Isikhangiso

Ukuhlinzwa Kwe-Robotic: Ukufakelwa Kwe-Robotic Okugcwele Ngokugcwele Kwephaphu Elibili Okwenziwe  

Ngomhla zingama-22 kuMfumfu, 2024, ithimba labahlinzayo lenza ukufakelwa kwamaphaphu amabili okugcwele irobhothi kowesifazane oneminyaka engu-57 onesifo esingamahlalakhona se-pulmonary (COPD) esebenzisa uhlelo lwamarobhothi iDa Vinci Xi esigabeni ngasinye. Inqubo yokuhlasela kancane yayihilela ukusika okuncane phakathi kwezimbambo, ukususwa kwephaphu kusetshenziswa uhlelo lwerobhothi, ukulungiswa kwendawo okuhlinzelwa kuyo ukuze kufakwe, nokufakwa kwawo womabili amaphaphu esigulini kusetshenziswa amasu erobhothi.Isiguli sasinofuzo oluthambekele ekuguleni kwamaphaphu. . Watholakala ene-COPD ngo-2010 eneminyaka engu-43 ubudala. Isimo sakhe saba sibi kakhulu kulandela i-COVID-19 ngo-2022. 

Le ntuthuko yenza ukuhlinzwa kwerobhothi kanye nokunakekelwa kwesiguli okuncane kakhulu kube inketho yokwelashwa engaba khona ebaluleke kakhulu ngenxa yomthelela oncishisiwe wokuhlinzwa okukhulu ezigulini, ubuhlungu obulinganiselwe bangemva kokuhlinzwa kanye nomphumela wezempilo ongcono. Ukuhlinzwa kwendabuko kuhlotshaniswa nokugula okuphezulu ngenxa yokuhlasela okukhulu. Indlela yenoveli esebenzisa uhlelo lwamarobhothi i-Da Vinci inciphisa usayizi wokusikeka nokuhlasela futhi inomphumela ongcono ezigulini. 

Ngaphambili, odokotela abahlinzayo babenze iphaphu elilodwa eliyirobhothi ngokuphelele ukufakelwa ukufaka iphaphu langakwesokudla esigulini esineminyaka engu-69 ubudala sisebenzisa inqubo yenoveli esebenzisa uhlelo lwerobhothi lweDa Vinci.  

Iziguli ezine-end-stage chronic obstructive pulmonary disease (COPD) zinokufakelwa kwamaphaphu njengenye yezindlela zokwelapha ezivame kakhulu ezitholakala kuzo. Ukubuyekezwa okuhlelekile kuphakamisa ukuthi ukufakelwa kwamaphaphu kabili kungcono kunokufakelwa iphaphu elilodwa ngokuphila kwesikhathi eside.  

Isifo se-Chronic obstructive pulmonary disease (COPD) siyimbangela yesine ehamba phambili yokufa futhi siyimbangela yesishiyagalombili ehamba phambili yempilo ebuthaka emhlabeni wonke. Yayinecala lokufa okucishe kube yizigidi ezi-3.5 ngo-2021 okwakucishe kube yi-5% yakho konke ukufa komhlaba wonke. Ngaphezu kwama-70% wezigameko ze-COPD emazweni anemali engenayo ephezulu zibangelwa ukubhema ugwayi. Emazweni anemali engenayo ephansi naphakathi (i-LMIC), ukunukubezeka komoya ekhaya kuyisici esiyingozi esikhulu lapho ukubhema kubalelwa ku-30–40% wezigameko ze-COPD.  

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References:  

  1. Izibhedlela ze-NYU Langone. Izindaba – I-NYU Langone Yenza Ukufakelwa Kwamaphaphu Okuphindwe Kabili KweRobhothi Egcwele Emhlabeni Wonke. Kuthunyelwe ngomhla ka-21 Novemba 2024. Itholakala e- https://nyulangone.org/news/nyu-langone-performs-worlds-first-fully-robotic-double-lung-transplant  
  1. Emerson D., et al 2024. Ukufakelwa kwamaphaphu okusizwa ngamarobhothi: Okokuqala kumuntu. I-Journal of Heart and Lung Transplantation. Umqulu 43, Ukukhishwa 1, Januwari 2024, Amakhasi 158-161. I-DOI: https://doi.org/10.1016/j.healun.2023.09.019 
  1. Fang, YC., Cheng, WH., Lu, HI. et al. Ukufakelwa kwamaphaphu okuphindwe kabili kungcono kunokufakelwa kwephaphu elilodwa ngenxa yesigaba sokugcina sesifo esingamahlalakhona esingamahlalakhona: i-meta-analysis. J Cardiothorac Surg 19, 162 (2024). I-DOI: https://doi.org/10.1186/s13019-024-02654-6  
  1. I-WHO. Ama-Factsheets – Isifo se-Chronic obstructive pulmonary (COPD). 6 Novemba 2024. Itholakala ku https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)/  

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Umesh Prasad
Umesh Prasad
Intatheli yesayensi | Umhleli ongumsunguli, umagazini we-Scientific European

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