25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
I-lung lobectomy isusa ingxenye eyodwa kweziyisihlanu zamaphaphu. Lokhu kuhlinzwa okubalulekile kuwukwelashwa okunempilo kwesigaba sokuqala umdlavuza wamaphaphu kanye nezifo ezithile zamaphaphu amahle.
Ukuhlinzwa kwethoracic okusizwa ngevidiyo (i-VATS) kuguqule imiphumela yokuhlinzwa kwamaphaphu eminyakeni embalwa edlule. Ucwaningo lubonisa ukuthi i-VATS lobectomy inezinga eliphansi lokufa nokugula. Odokotela manje bayincoma njengenketho yokuqala yomdlavuza wamaphaphu osaqala kanye nezimo ezibucayi ezikhethiwe. Iziguli ezenza lokhu kuhlinzwa kwe-lobectomy zinemiphumela emihle kanye namazinga okuphila amahle.
Lesi sihloko sichaza inqubo ye-lung lobectomy, izinkomba zayo, nokuthi yini ongayilindela ngesikhathi nangemva kokuhlinzwa kwakho.
CARE Izibhedlela inikeza imiphumela emihle kakhulu yesiguli ngokusebenzisa izinqubo eziphelele ze-lung lobectomy. Izindlela zethu zokuhlinza zisiza iziguli ukuthi zilulame ngokushesha ngokuphatheka kabi okuncane.
Odokotela Abahlinza Kakhulu Be-Lobectomy eNdiya
Isibhedlela i-CARE sihlanganisa izindlela zendabuko nezindlela ezithuthukile zokuhlinzwa kwamaphaphu:
Ukwelashwa kwe-lobectomy ye-CARE Hospital kubhekana nezimo ezimbalwa zamaphaphu, njenge:
Isibhedlela i-CARE sisebenza ngokukhethekile ngezinqubo ezahlukene ze-lobectomy:
Iziguli manje zingaphuma esibhedlela ngokushesha; lokhu kungenxa yokuthi izinqubo ezihlasela kancane zidinga izinsuku ezingu-2-3 kuphela zokuhlala esibhedlela uma kuqhathaniswa nezindlela zendabuko.
Iziguli zidinga ukuhlolwa okuningana okubalulekile ngaphambi kwe-lobectomy:
Iziguli kufanele ziyeke ukubhema isikhathi eside ngaphambi kokuhlinzwa ukuze kuncishiswe izinkinga. Okubaluleke nakakhulu, odokotela bacela iziguli ukuthi zigweme ukudla neziphuzo phakathi kwamabili ngosuku olwandulela ukuhlinzwa.
Izinyathelo zihlanganisa:
Ngokuvamile, ukuhlinzwa kwe-lobectomy ngokuvamile kuthatha amahora amabili.
Iziguli ezenza izinqubo ze-VATS noma ze-RATS ngokuvamile zichitha izinsuku ezingu-2-3 esibhedlela, kuyilapho iziguli ezihlinzwa isifuba zidinga izinsuku ezingu-3-4.
Amashubhu esifubeni ahlale endaweni kuze kunciphe amanzi.
Ukululama kuqala ngokuhamba ngosuku lwangemva kokuhlinzwa ukuze kusheshiswe ukuphulukiswa.
Isigqi senhliziyo esingavamile (i-atrial fibrillation) siphezulu ohlwini lwezinkinga. Ezinye izingozi ezingaba khona zihlanganisa:
Iziguli zomdlavuza wamaphaphu ezisezingeni lokuqala zinethuba elihle kakhulu lokwelashwa nge-lobectomy. Iziguli ezikhetha izindlela ezingangeneleli kancane zithola ukululama ngokushesha kanye nobuhlungu obuncane ngemva kokuhlinzwa.
Iningi lezinhlelo zomshuwalense zihlanganisa ukuhlinzwa kwe-lobectomy. Noma kunjalo, iziguli kungase kudingeke ukuthi zikhokhe ezinye izindleko eziphuma ephaketheni. Khuluma nomhlinzeki wakho womshwalense ukuze uthole ukuqonda okucacile.
Umbono wesibili usiza ukuqinisekisa ukuxilongwa nokuhlola izinketho zokwelashwa ezitholakalayo. Ochwepheshe abahlinzayo be-thoracic banikeza ukubonisana okubonakalayo okuqeda izidingo zokuhamba futhi banikeze izimpendulo phakathi kwamaviki angu-1-2. Izibhedlela ze-CARE zinikeza izinsizakalo zombono wesibili ezisiza iziguli ukuthi ziqinisekise ukuxilongwa kwazo futhi zihlole zonke izindlela zokwelapha ngaphambi kokwenza lesi sinqumo esibalulekile.
Ukuhlinzwa kwe-lobectomy kuyindlela yokwelapha ebalulekile ezigulini ezinomdlavuza wamaphaphu osaqala kanye nezimo ezithile zamaphaphu amahle. Izibhedlela ze-CARE e-Hyderabad ziletha imiphumela emangalisayo ngazo zombili izindlela zendabuko nezithuthukisiwe zokuhlinzwa zale nqubo esindisa impilo.
Izindlela ezingenele kancane njenge-VATS nokuhlinzwa okusizwa ngamarobhothi kwehlise izikhathi zokululama kanye namazinga ezinkinga kakhulu. Ukulungiselela kahle kuholela emiphumeleni ye-lobectomy ephumelelayo. Isiguli ngasinye sidinga ukuhlolwa okuphelele futhi kufanele silandele imihlahlandlela yangaphambi kokuhlinzwa ngokucophelela.
Iziguli kufanele zicabange ngokucophelela ngesinqumo sazo sokwenza i-lobectomy. Indlela egxile esigulini, ehlangene nobuchwepheshe besimanje bokuhlinza, yenza izibhedlela ze-CARE zibe yisinqumo esiphezulu sokuhlinzwa kwe-lobectomy e-Hyderabad.
Izibhedlela Zokuhlinza I-Lobectomy eNdiya
Ukuhlinzwa kwe-lobectomy kususa eyodwa yezingxenye ezinhlanu zamaphaphu akho. Iphaphu lakho langakwesokudla linama-lobe amathathu, kanti iphaphu lakho lesokunxele linamabili. Le nqubo yelapha izinkinga zamaphaphu engxenyeni ethile kuyilapho izicubu zamaphaphu ezisele ezinempilo ziqhubeka nokusebenza ngendlela evamile.
Odokotela batusa i-lobectomy ikakhulukazi:
Amakhandidethi angcono kakhulu ane-pulmonary reserve eyanele yokusingatha ukuqaqa. Iziguli ezine-FEV1 ngaphansi kuka-800 cc noma i-DLCO ngaphansi kuka-40% zibhekana nezingozi ezinkulu. Ukuhlinzwa akuzifanele iziguli ezisanda kuhlaselwa yinhliziyo noma isifo senhliziyo esibi kakhulu.
Ukuhlinzwa kwe-lobectomy ngokuvamile kuphephile, izinga lokufa ngesikhathi sokuhlinzwa lincane. Iziguli ezingaphezu kweminyaka engu-75 ubudala zingase zibe nezingozi ezimbalwa.
Iziguli ziba nokungakhululeki okuthile ngemva kokuhlinzwa. Ubuhlungu ngokuvamile buyancipha ngokuhamba kwesikhathi.
Imisebenzi eminingi ye-lobectomy ihlala cishe amahora amabili.
Izingozi eziyinhloko zihlanganisa:
Isikhathi sokululama sincike endleleni yakho yokuhlinzwa. Iziguli ezithola i-VATS noma izinqubo zerobhothi ngokuvamile zichitha izinsuku ezingu-2-3 esibhedlela. Iziguli ezihlinza isifuba ngokuvula isifuba zidinga izinsuku ezingu-3-4. Ukululama okuphelele kuthatha amaviki angu-4-6, nakuba ezinye iziguli zingase zidinge amaviki ayi-10-12 ngaphambi kokuba zizizwe zijwayelekile futhi. Iziguli eziningi zingabuyela emsebenzini wedeski phakathi kwamasonto amabili ngemuva kwezinqubo ezihlasela kancane.
Imiphumela yesikhathi eside ayivamile ukubonakala; lokhu kungafaka:
Yonke i-lobectomy idinga i-anesthesia jikelele. Odokotela bavame ukwengeza amabhlogo wesifunda noma izinzwa ze-epidural ukuze balawule ubuhlungu kangcono.
Iziguli akufanele zihlinzwe uma zine:
Odokotela abahlinza ithoracic benza lokhu kuhlinza. Iziguli zilulama ngokushesha futhi ziphuma esibhedlela ngokushesha lapho odokotela abahlinza i-thoracic benza ukuhlinzwa okuphumelelayo nokuphambili.
Ukuthola kwakho kudinga ukuthi ugweme: