Kupweteka Kwambiri Pambuyo pa Thoracotomy ndi Mphamvu Yake pa Khansa ya M'mimba
Postpneumonectomy syndrome ndi vuto lomwe lingathe kuchitika miyezi ndi zaka pambuyo pa pneumonectomy ya khansara yamapapo kapena zinthu zina. Zimakhala zofala kwambiri pambuyo pa pneumonectomy yotsala kusiyana ndi pneumonectomy yolondola ndipo imapezeka kawirikawiri kwa achinyamata.
Matenda a Post-thoracotomy ( PTPS) ndi ena omwe amagwiritsidwa ntchito pofotokozera ululu wopweteka komanso kumapweteka pambuyo pochita opaleshoni ya khansa yamapapo monga lobectomy.
Matendawa amapezeka pamene mapepala ndi mapafupi omwe ali pakatikati mwa chifuwa ( mediastinum ) athawidwa, ndipo mudzaze malo opanda kanthu otsala pambuyo pa mapapo kapena gawo la mapapo.
Kufunika ndi Kufunika
Zimaganizidwa kuti 50 peresenti ya opaleshoni ya opaleshoni yam'mbuyo ya khansa ya m'mapapo imakhala ndi postpneumonectomy syndrome kapena post-thoracotomy syndrome mpaka momwe zimasokonezera umoyo wa moyo. N'kutheka kuti ndizosawerengeka ndipo zikuchitiridwa nkhanza pakati pa omwe apulumuka khansa ya m'mapapo.
Matenda a Postpneumonectomy akhoza kukhala ndi mphamvu yaikulu pamasewera a khansa ya m'mapapo, ndipo mwachindunji kudzera mwa izi, pamene akuchira.
Zizindikiro
Zizindikiro nthawi zambiri zimaphatikizapo kupuma pang'ono . Chifukwa chakuti anthu ambiri amakhala ndi mpweya wochepa potsatira pneumonectomy, zizindikirozi zingakhale mosalephereka. Anthu ambiri amamva kupweteka ndi zida zankhondo.
Kupweteka nthawi zambiri "ululu wa ubongo" ndi mtundu wa ululu umene ndi wovuta kufotokoza koma umapitirizabe komanso umalepheretsa.
N'chifukwa Chiyani Chimachitika?
Pali njira zingapo zomwe zingayambitse ululu, wokha, kapena kuphatikiza, kuphatikizapo:
- Kupweteka kwa mitsempha yambiri (mitsempha yomwe imayenda pakati pa nthiti)
- Zoopsa za opaleshoni
- Zosakaniza zomwe zimapuma ndi mpweya uliwonse
- Nthiti zofooka ndi zolemedwa
- Kutupa kwa mfupa ya chifuwa
- Atrophy pachifuwa cha mfupa
Kuchiza
Mankhwala osiyanasiyana adayesedwa kwa post-thoracotomy syndrome, ndipo mwinamwake kuphatikiza mankhwala, osati mankhwala okha, ndiyo njira yabwino kwambiri. Izi zinkati, mankhwala okhudzana ndi kugwiritsidwa ntchito kwa mapiritsi a silicone (ofanana ndi ma implants) omwe amaikidwa mu chifuwa chodzaza malo omwe atsalira pambuyo pa kuchotsedwa kwa mapapo, wapatsa anthu ena mpumulo waukulu. Zomwe zakhala zikugwiritsidwa ntchito posachedwa kwa msana zapezeka ndi zothandiza.
Kulimbana
Ngati mukulimbana ndi post-pneumonectomy kapena post-thoracotomy syndrome mungalankhule ndi dokotala wanu. Malo ena a khansa ali ndi akatswiri oyang'anira ululu omwe amaphunzitsidwa njira zothandizira anthu kuthana ndi ululu wa mtundu wa ubongo . Anthu adapezanso phindu m'maganizo ena / mankhwala monga machiritso, maulendo, ndi ma piritsi.
Tsogolo
Ndi njira zatsopano monga opaleshoni yamagetsi (VATS) yothandizira mavidiyo (VATS) m'malo mwa njira yotseguka ya thoracotomy, chiwerengero cha postpneumonectomy syndrome chidzatha kuchepa mtsogolo. Kwa omwe ali ndi matenda lero, palinso chiyembekezo, ndipo kufufuza mwakhama kukupitiriza kufunafuna njira zothandizira anthu kuthana ndi izi zowopsya pambuyo pochita opaleshoni ya khansa yamapapo.
Zitsanzo: Josh anali kupuma pang'ono pakapita chaka pambuyo pa pneumonectomy ya kansa yamapapo, ndipo adokotala anamupeza ali ndi postpneumonectomy syndrome.
> Zotsatira:
> Gerner, P. Postropatomy Mavuto Otsogolera Mavuto. Makanema a Anesthesiology . 2008. 26 (2): 355-vii.
> Jung, J., Cho, J., Kim, H. et al. Kutha kwa Post-Pneumonectomy Syndrome Kugwiritsa Ntchito Minofu Yowonjezera. Khansa ya Thoracic . 2016. 7 (1): 88-93.
> Hopkins, K., ndi M. Rosenzweig. Matenda a Thoracotomy Pain Syndrome: Kuunika ndi Kulowa. Clinical Journal ya Oncology Nursing . 2012. 16 (4): 365-70.
> Wineser, K., Bester, M., ndi K. Deshpande. Mphepete mwachitsulo Chothandizira Kuchiza Katemera wa Neralgia: Osagwiritsira Ntchito Kachilombo Kakang'ono Kwambiri. Kupweteka kwa Uchire Nursing . 2012. 13 (1): 52-9.