He aha ka ʻŌnaehana ʻOkiʻoki Thoracoscopic Kokua-Wikiō (VATS)? Ke Kumu, ke Kaʻina Hana & ka Ola Hou

ʻO ka ʻōnaehana ʻokiʻoki thoracoscopic kokua-wikiō, a i ʻole VATS, he ʻano hana ʻokiʻoki liʻiliʻi e hiki ai i nā kauka ke hana i loko o kou umauma me ka hoʻohana ʻana i nā ʻoki liʻiliʻi a me kahi kamera liʻiliʻi. E noʻonoʻo iā ia he ʻokiʻoki puka kī no kou mau māmā a me ka lua o ka umauma. Ma kahi o ka hana ʻana i hoʻokahi puka nui, hana kāu kauka i kekahi mau ʻoki liʻiliʻi a hoʻohana i nā mea hana kūikawā i alakaʻi ʻia e ka wikiō manawa maoli e hana i ke kaʻina hana me ka palekana a me ka pololei.

He aha ka ʻŌnaehana ʻOkiʻoki Thoracoscopic Kokua-Wikiō (VATS)?

ʻO VATS kahi ʻano hana ʻokiʻoki hou e hāʻawi ana i kāu kauka i kahi ʻike maopopo i loko o kou umauma me ka hana ʻole ʻana i nā ʻoki nui. I ka wā o ke kaʻina hana, hoʻokomo ʻia kahi paipu lahilahi a maʻalahi me kahi kamera i kapa ʻia he thoracoscope ma o kahi ʻoki liʻiliʻi ma waena o kou iwi ʻaoʻao. Hoʻouna kēia kamera i nā kiʻi ola i kahi monitor, e ʻae ana i kāu hui ʻokiʻoki e ʻike pololei i kā lākou hana.

Ua hoʻololi ke ʻano hana i ka ʻokiʻoki umauma no ka mea e hōʻeha liʻiliʻi i kou kino i hoʻohālikelike ʻia me ka ʻokiʻoki hāmama kuʻuna. Pono ka hapa nui o nā kaʻina hana VATS i 2-4 mau ʻoki liʻiliʻi wale nō, ʻo kēlā me kēia ma kahi o ka hapalua ʻīniha a i hoʻokahi ʻīniha ka lōʻihi. Hiki i kāu kauka ke hana i nā hana like he nui ma o kēia mau puka liʻiliʻi i koi mua i ka māhele ʻana i kou umauma holoʻokoʻa.

He mea waiwai nui kēia ʻano hana no nā ʻokiʻoki māmā, akā hoʻohana ʻia nō hoʻi no nā kaʻina hana e pili ana i kou esophagus, ka puʻuwai, a me ka laina a puni kou mau māmā. ʻO ka pololei a me ka liʻiliʻi o ka hoʻouka ʻana he koho maikaʻi loa ia no nā maʻi he nui e pono ai i ka ʻokiʻoki umauma.

No ke aha e hana ʻia ai ka ʻŌnaehana ʻOkiʻoki Thoracoscopic Kokua-Wikiō?

Hiki i ka VATS ke mālama i nā ʻano maʻi like ʻole e pili ana i kou mau māmā, ka lua o ka umauma, a me nā mea a puni. Hiki i kāu kauka ke ʻōlelo aku i kēia ʻano hana ke pono ʻoe i ka ʻokiʻoki akā makemake ʻoe e hōʻemi i ka manawa hoʻōla a me ka trauma ʻokiʻoki. He mea maikaʻi loa ke ʻano hana no nā kumu diagnostic a me ka therapeutic.

