Naphezu kwezinselelo, impilo evamile ingaphezu kwalokho
Ukuba nokuhlinzwa komdlavuza wamaphaphu kuyisenzakalo esishintsha ukuphila, futhi akukho ndlela yokunciphisa imizwa umuntu angayithola ngemva kokusebenzisa inqubo enjengale. Akukaze kube lula.
Njenganoma yisiphi isifo esingasongela impilo, into eqinisekile ukuthi leyo nkambo yesifo ayiqinisekisiwe. Futhi lokho akuyona into embi. Ngenkathi sijwayele ukugxila ezintweni ezifana nokuphila okulinganiselwe noma ukufa okuvamile , kunamathuba onke wokuthi wena, njengomuntu, ungadlulela ngaphezu kwezilinganiso.
Ukuba nokuhlinzeka ngamaphaphu kuhlose ukuhloswe ekukhuliseni impilo yakho. Ukuba nokuqonda kangcono kwalokho okuzayo kungakusiza ugxile kulokho okubaluleke kakhulu: izinga lakho lokuphila.
Ikhwalithi Yokuphila Ngemuva Kokuhlinzwa Kwama-Lung Cancer
Abacwaningi namuhla banaka okungaphezu nje kokuthi "iminyaka yokuphila" noma "izenzakalo ezimbi" lapho belandela iziguli eziye zahlinzwa ukuhlinzwa komdlavuza wamaphaphu. Bafuna ukwazi kabanzi mayelana nendlela abantu abazizwa ngayo , ukuthi bangakwazi kanjani ukubuyela empilweni evamile, nokuthi baqonda kanjani izinga labo lokuphila.
Ucwaningo olwenziwe e-Seoul National University Hospital eKorea lubuke kakhulu izinga lempilo yabantu abaphumelele ekuhlinzekeni komdlavuza wamaphaphu ngokulinganisa abantu abafana nabantu abangenabo umdlavuza.
Lokho abathola ukuthi, emva kweminyaka emihlanu, abantu ababhekwe esiteji 0 , isigaba I , isigaba II , nesigaba IIIA babengenalo umehluko omkhulu ekusebenzeni kwansuku zonke kuqhathaniswa nabantu emphakathini jikelele.
Ngaphezu kwalokho, kwakungekho umehluko ezikhathini zokuphila uma kuqhathaniswa nezinhlobo zokuhlinzeka kwabantu abaye bakwazi ukufezekisa ukukhululwa.
Lokho lokhu kusitshela ukuthi akukhathaleki ukuthi kunzima kangakanani ukuhlinzwa noma ukwelashwa okulandelwayo; uma umuntu ebonakala engenasifo somdlavuza, amathuba okuphila ngendlela ejwayelekile yokuphila injengomuntu oye waphathwa ukwelashwa okuncane.
Izinselele Hlala
Lokhu akusikisela ukuthi azikho izithiyo zokunqoba emva kokuhlinzwa komdlavuza wamaphaphu. Ngokusho kocwaningo oluvela kwiCandelo le-Thoracic Surgery eSt. James University Hospital eNgilandi, abantu abathola imithi eminingi (kuhlanganise nokuhlinzwa, i-chemotherapy, nemisebe) babe nezinkinga zokuphefumula ezimbi kakhulu kunelabo ababenokuhlinzwa kuphela.
Lokhu akusho ukuthi, ungakwazi ukuphuma kwezinye izici ezibalulekile, kodwa kusikisela ukuthi ukunakekelwa okwengeziwe kufanele kuthathwe ukuze kuqinisekiswe ukuthi umsebenzi wamaphaphu ugcinwe. Lokhu ngokuvamile kuhilela ukulahlekelwa isisindo, physiotherapy, uhlelo lokuzivocavoca oluhlelekile, futhi (ngokungaqiniseki) ukugwema ukubhema nentuthu yomsizi.
