Noma ubani ozwa ngokuhlinzwa kokukhipha iphaphu lonke ukhathazekile kancane, akunjalo? Kungukuhlinzwa okukhulu. Kodwa into ebaluleke kakhulu okudingeka uyazi ukuthi kwezinye izimo, ikakhulukazi ezimweni ezifana nomdlavuza wamaphaphu, kungaba inqubo esindisa impilo. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa okubizwa ngokuthi i-Pneumonectomy, izinzuzo kanye nokubi kwako, nokuthi kwenzekani ngemva kokuhlinzwa ngendlela elula neqondakalayo.
Kalula nje, kuyini lokhu kuhlinzwa kwe-Pneumonectomy?
Ukususwa kwe-pneumonectomy ukususwa kwephaphu elilodwa ngokuhlinzwa. Sinamaphaphu amabili, elinye ngakwesokudla nelinye ngakwesobunxele. Uma iphaphu langakwesokudla lisusiwe, libizwa ngokuthi i-pneumonectomy ohlangothini lwesokudla, kanti uma iphaphu langakwesokunxele lisusiwe, libizwa ngokuthi i-pneumonectomy ohlangothini lwesobunxele.
Lokhu kubhekwa njengokususwa kwamaphaphu okukhulu kakhulu ngoba kuyinkimbinkimbi kakhulu kunokuhlinzwa okufana nokuthi ``lobectomy``` noma ``wedge resection``, okususa ingxenye encane yamaphaphu kuphela.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-pneumonectomy:
- Ukuhlinzwa Kwesifuba Esilula/Esijwayelekile: Lokhu kuhilela ukususa lonke iphaphu lakho, futhi mhlawumbe neminye imizwa nezicubu eziseduze.
- Ukuhlinzwa kwe-Extrapleural Pneumonectomy: Lokhu kuwukuhlinzwa okukhulu kancane. Kulokhu, udokotela ohlinzayo ususa okulandelayo:
- Amaphaphu agcwele.
- I-Pleura yi-membrane ezungeze amaphaphu nodonga lwesifuba.
- Isimbozo esizungeze inhliziyo (i-pericardium).
- Izingxenye ze-diaphragm, imisipha engaphansi kwamaphaphu.
Odokotela abahlinzayo basebenzisa izindlela ezimbili ukwenza lokhu kuhlinzwa. Enye iwukuhlinzwa kwe-thoracotomy yendabuko, okuhilela ukusika isifuba. Enye iwukusika okuncane okubizwa ngokuthi ukuhlinzwa kwe-thoracic okusizwa ngevidiyo (VATS). Nakuba i-VATS ingangenisi kakhulu, ayifaneleki kubo bonke abaguli.
Yiziphi izinhlobo zezimo lokhu kuhlinzwa okwenziwa ngazo?
Lokhu kuhlinzwa kuvame ukwenziwa njengokwelashwa komdlavuza osakazeke emaphashini noma usuka kuwo. Kodwa-ke, kungaba yisisombululo nakwezinye izimo eziningana. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Umdlavuza wamaphaphu | Lesi yisona sizathu esiyinhloko sokuhlinzwa kwe-pneumonectomy. |
| I-mesothelioma ye-Pleural | Umdlavuza owenzeka olwelwesini lwamaphaphu. |
| Izinkinga ezinkulu zamaphaphu | Amaphaphu alimele ngendlela engenakulungiseka ngezinye izindlela zokwelapha. |
| I-Aspergillosis | Ukutheleleka okukhulu kwesikhunta emaphashini. |
| I-Bronchiectasis | Imigudu yomoya evulekile futhi eyonakele unomphela. |
| Isifo sofuba | Isifo sofuba, isifo esingelapheki ngemithi futhi esilimaze kakhulu amaphaphu. |
Ubani ofanelekela lokhu kuhlinzwa?
Odokotela bazonquma ukuthi uyakufanelekela yini lokhu kuhlinzwa ngokusekelwe ezicini eziningana.
- Uma umdlavuza wakho usephashini elilodwa kuphela (futhi ungasakazekelanga kwezinye izindawo) futhi ungathola ukwelashwa okuphelele ngokususa iphashini.
- Kuye ngokuthi umdlavuza ukuphi, kungase kungenzeki ukuwususa ngokuphelele ngaphandle kokususa lonke iphaphu .
- Uma inhliziyo yakho, imithambo yegazi, kanye namaphaphu asele kunempilo eyanele yokubekezelela ukuhlinzwa .
Futhi, lokhu kuhlinzwa akuvamile ukunconywa kubantu abangasebenzi kahle kwamaphaphu, isifo senhliziyo esibi, noma ikhono lokupompa igazi elibi.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ezinsukwini ezimbalwa noma amasonto ngaphambi kokuhlinzwa, udokotela wakho uzokwenza izivivinyo eziningana ukuhlola ukuthi inhliziyo namaphaphu akho asebenza kanjani. Lokhu kungafaka phakathi izivivinyo zomsebenzi wamaphaphu, ama-echocardiogram, ama-CT scan, ama-X-ray esifubeni, kanye nokuhlolwa kwegazi.
Into ebaluleke kakhulu ukuthi, uma ubhema, uyeke ukubhema ngokuphelele ngaphambi kokuhlinzwa.Impela. Lokhu kuzosiza kakhulu inqubo yakho yokuphulukiswa.
