I-Pleurectomy - Iindleko, Iimpawu, Ukulungiselela, Iingozi, kunye nokuBuyisa

I-Pleurectomy yinkqubo yotyando equka ukususwa kwenxalenye okanye i-pleura yonke, eyilwelwesi elincinci elijikeleze imiphunga kwaye lijikeleze umgodi wesifuba. Le nkqubo yenzelwe ikakhulu ukunciphisa iimpawu ezinxulumene neemeko ezahlukeneyo zemiphunga, ngakumbi ezo zikhokelela ekuqokeleleni kolwelo kwindawo ye-pleural, eyaziwa ngokuba yi-pleural effusion. I-pleura ineeleya ezimbini: i-visceral pleura, egubungela imiphunga, kunye ne-parietal pleura, ejikeleze udonga lwesifuba. Ngokususa inxalenye okanye lonke olu lwelwelwesi, oogqirha bajolise ekuphuculeni ukusebenza kwemiphunga kunye nokunciphisa ukungonwabi.

Injongo ephambili ye-pleurectomy kukunyanga iimeko ezifana ne-malignant pleural effusion, edla ngokunxulunyaniswa nomhlaza, kunye nezinye iimeko ezingezizo ezibangela ukwakheka kolwelo olukhulu. Kwezinye iimeko, i-pleurectomy inokwenziwa ukuze kube lula ezinye iinkqubo zotyando, ezifana nokususwa kwemiphunga okanye ukuthintela ukuphinda kuvele i-pleural effusion emva kokuba ezinye iindlela zonyango zingaphumelelanga.

Izigulana eziqeshwayo ukuze zisuswe i-pleurectomy zinokulindela uvavanyo olucokisekileyo ukuze kuchongwe eyona ndlela ifanelekileyo kwimeko yazo ethile. Le nkqubo ingenziwa kusetyenziswa utyando oluvulekileyo lwendabuko okanye iindlela ezingaphantsi kakhulu, kuxhomekeke kwimpilo yesigulana iyonke kunye nobungakanani besifo.

Kutheni kwenziwa iPleurectomy?

I-Pleurectomy idla ngokucetyiswa kwizigulana ezineempawu ezibalulekileyo ngenxa yokukhupha igazi emzimbeni okanye ezinye izifo ze-pleural. Iimpawu eziqhelekileyo ezinokubangela ukuba kuqwalaselwe le nkqubo ziquka:

• Ukuqhawukelwa ngumphefumlo: Izigulana zinokufumana ubunzima bokuphefumla ngenxa yoxinzelelo olubangelwa kukuqokelelwa kolwelo kwindawo yepleural. Oku kunokuchaphazela kakhulu imisebenzi yemihla ngemihla kunye nomgangatho wobomi ngokubanzi.
• Iintlungu zesifuba: Ukwanda kolwelo kunokubangela ukungakhululeki okanye iintlungu esifubeni, ezinokuba mandundu xa uphefumla kakhulu okanye ukhohlela.
• Ukhohlokhohlo oluzingisileyo: Ukukhwehlela okungapheliyo kunokuvela ngenxa yokurhawuzelelwa kwizicubu ze-pleura okanye zemiphunga.
• Usulelo: Kwezinye iimeko, ukuphuma kwegazi emzimbeni kunokunxulunyaniswa nosulelo, olufana ne-pneumonia okanye isifo sephepha, nto leyo enokubangela utyando.

I-Pleurectomy idla ngokucetyiswa xa ezinye iindlela zonyango, ezifana ne-thoracentesis (inkqubo yokukhupha ulwelo kwindawo ye-pleural) okanye i-pleurodesis (inkqubo yokuncamathisela i-pleura kunye ukuthintela ukuqokelelana kolwelo), zinganikanga ncedo lwaneleyo. Ingabonakaliswa nakwiimeko zokuphuma kwe-pleural effusion embi, apho umhlaza usasazeke kwi-pleura, nto leyo ebangela ukwakheka kolwelo olukhulu kunye neempawu ezinxulumene nalo.

Isigqibo sokuqhubeka notyando lwe-pleurectomy senziwa emva kokuqwalaselwa ngononophelo impilo yesigulana iyonke, unobangela oyintloko wokuphuma kwe-pleural effusion, kunye neenzuzo kunye neengozi ezinokubakho zenkqubo. Iqela elinamacandelo amaninzi, kuquka iingcali ze-pulmonologists, oogqirha besifuba, kunye neengcali ze-oncologists, banokubandakanyeka kwinkqubo yokwenza izigqibo ukuqinisekisa iziphumo ezilungileyo kakhulu kwisigulana.

Iimpawu zePleurectomy

Iimeko ezininzi zonyango kunye neziphumo zokuxilongwa zingabonisa ukuba isigulana sifanelekile ukuba sisuswe i-pleurectomy. Ezi ziquka:

• I-Pleural Effusion enobungozi: Izigulane ezinomhlaza, ingakumbi umhlaza wemiphunga, umhlaza webele, okanye i-mesothelioma, zinokuba ne-malignant pleural effusion. Le meko idla ngokukhokelela kwiimpawu ezibalulekileyo kwaye inokufuna i-pleurectomy ukuphucula umgangatho wobomi kunye nokulawula iimpawu ngokufanelekileyo.
• Ukuphuma kwePleural Recurrent: Izigulane ezifumana i-pleural effusions ephindaphindayo nangona unyango lwangaphambili, olufana ne-thoracentesis okanye i-pleurodesis, zinokuqwalaselwa kwi-pleurectomy. Oku kuyinyani ngakumbi ukuba i-effusions ibangela iimpawu ezingapheliyo.
• Izizathu ezosulelayo: Kwimeko apho ukuphuma kwegazi emzimbeni ngenxa yezifo ezifana ne-empyema (ulwelo lwe-pleural olusulelekileyo), i-pleurectomy inokuba yimfuneko ukuze kususwe izicwili ezisulelekileyo kwaye kube lula ukuphiliswa.
• Iithumba zePleural: Izigulane ezineethumba ze-pleural ezikwindawo ethile okanye ukuqina kwe-pleura zinokungenelwa yi-pleurectomy ukususa izicwili ezichaphazelekayo kunye nokunciphisa iimpawu.
• Iinjongo zokuxilonga: Kwezinye iimeko, i-pleurectomy inokwenziwa ukuze kufunyanwe iisampulu zezicubu ukuze kuhlalutywe ngakumbi, ingakumbi xa kukho ukurhanelwa komhlaza okanye ezinye izifo ezinzulu.

Ngaphambi kokuba kuqhutyekwe ne-pleurectomy, ababoneleli ngeenkonzo zempilo baza kwenza uvavanyo olupheleleyo, kuquka izifundo zomfanekiso ezifana ne-X-ray yesifuba okanye i-CT scans, kwaye banokwenza uvavanyo olongezelelweyo lokuvavanya ukusebenza kwemiphunga kunye nempilo iyonke. Le ndlela ibanzi iqinisekisa ukuba inkqubo ifanelekile kwimeko ethile yesigulana kwaye iingozi ezinokubakho ziyancitshiswa.

Iintlobo zePleurectomy

I-Pleurectomy inokwahlulwahlulwa ngokweentlobo ezahlukeneyo ngokusekwe kubungakanani bokususwa kwezicubu ze-pleural kunye nendlela yotyando esetyenzisiweyo. Iintlobo ezimbini eziphambili ze-pleurectomy zezi:

• Utyando lwePleurectomy oluNgaphelelanga: Oku kuquka ukususwa kwenxalenye ye-pleura, ngesiqhelo i-parietal pleura. I-pleurectomy engaphelelanga idla ngokwenziwa kwiimeko apho kukho isifo sendawo, kwaye injongo kukunciphisa iimpawu ngelixa kugcinwa ukusebenza kwemiphunga kangangoko kunokwenzeka.
• I-Pleurectomy iyonke: Kule nkqubo ibanzi ngakumbi, i-pleura yonke iyasuswa. I-pleurectomy iyonke idla ngokuboniswa kwiimeko zesifo esixhaphakileyo, ezifana ne-pleural effusion enobungozi enxulunyaniswa nomhlaza. Le ndlela ijolise ekuboneleleni ngokukhululeka kweempawu ezibalulekileyo kwaye ingadityaniswa nezinye iindlela zonyango, ezifana ne-chemotherapy okanye unyango lwe-radiation, ukujongana nesifo esibangela umhlaza.

Zombini iintlobo ze-pleurectomy zinokwenziwa kusetyenziswa iindlela zotyando ezivulekileyo zemveli okanye iindlela ezingaphantsi kakhulu, ezifana notyando lwe-thoracoscopic oluncediswa yividiyo (VATS). Ukukhetha indlela yotyando kuxhomekeke kwizinto ezahlukeneyo, kubandakanya impilo yesigulana iyonke, ubungakanani besifo, kunye nobuchule bukagqirha otyandayo.

Ngamafutshane, i-pleurectomy lukhetho oluxabisekileyo lotyando kwizigulana ezinesifo se-pleural effusion kunye nezinye izifo ze-pleural. Ngokuqonda inkqubo, izalathiso zayo, kunye neentlobo ezikhoyo, izigulana zinokwenza izigqibo ezinolwazi malunga neendlela zonyango ezinokukhetha kuzo ngokubambisana neqela labo lezempilo.

Izithintelo zePleurectomy

I-Pleurectomy yinkqubo yotyando esenokungafaneleki kuye wonke umntu. Iimeko ezithile okanye izinto ezithile zinokwenza isigulana singafaneleki kolu tyando. Ukuqonda ezi zithintelo kubalulekile kwizigulana nakubaboneleli bezempilo ukuqinisekisa ukhuseleko nokusebenza kakuhle.

• Isifo seMiphunga esiMandundu: Izigulane ezineengxaki ezinkulu zemiphunga esele zikhona, ezifana nesifo esingapheliyo sokuvaleka kwemiphunga (COPD) okanye isifo sombefu esiqatha, zisenokungalunyamezeli kakuhle utyando. Le nkqubo inokuchaphazela ukusebenza kwemiphunga, kwaye abo baneenkqubo zokuphefumla ezibuthathaka banokujongana neengozi ezongezelelekileyo.
• Ubudala obuPhezulu: Nangona ubudala bodwa bungengomthetho ongqongqo, abaguli abadala banokuba nezinye iingxaki zempilo ezenza utyando lube nzima. Uvavanyo olupheleleyo lwempilo iyonke luyimfuneko ukuze kuqinisekiswe ukuba iingenelo zingaphezulu kweengozi.
• Iziphazamiso zeCoagulation: Izigulana ezineengxaki zokopha okanye abo bathatha unyango lwe-anticoagulant banokuba semngciphekweni omkhulu wokopha kakhulu ngexesha okanye emva kwenkqubo. Kubalulekile ukulawula ezi meko ngaphambi kokuba ucinge ngotyando lwe-pleurectomy.
• Usulelo olusebenzayo: Ukuba isigulana sinosulelo olusebenzayo, ingakumbi kwimiphunga okanye kwindawo yepleural, utyando lunokumiswa ide ifikelele esiphelweni. Oku kunceda ekuthinteleni iingxaki kwaye kukhuthaze ukuphiliswa ngcono.
• Iimeko zonyango ezingalawulekiyo: Iimeko ezifana nesifo seswekile esingalawulekiyo, uxinzelelo lwegazi oluphezulu, okanye isifo sentliziyo zinokwandisa iingozi zotyando. Izigulana kufuneka zilawulwe kakuhle ezi meko ngaphambi kokuba zisuswe i-pleurectomy.
• Impilo Embi xa iyonke: Uvavanyo olupheleleyo lwempilo yesigulana lubalulekile. Abo baneengxaki ezininzi okanye ababuthathaka kakhulu basenokungabi ngabona bantu bafanelekileyo botyando.
• Ukungakwazi ukulandela ukhathalelo lwasemva kokusebenza: Izigulana ezinokuba nzima ukulandela imiyalelo emva kotyando okanye amadinga okulandela emva kotyando zisenokungabi ngabantu abafanelekileyo. Ukuchacha ngempumelelo kudla ngokuxhomekeka ekubeni isigulana sikwazi na ukuncedisa ekunyamekeleni kwaso.
• Ukubandakanyeka kwe-Tumor: Kwimeko apho iithumba zinkulu okanye zibandakanya izakhiwo ezibalulekileyo, i-pleurectomy isenokungafaneleki. Uvavanyo olupheleleyo oluvela kwingcali yomhlaza luyimfuneko ukuze kuchongwe eyona ndlela ilungileyo yokwenza.

Indlela Yokulungiselela I-Pleurectomy

Ukulungiselela i-pleurectomy kubalulekile ukuqinisekisa ukuba inkqubo ilula kwaye iphilile. Nazi amanyathelo ekufuneka alandelwe zizigulana:

• Uthethwano lwaPhambi kokuSebenza: Cwangcisa intlanganiso nogqirha wakho ukuze nixoxe ngenkqubo, iingozi kunye neenzuzo. Eli lithuba lokubuza nayiphi na imibuzo kunye nokuvakalisa iinkxalabo.
• Uphononongo lweMbali yezoNyango: Nika imbali epheleleyo yezonyango, kuquka nawaphi na amayeza, ii-aleji, kunye notyando lwangaphambili. Olu lwazi lunceda iqela lezempilo ukuba lihlole ukuba ufanelekile na kule nkqubo.
• Uvavanyo loMzimba: Kuza kwenziwa uvavanyo olucokisekileyo lomzimba ukuze kuhlolwe impilo yakho iyonke kwaye kuchongwe naziphi na iingxaki ezinokuthi zichaphazele utyando.
• Uvavanyo lweempawu: Lindela ukwenza iimvavanyo ezininzi, kuquka:
  • I-X-ray yesifuba: Ukuvavanya impilo yemiphunga nokujonga naziphi na iingxaki.
  • I-CT Scan: Ukubonelela ngemifanekiso eneenkcukacha zesifuba kunye nokunceda ekucwangciseni utyando.
  • Uvavanyo Lokusebenza Kwemiphunga: Ukuvavanya amandla kunye nokusebenza kwemiphunga.
  • Uvavanyo lweGazi: Ukujonga naziphi na iimeko ezifihlakeleyo nokuqinisekisa ukuba igazi liqina ngokufanelekileyo.
• Ulawulo lwamayeza: Xoxa ngazo zonke iziyobisi nomboneleli wakho wezempilo. Kusenokufuneka uyeke ukusebenzisa amayeza athile, afana ne-blood thinners, kwiintsuku ezimbalwa ngaphambi kotyando ukuze unciphise umngcipheko wokopha.
• Imiyalelo yokuzila ukutya: Landela imiyalelo kagqirha wakho malunga nokuzila ukutya ngaphambi kotyando. Ngokwesiqhelo, izigulana ziyacetyiswa ukuba zingatyi okanye zingaseli nto emva kobusuku ngaphambi kotyando.
• Lungiselela ezoThutho: Ekubeni i-pleurectomy idla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo, lungiselela ukuba umntu akuqhubele ekhaya emva kwenkqubo. Awuyi kukwazi ukuqhuba ngokwakho.
• Isicwangciso sokuKhathalela emva kokusebenza: Xoxa ngesicwangciso sakho sokhathalelo emva kotyando neqela lakho lezempilo. Oku kuquka ulawulo lweentlungu, imiqathango yemisebenzi, kunye namadinga okulandela.
• Uhlengahlengiso kwindlela yokuphila: Ukuba uyatshaya, cinga ngokuyeka ngaphambi kotyando. Ukutshaya kunokubangela ukuba uphile kakubi kwaye kwandise umngcipheko weengxaki. Umboneleli wakho wezempilo angakunika izixhobo zokukunceda uyeke.
• Ukulungiselela ngokweemvakalelo: Kuqhelekile ukuba nexhala ngaphambi kotyando. Cinga ngokuxoxa ngeemvakalelo zakho neqela lakho lezempilo okanye umcebisi. Banokubonelela ngenkxaso kunye namaqhinga okumelana nolu tyando.

I-Pleurectomy: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda into omawuyilindele ngexesha lotyando lwe-pleurectomy kunokunceda ukunciphisa ixhala kwaye kukulungiselele amava. Nantsi inkcazo-ntetho yenkqubo inyathelo ngenyathelo:

1. Ngaphambi kweNkqubo:
   • Fika esibhedlele okanye kwiziko lotyando ngosuku olucwangcisiweyo.
   • Uza kuhlolwa uze usiwe kwindawo yangaphambi kotyando apho uza kutshintsha khona ilokhwe yesibhedlele.
   • Umgca we-intravenous (IV) uza kufakwa engalweni yakho ukuze unike amayeza kunye nolwelo.
2. Ukubulawa:
   • Umboneleli wezempilo uza kuxoxa nawe ngeendlela zokubulala iintlungu. I-Pleurectomy idla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba uza kube ulele ngexesha lenkqubo.
   • Ingcali yokubulala iintlungu iza kujonga iimpawu zakho ezibalulekileyo kulo lonke utyando ukuqinisekisa ukhuseleko lwakho.
3. Inkqubo yoTyando:
   • Ugqirha uza kwenza utyando eludongeni lwesifuba, ngokuqhelekileyo phakathi kweembambo, ukuze afikelele kwindawo ye-pleural.
   • Esebenzisa izixhobo ezikhethekileyo, ugqirha uza kususa i-pleura echaphazelekayo (ulwelo olujikeleze imiphunga) kunye nayo nayiphi na izicubu okanye ulwelo oluhambelana nayo.
   • Kwezinye iimeko, ugqirha angenza i-pleurodesis, inkqubo enceda ekuthinteleni ukwakheka kolwelo ngokubangela ukuba i-pleura inamathele.
4. Ukuvala i-Incision:
   • Xa i-pleurectomy igqityiwe, ugqirha uza kuyivala loo ndawo iqatywe nge-sutures okanye i-staples.
   • Ityhubhu yokukhupha amanzi ingafakwa ukunceda ukususa naluphi na ulwelo okanye umoya ogqithisileyo kwindawo yepleural, eya kuhlolwa emva kotyando.
5. Igumbi lokubuyisela:
   • Emva kwenkqubo, uza kusiwa kwigumbi lokuchacha apho abasebenzi bezempilo baza kukujonga njengoko uvuka emva kokufumana i-anesthesia.
   • Usenokufumana iintlungu okanye ukungakhululeki, nto leyo eza kulawulwa ngamayeza.
6. Ukuhlala esibhedlele:
   • Ngokuxhomekeke ekubeni uphilile kangakanani, unokuhlala esibhedlele iintsuku ezimbalwa. Ngeli xesha, ababoneleli ngeenkonzo zempilo baya kujonga ukusebenza kwemiphunga yakho baze baqinisekise ukuba akukho ngxaki.
   • Uya kukhuthazwa ukuba uphefumle nzulu kwaye ukhohlele kancinci ukuze uncede ukucoca imiphunga yakho.
7. Imiyalelo yokukhupha:
   • Wakuba uzinzile kwaye iqela lakho lezempilo lanelisekile yindlela ochacha ngayo, uza kukhululwa ngemiyalelo ethile yokhathalelo lwasekhaya.
   • Kuza kucwangciswa amaxesha okulandela umva ukuze kujongwe indlela ochacha ngayo kwaye kuhlolwe ukusebenza kakuhle kwemiphunga.

Iingozi kunye neengxaki zePleurectomy

Njengayo nayiphi na inkqubo yotyando, i-pleurectomy ineengozi ezithile kunye neengxaki ezinokubakho. Kubalulekile ukuzazi ezi zinto ukuze wenze isigqibo esinolwazi malunga nonyango lwakho.

• Imingcipheko eqhelekileyo:
  • Iintlungu: Iintlungu zasemva kokuhlinzwa zixhaphakile kodwa zinokulawulwa ngamayeza.
  • Usulelo: Kukho umngcipheko wosulelo kwindawo yokusikwa okanye kwindawo yepleural. Ii-antibiotics zinokumiselwa ukuthintela okanye ukunyanga usulelo.
  • Ukopha: Kulindeleke ukuba kubekho ukopha okuthile, kodwa ukopha kakhulu kunokufuna ukungenelela okongezelelweyo.
  • Iingxaki zokuphefumla: Izigulana zinokufumana ubunzima bokuphefumla okwethutyana okanye ukusebenza kwemiphunga okunciphileyo emva kotyando.
• Imingcipheko eNcinci:
  • I-Pneumothorax: Oku kwenzeka xa umoya uvuza kwindawo ye-pleural, nto leyo ebangela ukuba imiphunga iwe. Kusenokufuneka unyango olongezelelweyo, njengokubeka ityhubhu yesifuba.
  • Ukuqokelelana Kolwelo: Ulwelo lunokuqokelelwa kwindawo yepleural emva kotyando, nto leyo ebangela ukuba kufuneke ukuba kukhutshwe amanzi.
  • Izibazi: Izicwili zesikhumba zinokwenzeka kwindawo ye-pleural, nto leyo enokubangela iingxaki ekusebenzeni kwemiphunga.
• Imingcipheko enqabileyo:
  • Iingxaki ze-Anesthesia: Nangona zingaqhelekanga, iingxaki ezivela kwi-anesthesia zinokwenzeka, kuquka ukusabela kwi-allergy okanye imiba yokuphefumla.
  • Ukulimala Kwamalungu: Kukho umngcipheko omncinci wokwenzakala kwamalungu angqongileyo, njengemiphunga okanye imithambo yegazi, ngexesha lenkqubo.
  • Iingxaki Zemiphunga Zexesha Elide: Ezinye izigulana zinokufumana utshintsho oluhlala ixesha elide ekusebenzeni kwemiphunga, ingakumbi ukuba bezineengxaki zemiphunga esele zikhona.
• Impembelelo yeemvakalelo: Kubalulekile kwakhona ukuqwalasela impembelelo yeemvakalelo neyengqondo yotyando. Izigulana zinokuba nexhala okanye ukudakumba emva kotyando, kwaye inkxaso evela kubaboneleli bezempilo, usapho kunye nabahlobo inokuba luncedo.

Ukubuyisela Umva Emva kwePleurectomy

Ukuchacha emva kokuhlinzwa kwe-pleurectomy linqanaba elibalulekileyo elichaphazela kakhulu impumelelo iyonke yenkqubo. Ixesha lokuchacha linokwahluka ukusuka kwisigulana ukuya kwisigulana, kodwa ngokubanzi, unokulindela la manqanaba alandelayo:

Ukhathalelo olukhawulezileyo lwasemva kokusebenza

Emva kotyando, uza kubekwa esweni kwigumbi lokuchacha iiyure ezimbalwa. Abasebenzi bezonyango baza kujonga iimpawu zakho ezibalulekileyo baze balawule nayiphi na intlungu onokuyiva. Usenokuba ufake ityhubhu yesifuba ukunceda ekukhupheni naluphi na ulwelo okanye umoya onokuqokelelana kwindawo yepleural. Le tyhubhu idla ngokususwa kwiintsuku ezimbalwa, kuxhomekeke kwinkqubela yakho yokuchacha.

Ukuhlala esibhedlele

Uninzi lwezigulana luhlala esibhedlele malunga neentsuku ezi-3 ukuya kwezi-7 emva kotyando. Ngeli xesha, ababoneleli bezempilo baya kujonga indlela ochacha ngayo, balawule iintlungu, kwaye baqinisekise ukuba ukusebenza kwemiphunga yakho kuzinzile. Ungakhuthazwa ukuba uphefumle nzulu kwaye wenze umthambo wokuphefumla ukuthintela iingxaki ezifana ne-pneumonia.

Ukubuyisela Ekhaya

Nje ukuba uphume esibhedlele, ukuchacha ekhaya kudla ngokuthatha malunga neeveki ezi-4 ukuya kwezi-6. Ngeli xesha, kubalulekile ukulandela imiyalelo yonyango lwakho emva kotyando ngokusondeleyo. Nazi ezinye iingcebiso zokuchacha okuthe ngcembe:

• Ukuphumla: Qinisekisa ukuba uphumla ngokwaneleyo. Umzimba wakho udinga ixesha lokuphola, ngoko ke kuphephe ukwenza imisebenzi enzima.
• Ulawulo lweentlungu: Sela amayeza entlungu amiselweyo njengoko kuyalelwe. Ukuba ufumana iintlungu ezingakumbi okanye ukungakhululeki, nxibelelana nomboneleli wakho wezempilo.
• Ukhathalelo lwamanxeba: Gcina indawo yotyando icocekile kwaye yomile. Landela imiyalelo kagqirha wakho malunga nendlela yokunyamekela inxeba elisikiweyo.
• Imithambo yokuphefumla: Qhubeka nokuzivocavoca ukuphefumla okumiselweyo ukuze ukhuthaze ukwanda kwemiphunga nokuthintela iingxaki.
• Ukutya: Yitya ukutya okunesondlo okutyebileyo ngeeproteni, iivithamini, kunye neeminerali ukuze uncede ekupholeni. Hlala unamanzi emzimbeni.

Ukuqalisa kwakhona Imisebenzi eqhelekileyo

Uninzi lwezigulana lunokubuyela kwimisebenzi elula kwiiveki ezi-2 ukuya kwezi-4 emva kotyando. Nangona kunjalo, kungathatha iiveki ezi-6 ukuya kwezi-8 ngaphambi kokuba uqalise imisebenzi enzima ngakumbi, njengokuphakamisa izinto ezisindayo okanye ukuzilolonga ngamandla. Soloko unxibelelana nomboneleli wakho wezempilo ngaphambi kokuba ubuyele kwimisebenzi yakho eqhelekileyo.

Iingenelo zePleurectomy

I-Pleurectomy inika uphuculo olukhulu kwimpilo kunye neziphumo zomgangatho wobomi kwizigulana ezinesifo se-pleural, ingakumbi ezo zineemeko ezifana ne-pleural effusion okanye i-mesothelioma. Nazi ezinye zezibonelelo eziphambili:

• Uncedo lweempawu: Enye yezona nzuzo ziphambili zokususwa kwe-pleurectomy kukukhululeka kwiimpawu ezinxulumene nokukhupha umoya ongcolileyo, ezinje ngokuphefumla kancinci, iintlungu zesifuba, kunye nokukhwehlela okungapheliyo. Ngokususa i-pleura, le nkqubo inokunciphisa uxinzelelo emiphungeni, ivumele ukuphefumla kube lula.
• Uphuculo lwemiphunga: Ngokujongana neengxaki ezibangela ukuqokelelana kolwelo, i-pleurectomy inokukhokelela ekuphuculeni ukusebenza kwemiphunga. Izigulana zihlala zixela ukuba ziziva zinamandla kwaye zikwazi ukwenza imisebenzi yemihla ngemihla ngaphandle kwemida ebekwe yimeko yazo yangaphambili.
• Umgangatho woBomi: Izigulane ezininzi zifumana uphuculo olukhulu kumgangatho wazo wonke emva kotyando. Ukuncipha kweempawu kuvumela indlela yokuphila esebenzayo, ubuthongo obungcono, kunye nokuphila kakuhle ngokweemvakalelo.
• Amathuba Okusinda Ixesha Elide: Kwimeko yokususwa kwe-pleural effusion enobungozi, i-pleurectomy inokuba yinxalenye yesicwangciso sonyango esibanzi esinokuphucula amazinga okusinda. Ngokususa izicubu zomhlaza kunye nolwelo, le nkqubo inokunceda ukulawula isifo ngempumelelo.
• Iinketho eziNgena zingenelelayo: Kwezinye iimeko, i-pleurectomy inokwenziwa kusetyenziswa iindlela ezingaphantsi kakhulu, nto leyo enokubangela ukuba ixesha lokuchacha libe lifutshane, iintlungu zingabi ninzi, kwaye kuncitshiswe umngcipheko weengxaki xa kuthelekiswa notyando oluvulekileyo lwendabuko.

I-Pleurectomy vs. I-Thoracentesis

Nangona i-pleurectomy iyinkqubo yotyando ejolise ekususeni i-pleura, i-thoracentesis yinkqubo engangenisi kakhulu esetyenziselwa ukususa ulwelo kwindawo ye-pleural. Nantsi uthelekiso lwezi zimbini:

Ixabiso lePleurectomy eIndiya

Ixabiso eliqhelekileyo le-pleurectomy eIndiya liqala kwi-₹1,00,000 ukuya kwi-₹3,00,000. Ukuze ufumane uqikelelo oluchanekileyo, nxibelelana nathi namhlanje.

