I-Endoscopic thoracic sympathectomy

I-Endoscopic thoracic sympathectomy (ETS) yotyando lokunyanga ukubila okunzima kakhulu kunesiqhelo. Le meko ibizwa ngokuba yihyperhidrosis. Ngokwesiqhelo utyando lusetyenziselwa ukunyanga ukubila ezintendeni okanye ebusweni. Imithambo enovelwano ilawula ukubila. Olu tyando lusika la mithambo-luvo kwilungu lomzimba elibile kakhulu.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kotyando. Oku kuyakwenza ulale kwaye ungabi nazintlungu.

Utyando luhlala lwenziwa ngale ndlela ilandelayo:

• Ugqirha wenza i-2 okanye i-3 encinci ukusika (ukusikwa) phantsi kwengalo enye kwicala apho ukubila okugqithisileyo kwenzeka khona.
• Umphunga wakho kweli cala ukhubazekile (uwile) ukuze umoya ungangeni ngaphakathi nangaphandle kwawo ngexesha lotyando. Oku kunika ugqirha igumbi elingaphezulu lokusebenza.
• Ikhamera encinci ebizwa ngokuba yi-endoscope ifakwe kwenye yokusika esifubeni sakho. Ividiyo evela kwikhamera ibonisa esweni kwigumbi lokusebenza. Ugqirha ujonga esweni ngelixa esenza utyando.
• Ezinye izixhobo ezincinci zifakwa kwezinye izinto ezisikayo.
• Usebenzisa ezi zixhobo, ugqirha wotyando ufumanisa imithambo-luvo elawula ukubila kwindawo yengxaki. Ezi ziyasikwa, zichetyiwe, okanye zitshatyalaliswe.
• Umphunga wakho kweli cala unomoya.
• Ukusikwa kuvaliwe ngemithungo (iisuture).
• Umbhobho omncinci wokuhambisa amanzi ungasala esifubeni sakho usuku okanye njalo.

Emva kokwenza le nkqubo kwelinye icala lomzimba wakho, ugqirha wotyando unokwenza okufanayo kwelinye icala. Olu tyando luthatha malunga neyure ukuya kwezintathu.

Olu tyando luhlala lusenziwa kubantu abanezandla zabo ezibilayo ukubila kakhulu kunesiqhelo. Ingasetyenziselwa ukunyanga ukubila okugqithisileyo kobuso. Isetyenziswa kuphela xa olunye unyango ukunciphisa ukubila kungakhange lusebenze.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zale nkqubo zezi:

• Ukuqokelelwa kwegazi esifubeni (hemothorax)
• Ukuqokelelwa komoya esifubeni (pneumothorax)
• Ukonakala kwimithambo okanye yimithambo-luvo
• I-Horner syndrome (ukunciphisa ukubila kobuso kunye neenkophe ezixhomayo)
• Ukwanda okanye ukubila okutsha
• Ukwanda kokubila kwezinye iindawo zomzimba (ukubila okuhlawulelwayo)
• Ukunciphisa ukubetha kwentliziyo
• Ukukrala kwemiphunga

Xelela ugqirha wakho wotyando okanye umboneleli wezempilo:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza, iivithamini, imifuno kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezincinci zegazi. Ezinye zezi aspirin, ibuprofen (Advil, Motrin), kunye warfarin (Coumadin).
• Buza ugqirha wakho ukuba ngawaphi amayeza ekusafanele ukuba uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Buza umboneleli wakho ngoncedo lokuyeka. Ukutshaya kwandisa umngcipheko weengxaki ezinjengokunyanga kade.

Ngomhla wotyando lwakho:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Fika esibhedlele ngexesha.

Uninzi lwabantu luhlala esibhedlele ngobunye ubusuku kwaye bagoduke ngemini elandelayo. Unokuba nentlungu malunga neveki okanye ezimbini. Thatha iyeza lentlungu njengoko ugqirha ekucebisile. Unokufuna i-acetaminophen (iTylenol) okanye iyeza lentlungu. SUKUQHUBA ukuqhuba ukuba uthatha iyeza leentlungu.

Landela imiyalelo yotyando malunga nokunyamekela ukusikwa, kubandakanya:

• Gcina indawo zokucheba zicocekile, zomile, kwaye zigutyungelwe ngamalaphu okubopha. Ukuba ukusikwa kwakho kugutyungelwe i-Dermabond (i-bandage engamanzi) ngekhe ufune nayiphi na into yokunxiba.
• Hlamba iindawo kwaye utshintshe ukunxiba njengoko kuyalelwe.
• Buza ugqirha wakho xa uhlamba okanye uhlamba.

Yithi chu ukwenza imisebenzi yakho yesiqhelo njengoko unakho.

Gcina utyelelo olulandelayo kunye nogqirha. Kolu tyelelo, ugqirha wotyando uya kujonga ukubonwa kwaye abone ukuba ngaba olo tyando luphumelele.

Olu tyando lunokuphucula umgangatho wobomi kubantu abaninzi. Ayisebenzi kakuhle kubantu abanobunzima obunzima kakhulu bekhwapha. Abanye abantu baqaphela ukubila kwiindawo ezintsha emzimbeni, kodwa oku kungazihambela ngokwakho.

I-Sympathectomy - i-endoscopic thoracic; NJL; Hyperhidrosis - endoscopic thoracic sympathectomy

• Unonophelo lwenxeba lotyando - luvulekile

Kwiwebhusayithi yoMbutho weHlabathi weHyperhidrosis. I-Endoscopic thoracic sympathectomy. www.sweathelp.org/hyperhidrosis-treatment/ets-surgery.html. Kufumaneka ngo-Apreli 3, 2019.

Ubunzima be-JAA. Hyperhidrosis. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; 2018: isahluko 109.

UMiller DL, uMiller MM. Unyango lotyando lwehyperhidrosis. Ku: Sellke FW, del Nido PJ, Swanson SJ, ii-eds. Ugqirha weSabiston kunye noSpencer wesifuba. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2016: isahluko 44.