Nabani na ovayo ngokususwa komphunga wonke ngotyando uxhalabile kancinci, akunjalo? Lutyando olukhulu. Kodwa eyona nto ibalulekileyo ekufuneka uyazi kukuba kwezinye iimeko, ingakumbi kwiimeko ezifana nomhlaza wemiphunga, inokuba yinkqubo esindisa ubomi. Ngoko ke namhlanje, masithethe ngolu tyando lubizwa ngokuba yi-Pneumonectomy, izinto ezilungileyo nezingalunganga, kunye nokuba kwenzeka ntoni emva kotyando ngendlela elula neqondakalayo.
Kalula nje, yintoni le Pneumonectomy?
Ukususwa kwe-pneumonectomy kukususwa kweminye yemiphunga yakho ngotyando. Sinemiphunga emibini, enye ngasekunene nenye ngasekhohlo. Ukuba umphunga wasekunene ususiwe, ubizwa ngokuba yi-pneumonectomy kwicala lasekunene, kwaye ukuba umphunga wasekhohlo ususiwe, ubizwa ngokuba yi-pneumonectomy kwicala lasekhohlo.
Oku kuthathwa njengotyando olukhulu kakhulu lokususa imiphunga kuba luyinkimbinkimbi ngakumbi kunotyando olufana ne-"lobectomy" okanye "wedge resection", olususa kuphela inxalenye encinci yomphunga.
Kukho iintlobo ezimbini eziphambili zotyando lwe-pneumonectomy:
- Utyando lwePneumonectomy olulula/oluqhelekileyo: Oku kubandakanya ukususa wonke umphunga wakho, mhlawumbi neminye imithambo-luvo kunye nezicubu ezikufutshane.
- Utyando lwe-Extrapleural Pneumonectomy: Olu lutyando olukhulu kancinci. Kule meko, ugqirha wotyando ususa oku kulandelayo:
- Umphunga opheleleyo.
- I-Pleura yi-membrane ejikeleze imiphunga kunye nodonga lwesifuba.
- Isigqubuthelo esijikeleze intliziyo (i-pericardium).
- Iindawo ze-diaphragm, umsipha ongaphantsi kwemiphunga.
Oogqirha basebenzisa iindlela ezimbini ukwenza olu tyando. Olunye lutyando lwendabuko lwe-thoracotomy, olubandakanya ukunqumla isifuba. Olunye lutyando oluncinci olubizwa ngokuba yi-video-assisted thoracic surgery (VATS). Nangona i-VATS ingangenisi kakhulu, ayifanelekanga kubo bonke abaguli.
Zeziphi iintlobo zeemeko ezisetyenziswayo olu tyando?
Olu tyando ludla ngokwenziwa njengonyango lomhlaza osasazeke emiphungeni okanye usuka kuyo. Nangona kunjalo, lunokuba sisisombululo nakwezinye iimeko ezininzi. Makhe sijonge ukuba ziyintoni na.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Umhlaza wemiphunga | Le yeyona sizathu siphambili sotyando lwe-pneumonectomy. |
| I-mesothelioma yePleural | Umhlaza owenzeka kulwelo lwemiphunga. |
| Iingxaki ezinkulu zemiphunga | Imiphunga eyonakeleyo ngokungenakulungiseka ngezinye iindlela zonyango. |
| I-Aspergillosis | Usulelo olukhulu lwemiphunga. |
| I-Bronchiectasis | Iindlela zomoya ezivulekileyo nezinomonakalo osisigxina. |
| Isifo sephepha | Isifo sephepha, isifo esinganyangekiyo ngamayeza kwaye sonakalise kakhulu imiphunga. |
Ngubani ofanelekileyo kolu tyando?
Oogqirha baya kugqiba ukuba ufanelekile na kolu tyando ngokusekelwe kwizinto ezahlukeneyo.
- Ukuba umhlaza wakho ukwimiphunga enye kuphela (kwaye awukasasazekanga kwezinye iindawo) kwaye ungafumana unyango olupheleleyo ngokususa imiphunga.
- Ngokuxhomekeke kwindawo yomhlaza, kusenokungabi lula ukuwususa ngokupheleleyo ngaphandle kokususa wonke umphunga .
- Ukuba intliziyo yakho, imithambo yegazi, kunye nemiphunga eseleyo isempilweni ngokwaneleyo ukuba ingamelana notyando .
Kwakhona, olu tyando aluqhelekanga ukucetyiswa kubantu abangasebenzi kakuhle kwemiphunga, abanesifo sentliziyo esinzima, okanye abangakwaziyo ukupompa igazi kakuhle.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Kwiintsuku ezimbalwa okanye iiveki ngaphambi kotyando, ugqirha wakho uza kwenza uvavanyo oluninzi ukujonga ukuba intliziyo yakho nemiphunga isebenza njani. Olu vavanyo lungabandakanya uvavanyo lomsebenzi wamaphaphu, ii-echocardiograms, ii-CT scans, ii-X-ray zesifuba, kunye novavanyo lwegazi.
Eyona nto ibalulekileyo kukuba, ukuba ungumntu otshayayo, uyeke ngokupheleleyo ukutshaya ngaphambi kotyando.Ngokuqinisekileyo. Oku kuya kunceda kakhulu inkqubo yakho yokuphiliswa.
Ngomhla wotyando, uza kufakwa i-anesthesia ngokupheleleyo, ngoko awuyi kuva ntlungu, kwaye awuyi kukhumbula nantoni na eyenzekileyo. Ugqirha uza kwenza i-incision phakathi kweembambo zakho ezimbini ecaleni lakho nasemqolo, asuse iimbambo kancinci ukuze afikelele emphungeni. Emva koko, umoya osemphungeni uyasuswa kwaye ususwe ngononophelo. Ukuba kuyimfuneko, ezinye izicwili ezonakeleyo ziyasuswa kwaye i-incision ithungwe ndawonye. Le nkqubo yonke ingathatha iiyure ezininzi.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha, iqela lezonyango liza kujonga amanqanaba e-oksijini kunye nesantya sentliziyo yakho, kwaye liza kukunika amayeza okulawula iintlungu.
Kwenzeka ntoni kwindawo engenanto emva kokuba imiphunga isusiwe?
Le yingxaki abantu abaninzi abanayo. Xa umphunga ususiwe, indawo izaliswa ngumoya. Kodwa kancinci kancinci, kwiintsuku ezimbalwa, indawo izaliswa lulwelo lomzimba . Ekuhambeni kwexesha, intliziyo yakho, i-diaphragm, kunye nezinye izitho zomzimba zityhala kancinci kuloo ndawo. Umphunga wakho oseleyo nawo uyakhula kwaye ulungelelane nendawo yawo entsha.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando olukhulu, i-pneumonectomy ineenzuzo kunye neengozi. Kubalulekile ukuxoxa ngale nto ngokukhululekileyo nogqirha wakho.
| Iinzuzo | Iingozi kunye neengxaki |
|---|---|
| Kwimeko yomhlaza, lonke ithumba liyasuswa, nto leyo enika ithuba lokuthintela ukusasazeka komhlaza . | Ukuqokelelwa kobofu kwindawo yesifuba (i-Empyema). |
| Ukhuseleko kwizifo ezinokuba yingozi (iibhaktheriya, iifungi) ezinokubangelwa yimiphunga eyonakeleyo. | I-Bronchopleural fistula ngumngxuma ophakathi kwe-trachea kunye nolwelo lomphunga. |
| Ukoyisa ubunzima obubangelwa sesi sifo nokuqhubeka nobomiUkufumana ithuba. | I-pneumonia, usulelo, utshintsho kwisingqisho sentliziyo (i-Arrhythmia). |
| I-Pulmonary embolism (igazi elihamba liye emiphungeni). | |
| Ukungaphumeleli kokuphefumla. | |
| Kukho umngcipheko wokuphinda umhlaza. |
Into enye ekufuneka uyiqaphele ngokukodwa kukuba, ngokuxhomekeke kulwakhiwo lomzimba, umngcipheko weengxaki uphezulu kancinci xa kutyandwa ukuze kususwe umphunga wasekunene kunaxa kutyandwa ukuze kususwe umphunga wasekhohlo .
Ukuchacha nokuphila ngephaphu elinye
Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo. Ngeli xesha, unokufumana kunzima ukusebenza ngendlela eqhelekileyo.
- Kuza kubakho imiqathango kwimisebenzi efana nokuphakamisa iintsimbi nokuqhuba.
- Uza kuziva udiniwe ngaphezu kwesiqhelo kwaye kuya kufuneka uphumle rhoqo.
- Kusenokuba kukho ubunzima bokuphefumla.
Ezinye zezi zinto ziya kuphela njengoko uphola, ngelixa ezinye zinokuba "zizinto eziqhelekileyo kuwe." Kuya kuthatha ixesha ukuziqhelanisa nazo.
Ungayenza njani inkqubo yokuphiliswa ibe lula?
- Landela imiyalelo kagqirha ngqo. Yenza imithambo kunye nemithambo yokuphefumla njengoko kuyalelwe.
- Thatha amayeza akho ngexesha.
- Qiniseka ukuba uyahamba ngeentsuku abathi buya uzokubonisa.
- Ukuba uneengxaki okanye ubunzima, thetha nogqirha ngayo loo nto.
Ixesha onokuphila ngalo nomphunga omnye lixhomekeke kwizinto ezifana nesizathu sotyando, ubudala bakho, kunye nempilo yakho iyonke. Ixesha lokuphila komntu oye watyandwa ngenxa yosulelo oluthile linokwahluka kunelomntu oye watyandwa ngenxa yomhlaza.
Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza
Ukuba ufumana ezi mpawu zilandelayo ngexesha lokuchacha kwakho, fowunela ugqirha wakho ngoko nangoko :
- Ukuba igazi liphuma ngebhandishi yenxeba lotyando.
- Ukuba kukho ulwelo olunevumba elibi, olunemibala eyahlukileyo oluvela ecaleni kwenxeba.
- Ukuba ukhwehlela kwaye une-mucus okanye i-mucus eninzi etshintshile umbala.
- Ifiva.
- Intlungu engenakulawuleka nokuba ngamayeza.
Ukuba unezi mpawu zilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko:
- Ukukhohlela igazi.
- Ubunzima obukhulu bokuphefumla.
- Intlungu yesifuba ngequbuliso kunye nobunzima bokuphefumla.
- Ukulahlekelwa yingqondo.
Umyalezo Wokuya Ekhaya
- I-Pneumonectomy yindlela enkulu yotyando eyenziwa kwiimeko ezinzulu zempilo. Yenziwa xa zimbalwa ezinye iindlela zonyango.
- Abantu abaninzi banokuphila ixesha elide benephaphu elinye. Umzimba uyaqhelana nale meko intsha ngokuhamba kwexesha.
- Ixesha lokuchacha linokuba lide, ngoko ke kubalulekile ukuba nomonde kwaye ulandele imiyalelo kagqirha wakho.
- Ngaphambi kotyando, thetha ngokukhululekileyo nogqirha wakho kunye nosapho lwakho malunga neenzuzo, iingozi, kunye nonyango olungezinye ukuze wenze isigqibo esifanelekileyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment