Bullectomy

Umxholo

• Yintoni i-bullectomy esetyenziselwa yona?
• Ndiyilungiselela njani i-bullectomy?
• Yenziwa njani i-bullectomy?
• Kukuthini ukufumana kwakhona kwi-bullectomy?
• Ngaba bukhona ubungozi obunxulunyaniswa ne-bullectomy?
• Ukuthatha

Ushwankathelo

I-bullectomy luqhaqho olwenziwe ukususa iindawo ezinkulu zemingxunya yomoya eyonakeleyo emiphungeni edibanisa kwaye yenze iindawo ezinkulu ngaphakathi kwethambo lomlomo wakho, oqukethe imiphunga yakho.

Ngokwesiqhelo, imiphunga yenziwa ziingxowa zomoya ezininzi ezincinci ezibizwa ngokuba yialveoli. Ezi ngxowa zinceda ukuhambisa ioksijini ukusuka emiphungeni uye kwigazi lakho. Xa i-alveoli yonakele, yenza iindawo ezinkulu ezibizwa ngokuba yi-bullae ezithatha indawo nje. IBullae ayinakufunxa ioksijini kwaye iyidlulisele egazini lakho.

I-Bullae ihlala ibangelwa sisifo esingapheliyo sokuphazamiseka kwemiphunga (COPD). I-COPD sisifo semiphunga esiqhele ukubangelwa kukutshaya okanye ukubonakaliswa kwexesha elide kwimisi yegesi.

Yintoni i-bullectomy esetyenziselwa yona?

I-bullectomy ihlala isetyenziselwa ukususa i-bullae enkulu kune-1 sentimitha (ngaphantsi kwesiqingatha se-intshi).

I-Bullae inokubeka uxinzelelo kwezinye iindawo zemiphunga yakho, kubandakanya nayiphi na i-alveoli esempilweni. Oku kwenza nokuba kubenzima ukuphefumla. Inokwenza nezinye iimpawu zeCOPD zibonakaliswe ngakumbi, ezinje:

• ukuvutha
• ukuqina esifubeni sakho
• Ukukhohlela rhoqo kwi-mucus, ngakumbi kwakusasa
• i-cyanosis, okanye i-lip okanye i-fingerprint blueness
• Ndiziva ndidiniwe okanye ndidiniwe rhoqo
• iinyawo, umlenze kunye namaqatha ukudumba

Nje ukuba i-bullae isuswe, uya kuba nakho ukuphefumla ngokulula. Ezinye iimpawu zeCOPD zinokungabonakali kangako.

Ukuba i-bullae iqala ukukhupha umoya, imiphunga yakho ingawa. Ukuba oku kwenzeka ubuncinci kabini, ugqirha wakho uya kuncoma i-bullectomy. I-bullectomy inokuba yimfuneko ukuba i-bullae ithathe ngaphezulu kwama-20 ukuya kuma-30 epesenti yendawo yakho yemiphunga.

Ezinye iimeko ezinokunyangwa yi-bullectomy zibandakanya:

• Isifo se-Ehlers-Danlos. Le yimeko ethoba amandla kwizicwili ezinxibelelanayo kulusu lwakho, kwimithambo yegazi, nakumalungu.
• Isifo seMarfan. Le yenye imeko etyhafaza izicubu ezinxibelelanayo emathanjeni akho, entliziyweni, emehlweni nakwimithambo yegazi.
• I-Sarcoidosis. I-Sarcoidosis yimeko apho iindawo zokudumba, ezaziwa ngokuba zii-granulomas, zikhula kulusu lwakho, amehlo, okanye imiphunga.
• I-emphysema enxulumene ne-HIV. Intsholongwane kaGawulayo idibene nomngcipheko okhulayo we-emphysema.

Ndiyilungiselela njani i-bullectomy?

Unokufuna uvavanyo olupheleleyo lomzimba ukuze uqiniseke ukuba usempilweni ngokwaneleyo kwinkqubo. Oku kunokubandakanya iimvavanyo zokucinga zesifuba sakho, ezinje:

• X-reyi. Olu vavanyo olusebenzisa isixa esincinci semitha yokuthatha imifanekiso engaphakathi komzimba wakho.
• Ukuskena i-CT. Olu vavanyo lusebenzisa iikhompyuter kunye nee-X-ray ukuthatha imifanekiso yemiphunga yakho. Imifanekiso yeCT scan ithatha imifanekiso eneenkcukacha ngakumbi kuneyeX-ray.
• I-Angiography. Olu vavanyo lusebenzisa idayi eyahlukileyo ukuze oogqirha babone imithambo yakho yegazi kwaye balinganise indlela abasebenza ngayo nemiphunga yakho.

Ngaphambi kokuba ube ne-bullectomy:

• Yiya kulo lonke utyelelo langaphambi kokusebenza ngaphambi kokuba ugqirha akucwangcisele lona.
• Yeka ukutshaya. Nazi ezinye iiapps ezinokunceda.
• Thatha ixesha lokuphumla emsebenzini okanye kwezinye izinto ukuze uzinike ixesha lokufumana kwakhona.
• Yiba nelungu losapho okanye umhlobo osenyongweni akugoduse emva kwenkqubo. Usenokungakwazi ukuqhuba kwangoko.
• Musa ukutya okanye usele ubuncinci iiyure ezili-12 ngaphambi kotyando.

Yenziwa njani i-bullectomy?

Ngaphambi kokuba kwenziwe i-bullectomy, uya kufakwa phantsi kwe-anesthesia ngokubanzi ukuze ulale kwaye ungaziva buhlungu ngexesha lotyando. Emva koko ugqirha wakho uya kulandela la manyathelo:

1. Baza kwenza ukusikwa okuncinci kufutshane nekhwapha lakho ukuvula isifuba sakho, esibizwa ngokuba yi-thoracotomy, okanye amanxeba amancinci amaninzi esifubeni sakho kwi-thoracoscopy encediswa yividiyo (VATS).
2. Ugqirha wakho uya kuthi emva koko afake izixhobo zoqhaqho kunye ne-thoracoscope ukubona ngaphakathi komphunga wakho kwiscreen sevidiyo. I-VATS inokubandakanya ikhonsoli apho ugqirha wakho enze utyando esebenzisa iingalo zerobhothi.
3. Baya kususa i-bullae kunye nezinye iindawo ezichaphazelekayo zomphunga.
4. Okokugqibela, ugqirha wakho uya kuvala ukusika ngemisonto.

Kukuthini ukufumana kwakhona kwi-bullectomy?

Uya kuvuka kwi-bullectomy yakho ngombhobho wokuphefumla esifubeni sakho kunye netyhubhu efakwa ngaphakathi. Oku akunakukhathazeka, kodwa amayeza eentlungu anokunceda ukulawula iintlungu ekuqaleni.

Uya kuhlala esibhedlele malunga neentsuku ezintathu ukuya kwezisixhenxe. Ukuchacha ngokupheleleyo kwi-bullectomy kuhlala kuthatha iiveki ezimbalwa emva kwenkqubo.

Ngelixa uchacha:

• Yiya nakweyiphi na indawo yokuqeshwa elandelwa lucwangciso lukagqirha.
• Yiya kulo naluphi na unyango lwentliziyo olucebisa ugqirha wakho.
• Musa ukutshaya. Ukutshaya kunokubangela ukuba ii-bullae ziphinde zenziwe kwakhona.
• Landela ukutya okune-fiber ephezulu ukunqanda ukuqhina kwimithi yeentlungu.
• Sukusebenzisa into yokuthambisa okanye yokuthambisa de ube uyaphiliswa.
• Mamela ngobumnene imisipha yakho eyomileyo emva kokuhlamba okanye ukuhlamba.
• Musa ukuqhuba okanye ubuyele emsebenzini de ugqirha wakho athi kulungile ukwenza njalo.
• Musa ukuphakamisa nantoni na ngaphezulu kweepawundi ezili-10 ubuncinci iiveki ezintathu.
• Musa ukuhamba ngenqwelomoya iinyanga ezimbalwa emva kotyando lwakho.

Uya kubuyela kancinci kwimisebenzi yakho yesiqhelo kwiiveki ezimbalwa.

Ngaba bukhona ubungozi obunxulunyaniswa ne-bullectomy?

Ngokutsho kweYunivesithi yezeMpilo yeNethiwekhi, malunga ne-1 ukuya kwi-10 ekhulwini labantu abafumana i-bullectomy baneengxaki. Umngcipheko weengxaki unokunyusa ukuba uyatshaya okanye unexesha lokugqibela leCOPD.

Iingxaki ezinokubakho zibandakanya:

• Umkhuhlane ongaphezu kwe-101 ° F (38 ° C)
• usulelo olujikeleze indawo yotyando
• umoya ophuma kwityhubhu yesifuba
• ukunciphisa ubunzima obuninzi
• amanqanaba angaqhelekanga ecarbon dioxide egazini lakho
• isifo sentliziyo okanye ukusilela kwentliziyo
• uxinzelelo lwegazi kwimiphunga, okanye uxinzelelo oluphezulu lwegazi entliziyweni nasemiphungeni

Yiya kugqirha wakho ngoko nangoko ukuba ubona naziphi na kwezi ngxaki.

Ukuthatha

Ukuba i-COPD okanye enye imeko yokuphefumla iphazamisa ubomi bakho, cela ugqirha wakho ukuba i-bullectomy inokukunceda ukunyanga iimpawu zakho.

I-bullectomy inemingcipheko ethile, kodwa inokukunceda uphefumle ngcono kwaye ikunike umgangatho wobomi ophezulu. Kwiimeko ezininzi, i-bullectomy inokukunceda uphinde ufumane amandla emiphunga. Oku kunokuvumela ukuba usebenzise umthambo kwaye uhlale usebenza ngaphandle kokuphulukana nomphefumlo wakho.