Lapa lapa thoracoscopic video (VATS)
E pili ana i kēia hoʻāʻo
ʻO ka ʻoki kino me ka kōkua o ke wikiō (VATS) kahi ʻano ʻoki kino liʻiliʻi e hoʻohana ʻia e ʻike a mālama i nā pilikia ma ka umauma. I ka wā o kahi kaʻina hana VATS, hoʻokomo ʻia kahi kāmela liʻiliʻi a me nā mea hana ʻoki kino i loko o ka umauma ma o hoʻokahi a ʻoi aku paha mau ʻoki liʻiliʻi ma ka paia umauma. Hoʻouna ka kāmela, i kapa ʻia ʻo ka thoracoscope, i nā kiʻi o loko o ka umauma i kahi monitor wikiō. Ke alakaʻi nei kēia mau kiʻi i ka kauka i ka wā o ke kaʻina hana.
No ke aha i hana ʻia ai
Hoʻohana nā kauka ʻoki kino i ke ʻano VATS no nā ʻano hana like ʻole, e like me: Ka wehe ʻana i nā pūnaewele e ʻike i nā maʻi kanesa umauma, me ka maʻi kanesa ʻāʻā a me ka pleural mesothelioma, kahi ʻano maʻi kanesa e pili ana i ka pūnaewele e hoʻopuni ana i nā māmā. Ka ʻoki kino ʻāʻā, e like me ka ʻoki kino e mālama ai i ka maʻi kanesa ʻāʻā a me ka ʻoki kino e hoʻemi ai i ka nui o ka ʻāʻā. Nā hana e wehe ai i ka wai nui a i ʻole ka ea mai ka wahi a puni nā māmā. Ka ʻoki kino e hoʻomaha ai i ka hou ʻana o ka hou, kahi kūlana i kapa ʻia ʻo hyperhidrosis. Ka ʻoki kino e mālama ai i nā pilikia me ka esophagus, ka ʻōpū muscular e lawe ai i ka ʻai a me nā wai mai ka ʻāʻī a i ka ʻōpū. Ka ʻoki kino i kapa ʻia ʻo esophagectomy e wehe ai i kahi hapa a i ʻole nā ʻāpana a pau o ka esophagus. Ka hoʻoponopono ʻana i kahi hiatal hernia, i ka wā e hoʻokuʻu ai ka ʻāpana luna o ka ʻōpū i loko o ka umauma ma o kahi puka ma ka diaphragm. Ka ʻoki kino i kapa ʻia ʻo thymectomy e wehe ai i ka thymus gland, kahi ʻāpana liʻiliʻi ma hope pono o ka iwi umauma. Nā hana kūikawā e pili ana i ka naʻau, nā iwi ʻaoʻao, ka spine a me ka diaphragm.
Nā pilikia a me nā pilikia
Hiki i nā pilikia o ka VATS ke komo pū me: Pneumonia. Ke kahe koko. Ka pōʻino o nā aʻalolo no kekahi manawa pokole a mau loa paha. Ka pōʻino i nā kino kokoke i ka wahi hana. Nā hopena maikaʻiʻole mai nā lāʻau hoʻonāwaliwali, ka mea e hoʻokomo ai iā ʻoe i kahi kūlana hiamoe i ka wā o ke kaʻina hana. Hiki i ka VATS ke lilo i koho ke ʻole ka ʻoki kino ākea ka koho maikaʻi loa ma muli o nā pilikia olakino. Akā, ʻaʻole paha ka VATS he mea maikaʻi no nā poʻe i hana mua ʻia i ka ʻoki kino umauma. E kamaʻilio me kāu mea lawelawe ola e pili ana i kēia mau mea a me nā pilikia ʻē aʻe o ka VATS.
Pehea e hoʻomākaukau ai
Pono paha ʻoe e lawe i nā ho'okolohua e ʻike ai inā he koho kūpono ka VATS no ʻoe. Loaʻa paha kēia mau ho'okolohua i nā ho'okolohua kiʻi, nā ho'okolohua koko, nā ho'okolohua hana māmā a me ka loiloi naʻau. Inā hoʻonohonoho ʻia ʻoe no ka ʻoki kino, e hāʻawi mai kāu mea mālama ola i nā ʻōlelo kuhikuhi kikoʻī e kōkua iā ʻoe e hoʻomākaukau.
He aha ka mea e manaʻo ʻia
ʻO ka maʻamau, hana ʻia ka VATS me ka lāʻau hoʻonāwaliwali nui. ʻO ia hoʻi, e hiamoe ana ʻoe i ka wā o ke ʻoki kino. Hoʻokomo ʻia kahi paipu hanu i lalo i kou puʻu i loko o kou puʻupuʻu e hāʻawi i ka oxygen i kou māmā. A laila, e hana kou kauka i nā ʻoki liʻiliʻi ma kou umauma a hoʻokomo i nā mea hana ʻoki kino i hana kūikawā ʻia ma o kēia mau ʻoki e hana i ke kaʻina hana. ʻO ka maʻamau, e lawe ana ka VATS i 2 a 3 mau hola. Pono paha ʻoe e noho i ka haukapila no kekahi mau lā. Akā, hiki ke loli nā manawa, ma muli o ke kaʻina hana āu e loaʻa ai a me kou kūlana.
Ke hoʻomaopopo nei i kāu mau hopena
I loko o ka ʻoki kino wehe maʻamau, i kapa ʻia ʻo ka thoracotomy, e ʻoki ke kauka lapaʻau i ka umauma ma waena o nā iwi ʻaoʻao. I ka hoʻohālikelike ʻana me ka ʻoki kino wehe, ʻoi aku ka liʻiliʻi o ka ʻeha, ka emi ʻana o nā pilikia, a me ka pōkole o ka manawa hoʻōla ma VATS. Inā ʻo ka pahuhopu o VATS ka lawe ʻana i kahi ʻāpana o ka pūnaewele no ka biopsy, pono paha ʻoe i ka ʻoki kino hou aku, ma muli o nā hopena o ka biopsy.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua