Ingabe udokotela wakho ukutshelile ukuthi udinga ukwenza i-mediastinoscopy? Kumelwe ukuthi wesaba kancane lapho uzwa lelo gama, akunjalo? Kumelwe ukuthi ube nemibuzo eminingi efana nokuthi, 'Kuyini lokhu? Ingabe ukuhlinzwa okukhulu? Ingabe kuzolimaza?' Kuvamile kakhulu. Akumangazi ukuthi uma uzwa igama elisha, ngisho noma libizwa ngokuthi ukuhlinzwa, uzizwa ukhathazekile kancane. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini le-mediastinoscopy, ukuthi kungani yenziwa, ukuthi yenziwa kanjani, nokuthi kwenzekani ngemva kwalokho, ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-Mediastinoscopy?
Kulungile, ake siqale sichaze lokhu. I-mediastinoscopy inqubo yokuhlinzwa evumela udokotela wakho ukuthi abheke ingaphakathi lesifuba sakho, ikakhulukazi isikhala esiphakathi kwamaphaphu akho (okuyilokho esikubiza ngokuthi i-mediastinum kwezokwelapha).
Cabanga ngakho, lesi sikhala esiphakathi kwamaphaphu amabili ngaphakathi kwesifuba sethu sibaluleke kakhulu. Ngoba izitho eziningi ezibalulekile njengenhliziyo yethu , i-trachea, kanye ne-esophagus zitholakala lapha. Ngakho-ke le ndlela isetshenziswa lapho sifuna ukubona ukuthi kukhona yini okungajwayelekile kule ndawo, njengesimila noma i-lymph node ekhulisiwe.
Kusetshenziswa ithuluzi elikhethekile elibizwa ngokuthi i-mediastinoscope kule nqubo. Lifana nepayipi elincane elinekhamera kanye nokukhanya okunamathiselwe kulo. Besebenzisa leli thuluzi, odokotela bangabona ngokucacile okungaphakathi kwesifuba. Abagcini nje ngokubona, kodwa bangathatha nesampula yezicubu ezivela ku-lymph node noma kwenye ithumba lapho bese beyithumela ukuze iyohlolwa (lokhu sikubiza ngokuthi i-biopsy).
Uyini umehluko phakathi kwe-Mediastinoscopy ne-Mediastinotomy?
Ungase uzwe futhi igama elithi mediastinotomy. Zombili zenzelwa ukubheka indawo ye-mediastinum yesifuba. Kodwa kunomehluko omncane.
- I-Mediastinoscopy: Lokhu kuhilela ukwenza ukusika okuncane (cishe isentimitha) entanyeni bese kufakwa i-scope kuyo. Ukusika kuncane, ngakho-ke kuphola ngokushesha.
- I-Mediastinotomy: Lokhu kuhilela ukwenza ukusika okukhulu kancane esifubeni nokubheka ngqo ngaphakathi. Le ndlela ivumela udokotela ukuthi abone okuningi ngaphakathi, kodwa ukusika kukhulu, ngakho-ke isikhathi sokuphulukiswa side.
Kalula nje, i-mediastinoscopy ifana nokubuka ngembobo yokhiye yomnyango wekamelo. I-mediastinotomy ifana nokuvula umnyango bese ubheka ngaphakathi. Nakuba inhloso yakho kokubili ifana, inqubo nesikhathi sokululama kuhlukile.
Kungani ufuna ukwenza lolu vivinyo?
Kunezizathu eziningana zokuthi kungani udokotela engase acele lokhu kuhlolwa. Izizathu eziyinhloko yilezi:
- Qinisekisa ukusolakala komdlavuza:Uma ubona into engavamile esifubeni sakho ku-X-ray noma ku-CT scan, udinga ukuthatha ingcezu yezicubu bese uyihlola ukuze uthole ukuthi ingabe umdlavuza noma cha. Le ndlela ibaluleke kakhulu kulokho.
- Thola isigaba somdlavuza: Uma umuntu esevele etholakale enomdlavuza wamaphaphu, umdlavuza we-thymus gland, noma umdlavuza womphimbo , lokhu kuhlolwa kwenziwa ukuze kubonwe ukuthi ususakazeke kangakanani. Ikakhulukazi, kusiza ukubona ukuthi umdlavuza ususakazeke yini kuma-lymph node aseduze. Lena indlela isigaba somdlavuza esinqunywa ngayo futhi kukhethwa ukwelashwa okungcono kakhulu.
- Ukuhlonza ezinye izifo: Akuyona nje umdlavuza kuphela, lokhu kuhlolwa ngezinye izikhathi kusetshenziselwa ukubheka izifo emaphashini, kanye nokuhlonza ezinye izimo ezifana ne -lymphoma, i-sarcoidosis, noma i-mesothelioma .
Ingabe bakhona abantu abangafuni ukwenza lokhu kuhlinzwa?
Yebo, lokhu kuhlinzwa akufanele wonke umuntu. Kwezinye izimo, kungaba yingozi. Ikakhulukazi kubantu abafana nalaba:
- Kulabo abanesimila esingelapheki esikhulu kakhulu ukuba singasuswa ngokuhlinzwa.
- Kulabo abake benza i-mediastinoscopy ngaphambili (ngoba izicubu zesilonda ezivela ekusikweni kwangaphambilini zingenza kube nzima futhi kube yingozi ukukwenza okwesibili).
- Kulabo abaye bathola ukwelashwa ngemisebe endaweni yesifuba (ukuhlinzwa kungaba nzima ngoba izicubu kuleyo ndawo zishintshile ngenxa yemisebe).
Udokotela wakho uzokuhlola futhi athathe isinqumo esingcono kakhulu ngalokhu.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuyinqubo yokuhlinzwa, udokotela wakho uzokunikeza imiyalelo yokuthi ungazilungiselela kanjani kusengaphambili. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
| Isigaba okufanele silungiselelwe | Okudingeka ukwenze |
|---|---|
| Ukuhlolwa Kwezokwelapha | Ngaphambi kokuhlinzwa, udokotela wakho uzo-oda izinto ezifana ne-X-ray yesifuba, i-CT scan, kanye nokuhlolwa kokusebenza kwamaphaphu. Yenza konke lokhu ngesikhathi. |
| Imithi oyithathayo | Uma uthatha noma yini evimbela ukujiya kwegazi (imithi yokunciphisa igazi), kuzodingeka uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu futhi uthole iseluleko. Mtshele ngayo yonke imithi oyithathayo. |
| Ukuzila ukudla | Uzocelwa ukuthi uyeke ukudla nokuphuza ngokuphelele amahora ambalwa ngaphambi kokuhlinzwa (ngokuvamile cishe phakathi kwamabili). Landela le miyalelo kahle. |
Ukuhlinzwa kwenziwa kanjani?
Kulungile, manje ake sibone ukuthi kwenzekani ngaphakathi kwegumbi lokuhlinza. Ungakhathazeki, konke lokhu kwenzeka ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ulaliswa ukuze ungezwa lutho.
1. I-Anesthesia: Okokuqala, i-IV ifakwa emthanjeni engalweni yakho bese unikezwa imithi ezokulalisa ngokuphelele.
2. Ipayipi lokuphefumula: Ngaphandle kokuthi wazi, ipayipi lokuphefumula lifakwa emphinjeni wakho bese uvunyelwe ukuphefumula ngomshini (i-ventilator).
3. Ukusikwa okuncane: Ukusikwa okuncane kwenziwa cishe nge-intshi ngaphansi kwentamo yakho, ngaphezu kwethambo lesifuba sakho.
4. Ukufaka ithuluzi: Udokotela ohlinzayo ufaka ithuluzi elibizwa ngokuthi i-mediastinoscope ngalowo msibo.
5. Ukuhlolwa nokuthatha amasampula: Udokotela uyayifaka bese ebheka izindawo okufanele zihlolwe ngekhamera. Uma kukhona ama-lymph node noma izicubu ezisolisayo, kuthathwa isampula (i-biopsy) kusetshenziswa ithuluzi elincane elifana nesikelo entweni efanayo.
6. Ukususa idivayisi nokuyithunga: Ngemva kokuba umsebenzi usuqediwe, khipha idivayisi bese uthunga indawo encane eqhekekile ngentambo encibilikayo noma intambo evamile.
7. Ukuvuka ngemva kokubulala izinzwa: Ekugcineni, uzovuswa futhi bese kukhishwa ipayipi lokuphefumula.
Le nqubo yonke ivame ukuthatha cishe ihora , kodwa ngezinye izikhathi ingathatha isikhathi eside.
Kwenzekani ngemva kokuhlinzwa? Sinjani isikhathi sokululama?
Uzozizwa uthukuthele kancane amahora ambalwa ngemva kokuvuka ekuhlinzweni kwe-anesthesia. Ezimweni eziningi, lokhu kuyindlela yokulaliswa esibhedlela, okusho ukuthi akudingeki uhlale esibhedlela.
- Ukuya ekhaya: Kodwa-ke, njengoba unikezwe i-anesthesia , ngeke ukwazi ukushayela. Uzodinga ilungu lomndeni noma umngane ukuthi akuyise ekhaya.
- Ubunzima:Selokhu kwafakwa ipayipi lokuphefumula, ungase uzwe umuzwa wokucasuka emphinjeni nasemlonyeni wakho, ubuhlungu, kanye nokukhwehlela ngosuku olulandelayo. Ungakhathazeki ngalokho. Indawo yokusikwa nayo izoba buhlungu kancane izinsuku ezimbalwa. Udokotela uzokunika imithi yobuhlungu ngalokho.
- Ukuhlolwa: Ngezinye izikhathi ngemva kokuhlinzwa, ungase wenze i-X-ray yesifuba ukuqinisekisa ukuthi azikho izinkinga ngamaphaphu akho.
Ziyini izingozi ze-mediastinoscopy?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Nakuba amathuba okuba lokhu kwenzeke ephansi kakhulu, kubalulekile ukuzazi.
| Ingozi/Inkinga | Incazelo elula |
|---|---|
| Ukopha | Lena inkinga evame kakhulu, kodwa ivame ukuphathwa ngesikhathi sokuhlinzwa. |
| Ukutheleleka kwamaphaphu (i-pneumonia) | Ngemva kokuhlinzwa, amagciwane angangena emaphashini futhi abangele ukutheleleka (i-pneumonia). |
| I-Pneumothorax | Akuvamile kakhulu, idivayisi ingadala imbobo encane emaphashini, okubangela ukuthi idilike (i-pneumothorax). Lokhu kungelashwa futhi kulungiswe. |
| Ukutheleleka Kwenxeba | Indawo lapho kuqhume khona ingangenwa amagciwane. Kubalulekile ukugcina inxeba lihlanzekile. |
Ingozi yokufa ngenxa yalokhu kuhlinzwa iphansi kakhulu (cishe u-0.09%). Ngakho-ke ungakhathazeki ngakho ngokungadingekile.
Kuthatha isikhathi esingakanani ukuthi imiphumela ifike?
I-biopsy izothunyelwa elabhorethri ukuze ihlolwe, futhi kungathatha izinsuku ezimbalwa ukuthi umbiko ufike. Uma umbiko usufikile, udokotela wakho uzokuchazela wona futhi axoxe ngezinyathelo ezilandelayo kanye nokwelashwa.
Ngingambona nini udokotela?
Kuvamile ukuba nobuhlungu obuncane ngemva kokubuyela ekhaya. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele ushayele udokotela wakho ucingo ngokushesha . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ubuhlungu obukhulu besifuba
- Umkhuhlane ophakeme kakhulu
- Ubunzima bokuphefumula
- Uma indawo yokusikwa ibomvu kakhulu, ivuvukele, futhi kuphuma uketshezi olufana nobovu kuyo
Ungazinaki izinto ezinjengalezi.
Umlayezo Wokuya Nawe Ekhaya
- I-Mediastinoscopy akuyona indlela eyingozi okufanele uyesabe. Kuyindlela yokuhlola ebaluleke kakhulu futhi ephephile esetshenziselwa ukuxilonga izifo ezinjengomdlavuza ngokunembile.
- Lokhu kwenziwa ngokusikwa okuncane entanyeni, ukuze ululame ngokushesha. Ezimweni eziningi, ungaya ekhaya ngalolo suku.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi kokuhlinzwa (njengokuyeka ukudla nokuphuza, ukuyeka imithi).
- Kuvamile ukuba nomphimbo obuhlungu, ukukhwehlela, kanye nobuhlungu endaweni yokusikwa izinsuku ezimbalwa ngemva kokuhlinzwa.
- Uma uzwa ubuhlungu obukhulu esifubeni, umkhuhlane, noma ubunzima bokuphefumula ngemva kokubuyela ekhaya, yazisa udokotela wakho ngokushesha ngaphandle kokulibala.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment