Ingabe kufanele sibheke ngaphakathi esifubeni? Konke mayelana ne-Thoracoscopy ngamagama alula!

Uma udokotela wakho ethi unenkinga esifubeni sakho, enye indlela yokuthola ukuthi iyini kanye nokuthi kwenzekani ngaphakathi ibizwa ngokuthi i-thoracoscopy. Cishe uke wezwa leli gama ngaphambili. Ake sibheke ukuthi liyini, ukuthi lenziwa kanjani, nokuthi kukhona yini okufanele ukwesabe.

Kuyini i-Thoracoscopy?

Kalula nje, i-thoracoscopy ukuhlolwa okuncane okubheka ubuso bamaphaphu akho kanye nendawo ewazungezile (okubizwa ngokuthi isikhala se-pleural). Odokotela basebenzisa ikhamera encane, ekhanyisiwe ebizwa ngokuthi i-thoracoscope ukubheka amaphaphu akho. Lokhu kungabheka izinto ezifana ne-diaphragm yakho, i-esophagus, udonga lwesifuba, kanye nama-lymph node. Ngezinye izikhathi, ingxenye encane yezicubu (ebizwa ngokuthi i-biopsy) ingathathwa endaweni ofuna ukuyihlola.

Ngokuvamile, lokhu kuhlolwa kwe-thoracoscopy kwenziwa njengengxenye yokuhlinzwa kwe-thoracoscopic okusizwa ngevidiyo (i-VAT) . Lokhu kuvumela odokotela abahlinzayo egumbini lokuhlinza ukuthi babone ukuthi yini engaphakathi kwesifuba ngokucacile esikrinini esikhulu sevidiyo. Kufana nokufaka ikhamera emgodini omncane bese ubheka ngaphakathi.

Yiziphi izinhlobo ze-thoracoscopy?

Manje bheka, le thoracoscopy isetshenziswa ngendlela ehlukile.

• I-Diagnostic Thoracoscopy: Ngezinye izikhathi udokotela wakho uzosebenzisa lokhu ukuze abone ukuthi kukhona yini inkinga esifubeni sakho, noma ukuthatha ingxenye encane yezicubu (i-biopsy) ukuze ihlolwe. Lokhu ngezinye izikhathi kubizwa ngokuthi i-pleuroscopy .
• I-Thoracoscopy Yokwelapha: Ngezinye izikhathi, le ndlela isetshenziselwa ukwelapha isifo, okungukuthi, ukwenza ukuhlinzwa. Yilokhu okusetshenziswa endleleni yokuhlinzwa engavamile eshiwo ngaphambilini ebizwa ngokuthi i-`VATS` noma i-`Video-Assisted Thoracoscopic Surgery`.

Isetshenziswa nini i-Thoracoscopy?

Ngakho-ke, kuziphi izimo lapho udokotela enquma ukwenza ukuhlinzwa kwe-thoracoscopy noma i-VATS?

• Uma udinga ukwazi ulwazi oluqondile olungatholakalanga yi-X-ray yesifuba sakho, i-CT scan, noma i-ultrasound.
• Uma udinga ukususa ingxenye yongqimba lwangaphakathi lodonga lwesifuba, olubizwa ngokuthi i-pleura.
• Susa izingxenye zamaphaphu ezonakele (lokhu kubizwa ngokuthi 'ukuhlinzwa kokunciphisa umthamo wamaphaphu').
• Susa amaphakethe omoya emaphashini.
• Susa ingxenye yomdlavuza yamaphaphu (lokhu kubizwa ngokuthi 'ukususwa kwamaphaphu').
• Susa uketshezi olungadingekile oluqongeleleke esikhaleni se-pleural esizungeze amaphaphu bese usebenzisa imithi yokuvimba uketshezi ukuthi lungaphinde luqongeleleke (lokhu kubizwa ngokuthi i-pleurodesis).

Lokhu kuhlolwa/ukuhlinzwa kungenziwa, ikakhulukazi uma unomdlavuza wamaphaphu noma i-mesothelioma. Kungasetshenziswa futhi ukwelapha umdlavuza we-thymus gland kanye nomdlavuza womphimbo.

Umehluko phakathi kwe-Thoracoscopy ne-Thoracotomy

Manje ungase uzibuze, kukhona nenqubo ebizwa ngokuthi i-thoracotomy, futhi uyini umehluko phakathi kwalokho ne-thoracoscopy. I-thoracotomy ukuhlinzwa okuhilela ukwenza i-incision enkulu esifubeni. Kodwa i-thoracoscopy inqubo engangenisi kakhulu.

