Ngaba Ungumviwa we-Bronchial Thermoplasty?
Ngaba uyayazi ukuba kukho inkqubo engekho yonyango ekhoyo xa unesifo esiphambanayo esingapheliyo ngokulawulwa kwe- corticosteroids kunye ne -beta-agonists ende ? Enyanisweni, i-Alair Bronchial Thermoplasty System yaphumelela ngo-2010 iNzululwazi eLwazi oluDumileyo "olulungileyo lweeNew" Umvuzo kwiCandelo lezeMpilo ekuphuhliseni le teknoloji.
I-brronchial thermoplasty isifo sengqondo (esichazela ukuba izigulane ezininzi ziya ekhaya kwaye zilala ebhedeni yazo) inqubo ye-bronchoscopic eyanciphisa amandla ohambo lwakho lokuhamba kunye nokuncinci xa ukhangelelwe kwizinto ezibangele ukuhlaselwa kwesifo se- asthma . I-brronchial thermoplasty yinkqubo eyenza amandla okufudumala emiphakeni yezigulane ezine-asthma ukwenzela ukunciphisa inani le-muscle ephosakeleyo kwimiphunga, izihlunu ezikhokelela kwi-bronchoconstriction kunye neempawu ze-asthma . Izigulane zifumana ulawulo olungcono lwe-asthma ngenxa yokuba imiphunga ayinakukwazi ukukhawuleza kwaye isabele ngokukhawuleza ukuba i-asthma ibangele.
I-Alair Bronchial Thermoplasty System iyanciphisa umsila ogqithisileyo womoya ngokuhambisa amandla omshushu kumpompa ngqo. I-bronchial thermoplasty idlalwa phantsi kwe-sedation esilinganiselweyo kunye nesigulane ngokuqhelekileyo iya ekhaya ngosuku olufanayo. Ulwaphulo olupheleleyo ziiseshoni ezi-3 ezahlukileyo eziphatha nganye indawo yomphunga.
Ngeli xesha, ukhuseleko kunye nokuphumelela kokuphinda unyango alwaziwa.
Imiqondiso ye-Bronchial Thermoplasty
Ngokwe-website ye-Alair Bronchial Thermoplasty System, iboniswe "ukuba unyango lwe-asthma eqhubekayo kwizigulane ezingama-18 nangaphezulu ezithintekayo nge-asthma nge-corticosteroids kunye ne-agonists esebenza ixesha elide."
Ugqirha wakho kufuneka abe namava kwiinkqubo ze-bronchoscopy, kodwa kufuneka kwakhona afumane uqeqesho olukhethekileyo ekusebenziseni i-bronchial thermoplasty ngaphambi kokuba akwazi ukusebenzisa i-Alair Bronchial Thermoplasty System.
Ukungqinelana kwe-Bronchial Thermoplasty
Ezinye izigulane azifaneleki unyango nge-bronchial thermoplasty:
- Izigulane nazo nayiphi na iindidi zezixhobo ezifakekayo ezifana ne- pacemaker , i-defibrillator yangaphakathi, okanye nayiphi na ifowuni.
- Izigulane ezinomdla owaziwayo okanye ukunyanzeliswa kwamachiza asetyenziswa ngexesha le-bronchoscopy efana ne-lidocaine, i-atropine kunye ne-benzodiazepines.
- Izigulane sele ziphathwe nge-Alair Bronchial Thermoplasty System. Ukubuyiswa kwangoku akucebisi njengokuba ukhuseleko kunye nokuphumelela kokuphinda unyango alukwazi.
Ukongezelela, iimeko ezithile zingaphikiswa okwethutyana kwi-bronchial thermoplasty. Izigulane ezi zilandelayo zimele zingabikho kwi-bronchial thermoplasty:
- Usulelo oluphefumulayo.
- I-asthma exaceration kwiiveki ezimbini zokugqibela.
- Ukutshintsha umthamo we- corticosteroids yesistim ye-asthma (phezulu okanye phezulu) kwiintsuku ezi-14 ezedlulileyo
- I-coagulopathy okanye inkinga yokuphuma kwegazi
- Izigulane kufuneka ziyeke ukuthatha i-antiticoagulants, i-antiplatelet agents, i-aspirin kunye ne-NSAIDS ngaphambi kokuba inqubo emva kokuthetha nodokotela wabo.
Ekugqibeleni, kwakukho iintlobo zezigulane ze-asthmatic ezingakhange zifundwe kwizilingo ze-Alair Bronchial Thermoplasty System kwaye awaziwa ukuba ngaba ziya kubonisa iintlobo ezifana nezinye izigulane. Ukuba kukho na oku kulandelayo kuyinyaniso, kufuneka uxoxe ngeengozi kunye neenzuzo ze-bronchial thermoplasty kunye nodokotela wakho njengoko unokuba usengozini eyongeziweyo yeziganeko ezingathintekiyo ezinokudityaniswa nenkqubo ye-thermoplasty ye-bronchial:
- I-post-bronchodilator ye- FEV1 ingaphantsi kwamaphesenti angama-65 echazwe.
- Uneminye imiphunga yemiphunga efana ne-emphysema, intambo yezwi, ukungasebenzi komoya, i-cystic fibrosis okanye i-apnea yokulala engavaliyo.
- Kwakudingeka usebenzise i-bronchodilator yakho emfutshane engama-12 amathuku emini ngemihla kwiintsuku ezimbini ngaphambi kokuba inkqubo yakho ye-bronchial thermoplasty.
- Uxhomekeke kwi-steroid kwaye ufuna i-corticosteroids yomlomo njenge-prednisone kwisilinganiso sama-milligram ezili-10 ngosuku.
- Unezinye iimeko zonyango ezinokunyusa umngcipheko weengxaki ezibandakanya i-insulin-kuxhomekeke kwisifo sikashukela, isithuthwane, isifo se-coronary esingalawulwayo, isifo sokuguqulwa kwamanzi okanye esingapheliyo, kunye nokunyanzeliswa komfutho wegazi.
- Ufumene ukufumana i-asthma efuna inyunithi yokukhathalela kakhulu okanye intubation kwiminyaka emibili edlulileyo.
- Uneminyaka engama-4 okanye ngaphantsi kwezifo zokuphefumula ezincinci kunyaka odlulileyo.
- Unayo izibhedlele ezi-3 okanye ngaphezulu zempawu zokuphefumula kunyaka odlulileyo.
- Ube no-4 okanye ngaphezulu kokunyuka kwe-asthma okufuna i-systemic, i-oral steroids kunyaka odlulileyo.
Iziphumo zeBronchial Thermoplasty
Uvavanyo lwe-AIR2 luboniswe ukuba izigulane ezaphathwa nge-bronchial thermoplasty zazinokuphucuka kwamanani eklinikhi aquka ukuhambelana nesifo se-asthma:
- Ukuphucula umgangatho wobomi
- Ukunciphisa ama-32% ekuhlaselweni kwe-asthma
- Ukunciphisa u-84% kwiindwendwe ezingxamisekileyo
- Ukunciphisa u-73% kwizibhedlele
- Ukunciphisa ama-66% kwiintsuku ezilahlekileyo ukusuka esikolweni nasemsebenzini
Ezinye izifundo ze-Alair Bronchial Thermoplasty System azibonanga ukuphazamiseka kwe-FEV1 kunye neprojekthi ekhuselekile yokhuseleko lwexesha elide. Ubungqina bovavanyo lwezonyango lubonisa iminyaka engama-5 ekhuselekileyo ngaphandle kwe-pneumothorax, intubation, air ventical, arrhythmias, okanye ukufa ngenxa yonyango lwe-bronchial thermoplasty.
Nangona kwakukho ukwanda kweempawu zokuphefumula ngokukhawuleza emva kwenkqubo, kwakukho into enokulindela ukulandela i-bronchoscopy kwisigulane se-asthma.
Kwixesha lokusasaza kwangoko, inkampani yathi iziphumo zolu cwaningo zithembisa njengengozi ephezulu, ubunzima bokulawula i-asthmatics bebephucule. Idatha yakutshanje ixoxile unyango olufumanekayo iminyaka emi-5 kunye nokunciphisa okukhulu ukuphuphuma kwesifo se-asthma phezu kwelo xesha.
> Imithombo:
> ASTHMATX, Inc. Mayelana ne-Bronchial Thermoplasty.
> Wechsler M et al. J Allergy Clin Immunol. 2013 Dec; 132 (6): 1295-302.