Eia nā kumu maʻamau e ʻōlelo ai kāu kauka i ka VATS:

• Ka wehe ʻana i ka maʻi ʻaʻai māmā, me ka lobectomy (wehe ʻana i kahi ʻāpana o ka māmā) a i ʻole ka wehe ʻana i ka wedge (wehe ʻana i kahi ʻāpana liʻiliʻi)
• Biopsy o nā nodules māmā a i ʻole nā ​​pūʻulu i manaʻo ʻia e ʻike inā he maʻi ʻaʻai lākou
• Ka mālama ʻana i ka māmā i hāʻule (pneumothorax) ma ka wehe ʻana i nā blebs a i ʻole ka hoʻopaʻa ʻana i nā leaka ea
• Ka wehe ʻana i ka wai a i ʻole ke koko mai ka puni o kou māmā (pleural effusion a i ʻole hemothorax)
• Ka mālama ʻana i ka emphysema koʻikoʻi ma o ka ʻoki ʻana i ka hoʻemi ʻana i ka leo māmā
• Ka wehe ʻana i nā ʻōpū a i ʻole nā ​​cysts i loko o kou lua umauma
• Hoʻoponopono i nā lua i loko o kou esophagus a i ʻole diaphragm

E noʻonoʻo pū kāu kauka lapaʻau i ka VATS no nā kūlana maʻamau ʻole e like me ka wehe ʻana i ka ʻiʻo i loaʻa i ka maʻi, ka mālama ʻana i kekahi mau maʻi puʻuwai, a i ʻole ka hoʻoponopono ʻana i nā pilikia me ka laina a puni kou māmā. ʻO ka hiki ke hoʻohana i kēia ʻenehana, hiki iā ia ke pani pinepine i nā kaʻina hana invasive hou aʻe i ka wā e hoʻokō ai i nā pahuhopu therapeutic like.

He aha ke kaʻina hana no ka VATS?

Hana ʻia ka ʻoki VATS i loko o kahi lumi hana ma lalo o ka anesthesia maʻamau, ʻo ia hoʻi e hiamoe loa ʻoe i ke kaʻina hana. ʻO ka hana holoʻokoʻa e lawe maʻamau i 1-4 mau hola, ma muli o ke paʻakikī o kāu ʻoki kikoʻī. E nānā pono kāu hui ʻoki iā ʻoe i ke kaʻina hana holoʻokoʻa.

Eia ka mea e hana ai i kāu kaʻina hana VATS:

1. E loaʻa iā ʻoe ka anesthesia maʻamau a e hoʻonoho ʻia ʻoe ma kou ʻaoʻao e hāʻawi i ke kauka lapaʻau i ke komo maikaʻi loa i kou umauma
2. E hana ana kāu kauka lapaʻau i 2-4 mau ʻoki liʻiliʻi ma waena o kou iwi ʻaoʻao, ma ka ʻaoʻao o kou umauma
3. Hoʻokomo ʻia kahi thoracoscope (kamera liʻiliʻi) ma o kekahi ʻoki e hāʻawi i kahi ʻike maopopo i loko o kou umauma
4. Hoʻokomo ʻia nā mea hana ʻoki kūikawā ma o nā ʻoki liʻiliʻi ʻē aʻe
5. E hana ana kāu kauka lapaʻau i ke kaʻina hana e pono ai i ka nānā ʻana i ke wikiō ola
6. Ke pau ke ʻoki ʻana, hiki ke hoʻokomo ʻia kahi paipu liʻiliʻi e hoʻokahe i ka wai a i ʻole ka ea
7. Hoʻopaʻa ʻia nā ʻoki me nā humuhumu a i ʻole ke kāpili ʻoki

I ka wā o ke kaʻina hana, e hoʻokuʻu ʻia kekahi o kou mau māmā no ka manawa pōkole e hāʻawi i kāu kauka lapaʻau i ke komo maikaʻi a me ka ʻike. He mea maʻamau a palekana kēia. E mālama kāu hui anesthesia i kou hanu ʻana i ka wā o ke ʻoki ʻana me ka hoʻohana ʻana i kahi paipu hanu kūikawā.

ʻO ka pololei o VATS e hiki ai i kāu kauka lapaʻau ke wehe i ka ʻiʻo, hoʻoponopono i ka pōʻino, a i ʻole e lawe i nā biopsies me ka liʻiliʻi o ka hoʻopilikia ʻana i ka ʻiʻo olakino a puni. ʻO kēia hana mālama kekahi o nā kumu nui e wikiwiki ai ka hoʻōla ʻana mai VATS a ʻaʻole ʻeha e like me ke ʻoki hāmama kuʻuna.

Pehea e hoʻomākaukau ai no kāu kaʻina hana VATS?

ʻO ka hoʻomākaukau ʻana no ke ʻoki VATS e pili ana i kekahi mau ʻanuʻu koʻikoʻi e hōʻoia i kou palekana a me ka hopena maikaʻi loa. E alakaʻi kāu hui mālama ola iā ʻoe ma kēlā me kēia ʻanuʻu hoʻomākaukau a e pane i nā nīnau āu e loaʻa ai. Hoʻomaka ka hapa nui o ka hoʻomākaukau ʻana ma kahi o hoʻokahi pule ma mua o kāu lā ʻoki.

E like paha kāu hoʻomākaukau ʻana ma mua o ke ʻoki ʻana i kēia mau ʻanuʻu koʻikoʻi:

• Nā hoʻokolohua koko piha, nā X-ray umauma, a me ka CT scan paha e kōkua i kāu kauka lapaʻau e hoʻolālā i ke kaʻina hana
• E hooki i ka puhi ʻana i ka paka ma ka liʻiliʻi he 2 pule ma mua o ke ʻoki ʻana, no ka mea, e hoʻomaikaʻi nui kēia i kou hoʻōla ʻana a e hōʻemi i nā pilikia
• E nānā i kāu mau lāʻau lapaʻau a pau me kāu kauka a e hooki i nā mea e lahilahi ai ke koko inā kuhikuhi ʻia
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home a e noho pū me ʻoe no nā hola 24 mua ma hope o ke ʻoki ʻana
• E hahai i nā ʻōlelo aʻo hoʻokē ʻai, ʻaʻole maʻamau ka ʻai ʻana a i ʻole ka inu ʻana ma hope o ke aumoe ma mua o kāu ʻoki ʻana
• E hoʻomaʻamaʻa i nā hana hanu hohonu a me nā ʻenehana ʻuʻu e pono ai ʻoe ma hope o ke ʻoki ʻana
• E hoʻomākaukau i kou wahi hoʻōla home me nā uluna ʻoluʻolu a me nā mea maʻalahi ke kiʻi

Hiki nō hoʻi i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hana pulmonary e nānā i ka maikaʻi o ka hana ʻana o kou mau māmā ma mua o ke ʻoki ʻana. Inā he mau maʻi olakino ʻē aʻe kāu e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai, e hana pū kāu hui lapaʻau e hōʻoia i ka mālama pono ʻia o kēia mau mea ma mua o kāu kaʻina hana.

He mea maʻamau ka manaʻo hopohopo ma mua o ke ʻoki ʻana. Mai kānalua e nīnau i kāu hui mālama ola e pili ana i kekahi mea e pili ana iā ʻoe. Hiki iā lākou ke hāʻawi i nā kumuwaiwai hou a i ʻole e pane i nā nīnau kikoʻī e pili ana i ka mea e manaʻo ai i ka wā o kou hoʻōla.

Pehea e heluhelu ai i kāu mau hopena VATS?

ʻO ka hoʻomaopopo ʻana i kāu mau hopena VATS e hilinaʻi ana i ke kumu i loaʻa ai iā ʻoe ke ʻoki ʻana i ka wahi mua. Inā loaʻa iā ʻoe kahi biopsy, e loaʻa ana kāu mau hopena pathology i loko o kekahi mau lā a i hoʻokahi pule ma hope o kāu kaʻina hana. E wehewehe kāu kauka lapaʻau i kēia mau ʻike a me ke ʻano o lākou no kou olakino a me ka mālama ʻana i ka wā e hiki mai ana.

No nā kaʻina hana VATS diagnostic, hiki i kāu mau hopena ke komo i ka ʻike e pili ana i nā laʻana ʻiʻo, ka loiloi wai, a i ʻole nā ​​mea i ʻike pololei ʻia e kāu kauka lapaʻau i ka wā o ke kaʻina hana. E hoʻonohonoho kāu kauka i kahi manawa e hahai ai e kūkākūkā i kēia mau ʻike i nā kikoʻī a e pane i nā nīnau āu.

Inā ua loaʻa iā ʻoe ka VATS therapeutic (ke ʻoki e mālama ai i kahi maʻi), e ana ʻia kāu

He mea nui e nānā i nā hōʻailona o nā pilikia i ka wā e ola ana, e like me ka piʻi ʻana o ka ʻeha, ke kuni, ka pōkole o ka hanu, a i ʻole nā loli i nā wahi ʻoki. ʻOiai he kakaikahi nā pilikia me VATS, ʻo ka ʻike mua a me ka mālama ʻana i nā pilikia e alakaʻi i nā hopena maikaʻi loa.

He aha nā mea pilikia no nā pilikia VATS?

ʻOiai ʻoi aku ka palekana o VATS ma mua o ke ʻoki ʻana i ka wehe kuʻuna, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i kāu hui ʻoki e hana i nā hana kūpono a kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu mālama. He kakaikahi a hiki ke mālama ʻia ka hapa nui o nā pilikia i ka wā e hana ai.

Nui nā mea e hoʻonui ai i kou pilikia o nā pilikia VATS:

• ʻO ka makahiki kiʻekiʻe (ma luna o 70), ʻoiai ʻaʻole e hoʻokaʻawale wale ka makahiki iā ʻoe mai ke ʻoki ʻana
• Ka mōʻaukala puhi a i ʻole ka puhi ʻana i kēia manawa, e pili ana i ka hana ʻana o ka māmā a me ka hoʻōla
• ʻO ka maʻi māmā koʻikoʻi e like me ka COPD holomua a i ʻole ka pulmonary fibrosis
• ʻO ka maʻi puʻuwai a i ʻole nā ​​maʻi olakino koʻikoʻi ʻē aʻe
• ʻO ke ʻoki ʻana i ka umauma ma mua a i ʻole ka radiation therapy e hana ai i ka ʻiʻo ʻeha
• ʻO ka momona, hiki ke paʻakikī ke kaʻina hana
• Nā maʻi koko a i ʻole ka hoʻohana ʻana i nā lāʻau lahilahi koko

E loiloi pono kāu kauka lapaʻau i kēia mau mea a pau ma mua o ka ʻōlelo ʻana iā VATS. I kekahi mau hihia, hiki i nā hoʻomākaukau hou a i ʻole nā ​​hoʻololi ʻana i ke kaʻina hana maʻamau ke kōkua i ka hōʻemi ʻana i nā pilikia. ʻO ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo hiki ʻole iā ʻoe ke loaʻa iā VATS, akā ʻo ia hoʻi e hana kāu hui i nā hana hou.

ʻOiai me nā mea pilikia i kēia manawa, ʻo VATS ka koho maikaʻi loa no ka mea ʻaʻole ia e hoʻoluhi i kou kino ma mua o ke ʻoki ʻana i ka wehe. E hana pū kāu hui mālama ola me ʻoe e hoʻomaikaʻi i kou olakino ma mua o ke ʻoki ʻana a hāʻawi i ka nānā pono i ka wā e ola ana.

ʻOi aku ka maikaʻi o ka loaʻa ʻana o VATS a i ʻole ke ʻoki ʻana i ka wehe?

Ua makemake nui ʻia ka VATS ma mua o ke ʻoki ākea ke hiki ke hana ʻia no ka mea he nui nā pōmaikaʻi no ka hapa nui o nā maʻi. Eia naʻe, pili ka koho maikaʻi loa i kou kūlana kikoʻī, anatomy, a me ke olakino holoʻokoʻa. E ʻōlelo aku kāu kauka lapaʻau i ke ala e hāʻawi iā ʻoe i ka manawa maikaʻi loa o ka hopena kūleʻa me ka pilikia haʻahaʻa loa.

Hāʻawi maʻamau ka VATS i kēia mau pōmaikaʻi ma mua o ke ʻoki ākea: nā ʻoki liʻiliʻi e hoʻōla wikiwiki, ʻeha liʻiliʻi i ka wā e ola ai, nā noho pōkole i ka haukapila (pinepine 1-3 mau lā ma mua o 5-7 mau lā), ka emi ʻana o ka pilikia o ka maʻi, ka liʻiliʻi o ke koko i ka wā o ke ʻoki, a me ka hoʻi wikiwiki ʻana i nā hana maʻamau. ʻOi aku ka maikaʻi o nā hopena cosmetic, me nā ʻili liʻiliʻi ma kahi o ka ʻoki nui ʻana o ka umauma.

Eia naʻe, pono paha ke ʻoki ākea i kekahi mau kūlana. Pākuʻi ʻia kēia mau mea i nā maʻi ʻaʻai nui loa, ka ʻiʻo ʻili nui mai ke ʻoki mua ʻana, kekahi mau ʻano anatomical, a i ʻole ke pono o ke kauka lapaʻau i ke komo maikaʻi ʻana no nā kaʻina hana paʻakikī. I kekahi manawa pono e hoʻololi ʻia kahi kaʻina hana VATS i ke ʻoki ākea i ka wā o ka hana inā kū mai nā pilikia i manaʻo ʻole ʻia.

E kūkākūkā kāu kauka lapaʻau i nā koho ʻelua me ʻoe a wehewehe i ke kumu e ʻōlelo ai lākou i kahi ala kūikawā no kou kūlana. ʻO ka pahuhopu ka loaʻa ʻana o ka hopena olakino maikaʻi loa me ka hōʻemi ʻana i nā pilikia a me ka manawa hoʻōla. E hilinaʻi i ka ʻike o kāu hui ʻoki a mai kānalua e nīnau i nā nīnau e pili ana i kā lākou ʻōlelo.

He aha nā pilikia hiki ke loaʻa o VATS?

ʻAʻole maʻamau nā pilikia mai VATS, e hana ana ma lalo o 10% o nā kaʻina hana. Ke hana nā pilikia, he mea liʻiliʻi pinepine lākou a maʻalahi ke mālama ʻia. Ua mākaukau maikaʻi kāu hui ʻoki e mālama i nā pilikia e kū mai ana, a hiki ke hoʻoponopono ʻia ka hapa nui o nā pilikia me ka ʻole o nā hopena lōʻihi.

ʻO nā pilikia maʻamau loa e hiki iā ʻoe ke ʻike:

• Hea ea mai kou akemāmā e koi ai i kou paipu umauma e noho lōʻihi
• ʻEha ma nā wahi ʻoki a i ʻole ka huhū o ke aʻalolo e maikaʻi maʻamau me ka manawa
• Ke kahe koko liʻiliʻi a i ʻole ka hōʻiliʻili wai a puni kou akemāmā
• Nā puʻuwai puʻuwai ʻole no ka manawa pōkole ma muli o ka huhū i ka wā o ke ʻoki
• Maʻi ma nā wahi ʻoki, e pane maikaʻi ana i nā lāʻau antibiotic
• Pneumonia, ʻoiai inā ʻaʻole ʻoe e hana i kāu mau hana hanu

ʻO nā pilikia laha ʻole akā ʻoi aku ka koʻikoʻi e komo pū ana me ke kahe koko nui e koi ana i ka hoʻoili ʻana, ka pōʻino i nā mea kokoke e like me nā kīʻaha koko a i ʻole nā aʻalolo, nā koko koko i loko o kou mau wāwae a i ʻole nā akemāmā, a i ʻole nā pilikia puʻuwai puʻuwai koʻikoʻi. Mālama pono kāu hui ʻoki iā ʻoe e hopu a mālama i nā pilikia i ka wā mua.

ʻO ka lono maikaʻi, ʻaʻole maʻamau nā pilikia koʻikoʻi me VATS, a ʻoi aku ka haʻahaʻa o ka helu pilikia ma mua o ke ʻoki hāmama kuʻuna. E kūkākūkā kāu hui mālama ola i kāu ʻikepili pilikia pilikino a me nā hōʻailona ʻōlelo aʻo e nānā ai i ka wā o kou ola hou ʻana.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o VATS?

Pono ʻoe e hoʻokaʻaʻike koke i kāu hui mālama ola inā ʻike ʻoe i kekahi mau hōʻailona ʻōlelo aʻo i ka wā o kou ola hou ʻana. ʻOiai he mau ʻāpana maʻamau o ka hoʻōla ʻana ka hapa nui o nā hōʻailona ma hope o ka hana, pono kekahi mau hōʻailona i ka nānā ʻana i ka lāʻau lapaʻau. Mai kānalua e kelepona i kāu kauka inā hopohopo ʻoe i kekahi mea i ka wā o kou ola hou ʻana.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• ʻEha umauma nui a i ʻole e ʻino nei ʻaʻole e hoʻomaikaʻi me ka lāʻau ʻeha i kuhikuhi ʻia
• Ka pōkole hanu koke a i ʻole ka pilikia o ka hanu
• Fiva ma luna o 101°F (38.3°C) a i ʻole nā haʻalulu
• Ke hoʻonui nei i ka ʻulaʻula, ka pehu, a i ʻole ka kahe ʻana mai kāu mau wahi ʻoki
• Ka ʻū ʻana i ke koko a i ʻole ka sputum i hoʻoluʻu ʻia i ke koko
• Nā hōʻailona o nā koko koko e like me ka pehu wāwae, ka mahana, a i ʻole ka ʻeha
• ʻO ka nausea mau a i ʻole ka luaʻi ʻana e pale iā ʻoe mai ka mālama ʻana i nā wai

Pono nō hoʻi ʻoe e launa pū me kāu hui mālama ola no nā pilikia ʻaʻole wikiwiki e like me ka ʻeha mau e hoʻopilikia ana i ka hiamoe, nā nīnau e pili ana i kāu mau lāʻau lapaʻau, a i ʻole nā hopohopo e pili ana i kāu holomua hoʻōla. Aia lākou ma laila e kākoʻo iā ʻoe i kāu hana hoʻōla.

He mea nui nā manawa hālāwai maʻamau, ʻoiai ke maikaʻi nei ʻoe. Hāʻawi kēia mau kipa i kāu kauka e nānā i kāu hoʻōla, wehe i nā humuhumu inā pono, a hōʻoia e holomua ana ʻoe e like me ka mea i manaʻo ʻia. Mai haʻalele i kēia mau manawa hālāwai ʻoiai inā maikaʻi ʻoe.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka VATS

He maikaʻi anei ka ʻoki VATS no ka mālama ʻana i ka maʻi ʻaʻai māmā?

ʻAe, he koho maikaʻi ʻo VATS no ka nui o nā maʻi maʻi ʻaʻai māmā, ʻoiai ʻo ka poʻe me ka maʻi maʻi mua. Hōʻike nā haʻawina e hiki i ka VATS ke hana pono e like me ka ʻoki ākea no ka wehe ʻana i ka maʻi ʻaʻai māmā me ka hāʻawi ʻana i ka hoʻōla wikiwiki a me ka liʻiliʻi o ka ʻeha. E hoʻoholo kāu oncologist a me ke kauka lapaʻau inā kūpono ka VATS e pili ana i ka nui, kahi, a me ke kahua o kāu maʻi.

No ka maʻi ʻaʻai māmā mua, ua lilo ka VATS lobectomy (wehe ʻana i kahi lobe o ka māmā) i ka maʻamau o ka mālama ʻana ma nā kikowaena olakino he nui. Hāʻawi ke ala liʻiliʻi i ka wehe ʻana i ka maʻi ʻaʻai holoʻokoʻa me ka mālama ʻana i ka nui o ka ʻiʻo māmā olakino e like me ka hiki. Hoʻohālikelike ʻia nā helu ola lōʻihi i ka ʻoki ākea.

Hoʻokumu anei ke kaʻina hana VATS i nā pilikia hanu mau?

