
cardiothoracic shastrakriya

cardiothoracic shastrakriya heey aushadhanche kshetra aahe jeey vaksh pokalitil avyavanchya shastrakriyechya upcharanmadhye samavisht aahe-samanyatah hriday (hridayrog), fuffuse (fuffusacha rog) aanee itar fuffusachya kinwa madhyavarti sanrachananchya sthitivar upchar.
bahutek deshanmadhye, cardiothoracic shastrakriya pudhe hriday shastrakriya (hriday aanee mothya vahinyancha samavesh) aanee vaksh shastrakriya (fuffuse, annanalika, thymus ii. samavisht) madhye up-visheshikrut kelee jaate.); apavad aahet america, austreliya, newzealand, united kingdam aanee portugalsarkhe kahee european union desh.
cardiothoracic shastrakriya vibhag visheshtah itar kahee visheshtansah kaam karatatah hrudayavidnyan vibhag aanee fuffusiy/shwasanshastra vibhag (vakshashastra aushadh, chhatiche aushadh).
prashikshan.
hriday shastrakriyechya nivassthani samanyatah chaar teey sahaa varshe (kinwa tyahoon adhik) purn patra shalyachikitsak honyasathiche prashikshan asate. hriday shastrakriyeche prashikshan vaksh shastrakriya aanee/kinwa raktavahinyanchya shastrakriyesah ekatra kele jaau shakate aanee tyala hriday v raktavahinyasambandhi (see. vhee.)/cardiothoracic (see. tii.)/hriday v raktavahinyasambandhi vaksh (see. vhee. tii.) shastrakriya mhanatat. hriday shalyachikitsak thet vaidyakeey shaletoon hriday shastrakriyechya nivassthani pravesh karoo shakatat kinwa pratham samanya shastrakriyeche nivassthan purn karoo shakatat aanee tyanantar shishyavrutti gheu shakatat. hriday shalyachikitsak balrogatadnya hriday shastrakriya, hriday pratyaropan, praudhanni midavalela hridayrog, kamkuvat hrudayachya samasya aanee hrudayatil aanakhi anek samasyansah vividh vishayanmadhye shishyavrutti deuun hriday shastrakriya up-vishesh karoo shakatat.
austreliya aanee newzealand.
cardiothoracic shastrakriyetil atyant spardhatmak shastrakriyeche shikshan aanee prashikshan (sanch) karyakram sahaa varshancha asato, joou sahasa vaidyakeey shaala purn kelyanantar anek varshanni suru hoto. dvi-rashtriy (austreliya aanee newzealand) prashikshan karyakramadvare prashikshan dile jaate aanee dekhrekh kelee jaate. prashikshanachya sampoorn kalavadhit anek pariksha ghetalya jaatat, jyaa prashikshanachya antim varshat antim shishyavrutti parikshet paar padalya jaatat. prashikshan purn jhalyavar, shalyachikitsakanna royal austreliyan college auph sarjan (eff. aar. see.) chee shishyavrutti dilee jaate, jee teey patra tadnya aahet heey darshavate. samanya shastrakriyetil prashikshan karyakram purn kelelya aanee tyanche eff. aar. see. prapt kelelya prashikshanarthinna mahavidhyalayin manjurichya adheen rahoon chaar varshanchya kalavadhiche cardiothoracic shastrakriyetil shishyavrutti prashikshan purn karnyacha paryay asel. cardiothoracic sarjan mhanoon patra honyasathi kiman aath teey daha varshe padvyuttar (poost-medical school) prashikshan lagate. prashikshan sthale aanee sarvajanik (shikshan) rugnalayansathi spardha sadhya khoop jaast aahe, jyamule austreliyamadhye karyabal niyojanababat chinta nirman jhaali aahe.
canada.
aitihasikdrushtya, canadatil hriday shalyachikitsakanni see. vhee./seaty/see. vhee. tii. madhye pheloshipanantar samanya shastrakriya purn kelee. 1990 chya dashakat, vaidyakeey shalenantar canadian hriday shastrakriya prashikshan karyakram sahaa varshanchya "thet-pravesh" karyakramanmadhye badalale. thet-pravesh swaroop rahivashanna hriday shastrakriyeshi sambandhit anubhav pradan karate, jeey tyanna samanya shastrakriya karyakramat milanar nahee (udaa.jee. echocardiography, coronary cair unit, cardiac catheterization ii.). yaa karyakramatil rahivasi vaksh aanee raktavahinyanchya shastrakriyechya prashikshanat dekhil vel ghalavatil. samanyatah, tyanantar ektar praudh hriday shastrakriya, hriday apayash/pratyaropan, kiman aakramak hriday shastrakriya, mahadhamani shastrakriya, vaksh shastrakriya, balrogatadnya hriday shastrakriya kinwa hriday aay. see. yuu. madhye shishyavrutti dilee jaate. samanya shastrakriya purn karnare aanee hriday shastrakriya karoo ichchinare samkalin canadian umedvar anekada united statesmadhye cardiothoracic shastrakriya fellowship purn karatat. canadache royal college auph physician andd sarjan heey patra samanya shalyachikitsakansathi teen varshanchi hriday shastrakriya shishyavrutti dekhil pradan karate jee alberta vidyapith, british kolambiya vidyapith aanee torrento vidyapithasaha anek prashikshan sthalanvar dilee jaate.
vaksh shastrakriya hii canadatil samanya kinwa hriday shastrakriyechi swatachi 2-3 varshanchi swatantra shishyavrutti aahe.
canadamadhil hriday shastrakriya karyakramah
united kingdam.
united kingadammadhe, hriday shalyachikitsakanna thet vishesh prashikshanadvare kinwa mukhya shastrakriyechya prashikshanadvare prashikshan dile jaate. mukhya shastrakriyechya prashikshan margachya madhyamatoon, prashikshanarthi tyanchya tisya varshi cardiothoracic shastrakriyechya vishisht prashikshanasathi arj karoo shakatat. tyanantar, teey mahadhamani shastrakriya, praudh hriday shastrakriya, vaksh shastrakriya, balrogat cardiothoracic shastrakriya aanee praudh janmajat shastrakriya yasarkhya kshetranmadhye up-visheshadnyatva nivadu shakatat.
united states.
united statesmadhil hriday shastrakriyeche prashikshan heey samanya vaksh shastrakriyesah jodale jaate aanee tyala hriday-vaksh shastrakriya kinwa vaksh shastrakriya mhanatat. yuu madheel eka cardiothoracic sarjan.ess. eka assa doctor aahe joou pratham samanya shastrakriyecha nivas (samanyatah 5-7 varshe) purn karato, tyanantar cardiothoracic shastrakriya fellowship (samanyatah 2-3 varshe) purn karato. cardiothoracic shastrakriya shishyavrutti samanyatah done kinwa teen varshe chalate, parantu pramanpatra heey kathor mandal pramanpatra chachanya uttirn karnyavyatirikt, karyakramat ghalavalelya velevar navhe tarr shalyachikitsak mhanoon kelelya shastrakriyanchya sankhyevar aadharit asate. prashikshanacha kalavadhi qamee karnyasathi aanakhi done marg vikasit karnyat aale aaheth (1) ekach sansthet chaar varshanche samanya shastrakriya prashikshan aanee teen varshanche cardiothoracic prashikshan asalele sanyukt samanya-vaksh shastrakriyeche nivassthan aanee (2) sahaa varshanche ekatmik cardiothoracic nivassthan (samanya shastrakriya nivassthan aanee cardiothoracic nivassthan), jeey pratyek anek karyakramanmadhye (20 peksha jaast) sthapit kele gele aahet. arjdar thet vaidyakeey shaletoon ekatmik sahaa varshanchya (aay-6) karyakramanshi julatat aanee yuu. ess. madhye 10 jagansathi andaje 160 arjdar asalyane yaa padansathi arj prakriya atyant spardhatmak rahili aahe.ess. 2010 madhye. meey 2013 paryant, 20 manjur karyakram aahet, jyat khaleel goshtincha samavesh aaheh
united statesmadhil sahaa varshanche ekatmik cardiothoracic shastrakriya karyakramah
american board auph thoracic surgery janmajat hriday shastrakriyesathi vishesh marg pramanpatra dete, jyasathi samanyatah atirikt varshachi shishyavrutti aavashyak asate. heey aupcharik pramanpatra adviteey aahe kaaran itar deshantil janmajat hriday shalyachikitsakanna parwana sansthedvare balrogatadnya prashikshanache aupcharik moolyankan aanee manyata nasate.