Yini Okumele Yilindele Ngemva Kokuhlinzwa
Ukubuyiswa okuvela ekuhlinzekeni kwamaphaphu kuhluke wonke umuntu. Kuncike ekutheni uhlobo lomdlavuza luhilelekile, isigaba somdlavuza , kanye nokuhlinzwa okusetshenzisiwe. Phakathi kwezinqubo zokuhlinzwa ezivame kakhulu:
- Hlanganisa umthengisi lapho umkhawulo wamathambo ususiwe emaphashini
- I-Lobectomy lapho isisodwa (noma ngaphezulu) se-lobes ezintathu emaphaphu wakho isusiwe
- I-pneumonectomy lapho kususwe lonke iphaphu
- Ukubuyisana kwemikhono lapho isifo esisuswe khona sisuswa emoyeni
Ukulandela ukuhlinzwa kwamaphaphu, uzoyiswa ekamelweni lokunakekelwa okujulile (ICU) uphinde uthuthele ekamelweni lesibhedlela njalo uma ukuphefumula kwakho kuzinzile.
Ukuhlala esibhedlela kuvame ukuhamba phakathi kwezinsuku eziyisihlanu nezinsuku eziyisikhombisa kodwa kungase kuphele isikhathi esingama-10 pneumonectomy.
Uma sebekhishiwe esibhedlela, iningi labantu lizothatha okungenani izinyanga ezimbili ukuze liphinde liphinde liphinde liphinde liphinde liphinde liphinde liphinde liphume. Ukuvuselelwa kokuthutha emva kokuhlinzwa kuzogxila ekuthuthukiseni umsebenzi wakho we-aerobic ngaphandle kwemizuzu engaphansi kwezingama-30 ngosuku olunikezelwe ukuhamba.
Njengengxenye yokutholwa kwakho, uhlelo lokuvuselela i-pulmonary luzohlinzeka ngokuzivocavoca okuhlelekile, ukululekwa kokudla okunomsoco, ukuqeqeshwa kwe-aerobic nesisindo, ukuqeqeshwa kokunciphisa ukucindezeleka, kanye nokuphathwa kwengqondo ukuze kukusize kangcono ukubhekana nokubuyiswa. Lolu hlelo luzoqhutshwa kancane kancane njengoba uthuthuka ngemisebenzi enzima kakhulu, njengokuqeqeshwa kwesisindo, ukubambezeleka okungenani amasonto amane kuya ayisithupha ngemuva kokukhishwa kwakho.
Okubalulekile ekubuyiseni kwakho ukuvakashelwa njalo nodokotela wakho. Uma unikezwa "konke okucacile" futhi ngokusemthethweni ukuxoxwa, kuzodingeka uhlolwe ngegazi kanye neskena se-computed tomography (CT) eyenziwe njalo ezinyangeni eziyisithupha kuya kwezingu-12 ngeminyaka emibili yokuqala. Kwezinye izimo, udokotela wakho angacela ukuthi ungene kaningi.
Uma konke kusasele ngemva kweminyaka emibili, cishe kuzodingeka ungene kanye ngonyaka ukuze uphinde uhlolwe igazi kanye ne-CT scan.
> Imithombo:
> Bendixen, M .; Jorgensen, O .; Kronborg, C. et al. "Ubuhlungu obungasemva komzimba kanye nekhwalithi yokuphila ngemva kwe-lobectomy nge-optical thoracoscopic ukusiza ividiyo noma i-anterolateral thoracotomy emdlalweni wamaphaphu emapulazini: isilingo esilawulwa ngokungahleliwe." I-Lancet Oncology . 2016; 17 (6): 836-44.
> Pompili, C. "Ikhwalithi yokuphila emva kwemaphaphu ukuthengiswa komdlavuza wamaphaphu." I-Journal ye-Thoracic Disease . 2015; 7 (Suppl 2); S138-S144.
> Rauma, V .; Salo, J .; Sintonen, H. et al. "Iziguli ezibikezela ukubikezela isikhathi eside sokuphila kanye nekhwalithi ehlobene nempilo yokuphila ngemva kokuhlinzeka ngokukhululekile komdlavuza ongasona omncane wamaphaphu." I-Cancer Thoracic . 2016; 7 (3): 333-9.
> Yun, Y .; Kim, Y .; Min, Y. et al. Ikhwalithi ehlobene nempilo yokuphila kwabasindile abangenalesi sifo somdlavuza wamaphaphu ohlinzayo uma kuqhathaniswa nomphakathi jikelele. " Ama-Annal of Surgery . 2012; 255 (5): 1000-7.