Xa ugqirha ekuxelela okanye umntu omaziyo ukuba kufuneka wenze "utyando lwesifuba," kuyinto eqhelekileyo ukuziva usoyika kancinci. Ingcinga "yotyando olukhulu oluza kususa isifuba" yiyo efika engqondweni. Kodwa namhlanje, isayensi yezonyango ihambele phambili kakhulu. Yiyo loo nto ngoku kukho indlela "yotyando lwe-keyhole" yokunyanga izifo ezininzi zesifuba, eyenziwa ngemingxunya emincinci ngaphandle kokwenza imingxunya emikhulu kangaka. Yiyo loo nto siyibiza ngokuba yi-VATS.
Yintoni kanye kanye i-VATS?
I-VATS imele utyando lweThoracic oluncediswa yiVidiyo . Ngamafutshane, lutyando olwenziwa ngaphakathi kwesifuba ngoncedo lwekhamera yevidiyo. Igama elithi "Thoracic" libhekisa kwinxalenye yesifuba ephakathi kwentamo nesisu. Le ndawo kulapho kukho amalungu amaninzi abalulekileyo njengentliziyo, imiphunga kunye nomqala.
Khawucinge... Kolu tyando, endaweni yokwenza umngxuma omkhulu esifubeni sakho, ugqirha wenza umngxuma omncinci kakhulu phakathi kweembambo zakho ezimbini aze afake ityhubhu encinci enekhamera encinci (esiyibiza ngokuba yi-thoracoscope ) ngayo. Imifanekiso evela kule khamera iboniswa kwisikrini esikhulu (imonitha). Emva koko, kwenziwa umngxuma omnye okanye emibini emincinci kwaye kufakwa izixhobo ezibuthathaka ezifunekayo kutyando ngazo. Ngoku ugqirha angajonga imifanekiso ekweso sikrini aze anyange ingxaki engaphakathi esifubeni ngokuchanekileyo.
Olu lutyando olungenabungozi kangako. Oku kuthetha ukuba umonakalo, amanxeba, kunye nentlungu emzimbeni zincinci kakhulu kunotyando lwesintu.
Kukweziphi iimeko apho utyando lwe-VATS luyimfuneko?
I-VATS isetyenziswa kakhulu ukuxilonga nokunyanga umhlaza wemiphunga kunye nomhlaza osasazekayo, kodwa ikwasetyenziswa nakwezinye iimeko ezininzi.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Umhlaza wemiphunga | Ukuchonga ithumba elinomhlaza (i-biopsy) okanye ukulisusa. |
| Umhlaza we-esophagus okanye i-thymus gland | Ukunyanga umhlaza kwezi zitho zomzimba. |
| Ukuphuma kwePleural | Kwimeko apho ulwelo luqokelelana khona emiphungeni, fumana unobangela uze ususe ulwelo. |
| Izifo zemiphunga ezifana ne-COPD | Kwizifo zemiphunga ezingapheliyo, ukususa iindawo zemiphunga ezonakeleyo. |
| I-Hyperhidrosis | Njengonyango lokubila okugqithisileyo. |
| I-Myasthenia Gravis | Ukususa i-thymus gland kwesi sifo esenza izihlunu zibe buthathaka. |
Iintlobo eziphambili zotyando lwe-VATS
- Ukususwa kwemiphunga yeVATS: Oku kuquka ukususa inxalenye enesifo yomphunga. Inxalenye encinci (`wedge resection`), i-lobe yonke (`lobectomy`), okanye mhlawumbi umphunga wonke (`pneumonectomy`) inokususwa.
- Ukususwa kwe-Esophagectomy: Ukususwa kwenxalenye enesifo ye-esophagus.
- I-Thymectomy: Ukususwa kwe-thymus gland enesifo.
- Ukuhombisa: Ukususwa kwee-membranes ezisulelekileyo okanye izicubu ezirhangqileyo ezijikeleze imiphunga.
Ndingazilungiselela njani ngaphambi kotyando?
Oku kubaluleke kakhulu. Kufuneka ulandele imiyalelo kagqirha wakho ngokuchanekileyo .
- Uza kucelwa ukuba uzile ukutya (ungatyi okanye ungaseli) kangangeeyure ezimbalwa ngaphambi kotyando.
- Usenokucelwa ukuba uyeke okwethutyana ukusebenzisa amayeza athile, iivithamini, kunye neemveliso zezityalo.
- Ukuba ungumntu otshayayo, ngokuqinisekileyo kuya kufuneka uyeke .
- Ukongeza, iimvavanyo ezininzi zinokuyalelwa ngaphambi kotyando, ezifana nezi:
- Uvavanyo lwegazi - umzekelo, ukubalwa kwegazi okupheleleyo (CBC).
- Uvavanyo olujonga ukusebenza kwentliziyo - njenge ``(EKG)``.
- Uvavanyo lwemifanekiso olufana ne-chest X-ray, i-CT scan, okanye i-PET scan.
- Uvavanyo lomsebenzi wemiphunga.
- Uvavanyo olufana ne-'Upper Endoscopy'.
Ziziphi iingenelo kunye neengozi zalo tyando?
Kukho iingenelo kunye neengozi kulo naluphi na utyando, kodwa utyando lwe-VATS luneengenelo ezininzi kunye neengozi ezimbalwa kunotyando oluvulekileyo lwendabuko (`thoracotomy`).
| Iinzuzo | Iingozi |
|---|---|
| Ixesha lokuchitha esibhedlele lincinci. | Ukuphazamiseka kwentliziyo (ii-Arrhythmias). |
| Iintlungu kunye namanxeba anciphileyo emva kotyando. | Ukuqhekeka kwegazi okanye isifo sohlangothi. |
| Inkqubo yokuphefumla ibuyela esiqhelweni ngokukhawuleza. | I-Pneumothorax. |
| Umngcipheko wokosuleleka uphantsi. | Ukopha ngaphakathi okanye usulelo. |
| Ungabuyela kwimisebenzi yesiqhelo ngokukhawuleza. | Iingxaki zokuphefumla ezifana ne-pneumonia. |
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, uza kuba sesibhedlele usuku olunye okanye ezimbini. Ngeli xesha:
- Uza kunikwa amayeza okulawula iintlungu .
- Khuthaza ukwenza umthambo wokuphefumla nzulu nokuhamba. Oku kuya kunciphisa umngcipheko weengxaki.
- Umbhobho wesifuba ofakwe ngexesha lotyando uza kususwa ngaphambi kokuba uye ekhaya.
Ixesha lokuchacha lixhomekeke kuhlobo lotyando olwenzileyo. Kungathatha iiveki ezimbini ukuze uphile ngokupheleleyo. Ngamanye amaxesha kungathatha ukuya kuthi ga kwiiveki ezisibhozo . Emva kokuba ubuyele ekhaya, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo.
- Tshintsha ii-dressing xa zisikiwe njengoko kufuneka.
- Kuphephe ukuphakamisa iintsimbi.
- Kuphephe ukuqhuba imoto nokuya emsebenzini kude kube lixesha elimiselweyo.
- Sela amayeza kanye njengoko ugqirha ekuyalele.
- Hamba-hamba ubuncinane kathathu ngemini ukuze uthintele ukuqhekeka kwegazi emilenzeni yakho.
Ziziphi iimpawu ezifuna ukuba ufowunele ugqirha wakho ngoko nangoko?
Ukuba ufumana naziphi na ezi mpawu emva kokuba ubuyele ekhaya, kufuneka wazise ugqirha wakho ngoko nangoko .
- Intlungu ebuhlungu esifubeni
- Ubunzima bokuphefumla
- Inxeba liba bomvu, lidumbe, okanye libe nolwelo olumthubi.
- Ifiva
Ukufumana ukuxilongwa komhlaza lixesha elinzima kuye nabani na. Ngexesha elinje, naluphi na uncedo kunyango luyinto enkulu. I-VATS yindlela yanamhlanje engenabuhlungu kangako kwaye ivumela ukuchacha ngokukhawuleza kunotyando oluvulekileyo. Ugqirha wakho uza kukuchazela ukuba oku kulungile na kuwe. Zive ukhululekile ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo.
Umyalezo Wokuya Ekhaya
- I-VATS yindlela "yotyando lwe-keyhole" esetyenziselwa ukunyanga izifo zesifuba.
- Ekubeni kungekho zigcawu zinkulu, iintlungu, amanxeba, kunye nexesha elichithwa esibhedlele azinciphi.
- Le ndlela isetyenziswa ukunyanga izifo ezininzi zesifuba, kuquka nomhlaza wemiphunga.
- Kubalulekile ukuze umntu aphile ngokukhawuleza ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (iintlungu zesifuba, ubunzima bokuphefumla) emva kotyando, funa ingcebiso kagqirha ngokukhawuleza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho