Mlembi: Louise Ward
Tsiku La Chilengedwe: 4 Febuluwale 2021
Sinthani Tsiku: 28 Kuni 2024
Anonim
VATS Left-sided Bullectomy with Pleurodesis - Dr. Amol Bhanushali
Kanema: VATS Left-sided Bullectomy with Pleurodesis - Dr. Amol Bhanushali

Zamkati

Chidule

Bullectomy ndi opaleshoni yochitidwa kuti ichotse madera akuluakulu am'mapapo owonongeka m'mapapu omwe amaphatikizana ndikupanga mipata yayikulu mkati mwanu, yomwe ili ndi mapapu anu.

Nthawi zambiri, mapapu amakhala ndimatumba tating'onoting'ono tambiri tomwe timatchedwa alveoli. Matumbawa amathandizira kusamutsa mpweya kuchokera m'mapapu kulowa m'magazi anu. Ma alveoli akawonongeka, amapanga malo akulu otchedwa bullae omwe amangotenga malo. Bullae sangatenge mpweya wabwino ndikusamutsira m'magazi anu.

Bullae nthawi zambiri amachokera ku matenda osokoneza bongo (COPD). COPD ndi matenda am'mapapo omwe amabwera chifukwa cha kusuta kapena kutentha kwakanthawi kwa mpweya.

Kodi bullectomy imagwiritsidwa ntchito bwanji?

Bullectomy nthawi zambiri imagwiritsidwa ntchito kuchotsa bullae yayikulu kuposa 1 sentimita (kupitirira theka la inchi).

Bullae imatha kukakamiza madera ena am'mapapu anu, kuphatikiza alveoli aliwonse athanzi. Izi zimapangitsa kuti zikhale zovuta kupuma. Zitha kupangitsanso kuti zina za COPD zizidziwike, monga:


  • kupuma
  • zolimba m'chifuwa chanu
  • pafupipafupi kutsokomola ntchofu, makamaka m'mawa
  • cyanosis, kapena milomo kapena chimbudzi chamtundu
  • kumva kutopa kapena kutopa nthawi zambiri
  • mapazi, mwendo, ndi akakolo kutupa

Bullae ikachotsedwa, nthawi zambiri mumatha kupuma mosavuta. Zizindikiro zina za COPD mwina sizimadziwika kwenikweni.

Bullae ikayamba kutulutsa mpweya, mapapu anu amatha kugwa. Ngati izi zichitika kawiri, dokotala wanu angakulimbikitseni kuti mukhale ndi bullectomy. Bullectomy itha kufunikanso ngati ma bullae atenga zoposa 20 mpaka 30 peresenti yamapapu anu.

Zina zomwe zitha kuchiritsidwa ndi bullectomy ndizo:

  • Matenda a Ehlers-Danlos. Izi ndizomwe zimafooketsa khungu lanu, mitsempha yanu, ndi mafupa.
  • Matenda a Marfan. Izi ndi zina zomwe zimafooketsa matupi olumikizana m'mafupa, mtima, maso, ndi mitsempha yanu.
  • Sarcoidosis. Sarcoidosis ndi momwe madera otupa, omwe amadziwika kuti granulomas, amakulira pakhungu, m'maso, kapena m'mapapu.
  • Emphysema yokhudzana ndi HIV. HIV imagwirizanitsidwa ndi chiopsezo chowonjezeka chokhala ndi emphysema.

Kodi ndingakonzekere bwanji bullectomy?

Mungafunike kupimidwa kwathunthu kuti mutsimikizire kuti muli ndi thanzi lokwanira pochita izi. Izi zitha kuphatikizira kuyesa kwa chifuwa chanu, monga:


  • X-ray. Kuyesaku komwe kumagwiritsa ntchito ma radiation ochepa kuti atenge zithunzi zamkati mwa thupi lanu.
  • Kujambula kwa CT. Kuyesaku kumagwiritsa ntchito makompyuta ndi X-ray kujambula mapapu anu. Zithunzi za CT zimatenga zithunzi zambiri kuposa ma X-ray.
  • Zithunzi. Kuyesaku kumagwiritsa ntchito utoto wosiyanitsa kuti madotolo athe kuwona mitsempha yanu ndikuwona momwe akugwirira ntchito ndi mapapu anu.

Musanakhale ndi bullectomy:

  • Pitani ku maulendo onse otsogola omwe dokotala wanu amakupangirani.
  • Siyani kusuta. Nawa mapulogalamu omwe angathandize.
  • Pumulani kuntchito kapena zochitika zina kuti muzikhala ndi nthawi yochira.
  • Lolani wachibale kapena mnzanu wapamtima kuti akutengereni kunyumba mukamaliza. Simungathe kuyendetsa nthawi yomweyo.
  • Osadya kapena kumwa osachepera maola 12 asanachite opareshoni.

Kodi bullectomy imachitika bwanji?

Bullectomy isanachitike, mudzayikidwa pansi pa anesthesia kuti mugone ndipo musamve kuwawa kulikonse panthawi ya opaleshoniyi. Kenako, dokotalayo azitsatira izi:


  1. Apanga kachidutswa kakang'ono pafupi ndi khwapa lanu kuti mutsegule chifuwa chanu, chotchedwa thoracotomy, kapena mabala angapo ang'onoang'ono pachifuwa chanu kuti athandizidwe ndi thoracoscopy (VATS) yothandizidwa ndi kanema.
  2. Dokotala wanu adzaika zida zopangira opaleshoni ndi thoracoscope kuti awone mkati mwa mapapu anu pazenera. VATS itha kuphatikizira chotonthoza pomwe dotolo wanu amachita opareshoni pogwiritsa ntchito manja a robotic.
  3. Adzachotsa ma bullae ndi ziwalo zina zomwe zakhudzidwa ndi mapapu anu.
  4. Pomaliza, dotolo wanu adzatseka mabalawo ndi sutures.

Kodi kuchira kuli bwanji kuchokera ku bullectomy?

Mudzadzuka kuchokera ku bullectomy yanu ndi chubu lopumira m'chifuwa chanu ndi chubu cholowa mkati. Izi zitha kukhala zosasangalatsa, koma mankhwala opweteka amatha kuthandizira kuthana ndi ululu poyamba.

Mudzakhala m'chipatala pafupifupi masiku atatu kapena asanu ndi awiri. Kuchira kwathunthu kuchokera ku bullectomy nthawi zambiri kumatenga milungu ingapo pambuyo pake.

Pamene mukuchira:

  • Pitani ku malo aliwonse omwe atsatiridwa ndi dokotala wanu.
  • Pitani kuchipatala chilichonse chamtima chomwe dokotala wanu amalangiza.
  • Osasuta. Kusuta kumatha kupangitsa ma bullae kupanganso.
  • Tsatirani zakudya zamtundu wa fiber kuti mupewe kudzimbidwa ndi mankhwala opweteka.
  • Musagwiritse ntchito mafuta kapena mafuta mumisempha yanu mpaka atachira.
  • Pewani modula zomwe mwapanga mutatha kusamba kapena kusamba.
  • Osayendetsa galimoto kapena kubwerera kuntchito mpaka dokotala atanena kuti ndibwino kutero.
  • Musakweze chilichonse chopitilira mapaundi 10 kwa milungu itatu.
  • Osayenda pandege kwa miyezi ingapo mutachitidwa opaleshoni.

Mutha kubwerera pang'onopang'ono kuzinthu zanu zachilendo pamasabata angapo.

Kodi pali zoopsa zilizonse zokhudzana ndi bullectomy?

Malinga ndi University of Health Network, ndi pafupifupi 1 mpaka 10 peresenti yokha ya anthu omwe amatenga bullectomy amakhala ndi zovuta. Chiwopsezo chanu chazovuta chitha kukulirakulira mukasuta kapena mukamachedwa COPD.

Mavuto omwe angakhalepo ndi awa:

  • malungo opitilira 101 ° F (38 ° C)
  • matenda kuzungulira malo opangira opaleshoni
  • mpweya kuthawa chubu pachifuwa
  • kuonda kwambiri
  • kuchuluka kwa kaboni dayokisaidi m'magazi anu
  • matenda a mtima kapena kulephera kwa mtima
  • kuthamanga kwa magazi, kapena kuthamanga kwa magazi mumtima ndi m'mapapu

Onani dokotala wanu nthawi yomweyo ngati muwona zovuta izi.

Kutenga

Ngati COPD kapena vuto lina la kupuma likusokoneza moyo wanu, funsani dokotala ngati bullectomy ingakuthandizeni kuthana ndi matenda anu.

Bullectomy imakhala ndi zoopsa zina, koma imatha kukuthandizani kupuma bwino ndikupatseni moyo wabwino. Nthawi zambiri, bullectomy itha kukuthandizani kuti mupezenso mphamvu yamapapo. Izi zingakuthandizeni kuti muzichita masewera olimbitsa thupi ndikukhala otakataka osataya mpweya wanu.

Analimbikitsa

Kodi Zimakhala Zachilendo Kuphonya Nyengo?

Kodi Zimakhala Zachilendo Kuphonya Nyengo?

Chokhacho chomwe chimakhala choyipa kupo a ku amba m ambo ikutenga m ambo. Kuda nkhawa, ulendo wopita ku malo ogulit ira mankhwala kukayezet a pakati, koman o chi okonezo chomwe chimakhalapo maye o ak...
Momwe Mungagwiritsire Ntchito Google Home Yanu kapena Alexa Kuti Muzitsatira Zolinga Zanu Zaumoyo

Momwe Mungagwiritsire Ntchito Google Home Yanu kapena Alexa Kuti Muzitsatira Zolinga Zanu Zaumoyo

Ngati ndinu mwiniwake wonyada m'modzi mwa zida za Amazon za Alexa-enabled Echo, kapena Google Home kapena Google Home Max, mwina mungakhale mukuganiza kuti mungapindule bwanji ndi zolankhula zanu ...