Ziziphi iingxaki ezinokuthi ndikwazi ukuzifumana emva kweLandi ye-Lobectomy?
Ziziphi iingxaki ezinokuthi zenze i-lobectomy, kwaye yintoni isilumkiso emva kokuhlinzwa? Ukuba ufunde ngolu lwazi apha kwi-lobectomy, eli nqaku lihlanganisa iingxaki ezinokuthi zenzeke zombini kunye nangemva kwenkqubo ye-lobectomy kunye nesigxina esiphezulu solu hlobo lwe-optic cancer. Ukuba ufuna ulwazi olungaphambili malunga ne-lobectomy, khangela la manqaku:
- Isiqendu 1 - I- Lobectomy Surgery Overview
- Isiqendu 2 - Ukulungiselela iLobectomy yakho
- Isiqendu 3 - Inkqubo yeLobectomy
- Isiqendu 4 - Ukubuyiswa emva kweLobectomy
Iingxaki zeLobectomy (IsiGaba sesi-5 kulolu chungechunge)
Ngenxa yokuba i-lobectomy yinkqubo ephambili yokuhlinzwa, iingxaki ziqhelekile. Udokotela wakho ogqirha uya kuxubusha oku kunye nawe ngaphambi kokuhlinzwa kwaye uthethe ukuba kutheni uvakalelwa kukuba inzuzo yokuhlinzwa iyingozi kakhulu. Ziziphi iingxaki kunye neengozi?
Iingxaki zeNgxaki zeLobectomy
I-lobectomy yindlela enkulu yokuhlinzwa, kwaye nangona iqela lakho lokugqeba liza kwenza konke okusemandleni ukunciphisa le mngcipheko, kubalulekile ukuba uqaphele ezinye zamathuba ukuze wenze ukhetho oluthile ngaphambi kwexesha.
Kukho iingxaki ezinokuthi zinokwenzeka ngelobectomy. Gcina ukhumbule ukuba abantu abaninzi abanalo na le nkxalabo, kwaye nangona xa iingxaki zikhula, abaninzi abantu abanalo konke oku.
Zibhalwe apha kuphela njengoko kunokwenzeka ukukhathazeka ukuze uqaphele iingxaki ezinokubakho, kwaye ungabi ukoyikisi. Ugqirha wakho akayi kucebisa utyando ukuba wayeziva ukuba ingozi yayingaphezu kwemisebenzi yokuhlinzwa. Ukongezelela, ngeli xesha utyando luphela yonyango lomhlaza wamaphaphu onika ithuba lokunyanga kwesifo.
Ukuba uziva uxhalabile, kunokunceda kakhulu ukudibana nomphakathi womdlavuza wamaphaphu. Ungakwazi ukufikelela kubantu ukuthetha kunye nemibutho yomdlavuza wemiphunga efana neLUNGevity, i-Lung Force ye-American Lung Association, okanye i-Lung Cancer Alliance, okanye ufune abanye ukuba bathethe nge-media media. Xa ufuna ukuxhaswa ngumdlavuza wamaphaphu sebenzisa i-hashtag #LCSM. Lo ngummandla osebenzayo owenza i-spectrum kwi-oncologists, oogqirha be-thoracic kunye nabaphandi, kwizigulane kunye nokukhuthaza umdlavuza wamaphaphu.
Kwakhona, iingxaki aziqhelekanga, kodwa ubugcisa bokuphucula buqhubeka ngokuphucula. Ukuba kunokwenzeka ukuba ufumane utyando lwe-thoracoscopic (VATS) lwe-video le nkqubo inokuba neengxaki ezimbalwa kunye nexesha elifutshane lokubuyisela. Akunabo bonke oogqirha abakhululekile ukwenza ii-VATS iinkqubo, kwaye akuzona zonke iisomhlaza zamaphaphu ezingasuswa kunye nale ndlela. Into esiyaziyo kukuba ukuhlinzwa komhlaza wamaphaphu kwenzelwe iinkqubo zonyango apho uninzi lwala ma-operesenti lwenziwe ludibene neziphumo ezingcono. Ukuba uceba ukwenza i-lobectomy, khangela ezinye zezizathu zokuba kutheni umbono wesibini kubaluleke kakhulu .
Iingxaki ezinokwenzeka ze-lobectomy ziquka:
- Ukuxhomekeka kwentsholongwane eqhubekayo: Isidingo sokuba siphefumlelwe ixesha elide emva kokutyunjwa kukukhathazeka okuqhelekileyo kubantu abanomdlavuza womhlaza.
- Ukuqhuma komoya okuqhubekayo: Emva kokuhlinzwa, ngamanye amaxesha ukuqhubeka komoya okuqhubekayo okufuna ukuba ityhubhu yesifuba ishiywe endaweni edeleyo kunokucwangciswa.
- Izifo: Izifo, ikakhulukazi i-pneumonia kunye nezifo ezinobungozi, zixinzelelo eziqhelekileyo zokuhlinzwa. Ugqirha wakho uyakukujonga ngokusondeleyo kwimpawu zentsholongwane emva kokuhlinzwa kwakho kwaye uya kukuyalela ukubiza ngokukhawuleza ukuba ufanele uhlakulele umkhuhlane okanye nayiphina impawu emitsha emva kokubuyela ekhaya.
- I-Empyema: I- empyema ibhekisela kubukho bepusma kwisigxina esinyanisekileyo (indawo phakathi kweembumba ezihamba emiphakeni.
- I-frontupleural fistula: I- fistula enobungozi yintlukwano engavumelekanga eyenzeka phakathi kwe-bronchi (i-airways enkulu engena emaphapheni) kunye nesithuba sokukhalaza (indawo phakathi kweembumba ezimbini ezihamba emiphakeni.
