikwa nayo iya kuba buhlungu kancinci kangangeentsuku ezimbalwa. Ugqirha uza kukunika amayeza okudambisa iintlungu ngaloo nto.
- Uvavanyo: Ngamanye amaxesha emva kotyando, ungenza i-X-ray yesifuba ukuqinisekisa ukuba akukho ngxaki kwimiphunga yakho.
Zithini iingozi ze-mediastinoscopy?
Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci. Nangona amathuba okuba ezi zinto zenzeke esezantsi kakhulu, kubalulekile ukuba uzazi.
| Umngcipheko / Ingxaki | Ingcaciso elula |
|---|---|
| Ukopha | Le yeyona ngxaki ixhaphakileyo, kodwa idla ngokulawulwa ngexesha lotyando. |
| Usulelo lwemiphunga (i-Pneumonia) | Emva kotyando, iintsholongwane zingangena emiphungeni zize zibangele usulelo (i-pneumonia). |
| I-Pneumothorax | Kunqabile kakhulu ukuba esi sixhobo sibangele umngxuma omncinci emaphaphu, nto leyo ebangela ukuba uqhekeke (i-pneumothorax). Oku kunokunyangeka kwaye kulungiswe. |
| Usulelo lweNxeba | Indawo etyumkileyo inokosulelwa ziintsholongwane. Kubalulekile ukugcina inxeba licocekile. |
Umngcipheko wokufa ngenxa yolu tyando uphantsi kakhulu (malunga ne-0.09%). Ngoko ke musa ukukhathazeka ngokungeyomfuneko ngaloo nto.
Kuthatha ixesha elingakanani ukuba iziphumo zifike?
I-biopsy iya kuthunyelwa kwilebhu ukuze ivavanywe, kwaye kungathatha iintsuku ezimbalwa ukuba ingxelo ifike. Nje ukuba ingxelo ifike, ugqirha wakho uya kukuchazela aze axoxe ngamanyathelo alandelayo kunye nonyango.
Ndifanele ndibonane nogqirha nini?
Kuqhelekile ukuba neentlungu ezincinci emva kokuba ubuyele ekhaya. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka ufowunele ugqirha wakho ngoko nangoko . Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
- Intlungu ebuhlungu esifubeni
- Umkhuhlane ophezulu kakhulu
- Ubunzima bokuphefumla
- Ukuba indawo etyatyekiweyo ibomvu kakhulu, idumbile, kwaye kuphuma ulwelo olufana nobovu kuyo
Musa ukuzityeshela izinto ezinje.
Umyalezo Wokuya Ekhaya
- I-Mediastinoscopy ayilotyando oluyingozi onokuloyika. Luvavanyo olubaluleke kakhulu nolukhuselekileyo olusetyenziselwa ukuchonga ngokuchanekileyo izifo ezinje ngomhlaza.
- Oku kwenziwa ngokusikwa okuncinci entanyeni, ukuze uphile ngokukhawuleza. Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi kotyando (njengokuyeka ukutya nokusela, ukuyeka amayeza).
- Kuqhelekile ukuba nomphimbo obuhlungu, ukukhohlela, kunye nentlungu kwindawo yokusikwa kangangeentsuku ezimbalwa emva kotyando.
- Ukuba ufumana iintlungu eziqatha esifubeni, umkhuhlane, okanye ubunzima bokuphefumla emva kokubuyela ekhaya, yazisa ugqirha wakho ngokukhawuleza ngaphandle kokulibazisa.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho