ʻO Bullectomy

Anter

• Hoʻohana ʻia kahi bullectomy?
• Pehea wau e hoʻomākaukau ai no kahi bullectomy?
• Pehea e hana ai i kahi bullectomy?
• He aha ka hoʻōla e like me ka bullectomy?
• Aia kekahi mau pilikia e pili ana i ka bullectomy?
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO kahi bullectomy kahi ʻoki kino i hana ʻia e wehe i nā wahi nui o nā ʻeke ʻino i hōʻino ʻia i loko o nā akemāmā e hui a hana i nā ākea nui aʻe i loko o kou lua pleura, kahi i loaʻa i kou mau māmā

ʻO ka maʻamau, hana ʻia nā māmā me nā ʻeke ea liʻiliʻi he nui i kapa ʻia ʻo alveoli. Kōkua kēia mau ʻeke i ka lawe ʻana i ka oxygen mai nā akemāmā i kāu kahe koko. Ke hōʻino ʻia ka alveoli, hana lākou i nā ākea nui i kapa ʻia he bullae e lawe wale i kahi. ʻAʻole hiki iā Bullae ke omo i ka oxygen a hoʻoili iā ia i loko o kou koko.

ʻO ka hopena pinepine ʻo Bullae mai ka maʻi pulmonary obstructive maʻi (COPD). ʻO COPD kahi maʻi maʻa mau i hana pinepine ʻia e ka puhihihihihʻi ʻana a i ʻole ka wā lōʻihi i nā uahi kinoea.

Hoʻohana ʻia kahi bullectomy?

Hoʻohana pinepine ʻia kahi bullectomy e wehe i ka bullae i ʻoi aku ma mua o 1 centimeter (ma lalo o ka hapalua iniha).

Hiki iā Bullae ke hoʻokau i nā wahi ʻē aʻe o kou mau māmā, me kahi alveoli olakino i koe. Hoʻonui kēia i ka hanu ʻana. Hiki iā ia ke hana i nā ʻōuli COPD ʻē aʻe i ʻōlelo hou aʻe, e like me:

• ʻūhā
• paʻa i kou umauma
• ʻūhū pinepine ʻana i ka mucus, ke kakahiaka nui hoʻi
• cyanosis, a i ʻole lehelehe a i ʻole ka manamana lima
• luhi a luhi paha
• ka wāwae, ka wāwae, a me ka kuʻekuʻe wāwae

Ke hoʻoneʻe ʻia ka bullae, hiki pinepine ʻoe i ka hanu maʻalahi. ʻAʻole ʻike iki ʻia kekahi mau ʻōuli o COPD.

Inā hoʻomaka ka bullae e hoʻokuʻu i ka ea, hiki i kou mau māmā ke hāʻule. Inā hiki kēia i ʻelua mau manawa, e paipai paha kāu kauka i kahi bullectomy. Pono paha kahi bullectomy inā lawe ka bullae ma mua o 20 a 30 pākēneka o kāu wahi māmā.

ʻO nā kūlana ʻē aʻe i hiki ke mālama ʻia e ka bullectomy:

• Ehlers-Danlos maʻi. He kūlana kēia e hoʻonāwaliwali i nā mea hoʻopili i kou ʻili, nā kīʻaha koko, a me nā hono.
• Maʻi ʻo Marfan. ʻO kēia isanother kūlana e hoʻonāwaliwali i nā mea hoʻopili i kāu iwi, puʻuwai, maka, a me nā kīʻaha koko.
• ʻO Sarcoidosis. ʻO Sarcoidosis kahi kūlana kahi e ulu ai nā wahi o ka mumū, i ʻike ʻia ʻo granulomas, i kou ʻili, nā maka, a i ʻole nā ​​akemāmā.
• Pākuʻi e pili ana i ka maʻi HIV. Pili ka HIV me ka hoʻonui i ka makaʻu o ka hoʻomōhala ʻana i ka emphysema.

Pehea wau e hoʻomākaukau ai no kahi bullectomy?

Pono paha ʻoe i kahi hoʻokolokolo kino piha e ʻike pono ai kou olakino kūpono no ke kaʻina hana. Hoʻopili paha kēia i nā hoʻokolohua kiʻi o kou umauma, e like me:

• X-ray. ʻO kēia hōʻoia e hoʻohana nei i ka liʻiliʻi o nā nui o ka radiation e kiʻi i nā kiʻi o loko o kou kino.
• CT scan. Hoʻohana kēia ho'āʻo i nā kamepiula a me nā kukuna X e kiʻi i nā kiʻi o kou mau māmā. Lawe ʻo CT scans i nā kiʻi kikoʻī ma mua o nā kukuna X.
• ʻIlelo Angiography. Hoʻohana kēia hoʻokolohua i kahi kala ʻokoʻa i hiki i nā kauka ke ʻike i kāu kīʻaha koko a ana pehea lākou e hana nei me kāu mau māmā.

Ma mua o kou loaʻa ʻana i kahi bullectomy:

• E hele i nā kipa mua a pau a kāu kauka i hoʻonohonoho ai nāu.
• E haʻalele i ka puhi pua ʻana. Eia kekahi mau polokalamu i hiki ke kōkua.
• Lawe i kahi manawa i ka hana a i ʻole nā ​​hana ʻē aʻe e ʻae iā ʻoe iho i ka manawa hou.
• E lawe i kahi lālā o kou ʻohana a i ʻole hoa aloha paha iā ʻoe ma ka home ma hope o ke kaʻina hana. ʻAʻole hiki iā ʻoe ke hoʻokele koke.
• Mai ʻai a inu paha ma ka liʻiliʻi he 12 mau hola ma mua o ke kaha ʻana.

Pehea e hana ai i kahi bullectomy?

Ma mua o ka hoʻokō ʻia ʻana o kahi bullectomy, e hoʻonoho ʻia ʻoe ma lalo o ka anesthesia laulā no laila e hiamoe ana ʻoe a ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki. A laila, e hāhai kāu kauka lāʻau i kēia mau kaʻina hana:

1. E hana lākou i kahi ʻoki liʻiliʻi ma kahi o kou ʻūlū e wehe i kou umauma, i kapa ʻia he thoracotomy, a i ʻole he mau ʻoki liʻiliʻi ma kou umauma no kahi thoracoscopy kōkua wikiō (VATS).
2. A laila e hoʻokomo kāu kauka lāʻau i nā mea hana ʻoki a me ka thoracoscope e ʻike i ka loko o kou māmā ma ka pakuhi wikiō. Pili paha ʻo VATS i kahi console kahi e hana ai kāu kauka lāʻau i ke keʻoki me ka hoʻohana ʻana i nā lima robotic.
3. E hoʻoneʻe lākou i ka bullae a me nā ʻāpana ʻē aʻe i hoʻopili ʻia o kou māmā.
4. ʻO ka mea hope loa, e pani ana kāu kauka lāʻau i nā ʻokiʻoki me nā sutures.

He aha ka hoʻōla e like me ka bullectomy?

E ala ʻoe mai kāu bullectomy me kahi ʻōpū hanu i loko o kou umauma a me kahi puʻupuʻu huhū. Hiki i kēia ke hōʻoluʻolu ʻole, akā hiki i nā lāʻau ʻeha ke kōkua i ka mālama ʻana i ka ʻeha ma ka mua.

E noho ʻoe i ka haukapila ma kahi o ʻekolu a ʻehiku lā paha. ʻO ka hoʻihoʻi piha ʻana mai kahi bullectomy i mau mau i mau pule ma hope o ke kaʻina hana.

ʻOiai ke ola nei ʻoe:

• E hele i nā koho hope a kāu kauka e hoʻonohonoho ai.
• E hele i nā lāʻau lapaʻau a ke kauka i paipai ai.
• Mai puhi. Hiki i ke puhipaka ke hana hou i ka bullae.
• E hāhai i ka ʻai kiʻekiʻe e pale ai i ka paʻa ʻana mai nā lāʻau ʻeha.
• Mai hoʻohana i nā lotion a i ʻole nā ​​kalima i kāu mau ʻokiʻoki a hiki i ka wā e hoʻōla ʻia ai lākou.
• E hoʻomaloʻo mālie i kāu mau ʻokiʻoki ma hope o ka ʻauʻau ʻana a i ʻole ka ʻauʻau ʻana.
• Mai hoʻokele a hoʻi i ka hana a ʻōlelo ke kauka he maikaʻi ke hana pēlā.
• Mai hāpai i kekahi mea ma mua o 10 paona no ʻekolu mau pule.
• Mai hele i ka mokulele no kekahi mau mahina ma hope o kāu ʻoki ʻana.

E hoʻi mālie ʻoe i kāu mau hana maʻamau i kekahi mau pule.

Aia kekahi mau pilikia e pili ana i ka bullectomy?

Wahi a ke Kulanui o Health Network, ma kahi o 1 a 10 pakeneka wale nō o ka poʻe i loaʻa i ka bullectomy i loaʻa nā pilikia. E hoʻonui paha kou makaʻu i nā pilikia inā puhipaka ʻoe a i ʻole ua hopena COPD i ka hopena.

ʻO nā pilikia i hiki ke hoʻopili ʻia:

• wela ma luna o 101 ° F (38 ° C)
• nā maʻi a puni ka ʻoki kino
• ea e pakele ana i ka pahu pahu
• ka lilo nui ʻana o ke kaupaona
• nā pae maʻamau o ke kalapona kalapona i kou koko
• maʻi puʻuwai a i ʻole hake puʻuwai
• pulmonary hypertension, a i ʻole ke koko kiʻekiʻe i loko o kou puʻuwai a me kou mau māmā

E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau pilikia.

ʻO ka lawe lawe ʻana

Inā hoʻonāukiuki ʻo COPD a i ʻole kahi ʻano hanu i kou ola, e noi i kāu kauka inā hiki i kahi bullectomy ke kōkua e mālama i kāu mau ʻōuli.

Hāpai kahi bullectomy i kekahi mau pōpilikia, akā hiki ke kōkua iā ʻoe e hanu maikaʻi a hāʻawi iā ʻoe i ke ola kiʻekiʻe. I nā manawa he nui, hiki i kahi bullectomy ke kōkua iā ʻoe e loaʻa hou ka mana o ka hanu. Hiki i kēia ke ʻae iā ʻoe e hoʻoikaika kino a noho paʻa me ka ʻole o ka hanu ʻana.