Yintoni Eya kwenzeka Ngethuba Lobuchopho?
Inkqubo Yakho Lobectomy
Qaphela: Eli nqaku lixubusha okwenzekayo kwigumbi lokuqhuba ngexesha lobectomy. Ukuba endaweni yoko, ungathanda ukufunda ngeentlobo ze-lobectomy, indlela yokulungisa, ukubuyisela, okanye iingxaki ezinokwenzeka, khangela amanqaku alandelayo:
- Isiqendu 1 - Uhlolo-nkcukacha kunye neentlobo zeLobectomy
- Isiqendu 2 - Ukulungiselela iLobectomy yakho
- Isiqendu 4 - Ukubuyiswa emva kweLobectomy yakho
- Isiqendu 5 - I- Lobectomy Complications kunye nePrognosis
I-lobectomy yimivulo yomhlaza wamaphaphu apho i-lobe enye yomphunga isuswa. Isusa amaninzi amathisipha emiphunga ngaphezu kwe- resection , kodwa ngaphantsi kwe- pneumonectomy .
Xa Ufika
Ngaphambi kwe-lobectomy yakho, uya kuthetha nodokotela wakho ogqirha kunye ne-anesthesiologist malunga noko kuza kwenzeka. Eli lixesha elifanelekileyo lokubuza nayiphi na imibuzo onokuyenza. Njengoko kuphawuliwe kwinqaku malunga nokulungiselela, mhlawumbi uyayeka ukutya okanye ukusela emva kobusuku bobusuku ngaphambi kwenkqubo. Ukuba uthatha nayiphi na imithi rhoqo, qiniseka ukuba ukhankanya oku kwi-anesthesiologist yakho. Ngelixa ulinde, mhlawumbi unayo i-IV efakwe engalweni yakho, kwaye unokunikezelwa ngamachiza okukukhulula.
Ngexesha loKugqirha
Ngexesha le-lobectomy inkqubo yakho, ugqirha wakho uya kususa i-lobe yomphunga wakho ochaphazeleka ngumhlaza wemiphunga. Ngokuxhomekeke kuhlobo lwenkqubo ye-lobectomy, udokotela wakho ugqirha, umhlaza wakho unokususwa ngokukhutshwa ngokuvulekileyo okanye ngokusebenzisa izixhobo ezifakwe kwizinto ezincinci.
Nakhu okuza kwenzeka ngexesha lakho lobectomy.
Kulo gumbi lokusebenza, uya kunikwa i-anesthetic jikelele ukuze ulale, kwaye i-tube endotracheal iya kufakwa emlonyeni wakho ukuvumela i-ventilator ukuba iphefumle ngexesha lotyando.
Vale vs VATS Lobectomy
Kwi- lobectomy evulekile, ukucelwa kwexesha elide kuya kwenziwa ngasecaleni lakho emva kwekhefu lembambo zakho. Udokotela ogqirha uya kufaka iimbambo zakho kwaye unokususa inxalenye yembambo ukuze afikelele kwimpompo yakho.
Imithambo yegazi (imirhoxo kunye nemithambo) kunye ne-airways ekhokelela kwi-lobe echaphazelekayo iboshwe, kwaye i-lobe isuswa. Ngaphambi kokuba uvale oko kuthethwa khona, ugqirha wakho uza kufaka ityhubhu yesifuba eya kushiywa endaweni ethile ixesha. Ibhubhu yesifuba ivumela igazi elingaphezulu kunye namanzi okucoca ukucima ukulandelelana okulandelayo kwaye iya kususwa xa umjelo ushiyile.
Nge- VATS lobectomy , oogqirha benza izinto ezincinci kwiincubho zakho apho bangafaka khona izixhobo kunye nekhamera encinane yekhamera (i-thoracoscope). Ikhamera ikhiqiza umfanekiso kwiskrini sevidiyo esivumela oogqirha ukuba babone indawo abasebenza kuyo. Imithambo yegazi kunye ne-airways kwi-lobe echaphazelekayo ihlanganiswe kunye nokusetyenziswa kwezi zixhobo, kwaye i-lobe isuswe ngenye yezinto ezibonwe. Emva kokususwa kwe-lobe, oogqirha banokuthi baqhube okanye bawasuse i-lymph nodes kwindawo ekufutshane ne-tumor. Ityhubhu yesifuba isenokungeniswa okanye ingeniswa kwisifuba sakho emva kokuhlinzwa.
I-robotic VATS lobectomy inokunye ukukhetha kwamanye amaziko omhlaza kwaye kubonakala ngathi ikhuselekile kwaye isebenzayo kwizilingo zeklinikhi ngoku.
Ngamanye amaxesha oogqirha badibana neengxaki ngexesha le-VATS lobectomy, njengegazi okanye i-tumor engenakususwa ngokwaneleyo.
Kule meko, inqubo ingadinga ukuguqulwa kwi-lobectomy evulekile.
Xa Utyando Lwenu Lwenziwa
Xa ugqirha lwakho lugqityiwe, uya kufakwa kwi-room yokubuyisela iyure okanye ezimbini. Ngeli xesha uya kuhlolisiswa ngokuthe ngqo kwiphina ukuphuma kwegazi okanye intlungu njengoko uqala ukuvuka. Ngokuxhomekeke kwindlela oyenzayo ngokuhlinzwa, kunye nokukhethwa kwonyango, uza kuthathwa kwiyunithi yokunyamekela okanye kwindawo yokupasa. Uninzi lwexesha lakho intsapho liya kuvunyelwa ukukubona nokutyelela xa ufika kwikamelo lakho, kodwa oku kuyahluka phakathi kwamaziko.
Ukukhetha i-Surgeon
Kubalulekile ukucinga ngokucophelela malunga ne-lobectomy yakho phambi kwenkqubo.
Kuye kwafunyanwa ukuba izibhedlele ezenza umthamo omkhulu womhlaza womphunga unemiphumo engcono. Kuwe, oko kungathi iincinci ezincinci okanye ukususwa ngokuphumelelayo kwezicubu zomdlavuza zomhlaza. Nazi ezinye iingcebiso malunga nendlela yokukhetha isikhungo somhlaza .
Khawucinge ngokufumana umbono wesibini . Akunabo bonke oogqirha abakhululekile ukuqhuba uphando ezifana neVATS lobectomy. Nangona le ndlela ayinakuhlala isetyenziselwa, kuyakufanelekela ukuqwalasela (nokufumana ugqirha owenza lo mkhwa) njengenkqubo encinci yokungena kunye nokuphucula lula kakhulu ixesha. Udokotela wakho ogqirha akayi kuthukuthela xa ucela umbono wesibini, kwaye eneneni, abaninzi abagqirha balindele ukuba izigulane ziya kwenza njalo. Unokuba unqwenela ukuqwalasela enye yeziko elikhulu leSizwe leCancer Institute-amaziko omhlaza okhethwe ngumbono wesibini, njengoko amanye ala maziko akwazi ukuba neogqirha kwabasebenzi abakhethekileyo ekusebenziseni umdlavuza wamaphaphu.
I-Article elandelayo - Ukubuyiswa emva kweLobectomy yakho
Imithombo:
American Cancer Society. Isikhokelo esinqununu: I-Cancer ye-Lung - I-Cell-Non-Small Cell. Ukuhlinzwa. Ukuhlaziywa 05/16/16. https://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-reating-surgery
Erhunmwunsee, L. noMnu Onaitis. Ukuyeka ukutshaya kunye nokuphumelela komhlaza womphunga. Imibiko yeOncology yamanje . 2009. 11 (4): 269-74.
Oskarsdottir, G., Halldorsson, H., Sigurdsson, M. et al. I-Lobectomy ye-Cell-Non-Small Cell Lung Carcinoma: Isifundo seSizwe soPhulo olufutshane kunye nexesha elide. Acta Oncologica . Ngo-2017 uMatshi 21. (uEpub ngaphambi kokuprinta).
Whitson, B. et al. Uphando lwe-early-stage esingekho encinci yesifo somhlaza wamaphaphu: ukuphononongwa ngokuchanekileyo kwe-video-assisted thoracoscopy ukuhlinzwa kunye ne-thoracotomy izicelo kwi-lobectomy. Ama-Annal of Surgery Thoracic . 2008. 86 (6): 2008-16.