Yintoni Ongayilindela Emva Kwakho Lobectomy?
Emva kwe-lobectomy yakho, uya kuhamba ngexesha lokubuyisela esibhedlele uze ube ekhaya. Yintoni onokuyilindela xa utyando lwakho luphelile? Yintoni eyenzekayo esibhedlele, kunye neentsuku kunye neveki emva kokuba uye ekhaya?
Apha, sixoxa ngokubuyiswa kwakho emva kwe-lobectomy yakho, kodwa ungaphinda ufunde kabanzi malunga nendlela yokulungiselela i-lobectomy yakho kunye nento eyenzeka ngexesha lakho lobectomy inkqubo ngokwayo.
Ukuba endaweni yoko, ufuna ulwazi malunga neentlobo ze- lobectomy kunye nenkqubo efana nani, khangela amanqaku axhunyiwe.
Emva kweLobectomy yakho: malunga nokubuyisela
Ngaphambi kokuba wenze utyando lwe-lobectomy yakho mhlawumbi uyazibuza ukuba uza kuphumla njani. Uza kuziva njani kwiintsuku kunye neeveki emva kokuhlinzwa kwakho? Abantu bahlala ixesha elingakanani esibhedlele? Yiyiphi imingcele onokuyenza? Makhe sijonge kwezinye zeembuzo abantu abahlala bezibuza ngaphambi kokuba babe nokuhlinzwa komdlavuza wamaphaphu.
Igumbi lokuLawula
Xa utyando lwakho lugqibeleleyo, uya kuthathwa kwigumbi lokubuyisela apho uza kujongwa ngokukhawuleza kwiiyure eziliqela. Ugqirha wakho uya kuthetha nentsapho yakho malunga nokuhlinzwa kwakho kwaye ubazise xa uza kudluliselwa kwigumbi lakho lesibhedlele. Ngosuku lokuqala okanye ngoko unokubekwa iliso kwiyunithi yokunyamekela (ICU).
I-Ventilator Use and Breathing After Lobectomy
I-tube yokuphefumula eyenza i-ventilator ikuphefumlele ngexesha lotyando ngamanye amaxesha ishiywe endaweni ngenkathi sele uyifumana.
Ekubeni oku kunokubangela uxhalaba oluthile, uya kunikwa imishanguzo egcina ulala kakhulu, kuze kube yilapho ithubhu isuswe-ngokuqhelekileyo ngosuku olufanayo kunye nokuhlinzwa kwakho.
Xa i-ventilator isuswe kwaye ulala phantsi, umphefumli wokuphefumula uza kukucela ukuba ukhwehle kwaye akuncede ekusebenziseni i-spirometer yokukhuthaza.
Le nto ifowuni ophefumla ngayo ukuze usebenzise imiphunga yakho kwaye uncede ukugcina iipoksi zomoya ezincinane (i-alveoli) emiphakeni yakho evulekile.
Isikolo seZibhedlele kunye ne-Tube Chest
Xa unako, abahlengikazi banokukunceda uhlale, kwaye kukukhuthaza ukuba uvuke kwaye uhambe ngoncedo. Ungeke uzive usebenze, kodwa umsebenzi wokunciphisa uzokukunceda ukuba uphinde uphinde usebenzise amandla akho ngokukhawuleza kwaye unciphise umngcipheko wokuphuhlisa ama-blood clots. Qiniseka ukuba ufunde le nqaku malunga neendlela zokukhusela kunye nokuqonda iimbali zegazi kuba eziqhelekileyo emva kokuhlinzwa komhlaza wamaphaphu.
Isibilini sakho somfuba siya kushiywa endaweni yakho de ukuba ugqirha ungeva ukuba umjelo ushiyile kwaye akukho moya ophumayo, ngokuqhelekileyo iintsuku ezintathu ukuya kwezine emva kokuhlinzwa. Uninzi lwabantu luchitha ubuncinane iintsuku ezi-5 ukuya kwezi-7 kwisibhedlele emva kwe-lobectomy evulekile kunye neentsuku ezi-3 ukuya kwezi-4 emva kokuhlinzwa kwe-thoracoscopic (VATS).
Yintoni Ukubuyiswa Kwemvelaphi Ye-Lobectomy?
Ukubuyela kwindlela yakho yokuphila ngokuqhelekileyo kunokunyaniseka okulandelayo emva kokuhlinzwa komhlaza wamaphaphu-ngokukodwa ukuba ungenayo impawu ezininzi ukusuka kumdlavuza wakho wamaphaphu ngaphambi kwenkqubo. Abanye abantu baye bafumanisa ukuba kunceda ukuqaphela intuthuko imihla ngemihla-njengokuba izibhabhu zisuswe ngokukhawuleza.
Ungabona kwakhona ukuba ukukhathala oba nakho akufani nokukhathala oye wahlangabezana nayo ngaphambili. Ukukhathala komhlaza kuya kuphazamisa , ngakumbi ukuba ungumntu onzima ukuthoba nokuthatha lula. Kunokukunceda kakhulu ukuhamba ngokukhawuleza xa ubuyela ekhaya kwaye ugxininise kwimisebenzi ethatha ingqondo yamandla okanye amandla omzimba kusasa ngosuku. Kungaba nzima ukuvumela abantu ukuba bancede, kodwa ngoku akusiyo ixesha lokuba iqhawe okanye "oqinileyo." Gcina ukhumbule ukuba enye yeengxaki ezibangelwa ngabathandekayo babantu abanomhlaza ngumqondo wokungancedi bazivakalelwa.
Ukunikezela imisebenzi ethile nokufunda ukufumana uncedo akunokukunceda nje ukuba ufumane ngokukhawuleza kodwa kunokunika umntu wakho othandekayo ukuba anciphise loo nto yokuba akanako ukwenza nantoni na ukunceda.
