Pasinei nematambudziko, hupenyu hunogara huripo kupfuura zvingaita
Kuva nechirwere chekenza yemapapu ndicho chiitiko chinochinja upenyu, uye hapana nzira yekuderedza manzwiro aunogona kupfuura nemunhu apedza nzira yakadai. Hazvisi nyore.
Sezvimwe zvirwere zvinotyisa zvinogona kuisa upenyu, chimwe chinhu chiri chokwadi ndechekuti chirwere chechirwere hachizivikanwe. Uye izvi hazvirevi chinhu chakaipa. Kunyange zvazvo tine tarisiro yekuisa zvinhu zvakadai semuwandu hweupenyu hunotarisirwa kana huwandu hwehupenyu hwevanhu, pane mikana yose yokuti iwe, semunhu, unogona kudarika zvakaperera.
Kuva nekuvhiyiwa kwemapapu ndiko kugadziriswa kunowedzera hupenyu hwako. Kuva nekunzwisisa zviri nani zviri mberi zvinogona kukubatsira kuti uise pfungwa pane izvo zvakakosha chete: hupenyu hwako.
Unhu Hwehupenyu Mushure mekunge Kurapa Kenza Kurapa
Vatsvakurudzi nhasi vari kutarisa zvinopfuura "makore ehupenyu" kana "zviitiko zvinotambudza" pavanotevera varwere vakave vachivhiyiwa nekenza yemapapu. Vanoda kuziva zvakawanda pamusoro pekuti vanhu vanonzwa sei , sei zviri nyore kuti vakwanise kudzokera kuhupenyu hwehupenyu, uye kuti vakaona sei hupenyu hwavo hwehupenyu.
Chimwe chidzidzo chakaitwa paSeoul National University Hospital muKorea chakanyatsoongorora hupenyu hwevanhu vakange vakabudirira kubata chirwere chemapapu chemapapu maererano nevakaenzaniswa nevanhu vakawanda vasina chirwere.
Zvavakawana ndezvekuti, mushure memareji emakore mashanu, vanhu vanobatwa pachigamba 0 , nhanho I , ganhuro II , uye chirongwa che IIIA chakanga chisina musiyano mukuru mukushanda kwezuva nezuva zvichienzaniswa nevanhu vari munharaunda yose.
Uyezve, kwakanga kusina mutsauko munguva dzinoponesa pakuenzanisa maitiro ekuvhiya vanhu vakange vakambokwanise kuwana kuregererwa.
Izvi zvinotitaurira ndezvokuti hazvina basa kuti kuomeswa kwekuvhiyiwa kana kurapwa kunogona kuva kupi; kamwe kana munhu achionekwa sekenza-isina, mukana wekurarama hupenyu hunowanikwa hwehupenyu hwakafanana nemumwe munhu ainge asisina kunyanya kurapwa.
Dambudziko Rambai
Izvi hazvirevi kuti pane zvipingamupinyi zvinokunda kutevera kurapwa kwekenza yemapapu. Maererano nekutsvaga kubva kuDhipatimendi reTercracic Surgery paSt. James University University muEngland, vanhu vakagamuchira kurapwa kwakasiyana-siyana (kusanganisira kuvhiyiwa, chemotherapy, uye mahara) vakave nezvinetso zvakanyanya kupfurikidza kune avo vaingovhiyiwa chete.
Izvi hazvirevi, zvechokwadi, kuti iwe unogona kusarudza kubva mune zvimwe zvirongwa zvinokosha, asi zvinoratidza kuti kutarisirwa kwakanyanya kunoda kutorwa kuti uone kuti mapapu ako aunayo akachengetwa. Izvi zvinowanzobatanidza kurasikirwa kwemazivi, physiotherapy, purogiramu yakarongeka yehutano, uye (asinganzwisisiki) kubvisa utsi uye utsi hwechipiri.
