Kodi Ndi Mavuto Otani Amene Ndikhoza Kumva Pambuyo pa Lobectomy Yanga?
Kodi ndizovuta zotani za lobectomy, ndipo chidziwitso chotani chitatha opaleshoni? Ngati mwawerenga nkhaniyi pa lobectomy, nkhaniyi ikukhudzana ndi mavuto omwe angakhalepo panthawi ndi pambuyo pa lobectomy ndondomekoyi komanso kufotokozera kwathunthu kwa opaleshoni ya khansa ya m'mapapo. Ngati mukufuna zolemba za lobectomy, onani ndemanga izi:
- Gawo 1 - Opaleshoni ya Lobectomy Mwachidule
- Gawo 2 - Kukonzekera Lobectomy Yanu
- Mutu 3 - Njira ya Lobectomy
- Mutu 4 - Kubwezeretsa Pambuyo pa Lobectomy
Zovuta za Lobectomy (Nkhani 5 mu Nkhaniyi)
Chifukwa chakuti lobectomy ndiyo njira yaikulu yopaleshoni, vuto limakhala lofala kwambiri. Dokotala wanu akukambirana izi ndi inu musanachite opaleshoni yanu ndi kuyankhula chifukwa chake amamva ubwino wa opaleshoni kupitirira chiopsezo. Kodi ndizifukwa zotani zomwe zingakhale zovuta ndi zoopsa?
Zovuta Zopangika za Lobectomy
A lobectomy ndi opaleshoni yaikulu, ndipo ngakhale gulu lanu lochita opaleshoni lidzachita zonse zomwe zingathetsere kuchepetsa ngozizi, ndizofunika kudziwa zina mwazotheka kuti muthe kupanga chisankho chophunzitsidwa pasanapite nthawi.
Pali mavuto ambiri omwe angatheke ndi lobectomy. Kumbukirani kuti anthu ambiri alibe mavutowa, ndipo ngakhale mavuto akakula, anthu ambiri alibe zonsezi.
Mndandanda wazinthuzi ndizomwe zikudetsa nkhaŵa kuti mudziwe mavuto omwe angakhale nawo, komanso kuti musawopsyeze. Dokotala wanu sakanati akulimbikitseni opaleshoni ngati atamva kuti zoopsa zikuposa ubwino wa opaleshoni. Kuonjezera apo, pa nthawiyi opaleshoni ndi njira yokhayo yothandizira khansa ya m'mapapo yomwe imapereka chithandizo chochiza matenda.
Ngati mukudandaula, zingakhale zothandiza kwambiri kugwirizanitsa ndi khansa ya m'mapapo. Mukhoza kupeza anthu oti alankhule ndi mabungwe a khansa yamapapu monga LUNGevity, Lung Force ya American Lung Association, kapena Lung Cancer Alliance, kapena kufunafuna ena kuti alankhule nawo kudzera m'mabuku. Pamene mukufuna thandizo la khansa yamapapu mumagwiritsa ntchito hashtag #LCSM. Awa ndi gawo lolimbikira kwambiri lomwe likuyambira mabala ochokera kwa oncologists, opaleshoni ya opaleshoni ya odwala, ndi ochita kafukufuku, kwa odwala ndi ochirikiza khansa ya m'mapapo.
Apanso, mavuto ndi achilendo, koma njira zothandizira zikupitirizabe kusintha. Ngati zingatheke kuti mukhale ndi opaleshoni yamakono (VATS) njirayi ingakhale ndi zovuta zochepa komanso nthawi yochepetsera. Osati opaleshoni onse amasangalala kuchita ma VATS, ndipo sikuti khansa yonse ya m'mapapo ikhoza kuchotsedwa ndi njira iyi. Chimene tikudziwa ndi chakuti opaleshoni ya khansa ya m'mapapo imapangidwa pa njira zamankhwala kumene opaleshoni yambiriyi yachitidwa ikugwirizana ndi zotsatira zabwino. Ngati mukukonzekera kukhala ndi lobectomy, yang'anani zina mwazifukwa zomwe zimapangidwira mfundo yachiwiri ndizofunika kwambiri .
Zovuta zovuta za lobectomy ndizo:
- Kudalira kwa mpweya wabwino kwa nthawi yaitali: Kufunika kokhala ndi kupuma kwa nthawi yayitali pambuyo poti opaleshoni ndizofunika kwambiri kwa anthu omwe ali ndi opaleshoni ya khansa ya m'mapapo.
- Kuthamanga kwa mpweya kumapitiriza: Pambuyo pa opaleshoni, nthawi zina mumakhala mpweya wotsikirapo wofuna kuti chifuwa cha chifuwa chisalowe m'malo mokwanira kuposa momwe chinakonzedweratu.
- Matenda: Matenda, makamaka chibayo ndi matenda opweteka, ndizovuta zovuta za opaleshoni. Dokotala wanu adzakuyang'anirani kwambiri za zizindikiro za matenda atatha opaleshoni yanu ndipo adzakuphunzitsani kuti muyitane mwamsanga ngati mutakhala ndi malungo kapena zizindikiro zatsopano pambuyo pobwerera kwanu.
- Empyema: An empyema imatanthawuza kukhalapo kwa pus m'kati mwake (malo omwe ali pakati pa ma mempane omwe amayenda mapapu.
- Mafuta a fostula: Fistula ya bronchopleal ndi yachilendo yogwirizana pakati pa bronchi (njira yayikulu yomwe imalowa m'mapapu) komanso malo omwe amathamangira m'mapapo.
- Kuthamanga kwa mphutsi: Kutupa kwala ndi zotsatira za opaleshoni yomwe mbali ya mapapo imakhalapo pambuyo poti opaleshoni imapotoka. Chizunzo ndizochitika mwamsanga mwachipatala koma, mwachisangalalo, vuto lalikulu.
- Kutaya magazi: Kuchita opaleshoni pambuyo pochita opaleshoni kumachitika kwa anthu ena, ndipo nthawi zina nkofunika kubwereranso ku chipinda chochita opaleshoni kuti madokotala opaleshoni akhoze kufufuza malo anu opangira opaleshoni kuti awonetsetse kuti akutsuka ndikukonzekera.
- Mavuto a anesthesia : Popeza opaleshoni ya khansa ya m'mapapo-kaya kudzera mu thoracotomy kapena VATS-imachitika mwachibadwa ndi anesthesia, ndikofunikira kudziŵa mavuto omwe angakhalepo a anesthesia.
- Matenda a mtima : Kuvutika kwa mtima, kusalimba kwa mtima, ndi kupwetekedwa ndi mavuto onse.
- Mitsempha ya m'mimba imapangitsa kuti magazi asapitirire miyendo (mavitamini apakati kapena ma DVTs) amapezeka kwambiri pakati pa anthu omwe akuchitidwa opaleshoni, ndipo omwe ali ndi khansa ya m'mapapo ali ndi chiopsezo chowonjezeka cha ma DVTs. Vuto lenileni limabuka pamene magaziwa amachoka ndikupita kumapapo (pulmonary emboli.) Paliponse pamene muli mu ulendo wanu wa khansa, onani ndondomekozi kuti muchepetse chiopsezo chamagazi a khansa .
- Matenda a impso: Matenda a impso monga impso kulephera angayambe chifukwa cha njira zingapo zokhudzana ndi opaleshoni ya khansa ya m'mapapo, makamaka pamene zina zimakhala ngati kutaya madzi m'thupi.
Zovuta Zakale za Lobectomy
Zovuta zambiri za opaleshoni zimakhala zodziwika m'masiku atangotha opaleshoni, koma ena angapitirize, kapena kuti apite patsogolo. Pafupifupi theka la anthu amamva kupweteka kwambiri m'chifuwa atatha opaleshoni. Matenda a Postpneumonectomy kapena matenda a thoracotomy matenda ndi mawu omwe amagwiritsidwa ntchito pofotokozera zovuta zomwe zimakhala zovuta zomwe nthawi zambiri zimachizidwa ndi mankhwala ochiritsira.
Zolemba za Lobectomy
Matendawa omwe amatsatira lobectomy amadalira zinthu zambiri. Zina mwa izi ndizoti chigudulicho chimachotsedwa, siteji ya khansa, kugonana (amayi amakonda kuchita bwino kusiyana ndi amuna), komanso momwe mumakhalira wathanzi musanayambe opaleshoni.
Phunziro limodzi lalikulu, zaka zisanu zapadera za khansa ya m'mapapo ya m'mapapo ndi 95 peresenti ya VATS lobectomy ndi 82 peresenti ya lobectomy yotseguka (kusiyana uku sikukutanthauza kuti VATS lobectomy inali yabwino, komabe popeza odwala khansa yambiri anali amathandizidwa ndi lobectomy yotseguka.)
Pansi pa Zovuta ndi Kugonjetsa kwa Lobectomy
Kansalu yotchedwa kansactomy ya khansa yaing'ono ya m'mapapo ya m'mapapo ndi mankhwala omwe angapangitse mankhwala. Izi zikuti, ndibwino kukumbukira kuti ichi ndi ntchito yaikulu ndi zovuta zambiri. Musanayambe kulangiza lobectomy dokotala wanu adzafufuza mosamala za matenda anu onse kuti atsimikizire kuti amakhulupirira kuti mudzatha kuvomereza opaleshoni, komanso kuchepa kwa mapulogalamu ogwirizana ndi kuchotsa mapapu anu. Kukhala omasuka ndi dokotala wanu opaleshoni pazovuta zilizonse zomwe muli nazo ndizofunikira kwambiri, monga kusiya kusuta ngati mumasuta.
Ngati mutakhala ndi lobectomy zingathandize kuti mukhale nawo mu kansa ya m'mapapo , kaya kudzera m'magulu othandizira am'deralo kapena kudzera m'midzi yothandizira pa Intaneti kulikonse. Pali anthu ambiri mumtundu wa khansa ya m'mapapo yomwe sungangopereka chithandizo koma kukuthandizani kumvetsa zomwe masiku oyambirira ndi masabata angakhale ngati mutatha opaleshoni yanu.
> Zotsatira:
> Erhunmwunsee, L. ndi M. Onaitis. Kusuta fodya komanso kupaleshoni ya khansa ya m'mapapo. Malipoti Amakono a Oncology . 2009. 11 (4): 269-74.
> Kupitako, Mfundo za Harvey I. Ndizochita Khansa ya M'mimba: The Official Reference Text ya IASLC. Philadelphia: Wolters Kluwer Health / Lippincott Williams & Wilkins, 2010. Print.
> Ziamik, E., ndi E. Grogan. Postlobectomy Mavuto Oyamba. Zipatala Zopha Opaleshoni . 2015. 25 (3): 355-64.