Buyela ku msebenzi
Abanye abantu babuyela emsebenzini emva kweeveki ezintandathu ukuya kweebhozo, kodwa ugqirha wakho uya kukunika izithintelo ezikhethekileyo, njengokuphepha konke ukuphakamisa okunzima. Kuza kuthatha ixesha lokuhlala kwimizimba yakho yokuhlala imiphunga, kwaye ukuphefumula okufutshane kunokuqhubeka nokuqhubeka kweenyanga eziliqela emva kokuhlinzwa. Ingumxholo omtsha kwimpilo yomhlaza wamaphaphu, kodwa ukulungiswa kwempompo ngaphambi okanye emva kokuhlinzwa komdlavuza wamaphaphu kuye kwafunyanwa ukunceda abantu abaninzi xa benziwa ngexesha elifanelekileyo. Kufuneka ucele ugqirha wakho malunga nolu khetho, nangona kunjalo, ngokungafani nonyango kwisifo senhliziyo kunye nokutshintshwa okuhlanganyelweyo, unyango lwabasindileyo bomhlaza luthatha ixesha elide ukuze lufake.
Iingxaki zeLobectomy
Abanye abantu baneengxaki ezimbalwa emva kwenkqubo yabo ye-lobectomy kunye nokubuyiselwa, kodwa iingxaki aziqhelekanga. Intlungu eqhubekayo ebizwa ngokuba yi- post-thoracotomy syndrome iyakhathaza abanye abantu. Ukufunda ukuhlala kunye nomthamo ongaphantsi kwamapompo kungathatha ixesha, nangona unokuvuselelwa kwepmonta.
Ndifanele Ndibize Njani Ugqirha Wam?
Xa ukhishwa esibhedlele, uya kunikwa imiyalelo ngokucophelela ngendlela onokuzinakekela ngayo ekhaya kunye nemiyalelo malunga nokuba uza kulandelwa ngogqirha wakho. Phakathi kokuqeshwa, kufuneka ubizele ugqirha ukuba unempawu okanye iimbuzo ezikukhathazayo. Shayela ugqirha wakho ngokukhawuleza ukuba uhlakulela umkhuhlane, intlungu yesifuba eyahlukileyo kwizinto oye wahlangabezana nazo, ube ngumphefumlo omncinci, unokuphuma okanye ubole ngokukhawuleza kwakho, okanye ukuba uvelise nayiphi na intlungu emathole akho (okunokwenzeka iifutha zegazi).
ILizwi
Ixesha lokubuyiselwa emva kwe-lobectomy ehlukileyo kumntu wonke. Emva kokuhlinzwa kwakho, uya kuthathwa kwigumbi lokubuyisela kwaye uhlolisiswe ngokukhawuleza njengoko i-anesthesia yakho igqithisa. Ekubeni uya kuhlala udibene ne-ventilator, ugqirha wakho mhlawumbi uya kukugcina ulungelelaniswe kule mizuzu yokuqala. Xa usususwe kwi-ventilator ophefumulayo uya kusebenza kunye nawe kwaye akukhuthaze ukuba ukhwehle.
Isinyathelo esilandelayo (kunye netyhubhu ukuyilahla) ityhubhu yesifuba. Ngokomyinge ityhubhu yesifuba ishiywe endaweni yeentsuku ezintathu ukuya kwii-4 (kwaye imfutshane nje nge-VATS inkqubo) kodwa oku kuyahluka. Abanye abantu baya kuba nokuvuza okungapheliyo komoya okufuna ukuba kushiywe endaweni ende.
Ngexesha leentsuku zokuqala (kwaye ukuya kwiiveki ezimbalwa) mhlawumbi ufuna imichiza yosizi ukulawula intlungu yakho. Mhlawumbi uyayiqonda intlungu ngakumbi xa uqala ukujikeleza ngaphezulu. Ngeli nqanaba, uya kuqala ukubona ukuba ukuphefumla kwakho kufana nani. Oku kunokubangela ukwethuka okokuqala xa uvakalelwa kukuphefumla, kodwa amaxesha kunye nokuvuselelwa kwamapulmari ukuba kuyimfuneko kunokuba luncedo kakhulu.
Xa ubuya ekhaya ulindele ukukhathala kakhulu. Abanye abantu balindele ukubuyela kwimigangatho yabo ngokukhawuleza kwaye bayothusa ngesantya sokukhathala. Jonga ukukhathala njengesibonakaliso esivela emzimbeni wakho ukuxelela ukuba kufuneka uwenze lula. Ukukhathala kwakho kuya kuphucula ngexesha.
Abanye abantu baneentlungu eziqhubekayo emva kokuhlinzwa komdlavuza wamaphaphu kwaye oku kuya kuphazamisa. Kuye kwaba nemali ebalulekileyo yophando kwiminyaka yamuva kwiindlela zokuhlangabezana nazo kwaye kunciphise intlungu ye-thoracotomy. Thetha ugqirha wakho ukuba oku kukukhathaza
> Imithombo:
> Ukupasa, iHarvey I. Imigaqo kunye nokuSebenza komhlaza weLung: McArdle, Wi I-Official Reference Text ye-IASLC. Philadelphia: IWolters Kluwer Health / Lippincott Williams & Wilkins, 2010. Print.
> Zhang, R., noMnu Ferguson. I-Video-Assisted Versus Open Lobectomy kwizigulane ezinezixhobo zokusebenza ezixubileyo: UkuHlola kweeNcwadi kunye ne-Meta-Analysis. PLoS One . 2015. 10 (7): e0124512.