Ngosuku lokuhlinzwa, uzohlinzwa ngokuphelele, ngakho ngeke uzwe ubuhlungu, futhi ngeke ukhumbule noma yini eyenzekile. Udokotela ohlinzayo uzokwenza i-incision phakathi kwezimbambo zakho ezimbili ohlangothini lwakho nasemhlane, asuse izimbambo kancane ukuze afinyelele ephashini. Ngemuva kwalokho, umoya osephashini uyasuswa bese ususwa ngokucophelela. Uma kudingeka, ezinye izicubu ezonakele ziyasuswa bese i-incision ithungwa ndawonye. Lonke lolu hlelo lungathatha amahora amaningana.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Phakathi nalesi sikhathi, ithimba lezokwelapha lizoqapha amazinga akho omoya-mpilo kanye nokushaya kwenhliziyo, futhi lizokunikeza imithi yokulawula ubuhlungu.
Kwenzekani endaweni engenalutho ngemva kokususwa kwephaphu?
Lena inkinga abantu abaningi abanayo. Uma iphaphu lisuswa, isikhala sigcwala umoya. Kodwa kancane kancane, ezinsukwini ezimbalwa, isikhala sigcwala uketshezi lomzimba . Ngokuhamba kwesikhathi, inhliziyo yakho, i-diaphragm, nezinye izitho zomzimba kusunduza kancane kuleso sikhala. Iphaphu lakho elisele nalo liyakhula futhi lizivumelanise nesimo salo esisha.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, i-pneumonectomy inezinzuzo kanye nezingozi. Kubalulekile ukuxoxa ngalokhu ngokukhululekile nodokotela wakho.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Uma kwenzeka umdlavuza, lonke isimila liyasuswa, okunikeza ithuba lokuvimba ukusabalala komdlavuza . | Ukuqongelela kobomvu esifubeni (i-Empyema). |
| Ukuvikelwa ezifweni ezingaba yingozi (amagciwane, isikhunta) ezingabangelwa yiphaphu elonakele. | I-Bronchopleural fistula iyimbobo ephakathi kwe-trachea kanye nolwelwesi lwamaphaphu. |
| Ukunqoba ubunzima obubangelwa yilesi sifo nokuqhubeka nempiloUkuthola ithuba. | I-pneumonia, izifo, izinguquko zesigqi senhliziyo (i-Arrhythmia). |
| I-pulmonary embolism (igazi eligobile eliya emaphashini). | |
| Ukwehluleka kokuphefumula. | |
| Kukhona ingozi yokuphinda umdlavuza. |
Into eyodwa okufanele uyiqaphele ngokukhethekile ukuthi, kuye ngesakhiwo somzimba, ingozi yezinkinga iphakeme kancane ekuhlinzweni kokususwa kwephaphu langakwesokudla kunasekuhlinzweni kokususwa kwephaphu langakwesokunxele .
Ukululama nokuphila ngephaphu elilodwa
Kungathatha izinyanga eziningana ukululama ngokugcwele. Phakathi nalesi sikhathi, ungase ukuthole kunzima ukusebenza ngendlela evamile.
- Kuzoba nemikhawulo emisebenzini efana nokuphakamisa izinsimbi nokushayela.
- Uzozizwa ukhathele kakhulu kunokujwayelekile futhi kuzodingeka uphumule kaningi.
- Kungase kube nobunzima bokuphefumula.
Ezinye zalezi zizonyamalala njengoba ululama, kanti ezinye zingase zibe "izinto ezivamile kuwe." Kuzothatha isikhathi ukuzijwayela.
Ungayenza kanjani inqubo yokuphulukisa ibe lula?
- Landela imiyalelo kadokotela ngqo. Yenza izivivinyo kanye nezivivinyo zokuphefumula njengoba kuyalelwe.
- Thatha imithi yakho ngesikhathi.
- Qiniseka ukuthi uyahamba ngezinsuku lapho bethi buya uzokukhombisa khona.
- Uma unezinkinga noma ubunzima, khuluma nodokotela ngakho.
Ukuthi ungaphila isikhathi esingakanani nephaphu elilodwa kuncike ezintweni ezifana nesizathu sokuhlinzwa, iminyaka yakho, kanye nempilo yakho iyonke. Isikhathi sokuphila somuntu oye wahlinzwa ngenxa yokutheleleka okunye singase sihluke kumuntu oye wahlinzwa ngenxa yomdlavuza.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma uhlangabezana nezimpawu ezilandelayo ngesikhathi sokululama kwakho, shayela udokotela wakho ngokushesha :
- Uma igazi liphuma ngebhandishi lesilonda sokuhlinzwa.
- Uma kukhona uketshezi olunephunga elibi, olunemibala ehlukile oluvela eduze kwesilonda.
- Uma ukhwehlela okune-mucus noma i-mucus eningi eshintsha umbala.
- Imfiva.
- Ubuhlungu obungenakulawuleka ngisho nangemithi.
Uma unezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha:
- Ukukhwehlela igazi.
- Ubunzima obukhulu bokuphefumula.
- Ubuhlungu besifuba obungazelelwe obuhambisana nobunzima bokuphefumula.
- Ukulahlekelwa ingqondo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Pneumonectomy inqubo enkulu yokuhlinzwa eyenziwa ezimweni zezokwelapha ezingathi sína. Kwenziwa uma kunezindlela ezimbalwa zokwelapha.
- Abantu abaningi bangaphila isikhathi eside benephaphu elilodwa. Umzimba uyajwayelana nalesi simo esisha ngokuhamba kwesikhathi.
- Isikhathi sokululama singaba side, ngakho-ke kubalulekile ukuba nesineke futhi ulandele imiyalelo kadokotela wakho.
- Ngaphambi kokuhlinzwa, khuluma ngokukhululekile nodokotela wakho nomndeni wakho ngezinzuzo, izingozi, kanye nezinye izindlela zokwelapha ukuze wenze isinqumo esingcono kakhulu.
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