Nzira Yokuvhiya yevarwere veCOPD NeGuant Bullae
Kana uine chirwere chisingaperi chisingakonzwiki kana chirwere cheCOPD , unogona kunge uri pangozi yekuwedzera ibhururo yakawedzerwa, iyo ine masvingo akareruka, mazamu anozadzwa nemhepo mumakamuri emapapu. Bullae ndiyo chikonzero chekudzivirira mukati mebronchiole tubes kana bronchus. Chirwere chinopisa chinokonzera kukonzera kukuru pane izvo zviri pasi, utano hwakanaka hwemapapu, izvo zvinoita kuti kuderedza ropa kubuda uye oksijeni kumapapu.
Izvi zvinokonzera kuipa kwe dyspnea kana kukurumidza kufema.
Kana bhurura ichikura zvakakura (kazhinji inokura kupfuura imwe mamita imwe), chiremba wako anogona kukurudzira bullectomy kuti avabate uye akubatsire kufema zvakanaka. Iyi yekuvhiya inobvisa bhururo yakawedzerwa, ichibvumira kuti mweya yakachena mumapapu inowedzera zvakanaka. Izvi zvichaita kuti kufema kuve nyore.
Bulllectomy Inodiwa Rini?
Nzira yacho inofungidzirwa chero nguva yakawanda iyo yakazara-air filled bullae inowanikwa pamapfupa x-ray kana CT scan. Vagari vakawanda vanonzi vanovhiyiwa vane zviratidzo zvinosanganisira:
- kukurumidza kufema
- kurwadziwa
- mapapu akadonha
Zvimwe zviratidzo, kunyange zvisingabviri, zvinosanganisira kubuda ropa uye hutachiona muhurura. Vamwe varwere havana zviratidzo asi vangada kuvhiyiwa kana bhola iri inopfuurira hafu yechando-chambidzwa-yakazara nzvimbo pakati pezvinyorwa zvinenge zvakakomberedza mapapu.
Kana chiremba wako achifungidzira iwe unoda bullectomy, iye achaongorora mapapu ako kuburikidza nemuedzo umwe kana kupfuura kupfuura usati wambovhiyiwa.
Miedzo yakajairika inorayirwa mushure me bullectomy inosanganisira:
- chifu x-ray
- chifuva CT scan
- pulmonary function tests
- ventilation / perfusion scan kana VQ scan
- mapapu angiography
Varwere vane zviduku zvishoma, hypercapnia, cor pulmonate, kana FEV1 pasi pe40 muzana yezvakafanotaurwa havakwanisi kuvhiyiwa.
Usati wambovhiyiwa unoratidzwa, chiremba wako anogona kuedza kutarisira yako yakawedzerwa bullae isina iyo.
Kana iwe uchinetseka, kurega kusvuta kunogona kukwana kugadzirisa mamiriro acho. Kana iwe uchiri nezviratidzo mushure mokurega kusvuta, mishonga, uye kutarisirwa zvakadai sebronchodilators, inhaled glucocorticoids, vaccinations, supplemental oksijeni kana kupora remakemikari kunogona kubatsira. Kana izvi zvisati zvichishanda, chirwere chinowanzotora chiito chekuita.
Bhuku Rinoita Sei?
Chiremba wako anogona kuita bullectomy mune imwe yenzira mbiri. Imwe inonzi thoracotomy, iyo inonzi 4 kusvika ku6-inch incision inogadzirwa pasi peyamu yako. Chiremba anovhiya anoisa tube inopenya inonzi thoracoscope uye zvigadzirwa zvokuvhiya kuburikidza nemakateti kuti abvise bhururo.
Icho chimwe sarudzo inonzi video thoracoscopy. Saizvozvowo nehutano hwetsika, video thoracotomy inosanganisira vhidhiyo screen and console iyo inotungamirira chiremba. Inosanganisira zvido zviduku kune rumwe rutivi rwechipfuva. Kamwe chidhae ichibviswa, chiremba wako anovhara zvinenge zvaitwa.
Pasinei nokuti nzira ye bullectomy chirwere chako chinosarudza, chirwere ichi chinowanikwa pasi peanesthesia. Izvi zvinoreva kuti iwe uchafanira kutsanya usati wapera chirwere. Iva nechokwadi chekutevera mirairo yako yose yechiremba.
Kudzoka kubva ku bullectomy kunotora vhiki shomanana kusvikira wadzorerazve simba rako uye unokwanisa kudzokera kubasa.
Munguva ino, unofanira kutaurirana nachiremba kana iwe uchinzwa:
- kubuda ropa
- hutachiwana muhutori
- yakanyanya kupisa
- zviratidzo zvezvinokonzera kugadzikana kusanganisira redness, kuzvimba uye kunetseka kufema
- kurwadziwa
Chinhu
- > Krishnamohan P, Shen KR, Wigle DA, et al. Kubhadharira kwezviratidzo kana zvakaoma giant lung bullae. Ann Thorac Surgery 2014; 97: 425-31.