Kodi Mungayang'ane Chiyani Pambuyo pa Lobectomy Yanu?
Pambuyo pa lobectomy yanu, mutha kuchipatala kuchipatala ndikupita kunyumba. Kodi mungayembekezere chiyani pamene opaleshoni yanu yadutsa? Nchiyani chimachitika kuchipatala, ndi masiku ndi masabata mutabwerera kwanu?
Pano, tikukambirana za kuchira kwanu pambuyo pa lobectomy yanu, koma mungaphunzire zambiri za momwe mungakonzekerere lobectomy yanu ndi zomwe zimachitika panthawi ya lobectomy.
Ngati mmalo mwake, mukufuna kudziwa zambiri za mtundu wa lobectomy ndi momwe ndondomeko ilili, yang'anani nkhani zogwirizana.
Pambuyo pa Lobectomy Yanu: Pafupi Kubwezeretsa
Musanapange opaleshoni yanu ya lobectomy mudzadabwa kuti mudzakhalanso ndi moyo wotani. Kodi mumamva bwanji m'masiku ndi masabata mutatha opaleshoni yanu? Kodi anthu amakhala nthawi yaitali bwanji kuchipatala? Kodi mungakhale ndi malire otani? Tiyeni tione ena mwa mafunso amene anthu amafunsa kaye asanakhale ndi opaleshoni ya khansa ya m'mapapo.
Malo Obwezera
Pamene opaleshoni yanu yatha, mudzatengedwera kupita kuchipatala kumene mudzayang'anitsitsa maola angapo. Dokotala wanu angayankhule ndi banja lanu za opaleshoni yanu ndi kuwadziwitsa pamene mudzasamutsira kuchipatala chanu. Kwa tsiku loyamba kapena kotero mukhoza kuyang'aniridwa mu chipatala chachikulu (ICU).
Kugwiritsa Ntchito Ventilator Kutsegula ndi Kutentha Pambuyo pa Lobectomy
Phukusi lopuma limene limapangitsa mpweya kupuma kwa inu pa nthawi ya opaleshoni nthawi zina imasiyidwa pamene mukuchira.
Popeza izi zingayambitse nkhawa zina, mumapatsidwa mankhwala omwe amakupangitsani kugona mpaka bomba likuchotsedwa-kawirikawiri tsiku lomwelo monga opaleshoni yanu.
Pamene mpweya wamachotsedwa ndipo simukugona pang'ono, wodwala opaleshoni amakufunsani kuti musamalire ndikukuthandizani pogwiritsa ntchito mpweya wothamanga.
Ichi ndi chipangizo chimene mumapumira kuti mupitirize mapapu anu ndikuthandizani kuti musunge mapepala ang'onoang'ono (airve) m'mapapu anu.
Kalasi ya Chipatala ndi Tube Yamatabwa
Mukatha, antchito akuthandizani kukhala, ndikukulimbikitsani kuti mudzuke ndikuyenda ndi chithandizo. Mwinamwake simungamve ngati mukugwira ntchito, koma ndikuchita zinthu zosakaniza kukuthandizani kuti mubwezenso mphamvu zanu mofulumira ndi kuchepetsa chiopsezo chotenga magazi. Onetsetsani kuti muwerenge nkhaniyi yokhudzana ndi njira zothetsera ndikudziwidwa ndi magazi chifukwa izi ndizofala pambuyo pa opaleshoni ya khansa ya m'mapapo.
Chikwama cha chifuwa chanu chidzasiyidwa mpaka dokotala wanu akuwona kuti madzi akutha ndipo palibe mpweya ukuwuluka, kawirikawiri masiku atatu kapena 4 pambuyo pa opaleshoni. Anthu ambiri amathera masiku asanu ndi asanu ndi awiri mpaka 7 kuchipatala atatha lobectomy lotseguka ndi masiku atatu kapena 4 atatha opaleshoni yamagetsi (VATS).
Kodi Kubwezeretsa Kuchokera ku Lobectomy Ndi Chiyani?
Kubwereranso kumoyo wanu wamba kungakhale kokhumudwitsa pang'ono pakutsata opaleshoni ya khansa ya m'mapapo-makamaka ngati simunali ndi zizindikiro zambiri za khansa yanu yamapapo musanachitike. Anthu ena apeza kuti zimathandiza kuona chitukuko tsiku ndi tsiku-monga kukhala ndi ma tubes kuchotsedwa pang'onopang'ono.
Mutha kuzindikira kuti kutopa kumene mumakumana nako sikusiyana ndi kutopa kumene mwathana nawo kale. Kufooka kwa khansa kungakhale kokhumudwitsa , makamaka ngati ndinu munthu amene akuvutika kufooketsa ndi kuvutikira. Zingakhale zothandiza kwambiri kuti muthamangire nokha mukamabwerera kunyumba ndikuganiziranso ntchito zomwe zimatenga mphamvu zamaganizo kapena zakuthupi msana. Zingakhale zovuta kulola anthu kuthandizira, koma ino si nthawi yoti mukhale wolimba kapena "wamphamvu". Kumbukirani kuti chimodzi mwa zokhumudwitsa kwambiri za okondedwa a iwo omwe ali ndi khansa ndi lingaliro la kusowa thandizo lomwe amamva.
Kugawira ntchito zina ndikuphunzira kulandira chithandizo sikungakuthandizeni kuti muthe msanga koma kungapatse wokondedwa wanu chinachake kuti athetse vutoli kuti sangathe kuchita chilichonse.
Bwererani ku Ntchito
Anthu ena amabwerera kuntchito pakatha masabata asanu ndi limodzi kapena asanu ndi atatu, koma dokotala wanu adzakupatsani zoletsedwa zapadera, monga kupewa kulemera kulikonse. Zidzatenganso nthawi kuti minofu yanu yotsala isapitirire, ndipo kupuma pang'ono kungapitirire kwa miyezi ingapo pambuyo pa opaleshoni. Ndi lingaliro latsopano mu khansara yamapapo yowonongeka, koma kukonzanso mapulitsi asanayambe kapena opaleshoni ya khansa ya m'mapapo yapezeka kuti athandize anthu ambiri akachitidwa nthawi yoyenera. Mwina mungafunse dokotala wanu za njirayi, komabe, mosiyana ndi matenda a mtima ndi kusinthidwa, mgwirizano wa odwala matenda a khansa ukutenga nthawi yaitali.
Zovuta za Lobectomy
Anthu ena ali ndi mavuto ochepa pambuyo poyendetsa lobectomy ndikuchira, koma zovuta sizodziwika. Kupweteka kosalekeza kotchedwa post-thoracotomy pain disease kungakhale kokhumudwitsa kwa anthu ena. Kuphunzira kukhala ndi mphamvu zochepa za mapapu kungathenso kutenga nthawi, ngakhale mutakhala ndi vuto lokonza mapulitsi.
Kodi Ndiyenera Kuitanira Dokotala Wanga Nthawi Yanji?
Mukamasulidwa kuchipatala, mumapatsidwa malangizo abwino omwe mungasamalire nokha panyumba komanso malangizo omwe mungapite nawo kuchipatala. Pakati pa kukhazikitsa, muyenera kutchula dokotala ngati muli ndi zizindikiro kapena mafunso omwe akukukhudzani. Limbikitsani dokotala wanu nthawi yomweyo ngati mutakhala ndi malungo, muli ndi kupweteka pachifuwa chosiyana ndi zomwe mwakumana nazo, mukhale ndi mpweya wochepa kwambiri, mutenge magazi kapena kufiira pafupi ndi kutengeka kwanu, kapena ngati mukulitsa ululu m'matumba anu (zotheka magazi).
Mawu Ochokera
Nthawi yochira pambuyo pa lobectomy ndi yosiyana kwa aliyense. Pambuyo pa opaleshoni yanu, mudzatengedwera kupita kuchipatala ndikuyang'anitsitsa mosamala pamene anesthesia yanu ikutha. Popeza mutagwirizananso ndi mpweya wabwino, dokotala wanu adzakuchititsani kuti mukhale ola limodzi. Mukachotsedwa pa mpweya wabwino odwala opuma adzagwira ntchito ndi inu ndikukulimbikitsani kuti mutenge chifuwa.
Gawo lotsatira (ndi chubu kuti lichotse) ndi chubu la chifuwa. Pafupipafupi chifuwa cha chifuwa chimasiyidwa kwa masiku atatu kapena 4 (ndipo mwachidule ndi njira ya VATS) koma izi zingasinthe. Anthu ena adzakhala ndi mpweya wotsikira womwe ukufuna kuti ukhale nawo nthawi yaitali.
Pa masiku oyambirira awa (mpaka kwa milungu ingapo) mumakhala mukusowa mankhwala opweteka kuti muthetse ululu wanu. Mwinamwake mudzawona kupweteka pang'ono pamene mukuyamba kuyendayenda kwambiri. Panthawiyi, mudzayamba kuona momwe kupuma kwanu kulili. Zingakhale zoopsa poyamba ngati mutapuma mpweya, koma nthawi ndi kukonzanso zamapapo ngati zingakhale zothandiza.
Mukabwerera kunyumba muziyembekezera kukhala wotopa kwambiri. Anthu ena amayembekezera kuti abwerere kuntchito zawo mofulumira ndipo amadabwa ndi kuchuluka kwa kutopa. Onani kutopa kumeneku ngati chizindikiro kuchokera mthupi lanu kukuuzani kuti mukufunikira kuzipanga mosavuta. Kutopa kwanu kudzakhala bwino ndi nthawi.
Anthu ena ali ndi ululu wopitirira pambuyo pa opaleshoni ya khansa ya m'mapapo ndipo izi zingakhale zokhumudwitsa. Pakhala zaka zambiri zafukufuku m'zaka zaposachedwa za njira zomwe zingagwirire ndi kuchepetsa ululu wa thoracotomy. Lankhulani ndi dokotala wanu ngati izi zikukuvutitsani
> Zotsatira:
> Kupita, Malamulo a Harvey I. Ndizochita Khansa ya M'magazi: McArdle, Wi Wovomerezeka Buku la IASLC. Philadelphia: Wolters Kluwer Health / Lippincott Williams & Wilkins, 2010. Print.
> Zhang, R., ndi M. Ferguson. Zolemba Zothandizidwa pa Mavidiyo Otseguka Omwe Amagwira Odwala Amene Ali ndi Mitsempha Yogwiritsidwa Ntchito: Kukonzanso Maphunziro ndi Kufufuza Meta. PLoS One . 2015. 10 (7): e0124512.