Imibuzo Ebuzwa Rhoqo Malunga nePleurectomy

Kufuneka nditye ntoni phambi kotyando? 

Ngaphambi kokuba utyandwe i-pleurectomy, kubalulekile ukulandela imiyalelo yokutya kagqirha wakho. Ngokubanzi, unokucetyiswa ukuba utye ukutya okulula kwaye uphephe ukutya okunzima okanye okunamafutha. Ukuhlala unamanzi aneleyo kubalulekile. Xoxa nomboneleli wakho wezempilo ngayo nayiphi na imiqathango ethile yokutya.

Ndingawathatha amayeza am rhoqo phambi kotyando? 

Ufanele wazise ugqirha wakho malunga nawo onke amayeza owasebenzisayo ngoku. Amanye amayeza, ingakumbi amayeza okunciphisa igazi, anokufuna ukunqunyanyiswa ngaphambi kotyando. Hlala ulandela icebiso logqirha wakho malunga nolawulo lwamayeza.

Yintoni endinokuyilindela malunga nentlungu emva kotyando? 

Kuqhelekile ukuba neentlungu nokungakhululeki emva kotyando lwe-pleurectomy. Iqela lakho lezonyango liza kubonelela ngeendlela zokulawula iintlungu, kuquka amayeza. Ukuba iintlungu zakho ziya zisiba mandundu okanye azilawuleki, nxibelelana nogqirha wakho ngoko nangoko.

Ndizakuhlala ixesha elingakanani esibhedlele? 

Uninzi lwezigulane zihlala esibhedlele malunga neentsuku ezi-3 ukuya kwezi-7 emva kokususwa kwesibeleko, kuxhomekeke ekubeni ziyaqhubeka na. Iqela lakho lezonyango liza kujonga imeko yakho lize ligqibe ukuba kukhuselekile nini ukuba ugoduke.

Ndingabuyela nini emsebenzini? 

Ixesha lokubuyela emsebenzini liyahluka ngokwendlela umntu ngamnye asebenza ngayo kunye nohlobo lomsebenzi wakho. Ngokubanzi, imisebenzi elula ingaqalwa kwakhona kwiiveki ezi-2 ukuya kwezi-4, ngelixa umsebenzi onzima ngakumbi ungadinga iiveki ezi-6 ukuya kwezi-8. Nxibelelana nogqirha wakho ukuze ufumane ingcebiso elungiselelwe wena.

Ngaba kukho naziphi na izithintelo zokutya emva kotyando?

Emva kokuhlinzwa kwe-pleurectomy, gxila ekutyeni okunesondlo okutyebileyo kwiproteni, iziqhamo, kunye nemifuno ukuxhasa ukuphiliswa. Kuphephe ukutya okunzima, okunamafutha kunye notywala de ugqirha wakho akunike imvume. Ukuhlala unamanzi emzimbeni nako kubalulekile.

Zeziphi iimpawu zengxaki ekufuneka ndizijonge? 

Emva kotyando, jonga iimpawu zosulelo, ezinje ngomkhuhlane, iintlungu ezingakumbi, okanye ukukhupha okungaqhelekanga kwindawo etyandwe kuyo. Ukongeza, ukuba ufumana ukuphefumla okufutshane okanye iintlungu zesifuba, funa uncedo lwezonyango ngokukhawuleza.

Ndingaqhuba emva kotyando? 

Kucetyiswa ukuba ungaqhubi imoto ubuncinane iveki emva kotyando lwe-pleurectomy okanye ude ugqirha wakho akunike imvume. Amayeza eentlungu anokuphazamisa amandla akho okuqhuba ngokukhuselekileyo, ngoko ke qiniseka ukuba uphilile ngokupheleleyo ngaphambi kokuba uqhube.

Ndingayilawula njani intlungu yam ekhaya? 

Landela imiyalelo kagqirha wakho yokulawula iintlungu, enokubandakanya amayeza amiselweyo. Ukusebenzisa iipakethe zomkhenkce kwindawo yotyando kunokunceda ekunciphiseni ukudumba kunye nokungonwabi. Ukuphumla kubalulekile ukuze uphile.

Ngaba unyango lomzimba luyimfuneko emva kokuhlinzwa kwe-pleurectomy? 

Unyango lomzimba lunokucetyiswa ukunceda ukuphucula ukusebenza kwemiphunga kunye nokuchacha ngokupheleleyo. Umboneleli wakho wezempilo uza kuvavanya iimfuno zakho aze akuthumele kwingcali yonyango lomzimba ukuze akuqeqeshe ngendlela efanelekileyo.

Ndingenza ntoni ukuba ndiziva ndinexhala malunga notyando? 

Kuqhelekile ukuba nexhala ngaphambi kotyando. Xoxa ngeengxaki zakho nomboneleli wakho wezempilo, onokukunika isiqinisekiso kwaye acebise ngeendlela zokuphumla okanye iingcebiso ukunceda ukunciphisa ixhala lakho.

Ngaba ndingahlamba emva kotyando? 

Ungacetyiswa ukuba ungayifaki kwindawo yotyando kangangeentsuku ezimbalwa. Nje ukuba ugqirha wakho aqinisekise ukuba ikhuselekile, ungahlamba, kodwa lumka ungavumeli amanzi angene ngqo kwindawo etyumkileyo. Yibambe kancinci loo ndawo.

Kuthekani ukuba ndinemeko esele ikhona? 

Yazisa umboneleli wakho wezempilo malunga nazo naziphi na iimeko ezikhoyo, njengoko zinokuchaphazela utyando lwakho kunye nokuchacha kwakho. Iqela lakho lezonyango liza kuziqwalasela ezi zinto xa licwangcisa inkqubo yakho kunye nonyango lwakho emva koko.

Ityhubhu yesifuba iza kuhlala ixesha elingakanani ngaphakathi? 

Ityhubhu yesifuba idla ngokususwa kwiintsuku ezimbalwa emva kotyando, kuxhomekeke ekubeni uphilile na kunye nobungakanani bolwelo okanye umoya ophumayo. Iqela lakho lezempilo liza kujonga inkqubela yakho lize lenze isigqibo.

Ngaba ndingahamba emva kotyando lwe-pleurectomy? 

Kungcono ukuphepha ukuhamba ubuncinane iiveki ezimbalwa emva kotyando. Ukuba kuyimfuneko ukuhamba, qhagamshelana nogqirha wakho ukuze akunike icebiso malunga nokuba kukhuselekile nini ukwenza njalo kunye naziphi na izilumkiso omele uzithathe.

Injani inyameko yokulandelela emva kokususwa kwe-pleurectomy? 

Unyango olulandelayo ludla ngokubandakanya ukuhlolwa rhoqo nomboneleli wakho wezempilo ukuze ajonge indlela ochacha ngayo kunye nokusebenza kwemiphunga yakho. Ugqirha wakho uya kucwangcisa la madinga kwaye angenza uvavanyo lwemifanekiso ukuze ahlole inkqubela yakho.

Ngaba ndiza kufuna unyango olongezelelweyo emva kokususwa kwe-pleurectomy? 

Ngokuxhomekeke kwimeko engundoqo ekhokelele kwi-pleurectomy, unyango olongezelelweyo olufana ne-chemotherapy okanye i-radiation lunokufuneka. Umboneleli wakho wezempilo uza kuxoxa ngeyona ndlela ilungileyo yokwenza ngokusekelwe kwimeko yakho ethile.

Ingaba i-pleurectomy sisisombululo esisisigxina? 

Nangona i-pleurectomy inokubonelela ngoncedo olukhulu kwaye iphucule umgangatho wobomi, isenokungabi sisisombululo esihlala sihleli kubo bonke abaguli. Kusenokufuneka ukubekwa esweni okuqhubekayo kunye nonyango olongezelelweyo, ingakumbi kwiimeko zomhlaza.

Ziziphi iingozi ezinxulumene ne-pleurectomy? 

Njengakwezinye iinkqubo zotyando, i-pleurectomy ineengozi, kubandakanya usulelo, ukopha, kunye neengxaki ezinxulumene ne-anesthesia. Xoxa ngezi ngozi nomboneleli wakho wezempilo ukuze uqonde ukuba zisebenza njani kwimeko yakho.

Ndingakuxhasa njani ukuchacha kwam ngokweemvakalelo? 

Inkxaso yeemvakalelo ibalulekile ngexesha lokuchacha. Nxibelelana nosapho kunye nabahlobo, cinga ngokujoyina iqela lenkxaso, kwaye ungathandabuzi ukufuna iingcebiso zobungcali ukuba uziva uxinezelekile. Ukubeka impilo yengqondo phambili kubaluleke kakhulu njengokuchacha emzimbeni.

isiphelo

I-Pleurectomy yinkqubo yotyando ebalulekileyo enokuphucula kakhulu umgangatho wobomi kwizigulana ezinesifo se-pleural. Ngokunciphisa iimpawu nokujongana neengxaki ezisisiseko, le nkqubo inokukhokelela ekusebenzeni ngcono kwemiphunga kunye nokuphila kakuhle. Ukuba wena okanye umntu omthandayo nicinga nge-pleurectomy, kubalulekile ukubonisana neengcali zonyango ukuze nixoxe ngeenzuzo kunye neengozi ezinokubakho ezihambelana nesimo sakho esithile. Impilo yakho kunye nokuchacha kubaluleke kakhulu, kwaye ulwalathiso olufanelekileyo lunokwenza umahluko omkhulu.