Ukuhlunguphazeka Okungapheli Ngemva Kwe-Thoracotomy Nethonya Lalo Emdlalweni We-Cancer
I-postpneumonectomy syndrome iyinkimbinkimbi engenzeka izinyanga ukuya eminyakeni elandela i- pneumonectomy yomdlavuza wamaphaphu noma ezinye izimo. Kuvame ukulandela i-pneumonectomy kwesokunxele kune-pneumonectomy efanele futhi kwenzeka kaningi kubantu abasha.
I-post-thoracotomy pain syndrome ( PTPS) enye ibinzana elisetshenziselwa ukuchaza lobu buhlungu obunzima futhi kuhlanganisa ubuhlungu ngemva kweminye imithi yokuhlinza umdlavuza wamaphaphu njenge-lobectomy.
I-syndrome yenzeka lapho ama-lung nezakhiwo ezisele phakathi kwesikhumba (i- mediastinum ) zifuduka , futhi zigcwalise indawo engenalutho esele ngemuva kokuthi amaphaphu noma ingxenye yamaphaphu isuswe.
Ukubaluleka nokubaluleka
Kucatshangwa ukuthi amaphesenti angu-50 okuhlinzwa okuthunyelwe ngemuva kokuhlinzwa komdlavuza wamaphaphu abhekana nesifo se-postpneumonectomy syndrome noma isifo se-post-thoracotomy syndrome ngezinga lapho liphazamisa izinga lokuphila. Kungenzeka ukuthi ingaphansi kokubikwa futhi iphathwa kabi kakhulu kulabo abasinda umdlavuza wamaphaphu.
I-postpneumonectomy syndrome ingaba nomthelela omkhulu emndenini wamaphasinapha emaphaphu, futhi ngokungaqondile ngalokhu, ekubuyiseleni kwakhe.
Izimpawu
Izimpawu ngokuvamile zihlanganisa ukuphefumula okuqhubekayo okuqhubekayo. Ngenxa yokuthi abantu abaningi banokuphefumula okuncane okulandela i-pneumonectomy, lesi sibonakaliso singanakwa kalula. Abantu abaningi baphawula ubuhlungu ngokunyakaza kwengalo kanye.
Ubuhlungu ngokuvamile "ubuhlungu be-neuropathic" uhlobo lobuhlungu olunzima ukuluchaza kodwa luphikelela futhi lukhubaza.
Kungani Kuyenzeka?
Kunezinqubo eziningana ezingabangela ukuhlupheka, okuwukuphela, noma okuhlangene, kubandakanya:
- Ukucindezeleka kwezinzwa ze-intercostal (izinzwa ezigijima phakathi kwezimbambo)
- Ukuhlukunyezwa kokuhlinzwa
- Izicubu ze-Scar ezithinta umoya ngamunye
- Izimbambo ezihlukumezekile nezicindezelweyo
- Ukuvuvukala kwemisipha yesifuba
- I-Atrophy yezinhlanzi zesifuba
Ukwelapha
Kunezinhlobo eziningi zokwelapha eziye zahlolwa nge-post-thoracotomy syndrome, futhi kungenzeka ukuthi inhlanganisela yokwelapha, kunokuba ukwelashwa owodwa yodwa, kuyindlela engcono kakhulu. Lokho kusho ukuthi ukwelapha okubandakanya ukusetshenziswa kwezimpande ze-silicone (okufana nezimpande zesifuba) ezifakwe esifubeni ukuze zigcwalise isikhala esisele ngemuva kokususwa kwephaphu, unikeze abanye abantu usizo olukhulu. Ukutholakala kwamakhondomu asanda kutholakala nakho kuphumelele.
Ukubhekana
Uma uhlangabezana ne-post-pneumonectomy noma i-post-thoracotomy syndrome ukhulume nodokotela wakho. Ezinye izikhungo zomdlavuza zinobuchwepheshe bokuphatha ubuhlungu abaqeqeshwe ngezindlela zokusiza abantu ukuthi babhekane nobunzima bezinzwa ze-neuropathic . Abantu baye bathola inzuzo kwezinye zezingqondo / zomzimba izindlela zokwelapha, i-qigong, ne-acupuncture.
Ikusasa
Ngezinqubo ezintsha ezinjengokuhlinzwa kwe-thoracoscopic (VATS) ezithathelwe ividiyo (video-assisted) thoracoscopic (VATS) esikhundleni senqubo ethile ye-thoracotomy evulekile, izimo ze-postpneumonectomy syndrome zizokwehlisa ithemba esikhathini esizayo. Kulabo abaphila ne-syndrome namuhla, kukhona ithemba futhi, futhi ucwaningo olusebenzayo luqhubeka lufuna izindlela zokusiza abantu ukuba babhekane nalokhu okucasulayo ngemuva komphumela wokuhlinzwa komdlavuza wamaphaphu.
Izibonelo: UJosh wayephefumula kakhudlwana ngonyaka ngemuva kwe-pneumonectomy yomdlavuza wamaphaphu, kanti udokotela wakhe wamthola ukuthi une-postpneumonectomy syndrome.
> Imithombo:
> Gerner, P. Post- thoracomy Izinkinga Zokuphatha Izinhlungu. Imitholampilo ye-Anesthesiology . 2008. 26 (2): 355-vii.
> Jung, J., Cho, J., Kim, H. et al. Ukuphathwa kwePost-Pneumonectomy Syndrome Ukusebenzisa i-Tissue Expanders. I-Cancer Thoracic . 2016. 7 (1): 88-93.
> Hopkins, K., noMnu Rosenzweig. I-post-Thoracotomy Pain Syndrome: Ukuhlola nokuPhikisana. I-Clinical Journal of Oncology Nursing . 2012. 16 (4): 365-70.
> Wineser, K., Bester, M., no K. Deshpande. Ukwelashwa Kwendlala Yomgogodla Ukuphatha I-Post- thoractomy I-Neuralgia: Ayikho I-Small-cell Cell Lung Cancer: umbiko we-Case. Ukuphathwa Kwezinhlungu Abahlengikazi . 2012. 13 (1): 52-9.