Yini Ukuhlinzwa Nge-Video-Assisted Thoracoscopic (VATS)? Inhloso, Inqubo & Ukululama

Ukuhlinzwa nge-video-assisted thoracoscopic, noma i-VATS, kuyindlela yokuhlinza encane evumela odokotela ukuthi bahlinze ngaphakathi esifubeni sakho besebenzisa ukusikeka okuncane nekhamera encane. Cabanga ngakho njengokuhlinzwa ngembobo yokhiye yamaphaphu akho nomgodi wesifuba. Esikhundleni sokwenza ukuvula okukhulu okukodwa, udokotela ohlinzayo wakho wenza ukusikeka okuncane okumbalwa futhi usebenzisa amathuluzi akhethekile aqondiswa ividiyo yesikhathi sangempela ukuze enze inqubo ngokuphepha nangokunembile.

Yini Ukuhlinzwa Nge-Video-Assisted Thoracoscopic (VATS)?

I-VATS iyindlela yokuhlinza yesimanje enikeza udokotela ohlinzayo wakho umbono ocacile ngaphakathi esifubeni sakho ngaphandle kokwenza ukusikeka okukhulu. Ngesikhathi senqubo, kushaywa ithumbu elincanyana, eliguquguqukayo elinekhamera ebizwa ngokuthi i-thoracoscope ngokusikeka okuncane phakathi kwemigqa yakho. Le khamera ithumela izithombe ezibukhoma ku-monitor, ivumela ithimba lakho lokuhlinza ukuthi libone ngqo ukuthi lenzani.

Le ndlela iguqule ukuhlinzwa kwesifuba ngoba ibangela ukulimala okuncane emzimbeni wakho uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko. Izindlela eziningi ze-VATS zidinga kuphela ukusikeka okuncane okungu-2-4, ngakunye okungaba nguhhafu intshi kuya entshini eyodwa ubude. Udokotela wakho ohlinzayo angasebenzisa imisebenzi eminingi efanayo ngalezi zimbobo ezincane ezake zadinga ukuhlukanisa isifuba sakho sonke.

Le ndlela ibaluleke kakhulu ekuhlinzweni kwamaphaphu, kodwa futhi isetshenziselwa izinqubo ezihilela umphimbo wakho, inhliziyo, kanye nomugqa ozungeze amaphaphu akho. Ukunemba nokuhlasela okuncane kwenza kube yindlela enhle kakhulu ezigulini eziningi ezidinga ukuhlinzwa kwesifuba.

Kungani kwenziwa Ukuhlinzwa Nge-Video-Assisted Thoracoscopic?

I-VATS ingelapha izinhlobo eziningi zezimo ezithinta amaphaphu akho, umgodi wesifuba, nezakhiwo ezizungezile. Udokotela wakho angase ancome le ndlela uma udinga ukuhlinzwa kodwa ufuna ukunciphisa isikhathi sokululama nokulimala kokuhlinzwa. Le ndlela isebenza kahle kakhulu ngezinhloso zokuxilonga nezokwelapha.

Nazi izizathu ezivame kakhulu udokotela wakho angase asikisela ngazo i-VATS:

• Ukususwa komdlavuza wamaphaphu, okuhlanganisa i-lobectomy (ukususa ingxenye yamaphaphu) noma i-wedge resection (ukususa ucezu oluncane)
• I-Biopsy yama-nodules amaphaphu asolisayo noma ama-mass ukuze kutholwe ukuthi anomdlavuza yini
• Ukwelashwa kwamaphaphu awohlakele (i-pneumothorax) ngokususa ama-blebs noma ukuvala ukuvuza komoya
• Ukususwa koketshezi noma igazi elizungeze amaphaphu akho (i-pleural effusion noma i-hemothorax)
• Ukwelashwa kwe-emphysema enzima ngohlobo lokuhlinzwa lokunciphisa ivolumu yamaphaphu
• Ukususwa kwama-tumor noma ama-cyst emgodini wakho wesifuba
• Ukulungiswa kwezimbobo e-esophagus yakho noma i-diaphragm

Udkt. wakho ohlinzayo uzobuye acabangele i-VATS ngezimo ezingavamile njengokususa izicubu ezinomkhuhlane, ukwelapha izimo ezithile zenhliziyo, noma ukubhekana nezinkinga ngokuqina okuzungeze amaphaphu akho. Ukuguquguquka kwalobu buchwepheshe kusho ukuthi ngokuvamile kungathatha indawo yezinqubo ezingena kakhulu ngenkathi kuzuzwa imigomo efanayo yokwelapha.

