pneumonectomy

oru shwaasakosham neekkam cheiyunnathinulla oru shasthrakriyayaan pneumonectomy (allengil numectomy). 1933ll doow. graham ozhivaakkunnu. shwaasakoshathinte oru bhagam maathram neekkam cheiyunna lobectomy allengil segmentectomy ennivayumaayi ithine thettidharikkaruthu. 
rund tharatthilulla pneumonectomy undu lalithavum extra pleuralum. oru lalithamaaya pneumonectomy shwaasakoshathe maathram neekkam cheiyunnu. oru extra pleural pneumonectomy diaphrum, paariyettal pleura, aaa vashathulla pericardium ennivayude bhaagavum edukkunnu.
soochanakal.
shwaasakosha arbudathil ninnu undaakunna tumour tissue neekkam cheyyuka ennathaanu pneumonectomy ettavum saadhaaranamaaya kaaranam. shwaasakoshathile aaghaathakaramaaya parikk, bronchiectasis, kshayarogam, janmana undaakunna takaraar, fungus anubadhakal ennivayaanu mattu kaaranagal.
ethirvashangal.
parisodhanakal.
sasthrakriya rogiyude shwasana sheshi kuraykkum, koodaathe pneumonectomy nadathunnathinu munbu, neekkam cheythathinu sheshamulla athijeevanakshamatha vilayiruthendathundu. saadhyamenkil, oru pulmonary function testt (pii. eph. tii) nadatthanam. oru secondile nirbandhitha shwasana alavum (eph. iii. vii. 1) shwaasakoshathinte vyaapana seshiyum (dii. ell. sii. oo) athijeevanathinte ettavum mikacha soochakamaanennu kandethiyittundu. paramavadhi ooksijan upabhogam (voo 2 maiks) alakkunnathinulla cardiopulmonary vyayaama parisodhana, steyar climbing, shuttle vaakk testt, 6 minitt nadattham parisodhana thudangiya mattu upakaranangalum falaprapti vilayiruthaan upayogikkaam.
rogalakshanangal.
aarkkenkilum gurutharamaaya valvular rogam, kadinamaaya pulmonary hypertension, allengil mosham ventricular pravartthanam ennivayundengil allengil kyaansar shwaasakoshathil ninnu mattu intra-adivayattile gadanakalilekkum vaariyellukalilekkum kontraalaattal hemithoraxilekkum vyaapichittundenkil, athu virudhamaanu.
shasthrakriyaareethi.
naalaamatheyo anchaamatheyo intercostal space upayogichu postarolaattaral thorakottami cheiyunnathu pneumonectomic upayogikkunna ettavum saadhaaranamaaya sameepanamaan. koshajwalanavum pakarchavyaadhiyum undaayal, vaariyellukal koottatthode undengil mathiyaya shasthrakriyaykk vidheyamaakkaan anchaamathe vaariyellinte verthirikkal aavashyamaayi vannekkaam.
viidiyoo assisted thoracoscopic sarjari (whats) sameepanam vipulamaaya maarakavum hanikaravumaaya rogangalkkulla surakshithavum praayogikavumaaya chikilsayaanu whats pneumonectomy, koodaathe rogaavastha kuravaanu.
shwaasakosha arbudathinulla robotic pneumonectomy oru surakshithamaaya prakriya thoracotamic nyayamaaya badalumaanu. mikacha saankethikavidya upayogichu mikka nadapadikramangalum valia sankeernathakalonnumillaathe robotically poortthiyaakkaan kazhiyum.
shareeraghadanayile mattangal.
oru pneumonectomy nadatthiya sesham, marria shareeraghadanaykku nashtapariharam nalkunnathinaayi thorassic arayile mattangal sambhavikkunnu. bakkiyulla shwaasakoshathinte hyperinflateukalum hridayathodoppam ippol shoonyamaaya sthalathekku maarunnu. shasthrakriyaykk sesham thudakkathil eee sthalam vaayu niranjathaanenkilum pinneedu athu agiranam cheyyappedukayum oduvil draavakam athinte sthaanam ettedukkukayum cheiyunnu. nench arayile sheshikkunna idam niraykkunna draavakam pathukke oru proteinasius metteeriyalaayi jelattinais cheyyukayum nench scarfold cheruthaayi thakarukayum cheiyunnu.
oru shwaasakoshathode jeevikkunnu.
vrukkakaleppole, oru vyakthikk oru shwaasakosham maathram upayogichu jeevikkaan palappozhum kazhiyum. karal pole shwaasakoshathinu veendum valaraan kazhiyillengilum, sheshikkunna shwaasakoshathinte saavadhaanathilum kramanugathavumaaya vikaasathiloode shwaasakoshathinte sheshi kuraykkaan sareerathinu kazhiyum. pneumonectomic sheshamulla rogikal krithyasamayathu avarude shasthrakriyaykk munbulla shwaasakosha pravartthanatthinte ekadesham <aii. dii. 1> sathamaanathil athunnu. mathiyaya cardio-pulmonary contitioning undengil, pneumonectomic sesham maarathan oottam ulppede saadhaarana jeevithathilekku madangaan aalukalkk kazhinju.
sankeernathakal.
pneumonectomic sheshamulla ettavum saadhaaranamaaya sankeernathakal ivayaanu

