Chii Chichaitika Mukati meLobectomy Yangu Kuvhiya?
Your Lobectomy Procedure
Cherechedzai: Nyaya ino inokurukura zvinoitika muimba yekushanda munguva yelobectomy. Kana pane kudaro, unoda kudzidza nezvemhando dzelobectomy, kugadzirira, kugadzirisa, kana zvinogona kuitika, tarisa zvinyorwa zvinotevera:
- Chinyorwa 1 - Musoro uye Mhando dzeLobectomy
- Chisungo chechipiri - Kugadzirira Zuva reLobectomy
- Chisungo chechina - Kudzokorora Mushure mekutora kwako Lobectomy
- Chisungo chechipiri - Lobectomy Matambudziko uye Maitiro
A lobectomy chirwere chemapapu chemapapu umo rimwe ribe remapapu rinobviswa. Iyo inobvisa mamwe mapfupa emapapu kupfuura kubvisa resection , asi pasi pepneumonectomy .
Paunosvika
Pamberi pelobectomy yako, unotaurira chiremba wako uye anesthesiologist pamusoro pezvichaitika. Ino inguva yakanaka yekubvunza mibvunzo ipi yaunogona kuva nayo. Sezvakataurwa munyaya yekugadzirira, iwe ungangodaro wakadzivisa kudya kana kunwa mushure meusiku pakati peusiku husiku husati hwaitwa. Kana iwe ukatora chero mishonga nguva dzose, iva nechokwadi chokuti utaure izvi kune anesthesiologist yako. Paunenge wakamirira, iwe uchave uine yechina yakaiswa muruoko rwako, uye iwe unogona kupa mishonga kuti uzorore iwe.
Panguva yekuvhiya kwako
Paunenge uine maitiro ekuvhima, chiremba wako anobvisa chirwere chemapapu ako chinokanganiswa nemukenza wemapapu. Zvichienderana nerudzi rwelobectomy nzira yako chiremba inorayira, kenza yako inogona kubviswa kuburikidza nekuvhara pachena kana kushandiswa kwezviridzwa zvinowanikwa kuburikidza nekufungisisa kuduku.
Hezvino izvo zvichaitika panguva yako ye lobectomy nzira.
Muimba yekushanda, iwe uchapiwa hutano hwekuita kuti iwe ure, uye endotracheal tube ichaiswa mumuromo wako kuitira kuti mhepo inoputira kukufemera iwe panguva yekuvhiyiwa.
Vhura vs VATS Lobectomy
Mulobectomy yakasununguka , nguva yakareba inogadziriswa ichaitwa pamwe chete nechemberi kwako shure kwemukati wemibvu dzako.Achiremba achaparadzira nhengo dzako uye anogona kubvisa chikamu chebvu kuti awane mapapu ako.
Mishonga yeropa (arrion uye veins) uye mhepo inoenda kunotakurwa yakasangana yakasungirwa, uye lobe inobva yabviswa. Usati wavhara zvinenge zvaitika, chiremba wako anoisa chikwata chechipfuva chichasara panzvimbo panzvimbo kwenguva. Bhuku rebhokisi rinobvumira ropa rakawandisa uye mvura inonaya kuti ibudise chirwere chinotevera uye ichabviswa apo iyo mvura yakamira.
NeVATS lobectomy , vanachiremba vanoita zvinyorwa zvishoma pamapfupa ako kuburikidza kwavanogona kuisa zvishandiso uye vhidhiyo kamera kamera (thoracoscope). Iko kamera inogadzira mufananidzo kune vhidhiyo skrini inobvumira vanachiremba kuti vaone nzvimbo yavari kushanda nayo. Mishonga yeropa uye inoenda kumhepo yakabatanidzwa yakasungirwa kunze kwekushandisa kwezviridzwa izvi, uye lobe inobviswa kuburikidza nechimwe chezvakaitwa. Kutevera kubviswa kwelobe, vashandi vanovhiya vanogonawo kushandura kana kubvisa lymph nodes munzvimbo iri pedyo nechirwere. Bhuku rebhokisi rinogona kana kuti risina kuiswa muchipfuva chako mushure mekuvhiyiwa.
IAVATS lobectomy roboti inogona kuva imwe nzira mune dzimwe nzvimbo dzekenza uye inoita seyo yose yakachengeteka uye inobudirira mumakiriniki emakirini kusvika ikozvino.
Dzimwe nguva vanachiremba vanosangana nezvinetso munguva yeVATS lobectomy, yakadai sekubuda ropa kana chirwere chisingazogoni zvakakwana.
Muchiitiko ichi, nzira inogona kudiwa kuti ichinjike ku lobectomy yakazaruka.
Apo Kuvhiya Kwako Kuitwa
Kana chirwere chako chave chapera, iwe kazhinji unotorwa kunzvimbo yekudzivirira kweawa kana maviri. Munguva ino iwe uchacherechedzwa zvakanyanya kune chero kubuda ropa kana kurwadziwa paunotanga kumuka. Zvichienderana nezvamunoita nekuvhiya pamwe nekudavira kwachiremba, iwe uchazoendeswa kunhengo huru yekuchengetedza kana pasi yekuvhiya. Nguva yakawanda iyo mhuri yako ichabvumirwa kukuona iwe uye kushanyira paunodzoka zvakare muimba yako, asi izvi zvinogona kusiyana pakati pemasangano.
Kusarudza Chiremba
Zvakakosha kufungisisa zvakananga nezvelobectomy yako isati yasvika.
Zvave zvichiwanikwa kuti zvipatara zvinowedzera kuwanda kwemapapu emapapu emapapu zvinowedzera zviri nani. Kana iwe, izvo zvinogona kureva zvinetso zvishomanana kana kubvisa kushandiswa kwekenza mapapu. Heano mamwe mazano pamusoro pokusarudza chirwere chekenza .
Nyatsofunga kufunga imwe pfungwa . Havazi vese vekuvhiya vane hutano hwekuita mavhivhi akadai saVATS lobectomy. Kunyange zvazvo nzira iyi isingagoni kutorwa nguva dzose, zvakakosha kufungisisa (nekuwana chiremba anovhiya anoita shanduro iyi) sezvinongoita nzira shomanana inopesana nekureruka kwakanyanya nguva yakawanda. Chiremba wako haazogumburwi kana iwe ukakumbira rwechipiri pfungwa, uye chaizvoizvo, vanachiremba vakawanda vanotarisira kuti varwere vachaita saizvozvo. Iwe ungada kufungidzira imwe yenyika huru yeCancer Cancer Institute-yakasarudzwa nemakirini emagariro kwechipiri maonero, sezvo mamwe ematunhu aya anowanzoita vanachiremba vashandi vanoita basa rekuvhiyiwa kwekenza yemapapu.
Nyaya Inotevera - Kudzokorora Mushure mekuteerera kwako Lobectomy
Sources:
American Cancer Society. Detailed Guide: Chirwere Chirwere - Chechidiki-Chema. Surgery. Updated 05/16/16. https://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-treating-surgery
Erhunmwunsee, L. naM. Onaitis. Kupera kusvuta uye kubudirira kwemapirini emapapu emapapu. Ikozvino Incology Reports . 2009. 11 (4): 269-74.
Oskarsdottir, G., Halldorsson, H., Sigurdsson, M. et al. Lobectomy yeChina Isina-Small Lung Carcinoma: Chidzidzo Chegore Pose Chekupona Nenguva refu. Acta Oncologica . 2017 Mar 21. (Epub mberi kwekudhinda).
Whitson, B. et al. Kuvhiya kwekutanga-tanga pasati duku-kenza yemukenza wemapapu emapapu: kuongororongororwa kwevhidhiyo-yakabatsirwa kuburikidza nekuvhiyiwa kwetachiracoscopy pamwe ne thoracotomy kushandiswa kwelobectomy. Annals of Thoracic Surgery . 2008. 86 (6): 2008-16.