Opaleshoni ya Thoracic

India ili ndi gawo lachipatala lomwe likukula ndipo lili ndi akatswiri ambiri odziwa bwino komanso odziwa bwino opaleshoni omwe amagwiritsa ntchito njira zamakono komanso zamakono kuti achite opaleshoni ya thoracic. Zipatala zambiri ku India zili ndi zipangizo zamakono komanso zipangizo zamakono zamakono kuti zitsimikizire zotsatira zabwino kwa odwala. Mtengo wa opaleshoni ya thoracic ku India ndi wotsika kwambiri poyerekeza ndi mayiko ena, zomwe zimapangitsa kukhala njira yotsika mtengo kwa odwala padziko lonse lapansi. India imadziwikanso ndi mapulogalamu ake abwino kwambiri osamalira odwala pambuyo pa opaleshoni komanso kukonzanso.

Kodi Cardio Vascular Thoracic Surgery ndi chiyani?

Cardio vascular thoracic operation kwenikweni ndi opaleshoni ya mtima (mtima ndi magazi) ndi pulmonary (mapapu). Amazindikira ndi kuchiza matenda a mtima, mapapo, ndi zina zofanana monga khosi kapena chubu chodyetsa, trachea kapena windpipe, ndi matenda a diaphragm ndi kuvulala koopsa. Ena mwa maopaleshoni a cardiothoracic amakhazikika m'njira zovuta monga kuyika mtima ndi mapapo.

Kutengera ndi njira ya opaleshoni, mitundu ya opaleshoni ya cardio vascular thoracic imatha kuchitika:

• Opaleshoni Yotsegula
• Opaleshoni ya Endoscopic (Laparoscopic kapena thoracoscopic)
• Kupanga Opaleshoni

Mitundu ya Opaleshoni Yachifuwa 

Opaleshoni ya thoracic imaphatikizapo njira zokhudzana ndi chifuwa, makamaka ziwalo ndi ziwalo zomwe zili mkati mwa thoracic cavity. Mitundu ingapo ya opaleshoni ya thoracic imakhudza zinthu zosiyanasiyana:

1. Opaleshoni Yamapapo: Opaleshoniyi imachiritsa khansa ya m'mapapo, matenda, kapena kuwonongeka kwa mapapo. Zingaphatikizepo kuchotsa gawo kapena mapapo onse (lobectomy kapena pneumonectomy).

2. Opaleshoni Yam'mimba: Amagwiritsidwa ntchito pochiza khansa yam'mero ​​kapena acid reflux yoopsa, opaleshoniyi imaphatikizapo kuchotsa kapena kukonzanso mbali za mmero.

3. Opaleshoni ya MediastinalNjirayi imachotsa zotupa kapena zotupa mu mediastinum, malo pakati pa mapapo pomwe mtima, trachea, ndi ziwalo zina zofunika zili.

4. Opaleshoni ya Pleural: Amachiza m'mapapo (pleura) pa nkhani ngati pleural effusion kapena matenda pochotsa madzimadzi kapena mbali zina za pleura.

5. Opaleshoni Yochepa Kwambiri (VATS): Opaleshoni ya thoracic yothandizira pavidiyo (VATS) imagwiritsa ntchito madontho ang'onoang'ono ndi kamera kuti athetse vuto la chifuwa ndi kupweteka kochepa komanso kuchira msanga.

Kuopsa ndi Ubwino Wa Opaleshoni Ya Thoracic

Kuwopsa Opaleshoni ya Thoracic

1. Kutenga: Monga opaleshoni iliyonse, pali chiopsezo chotenga matenda pamalo ocheka kapena mkati mwa chifuwa.
2. Kusuta: Kutaya magazi kwakukulu kungabwere mkati kapena pambuyo pa opaleshoni, nthawi zina kumafuna kuikidwa magazi.
3. Mavuto a kupuma: Pambuyo pa opaleshoni ya m'mapapo, kupuma kungabwere, zomwe zingayambitse nthawi yayitali yochira kapena zovuta.
4. Kuundana Magazi: Opaleshoni imawonjezera chiwopsezo cha kuundana kwa magazi, komwe kumatha kupita kumapapu (pulmonary embolism) ndikuyambitsa zovuta zazikulu.
5. Mavuto a Mtima: Odwala ena akhoza kukhala ndi maulendo a mtima osasinthasintha kapena mavuto ena okhudzana ndi mtima pambuyo pa opaleshoni.

ubwino Opaleshoni ya Thoracic

1. Imakweza Moyo Wabwino: Opaleshoni imatha kuthetsa zowawa kapena zoopsa monga khansa ya m'mapapo, matenda oopsa, kapena kuvulala pachifuwa, zomwe zimapangitsa kukhala ndi thanzi labwino.
2. Kuchiza Kapena Kuletsa Matenda: Opaleshoni ya thoracic imatha kuchiza bwino khansa, zotupa, kapena matenda ena pachifuwa, kuletsa kufalikira kapena kuwonongeka.
3. Zosankha Zochepa Zowononga: Ndi njira monga VATS, kuchira kumafulumira, kupweteka kumakhala kochepa, ndipo kukhala m'chipatala kumakhala kochepa, kumachepetsa zoopsa zonse.
4. Imabwezeretsa Ntchito Yamapapo: Kwa iwo omwe ali ndi vuto la m'mapapo, opaleshoni imatha kuthandiza kubwezeretsa magwiridwe antchito am'mapapo, kupangitsa kupuma kukhala kosavuta komanso kukonza zochitika zatsiku ndi tsiku.

Opaleshoni ya thoracic imatha kuchitidwa pogwiritsa ntchito maopaleshoni achikhalidwe otseguka kapena njira zochepetsera pang'ono, monga opaleshoni yapakhosi yothandizidwa ndi kanema (VATS) kapena opaleshoni yapakhosi yothandizidwa ndi robotic. Kusankha njira yopangira opaleshoni kumadalira zifukwa zingapo, kuphatikizapo momwe wodwalayo alili, mtundu wa opaleshoni, ndi luso la dokotala. Odwala amayenera kukhala ndi mayeso athunthu a magazi ndi mayeso ena monga kuphatikiza kujambula kapena kuyesa komwe kuyeza kuthamanga kwa mtima ndi ntchito. 

Ndondomeko isanachitike

1. Kufunsa: Mudzakumana ndi dokotala wanu wa opaleshoni kuti mukambirane za kufunika kochitidwa opaleshoni ya chifuwa, kaya ndikuchiza matenda a m'mapapo, matenda a m'mimba, kapena chifuwa. Mbiri yanu yachipatala iwunikiridwa, ndipo kuyezetsa ngati X-ray, CT scan, kapena kuyezetsa magazi kutha kuyitanidwa.

2. Malangizo Opangira Opaleshoni: Dokotala wanu adzakupatsani malangizo, monga:

   • Kusala kudya: Muyenera kupewa zakudya ndi zakumwa kwa maola angapo musanachite opaleshoni.
   • Kusintha kwa Mankhwala: Mankhwala ena angafunike kuyimitsidwa, makamaka ochepetsa magazi.

3. Anesthesia Plan: Mudzadziwitsidwa za anesthesia, yomwe ingakhale mankhwala oletsa ululu kuti mukhale ogona komanso opanda ululu panthawi ya ndondomekoyi.

Panthawi ya Ndondomeko

1. Zodulidwa: Dokotala wa opaleshoni amapanga zing'onozing'ono kapena zazikulu m'dera la chifuwa, malingana ndi mtundu wa opaleshoni. Ngati ndi opaleshoni yochepa kwambiri (VATS kapena robotic-assisted), ting'onoting'ono tating'ono timagwiritsidwa ntchito poika kamera ndi zida.

2. Masitepe Opaleshoni: Njira zenizeni zimadalira mtundu wa opaleshoni. Dokotala wa opaleshoni amatha kuchotsa gawo lina la mapapu, kukonza khosi, kapena kuthana ndi zovuta zina za thoracic monga zotupa kapena cysts.

3. Kutseka: Ndondomeko yofunikira ikamalizidwa, zodulidwazo zimatsekedwa ndi stitches kapena staples. Atha kulowetsa pachifuwa kuti achotse madzi aliwonse.

Pambuyo pa Ndondomekoyi

1. Malo Otsegula: Mudzayang'aniridwa m'chipinda chothandizira pamene opaleshoni yatha. Mankhwala opweteka adzaperekedwa kuti athetse vuto.

2. Kukhala Pachipatala: Malingana ndi zovuta za opaleshoniyo, mukhoza kukhala m'chipatala kwa masiku angapo. Zochita zolimbitsa thupi zopumira komanso zolimbitsa thupi zitha kulimbikitsidwa kuti zithandizire kuchira.

3. Kubwezeretsa Kunyumba: Mukatulutsidwa, muyenera kutsatira malangizo a dokotala pambuyo pake, omwe angaphatikizepo kuthetsa ululu, kusamalira kudulidwa, ndikuwonjezera pang'onopang'ono ntchito. Nthawi zotsatila zidzakonzedwa kuti muwone momwe mukuyendera.

Opaleshoni ya Thoracic ku EdhaCare

Akatswiri azachipatala, ma radiation oncologist, pulmonologists, pathologists, ndi maopaleshoni a thoracic ndi ena mwa akatswiri ambiri aluso omwe amagwirira ntchito limodzi kupanga Pulogalamu yathu ya Thoracic Oncology. Pachipatala chimodzi, odwala amatha kulandira chithandizo chambiri kuchokera kwa ogwira ntchito osiyanasiyana, kuphatikizapo:

• Akatswiri a radiology omwe amagwiritsa ntchito kwambiri kuwerengera kwa thoracic amawunika zotsatira za kuyezetsa ndi kuyesa, matenda, ndi ntchito zojambula.
• Mbiri ya chotupa cha mamolekyulu kuti azindikire njira zochiritsira zodalirika kwambiri zamapangidwe amtundu wamtundu wa wodwala aliyense.
• Chemotherapy, kuphatikiza mankhwala ophatikizika atsopano komanso njira zapakamwa komanso zamtsempha
• Chithandizo cha radiation, chomwe chimaphatikizapo njira zoperekera ma radiation a stereotactic
• Maopaleshoni, kuphatikiza ma robotiki, othandizira makanema, komanso njira zowononga pang'ono
• Chisamaliro chothandizira, monga upangiri pazakudya, thandizo la pulmonology, kusiya kusuta, ndi kuletsa kupweteka