Ngendlela entsha, egcwele amarobhothi, odokotela abahlinza ithoracic e-St. Joseph's Healthcare Hamilton baye bashintsha indlela okwenziwa ngayo ukuhlinzwa komdlavuza womminzo. Yintuthuko ebaluleke kakhulu ekuhlinzeni umdlavuza wommizo eCanada eminyakeni engaphezu kwamashumi amabili.
UDkt. Waël Hanna, udokotela ohlinza isifuba eSt. Joe's noyinhloko yocwaningo eSikhungweni Somndeni SaseBoris Sokuhlinzwa KweRobhothi sasesibhedlela, uthi: “Nakuba umdlavuza womminzo ungavamile ukuba sematheni, unezinga eliphezulu lokufa kwabantu abaningi kunabo bonke abanomdlavuza. “Kuyabulala kakhulu ngoba umminzo ujulile emphinjeni nasesifubeni futhi ngokomlando bekunzima ukuwuhlinza kusetshenziswa izindlela zokuhlinza zesintu.”
Izinga lenkinga lalabo abahlinza i-esophagectomy yendabuko (inqubo yokususa ingxenye enomdlavuza yomminzo kuyilapho udonsa isisu phezulu endaweni yesifuba ukuze usinamathisele kabusha) liphezulu ngendlela engamaphesenti angu-60. Lokhu kungenxa yokusikwa kosayizi wesandla wenqubo, ukuhlukumezeka okubangelwa imbobo yesifuba yesiguli, kanye nokuhlala isikhathi eside sokululama okudingekayo ngemva kokuhlinzwa e-ICU okuvame ukuphumela ekuzabalazweni kwenyumoniya, izifo kanye nezinkinga zenhliziyo.
Akekho owazi lokho kangcono kuneGeorgetown, Ont., Isakhamuzi uJackie Dean-Rowley. Indodakazi yakhe uRachel Chuvalo kwatholakala ukuthi inomdlavuza womminzo ngo-2011 ineminyaka engu-29 nje kuphela. Ngaleso sikhathi, ukuhlinzwa kwendabuko kwakuwukuphela kwendlela.
“Wayema amafidi amahlanu nambili, eqinile futhi elungisiwe,” kusho uDean-Rowley. “Kunzima kimina, ngisho namanje, ukucabanga ngomzimba wakhe omncane omuhle obhekene nokuhlukumezeka okungaka. Kodwa uRachel wayeyisilwi.” UChuvalo wabhekana nezinkinga ngemva kokuhlinzwa kwakhe futhi ekugcineni wanqotshwa yisifo sakhe ngo-2013.
Kwase kuyiminyaka eyisishiyagalombili uChuvalo ethole ukunakekelwa eSt. Joe lapho uDean-Rowley efunda ngesithembiso sokuhlinzwa kwerobhothi ekwelapheni iziguli ezinomdlavuza ohlukahlukene. Wahlangana noDkt. Hanna futhi wafunda ukuthi wayecwaninga ukuthi kwenziwa kanjani inqubo entsha yokusiza abantu abaphila nomdlavuza womminzo. UDean-Rowley wayazi ukuthi uthole indlela yokuhlonipha inkumbulo yendodakazi yakhe nokwenza umehluko ezimpilweni zalabo abaphila nomdlavuza womminzo.
U-Dean-Rowley wenze isipho sika-$10,000 ukuze asize uDkt. Hanna nozakwabo abahlinza isifuba ukuze bathole ukuqeqeshwa okukhethekile mayelana nendlela yokusebenzisa irobhothi elihlinzayo ukwenza izinqubo kumminzo. Ngomhla zingama-30 kuNdasa, 2022, lokho kuqeqeshwa kwasetshenziswa njengoba uDkt. Hanna noDkt. John Agzarian benza i-esophagectomy yokuqala egcwele irobhothi e-Canada ku-Burlington, Ont., indoda eneminyaka engu-74 ubudala, uDavid Paterson okwatholakala ukuthi unomphimbo. umdlavuza ngo-Okthoba 2021.
“Ukuhlinzwa kuthathe cishe amahora ayisishiyagalombili ukuqedwa futhi kwenziwa ngezimbobo ezincane ezisukela ku-12 kuya ku-XNUMX mm esiswini nesifuba sesiguli,” kusho uDkt. “Waphuma esibhedlela ngemuva kwezinsuku eziyisishiyagalombili. Ngokombono wethu, konke kuhambe kahle kakhulu. Kodwa okubaluleke kakhulu kithi ukuthi iziguli zethu zizizwa kanjani ngemva kokuhlinzwa, nokuthi sikwazile yini ukufeza ukuhlinzwa komdlavuza ebesikuhlosile.”
Ngemva nje kwamasonto amathathu ephumile esibhedlela, u-Paterson usekhaya futhi uthi usepholile. “Ngokunakekelwa nokusekelwa kukaDkt. Hanna, ngiyajabula ngenza isinqumo sokuthola ukuhlinzwa kokuqala okuyirobhothi kwalolu hlobo lomdlavuza eCanada. Kwakungelula ekuqaleni, ukwazi ukuthi ungumuntu wokuqala abamhlinze ngale ndlela. Kodwa lapho uDkt. Hanna echaza ukuthi irobhothi lingakhomba kanjani ukukhipha ingxenye yomdlavuza yomminzo wami kuphela, kuyilapho likwenza kube lula ngami ukululama, kwabonakala kuyisinqumo esifanele. Angazi ukuthi ukuhlinzwa kwesintu bekuyoba njani, kodwa ngokuzwa kwami, bekuyoba buhlungu kakhulu futhi kube nzima kakhulu emzimbeni wami. Nakanjani ngizizwa nginenhlanhla ngokuthola leli thuba. Ngethemba, kusho ukuthi ezinye iziguli ezinjengami zizoba nempilo engcono ngemva kokuhlinzwa.”
Ngaphezu kokuqeqeshwa kokuhlinzwa kwe-robotic uDkt. U-Hanna no-Agzarian bathola, i-St. Joe's yacela imvume ebhodini layo lezimiso zokuziphatha kanye ne-Health Canada ngaphambi kokuba baqale inqubo. Ukuhlinzwa kuphinde kwaqhutshwa uDkt. Daniel Oh wase-University of Southern California, isikhungo sokwenza kahle kwezamarobhothi. Ukuhlinza ngerobhothi akukakaxhaswa yi-OHIP futhi kwenziwa kuphela ngokuphana kwabaxhasi emphakathini kanye noxhaso lweSibhedlela njengoba u-St. ohlelweni lokunakekelwa kwezempilo.
“Lapha e-St. Joe's, asisebenzisi irobhothi ngoba lilisha noma liyakhazimula. Siyisebenzisela ukuthuthukisa ukunakekelwa kwesiguli. Ukushintsha indlela izinqubo ezenziwa ngayo. Ukwenza izinqubo ezintsha zokusiza labo abanomdlavuza phambilini obekucatshangwa ukuthi awusebenzi,” kusho uDkt. Anthony Adili, oyiNhloko Yokuhlinza eSt. Joe's. “Sishintsha futhi sithuthukisa ukunakekelwa kweziguli ezinjengoRachel noDavid, nalabo abazolandela esikhathini esizayo. Sibonga bonke abanikeli abenze sakwazi ukuletha lolu hlobo lokunakekela emphakathini wethu.”
LOKHO ONGAKUTHATHE KULESI SIHLOKO:
- The complication rate for those undergoing a traditional esophagectomy (a procedure to remove the cancerous portion of the esophagus while pulling the stomach up in the chest cavity to reattach it) is as high as 60 per cent.
- This is due to the procedure’s hand-sized incision, the trauma caused to the patient’s chest cavity, and the lengthy recovery stay required post-surgery in the ICU that often results in struggles with pneumonia, infections and heart complications.
- Hanna and his thoracic surgery colleagues to receive special training on how to use a surgical robot to perform procedures on the esophagus.
