Ukulungiselela iMidiastinoscopy Yakho Nalokho Ongakulindela
I-mediastinoscopy yinkqubo lapho ithubhu (i-mediastinoscope) efakwe ngodonga lwesifuba ukuhlola indawo emkhatsini wamaphaphu (i- mediastinum ) .I-mediastinum iqukethe inhliziyo, isifo , i- trachea , i- lymph nodes , nemithambo yegazi. Phakathi nale nqubo, odokotela bayakwazi ukubuka izicubu noma ukukhulisa amakhemikhali e-mediastinal and take sampuli (biopsies) ukubuka umdlavuza noma ezinye izimo.
Kungani i-Mediastinoscopy eyenziwe?
Kunconywa i-mediastinoscopy njengendlela yokusiza ukunquma isiteleka somdlavuza wamaphaphu - ukubona ukuthi, kude kangakanani, nokuthi yiziphi izifunda umdlavuza ongase usakaze. Ukuqonda okunembile ngesigaba somdlavuza wemaphaphu kubaluleke kakhulu ekusizeni odokotela batusa izindlela ezingcono zokwelapha. I-mediastinoscopy ingenziwa futhi ukuxilonga ezinye izimo, njenge- sarcoidosis ne-lymphomas.
I-Mediastinoscopy vs Ezinye Izinqubo
Njengoba ukuhlolwa kwamageyimu kuthuthukisa umdlavuza wesifo samaphaphu, amanye amasu angathatha indawo ye-mediastinoscopy, okungenani kwabanye abantu. Isivivinyo esivame kakhulu esenziwa njengenye indlela kule nqubo i-PET scan. I- scan ye-PET ibheka amaphaphu akho ngokuskena okufana ne-CT scan kepha isekelwe endleleni ehluke ngokuphelele. Ngokungafani ne-CT scan efuna izinguquko zesakhiwo emaphashini, i-PET ihlola ibheka izinguquko zokusebenza. Amakhansela akhula ngokukhulayo ayovame ukukhanya ku-scan ye-PET, kanti uhlamvu (olungabonakala lufana nomdlavuza ku-CT) luzobonisa ukuthi alukhuli.
Iphi i-Mediastinoscopy eyenziwe?
I-mediastinoscopy ivame ukwenziwa uma udokotela ohlinzayo ekholelwa ukuthi umuntu unezitho zamakhemikhali emidlalini enhle. Ukuba khona kwama-lymph node-mediastinal kuthatha indima ekusungulweni komdlavuza wamaphaphu, futhi njengoba kunesigaba esinembile kubalulekile ekwelapheni, kungaba nengxenye enkulu ekukhetheni ukwelashwa okuphumelelayo kakhulu.
Ama-Mediastinoscopies ayenziwa kaningi kunakudala. Njengoba kuphawuliwe ngenhla, i-PET scan ngezinye izikhathi inganikeza ulwazi olufanayo kodwa ngokutadisha okuncane kakhulu. Ukuhlanganiswa kwe- bronchoscopy ene- endobronchial ultrasound (kanye ne-biopsy uma kudingeka) kungase futhi ngezinye izikhathi kungene esikhundleni sesidingo sokwenza i-mediastinoscopy.
Ukulungiselela I-mediastinoscopy yakho
Ngaphambi kokuyala inqubo yakho, udokotela wakho uzokhuluma nawe ngezingozi zenqubo, nokuthi yini angayilindela ukuyifunda ngokwenza ukuhlolwa. Uma ukhona kunoma yimiphi imithi efana negazi elincane le-Coumadin (warfarin), i-aspirin, noma imithi elwa nokuvuvukala efana ne-ibuprofen, uzokuncoma ukuthi uyishiye lokhu isikhathi ngaphambi kwenkambiso. Kubalulekile ukuthi udokotela wakho azi ukuthi usebenzisa noma yiziphi izindlela zokwelapha zamakhemikhali noma izithako zokudla okunomsoco ngoba ezinye zazo zingakwandisa ingozi yokukhipha igazi. Ngaphambi kwenqubo, uzocelwa ukuba "ugijime," okungukuthi, ungadli noma uphuze noma yini (ngisho namanzi) amahora amaningana.
Phakathi neMidiastinoscopy Yakho
Uma ufika esibhedlela, udokotela wezokwelapha uzokubuza imibuzo eminingana bese ufaka i-IV (umugqa ohambisayo) engalweni yakho. Uyophinde afane nawe nabaqaphi ukuze izinga lakho lenhliziyo nomfutho wegazi kungabhekwa kuyo yonke inqubo.
Udokotela owenza le nqubo uzovakashela nawe ukuxoxa ngokuhlolwa kanye nezingozi zakhe, futhi akucele ukuthi usayine ifomu lokuvuma . I-anesthesiologist izophinde ikubuze imibuzo mayelana nomlando wakho we-anesthesia, noma yiziphi izinkinga amalungu omndeni wakho anayo nge-anesthesia, futhi uxoxe nge-anesthesia oyokwenziwa.
Ekamelweni lokusebenza uzonikezwa ukuhlinzekwa komzimba okujwayelekile , futhi, ngemva kokulala, ithubhu izofakwa emqaleni wakho ukukusiza uphefumule. Udokotela wakho ohlinzayo uzokwenza ukuchotshozwa okuncane nje ngaphezu kwesifuba sakho (i-sternum) bese ufaka i-mediastinoscope, ithubhu elingenalutho elinokukhanya.
Uzobe esehlola i-mediastinum yakho futhi athathe ama-biopsies kunoma yiziphi izindawo ezibonakala zingavamile. Ngemuva kokukhipha i-mediastinoscope, ukukhishwa okumbalwa noma ama-ster-strips (amapheshana we-tape) kuzosetshenziselwa ukuvala ukufakwa.
Yini Ongayilindela Ngemuva kweMediastinoscopy Yakho?
Uma uvuka egumbini lokutakula uzobe ulaleka okwesikhashana kusuka ku-anesthesia. Ungase ungakhululekile ekukhungweni kwakho, futhi kuvamile ukuzwa ukuthuthumela nokuphuza komphimbo obomnene kusuka ebhukwini. Abasebenzi bekamelo lokuphumula bazokuqapha amahora ambalwa ngaphambi kokukuvumela ukuba ubuyele ekamelweni lakho lesibhedlela noma ubuyele ekhaya. Uma uzoya ekhaya ngokulandela inqubo, uzocelwa ukuba othile akushaye, ngoba imiphumela ye-anesthesia ingahlala amahora amaningana.
Izinkinga ezingenzeka
Izinkinga ezinkulu azivamile ukulandela i-mediastinoscopy, kodwa ingafaka:
- Ukweqa - Ngesinye isikhathi, ukuhlinzwa okuqhubekayo kungadingeka ukulawula ukuphuma kwegazi.
- I- pneumothorax - I-pneumothorax "ukuvuza emoyeni" noma "ukuphazamiseka kwamaphaphu." Uma kwenzeka lokhu, ithuluzi lesifuba ngokuvamile lizodinga ukushiywa endaweni kuze kube yilapho ukuvuza kwezulu sekuxazululwe.
- Ukuphika okuqhubekayo kungenzeka uma isisindo sezintambo zamagama sengozini ngesikhathi senqubo.
- Izifo - Izifo zingase zenzeke, futhi zivame kakhulu uma ama-biopsies ethathwa phakathi kwe-mediastinoscopy.
- Izinkinga ezihlobene ne-anesthesia jikelele.
- I-Aphonia - Aphonia ibhekisela ekutheni akakwazi ukukhuluma noma ukudala imisindo (ngokuvamile kuvamile futhi ihamba yedwa.)
Imiphumela yeMediastinoscopy yakho
Ukulandela i-mediastinoscopy yakho, udokotela wakho uzosungula i-aphoyintimenti yokuxoxa ngemiphumela. Uma ngabe i-biopsy ithathwe ngesikhathi senqubo yakho, kungathatha izinsuku ezimbalwa ukuze ibhodi lihlole izicubu bese ithumela imiphumela kudokotela wakho.
Ngomdlavuza wamaphaphu, umphumela we-mediastinoscopy wakho unganikeza ulwazi olubalulekile ekunqumeni isigaba somdlavuza wakho. Ukunquma isigaba esilungile somdlavuza wakho, futhi, ungenye yezinyathelo ezibaluleke kakhulu ekukhetheni uhlelo lwezokwelapha oluzosebenza kangcono ngesisu sakho esithile.
Kufanele Ubize Udokotela Wakho Nini?
Kumele ubize udokotela wakho nganoma yimaphi izimpawu noma ukukhathazeka olandela inqubo yakho. Kubalulekile ukubiza udokotela wakho ngokushesha uma uzwa ubuhlungu besifuba, ukucindezeleka ukuphefumula noma ukuthuthukisa umkhuhlane (ngokuvamile ngaphezu kuka-100.5 F, kodwa cela udokotela wakho lokho angakuphakamisa).
Ngezansi ku-Mediastinoscopy
Ukubeka umdlavuza wemaphaphu kubaluleke kakhulu ekukhetheni ukwelashwa okungcono kakhulu. I-lymph nodes e-mediastinum, noma kunjalo, kungaba nzima ukuyihlola. Ngenkathi i-PET ihlola kanye ne-endobronchial ultrasound ishintsha isidingo samanye ama-mediastinoscopies, inqubo isenziwa kaningi emisebenzini yokuqala yomdlavuza wamaphaphu. Uma une-mediastinoscopy, khuluma nodokotela wakho mayelana nezindlela ezingenzeka. Ukuba ummeli wakho siqu ekunakekelweni komdlavuza wakho kungakusiza uzizwe unamandla kakhulu, futhi ngezinye izikhathi ngisho nokudlala indima emphumela wakho.
> Imithombo:
> I-National Institute of Health. I-Medline Plus. I-Mediastinoscopy nge-biopsy. Kubuyekezwe 06/05/17. https://medlineplus.gov/ency/article/003864.htm
> Velez-Cubian, F., Toosi, K., Glover, J., Pancholy, B., no-E. Hong. I-Aphonia elula ngemva kwe-Mediastinoscopy. Ama-Annal of Surgery Thoracic . 2017. 103 (6): e549-e550.