ʻAʻole maʻamau ka VATS i nā pilikia hanu mau no ka hapa nui o nā maʻi. ʻO ka ʻoiaʻiʻo, nui ka poʻe e ʻike i ka hanu maikaʻi ma hope o nā kaʻina hana VATS e wehe i ka ʻiʻo māmā maʻi a i ʻole e mālama i nā kūlana e like me ka māmā i hāʻule. Hoʻoponopono maikaʻi kāu ʻiʻo māmā olakino i koe no nā ʻāpana i wehe ʻia.

Hiki i kekahi mau maʻi ke ʻike i nā loli liʻiliʻi i kā lākou hoʻomanawanui i ka hoʻoikaika kino i ka wā mua, akā maʻamau kēia i ka manawa e hoʻololi ai kou kino. Inā he hana maikaʻi ʻole kāu māmā ma mua o ke ʻoki ʻana ma muli o ka maʻi, hiki i ka VATS ke hoʻomaikaʻi i kou hanu ma ka wehe ʻana i nā wahi pilikia o ka ʻiʻo māmā.

Pehea ka lōʻihi o koʻu noho ʻana ma ka haukapila ma hope o ka VATS?

ʻO ka hapa nui o nā maʻi VATS e noho ana ma ka haukapila no 1-3 mau lā, ʻoi aku ka pōkole ma mua o nā lā 5-7 i koi ʻia ma hope o ka ʻoki ʻana i ka umauma. Aia ka lōʻihi maoli i ka paʻakikī o kāu kaʻina hana a me ka wikiwiki o kou ola ʻana. Hiki i nā kaʻina hana maʻalahi ke ʻae iā ʻoe e hele i ka home i ka lā aʻe.

E wehe ʻia kāu paipu umauma i loko o 1-2 mau lā ke hoʻonui hou ʻia kou māmā a ʻaʻohe leaka ea nui. Ke pau ka paipu a ʻoluʻolu ʻoe i ka mālama ʻana i kou ʻeha, e hele maikaʻi ana, a e ʻai maʻamau ana, e mākaukau paha ʻoe e hele i ka home.

Hiki ke hana ʻia ka VATS ma nā māmā ʻelua i ka wā o ke ʻoki hoʻokahi?

Hiki ke hana ʻia ka VATS ma nā māmā ʻelua i ka wā o ke kaʻina hana hoʻokahi, akā pili kēia i nā mea he nui me kou olakino holoʻokoʻa, ka hana māmā, a me ke kūlana kikoʻī e mālama ʻia nei. ʻOi aku ka maʻamau o ka hana ʻana i ka VATS bilateral (ʻelua ʻaoʻao) no kekahi mau maʻi e like me ka pale ʻana i ka pneumothorax spontaneous.

E loiloi pono kāu kauka lapaʻau inā ʻoi aku ka palekana o nā kaʻina hana bilateral hoʻokahi a i ʻole i hoʻonohonoho ʻia no kou kūlana. I kekahi manawa ʻoi aku ka maikaʻi o ka mālama ʻana i kekahi ʻaoʻao mua, e ʻae iā ʻoe e ola, a laila e kamaʻilio i kekahi ʻaoʻao inā pono. Hoʻoholo ʻia kēia hoʻoholo ma muli o kou mau kūlana.

E loaʻa anei iaʻu nā ʻeha i ʻike ʻia ma hope o ke ʻoki VATS?

Haʻalele ka VATS i nā ʻeha liʻiliʻi, ʻaʻole i ʻike ʻia e like me ke ʻoki ʻana. E loaʻa iā ʻoe he 2-4 mau ʻeha liʻiliʻi, ma kahi o ka hapalua ʻīniha a i hoʻokahi ʻīniha ka lōʻihi, ma ka ʻaoʻao o kou umauma. E mae nui kēia mau mea i ka manawa a ʻike ʻole ʻia ma hope o hoʻokahi makahiki.

Hoʻonoho ʻia nā ʻeha ma waena o kou iwi ʻaoʻao a hūnā pinepine ʻia e nā ʻano maoli o kou umauma. Nui nā maʻi i ʻike iā lākou he mea ʻoluʻolu loa i ka nānā ʻana ma mua o ka ʻeha nui mai ke ʻoki ʻana i ka maʻamau, hiki ke 6-8 ʻīniha ka lōʻihi.