Kodi Chimachitika Chiti pa Lobectomy?
Ndondomeko yanu ya Lobectomy
Zindikirani: Nkhaniyi ikufotokoza zomwe zimachitika mu chipinda chochita opaleshoni nthawi ya lobectomy. Ngati mmalo mwake, mukufuna kudziwa za mtundu wa lobectomy, kukonzekera, kuchiza, kapena mavuto, onani nkhani zotsatirazi:
- Mutu 1 - Zowona ndi Mitundu ya Lobectomy
- Gawo 2 - Kukonzekera Lobectomy Yanu
- Mutu 4 - Kubwezeretsa Pambuyo pa Lobectomy Yanu
- Mutu 5 - Mavuto a Lobectomy ndi Mafupa
Lobectomy ndi opaleshoni ya khansa ya m'mapapo yomwe imachotsedwa m'mapapo. Amachotsa minofu yambiri yamapapu kusiyana ndi mphero yothandizira , koma pansi pa pneumonectomy .
Mukafika
Musanayambe kulankhula ndi dokotala wanu wa opaleshoniyo, mumayankhula ndi dokotala wanu wa opaleshoni ndi wodwalayo kuti mudziwe zotani. Ino ndi nthawi yabwino kufunsa mafunso alionse omwe mungakhale nawo. Monga taonera m'nkhani yokhudza kukonzekera, mwinamwake simunadye kapena kumwa pambuyo pausiku usiku usanachitike. Ngati mutenga mankhwala aliwonse nthawi zonse, onetsetsani kuti mutchule izi kwa wodwala matenda a anesthesiologist. Pamene mukudikirira, mwinamwake muli ndi mavoti anayi mdzanja lanu, ndipo mungapatsidwe mankhwala kuti akupumulitseni.
Pa Opaleshoni Yanu
Pomwe mukuchita kafukufuku wanu, dokotala wanu adzachotsa mphutsi yanu yomwe imakhudzidwa ndi khansa ya m'mapapo. Malingana ndi mtundu wa lobectomy momwe dokotala wanu akuyankhira, khansara yanu ingachotsedwe kudzera mukutsegulidwa kotseguka kapena kugwiritsa ntchito zipangizo zomwe zimapangidwira kudzera m'magulu ang'onoang'ono.
Pano pali zomwe zidzachitike mukamayendetsa khungu lanu.
M'chipinda chogwiritsira ntchito, mudzapatsidwa mankhwala oletsa kupweteka kuti mugone, ndipo phokoso lamapeto lidzaikidwa m'kamwa mwanu kuti mpweya uzikupuma pa nthawi ya opaleshoni.
Tsegulani vs VATS Lobectomy
Mu lobectomy yotseguka , kutengeka kwachitali kudzapangidwa kumbali yanu potsatira mzere wa nthiti zanu.Dokotala wa opaleshoni adzafalitsa nthiti zanu ndipo amachotsa nthiti kuti apeze mapapu anu.
Mitsempha ya mitsempha (mitsempha ndi mitsempha) ndi maulendo a ndege omwe amatsogolera kumalo okhudzidwa amangiriridwa, ndipo lobe amachotsedwa. Musanatseke zomwe mukuganiza, dokotala wanu adzaika chifuwa cha chifuwa chomwe chidzasiyidwe kwa nthawi ndithu. Chifuwa cha chifuwa chimapangitsa kuti magazi owonjezera ndi madzi amwetsere opaleshoni yotsatira ndikuchotsedwa pamene madzi akumwa.
Ndi VATE lobectomy , madokotala opaleshoni amapanga zingapo zing'onozing'ono m'kati mwa chifuwa chomwe amatha kugwiritsa ntchito zipangizo komanso makamera a kanema (thoracoscope). Kamera imapanga chithunzi pawunivesi yomwe imalola madokotala opaleshoni kuona malo omwe akugwira ntchito. Mitsempha ya mitsempha ndi maulendo olowera ku lobe okhudzidwa amangiriridwa ndi kugwiritsa ntchito zidazi, ndipo lobe imachotsedwa mwa chimodzi mwa zochitikazo. Pambuyo pa kuchotsedwa kwa lobe, madokotala ochita opaleshoni angathenso kutsegula kapena kuchotsa mitsempha m'mimba pafupi ndi chotupacho. Chikwama cha chifuwa chimatha kapena sichilowetsedwe muchifuwa chanu pambuyo pa opaleshoni.
VATS lobectomy yokhala ndi zovuta zowonjezera zikhoza kukhala njira ina ku malo ena a khansa ndipo ikuwoneka kuti ndi yotetezeka komanso yothandiza m'mayesero a zamakono mpaka pano.
Nthawi zina opaleshoni amakumana ndi mavuto pa VATS lobectomy, monga magazi kapena chotupa chomwe sichikhoza kuchotsedwa mokwanira.
Pankhani iyi, njirayi iyenera kutembenuzidwira ku lobectomy yotseguka.
Mukachita Opaleshoni Yanu
Pamene opaleshoni yanu yatsirizika, nthawi zambiri mumatengedwa kupita kuchipinda kwa ola limodzi kapena awiri. Panthawiyi mudzayang'anitsitsa mwakuya kulikonse kapena kupweteka pamene mukuyamba kudzuka. Malinga ndi momwe mumachitira ndi opaleshoni komanso opaleshoni ya opaleshoni, ndiye kuti mudzatengedwera ku chipinda chachikulu cha opaleshoni kapena malo opaleshoni. Nthaŵi zambiri banja lanu liloledwa kukuwonani ndikukuchezerani mukamabweranso m'chipinda chanu, koma izi zingasinthe pakati pa mabungwe.
Kusankha Dokotala Wopaleshoni
Ndikofunika kuganizira mosamala za lobectomy yanu musanayambe.
Zapezeka kuti zipatala zomwe zimapanga kuchuluka kwa opaleshoni ya khansa ya m'mapapo zili ndi zotsatira zabwino. Kwa inu, izi zikhoza kukhala zovuta zochepa kapena kuchotsa kwabwino khungu la mapaipi. Nazi malingaliro a momwe mungasankhire malo opatsirana khansa .
Ganizirani mozama kupeza lingaliro lachiwiri . Si ochita opaleshoni onse omwe ali omasuka kuchita opaleshoni monga VATS lobectomy. Ngakhale kuti njirayi sitingathe kuiganizira nthawi zonse, ndibwino kuti tiganizire (ndikupeza dokotala wochita opaleshoni amene amachititsa njirayi) monga njira yochepetsetsa yochepetsera nthawi zambiri. Dokotala wanu sangakwiyire ngati mupempha lingaliro lachiŵiri, ndipo kwenikweni madokotala ambiri opaleshoni amayembekezera kuti odwala azichita zimenezo. Mungafune kuganizira chimodzi mwa zikuluzikulu za National Cancer Institute-malo opatsirana khansa pambali yachiwiri, monga ena mwa malo amenewa ndi ochita opaleshoni ochita opaleshoni.
Nkhani Yotsatira - Kubwezeretsa Pambuyo pa Lobectomy Yanu
Zotsatira:
American Cancer Society. Tsatanetsatane wa Guide: Khansa Yam'mimba - Cell Osati Small. Opaleshoni. Kusinthidwa 05/16/16. https://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-treating-surgery
Erhunmwunsee, L. ndi M. Onaitis. Kusuta fodya komanso kupaleshoni ya khansa ya m'mapapo. Malipoti Amakono a Oncology . 2009. 11 (4): 269-74.
Oskarsdottir, G., Halldorsson, H., Sigurdsson, M. et al. Lobectomy kwa Cell Osati Small Lung Carcinoma: Kuphunzira Padziko Lonse Kukhalitsa Kwanthawi ndi Kanthawi. Acta Oncologica . 2017 Mar 21. (Epub patsogolo pa kusindikiza).
Whitson, B. et al. Kuchitidwa opaleshoni ya khansa ya m'mapapo yopanda mapepala osakanikirana: kuyang'anitsitsa kowonongeka kwa opaleshoni ya opaleshoni ya thoracoscopy yotsatiridwa ndi ma thoracotomy ku lobectomy. Annals of Surgery Opera . 2008. 86 (6): 2008-16.