Ubuhlungu obungapheliyo Emva kweTriracotomy kunye neMpembelelo yayo kwiCancer Cancer
I-postpneumonectomy syndrome yinkxalabo engenzeka inyanga ukuya kwiminyaka emva kwe- pneumonectomy yomdlavuza wamaphaphu okanye ezinye iimeko. Kuqhelekile ukulandela i-pneumonectomy ekhohlo kunokuba i-pneumonectomy efanelekileyo kwaye ivela rhoqo kwiindawo ezincinci kubantu abancinci.
I-post-thoracotomy syndrome ( PTPS) enye ibinzana elisetyenziselwa ukuchaza le ntlungu ebanzi kwaye iquka intlungu emva kokuhlinzwa okwenziwa ngumhlaza wesifo somhlaza njengomlobectomy.
Isifo senzeke xa iipsiphu kunye nezakhiwo ezisezantsi kwindawo yesifuba (i- mediastinum ) zifuduswa, kwaye zizalise indawo engenanto eyashiywe emva kokuba imiphunga okanye inxalenye yomphunga isuswe.
Ukubaluleka nokuBaluleka
Kucingelwa ukuba i- 50 ekhulwini yezigulane zokuhlinzwa emva komhlaza wemiphunga ye-lungpasumectect syndrome okanye i-post-thoracotomy syndrome kwizinga apho liphazamisa umgangatho wobomi. Kusenokwenzeka ukuba ingaphantsi kwengxelo kwaye iphathwa kakubi phakathi kwalabo abasinda kumdlavuza wamaphaphu.
I-Postpneumonectomy syndrome ingaba nefuthe elibi kumdlavuza womdlavuza wamaphaphu, kwaye ngokungachanekanga ngolu hlobo, ekubuyiseni kwakhe.
Iimpawu
Iimpawu zihlala ziquka ukuphefumula okufutshane . Ngenxa yokuba abantu abaninzi banokuphefumula okufutshane okulandela i-pneumonectomy, le mpawu ingakhanjelwa lula. Abantu abaninzi baqaphela intlungu ngeengalo zengalo ngokunjalo.
Intlungu idla ngokuba "intlungu ye-neuropathic" uhlobo lentlungu enzima ukuyichaza kodwa iqhubeka kwaye iyakhubaza.
Kutheni Kuthiwa?
Kukho iindlela ezininzi ezinokuba noxanduva lweentlungu, zodwa, okanye ezidibeneyo, kuquka:
- Ukunyanzeliswa kweentsholongwane ze-intercostal (iintsholongwane ezihamba phakathi kwezimbambo)
- Ingozi yokuhlinzwa
- Isiqwenga somzimba esichukumisa umoya ngamnye
- Izibambo ezihlukileyo kunye nezixinzelelo
- Ukuvuvukala kwezihlunu zesifuba
- I-Atrophy yezihlunu zesifuba
Unyango
Uninzi lwezonyango ezahlukeneyo luye lwazama ukulwa ne-post-thoracotomy syndrome, kwaye mhlawumbi ukuba unxibelelwano lwezonyango, kunokuba unyango olulodwa lunye, lona lukhetho olufanelekileyo. Oko kwathiwa, unyango olubandakanya ukusetyenziswa kwezimpembelelo ze-silicone (ezifana nezimpembelelo zesifuba) ezifakwe kwisifuba ukugcwalisa isikhala esisele emva kokususwa kwemiphunga, unike abantu abathile ukukhululeka okukhulu. Ukutshintshwa kwentambo yesantya kwangoko kufunyenwe ukuba isebenze.
Ukujamelana
Ukuba uhlangabezana ne-post-pneumonectomy okanye i-post-thoracotomy syndrome uthetha nodokotela wakho. Amanye amaziko omhlaza aneengcali zolawulo lweentlungu eziqeqeshiwe ngeendlela zokunceda abantu babhekane neentlungu ze-neuropathic . Abantu baye bafumanisa inzuzo kwezinye zeengqondo / izifo zomzimba ezifana nokunyanga, ukuguqula umzimba, kunye ne-acupuncture.
Ngelixa elizayo
Ngeenkqubo ezintsha ezinjenge-video-assisted thoracoscopic opération (VATS) ekutshintsheni iinkqubo ezithile ze-thoracotomy evulekile, iziganeko ze-postpneumonectomy syndrome ziya kuthemba ukuba ziza kuncipha kwixesha elizayo. Kulabo abaphila ne-syndrome namhlanje, kukho ithemba, kwaye uphando olusebenzayo luqhubeka lufuna iindlela zokunceda abantu bajamelane nale nto ecasulayo emva kokuphumelela komhlaza womphunga.
Umzekelo: UJosh wayephefumula kancinci kunyaka emva kokunyuka kwakhe komhlaza wamaphaphu, kwaye ugqirha wakhe wamfumanisa nge-postpneumonectomy syndrome.
> Imithombo:
> Gerner, P. Posttractomy Iingxaki zoLawulo lwezinhlungu. Iikliniki zeAnesthesiology . 2008. 26 (2): 355-vii.
> Jung, J., Cho, J., Kim, H. et al. Ulawulo lwe-Post-Pneumonectomy Syndrome Ukusebenzisa i-Tissue Expanders. Cancer Cancer . 2016. 7 (1): 88-93.
> Hopkins, K., noMnu Rosenzweig. I-Post-Thoracotomy Pain Syndrome: Uvavanyo noNgenophiso. I-Clinical Journal ye-Oncology Nursing . 2012. 16 (4): 365-70.
> Winser, K., Bester, M., no K. Deshpande. Umgudu woNgcinci wokuThuthukisa ukuPhatha i-Post- thoractomy i-Neuralgia: Ayikho incinci ye-Lung Cancer: ingxelo yeNgxelo. Ulawulo lwezobuNyango . 2012. 13 (1): 52-9.