hriday shastrakriya.
perikardiyamvar (hridayala vedhanari pishavi) sarvat junie shastrakriya 19vya shatkat jhaali aanee tee francisco romero (1801) dominic jeane larry, heinry dalton aanee daniele hail williams yanni kelee. 4 september 1895 roji norwegian shalyachikitsak axel capellan yanni christianiatil, aata oslo, rickshuspostillate yethe hrudayavaril pahili shastrakriya kelee. tyane eka 24 varshiy vyaktimadhye raktastrav karnari coronary dhamani jodali, jyala davya akshatantut chakoone bhosakanyat aale hote aanee aagmananantar tyala motha dhakka basala hota. davya vakshasthalachya shastrakriyedvare pravesh hota. rugna jaage jhaala aanee 24 taas barah disat hota, parantu vadhatya tapmanamule too aajari padala aanee shavavichhedanantar tisya divashi, joou mediastinitis asalyache siddha jhaale, tyamule akheris tyacha mrutyu jhaala. konatyahi guntaguntishivay keleli hrudayachi pahili yashasvi shastrakriya, germanytil frankfurt yetheel ludwig rehan yanni kelee, jyanni 7 september 1896 roji ujavya nilayavar chakoone kelelya jakhamechi durusti kelee.
mothya vahinyanmadhil shastrakriya (mahadhamani corctation durusti, blollock-tossig shunt nirmiti, paytant ductus arteriosus bund karane) shatkachya akheris samanya jhaali aanee tee hriday shastrakriyechya kshetrat yete, parantu tantrikdrushtya tee hriday shastrakriya manali jaau shakat nahee. coronary artarii bipass graft (cab) hii adhik samanyatah dnyat asalelya hriday shastrakriyechya prakriyanpaiki eka aahe, jyala "bipass shastrakriya" asehi mhanatat."yaa prakriyet, rugnachya shariratil itaratra vahinyanchi kapani kelee jaate aanee adthale door karnyasathi aanee hrudayachya snayunna raktpurvatha sudharanyasathi coronary dhamanimadhye jodale jaate.
hriday vikrutinchya suruvatichya drushtikonatun.
1925 madhye hriday zadpanvaril shastrakriya adnyat hotya. heinry souterne mitral stenosis asalelya eka tarun mahilevar yashasviritya shastrakriya kelee. tyane davya alindatil angat eka chhidra kele aanee kharab jhalelya mitral zadpala sparsh karnyasathi aanee tyacha shodh ghenyasathi yaa kakshat eka boat ghatale. rugna anek varshe jagala parantu tyaveli sauttarchya doctor sahakanyanni nirnay ghetala qee hii prakriya nyayya nahee aanee too pudhe chaloo thevu shakat nahee.
dusya mahayuddhanantar hriday shastrakriyemadhye lakshaniy badal jhaala. 1948 madhye sandhivatachya tapamule jhalelya mitral stenosisasathi chaar shalyachikitsakanni yashasvi shastrakriya kelya. pieter vent brigham rugnalayachya dow. dwite harken yanni mitral zadapcha eka bhag kadhanyasathi panchcha vapar kelyamule, charlotchya horace smithine (1914-1948) shastrakriya punha suru kelee. philadelphiya yetheel haneman rugnalayatil charles bellie (1910-1993), bostenmadhil dwite harken aanee guise rugnalayatil russell broke yaa sarvanni souter paddhat sweekarli. yaa serve purushanni kahee mahinyantach ekmekanpasun swatantrapane kaam karnyas suruvat kelee. yaveli badal jhaale asale taree sautarche tantra mothya pramanat sweekarle gele.
1947 madhye midlessex rugnalayachya thomas homes sellersney (1902-1987) fuffusiy stenosis asalelya eka follotchya tetrology rugnavar shastrakriya kelee aanee fuffusiy zadap yashasviritya vibhagali. 1948 madhye, kadachit vikretyachya karyabaddal anbhidnya asalelya russell brockney pulmonary stenosischya teen prakarananmadhye vishesh design kelele dialeter vaparale. nantar 1948 madhye tyanni infundibular snayu stenosische pruthakkaran karnyasathi eka punch tayar keela joou anekada follotchya tetrologyshy sambandhit asato. hriday baypaschya amalbajavanimule zadpanvar thet shastrakriya shakya hoiparyant yapaiki hajaro 'andh' shastrakriya kelya gelya.
open haart shastrakriya.
open haart shastrakriya hii eka prakriya aahe jyamadhye rugnache hriday ughadale jaate aanee hrudayachya antargat sanrachanevar shastrakriya kelee jaate. wilfred jee. yanni yacha shodh lavala. torrento vidyapithachya matey, hrudayantargat vikaranchi durusti raktaheen aanee gatiheen vatavaranane adhik changlya prakare kelee gelee, jyacha arth hriday thambavale pahije aanee rakt vahoon gele pahije. hypothermia vaparoon janmajat hriday doshachi pahili yashasvi antahkendriya durusti see. yanni kelee. walton lilehi aanee eff. 2 september 1952 roji minnesota vidyapithatil johnn louis yanni. pudhchya varshi, soviet shalyachikitsak eleksandra aleksandrovich vishnevsky yanni sthanik bhool deuun pahili hriday shastrakriya kelee.
hypothermiachya maryada shalyachikitsakanna jaanavalya-jatil hrudayavikarachya aatalya durustila adhik vel lagato aanee rugnala sharirat, visheshtah mendumadhye rakt pravah aavashyak asato. rugnala krutrim paddhatidvare pradan kelelya hriday aanee fuffusanchya karyachi aavashyakta asate, mhanoon cardiopulmonary bipass hii sandnya aahe. philadelphiyamadhil jefferson vaidyakeey shaletil johnn hesham gibbon yanni 1953 madhye auksijandware bahya-bahya parisancharanacha pahila yashasvi vapar nondavala, parantu tyanantarchya apayshamule nirash houn tyanni hii paddhat sodoon dilee. 1954 madhye lileheela niyantrit cross-circulation tantrasah shastrakriyanchi eka yashasvi malika lakshat aalee jyamadhye rugnachya aaicha kinwa vadilancha 'hriday-fuffus yantra' mhanoon vapar keela jaat asey. johnn doubleu. rochester yetheel meyo klinikmadhil kirklin, minnesota yanni yashasvi shastrakriyanchya maliket gibbon prakarchya pump-oxygengenkacha vapar karnyas suruvat kelee aanee lavkarach jagachya vividh bhagantil shalyachikitsakanni tyacha pathpurava keela.
nazih zuhadine 25 februwari 1960 roji oklahoma shaharatil dayaa rugnalayat vayachya 7 vya varshi, terry jeane nixwor pahili sampoorn hetupurassar haemodilution open haart shastrakriya kelee. shastrakriya yashasvi jhaali; tathapi, teen varshannantar 1963 madhye nixcha mrutyu jhaala. march 1961 madhye, zuhadi, carrie aanee greer yanni, sampoorn hetupurassar haemodilution machinecha vapar karoon, vayachya mulavar open haart shastrakriya kelee. 1985 madhye zuhadine baptist rugnalayat nancy roggersver oklahomache pahile yashasvi hriday pratyaropan kele. pratyaropan yashasvi jhaale, parantu karkarog asalelya roggerscha shastrakriyenantar 54 divasanni sansargamule mrutyu jhaala.
aadhunik hriday-prahar shastrakriya.
1990 chya dashakapasun, shalyachikitsakanni 'auph-pump bipass shastrakriya'-coronary dhamani bipass shastrakriya varr namood kelelya cardiopulmonary baypasshivay karnyas suruvat kelee aahe. yaa shastrakriyanmadhye, shastrakriyedarmyan hriday dhaddhadat asate, parantu jawaljawal sthir kamache kshetra pradan karnyasathi sthir kele jaate jyamadhye adthala talananya vahinyala jodanyasathi; yuu.ess.endoscopic vessel harvesting (eae. vhee. etch.) mhanoon olakhalya jaananya tantracha vapar karoon bahutek vahinya endoscopic paddhatine kapalya jaatat.
kahee sanshodhakanche asey mutt aahe qee pump bund karnyachya drushtikonamule postperfusion syndromsarkhya shastrakriyenantarchya qamee guntagunti hotat aanee ekoon parinam changle hotat. 2007 paryant abhyasache parinam vadgrast aahet, shalyachikitsakachi pradhanye aanee rugnalayatil parinam ajunahi eka pramukh bhoomika bajavtat.
kameet qamee aakramak shastrakriya.
robot-sahayyit hriday shastrakriya haah hriday shastrakriyecha eka naveen prakar aahe joou lokpriy jhaala aahe. yethech hriday shalyachikitsakadvare niyantrit asatana shastrakriya karnyasathi yantracha vapar keela jaato. yacha mukhya fayda mhanje rugnane kelelya chhedacha aakar. eka chhed shalyachikitsakala aapale haat aat thevanyapeksha kamitakami motha asanyaivaji, too robotachya khoop lahan "haat" madhoon jaanyasathi 3 lahan chhidranpeksha motha asanyachi garaj nahee.
balrogatriy hriday v raktavahinyasambandhi shastrakriya.
balrogatriy hriday v raktavahinyasambandhi shastrakriya hii mulanchya hrudayachi shastrakriya aahe. mulanmadhil hriday-raktavahinyansambandhi dosh durust karnyasathi pahili shastrakriya sweedenmadhil clarence craffordne kelee hotee, jevha tyane 12 varshanchya mulamadhye mahadhmanichya coorctation durusti kelee hotee. janmajat hrudayrogavar shaman aananyache pahile prayatna alfried blollock yanni 1944 madhye vilyam longmyer, denton koole aanee blollockche anubhavi tantradnya vivian thomas yanchya madatine johns hopkins rugnalayat kele. bipass machinecha vapar naan karata janmajat hriday dosh durust karnyasathichi tantre 1940 chya dashakachya uttaradhat aanee 1950 chya dashakachya suruvatila vikasit kelee gelee. tyanpaiki eka mhanje 1952 madhye louis aanee taaf yanni kelelya hypothermia, pravah avarodh aanee 5 varshanchya mulamadhye thet drushti vaparoon alindatil septal dosh ughadpane durust karane. see. 1954 madhye walter liliheine 4 varshanchya mulamadhye ventricular septal dosh thet durust kartana perfusion rakhanyasathi mulga aanee tyachya vadilanmadhil cross-circulation vapar keela. tyane cross-circulation vapar suru thewala aanee fallotchya tetrologychi pahili durusti kelee aanee 1955 madhye american cergical associationmadhye teey parinam sadar kele. dirghkalasathi, balrogatriy hriday v raktavahinyasambandhi shastrakriya, varr namood kelyapramane gibbon aanee lilehi yanni vikasit kelelya hriday-fuffusiy bipass mashinavar avalambun asel.
hriday shastrakriyecha dhoka.
hriday shastrakriya aanee hriday fuffusiy bipass tantranchya vikasamule yaa shastrakriyanche mrutyuche praman tulanene qamee jhaale aahe. udaharanarth, janmajat hriday doshanchya durustimadhye sadhya mrutyuche praman 4-6% asalyacha andaj aahe. hriday shastrakriyechi eka pramukh chinta mhanje majjasanstheche nuksan hone. hrudayavikarachya shastrakriyetun jaananya serve lokanpaiki 5 takke lokanmadhye stroke hoto aanee strokecha dhoka asalelya rugnanmadhye too jaast asato. hriday-fuffusiy baypasla karanibhoot asalelya neurocognitive kamataratechya adhik sookshm samoohala postperfusion syndrome mhanoon olakhale jaate, jyala kadhikadhi "pumphead" mhanatat. postperfusion syndromechi lakshane suruvatila kayamswarupi asalyache jaanavale, parantu kayamswarupi majjasansthechi kamatarata nasaleli kshanik asalyache disun aale.
shastrakriya vibhag aanee vaiyaktik shalyachikitsakanchya kamgiriche moolyankan karnyasathi, euroscore navache eka lokpriy jokhim model tayar kele gele aahe. heey rugnakadoon anek aarogya ghatak ghete aanee purvaniyojit logistic regression gunank vaparoon, jiwant rahanyachi takkewari shakyata sodanyacha prayatna karate. yuu. keey. madhye yaa euroscorecha vapar cardiothoracic shastrakriyesathichya serve kendranche vibhajan denyasathi aanee unit aanee tyanche vaiyaktik shalyachikitsakanni swikararh shreneet kamgiri kelee qee nahee yache kahee sanket denyasathi keela jaat asey. nikal see. kyu. see. chya sanketsthalavar upalabdh aahet. tathapi, vaparleli achook karyapaddhati aajparyant prakashit jhaleli nahee kinwa jyaa kachcha detavar parinam aadharit aahet tee dekhil nahee.
sansarg haah cardiothoracic shastrakriyemule honari prathamik hriday-nasaleli guntagunt darshavito. sansarganmadhye mediastinitis, sansargjanya mayo-kinwa pericarditis, endocardities, hriday v raktavahinyanmadhil sansarg, pneumonia, empema aanee raktpravahatil sansarg yancha samavesh asoo shakato. "jevha rogpratibandhak kinwa shastrakriyenantarchya pratijaivikancha vapar keela jaato tevha "clostridium deficile" bruhadantrashoth dekhil vikasit houu shakato.
cardiothoracic shastrakriyechya shastrakriyenantarchya rugnanna malmal, ulatya, dysphagea aanee aspiration pneumoniacha dhoka asato.
vaksh shastrakriya.
fuffusachi shastrakriya hii eka shastrakriya prakriya aahe jyamadhye fuffusacha kahee bhag kadhala jaato. yacha vapar kadhikadhi pneumothorax aanee mesotheliomachya upcharanmadhye keela jaato. pneumothoraxchya babatit, parital plurache fakt epical aanee diaphramatic bhag kadhale jaatat.
fuffusache praman qamee karanyachi shastrakriya.
fuffusanche praman qamee karanyachi shastrakriya kinwa ell. vhee. aar., jevha itar upchar paryay purese nasatat, tevha amphysemates prakarchya see. oo. pii. dii. asalelya vishisht rugnansathi jivanacha darja sudharu shakate. vatasfitimule visheshtah kharab jhalele fuffusache bhag kadhoon takale jaatat, jyamule urvarit, tulanene changle fuffus vistaru shakate aanee adhik karyakshamatene karya karoo shakate. fayadeshir parinam heey avashisht aakarmanatil sadhya kelelya ghatanesah parasparsambandhit aahet. paramparik ell. vhee. aar. madhye vatanukoolit, fuffus nasalelya sarvat gambhirpane prabhavit bhaganche vichhedan samavisht asate (20-30% sathee uddisht aahe). antarnihit vatasfitimule see. oo. pii. dii. chya antim tappyat asalelya rugnansathi haah eka shalyakriya paryay aahe jyamadhye miinii-thorakotomicha samavesh aahe aanee fuffusanchya lavchik punarprapti tasech diaphramatic karya sudharu shakate.
rashtriy vatasfiti upchar chachani (nett) haah eka motha bahu-kendra abhyas (aine = 1218) hota, jyamadhye ell. vhee. aar. chee tulana shastrakriyetar upcharanshi kelee gelee. parinamanni asey soochit kele qee ell. vhee. aar. ess. gatamadhye, pramukhyane varchya-lobe vatasfiti + kharab vyayam kshamata vagalata, jaganyacha konatahi ekandar fayda navhata aanee ell. vhee. aar. ess. gatatil vyayam kshamatet lakshaniy sudharana disun aalya. nantarchya abhyasanmadhye changlya parinamansah upcharanchi vyapak vyapti darshavili gelee aahe.
ell. vhee. aar. chya sambhavya guntaguntinmadhye dirghkal havah galatee (shastrakriyenantarchya serve chhatichya nalya kadhoon takalya jaiparyantcha sarasari kalavadhi 10.9 ±8 divasancha asato.
jyaa lokanna pramukhyane varchya bhagacha vatasfiti aahe, tyanchya fuffusache praman qamee karnyachya shastrakriyemule aarogya sthitee aanee fuffusanche karya changle houu shakate, jaree yamule lavkar mrutyu aanee pratikool ghatanancha dhoka dekhil vadhato.
ell. vhee. aar. ess. chaa vapar europemadhye mothya pramanat keela jaato, jaree tyacha americet vapar bahutek prayogik aahe.
bronchoscopic fuffusanche praman qamee karanyachi prakriya mhanoon qamee aakramak upchar upalabdh aahet.
fuffusachya karkarogachi shastrakriya.
serve fuffusache karkarog shastrakriyesathi yogya nasatat. avastha, sthan aanee peshincha prakar heey mahattvache maryadit karnare ghatak aahet. yavyatirikt, jeey lock kharab kamgirichya sthitimule khoop aajari aahet kinwa jyanchyakade apure fuffusiy satha aahe teey jaganyachi shakyata qamee aahe. kaljipurvak nivad kelee taree, ekoon shastrakriya mrutyu darr sumare 4.4% aahe.
lahan nasalelya peshinmadhye fuffusachya karkarogache staging, aay. aii., aay. bii., aay. aay. aii. aanee aay. aay. bii. heey stage shastrakriyesathi yogya aahet.
fuffusiy rakheev bhag spirometridware mojala jaato. jarr shwas ghenyas tras hott asalyacha kinwa parenkymal fuffusachya rogacha prasar hott asalyacha konatahi purava nasel aanee taap 2 litter kinwa andajit tapachya 80 takkyanpeksha jaast asel tarr tee vyakti pneumonectomisathi yogya aahe. jarr taap 1 1.5 litarpeksha jaast asel tarr rugna lobectomisathi yogya aahe.
fuffusachya karkarogachya shastrakriyepurvi vyayam karyakramanmadhye sahbhagi jhalyas shastrakriyenantar guntagunti honyacha dhoka qamee houu shakato heey darshavinare kamkuvat purave aahet.
guntagunt.
fuffusachya karkarogachya shastrakriyenantar 8-25% lokanmadhye dirghkal havah galatee (paal) houu shakate. hii guntagunt chhatichi nalee kadhoon taknyas vilamb karate aanee fuffusachya vichchedananantar (fuffusachya karkarogachi shastrakriya) rugnalayat rahnyachya vadhiv kalavadhishi sambandhit aahe. shastrakriyedvare sealantcha vapar kelyane dirghkal havah galatee honyache praman qamee houu shakate, tathapi, keval yaa hastakshepamule fuffusachya karkarogachya shastrakriyenantar rugnalayat rahanyacha kalavadhi qamee jhalyache disun aalele nahee.
fuffusachya karkarogachya shastrakriyenantar fuffusachya guntagunt qamee karnyasathi aakramak nasalela sakaratmak daab vayuvijan vaparnyache samarthan karnyasathi konatahi thos purava nahee.
bahya duve.