Kubviswa kwechikamu - Mutengo, Zviratidzo, Kugadzirira, Njodzi, uye Kupora

Kuvhiyiwa kwechikamu (segmentectomy) inzira yekuvhiya inosanganisira kubviswa kwechikamu chenhengo, kazhinji mapapu kana chiropa. Nzira iyi inowanzo shandiswa kurapa zvirwere zvemunzvimbo, kunyanya kenza, ukuwo ichichengetedza nyama dzakawanda dzine hutano sezvinobvira. Chinangwa chikuru chechikamu chechikamu ndechekubvisa nyama dzine chirwere ukuwo nhengo ichiramba ichishanda zvakanaka.

Pakuvhiyiwa kwemapapu, segmentectomy zvinoreva kubviswa kwechikamu chenyama yemapapu, icho chiri chikamu chidiki pane lobectomy (kubviswa kwechikamu chose). Maitiro aya anobatsira zvikuru kune varwere vane kenza yemapapu iri padanho rekutanga kana avo vane bundu diki riri muchikamu chakati chemapapu. Nekubvisa chikamu chakakanganiswa chete, vanachiremba vanogona kuderedza kukanganisa mashandiro emapapu uye kuvandudza nguva yekupora.

Muchiropa, kubviswa kwechikamu chenyama yechiropa kunosanganisira kubviswa kwechikamu chenyama yechiropa, icho chinotsanangurwa nemuviri wechiropa wetsinga nenyongo. Nzira iyi inowanzoshandiswa kurapa bundu rechiropa, kunyanya kune varwere vane chirwere chechiropa, uko kuchengetedza nyama yechiropa ine hutano kwakakosha pakuchengetedza chiropa chichishanda zvakanaka.
 

Sei Kubviswa Kwezvikamu Kuchiitwa?

Kuvhiyiwa kwechikamu (segmentectomy) kunowanzo kurudzirwa kuvarwere vane zviratidzo kana mamiriro ezvinhu anoda kuvhiyiwa. Zvikonzero zvinowanzoonekwa zvekuvhiyiwa kwechikamu zvinosanganisira:

• Kenza yemapapu: Varwere vanoonekwa vaine kenza yemapapu iri padanho rekutanga, kunyanya avo vane bundu diki riri muchikamu chimwe chete, vanogona kunge vachida kubviswa kwechikamu. Nzira iyi inobvumira kubviswa kwenyama yekenza ukuwo ichichengetedza nyama yemapapu ine hutano yakapoteredza.
• Chiropa Tumors: Kana paine kenza yechiropa kana chirwere chakapararira, kubviswa kwemasero eropa kunogona kuitwa kuti bundu ribviswe ukuwo chiropa chichishanda zvakanaka. Izvi zvakakosha zvikuru kune varwere vane cirrhosis kana mamwe matambudziko echiropa.
• Benign Tumors: Kubviswa kwezvikamu zvemasero (segmentectomy) kunogonawo kuitirwa kubvisa bundu risina njodzi rinogona kukonzera matambudziko kana zviratidzo, zvakaita sekuvharika kana kurwadziwa.
• Zvirwere zvinotapukira: Mune zvimwe zviitiko, kubviswa kwechikamu chemasero kunogona kuitwa kubvisa nyama ine utachiona kana kuti inobuda ropa, kunyanya mumapapu, uko zvirwere zvakaita seTB kana maronda emapapu zvingada kuvhiyiwa.
• Dambudziko: Sarudzo yekuenderera mberi nekubvisa masero emasero inowanzo enderana nekuongorora kwakazara hutano hwemurwere, kukura kwechirwere, uye mabhenefiti angangowanikwa nekurapwa uku zvichienzaniswa nedzimwe nzira dzekurapa.
   

Zviratidzo zveSegmentectomy

Mamiriro ezvinhu akati wandei ekurapa uye zvakawanikwa pakuongororwa kwechirwere zvinogona kuratidza kudiwa kwekubvisa masero. Izvi zvinosanganisira:

• Tumor size uye Nzvimbo: Varwere vane bundu diki, riri munzvimbo imwe chete rakaganhurirwa muchikamu chakati chemapapu kana chiropa ndivo vanonyanya kuda kubviswa nhengo dzemuviri. Zvidzidzo zvemifananidzo, zvakaita seCT scans kana MRIs, zvinobatsira kuona saizi nenzvimbo yebundu.
• Danho reCancer: Kune kenza yemapapu, kubviswa kwechikamu (segmentectomy) kunowanzo kurudzirwa kune varwere vane kenza yedanho rekutanga, uko bundu iri diki uye risina kupararira kuma lymph nodes kana kune dzimwe nhengo dzemuviri. Saizvozvowo, mukenza yechiropa, kubviswa kwechikamu (segmentation) kunogona kuitirwa kumabundu ari padanho rekutanga.
• Lung Function: Varwere vane mapapu asina kushanda zvakanaka nekuda kwezvirwere zvakaita sechirwere chemapapu chinogara kwenguva refu (COPD) kana pulmonary fibrosis, vanogona kubatsirwa nechikamu chekubvisa kenza ukuwo vachichengetedza mapapu ane hutano hwakawanda sezvinobvira.
• Chiropa Basa: Muvarwere vane chirwere chechiropa, chakadai secirrhosis, kubviswa kwemasero eropa (segmentectomy) kunowanzo shandiswa pane kubviswa kwakawanda kuti chiropa chirambe chichishanda zvakanaka mushure mekuvhiyiwa.
• Utano Hwose Hwomurwere: Hutano hwemurwere, kusanganisira zvirwere zvinomubata pamwe chete nekushanda zvakanaka kwemuviri, hune basa guru pakusarudza kuti anofanira kuvhiyiwa segmented. Vanachiremba vanoongorora njodzi nemabhenefiti enzira iyi zvichienderana nehutano hwemurwere.
• Mhinduro kune Mamwe Kurapa: Mune zvimwe zviitiko, kubviswa kwemasero kunogona kufungwa nezvevarwere vasina kupindura zvakakwana kune mamwe marapirwo, akadai sechemotherapy kana radiation therapy, uye kana kuvhiyiwa kuchionekwa sekudikanwa.

Muchidimbu, segmentectomy inzira yekuvhiya yakanangana nevarwere vane bundu riri munzvimbo imwe chete kana mamiriro ezvinhu anokanganisa zvikamu zvakasiyana zvemapapu kana chiropa. Sarudzo yekuenderera mberi neiyi nzira inobva pakuongororwa kwakazara kwemamiriro emurwere, kuve nechokwadi chekuti mabhenefiti ekuvhiya anopfuura njodzi dziripo.
 

Contraindications yeSegmentectomy

• Chirwere cheMapapu Chakanyanya Kukura: Varwere vane chirwere chemapapu chinogara kwenguva refu (COPD) kana mamwe mamiriro emapapu akanyanya kukura vangasashivirira kuvhiyiwa uku zvakanaka. Kubviswa kwenyama yemapapu kunogona kukanganisa mashandiro ekufema zvakanyanya.
• Hutano Hwose Hurombo: Vanhu vane zvirwere zvakakomba, zvakaita sechirwere chemwoyo, chirwere cheshuga chisingadzoreki, kana kufuta zvakanyanya, vanogona kusangana nenjodzi huru panguva yekuvhiyiwa uye mushure mekuvhiyiwa. Kuongororwa kwakakwana kwehutano hwese kwakakosha vasati vafunga nezvekubvisa chikamu chemuviri.
• Chirwere Chikuru: Kana kenza kana chirwere zvapararira kupfuura chikamu chinofanira kubviswa, kubviswa kwechikamu chemasero kunogona kusashanda. Muzviitiko zvakadaro, nzira dzakawanda dzekuvhiya kana dzimwe nzira dzingadiwa.
• Utachiona kana Kuzvimba: Utachiona hunoshanda mumapapu kana munzvimbo dzakapoteredza hunogona kuita kuti kuvhiyiwa kuome. Vanachiremba vanowanzo nonoka kuvhiyiwa kusvika hutachiona hwapera.
• Kusashanda Kwakakwana Kwemapapu: Varwere vane mapapu asina kushanda zvakanaka, sezvinoonekwa nekuongororwa kwebasa remapapu, vanogona kunge vasina kukodzera. Kukwanisa mapapu zvakakwana kwakakosha pakupora uye hutano hwese mushure mekuvhiyiwa.
• Kuvhiyiwa Kwemapapu Kwapfuura: Varwere vakavhiyiwa mapapu zvakanyanya vanogona kunge vaine mavanga kana kuti vakachinja chimiro chemapapu, zvichiita kuti kubviswa kwechikamu chemapapu kuve kwakaoma uye kune njodzi.
• Chido chevarwere: Vamwe varwere vangasarudza kusavhiyiwa nekuda kwezvavanotenda, kunetseka nezvemaitiro acho, kana kunetseka nezvekupora. Zvakakosha kuti varwere vakurukure manzwiro avo nezvavanoda nechikwata chavo chehutano.

Kunzwisisa zvinorambidzwa izvi kwakakosha kune varwere nevanoona nezveutano. Kuongorora kwakazara usati wavhiyiwa kunogona kubatsira kuona nzira yakanakisisa yekuita chimwe nechimwe chinhu.
 

Maitiro Ekugadzirira Kuvhiyiwa Kwechikamu

Kugadzirira kubviswa kwechikamu chemasero kunosanganisira matanho akati wandei kuti uve nechokwadi chekuti mhedzisiro yakanaka inogoneka. Varwere vanofanira kutevedzera mirairo yevanopa hutano hwavo zvakanyanya uye kugadzirira nekukurumidza.

• Preoperative Consultation: Ronga musangano wakakwana nachiremba wako wekuvhiya. Musangano uyu uchakurukura nezvemaitiro acho, mhedzisiro inotarisirwa, uye chero zvinokunetsa. Inguvawo yekukurukura nhoroondo yako yezvekurapa uye chero mishonga yauri kutora parizvino.
• Miedzo yekurapa Chikwata chenyu chehutano chinogona kuraira bvunzo dzinoverengeka kuti dziongorore hutano hwenyu uye mashandiro emapapu. Izvi zvinogona kusanganisira:
  • Miedzo yeMashandiro eMapupa: Kuongorora kuti mapapu ako ari kushanda zvakanaka sei.
  • Zvidzidzo zveMifananidzo: Zvakadai seCT scans kana X-rays yekuona mapapu nenzvimbo yekuvhiyiwa.
  • Kuongororwa kweRopa: Kuongorora matambudziko ehutano uye kuona kuti wakakodzera kuvhiyiwa.
• Mishonga: Kurukurai mishonga yese nachiremba wenyu. Mungafanira kurega kushandisa mimwe mishonga, yakaita semishonga inobvisa ropa mumuviri, mazuva mashoma kuvhiyiwa kusati kwaitwa kuti muderedze njodzi yekubuda ropa.
• Kurega Kusvuta: Kana uchisvuta, zvakakosha kuti urege usati wavhiyiwa. Kusvuta kunogona kukanganisa kupora uye kuwedzera njodzi yematambudziko. Chiremba wako anogona kukupa zvekushandisa nerutsigiro kuti akubatsire kurega.
• Kuchinja Kwekudya: Tevedzera chero mazano ekudya anopiwa nechikwata chenyu chehutano. Munogona kukurudzirwa kuti musadye kana kunwa mushure mehusiku usati wavhiyiwa.
• Ronga Rutsigiro: Ronga kuti mumwe munhu akuperekedze kuchipatara uye akubatsire kumba panguva yekupora kwako. Kuva nerutsigiro rwemuviri kunogona kurerutsa kuchinja kwemuviri mushure mekuvhiyiwa.
• Preoperative Instructions: Tevedzera chero mirairo chaiyo yakapihwa nemupi wehutano hwako, senge nguva yekusvika kuchipatara uye zvekuuya nazvo. Izvi zvinogona kusanganisira mbatya dzakanaka, zvinhu zvekuchenesa muviri, uye chero mapepa anodiwa.

Nekutora matanho aya ekugadzirira, varwere vanogona kubatsira kuona kuti kuvhiyiwa kwavo kunononoka uye kupora.
 

Kubviswa kwechikamu: Maitiro Ekuita Nhanho Nenhanho

Kunzwisisa zvinotarisirwa panguva yekubvisa masero emuviri kunogona kubatsira kuderedza kuzvidya mwoyo uye kugadzirira varwere kuti vagadzirire chiitiko ichi. Heino pfupiso yemaitiro acho nhanho nhanho:
 

• Pamberi peChirongwa:
  • Kusvika kuChipatara: Varwere vachaongororwa uye vanogona kuongororwa kwekupedzisira nechikwata chekuvhiya.
  • Anesthesia: Chiremba weanesthesia achakurukura nezvesarudzo dzeanesthesia. Varwere vazhinji vanowana anesthesia yakajairika, zvinoreva kuti vanenge vakarara panguva yekuvhiyiwa.
     
• Panguva Yekuita:
  • Kuchekwa: Chiremba achaita kucheka pachipfuva, kungave neparutivi (thoracotomy) kana kushandisa nzira dzisinganyanyi kukuvadza (video-assisted thoracoscopic surgery, kana VATS).
  • Kupinda muMapapu: Chiremba anovhiya achanyatsopatsanura mbabvu obva apinda mumapapu. Anenge achiona chikamu chaanoda kubviswa.
  • Kubviswa Kwezvikamu: Chiremba anovhiya achabvisa chikamu chemapapu chakabatwa, achiva nechokwadi chekuti nyama dzakapoteredza dzine hutano dzakachengetedzwa. Izvi zvinogona kusanganisira kushandisa michina yakakosha kucheka nekuvhara mitsipa yeropa.
  • Kuvhara: Kana chikamu chacho chabviswa, chiremba anovhiya achaongorora kana paine kubuda ropa uye anogona kuisa chubhu yechipfuva kuti ibatsire kubvisa mvura nemhepo kubva muchipfuva. Chidimbu chinozobva chavharwa nemasuture kana staples.
     
• Mushure meChirongwa:
  • Imba Yekupora: Varwere vachaendeswa kunzvimbo yekupora kwavanenge vachitariswa pavanomuka mushure mekunzwa kurwadziwa. Zviratidzo zvakakosha zvichaongororwa nguva nenguva.
  • Pain Management:
  • Kugara muchipatara: Varwere vazhinji vanogara muchipatara kwemazuva mashoma, zvichienderana nekufambira mberi kwavo pakupora. Munguva iyi, vanachiremba vanoongorora mashandiro emapapu uye hutano hwese.
     
• Discharge Mirayiridzo: Varwere vasati vadzokera kumba, vachawana mirairo pamusoro pekuchengetedzwa kwemaronda, mitemo yekushanda, uye nguva yekutevera. Zvakakosha kutevedzera mirairo iyi kuti ubudirire kupora.

Nekunzwisisa nhanho nhanho nzira yekubvisa masero emasero, varwere vanogona kunzwa vakagadzirira uye vane ruzivo rwakawanda nezverwendo rwavo rwekuvhiyiwa.
 

Njodzi uye Matambudziko eSegmentectomy

Kufanana nechero nzira yekuvhiya, kubviswa kwechikamu chemasero (segmentectomy) kune njodzi dzakati wandei pamwe nematambudziko anogona kuitika. Kunyange zvazvo varwere vazhinji vachibudirira, zvakakosha kuziva njodzi dzakajairika nedzisingawanzoitika dzine chekuita nekuvhiyiwa.
 

• Common Risks:
  • Marwadzo: Marwadzo mushure mekuvhiyiwa anowanzoitika asi anorapika nemishonga.
  • Utachiona: Pane njodzi yekutapukirwa panzvimbo yakachekwa kana mumapapu. Mishonga inorwisa mabhakitiriya inogona kunyorerwa kudzivirira kana kurapa hutachiona.
  • Kubuda ropa: Kubuda ropa kunogona kuitika panguva yekuvhiyiwa kana mushure mekuvhiyiwa. Kazhinji, izvi zvidiki uye zvinogona kudzorwa.
  • Matambudziko Ekufema: Varwere vanogona kunetseka kwenguva pfupi kufema kana kudzikira kwekushanda kwemapapu mushure mekuvhiyiwa. Izvi zvinowanzova zvenguva pfupi uye zvinovandudzika nekufamba kwenguva uye kugadziriswa kwemuviri.
     
• Rare Risks:
  • Matambudziko eAnesthesia: Kunyange zvazvo zvisingawanzoitiki, vamwe varwere vanogona kuva nemhedzisiro yakaipa kune anesthesia, izvo zvinogona kukonzera matambudziko akakomba.
  • Pneumothorax:
  • Mavanga mumapapu: Vamwe varwere vanogona kuva nemavanga mumapapu, izvo zvinogona kukanganisa mashandiro emapapu.
  • Magwapa eRopa:
     
• Njodzi dzenguva refu:
  • Kudzoka kwechirwere:
  • Marwadzo Asingaperi: Vamwe varwere vanogona kurwadziwa kana kusagadzikana muchipfuva mushure mekuvhiyiwa.

Kunyange hazvo njodzi dzine chekuita nekubvisa nhengo dzemuviri dzakaita segmentation dzichikosha kufunga nezvadzo, varwere vazhinji vanoona kuti mabhenefiti ekuita izvi anopfuura matambudziko aya. Kutaurirana pachena nechikwata chehutano kunogona kubatsira kugadzirisa chero zvinonetsa uye kuve nechokwadi chekuti varwere vane ruzivo rwakakwana nezvesarudzo dzavo dzekuvhiya.
 

Kupora Mushure meSegmentectomy

Kupora kubva pakuvhiyiwa kwechikamu chikamu chakakosha chinogona kukanganisa hutano hwako hwese uye kugara zvakanaka. Nguva yekupora inogona kusiyana zvichienderana nemamiriro ehutano hwemunhu, huwandu hwekuvhiyiwa, uye kutevedzera mirairo yekurapa mushure mekuvhiyiwa. Kazhinji, varwere vanogona kutarisira nguva yekupora inotevera:

• Svondo Rokutanga: Muvhiki yekutanga, varwere vanowanzogara muchipatara vachiongororwa. Kudzora marwadzo ndicho chinhu chinonyanya kukosheswa, uye vanachiremba vanopa mishonga yekubatsira kudzora kusagadzikana. Varwere vanokurudzirwa kufamba-famba kwenguva pfupi kuti ropa rifambe zvakanaka asi vanofanira kudzivisa mabasa anorema.
• Svondo rechipiri: Panosvika vhiki rechipiri, varwere vazhinji vanogona kudzokera kumba. Panguva ino, zvakakosha kutevedzera mazano ekurapwa mushure mekuvhiyiwa, ayo angasanganisira kurapwa kwemaronda, kutevedzera mishonga, uye kugadzirisa zvekudya. Mabasa akareruka anogona kutangwazve, asi kusimudza zvinhu zvinorema uye kurovedza muviri kwakasimba kunofanira kudziviswa.
• Vhiki rechina kusvika rechitanhatu: Varwere vazhinji vanogona kudzokera kumabasa avo enguva dzose zvishoma nezvishoma panosvika vhiki rechina kusvika rechitanhatu, zvichienderana nekufambira mberi kwavo pakupora. Nguva dzekutevera dzicharongwa kuti dzitarise kupora uye kugadzirisa chero zvinonetsa.
   

Aftercare Tips:

• Kuchengetedza Maronda: Chengetedza nzvimbo yekuvhiya yakachena uye yakaoma. Tevera mirairo yachiremba wako pamusoro pekuchinja kupfeka.
• Pain Management: Tora mishonga yemarwadzo yakatemwa sekurairwa. Over-the-counter zvinoderedza marwadzo zvinogonawo kukurudzirwa.
• Zvokudya: Tanga nekudya zvishoma nezvishoma wozotangazve kudya nguva nenguva sezvaunoda. Kugara uine mvura yakakwana kwakakosha.
• Chiitiko Chekuita: Famba-famba zvishoma kuti upore asi usaite zvinhu zvinokuvadza muviri kusvika chiremba wako akupa mvumo.
• Mamiriro Ekutevera: Enda kune zvese zvakarongwa kuti uve nechokwadi chekupora kwakakodzera uye kugadzirisa chero matambudziko.
   

Mabhenefiti eSegmentectomy

Kuvhiyiwa kwechikamu chemapapu kunopa kuvandudzwa kwakakosha kwehutano uye mhedzisiro yehupenyu hwevarwere, kunyanya avo vane kenza yemapapu yemunzvimbo yavo kana mamwe matambudziko emapapu. Heano mamwe emabhenefiti makuru:

• Kuchengetedzwa kwebasa remapapu: Kusiyana nekuvhiyiwa kwakakura, kubviswa kwechikamu chemapapu kunobvisa chikamu chemapapu chete, zvichiita kuti basa remapapu rirambe riri nani. Izvi zvinobatsira zvikuru kune varwere vane mapapu asina simba.
• Yakaderedzwa Nguva Yekupora: Varwere vanowanzo pora kwenguva pfupi kana tichienzanisa ne lobectomy kana pneumonectomy, zvichivabvumira kudzokera kumabasa avo ezuva nezuva nekukurumidza.
• Lower Risk of Complications: Kubviswa kwemasero emuviri (segmentectomy) kunobatanidzwa nenjodzi shoma yematambudziko akadai sehutachiona uye kubuda kwemhepo kwenguva refu, zvichiita kuti ive sarudzo yakachengeteka kune varwere vazhinji.
• Kurapa Kenza Kunoshanda: Kune varwere vane kenza yemapapu iri padanho rekutanga, kubviswa kwechikamu chemasero kunogona kushanda zvakanaka sekuvhiyiwa kwakakura mukuwana mikana isina kenza, nokudaro zvichivandudza mwero wekurarama.
• Hupenyu hwakavandudzwa: Nekuchengetedza mapfupa akawanda uye mashandiro awo, varwere vanowanzotaura kuti hupenyu hwavo huri nani mushure mekuvhiyiwa, uye vane zvishoma zvinovanetsa pakuita mabasa emuviri.
   

Mutengo weSegmentectomy muIndia

Mutengo wepakati wekubvisa masero muIndia unobva pa ₹1,50,000 kusvika ₹3,00,000.
 

Mibvunzo Inowanzo bvunzwa Nezvekuvhiyiwa Kwechikamu

• Chii chandinofanira kudya ndisati ndavhiyiwa segmented?
  Usati wavhiyiwa segmentectomy, zvakakosha kuti udye zvine mwero michero, miriwo, mapuroteni asina mafuta akawanda, uye zviyo zvakakwana. Dzivisa kudya zvakawanda uye doro husiku hwakatangira kuvhiyiwa. Tevedzera mirairo chaiyo yekudya yakapihwa nachiremba wako, kunyanya nezvekutsanya usati wavhiyiwa.
• Ndinogona here kutora mishonga yangu yenguva dzose ndisati ndavhiyiwa?
  Bvunza chiremba wako nezvemishonga yaunogara uchiita. Mimwe mishonga, kunyanya mishonga inobvisa ropa mumuviri, ingangoda kumbomiswa usati wavhiyiwa. Gara uchitevera mirairo yemupi wehutano hwako maererano nekutarisira mishonga.
• Chii chandinofanira kutarisira maererano nekurwadziwa mushure mekuvhiyiwa?
  Marwadzo epashure pekuvhiyiwa anosiyana zvichienderana nemunhu asi anowanzo gadziriswa nemishonga yekurwadziwa yakanyorwa. Tarisira kusagadzikana panzvimbo yekuvhiyiwa, izvo zvinofanira kuvandudzika zvishoma nezvishoma mumavhiki mashoma ekutanga. Taura nezvekurwadziwa kwakanyanya kana kuri kuwedzera kune chiremba wako.
• Ndichagara muchipatara kwenguva yakareba sei mushure mekuvhiyiwa kwechikamu chemuviri wangu?
  Varwere vazhinji vanogara muchipatara kwemazuva maviri kusvika mashanu mushure mekuvhiyiwa, zvichienderana nekufambira mberi kwavo pakupora uye chero matambudziko. Chikwata chenyu chehutano chichaongorora mamiriro enyu uye kusarudza nguva yakakodzera yekubuda muchipatara.
• Ndirini pandingatangazve mabasa akajairika mushure mekuvhiyiwa?
  Unogona kutangazve kuita mabasa akareruka mukati memavhiki maviri kusvika mana mushure mekuvhiyiwa, asi usaita zvekusimudza zvinhu zvinorema uye kurovedza muviri kwakaoma kwemavhiki matanhatu. Gara uchitevera zano rachiremba wako maererano nemazinga emabasa panguva yekupora.
• Pane mitemo yekudya here mushure mekuvhiyiwa kwechikamu chemuviri?
  Mushure mekuvhiyiwa, tanga nekudya kwakareruka uye zvishoma nezvishoma dzorerazve zvekudya zvakajairika sezvazvinofanira kuitwa. Tarisa pakushandisa mvura yakawanda uye kudya kwakaringana kuti utsigire kupora. Dzivisa kudya zvine munyu kana zvinorema pakutanga, uye bvunza chiremba wako kuti akupe mazano ekudya akakodzera.
• Ndezvipi zviratidzo zvematambudziko zvandinofanira kutarisa?
  Tarisa zviratidzo zvehutachiona, zvakaita sekutsvuka kwakanyanya, kuzvimba, kana kubuda ropa panzvimbo yekuvhiyiwa, fivha, kana kurwadziwa kuri kuwedzera. Kana uchinzwa kushaya mweya kana kurwadziwa pachipfuva, tsvaga rubatsiro rwechiremba nekukasika.
• Varwere vakwegura vanogona kubviswa nhengo dzemuviri here?
  Ehe, varwere vakwegura vanogona kubviswa nhengo dzemuviri, asi hutano hwavo hwese pamwe chete nezvimwe zvirwere zvichatariswa. Kuongororwa kwakakwana nechikwata chehutano ndiko kuchasarudza nzira yakanakisisa yekuvhiyiwa nekupora.
• Kubviswa kwechikamu chemasero kwakachengeteka here kuvarwere vevana?
  Kubviswa kwemasero kunogona kuitwa pavana, asi hazviwanzoitiki. Sarudzo yacho inoenderana nemamiriro ezvinhu ehutano hwemwana uye hutano hwese hwemwana. Chiremba wevana ndiye achapa gwara rakanakisisa.
• Ndingagadzirisa sei marwadzo angu mushure mekuvhiyiwa?
  Tevedzera hurongwa hwekurapa marwadzo hwachiremba wako, hunogona kusanganisira mishonga yakanyorerwa nachiremba wako uye mishonga yekuderedza marwadzo inotengeswa pasina kunyorerwa nachiremba. Shandisa ma ice packs panzvimbo yekuvhiyiwa kuderedza kuzvimba uye kusagadzikana, uye dzidzira kufema zvakadzika kuti ubatsire kudzora marwadzo.
• Ndeapi mabasa andinofanira kudzivirira panguva yekupora?
  Dzivisa kusimudza zvinhu zvinorema, kurovedza muviri kunorema, uye kuita zvinhu zvinokuvadza muviri kwemavhiki matanhatu mushure mekuvhiyiwa. Zvakare, rega kutyaira mota kusvika wabvumidzwa nechiremba wako, sezvo marwadzo kana mishonga zvinogona kukanganisa kugona kwako kutyaira zvakachengeteka.
• Kangani pandichazoda maappointments ekutevera?
  Nguva dzekuonana nachiremba dzinogara dzichirongwa mukati mevhiki imwe kusvika mbiri mushure mekuvhiyiwa, uye dzimwe nguva dzinofanira kushanyirwa zvichienderana nekufambira mberi kwako pakupora. Chiremba wako ndiye achaona kuti kurapwa kwacho kuchaitwa kakawanda sei.
• Ndinogona here kufamba mushure mekuvhiyiwa kwechikamu chemuviri?
  Kufamba kazhinji hakukurudzirwi kwemavhiki mana kusvika matanhatu mushure mekuvhiyiwa, kunyanya kufamba daro refu. Kurukurai zvirongwa zvenyu zvekufamba nevanopa hutano kuti muve nechokwadi chekuti zvakachengeteka zvichienderana nemamiriro enyu ekupora.
• Chii chandinofanira kuita kana ndichinzwa kuzvidya mwoyo pamusoro pekuvhiyiwa?
  Kunzwa kuzvidya mwoyo usati wavhiyiwa chinhu chakajairika. Kurukura zvinokunetsa nechikwata chako chehutano, icho chinogona kukupa nyaradzo uye nzira dzekugadzirisa dambudziko racho. Funga nezvenzira dzekuzorora dzakadai sekufema zvakadzika kana kufungisisa kuti ubatsire kudzora kuzvidya mwoyo.
• Ndichada kurapwa kwemuviri mushure mekuvhiyiwa?
  Kurapwa kwemuviri kunogona kukurudzirwa zvichienderana nekufambira mberi kwako pakupora uye hutano hwako hwese. Chiremba wako achaongorora zvaunoda uye achakutumira kuna chiremba wemuviri kana zvichidikanwa.
• Zvinotora nguva yakareba sei kuti ganda rangu ripore?
  Kupora kweganda kunowanzo tora mavhiki maviri kusvika mana, asi kupora kwakakwana kunogona kutora nguva yakareba. Tevedzera mirairo yachiremba wako wezvekurapa mushure mekukuvara kuti ubatsire kupora kwakakodzera uye utarise zviratidzo zvematambudziko.
• Ndinogona kugeza here mushure mekuvhiyiwa kwechikamu chemuviri wangu?
  Unogona kugeza mushure mekunge chiremba wako akupa mvumo, kazhinji mukati memazuva mashoma mushure mekuvhiyiwa. Dzivisa kunyikisa ganda rakachekwa mumvura kusvika rapora zvakakwana. Tevedzera mirairo chaiyo yakapihwa nachiremba wako maererano nekugezesa uye kutarisira maronda.
• Ko kana ndiine mibvunzo mushure mekunge ndaenda kumba?
  Kana muine mibvunzo kana zvinokunetsai mushure mekudzokera kumba, musazeza kutaura nevanopa rubatsiro rwehutano. Varipo kuti vakutsigirei uye vanogona kukupai gwara pane chero matambudziko amungasangana nawo panguva yekupora kwenyu.
• Zvakajairika here kunzwa kuneta mushure mekuvhiyiwa?
  Ehe, kuneta kunowanzoitika mushure mekuvhiyiwa sezvo muviri wako uchipora. Iva nechokwadi chekuti wawana zororo rakakwana, gara uine mvura yakakwana mumuviri, uye wedzera zvishoma nezvishoma nhanho yekushanda kwako sezvinotarisirwa. Kana kuneta kukaramba kuripo kana kuipa, bvunza chiremba wako.
• Ndezvipi zvandinofanira kufunga nezvazvo pakuchinja mararamiro mushure mekuvhiyiwa kwechikamu chemuviri?
  Mushure mekuvhiyiwa, funga nezvekurarama hupenyu hune hutano hunosanganisira kudya zvine mwero, kurovedza muviri nguva dzose, uye kusasvuta fodya. Kuchinja uku kunogona kuvandudza hutano hwako hwese uye kuderedza njodzi yematambudziko emapapu mune ramangwana.
   

mhedziso

Kuvhiyiwa kwechikamu (segmentectomy) inzira yakakosha yekuvhiya varwere vane matambudziko emapapu ari munzvimbo yavo, zvichipa mabhenefiti akawanda, anosanganisira kuchengetedza mashandiro emapapu uye kupora nekukurumidza. Kunzwisisa maitiro ekupora, mabhenefiti angangoitika, uye kugadzirisa zvinonetsa zvinowanzoonekwa zvinogona kupa varwere simba rekuita sarudzo dzine ruzivo. Gara uchibvunza nyanzvi yezvehutano kuti mukurukure mamiriro ako chaiwo uye uve nechokwadi chekuti mhedzisiro yakanaka.