Ngakhale zili zovuta, moyo wamba ndi wovuta kwambiri
Kuchita opaleshoni ya khansa yamapapo ndi chochitika chosintha moyo, ndipo palibe njira yothetsera malingaliro omwe munthu angapite atatha kuchita njira ngati iyi. Sizinali zophweka.
Mofanana ndi matenda aliwonse omwe angakhale oopsa, chinthu chotsimikizika ndi chakuti matendawa sakhala otsimikizika. Ndipo sikuti ndizolakwika. Pamene timakonda kuganizira zinthu monga momwe munthu amayembekezera kukhala ndi moyo kapena nthawi yowonongeka, pali mwayi uliwonse kuti iwe, monga munthu, ukhoza kupitirira malire.
Kuchita opaleshoni yamapapu ndiko cholinga chanu chokulitsa moyo wanu. Kudziwa bwino zomwe ziri m'tsogolomu kungakuthandizeni kuganizira zinthu zofunika kwambiri: umoyo wanu.
Makhalidwe Abwino Pambuyo Opaleshoni Yoyambitsa Matenda
Ochita kafukufuku masiku ano samangoganizira za "zaka za moyo" kapena "zovuta" pamene akutsatira odwala omwe anachitidwa opaleshoni ya khansa yamapapo. Amafuna kudziwa zambiri za momwe anthu amamvera , kuti amatha kubwerera ku moyo wabwino, komanso momwe amadziwira okha khalidwe lawo.
Kafukufuku wina amene adachitidwa ku chipatala cha Seoul National University ku Korea adawonekeratu za umoyo wa anthu omwe adakali opaleshoni ya khansa ya m'mapapo poyerekeza ndi anthu omwe ali ndi chiwerengero cha anthu omwe alibe khansara.
Chimene iwo adapeza chinali chakuti, patatha zaka zisanu, anthu omwe anachitidwa pa siteji ya 0 , siteji yachiwiri , siteji yachiwiri , ndi siteji yachiwiri inalibe kusiyana kwakukulu pa ntchito ya tsiku ndi tsiku poyerekeza ndi anthu onse.
Komanso, panalibe kusiyana pakati pa nthawi yopulumuka poyerekeza mtundu wa opaleshoni anthu omwe anali atatha kukwanitsa kuchotsedwa.
Izi zimatiuza kuti ziribe kanthu kovuta momwe opaleshoni kapena chithandizo chotsata chikhoza kukhalira; kamodzi ngati munthu akuwoneka kuti alibe khansa, mwayi wokhala ndi moyo wabwinobwino ndi wabwino ngati munthu amene adachiritsidwa kwambiri.
Mavuto Akhalebe
Izi sizikutanthauza kuti palibe zolepheretsa kuthana ndi opaleshoni ya khansa yamapapo. Malinga ndi kafukufuku wochokera ku Division of Thoracic Surgery ku St. James University Hospital ku England, anthu omwe adalandira mankhwala ambiri (kuphatikizapo opaleshoni, chemotherapy, ndi radiation) anali ndi mavuto ovuta kwambiri kuposa kupatsirana opaleshoni okha.
Izi sizikutanthawuza, kuti, mutha kuchoka pazofunika zina zofunikira, koma zimasonyeza kuti mukuyenera kusamalidwa kuti muwonetsetse kuti mapulogalamu omwe muli nawo akusungidwa. Izi nthawi zambiri zimaphatikizapo kulemera kwa thupi, physiotherapy, ndondomeko yolimbitsa thupi, komanso (mopanda nzeru) kupeŵa utsi ndi utsi watsopano.
Zimene Tiyenera Kuyembekezera Patatha Opaleshoni
Kubwezeretsedwa kuchokera ku opaleshoni yamapapo ndi kosiyana kwa aliyense. Zimadalira mtundu wa khansara, gawo la khansara , ndi opaleshoni yogwiritsidwa ntchito. Mwa njira zofala kwambiri za opaleshoni:
- Kuthetsa resection yomwe minofu ya minofu imachotsedwa ku mapapo
- Lobectomy yomwe imodzi (kapena yambiri) ya katatu ya mapapo anu imachotsedwa
- Pneumonectomy yomwe mapapo onse amachotsedwa
- Kugwirizanitsa manja komwe matenda amachotsedwa ku airways
Pambuyo pa opaleshoni yamapapo, mutengedwera ku chipatala chachikulu (ICU) ndikupita ku chipinda cha chipatala nthawi zonse mutapuma.
Nthawi zambiri chipatala chimakhala pakati pa masiku asanu ndi asanu ndi asanu ndi asanu ndi awiri koma nthawi zina chimakhala ndi pneumonectomy.
Atatulutsidwa m'chipatala, anthu ambiri amatenga miyezi iŵiri kuti akachiritse. Kukonzekera kwapambuyo kwa opaleshoni kudzayang'ana kukweza ntchito yanu ya aerobic ndi osachepera 30 minutes patsiku lopatulira kuyenda.
Monga gawo lanu lachidziwitso, pulogalamu ya kukonzanso mapulaneti ikhoza kupereka njira zowonjezera bwino, uphungu wokhudzana ndi zakudya, aerobic ndi kuphunzitsa kulemera, kuphunzitsa kuchepetsa kupanikizika, ndi psychotherapy kukuthandizani kuti mupirire bwino. Pulogalamuyo idzayendetsedwa pang'onopang'ono pamene mukukambirana ndi zovuta zambiri, monga kuphunzitsa kulemera, kuchedwa kwa masabata anayi kapena asanu mutatha.
Chofunika kwambiri kuti mupulumuke ndikumachezera nthawi zonse ndi dokotala wanu. Ngati mwapatsidwa "zonse zomveka bwino" ndipo mwakuyankhulirani, muyenera kuyesedwa magazi ndi kuyerekezedwa kwa computed tomography (CT) ya miyezi isanu ndi umodzi kapena 12 kwa zaka ziwiri zoyambirira. Nthaŵi zina, dokotala wanu angapemphe kuti mulowe kawirikawiri.
Ngati zonse zikadali bwino pakapita zaka ziwiri, muyenera kubwera kamodzi chaka ndi chaka kuti mubwereze kuyesa magazi ndi CT.
> Zotsatira:
> Bendix, M .; Jorgensen, O .; Kronborg, C. et al. "Kupweteka kwapambuyo ndi umoyo wa moyo pambuyo pa lobectomy kudzera opaleshoni yachipatala yothandiza opaleshoni kapena opaleshoni yotchedwa anterolateral thoracotomy kwa khansa ya mapapo oyambirira: kuyesedwa kosasinthika." Lancet Oncology . 2016; 17 (6): 836-44.
> Pompili, C. "Ubwino wa moyo pambuyo pa mapapu resection kwa khansara yamapapo." Journal of Thoracic Disease . 2015; 7 (Suppl 2); S138-S144.
> Rauma, V .; Salo, J .; Sintonen, H. et al. "Oleza mtima akulosera za moyo wamuyaya ndi umoyo wokhudzana ndi thanzi pambuyo pochita opaleshoni yaikulu kwa khansa yaing'onoting'ono yopanda maselo." Khansa ya Thoracic . 2016; 7 (3): 333-9.
> Yun, Y .; Kim, Y .; Min, Y. et al. Umoyo wokhudzana ndi thanzi labwino omwe amapulumuka ku khansa ya m'mapapo ya opaleshoni poyerekeza ndi anthu ambiri. " Annals of Surgery . 2012; 255 (5): 1000-7.