Thoracotomy: menene menene, iri da alamomi

Wadatacce

• Nau'o'in ƙwayar cuta
• Matsalar da ka iya haifar

Thoracotomy hanya ce ta aikin likita wacce ta kunshi bude kogon kirji kuma hakan na iya faruwa a yankuna daban-daban na kirji, don samar da hanya mafi dacewa ta samun dama ga gabobin da abin ya shafa da kuma fadin da zai ba da damar kyakkyawan filin aiki, gujewa lalacewar gabobi.

Akwai nau'ikan thoracotomy daban-daban, wanda dole ne ayi su gwargwadon gabobin da za a isa da kuma hanyar da ake buƙata a yi, kuma ana iya amfani da shi don bincika ko cire gabobin da suka ji rauni ko sifofi, kula da zubar da jini, kula da embolism, aiwatar tausa zuciya, da sauransu.

Nau'o'in ƙwayar cuta

Akwai nau'ikan nau'ikan nau'ikan nau'ikan thoracotomy guda 4, waɗanda suke da alaƙa da yankin da aka yiwa mahaɗin:

• Bayanin thoracotomy: wannan ita ce hanyar da aka fi amfani da ita, kuma hanyar da galibi ake amfani da ita don samun damar huhu, don cire huhu ko wani ɓangare na huhu saboda cutar kansa, misali. Yayin wannan tiyatar, ana yin wani yanki a gefen kirjin zuwa baya, tsakanin hakarkarin, kuma hakarkarin ya rabu, kuma yana iya zama dole a cire daya daga cikinsu don kallon huhun.
• Mediya thoracotomy: A cikin wannan nau'in thoracotomy, ana yin ragincin ne a bayan taron, domin bude hanyar isa ga kirji. Ana amfani da aikin gabaɗaya lokacin da za a yi tiyatar zuciya.
• Axillary thoracotomy: A cikin wannan nau'in thoracotomy, ana yin wani yanki a yankin hamata, wanda akasari ana amfani da shi ne wajen magance pneumothorax, wanda ya kunshi kasancewar iska a cikin kogon daddawa, tsakanin huhu da bangon kirji.
• Anterolateral thoracotomy: Ana amfani da wannan tsarin gaba ɗaya a cikin al'amuran gaggawa, inda ake yin ragi tare da gaban kirji, wanda zai iya zama dole bayan rauni a kirji ko don ba da damar kai tsaye zuwa cikin zuciya bayan kamawar zuciya.

Matsalar da ka iya haifar

Wasu matsalolin da zasu iya faruwa bayan yin thoracotomy sune:

• Samun iska bayan tiyata;
• Rashin iska, yana buƙatar yin amfani da dogon lokaci na bututun kirji bayan aikin;
• Kamuwa da cuta;
• Zuban jini;
• Samuwar kashin jini;
• Matsalolin da ke faruwa sakamakon cutar ta rigakafi;
• Ciwon zuciya ko arrhythmias;
• Canje-canje na igiyar murya;
• Fistula ta Bronchopleural;

Bugu da ƙari, a wasu yanayi, yankin da aka yi aikin kirji na iya haifar da ciwo na dogon lokaci bayan tiyata. A waɗannan yanayin, ko kuma idan mutum ya gano ɓacin rai a lokacin murmurewa, dole ne a sanar da likita.