Izinzuzo zale ndlela ye-thoracoscopy yilezi:

• Ungalulama ngokushesha.
• Ubuhlungu buncane.
• Izinkinga ngemva kokuhlinzwa zimbalwa.

Kodwa-ke, ngezinye izikhathi, uma inqubo eqondile ingenakukwenziwa ngokuphephile nge-thoracoscopy, udokotela kungase kudingeke enze i-thoracotomy.

Ubani owenza i-thoracoscopy?

Le thoracoscopy, noma i-pleuroscopy, ingenziwa ngudokotela wakho wamaphaphu . Kodwa-ke, inqubo ebizwa ngokuthi i-Video-Assisted Thoracoscopy Surgery (VATS) kumele yenziwe ngudokotela ohlinzayo wesifuba .

Ngingalungiselela kanjani i-thoracoscopy?

Kukhona nendlela okudingeka uzilungiselele ngayo ngaphambi kwalokhu kuhlolwa/ukuhlinzwa.

• Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, udokotela wakho uzokutshela ukuthi uyeke ukuthatha imithi ethile (njenge-aspirin) evimbela igazi ukuthi lingajiyi kalula, okusho ukuthi yandisa ukopha .
• Ungase futhi ucelwe ukuthi ungadli noma uphuze ngosuku lokuhlinzwa.

Kuthatha isikhathi esingakanani ukwenza i-Thoracoscopic Surgery?

Isikhathi esidingekayo salokhu kuhlinzwa kwe-thoracoscopic singahluka. Ngokuvamile kungathatha noma yikuphi kusukela kusigamu sehora kuya emahoreni amaningana . Uma kudingeka into eyinkimbinkimbi kunokuthatha nje isampula yezicubu, kuzothatha isikhathi eside.

Kwenzekani ngesikhathi se-thoracoscopy?

Kulungile, manje ake sibone ukuthi kwenzekani phakathi nalokhu kuhlinzwa. Uzohlinzwa nge-'Video-Assisted Thoracoscopy Surgery (VATS)', futhi ungaphansi kwe-anesthesia ejwayelekile . Lokho kusho ukuthi awuzwa lutho, ulele. Akuvamile kakhulu, lokhu kwenziwa nge-'sedation' encane nje.

Udokotela ohlinzayo ulandela lezi zinyathelo:

1. Uzonikezwa umuthi wokubulala izinzwa ngesisombululo se-saline esifakwa emthanjeni (i-`IV`).

2. Kufakwa ipayipi emphinjeni wakho bese umshini ulawula ukuphefumula kwakho (lokhu kunciphisa okwesikhashana elinye lamaphaphu akho, okwenza ukuhlinzwa kube lula).

3. Esifubeni sakho, phakathi kwezimbambo zesikhombisa, zesithupha, nezesine,Kwenziwa ukuhlikihla okuncane okubili noma kathathu, okungaphansi kwengxenye yesentimitha .

4. Ngokusikwa okukodwa, ikhamera ye-thoracoscope ifakwa esikhaleni se-pleural esizungeze amaphaphu.

5. Ezinye izinto ezincane ezidingekayo ekuhlinzeni zifakwa ngezinye izimbobo.

6. Amasampula athathwa ezindaweni ezibonakala zingavamile, noma kwenziwa ukuhlinzwa okudingekayo.

7. Bese ukhipha ikhamera nayo yonke eminye imishini.

8. Kufakwa ipayipi lesifuba esifubeni sakho ukuze kukhishwe umoya emaphashini akho futhi kubuyiselwe iphaphu eliwile esimweni esijwayelekile.

9. Ukuthunga izicucu.

10. Uvuswa futhi futhi wenziwa ukuthi uphefumule wedwa.

Yini ongayilindela ngemva kokuhlinzwa kwe-thoracoscopy?

Ngemva kokuhlinzwa, kuzothatha isikhathi ukuthi ululame ekuhlinzweni kwe-anesthesia. Umphimbo wakho nomlomo wakho kungase kuzwakale kungezwakali isikhashana. Ngeke uvunyelwe ukudla noma ukuphuza kuze kube yilapho ukungasebenzi kahle sekuphelile. Ngenxa yepayipi lokuphefumula, izwi lakho lingase libe nomsindo omncane futhi umphimbo wakho ungase ube buhlungu ngosuku olulandelayo ngemuva kokuhlinzwa. Ungase futhi ube nobuhlungu lapho kwenziwa khona izimbobo.