Yini inqubo ye-VATS?

Ukuhlinzwa kwe-VATS kwenzeka ekamelweni lokuhlinzela ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi uzobe ulele ngokuphelele kuyo yonke inqubo. Inqubo yonke ngokuvamile ithatha amahora angu-1-4, kuye ngobunzima bokuhlinzwa kwakho okuthile. Ithimba lakho lokuhlinza lizokuqapha eduze kuyo yonke inqubo.

Nakhu okwenzekayo ngesikhathi senqubo yakho ye-VATS:

1. Uzothola i-anesthesia ejwayelekile futhi ubekwe ohlangothini lwakho ukuze unikeze udokotela ohlinzayo ukufinyelela okungcono esifubeni sakho
2. Udkt. ohlinzayo wenza ukusikeka okuncane okungu-2-4 phakathi kwamabhantshi akho, ngokuvamile ohlangothini lwesifuba sakho
3. I-thoracoscope (ikhamera encane) ifakwa ngokusebenzisa ukusikeka okukodwa ukuhlinzeka ngombono ocacile ngaphakathi esifubeni sakho
4. Amathuluzi okuhlinza akhethekile afakwa ngokusebenzisa ezinye izincane
5. Udkt. ohlinzayo wenza inqubo edingekayo ngenkathi ebuka ukusakazwa kwevidiyo bukhoma
6. Lapho ukuhlinzwa sekuqediwe, kungase kufakwe ithumbu elincane ukuze likhiphe noma yiluphi uketshezi noma umoya
7. Ukusikeka kuvalwa ngemithungo noma i-glue yokuhlinza

Ngesikhathi senqubo, elinye lamaphaphu akho liyakhukhulwa okwesikhashana ukuze linikeze udokotela ohlinzayo ukufinyelela okungcono nokubonakala. Lokhu kujwayelekile ngokuphelele futhi kuphephile. Ithimba lakho le-anesthesia lizolawula ukuphefumula kwakho ngesikhathi sokuhlinzwa ngokusebenzisa ithumbu elikhethekile lokuphefumula.

Ukunemba kwe-VATS kuvumela udokotela ohlinzayo ukuthi asuse izicubu, alungise umonakalo, noma athathe ama-biopsies ngokuphazamiseka okuncane ezicutshini ezinempilo ezizungezile. Le ndlela eqaphelayo ingenye yezizathu ezibalulekile zokuthi kungani ukululama ku-VATS kuvame ukushesha futhi kungabi buhlungu njengokuhlinzwa okuvulekile kwendabuko.

Ungalungiselela kanjani inqubo yakho ye-VATS?

Ukulungiselela ukuhlinzwa kwe-VATS kuhilela izinyathelo eziningana ezibalulekile ukuqinisekisa ukuphepha kwakho kanye nomphumela ongcono kakhulu. Ithimba lakho lokunakekelwa kwezempilo lizokuqondisa kuzo zonke izinyathelo zokulungiselela futhi liphendule noma yimiphi imibuzo ongase ube nayo. Ukulungiselela okuningi kuqala cishe ngesonto ngaphambi kosuku lokuhlinzwa kwakho.

Ukulungiselela kwakho ngaphambi kokuhlinzwa cishe kuzohlanganisa lezi zinyathelo ezibalulekile:

• Ukuqeda ukuhlolwa kwegazi, ama-X-ray esifuba, futhi mhlawumbe i-CT scan ukusiza udokotela ohlinzayo ukuhlela inqubo
• Yeka ukubhema okungenani amasonto ama-2 ngaphambi kokuhlinzwa, ngoba lokhu kuthuthukisa kakhulu ukuphola kwakho futhi kunciphisa izinkinga
• Buyekeza yonke imithi yakho nodokotela wakho futhi uyeke ama-blood thinners uma uqondisiwe
• Lungiselela othile ukukushayela ekhaya futhi ahlale nawe amahora angama-24 okuqala ngemuva kokuhlinzwa
• Landela imiyalelo yokuzila ukudla, ngokuvamile akukho ukudla noma isiphuzo ngemuva kwamabili ngaphambi kokuhlinzwa kwakho
• Zijwayeze ukuzivocavoca kokuphefumula okujulile kanye namasu okukhwehlela ozowadinga ngemuva kokuhlinzwa
• Lungisa indawo yakho yokululama ekhaya ngemigudu enethezekile nezinto ezifinyeleleka kalula

Udokotela wakho angase futhi ancome ukuhlolwa komsebenzi wamaphaphu ukuze ahlolisise ukuthi amaphaphu akho asebenza kahle kangakanani ngaphambi kokuhlinzwa. Uma unezinye izimo zempilo ezinjengesifo sikashukela noma isifo senhliziyo, ithimba lakho lezokwelapha lizosebenzisana ukuze liqinisekise ukuthi lezi zinto zilawulwa kahle ngaphambi kwenqubo yakho.

Kujwayelekile ngokuphelele ukuzizwa ukhathazekile ngaphambi kokuhlinzwa. Unganqikazi ukubuza ithimba lakho lezempilo nganoma yini ekukhathazayo. Bangakunikeza izinsiza ezengeziwe noma baphendule imibuzo ethile mayelana nokuthi yini ongayilindela ngesikhathi sokululama kwakho.

Ungawafunda kanjani imiphumela yakho ye-VATS?

Ukuqonda imiphumela yakho ye-VATS kuncike ekutheni kungani uhlinzwe ekuqaleni. Uma ubenze i-biopsy, imiphumela yakho ye-pathology ngokuvamile izotholakala phakathi nezinsuku ezimbalwa kuya evikini ngemuva kwenqubo yakho. Udokotela ohlinzayo uzochaza lezi zinto ezitholakele nokuthi zisho ukuthini empilweni yakho kanye nokwelashwa okuzayo.

Ngezinqubo ze-VATS zokuxilonga, imiphumela yakho ingase ihlanganise ulwazi mayelana namasampula ezicubu, ukuhlaziywa koketshezi, noma ukubuka okuqondile okwenziwe udokotela ohlinzayo ngesikhathi senqubo. Udokotela wakho uzohlela i-aphoyintimenti yokulandela ukuze axoxe ngalezi zinto ezitholakele ngokuningiliziwe futhi aphendule noma yimiphi imibuzo onayo.

Uma uke waba ne-VATS yokwelapha (ukuhlinzwa ukwelapha isimo), "imiphumela" yakho izoklanywa ngokuthi inqubo iqede kahle kangakanani inkinga yakho. Lokhu kungabandakanya ukuphefumula okungcono, izimpawu ezixazululiwe, noma ukususwa ngempumelelo kwesicubu esigulayo. Ukuqhubeka kokululama kwakho kanye nezifundo zokuhlola izithombe ezilandelayo kuzosiza ukunquma impumelelo yokuhlinzwa kwakho.

Ithimba lakho lokuhlinza lizokunikeza nombiko onemininingwane yalokho okwenziwe ngesikhathi senqubo yakho. Le dokhumenti iba yingxenye yomlando wakho wezokwelapha unomphela futhi ingabiwa nabanye abahlinzeki bezempilo ababandakanyeka ekunakekelweni kwakho.

Iyini indlela engcono yokululama ngemuva kwe-VATS?

Ukwelulama okungcono kakhulu ku-VATS kuhilela ukulandela imiyalelo yeqembu lakho lezempilo ngenkathi ulalela izimpawu zomzimba wakho. Iziguli eziningi zithola ubuhlungu obuncane kakhulu nokululama okusheshayo uma kuqhathaniswa nokuhlinzwa kwesifuba okuvulekile kwendabuko, kodwa wonke umuntu uyelapha ngejubane lakhe. Ukululama kwakho kuvame ukuqhubeka ngezigaba ezimbalwa eziqagelwayo.

Nakhu ukuthi ukululama kwe-VATS okuhle kubukeka kanjani:

• Ukunyakaza kwangaphambi kwesikhathi kungakapheli amahora angama-24, kuqala ngokuhlala phansi nokuhamba okufushane
• Ukuvivinya umzimba ngokujulile nokukhwehlela ukuvimbela umkhuhlane wamaphaphu nokugcina amaphaphu akho ehlanzekile
• Ukwanda kancane kancane emazingeni omsebenzi phakathi kwamasonto ama-2-4, ukugwema ukuphakamisa okunzima ekuqaleni
• Ukuphathwa kobuhlungu kusetshenziswa imithi echazwe ngudokotela wakho
• Ukunakekelwa okufanele kokusika ukuvimbela ukutheleleka nokukhuthaza ukuphulukiswa
• Ukuya kuwo wonke ama-aphoyintimenti okulandelayo ukuqapha inqubekela phambili yakho
• Ukubuyela emisebenzini ejwayelekile kancane kancane, ngokuvamile phakathi kwamasonto ama-4-6

Abantu abaningi bangakwazi ukubuyela emsebenzini phakathi kwamasonto ama-1-2 uma umsebenzi wabo ungabandakanyi umsebenzi onzima womzimba. Kodwa-ke, kufanele ugweme ukuphakamisa noma yini esindayo kunamakhilogremu ayi-10 emasontweni ambalwa okuqala. Amazinga akho wamandla azothuthuka kancane kancane, futhi iziguli eziningi zizizwa zibuyele emuva kuzo ngaphakathi kwamasonto ama-4-6.

Kubalulekile ukuqaphela izimpawu zezinkinga ngesikhathi sokululama, njengokwanda kobuhlungu, umkhuhlane, ukuphefumula kanzima, noma izinguquko ezindaweni zakho zokuhlinza. Ngenkathi izinkinga zingavamile nge-VATS, ukubona kusenesikhathi nokwelashwa kwanoma yiziphi izinkinga kuholela emiphumeleni emihle kakhulu.

Ziyini izici eziyingozi zezinkinga ze-VATS?

Ngenkathi i-VATS ngokuvamile iphephile kune-surgery yendabuko evulekile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kusiza ithimba lakho lokuhlinza ukuthi lithathe izinyathelo zokuphepha ezifanele futhi likusize ukuthi wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho. Izinkinga eziningi zivamile futhi ziyaqondakala uma zenzeka.

Izici eziningana zingakhuphula ingozi yakho yezinkinga ze-VATS:

• Ubudala obuthuthukile (ngaphezu kweminyaka engama-70), nakuba iminyaka yodwa ayikukhiphi ekuhlinzweni
• Umlando wokubhema noma ukubhema njengamanje, okuthinta ukusebenza kwamaphaphu nokuphulukisa
• Isifo samaphaphu esibi njenge-COPD ethuthukile noma i-pulmonary fibrosis
• Isifo senhliziyo noma ezinye izimo zezokwelapha ezibalulekile
• Ukuhlinzwa kwesifuba kwangaphambilini noma i-radiation therapy edala izicubu ezinzima
• Ukukhuluphala ngokweqile, okungenza inqubo ibe yinselele ngokwengeziwe
• Izifo zokuqina kwegazi noma ukusetshenziswa kwemithi yokunciphisa igazi

Udkt wakho ohlinzayo uzohlola ngokucophelela zonke lezi zici ngaphambi kokuncoma i-VATS. Kwezinye izimo, amalungiselelo engeziwe noma izinguquko enqanini ejwayelekile kungasiza ukunciphisa izingozi. Ukuba nezici eziyingozi akusho ngempela ukuthi awukwazi ukuba ne-VATS, kodwa kusho ukuthi ithimba lakho lizothatha izinyathelo zokuphepha ezengeziwe.

Noma ngabe kukhona izici eziyingozi, i-VATS ivame ukuhlala iyindlela engcono kakhulu ngoba ayicindezeli emzimbeni wakho kunokuhlinzwa okuvulekile. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukuthuthukisa impilo yakho ngaphambi kokuhlinzwa futhi linikeze ukuqapha okufanele ngesikhathi sokululama kwakho.

Ingabe kungcono ukuba ne-VATS noma ukuhlinzwa okuvulekile?

I-VATS ngokuvamile ikhethwa ngaphezu kokuhlinzwa okuvulekile uma kungenzeka ngobuchwepheshe ngoba inikeza izinzuzo ezinkulu ezigulini eziningi. Kodwa-ke, ukukhetha okungcono kuncike esimweni sakho esithile, i-anatomy, kanye nesimo sempilo yakho esiphelele. Udokotela ohlinzayo uzoncoma indlela enikunikeza ithuba elingcono kakhulu lomphumela ophumelelayo enobungozi obuncane.

I-VATS ngokuvamile inikeza lezi zinzuzo ngaphezu kokuhlinzwa okuvulekile: ukusikeka okuncane okuphola ngokushesha, ubuhlungu obuncane ngesikhathi sokululama, ukuhlala esibhedlela okufushane (ngokuvamile izinsuku eziyi-1-3 uma kuqhathaniswa nezinsuku eziyi-5-7), ukuncishiswa kwengozi yokutheleleka, ukulahlekelwa igazi elincane ngesikhathi sokuhlinzwa, kanye nokubuyela ngokushesha emisebenzini ejwayelekile. Imiphumela yezimonyo nayo ingcono kakhulu, ngamathumba amancane esikhundleni sokusikeka okukhulu esifubeni.

Kodwa-ke, ukuhlinzwa okuvulekile kungase kudingeke ezimweni ezithile. Lokhu kufaka phakathi imithombo emikhulu kakhulu, izicubu eziningi ezivela ekuhlinzweni kwangaphambilini, ukuhlukahluka okuthile kwe-anatomical, noma uma udokotela ohlinzayo edinga ukufinyelela okungcono ezinqubweni eziyinkimbinkimbi. Ngezinye izikhathi inqubo ye-VATS idinga ukuguqulwa ibe ukuhlinzwa okuvulekile ngesikhathi sokuhlinzwa uma kuvela izinkinga ezingalindelekile.

Udokotela wakho ohlinzayo uzoxoxa ngezinketho zombili nawe futhi achaze ukuthi kungani bencoma indlela ethile yesimo sakho. Umgomo uhlala ukuzuza umphumela ongcono kakhulu wezokwelapha ngenkathi kuncishiswa izingozi nesikhathi sokululama. Thembela ebuchwephesheni bethimba lakho lokuhlinza futhi unganqikazi ukubuza imibuzo mayelana nokuncoma kwabo.

Ziyini izinkinga ezingaba khona ze-VATS?

Izinkinga ezivela ku-VATS azivamile, zenzeka ngaphansi kwama-10% ezinqubo. Uma izinkinga zenzeka, zivame ukuba zincane futhi zilapheka kalula. Ithimba lakho lokuhlinza lilungiswe kahle ukubhekana nanoma yiziphi izinkinga ezingase zivele, futhi iningi lezinkinga lingaxazululwa ngaphandle kwemiphumela yesikhathi eside.

Izinkinga ezivamile ongase uzithole zihlanganisa:

• Ukuvuza komoya emaphashini akho okungase kudingeke ukuthi ishubhu lakho lesifuba lihlale isikhathi eside
• Ubuhlungu ezindaweni zokuhlinzwa noma ukucasuka kwemizwa okuvame ukuthuthuka ngokuhamba kwesikhathi
• Ukuphuma kwegazi okuncane noma ukuqoqwa koketshezi eduze kwamaphaphu akho
• Ukushaya kwenhliziyo okungajwayelekile okwesikhashana ngenxa yokucasuka ngesikhathi sokuhlinzwa
• Ukutheleleka ezindaweni zokuhlinzwa, okusabela kahle emithini elwa namagciwane
• Umkhuhlane wamaphaphu, ikakhulukazi uma ungaqeqeshi imisipha yakho yokuphefumula

Izinkinga ezingavamile kodwa ezingathi sína zingabandakanya ukuphuma kwegazi okukhulu okudinga ukumpontshelwa igazi, ukulimala kwezakhiwo eziseduze njengemithambo yegazi noma imizwa, amahlule egazi emilenzeni yakho noma emaphashini, noma izinkinga ezinzima zokushaya kwenhliziyo. Ithimba lakho labahlinzi likuqapha ngokucophelela ukuze libambe futhi liphathe noma yiziphi izinkinga ngokushesha.

Izindaba ezinhle ukuthi izinkinga ezingathi sína azivamile nge-VATS, futhi izinga lezinkinga lonke liphansi kunezokuhlinzwa okuvulekile okujwayelekile. Ithimba lakho lezempilo lizoxoxa ngobungozi bakho bomuntu ngamunye kanye nezimpawu zokuxwayisa okufanele uziqaphele ngesikhathi sokululama kwakho.

Kufanele ngibone nini udokotela ngemva kwe-VATS?

Kufanele uthinte ithimba lakho lezempilo ngokushesha uma uhlangabezana nezimpawu ezithile zokuxwayisa ngesikhathi sokululama kwakho. Ngenkathi izimpawu eziningi ngemva kokuhlinzwa ziyingxenye ejwayelekile yokuphola, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha okusheshayo. Unganqikazi ukushayela udokotela wakho uma ukhathazekile nganoma yini ngesikhathi sokululama kwakho.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi lezi zimpawu:

• Ubuhlungu obukhulu noma obuqhubekayo besifuba obungathuthuki ngemithi ebhalwe ukuthi idambise ubuhlungu
• Ukuphefumula ngokushesha noma ubunzima bokuphefumula
• Umkhuhlane ongaphezu kuka-101°F (38.3°C) noma ama-chills
• Ukukhula kobubomvu, ukuvuvukala, noma ukuphuma emanzini ezindaweni zakho zokuhlinzwa
• Ukukhwehlela igazi noma i-sputum enegazi
• Izimpawu zama-clot egazi njengokuvuvukala komlenze, ukufudumala, noma ubuhlungu
• Isicanucanu esiqhubekayo noma ukuhlanza okukuvimbela ukuthi ungagcini uketshezi phansi

Kufanele futhi uthinte ithimba lakho lokunakekelwa kwezempilo ngezinkinga ezingaphuthumi kangako njengobuhlungu obuqhubekayo obuphazamisa ukulala, imibuzo mayelana nemithi yakho, noma ukukhathazeka mayelana nentuthuko yakho yokululama. Bakhona ukukusekela kuyo yonke inqubo yakho yokuphola.

Ukuqokwa okuvamile kokulandela ngemuva kubalulekile ngisho nalapho uzizwa kahle. Lokhu kuvakasha kuvumela udokotela wakho ukuthi aqaphe ukuphola kwakho, asuse imithungo uma kudingeka, futhi aqinisekise ukuthi uqhubeka njengoba kulindelekile. Ungageqi lezi zikhathi zokuqokwa ngisho noma uzizwa ulungile.

Imibuzo evame ukubuzwa mayelana ne-VATS

Ingabe ukuhlinzwa kwe-VATS kulungile ekwelapheni umdlavuza wamaphaphu?

Yebo, i-VATS iyindlela enhle kubantu abaningi abanomdlavuza wamaphaphu, ikakhulukazi labo abanesifo sesigaba sokuqala. Ucwaningo lubonisa ukuthi i-VATS ingasebenza kahle njengokuhlinzwa okuvulekile ekususeni umdlavuza wamaphaphu ngenkathi inikeza ukululama okusheshayo nobuhlungu obuncane. Udokotela wakho we-oncologist kanye nodokotela ohlinzayo bazonquma ukuthi i-VATS ilungile yini ngokuya ngosayizi, indawo, nesigaba somdlavuza wakho.

Ngemdlavuza wamaphaphu wesigaba sokuqala, i-VATS lobectomy (ukususa i-lobe yamaphaphu) isibe yindinganiso yokunakekelwa ezikhungweni eziningi zezokwelapha. Indlela encane yokuhlasela ivumela ukususwa okuphelele komdlavuza ngenkathi igcina inyama yamaphaphu enempilo ngangokunokwenzeka. Amazinga okusinda esikhathi eside afana nokuhlinzwa okuvulekile.

Ingabe inqubo ye-VATS ibangela izinkinga zokuphefumula ezingapheli?

I-VATS ngokuvamile ayibangeli izinkinga zokuphefumula ezingapheli kubantu abaningi. Eqinisweni, abantu abaningi bathola ukuphefumula okungcono ngemuva kwezinqubo ze-VATS ezisusa inyama yamaphaphu enesifo noma eziphatha izimo ezinjengamaphaphu aqhekekile. Inyama yamaphaphu yakho esele enempilo ngokuvamile inxephezela kahle kunoma iyiphi ingxenye esusiwe.

Ezinye iziguli zingase zibone izinguquko ezincane ekubekezeleleni kwazo ukuzivocavoca ekuqaleni, kodwa lokhu kuvame ukuthuthuka ngokuhamba kwesikhathi njengoba umzimba wakho uzivumela. Uma ubunomsebenzi wamaphaphu ompofu ngaphambi kokuhlinzwa ngenxa yesifo, i-VATS ingase ithuthukise ukuphefumula kwakho ngokususa izindawo ezinzima zenyama yamaphaphu.

Ngizohlala isikhathi esingakanani esibhedlela ngemva kwe-VATS?

Iningi leziguli ze-VATS lihlala esibhedlela izinsuku eziyi-1-3, okuyisikhathi esincane kakhulu uma kuqhathaniswa nezinsuku eziyi-5-7 ezivame ukudingeka ngemva kokuhlinzwa esifubeni esivulekile. Isikhathi esiqondile sincike ekutheni inqubo yakho iyinkimbinkimbi kangakanani nokuthi ululama ngokushesha kangakanani. Izinqubo ezilula zingakuvumela ukuthi uhambe ngosuku olulandelayo.

I-chest tube yakho ngokuvamile izosuswa phakathi kwezinsuku eziyi-1-2 uma ngabe iphaphu lakho selivuleke ngokugcwele futhi kungekho ukuvuza komoya okukhulu. Uma ngabe le tube isusiwe futhi uzizwa ukhululekile ukuphatha ubuhlungu bakho, uhamba kahle, futhi udla ngokujwayelekile, cishe uzobe usulungele ukuhamba.

Ingabe i-VATS ingenziwa kuwo womabili amaphaphu ngesikhathi esisodwa sokuhlinzwa?

Ngezinye izikhathi i-VATS ingenziwa kuwo womabili amaphaphu ngesikhathi esisodwa senqubo, kodwa lokhu kuncike ezintweni eziningana ezihlanganisa impilo yakho yonke, ukusebenza kwamaphaphu, kanye nesimo esithile eselashwayo. I-Bilateral VATS (ozinhlangothini zombili) ivame kakhulu ukwenziwa ezimweni ezithile njengokuvimbela i-pneumothorax ezenzekelayo.

Udkt wakho ohlinzayo uzohlola ngokucophelela ukuthi izinqubo ezingashadile noma ezihleliwe zohlangothi olubili ziphephile yini esimweni sakho. Ngezinye izikhathi kungcono ukwelapha uhlangothi olulodwa kuqala, ukukuvumela ukuthi ululame, bese ubhekana nolunye uhlangothi uma kudingeka. Lesi sinqumo sihlala senziwa ngamunye ngamunye ngokuya ngezimo zakho ezithile.

Ngizoba nezibazi ezibonakalayo ngemva kokuhlinzwa kwe-VATS?

I-VATS ishiya izibazi ezincane kakhulu, ezingabonakali kangako uma kuqhathaniswa nokuhlinzwa okuvulekile. Ngokuvamile uzoba nezibazi eziyi-2-4 ezincane, ngasinye cishe singamasentimitha angu-0.5 kuya kwangu-1 ubude, ohlangothini lwesifuba sakho. Lezi ziyancipha kakhulu ngokuhamba kwesikhathi futhi ngokuvamile azibonakali ngemva konyaka.

Izibazi zibekwe ngamasu phakathi kwembambo zakho futhi zivame ukufihlwa yizimo zemvelo zesifuba sakho. Iziguli eziningi zizithola zamukeleka kakhulu ngokobuhle kunezibazi ezinkulu zokuhlinzwa okuvulekile kwendabuko, ezingaba ngamasentimitha angu-6-8 ubude.