Uma udokotela ekutshela noma othile omaziyo ukuthi kudingeka asuse ingxenye noma wonke amaphaphu akhe ngokuhlinzwa, kuyinto evamile ukuzizwa uthwele umthwalo omkhulu nokwesaba. "Ngingaphila kanjani ngaphandle kwamaphaphu?" "Akuyona yini ukuhlinzwa okukhulu lokhu?" Imibuzo eminingi cishe ifika engqondweni. Kodwa empeleni, lesi yisisombululo esihle kakhulu kwezinye izimo zezokwelapha, esenziwa ngempumelelo enkulu manje ngokuthuthuka kwesayensi yezokwelapha. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa kwamaphaphu, noma 'ukususwa kwamaphaphu' njengoba kubizwa kanjalo kwisayensi yezokwelapha, ngendlela elula kakhulu, ngendlela ongayiqonda.
Kalula nje, kuyini ukususwa kwamaphaphu?
Yilokhu okushiwo ukuhlinzwa kwamaphaphu, noma 'ukususwa kwamaphaphu'. Kalula nje, kuhilela ukususa ngokuhlinzwa ingxenye yephaphu lakho egulayo noma eyonakele, noma lonke iphaphu. Lokhu kungase kube ngenxa yomdlavuza, ukutheleleka okukhulu, noma esinye isimo sezokwelapha. Ngezinye izikhathi, kwenziwa i-biopsy ukuze kuthathwe ingcezu yezicubu ukuze kuhlolwe ukuze kutholakale imbangela eqondile yalesi sifo.
Sinamaphaphu amabili ngaphakathi esifubeni sethu. Iphaphu ngalinye lihlukaniswe izingxenye ezincane, njengomgodi wewolintshi. Sibiza lawa ngokuthi 'ama-lobes' noma izingcezu. Iphaphu lakho langakwesokudla linama-lobes amathathu kanti iphaphu lakho langakwesokunxele linama-lobes amabili . Ngakho-ke kulokhu kuhlinzwa, i-lobe, ingxenye ye-lobe, noma lonke iphaphu lingasuswa. Into yokuqala okudingeka uyikhumbule ukuthi yize lokhu kungukuhlinzwa okukhulu, usengaphila impilo evamile noma ngabe ususwe iphaphu elilodwa noma ingxenye yephaphu.
Yiziphi izinhlobo zokuhlinzwa kwamaphaphu?
Kunezindlela eziningana zokwenza lokhu kuhlinzwa. Kuya ngohlobo lwesifo kanye nosayizi wamaphaphu okudingeka asuswe. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuhlinzwa | Yilokhu okwenzekayo nje... |
|---|---|
| Ukususwa Kwe-Wedge | Ingcezu encane yezicubu zamaphaphu engunxantathu, njengengcezu yekhekhe, iyasuswa. |
| Ukususwa kwesigaba | Ingxenye eyodwa noma ngaphezulu ye-lobe yamaphaphu iyasuswa ngaphandle kokulimaza ezinye izingxenye. |
| Ukuhlinzwa kwe-Lobectomy | I-lobe yephaphu isusiwe ngokuphelele. |
| Ukuhlinzwa kwe-Bilobectomy | Izingxenye ezimbili kwezintathu zama-lobes asephashini lesokudla ziyasuswa. |
| Ukuhlinzwa kwe-Pneumonectomy | Iphaphu ohlangothini olulodwa lisusiwe ngokuphelele. |
Yiziphi izinhlobo zezimo lokhu kuhlinzwa okwenziwa ngazo?
Kunezizathu eziningi zokuthi kungani ukuhlinzwa kwamaphaphu kungase kwenziwe. Eziyinhloko yilezi:
- Umdlavuza wamaphaphu: Ikakhulukazi kumdlavuza wesigaba sokuqala (isigaba I, II, kanye mhlawumbe nesigaba III).
- Uma umdlavuza ovela kwezinye izitho usakazekela emaphashini: Lokhu sikubiza ngokuthi 'umdlavuza osakazeka kakhulu'.
- Izimila noma amaqhubu amaphaphu angewona awemvelo.
- I-Bronchiectasis: Isimo lapho imigudu yomoya ivuleka unomphela futhi igcwale ulwelwesi.
- I-Emphysema : Isimo lapho amasaka omoya emaphashini onakele khona, okubangela ubunzima bokuphefumula.
- Amathumba noma amathumba emaphashini.
- Umonakalo omkhulu emaphashini ngenxa yengozi.
Into ebaluleke kakhulu ukuthi isinqumo sokwenza lokhu kuhlinzwa senziwe ngemuva kokuba ithimba lodokotela abangochwepheshe lihlole kahle isimo sakho.
Izindlela ezimbili eziyinhloko zokwenza ukuhlinzwa
Odokotela abahlinzayo basebenzisa izindlela ezimbili kakhulu ukwenza lo msebenzi.
1. Ukuhlinzwa Kwe-Thoracoscopic: Lena yindlela eyenziwa ngokusika okuncane. Siphinde sikubize ngokuthi i-VATS (Video-Assisted Thoracoscopic Surgery) ngamafuphi. Lapha, kwenziwa izimbobo ezimbalwa ezincane esifubeni, kufakwa ipayipi elincane elinekhamera (i-Thoracoscope), bese ukuhlinzwa kwenziwa kusetshenziswa imishini ekhethekile ngenkathi kubukwa kusikrini. Uma kwenziwa kusetshenziswa ubuchwepheshe berobhothi, sikubiza ngokuthi i-RVATS (i-Robotic VATS). Inzuzo yale ndlela ukuthi ayibuhlungu kakhulu futhi iphola ngokushesha.
2. Ukuhlinzwa Okuvulekile / Ukususwa Kwesifuba:Lokhu kuwukuhlinzwa okukhulu. Kule nqubo, udokotela ohlinzayo wenza ukusika okuncane esiswini sakho, avule isifuba sakho phakathi kwezimbambo ezimbili, bese efika emaphashini akho. Le nqubo ivame ukusetshenziselwa ukususa ingxenye enkulu yamaphaphu noma ezimweni eziyinkimbinkimbi.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ukuhlinzwa okunje kudinga ukulungiselela okuhle. Udokotela wakho uzokunikeza iseluleko esingcono kakhulu ngalokhu.
- Kuzodingeka uzile ukudla (ukuyeka ukudla nokuphuza) amahora amaningana ngaphambi kokuhlinzwa.
- Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo. Eminye imithi (ikakhulukazi imithi yokunciphisa igazi) kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Uma ubhema, kufanele uyeke nakanjani . Ukuyeka ukubhema kunganciphisa kakhulu ingozi yezinkinga ngemva kokuhlinzwa.
- Lungela izinsuku ezimbalwa esibhedlela. Futhi, hlela ukuthi othile akulande lapho ufika ekhaya.
- Ngaphambi kokuhlinzwa, kuzodingeka kwenziwe izinto eziningana, njengokuhlolwa kwegazi, ukuhlolwa kokusebenza kwamaphaphu, i-X-ray yesifuba, i-CT scan, kanye nokuhlolwa kwenhliziyo (ECG) .
Kwenzekani ngemva kokuhlinzwa? Ake sifunde ngesikhathi sokululama
Ngemva kokuhlinzwa, uzogcinwa egumbini lokululama uze uvuke, bese udluliselwa ewadini. Ngokuvamile uzohlala esibhedlela izinsuku ezimbili kuya kwezintathu kuya kwesonto. Lesi sikhathi sizoncika ohlotsheni lokuhlinzwa olwenzile nokuthi ululama ngokushesha kangakanani.
Ngemva kokuhlinzwa , kuzofakwa ipayipi lesifuba esifubeni sakho ukuze kususwe uketshezi oluningi nomoya oqongeleleka esifubeni sakho. Lokhu kuvame ukushiywa endaweni yalo usuku olulodwa noma ezimbili bese kususwa.
Ungase uzizwe uphelelwa umoya futhi ukhathele ekuqaleni. Lokhu kuvamile. Abasebenzi bezokwelapha bazokufundisa ukuthi ungaphefumula kanjani ngokujulile futhi wenze izivivinyo zokukhwehlela ukuze amaphaphu akho aqhubeke esebenza kahle. Ungase futhi unikezwe umoya-mpilo isikhashana.
Isikhathi sokululama siyahlukahluka kumuntu nomuntu.
- Uma ukuhlinzwa kwenziwa ngokusikwa okuncane njenge -VATS , uzokwazi ukuqhubeka nemisebenzi evamile cishe emavikini amabili.
- Uma kungukuhlinzwa okukhulu njengokuhlinzwa kwesifuba , kungathatha inyanga noma ngaphezulu ukululama ngokuphelele.
Ingabe zikhona izingozi nezinkinga?
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile ezihilelekile, futhi kubalulekile ukuzazi.
- Ukuvuza komoya emaphashini
- Ukuphazamiseka kwenhliziyo (i-Arrhythmia)
- Ukuqongelela kwegazi esifubeni (i-Hemothorax)
- Izifo ezifana ne-pneumonia
- Ukutheleleka emanxebeni
- I-embolism yamaphaphu
- Ukusabela ekubulaweni kwe-anesthesia
Ithimba lakho lezokwelapha lenza konke okusemandleni alo ukunciphisa lezi zingozi. Unganciphisa lezi zingozi ngokugwema ukubhema nokulandela imiyalelo kadokotela wakho ngokucophelela.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Ngemva kokubuyela ekhaya, kubaluleke kakhulu ukuthatha isinyathelo ngokushesha uma kuvela izimpawu zengozi.
| Isibonakaliso | Okufanele ngikwenze? |
|---|---|
| Khuluma nodokotela wakho: | |
| Uma ibhandishi elisesikhaleni liqala ukuphuma igazi ngokushesha nje lapho selimanzi | Yazisa udokotela wakho ohlinzayo noma isibhedlela ngokushesha. |
| Uma ukuphuma kombala kungavamile noma kukhulu kakhulu | |
| Uma unomkhuhlane | |
| Uma unezinhlungu ezingenakulawuleka ngisho nangemithi | |
| Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha: | |
| Uma ukhwehlela igazi | Lezi yizimo eziphuthumayo kakhulu. Yiya esibhedlela ngokushesha. |
| Uma ngokuzumayo uba nobunzima obukhulu bokuphefumula | |
| Uma uzwa ubuhlungu besifuba obungazelelwe futhi kunzima ukuphefumula | |
Ingabe iphaphu elisusiwe lingakwazi ukuphinda likhule?
Cha. Ngokungafani nesibindi sethu, izicubu zamaphaphu azikhuli kabusha ngemva kokususwa ngokuhlinzwa. Kodwa umzimba uyazivumelanisa nalolu shintsho. Izicubu zamaphaphu ezisele ziqala ukusebenza kahle kakhulu. Ngakho-ke ngokuhamba kwesikhathi, ungase ungawuboni umehluko omkhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwamaphaphu kuyindlela yokuhlinzwa esezingeni eliphezulu futhi ephumelelayo elapha izimo zezokwelapha ezingathi sína.
- Kuvamile ukuzizwa ukhathazekile ngalokhu kuhlinzwa. Khuluma ngokukhululekile nodokotela wakho ngakho futhi ubuze noma yimiphi imibuzo onayo.
- Ngokulandela izinyathelo ngokucophelela ngaphambi kokuhlinzwa, ikakhulukazi ukuyeka ukubhema, ungasheshisa ukululama kwakho futhi unciphise izingozi.
- Kuthatha isikhathi ukululama. Ngakho-ke bekezela. Nikeza umzimba wakho ukuphumula okudingayo. Thola usizo emndenini nakubangani.
- Hlala uqaphele noma yiziphi izimpawu eziyingozi (umkhuhlane, ubuhlungu obukhulu, ubunzima bokuphefumula) ezingase zivele ngemva kokubuyela ekhaya. Uma unenkinga, funa iseluleko sezokwelapha ngokushesha.











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