Kugadzirira VeMidastinoscopy Yenyu uye Zvaunotarisira
A mediastinoscopy ndiyo nzira iyo tube (a mediastinoscope) inowanikwa kuburikidza nechidzitiro chechipfuva kuti iongorore nzvimbo iri pakati pemapapu ( medi mediinum ). Mediastinum ine mwoyo, sophagus , trachea , lymph nodes , uye mutezo weropa. Munguva iyi nzira, vanachiremba vanokwanisa kutarisa matumire kana kukurudzirwa kwema- mediastinal lymph nodes uye kutora samples (biopsies) kutarisa kenza kana mamwe mamiriro.
Sei chiitiko cheMidastinoscopy Chichiitwa?
A mediastinoscopy inokurudzirwa kakawanda senzira yekubatsira kutsanangurira danga remapapu emapapu - kuona kana, kusvika kure, uye kune zvipi zvipi kenza inogona kupararira. Kunzwisiswa kwakarurama kwechikamu chemupenza wemapapu kunokosha zvikuru mukubatsira vanachiremba kukurudzira nzira dzakanakisisa dzokurapa. A mediastinoscopy inogona kuitwawo kuti iongorore dzimwe mamiriro ezvinhu, zvakadai sarcoidosis uye lymphomas.
Mediastinoscopy vs Dzimwe Nzira
Sekufungidzira kuedzwa kunovandudza kenza yemapapu emapapu, dzimwe nzira dzingatora nzvimbo yemashiastinoscopy, zvichida kune vamwe vanhu. Muedzo wakajairika wakaitwa seimwe nzira iyi ndeye PET scan. PET scan inotarisa mapapu ako mune scan yakafanana neT CT scan asi yakabva pane imwe nzira yakasiyana. Kusiyana neT CT scan iyo inotarisa matongerwo emapapu mumapapu, PET inoongorora kutarisa kushandiswa kwebasa. Cancers iyo iri kukura zvakasimba inowanzomira paPET scan, asi hosha (iyo inogona kutarisa yakafanana nekenza paC CT) icharatidza seisingakurudziri kukura.
Nguva yei Mediastinoscopy Done?
A mediastinoscopy inowanzoitwa apo chiremba anovhiya anotenda kuti munhu ane lymph nodes mu mediastinum iyo yakanaka. Kuvapo kwemuviri wemakirinikineti yemuviri kunobatsira pakugadzira chirwere chemapapu, uye sezvo kuva nechikwata chakanaka kuchikosha mukurapa, kunogona kuita basa guru pakusarudza kurapa kwakanyanya.
Midastinoscopies inowanzoitwa zvishoma kudarika pane yapfuura. Sezvakataurwa pamusoro apa, PET scan dzimwe nguva inogona kupa ruzivo rumwe chete asi nedzidzo shoma shoma. Kubatanidzwa kweBronchoscopy ne endobronchial ultrasound (uye biopsy kana zvichidiwa) inogonawo dzimwe nguva kutora chido chekuita mediastinoscopy.
Kugadzirira KwaMidastinoscopy Yenyu
Usati watonga nzira yako, chiremba wako anotaura newe pamusoro pezvipingamupinyi zvekuita, uye izvo zvaanotarisira kudzidza nekuita. Kana iwe uri pane chero mishonga yakadai sedopa rakapfava Coumadin (warfarin), aspirin, kana kuti zvinopesana nemishonga yakadai se ibuprofen, inokurudzira kuti iwe urege izvi kwenguva yakati isati yasvika. Zvakakosha kurega chiremba wako achiziva kana uri kushandisa chero mushonga wemishonga kana utachiona hwekudya kubva kune imwe yeiyi inogona kuwedzerawo njodzi yekubuda ropa. Pamberi pemitambo yacho, iwe uchakumbira kuti u "kutsanya," kureva, usadya kana kunwa chinhu (kunyange mvura) kwemaawa akawanda.
Munguva yako Mediastinoscopy
Paunosvika kuchipatara, mumwe chiremba achakubvunza mibvunzo yakawanda uye apa IV (intravenous line) mumaoko ako. Iye achakufananidza iwe nevanotarisa kuitira kuti mwoyo wako uwedzere uye kuwedzerwa kweropa kunogona kuongororwa nguva dzose.
Chiremba ari kuita chirongwa achashanyira newe kuti akurukure kuedza uye ngozi dzayo, uye kukumbira kuti usayine fomu yemvumo . Anesthesiologist ichakubvunzawo mibvunzo pamusoro penhoroondo yako yeanesthesia, chero matambudziko ako nhengo dzemhuri yako akaine anesthesia, uye kurukurai anesthesia iwe uchapiwa.
Muimba yekushandira iwe uchapiwa chirwere chekushongedza , uye, shure kwekunge wakarara, tube inenge yakaiswa mumutsipa wako kuti ikubatsire kufema. Chiremba wako achaita chidimbu chiduku pamusoro pepfupa rako (sternum) uye kuisa iyo mediastinoscope, tube yakadzika ine chiedza.
Iye achazoongorora ma mediastinum uye kutora biopsies yenzvimbo ipi zvayo inenge isingaoneki. Mushure mokubvisa mediastinoscope, zvidzidzo zvishomanana kana ster-strips (mabheji etipi) ichashandiswa kuvhara kusanganisa.
Chii Chaunogona Kutarisira Pashure PeMidastinoscopy Yako?
Paunomuka muimba yekupora iwe uchazununguka kwechinguva kubva kune anesthesia. Iwe unogona kuva nekunetseka mukukanganiswa kwako, uye zvakajairika kuti uwane humwe hunyoro uye hurombo hweporopa kubva muhutu. Nzvimbo yekugadzirisa yevashandi ichakuongorora iwe kwemaawa akawanda asati akubvumira kudzokera kuchipatara chako kana kudzokera kumusha. Kana iwe uchange uri kuenda kumba uchitsvaga nzira, iwe uchakumbirwa kuti mumwe munhu akutakure iwe, sezvo migumisiro yeanesthesia inogona kugara kwemaawa akawanda.
Zvinokonzera Matambudziko
Zvinetso zvakakomba hazvishamisi zvinotevera mushure mekugadzirisa, asi zvinogona kusanganisira:
- Kupera - Pane dzimwe nguva, kuvhiyiwa kunogona kudiwa kuti utonge ropa.
- A pneumothorax - A pneumothorax "inoputika mumhepo" kana "mapapu akaputsika." Kana izvi zvichiitika, chikwama chechipfuva kazhinji chinofanira kusara munzvimbo kusvikira mweya wakagadziriswa wagadziriswa.
- Kuramba uchikwanisa kuitika kunogona kuitika kana nharo kumaketani ezwi iri kukuvara panguva yekuita.
- Zvirwere - Utachiona hunogona kuitika, uye hunowedzera kakawanda kana bhiopsies inotorwa panguva yemasikirini.
- Matambudziko anokonzerwa neanesthesia.
- Aphonia - Aphonia inoreva kusakwanisa kutaura kana kusika mhere (izvi zvinowanzotora nguva uye dzinoenda dzoga.)
Migumisiro yeMidastinoscopy Yenyu
Kutevera musikana wako, chiremba wako achaisa musangano wekutarisana nemigumisiro. Kana bhipiyo yakatorwa panguva yako, zvinogona kutora mazuva mashomanana kuti mabhii aongorore mhuka uye kutumira zvibereko kune chiremba wako.
Nekenza yemapapu, mhedziso ye mediastinoscopy yako inokwanisa kupa ruzivo rwakakosha pakugadzirisa danga rekenza yako. Kusarudza nzvimbo yakarurama yemukenza wako, zvakare, ndeimwe yenhanho dzinokosha pakusarudza hurongwa hwehutano huchashanda zvakanakisisa nokuda kwemuviri wako.
Ndeipi Paunofanira Kudana Doctor Yako?
Iwe unofanirwa kudana chiremba wako nezvimwe zviratidzo kana zvinetso zvaunotevera nzira yako. Zvakakosha kudana chiremba wako pakarepo kana uchinge uchinzwa kurwadziwa kwepfuva, kunetseka kufema kana kukura fivhiri (kazhinji pane 100.5 F, asi bvunza chiremba wako zvaanokurudzira).
Pasi Pano paMediastinoscopy
Kuisa mutsa wemapapu kunokosha zvikuru mukusarudza nzira dzakanakisisa dzokurapa. I-lymph nodes mu mediastinum, zvisinei, zvinogona kuoma kuongorora. Nepo PET inoongorora uye endobronchial ultrasound iri kutora chimwe chidimbu chemamwe mapepa emasikirini, nzira yacho inowanzoitwa mukutanga kwebasa rekumapapu emapapu. Kana iwe uri ne-mediastinoscopy, taura nachiremba wako pamusoro pezvimwe zvinogona kuitwa. Kuva iwe mupepeti wako mukuchengetwa kwekenza yako kunogona kukubatsira kunzwa uchinzwa simba, uye dzimwe nguva unogona kutora chikamu mumugumisiro wako.
> Sources:
> National Institute of Health. Medline Plus. Mediastinoscopy ne biopsy. Updated 06/05/17. https://medlineplus.gov/ency/article/003864.htm
> Velez-Cubian, F., Toosi, K., Glover, J., Pancholy, B., uye E. Hong. Nguva yakareba Aphonia Pashure peMidastinoscopy. Annals of Thoracic Surgery . 2017. 103 (6): e549-e550.