Ungesabi, udokotela uzokunikeza umuthi odingekayo walobu buhlungu.

Uma uke wathathwa amasampula ezicubu (ama-biopsy) kuwe, noma uketshezi oluvela emaphashini akho, uzoba nepayipi lesifuba esifubeni sakho usuku olulodwa noma ezimbili. Uzophinde uthathwe i-X-ray yesifuba ukuqinisekisa ukuthi azikho izinkinga ngamaphaphu akho.

Esikhathini esiningi, ngemva kwalolu hlobo lokuhlinzwa kwe-thoracoscopic, kufanele uhlale esibhedlela ngenkathi amapayipi esifuba ekhona. Kodwa ngezinye izikhathi, uma kungekho lutho olukhulu olwenziwayo, ungaya ekhaya ngemva kwamahora ambalwa okuphumula. Uma wenza kanjalo, kufanele ucele umngane noma isihlobo ukuba sikuyise ekhaya.

Ingabe i-Thoracoscopy ibuhlungu?

Lena inkinga abantu abaningi abanayo. Ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa kwe-thoracoscopy ngoba ulashwe nge-anesthesia. Ngemva kokuhlinzwa, ungathatha imithi yobuhlungu ukuze usize ngobuhlungu obusezinsini.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-thoracoscopy?

Kuthatha cishe amasonto amabili ukuqala kabusha imisebenzi evamile ngemva kwalokhu kuhlinzwa. Ngokuvamile kuthatha cishe amasonto amane kuya kwayisithupha ukululama ngokuphelele.

Ingabe i-thoracoscopy iyingozi?

Njenganoma iyiphi inqubo yezokwelapha, kunengozi encane. Izinga lokufa ngenxa ye-thoracoscopy yezokwelapha kulinganiselwa ukuthi liphansi kakhulu, ku-0.3%. Ku-thoracoscopy esizwa yividiyo, izinga liphakeme kancane. Kodwa-ke, izinga lezinkinga kuzo zombili lezi zinqubo liphakathi kuka-2% no-11% . Lokhu kufaka phakathi izinkinga ezincane nezingathi sína.

Ziyini izingozi ze-thoracoscopy?

Yiziphi izinkinga ezingaba khona nge-thoracoscopy?

• Ukopha.
• Ukutheleleka emaphashini noma ukusikeka.
• Imfiva.
• Ukuqongelela komoya esikhaleni se-pleural noma eduze nendawo yokusikwa.
• Iphaphu eligobile.
• Ukuqongelela koketshezi emaphashini.

Iyini imiphumela? Ithini?

Ngemva kokuhlinzwa, udokotela uzokutshela ukuthi inkinga onayo ilungisiwe noma cha. Futhi, ngemva kokufika kwemiphumela yelabhorethri, bazokutshela ukuthi izicubu ezisusiwe zinomdlavuza noma azinabungozi. Uma unomdlavuza, uzokwazi futhi ukuthola ukuthi ukuphi ohlelweni lokulinganisa umdlavuza .

Kungathatha izinsuku eziningana ukuthi ilabhorethri yesibhedlela ihlole amasampula ezicubu futhi inikeze imibiko.

Kufanele ngimshayele nini udokotela?

Uma uya ekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Ubunzima bokuphefumula.
• Imfiva.
• Ubuhlungu besifuba.
• Ukuvuvukala okusha esifubeni noma entanyeni.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule

Cabanga ukuthi kumangalisa kanjani ukukwazi ukubona futhi ngezinye izikhathi ukwelapha izinkinga esifubeni sakho ngokusika okuncane nje ngale nqubo ebizwa ngokuthi i-thoracoscopy. Uma ungaqiniseki ngokuthile noma unokungabaza, ungangabazi ukubuza udokotela wakho. Uma uqonda kahle lokhu kuhlolwa/ukuhlinzwa, ukwesaba kwakho kuzoncipha kakhulu. Kubaluleke kakhulu futhi ukulandela imiyalelo enikezwe ngaphambi kokuhlinzwa nokulandela imiyalelo enikezwe udokotela wakho ngesikhathi sokululama ngemva kokuhlinzwa.

I- Thoracoscopy, ukuhlinzwa kwamaphaphu, i-VATS, i-pleuroscopy, ukuhlolwa kwesifuba, ukuhlinzwa okungangenisi kakhulu, izifo zokuphefumula