- I-Lobar torsion: I- Lobar torsion iyimpembelelo yecala lotyando apho inxalenye yomphunga ehlala emva kokuba utyando luguquke. I-torsion yimeko engxamisekileyo yonyango kodwa, ngethamsanqa, ingxaki engaqhelekanga.
- Ukuhlambalaza: Ukuhlamba emva kokuhlinzwa kungenzeka kwabanye abantu, kwaye ngezinye izihlandlo, kubalulekile ukubuyela kwigumbi lokusebenza ukuze oogqirha bakho bahlolisise indawo yakho yokucubungela ubungqina bokuphuma kwegazi kwaye wenze naluphi na ukulungiswa okufunekayo.
- Ingozi ye-anesthesia jikelele : Kuba utyando lomhlaza wamaphaphu-nokuba ngaba nge-thoracotomy okanye i-VATS-eyenziwa phantsi kwe-anesthesia jikelele, kubalulekile ukuba uqaphele iingxaki ezinokuthi zenze i-anesthesia jikelele.
- Iingxaki zeentliziyo : Ukuhlaselwa yintliziyo, isisu esingaqhelekanga kunye nesifo sobungozi nazo zonke iingxaki.
- I-deep vein thrombosis kunye ne-pulmonary embolism: Amacwecwe egazi emilenzeni (inyibiliko ye-vein thromboses okanye i-DVTs) ixhaphake kakhulu kubantu abahlinzwa, kwaye abo abanomdlavuza wamaphaphu banomngcipheko ophezulu we-DVTs kwindawo yokuqala. Inkxalabo yangempela ivela xa la maqhekeza egazi ephuma kwaye ahambela emiphakeni (imitha yamapulmari.) Naluphi na okholini lwakho lomhlaza, qwa lasela ezi ngcebiso malunga nokunciphisa umngcipheko wamacenge egazi nomhlaza .
- Iingxaki zeengxaki: Iingxaki zeengso ezifana nokuhluleka kwezintso zingenzeka ngenxa yeendlela ezininzi ezinxulumene nokuhlinzwa komhlaza wamaphaphu, ngakumbi xa kukho ezinye iimeko ezifana nokudambisa amanzi.
Iingxaki zexesha elide zeLobectomy
Uninzi lweengxaki zonyango zifumaneka kwiintsuku emva kokuhlinzwa, kodwa ezinye zingaphikelela, okanye ziphuhlise kamva. Phantse isiqingatha sabantu bafumana ubunzima obunzima bentliziyo yabo esifubeni emva kokuhlinzwa. I-Postpneumonectomy syndrome okanye i-thoracotomy syndrome yintlungu yimiqathango esetyenziselwa ukuchaza ezi zintlupheko ezivame ukuphathwa ngoluhlu lwezonyango.
Lobectomy Prognosis
Isalathiso esilandelayo emva kwe-lobectomy incike kwiimeko ezininzi. Ezinye zezi zibandakanya ukuba yiyiphi i-lobe isuswe, isigaba somhlaza, isondo (abafazi bavame ukwenza okungcono kunamadoda), kunye nendlela enempilo ngayo ngokubanzi phambi kokuhlinzwa.
Kwesifundo esinye esikhulu, i-5-year-old survival rate ye- stage 1 yomdlavuza wamaphaphu yayingama-95 ekhulwini kwi-VATS lobectomy kunye ne-82 ekhulwini kwi-lobectomy evulekile (lo mmahluko wawuthetha ukuba i-VATS lobectomy iphakamileyo, nangona kunjalo, ekubeni izigulane ezinomdlavuza omkhulu waphathwa nge-lobectomy evulekile.)
Ngaphantsi kwimiba engxaki kunye nokuxhamla kweLobectomy
I-lobectomy yesifo somhlaza wesifo somhlaza wesifo somhlaza ngumnye unyango onokubangela unyango. Oku kuthetha, kubalulekile ukuba ukhumbule ukuba le ngongoma enkulu kunye neengxaki ezininzi ezinokwenzeka. Ngaphambi kokucebisa i-lobectomy ugqirha wakho uya kuhlola ngenyameko imeko yakho yonyango ukwenzela ukuba uqinisekise ukuba uya kukwazi ukunyamezela ukuhlinzwa, kwakunye nomsebenzi wamaphaphu omncinci onxulumene nokususa i-lobe yomphunga wakho. Ukuvuleka kunye nodokotela wakho ophandwayo malunga naluphi na ukukhathazeka obaluleke kakhulu, njengoko uyeka ukutshaya xa ubhema.
Ukuba uya kuba ne-lobectomy kunokukunceda ukuba uhlanganyele emphakathini womdlavuza wamaphaphu , nokuba ngaba ngamaqela enkxaso-mpahla okanye ngokusebenzisa uluntu lwenkxaso yoluntu olukhoyo naphi na. Kukho abantu abaninzi emphakathini womdlavuza wemiphunga abakwaziyo ukubonelela ngenkxaso kuphela kodwa banokunceda ukuba uqonde ukuba zeziphi iintsuku zokuqala kunye neveki ezinokuthi zenziwe emva kokuhlinzwa kwakho.
> Imithombo:
> Erhunmwunsee, L. noMnu Onaitis. Ukuyeka ukutshaya kunye nokuphumelela komhlaza womphunga. Imibiko yeOncology yamanje . 2009. 11 (4): 269-74.
> Ukupasa, iHarvey I. Imigaqo kunye nokuSebenza komhlaza weLung: I-Official Reference Reference ye-IASLC. Philadelphia: IWolters Kluwer Health / Lippincott Williams & Wilkins, 2010. Print.
> Ziamik, E., no-E. Grogan. I-postlobectomy Iingxaki zokuqala. Iiklinikhi zeeTraphic Surgery . 2015. 25 (3): 355-64.