Endoscopic thoracic sympathectomy

Endoscopic thoracic sympathectomy (ETS) kuvhiya kurapa ziya rinorema kupfuura zvakajairwa. Aya mamiriro anonzi hyperhidrosis. Kazhinji kuvhiyiwa kunoshandiswa kurapa dikita muzvanza kana kumeso. Tsitsi dzinonzwira tsitsi dzinodzora kudikitira. Kuvhiya kunocheka tsinga idzi kuchikamu chemuviri icho chinodikitira zvakanyanya.

Iwe unozogamuchira general anesthesia usati wavhiyiwa. Izvi zvinokuita kuti uvete uye usarwadziwa.

Kuvhiya kunowanzoitwa nenzira inotevera:

• Chiremba anovhiya anoita maviri kana matatu akacheka madiki (kucheka) pasi peruoko rumwe kudivi uko kudikitira kwakanyanya kunoitika.
• Mapapu ako kudivi iri akapwanyika (kudonha) kuitira kuti mweya usapinda mukati nekubuda mauri panguva yekuvhiyiwa. Izvi zvinopa chiremba chiremba nzvimbo yakawanda yekushanda.
• Kamera kadiki inonzi endoscope inoiswa kuburikidza nekumwe kucheka muchifuva chako. Vhidhiyo kubva kumakamera inoratidza pane yekutarisisa mune yekushandisa imba. Chiremba anovhiya anotarisa tarisiro paanenge achivhiya.
• Zvimwe zvishandiso zvidiki zvinoiswa kuburikidza nekumwe kucheka.
• Uchishandisa zvishandiso izvi, chiremba anovhiya anowana tsinga dzinodzora kudikitira munzvimbo yedambudziko. Izvi zvinodimburwa, kutsemurwa, kana kuparadzwa.
• Mapapu ako kudivi iri akafemerwa.
• Kucheka kwakavharwa nesiteki (sutures).
• Chubhu diki yemadhizaini inogona kusiiwa muchipfuva chako kwezuva kana kupfuura.

Mushure mekuita maitiro aya kune rumwe rutivi rwemuviri wako, chiremba anovhiya anogona kuita zvimwe chete kune rimwe divi. Kuvhiya kunotora anenge 1 kusvika 3 maawa.

Uku kuvhiya kunowanzoitwa mune vanhu vane mawoko anodikitira zvakanyanya kupfuura zvakajairwa. Inogona zvakare kushandiswa kurapa zvakanyanya kudikitira kwechiso. Iyo inongoshandiswa chete kana kumwe kurapa kwekudzikisa kutuka kusati kwashanda.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzeiyi maitiro ndeiyi:

• Kuunganidzwa kweropa mubhokisi (hemothorax)
• Kuunganidzwa kwemhepo mubhokisi (pneumothorax)
• Kukuvadza kune tsinga kana tsinga
• Horner syndrome (kuderera kwekutuka kumeso uye maziso anodonhedza)
• Kuwedzera kana kutsva kudikitira
• Kuwedzera kudikitira mune dzimwe nzvimbo dzomuviri (kubhadharisa kudikitira)
• Kunonoka kwekurova kwemoyo
• Chirwere chemabayo

Udza chiremba wako anovhiya kana mupi wehutano:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi mishonga, mavitamini, mahebhu, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kukumbirwa kumira kutora ropa rakaonda mishonga. Mimwe yeiyi aspirin, ibuprofen (Advil, Motrin), uye warfarin (Coumadin).
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti abatsire kurega. Kusvuta kunowedzera njodzi kumatambudziko akadai sekunonoka kupora.

Pazuva rekuvhiyiwa kwako:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Vanhu vazhinji vanogara muchipatara husiku humwe voenda kumba zuva rinotevera. Unogona kuve nekurwadziwa kweinenge vhiki kana maviri. Tora mushonga wemarwadzo sekurudzirwa nachiremba wako. Iwe ungangoda acetaminophen (Tylenol) kana mushonga wekurapa mushonga. Usatyaire kana uri kutora mushonga wekurwadziwa.

Tevedza rairo yechiremba nezve kutora hanya kwemaitiro, kusanganisira:

• Chengetedza iyo incision nzvimbo yakachena, yakaoma, uye yakafukidzwa nezvipfeko (mabhandeji). Kana incision yako yakafukidzwa neDermabond (liquid bandage) ungangoda chero kupfekedzwa.
• Shamba nzvimbo uye chinja kupfeka sezvakarairwa.
• Kumbira chiremba wako kuti uvhure kana kugeza.

Zvishoma nezvishoma tangazve zviitiko zvako zvenguva dzose sezvaunokwanisa.

Ramba uchishanya kwekutevera nachiremba anovhiya. Pakushanya uku, chiremba anovhiya anoongorora zvinoonekwa uye aone kana kuvhiya kwakabudirira.

Uku kuvhiya kunogona kuvandudza hupenyu hwevanhu vazhinji. Izvo hazvishande zvakare kune vanhu vane anorema muhapwa kudikitira. Vamwe vanhu vanoona kudikitira munzvimbo nyowani pamuviri, asi izvi zvinogona kuenda zvega.

Sympathectomy - endoscopic thoracia; Nezvimwewo; Hyperhidrosis - endoscopic thoracic sympathectomy

• Kuchengeta ronda rekuvhiya - rakavhurika

Yepasi rose Hyperhidrosis Society webhusaiti. Endoscopic thoracic sympathectomy. www.sweathelp.org/hyperhidrosis-treatments/ets-surgery.html. Yakasvika muna Kubvumbi 3, 2019.

Langtry JAA. Hyperhidrosis. Mune: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Kurapa kweGanda Rezvirwere: Dzakakwana Therapeutic Strategies. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 109.

Miller DL, Miller MM. Kuvhiya kurapwa kwehyperhidrosis. Mune: Sellke FW, del Nido PJ, Swanson SJ, eds. Sabiston uye Spencer Kuvhiya kweChipfuva. 9th ed. Philadelphia, PA: Elsevier; 2016: chits 44.