Yini Eyokwenzeka Phakathi Nokuhlinzwa Kwami Lobectomy?
Inqubo yakho ye-Lobectomy
Qaphela: Lesi sihloko sikhuluma ngalokho okwenzeka ekamelweni lokusebenza ngesikhathi se-lobectomy. Uma kunalokho, ungathanda ukufunda ngezinhlobo ze-lobectomy, ukulungisa, ukululama, noma izinkinga ezingenzeka, hlola izihloko ezilandelayo:
- Isigaba 1 - Uhlolojikelele kanye Nezinhlobo Ze-Lobectomy
- Isigaba 2 - Ukulungiselela Lobectomy Yakho
- Isigaba 4 - Ukubuyiswa emva kweLobectomy yakho
- Isigaba sesi-5 - Ukunciphisa i-Lobectomy nokubikezela
I-lobectomy yindlela yokuhlinza umdlavuza wamaphaphu lapho i-lobe eyodwa yamaphaphu isuswa khona. Isusa izicubu eziningi zamapayipi kunokuthengiswa komkhawulo , kodwa ngaphansi kwe- pneumonectomy .
Uma Ufika
Ngaphambi kwe-lobectomy yakho, uzokhuluma nodokotela wakho ohlinzayo nodokotela we-anesthesiologist ngalokho okuzokwenzeka. Lesi yisikhathi esihle sokubuza noma yimiphi imibuzo ongayithola. Njengoba kuphawuliwe kulesi sihloko sokulungiselela, cishe uzoyeka ukudla noma ukuphuza emva kwamabili ebusuku ngaphambi kokuqhubeka kwenqubo. Uma uthatha noma imuphi imithi njalo, qiniseka ukuthi uyakusho lokhu ku-anesthesiologist yakho. Ngesikhathi ulinde, cishe uzoba ne-IV efakwe engalweni yakho, futhi unganikezwa imithi yokuphumula.
Phakathi nokuhlinzwa kwakho
Phakathi nenqubo yakho ye-lobectomy, udokotela wakho ohlinzayo uzosusa i-lobe yamaphaphu akho aphethwe umdlavuza wamaphaphu. Ngokuya ngohlobo lwe-lobectomy inqubo yakho yokuhlinza iphakamisa, umdlavuza wakho ungasuswa ngomshini ovulekile noma ngokusebenzisa izinsimbi ezifakwe emibonweni encane.
Nakhu okuzokwenzeka phakathi nenqubo yakho ye-lobectomy.
Ekamelweni lokusebenza, uzonikezwa ukuhlinzekwa komzimba okujwayelekile ukuze ulale, futhi i-endotracheal tube izofakwa emlonyeni wakho ukuvumela i-ventilator ikuphefumule ngesikhathi sokuhlinzwa.
Vula ngeVATS Lobectomy
Esikhathini se- lobectomy evulekile , kuzotholakala ukugxila okude eceleni kwakho ngokulandela ijika lezintambo zakho.Udokotela ohlinzayo uzosakaza izimbambo zakho futhi angasusa ingxenye yembambo ukuze afinyelele emaphashini akho.
Izitsha zegazi (amavriridi nemivimbo) kanye nemimoya ehamba phambili eholela ku-lobe ethintekile ziboshwe, futhi lobe isuswe. Ngaphambi kokuvala lokho okushiwo, udokotela wakho ohlinzayo uzofaka ithubhu lesifuba elizoshiywa endaweni okwesikhathi esithile. I-tube yesifuba ivumela igazi elidlulele kanye nezikhukhula ukukhipha ukuhlinzwa okulandelayo futhi kuzosuswa lapho amanzi ewa khona.
Nge- VATS lobectomy , odokotela abahlinzayo benza izinto eziningana ezimbalwa esifubeni sakho lapho bangafaka khona izinsimbi kanye nekhamera yevidiyo encane (i-thoracoscope). Ikhamera ikhiqiza isithombe esibukweni sevidiyo esivumela abahlinzayo ukuba babone indawo abasebenza kuyo. Izindwangu zegazi kanye ne-airways ku-lobe ehilelekile zihlanganiswe nokusetshenziswa kwalezi zinsimbi, futhi lobe isuswe ngenye yezinto ezifakiwe. Ngemuva kokususwa kwe-lobe, odokotela abahlinzayo bangase baqhube noma bawasuse amantombazane emilenzeni endaweni eseduze ne-tumor. Ithuluzi lesifuba lingeniswa noma lingeniswe esifubeni sakho ngemuva kokuhlinzwa.
I-VATS lobectomy i-robotic ingaba enye inketho kwezinye izikhungo zomdlavuza futhi kubonakala sengathi iphephile futhi isebenza kahle ekuvivinyweni kwemitholampilo kuze kube manje.
Ngezinye izikhathi odokotela abahlinzayo bahlangabezana nezinkinga ngesikhathi se-VATS lobectomy, njengokuphuma kwegazi noma isisu esingenakususwa ngokwanele.
Kulesi simo, inqubo ingadinga ukuguqulwa ibe yi-lobectomy evulekile.
Lapho Ukuhlinzwa Kwakho Kuyenziwa
Uma ukuhlinzwa kwakho sekuphelile, uzovamise ukuthathwa ekamelweni lokutakula ihora noma amabili. Phakathi nalesi sikhathi uzobe uhlolisiswe eduze noma yikuphi ukuphuma noma ubuhlungu lapho uqala ukuvuka. Kuye ngokuthi uyenze kanjani ngokuhlinza kanye nokuthandwa kwabahlinzayo, uzobe ususelwe ku-unit yokunakekela kakhulu noma endaweni yokuhlinza. Esikhathini esiningi isikhathi umndeni wakho uzovunyelwa ukukubona futhi uvakashele lapho ufika ekamelweni lakho, kodwa lokhu kungahluka phakathi kwezikhungo.
Ukukhetha udokotela ohlinzayo
Kubalulekile ukucabangisisa nge-lobectomy yakho ngaphambi kwenqubo.
Kutholakale ukuthi izibhedlela ezenza ukuhlinzwa okukhulu komdlavuza wamaphaphu zibe nemiphumela engcono. Kuwe, lokho kungase kusho ukucindezeleka okuncane noma ukususwa okuphumelelayo kwamathishu emaphashini anomdlavuza. Nazi ezinye iziphakamiso zokuthi ungakhetha kanjani isikhungo somdlavuza .
Cabanga kakhulu ukuthola umbono wesibili . Akuwona wonke odokotela abahlinzayo abahlinzeka ngokuhlinzwa ngokukhululekile njengoVATS lobectomy. Ngenkathi le ndlela ingeke isetshenziswe ngaso sonke isikhathi, kufanelekile ukucabangela (nokuthola udokotela ohlinzayo owenza le nqubo) njengoba kuyinkambiso encane engavumelani nokuvuselela okulula kakhulu isikhathi esiningi. Udokotela wakho ohlinzayo ngeke athukuthele uma ucela umbono wesibili, futhi empeleni, odokotela abaningi abahlinzayo balindele ukuthi iziguli zizokwenza lokho. Ungase ufise ukucabangela esinye sezikhungo ezinkulu ze-Cancer Institute-izikhungo zomdlavuza ezikhethiwe ngomqondo wesibili, njengoba ezinye zalezi zikhungo zinamathuba amaningi okuba nodokotela odokotela abasebenza ngokukhethekile ekuhlinzeni umdlavuza wamaphaphu.
Isihloko esilandelayo - Ukubuyiswa emva kwe-Lobectomy yakho
Imithombo:
I-American Cancer Society. Umhlahlandlela oningiliziwe: I-Cancer Lung - I-Cell-Non-Small. Ukuhlinzwa. Kubuyekezwe 05/16/16. https://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-sall-cell-lung-cancer-treating-surgery
U-Erhunmwunsee, uL. and M. Onaitis. Ukuyeka ukubhema nokuphumelela kokuhlinzwa komdlavuza wamaphaphu. Imibiko yamanje ye-Oncology . 2009. 11 (4): 269-74.
Oskarsdottir, G., Halldorsson, H., Sigurdsson, M. et al. I-Lobectomy ye-Cell-Non-Small Lung Carcinoma: Isifundo Somhlaba Wonke SokuPhila Okufushane Nesikhathi Eside. Acta Oncologica . 2017 Mashi 21. (Epub ngaphambi kokuphrinta).
Whitson, B. et al. Ukwelashwa komdlavuza wesifo samangqamuzana omncane ongasemncane: ukubuyekezwa okuhlelekile kokuhlinzwa kwe-thoracoscopy okusizwa nge-versus ne-thoracotomy ku-lobectomy. Ama-Annal of Surgery Thoracic . 2008. 86 (6): 2008-16.