Iziphi Izixazululo Engingazifunda Ngayo Ngemuva Kwama-Lobectomy Yami?
Yiziphi izinkinga ezingase zibe khona ze-lobectomy, futhi yikuphi ukuchazwa ngemva kokuhlinzwa? Uma ngabe ufunda ulwazi lapha ku-lobectomy, lesi sihloko sibheka izinkinga ezingase zenzeke kokubili nangemva kwenqubo ye-lobectomy nokuchazwa kabanzi kwalolu hlobo lwe-optic cancer. Uma ufuna imininingwane yangaphambili mayelana ne-lobectomy, hlola lezi zihloko:
- Isigaba 1 - Ukwelashwa kwe-Lobectomy Sibutsetelo
- Isigaba 2 - Ukulungiselela Lobectomy Yakho
- Isigaba 3 - Inqubo ye-Lobectomy
- Isigaba 4 - Ukubuyiswa emva kwe-Lobectomy
Izimpikiswano ze-Lobectomy (Isigaba sesi-5 kulolu chungechunge)
Ngenxa yokuthi i-lobectomy iyindlela enkulu yokuhlinzwa, izinkinga zivamile. Udokotela wakho ohlinzayo uzoxoxa ngalokhu nawe ngaphambi kokuhlinzwa kwakho futhi akhulume ukuthi kungani ezwa ukuthi izinzuzo zokuhlinzekwa zingaphezu kwenhlekelele. Ziyini lezi izinkinga nezingozi?
Izinkinga ezingenzeka zeLobectomy
I-lobectomy iyinkimbinkimbi enkulu, kanti noma ithimba lakho lokuhlinzeka lizokwenza konke okusemandleni ukuze kuncishiswe lezi zingozi, kubalulekile ukwazi ezinye zezinto ongakwenza ukuze wenze ukukhetha okufundisiwe kusengaphambili.
Kunezinkinga ezimbalwa ezingenzeka kungenzeka nge-lobectomy. Khumbula ukuthi abantu abaningi abanakho kulezi zinkinga, ngisho nalapho izinkinga zikhula, abantu abaningi abanalo konke lokhu.
Zibhalwe lapha kuphela njengokukhathazeka okungenzeka ukuthi wazi ukuthi zingase ziphi izinkinga, futhi zingabesabi. Udokotela wakho angeke atusa ukuhlinzeka uma ezwa ukuthi izingozi zingaphezu kwezinzuzo zokuhlinzwa. Ngaphezu kwalokho, ngalesi sikhathi ukuhlinzeka yilapho kuphela ukwelashwa komdlavuza wamaphaphu okunikeza ithuba lokuphilisa lesi sifo.
Uma uzizwa ukhathazekile, kungaba usizo kakhulu ukuxhumana nomphakathi womdlavuza wamaphaphu. Ungakwazi ukufinyelela kubantu ukukhuluma nezinhlangano zomdlavuza wephaphu njenge-LUNGevity, i-Lung Force ye-American Lung Association, noma i-Lung Cancer Alliance, noma ufune abanye ukuthi bakhulume ngezindaba zomphakathi. Uma ufuna ukusekelwa komdlavuza wamaphaphu sebenzisa i-hashtag #LCSM. Lo ngumphakathi okhuthele kakhulu owenza i-spectrum evela ku-oncologists, odokotela abahlinzayo be-thoracic, nabacwaningi, ezigulini nasezindabeni zomdlavuza wamaphaphu.
Kanti, izinkinga azivamile, kepha amasu okuhlinzwa aqhubeka ethuthuka. Uma kungenzeka ukuthi ube nokuhlinzwa okutholakala nge-thoracoscopic (VATS) ye-video le nqubo ingase ibe nezinkinga ezimbalwa kanye nesikhathi esifushane sokutakula. Akuwona wonke odokotela abahlinzayo abakhululekile ukwenza izinqubo ze-VATS, futhi akuzona zonke izinhlobo zegciwane lesandulela ngculazi ezingasuswa ngale ndlela. Lokho esikwaziyo ukuthi ukuhlinzwa komdlavuza wamaphaphu kwenzelwa izinqubo zokwelapha lapho inani elikhulu lalezi zindlela zokuhlinzwa zenziwa zihambisana nemiphumela engcono. Uma uhlela ukuba ne-lobectomy, hlola ezinye izizathu zokuthi kungani ukuthola umbono wesibili kubaluleke kakhulu .
Izinkinga ezikhona ze-lobectomy zihlanganisa:
- Ukuxhomekeka kwe-ventilator okwesikhathi eside: Isidingo sokuphefumula isikhathi eside ngemva kokuhlinzwa siwukukhathazeka okuvamile kubantu abanokuhlinzwa komdlavuza wamaphaphu.
- Ukuqhuma emoyeni okuqhubekayo: Ngemva kokuhlinzwa, ngezinye izikhathi ukuqhuma umoya okuqhubekayo kudinga ukuthi ithuluzi lesifuba lihlale endaweni ede kunokuba kuhlelwe.
- Izifo: Izifo, ikakhulukazi i-pneumonia kanye nezifo ezilimazayo, ziyinkimbinkimbi evamile yokuhlinzwa. Udokotela wakho uzokubuka ngokucophelela izibonakaliso zokutheleleka ngemuva kokuhlinzwa kwakho futhi uzokufundisa ukuba ushayele ngokushesha uma kufanele uhlakulele umkhuhlane noma ezinye izimpawu ezintsha emva kokubuyela ekhaya.
- I-Empyema: I- empyema ibhekisela ekufikeni kwe-pus emgodini wesikhala (indawo phakathi kwezingqimba ezibeka emaphashini.
- I-fistula ye- bronchopleural : I- fistula e-bronchopleural ixhumano olungavamile olungase lube khona phakathi kwe-bronchi (ukuhamba kwemikhumbi emikhulu engena emaphashini) kanye nesikhala esiphezulu (indawo ephakathi kwamabhande amabili afaka amaphaphu.
- Ukuhlushwa kwe-Lobar: Ukuvuthwa kwe-Lobar kuyimpembelelo yecala yokuhlinzwa lapho ingxenye yamaphaphu ehlala khona emva kokuhlinzwa iphikisana. Ukuhlukunyezwa kuyisimo esiphuthumayo sezokwelapha kodwa, ngenhlanhla, ukucindezeleka okungavamile.
- Ukwehla: Ukukhipha isisu emva kokuhlinzwa kungahle kwenzeke kwabanye abantu, futhi ngezinye izikhathi kubalulekile ukuba ubuyele ekamelweni lokusebenza ukuze odokotela bakho abahlinzayo bahlole indawo yakho yokuhlinzeka ubufakazi bokuphuma kwegazi futhi benze noma yikuphi ukulungiswa okudingekayo.
- Izingozi ze-anesthesia jikelele : Njengoba ukuhlinzwa komdlavuza wamaphaphu-kungakhathaliseki ukuthi nge-thoracotomy noma i-VATS-kwenziwa ngaphansi kwe-anesthesia jikelele, kubalulekile ukuba uqaphele izinkinga ezingase zibe khona ze-anesthesia jikelele.
- Izinkinga zenhliziyo : Ukuhlaselwa yinhliziyo, izimo zenhliziyo ezingavamile, kanye nokushaywa yisifo yizo zonke izinkinga ezingenzeka.
- I-thrombosis ejulile ye-vein ne-embolism ye-pulmonary: I- blood clots emilenzeni (imithwalo ejulile ye-vein thromboses noma i-DVTs) ivame kakhulu kubantu abahlinzwa, nalabo abanomdlavuza wamaphaphu banengozi enkulu ye-DVTs kuqala. Ukukhathazeka kwangempela kuvela lapho lezi zindwangu zegazi ziphuma bese ziya emaphashini (emaphasheni emaphazamisi.) Noma ngabe ukuphi uhambo lwakho lomdlavuza, hlola lawa macebiso ekunciphiseni ubungozi bezindwangu zegazi nomdlavuza .
- Izinkinga zezinso: Izinkinga zezinso ezifana nokuhluleka kwezinso zingase zenzeke ngenxa yezinqubo eziningana ezihlobene nokuhlinzwa komdlavuza wamaphaphu, ikakhulu lapho kunezinye izimo ezifana nokuphela kwamanzi.
Izinkinga Zesikhathi Eside Ze-Lobectomy
Izinkinga eziningi zokuhlinzwa zitholakele ezinsukwini nje emva kokuhlinzwa, kodwa ezinye zingaqhubeka, noma zithuthuke kamuva. Cishe ingxenye yabantu bazwa ubuhlungu obuphika esifubeni ngemuva kokuhlinzwa. I-postpneumonectomy syndrome noma i-thoracotomy pain syndrome yimigomo esetshenziselwa ukuchaza lezi zindlebe ezingakhululekile ezivame ukuphathwa ngokuhlanganiswa kwemithi yokwelashwa.
I-Lobectomy Prognosis
Isibikezelo esilandelayo ngemuva kwe-lobectomy sincike ezintweni eziningi. Eminye yalezi zihlanganisa ukuthi yisiphi isisindo esisusiwe, isiteleka somdlavuza, ubulili (abesifazane bavame ukwenza kangcono kunamadoda), nokuthi unempilo enhle ngaphambi kokuhlinzwa.
Esinye isifundo esikhulu, izinga lokusinda iminyaka engu-5 lomdlavuza wamaphaphu wesigaba samaphesenti angama-95 ku-VATS lobectomy namaphesenti angu-82 nge-lobectomy evulekile (lo mthelela awusho ukuthi i-VATS lobectomy iphakeme, noma kunjalo, ngoba iziguli ezinomdlavuza omkhulu baphathwa nge-lobectomy evulekile.)
Ngezansi Kwezinkinga Ne-Prognosis Ye-Lobectomy
I-lobectomy ye-non-encane yomdlavuza wesifo samaphaphu yilona ukwelashwa okungabangela ukwelashwa. Lokho kusho, kubalulekile ukukhumbula ukuthi lokhu kuyindlela enkulu yokuhlinzeka ngezinkinga eziningi ezinokwenzeka. Ngaphambi kokuncoma i-lobectomy udokotela wakho ohlinzayo uyohlola ngokucophelela isimo sakho sokwelapha jikelele ukuze aqiniseke ukuthi ukholelwa ukuthi uzokwazi ukubekezelela ukuhlinzwa, kanye nomsebenzi wamaphaphu wehlisiwe ohlobene nokukhipha i-lobe yamaphaphu akho. Ukuvuleka nodokotela wakho ohlinzayo nganoma yikuphi ukukhathazeka onakho kubaluleke kakhulu, njengokuyeka ukubhema uma ubhema.
Uma uzoba ne-lobectomy kungasiza ukuthi uhileleke emphakathini womdlavuza wamaphaphu , kungaba ngamaqembu asekela endaweni noma ngokusebenzisa imiphakathi yokusekela inthanethi etholakalayo noma kuphi. Kukhona abantu abaningi emphakathini womdlavuza wamaphaphu abangakwazi ukunikeza ukusekela kuphela kodwa bakusize ukuba uqonde ukuthi yiziphi lezo zinsuku zokuqala namaviki okungenzeka zibe ngemva kokuhlinzwa kwakho.
> Imithombo:
> Erhunmwunsee, L. noM. Onaitis. Ukuyeka ukubhema nokuphumelela kokuhlinzwa komdlavuza wamaphaphu. Imibiko yamanje ye-Oncology . 2009. 11 (4): 269-74.
> Pass, i-Harvey I. Izimiso Nemikhuba Ye-Cancer Lung: I-Official Reference Text ye-IASLC. I-Philadelphia: I-Wolters Kluwer Health / Lippincott Williams & Wilkins, 2010. Phrinta.
> Ziamik, E., no-E. Grogan. I-Postlobectomy Izinkinga Zokuqala. Imitholampilo yezokwelapha . 2015. 25 (3): 355-64.