Yini Ongayilindela Ngemuva Kwakho Lobectomy?
Ngemuva kwe-lobectomy yakho, uzodlula isikhathi sokuphumula esibhedlela bese ekhaya. Yini ongayilindela lapho ukuhlinzwa kwakho sekuphelile? Kwenzekani esibhedlela, futhi ezinsukwini nasemasontweni ngemuva kokuya ekhaya?
Lapha, sibheka ukutakula kwakho ngemuva kwe-lobectomy yakho, kodwa ungafunda kabanzi mayelana nokuthi ungalungisa kanjani i-lobectomy yakho nokuthi kwenzekani phakathi nenqubo yakho ye-lobectomy ngokwayo.
Uma kunalokho, ufuna ukwaziswa ngezinhlobo ze- lobectomy nokuthi iyiphi inqubo efana nayo, hlola izihloko ezixhunyiwe.
Ngemuva kwe-Lobectomy yakho: Mayelana nokubuyiswa
Ngaphambi kokuba uhlinzeke ngokuhlinzwa kwakho kwe-lobectomy cishe uzobuza ukuthi ukutholwa kwakho kuzoba njani. Uzozizwa kanjani ezinsukwini nasemasontweni ngemuva kokuhlinzwa kwakho? Abantu bahlala isikhathi esingakanani esibhedlela? Yiziphi izilinganiso ongazithola? Ake sibheke eminye yemibuzo abantu abavame ukuyibuza ngaphambi kokuba babe nokuhlinzwa komdlavuza wamaphaphu.
Ikamelo Lokuphumula
Uma ukuhlinzwa kwakho kuqediwe, uzoyiswa ekamelweni lokutakula lapho uzobe uhlolwe eduze amahora amaningana. Udokotela wakho uzokhuluma nomndeni wakho mayelana nokuhlinzwa kwakho futhi ubazise uma uzodluliselwa egumbini lakho lesibhedlela. Ngosuku lokuqala noma noma kunjalo ungase uhlolwe enyunithi yokunakekela kakhulu (i-ICU).
I-Ventilator isebenzisa futhi iphuza emva kwe-Lobectomy
Ibhubhu yokuphefumula eyenza i-ventilator ikuphefumulele ngesikhathi sokuhlinzwa ngezinye izikhathi ishiywe endaweni lapho uthola khona.
Njengoba lokhu kungabangela ukukhathazeka okuthile, uzonikezwa imithi egcina ulele kuze kube yilapho ithubhu isuswe-ngokuvamile ngosuku olufanayo nokuhlinzwa kwakho.
Uma isitsha se-ventilator sisusiwe futhi uqala ukulala kancane, ochwepheshe bokuphefumula uzokucela ukuba ukhwehlele futhi akusize ekusebenziseni i-spirometer yokukhuthaza.
Lona idivaysi ophefumula ngayo ukuze usebenzise amaphaphu akho futhi usize ukugcina amabhasi amancane emoyeni (i-alveoli) emaphashini akho avulekile.
I-Course Course ne-Tube Chest
Uma ukwazi, abahlengikazi bazokusiza ukuba uhlale, bese kukukhuthaza ukuvuka uphinde uhambe ngosizo. Ngeke uzizwe sengathi usebenza, kodwa umsebenzi wokunciphisa uzokusiza ukuthi uphinde uzame amandla akho futhi unciphise ingozi yokuthuthukisa ama-clots wegazi. Qinisekisa ukuthi ufunda lesi sihloko mayelana nezindlela zokuvimbela futhi uqaphele ama-clots wegazi ngoba lokhu kuvamile emva kokuhlinzwa komdlavuza wamaphaphu.
Ithimba lakho lesifuba lizoshiywa endaweni kuze kube yilapho udokotela wakho ohlinzayo ezwa ukuthi umsele umile futhi akukho moya ophumayo, ngokuvamile izinsuku ezintathu kuya kwezingu-4 emva kokuhlinzwa. Iningi labantu lichitha okungenani izinsuku ezingu-5 kuya kweziyisikhombisa esibhedlela kulandela i-lobectomy evulekile nezinsuku ezingu-3 kuya kwezingu-4 ngemuva kokuhlinzwa kwe-thoracoscopic (VATS) okusizwa ngevidiyo.
Kuyini Ukubuyiswa Okuvela Ku-Lobectomy Like?
Ukubuyela endleleni yakho yokuphila evamile kungakhungathekisa okulandelayo ukulandela ukuhlinzwa komdlavuza wamaphaphu-ikakhulukazi uma ungenayo izimpawu eziningi kusuka emdlavuza wakho wamaphaphu ngaphambi kwenqubo. Abanye abantu bathole ukuthi kusiza ukubona inqubekela phambili nsuku zonke-njengokuthi amashubhu asuswe kancane kancane.
Ungase futhi uqaphele ukuthi ukukhathala okwenzekayo akufani nokukhathala oye wabhekana nakho ngaphambilini. Ukukhathala komdlavuza kungakhungathekisa , ikakhulukazi uma ungumuntu onzima ukuphuza phansi nokuthatha kalula. Kungasiza kakhulu ukuzihambela lapho ubuyela ekhaya futhi ugxile emisebenzini ethatha amandla engqondo noma ngokomzimba ekuqaleni kosuku. Kungaba nzima ukuvumela abantu ukuba basize, kodwa manje akusona isikhathi sokuba iqhawe noma "oqinile." Khumbula ukuthi enye yezinkathazo ezinkulu zabathandekayo balabo abanomdlavuza ngumqondo wokungabi namandla abazizwayo.
Ukusakaza imisebenzi ethile nokufunda ukwamukela usizo kungakusizi kuphela ukuthi ululame ngokushesha kodwa kunganikeza okuthile okuthandayo ukuba unciphise lo mqondo wokuthi akakwazi ukwenza noma yini ukusiza.
Buyela Emsebenzini
Abanye abantu babuyela emsebenzini emva kwamasonto ayisithupha kuya kwangu-8, kodwa udokotela wakho uzokunika imikhawulo ekhethekile, njengokugwema ukuphakamisa okunzima. Kuzophinde kuthathe isikhathi sokuba izicubu zakho zokuhlala zamaphaphu zithathwe, futhi ukuphefumula okuncane kungaqhubeka izinyanga ezimbalwa ngemva kokuhlinzwa. Kungumqondo omusha wempilo yomdlavuza we-lung cancer, kodwa ukuvuselelwa kwepayipi ngaphambi noma emva kokuhlinzwa komdlavuza wamaphaphu kutholakale ukusiza abantu abaningi uma kwenziwa ngesikhathi esifanele. Kungase kudingeke ubuze udokotela wakho ngalolu khetho, noma kunjalo, kusukela ngokungafani nokwelashwa kwesifo senhliziyo nokushintshwa okuhlangene, ukwelashwa kwabasindile umdlavuza kuthatha isikhathi eside ukuze ubambe.
Izinkinga ze-Lobectomy
Abanye abantu banezinkinga ezimbalwa emva kwenqubo yabo ye-lobectomy nokuvuselela, kodwa izinkinga azivamile. Ubuhlungu obungapheli obubizwa ngokuthi i- post-thoracotomy pain syndrome kungadambisa abanye abantu. Ukufunda ukuhlala nomthamo omncane wamaphaphu kungathatha isikhathi, ngisho noma unokuvuselelwa kwamaphalenda.
Ngifanele Ngibize Udokotela Wami Nini?
Uma ukhululwa esibhedlela, uzonikezwa imiyalo ngokucophelela ukuthi ungayinakekela kanjani ekhaya kanye nemiyalelo yokuthi ungayilandela nini nodokotela wakho. Phakathi kwama-aphoyintimenti, kufanele ubize udokotela wakho uma unamanye izimpawu noma imibuzo ephathelene nawe. Shayela udokotela wakho ngokushesha lapho uhlakulela umkhuhlane, unesihlungu esifubeni esihluke kulokho obekuhlangenwe nakho, ube nokuphefumula okuncane, ube nokuphuma noma ukubomvu eduze kwe-incision yakho, noma uma uthuthukisa noma yikuphi ubuhlungu emanzini akho (kungenzeka ama-clots wegazi).
Izwi elivela
Isikhathi sokuphumula emva kwe-lobectomy sihlukile kuwo wonke umuntu. Ngemuva kokuhlinzwa kwakho, uzosuswa ekamelweni lokutakula futhi uhlolwe eduze njengoba i-anesthesia yakho ivala. Njengoba uzobe uxhumeke ku-ventilator, udokotela wakho cishe uzokugcina uhlezi kahle kulezi zikhathi zokuqala. Uma usususwe ku-ventilator isifo sokuphefumula cishe sizosebenza nawe futhi sikhuthaze ukuba ukhwehlele.
Isinyathelo esilandelayo (kanye nethubhu okuzoyiqeda) yi-tube yesifuba. Ngokwesilinganiso ithubhu yesifuba ishiywe endaweni ngezinsuku ezingu-3 ukuya kwezingu-4 (futhi ifushane kakhulu nge-VATS inqubo) kodwa lokhu kungahluka. Abanye abantu bazoba nokuvuza okuqhubekayo kwemoya okudingayo ukuba kushiywe endaweni eside.
Phakathi nalezi zinsuku zokuqala (futhi kuze kube amasonto ambalwa) cishe udinga imithi yobuhlungu yokulawula ubuhlungu bakho. Ngokuqinisekile uzobona ubuhlungu kancane uma uqala ukuhamba ngokuzungezile ngaphezulu. Kuleli qophelo, uzoqala ukubona ukuthi ukuphefumula kwakho kufani. Kungaba ukwesaba ekuqaleni uma uzwa ukuphefumula, kodwa izikhathi nokuvuselelwa kwamaphalenda uma kudingeka kuyasiza kakhulu.
Uma ubuyela ekhaya kulindeleke ukuthi ukhathele kakhulu. Abanye abantu balindele ukubuyela esimweni sabo ngokusheshisa futhi bamangele izinga lokukhathala. Buka lokhu ukukhathala njengesibonakaliso esivela emzimbeni wakho okutshela ukuthi udinga ukuthatha kalula. Ukukhathala kwakho kuzokwenza ngcono ngesikhathi.
Abanye abantu banezinhlungu eziqhubekayo emva kokuhlinzwa komdlavuza wamaphaphu futhi lokhu kungase kuphazamise. Kube nomthelela omkhulu wocwaningo eminyakeni yamuva ngezindlela zokubhekana nazo futhi kunciphise ubuhlungu be-post-thoracotomy. Khuluma nodokotela wakho uma lokhu kukuhlupha
> Imithombo:
> I-pass, i-Harvey I. Izimiso Nemikhuba Yengculaza Yamayolanga: McArdle, Wi I-Official Reference Text ye-IASLC. I-Philadelphia: I-Wolters Kluwer Health / Lippincott Williams & Wilkins, 2010. Phrinta.
> Zhang, R., noMnu Ferguson. I-Video-Assisted Versus Open Lobectomy ezigulini ezinezinsizakusebenza ezihlanganisiwe: Ukubuyekezwa Kwezincwadi kanye nokuhlaziywa kwe-Meta-Analysis. PLoS One . 2015. 10 (7): e0124512.