Zvaunotarisira Pashure Kokuvhiya
Kudzoka kubva kumapaupa emapapu kwakasiyana kune vose. Izvi zvinowanzoenderana nerudzi rwekenza inobatanidzwa, danho rekenza , uye chirwere chinoshandiswa. Pakati pezvokuvhiya zvakajairika:
- Wedzera resection umo marara ematumbu akabviswa pamapapu
- Lobectomy mune imwe (kana kupfuura) yematatu matatu emuapapu ako anobviswa
- Pneumonectomy umo mapapu ose anobviswa
- Sleeve resection umo kushata kunobviswa kubva kumhepo
Uchitevera upiyona hwemapapu, iwe uchatorwa uchienda kunzvimbo huru yekuchengetedza (ICU) uye wobva waenda kune imwe nzvimbo yechipatara nguva dzose kana kufema kwako kuchigadzikana.
Chipatara chinogara kakawanda pakati pechishanu nechinomwe mazuva asi chinogona kunge chakareba segumi kune pneumonectomy.
Kana vangobudiswa kubva kuchipatara, vanhu vakawanda vanotora mwedzi miviri kuti vadzoke zvakare. Kudzokorora shure-kupora kunogona kuisa pfungwa pakuvandudza yako aerobic basa pasingapfuuri nemaminitsi makumi matatu nezuva rakatsaurirwa kufamba.
Sezvo chikamu chekudzorera kwako, chirongwa chekuvandudza maperembudzi chinogona kupa maitiro akafema ekufema, kupa mazano ekudya, aerobic uye kudzidzisa kudzidzisa kuraira, kuderedza kuderedza kudzidziswa, uye psychotherapy kuti ikubatsire kutarisana nekudzoka. Purogiramu yacho yaizogadziriswa zvishoma nezvishoma apo iwe unofambisa nemabasa anowedzera, sezvinoitwa kurairirwa, kunonoka kwemavhiki mana kusvika matanhatu mushure mekubuda kwako.
Zvakakosha kuti iwe uwanezve nguva dzose unoshanyira nechiremba wako. Kana iwe ukapiwa "zvose zvakajeka" uye uri wepamutemo mukuregererwa, iwe unoda kuva neropa rekuongorora uye computed tomography (CT) scan yakaitwa mwedzi mitanhatu kusvika kumwedzi gumi nemana kwemakore maviri ekutanga. Mune zvimwe zviitiko, chiremba wako angakukumbira kuti upinde kakawanda.
Kana zvinhu zvose zvichiri zvakanaka pashure pemakore maviri, iwe ungangodaro unoda kuuya chete kamwe chete gore negore kudzokorora kuongorora ropa uye CT scan.
> Sources:
> Bendixen, M .; Jorgensen, O .; Kronborg, C. et al. "Kushungurudzika kwepopoperative uye hupenyu hwomunhu mushure mekunyora kwemalabyctomy kuburikidza nevhidhiyo-anobatsira chirwere chetachiracoscopic kana anterolateral thoracotomy kumusana wemapapu emapapu: chirongwa chisina kuongororwa chinotungamirirwa." Lancet Oncology . 2016; 17 (6): 836-44.
> Pompili, C. "Uhu hwehupenyu hutapu resection yemukenza wemapapu." Zvinyorwa zveTrracic Disease . 2015; 7 (Suppl 2); S138-S144.
> Rauma, V .; Salo, J .; Sintonen, H. et al. "Mwoyo murefu unofanotaura kupona kwenguva refu uye hutano hunoenderana nehutano hwehupenyu mushure mekuvhiyiwa kwakanyanya kwekenza isiri duku yemukenza yemapapu." Chirwere Chirwere . 2016; 7 (3): 333-9.
> Yun, Y .; Kim, Y .; Min, Y. et al. "Utano hwakabatanidzwa hupenyu huri muhupenyu husina zvirwere hwemaperembudzi emapapu anotapirwa chirwere akaenzaniswa nevanhu vakawanda." Annals of Surgery . 2012; 255 (5): 1000-7.