I-Bullectomy

-Delile

• Yini i-bullectomy esetshenziselwa yona?
• Ngilungiselela kanjani i-bullectomy?
• Kwenziwa kanjani i-bullectomy?
• Yini ukululama okuvela ku-bullectomy?
• Ingabe zikhona izingozi ezihambisana ne-bullectomy?
• Ukuthatha

Ukubuka konke

I-bullectomy ukuhlinzwa okwenziwa ukukhipha izindawo ezinkulu zezikhwama zomoya ezilimele emaphashini ahlanganisa futhi akhe izikhala ezinkulu ngaphakathi komgodi wakho wokuncenga, oqukethe amaphaphu akho.

Ngokuvamile, amaphaphu akhiwa amasakana amancane omoya abizwa ngokuthi i-alveoli. La masaka asiza ukudlulisa umoya-mpilo usuka emaphashini uye egazini lakho. Lapho i-alveoli yonakele, yakha izikhala ezinkulu ezibizwa ngama-bullae ezivele zithathe isikhala. IBullae ayikwazi ukumunca umoya-mpilo futhi iwudlulisele egazini lakho.

I-Bullae ivame ukubangelwa yisifo esingapheliyo se-pulmonary disease (COPD). I-COPD yisifo samaphaphu esivame ukubangelwa ukubhema noma ukuvezwa isikhathi eside kumusi wegesi.

Yini i-bullectomy esetshenziselwa yona?

I-bullectomy ivame ukusetshenziselwa ukususa i-bullae enkulu kune-1 sentimitha (ngaphansi kwengxenye ye-intshi).

IBullae ingafaka ingcindezi kwezinye izindawo zamaphaphu akho, kufaka phakathi noma iyiphi i-alveoli enempilo esele. Lokhu kwenza kube nzima kakhulu ukuphefumula. Kungenza nezinye izimpawu ze-COPD zivele kakhulu, njenge:

• isifuba
• ukuqina esifubeni sakho
• ukukhwehlela njalo isikhwehlela, ikakhulukazi ekuseni kakhulu
• i-cyanosis, noma i-lip noma i-finger tip
• ukuzizwa ukhathele noma ukhathele kaningi
• izinyawo, umlenze, neqakala ukuvuvukala

Lapho ama-bullae esekhishiwe, imvamisa uzokwazi ukuphefumula kalula. Ezinye izimpawu ze-COPD kungenzeka zingabonakali kangako.

Uma ama-bullae eqala ukukhipha umoya, amaphaphu akho angawa. Uma lokhu kwenzeka okungenani kabili, udokotela wakho cishe uzotusa i-bullectomy. I-bullectomy nayo ingadingeka uma ama-bullae ethatha ngaphezu kwamaphesenti angama-20 kuye kwangama-30 esikhaleni sakho samaphaphu.

Ezinye izimo ezingelashwa yi-bullectomy zifaka:

• Isifo se-Ehlers-Danlos. Lesi yisimo esenza buthaka izicubu ezixhuma esikhunjeni sakho, emithanjeni yegazi nasemalungeni.
• Isifo seMarfan. Lesi esinye isimo esenza buthakathaka izicubu zomzimba emathanjeni akho, enhliziyweni, emehlweni nasemithanjeni yegazi.
• I-Sarcoidosis. I-Sarcoidosis yisimo lapho izindawo zokuvuvukala, ezaziwa ngokuthi ama-granulomas, zikhula esikhunjeni sakho, emehlweni, noma emaphashini.
• I-emphysema ehlobene ne-HIV. I-HIV ihlotshaniswa nengozi eyengeziwe yokuthola i-emphysema.

Ngilungiselela kanjani i-bullectomy?

Ungadinga ukuhlolwa okuphelele ngokomzimba ukuze uqiniseke ukuthi unempilo eyanele yenqubo. Lokhu kungafaka ukuhlolwa kwezithombe esifubeni sakho, okufana nalokhu:

• I-X-ray. Lokhu kuhlolwa okusebenzisa amanani amancane emisebe ukuthatha izithombe zengaphakathi lomzimba wakho.
• Iskena se-CT. Lokhu kuhlolwa kusebenzisa amakhompyutha nama-X-ray ukuthatha izithombe zamaphaphu akho. Ukuskena kwe-CT kuthatha izithombe ezinemininingwane eminingi kune-X-ray.
• I-Angiography. Lokhu kuhlolwa kusebenzisa udayi wokuqhathanisa ukuze odokotela bakwazi ukubona imithambo yakho yegazi futhi balinganise ukuthi basebenza kanjani namaphaphu akho.

Ngaphambi kokuba ube ne-bullectomy:

• Iya kukho konke ukuvakashelwa kokuhlinzwa udokotela wakho akuhlelela kona.
• Yeka ukubhema. Nazi ezinye izinhlelo zokusebenza ezingasiza.
• Thatha isikhathi esithile emsebenzini noma eminye imisebenzi ukuze uzinike isikhathi sokutakula.
• Yiba nelungu lomndeni noma umngani osondele ukukuyisa ekhaya ngemuva kwenqubo. Ungahle ungakwazi ukushayela ngokushesha.
• Ungadli noma uphuze okungenani amahora ayi-12 ngaphambi kokuhlinzwa.

Kwenziwa kanjani i-bullectomy?

Ngaphambi kokuba kwenziwe i-bullectomy, uzobekwa ngaphansi kwe-anesthesia ejwayelekile ukuze ulale futhi ungabuzwa ubuhlungu ngesikhathi sokuhlinzwa. Ngemuva kwalokho, udokotela wakho ohlinzayo uzolandela lezi zinyathelo:

1. Bazokwenza ukusika okuncane eduze kwekhwapha lakho ukuvula isifuba sakho, esibizwa nge-thoracotomy, noma ukusikeka okumbalwa okuncane esifubeni sakho kwe-thoracoscopy esizwa ngevidiyo (VATS).
2. Udokotela wakho ohlinzayo uzobe esefaka amathuluzi okuhlinza kanye ne-thoracoscope ukuze abone ingaphakathi lephaphu lakho kusikrini sevidiyo. I-VATS ingahle ifake i-console lapho udokotela wakho ohlinzayo enza khona ukuhlinzwa esebenzisa izingalo ze-robotic.
3. Bazosusa ama-bullae nezinye izingxenye ezithintekile zephaphu lakho.
4. Okokugcina, udokotela wakho ohlinzayo uzovala ukusikeka ngemisipho.

Yini ukululama okuvela ku-bullectomy?

Uzovuka ku-bullectomy yakho ngeshubhu lokuphefumula esifubeni sakho kanye nethambo elingena emithanjeni. Lokhu kungakhululeki, kepha imithi yezinhlungu ingasiza ukuphatha izinhlungu ekuqaleni.

Uzohlala esibhedlela cishe izinsuku ezintathu kuya kweziyisikhombisa. Ukululama ngokugcwele ku-bullectomy kuvame ukuthatha amasonto ambalwa ngemuva kwenqubo.

Ngenkathi usalulama:

• Yiya kunoma yimaphi ama-aphoyintimenti wokulandelela ahlelwa udokotela wakho.
• Iya kunoma yikuphi ukwelashwa kwenhliziyo okunconywa udokotela wakho.
• Ungabhemi. Ukubhema kungadala ukuthi ama-bullae akhe futhi.
• Landela ukudla okune-fiber ephezulu ukuvimbela ukuqunjelwa emithini yezinhlungu.
• Ungasebenzisi ama-lotion noma okhilimu ekuziqhekeni kwakho aze alulame.
• Ngomusa shaya imisiko yakho yomile ngemuva kokugeza noma ukugeza.
• Ungashayeli noma ubuyele emsebenzini udokotela wakho aze athi kulungile ukwenza njalo.
• Ungaphakamisi lutho olungaphezu kwamakhilogremu ayi-10 okungenani amasonto amathathu.
• Ungahambi ngendiza izinyanga ezimbalwa ngemuva kokuhlinzwa kwakho.

Uzobuyela kancane kancane emisebenzini yakho ejwayelekile emavikini ambalwa.

Ingabe zikhona izingozi ezihambisana ne-bullectomy?

Ngokusho kwe-University of Health Network, cishe iphesenti elilodwa kuya kwelishumi labantu abathola i-bullectomy banezinkinga. Ingozi yakho yezinkinga ingakhuphuka uma ubhema noma une-COPD yesigaba sekwephuzile.

Izinkinga ezingaba khona zifaka:

• umkhuhlane ongaphezu kuka-101 ° F (38 ° C)
• izifo ezizungeze indawo yokuhlinzwa
• umoya ophunyuka kushubhu lesifuba
• ukunciphisa isisindo esiningi
• amazinga angajwayelekile e-carbon dioxide egazini lakho
• isifo senhliziyo noma ukwehluleka kwenhliziyo
• umfutho wegazi ophakeme wamaphaphu, noma umfutho wegazi ophakeme enhliziyweni nasemaphashini

Bheka udokotela wakho ngokushesha uma ubona noma iyiphi yalezi zinkinga.

Ukuthatha

Uma i-COPD noma esinye isimo sokuphefumula siphazamisa impilo yakho, cela udokotela wakho ukuthi ngabe i-bullectomy ingasiza ekwelapheni izimpawu zakho.

I-bullectomy inezingozi ezithile, kepha ingakusiza uphefumule kangcono futhi ikunikeze ikhwalithi ephezulu yokuphila. Ezimweni eziningi, i-bullectomy ingakusiza ukuthi uphinde uthole amandla wamaphaphu. Lokhu kungakuvumela ukuthi uzivocavoce futhi uhlale usebenza ngaphandle kokuphelelwa umoya.