Inkqubo yakho yeBronchoscopy kunye neengozi ezinokwenzeka
Yiyiphi i-bronchoscopy, kutheni le nqubo ingenziwa, kwaye ungayilindela ntoni? Ziziphi iimpembelelo ezinokubakho zengxaki zeenkqubo?
Bronchoscopy - Inkcazo
I-bronchoscopy yinkqubo yezokwelapha ngexesha apho ityhubhu encinci (i-bronchoscope) ifakwe emlonyeni wakho okanye ekhaleni ukuze ukhangele ngaphakathi kwindlela yakho enkulu yomoya. I-bronchoscopy inokwenziwa ukuba ihlolwe imeko efana nomhlaza wesifo somphunga , okanye uphathe ingxaki yonyango njengento yangaphandle efakwe kwi-airways.
Iphi i-Bronchoscopy?
I-bronchoscopy isetyenziselwa ukuvavanya iimpawu zemiphunga ezifana nokukhwehlela okungapheliyo , ukukhwehlela igazi (i-hemoptysis), okanye xa isifo somphunga okanye umdlavuza wamaphaphu sikhankanywa emva kokungaqhelekanga kuboniswa kwizifundo ze-x-ray. Ngokwe-bronchoscopy, oogqirha bakwazi ukujonga ngeso lwangaphakathi lwangaphakathi kwomoya kwaye uthathe i-biopsy nayiphi na indawo ebonakala ingaqhelekanga, ukukunceda ukuxilonga isifo somphunga okanye umdlavuza wamaphaphu. Amasu amatsha afana ne-endobronchial ultrasound abuye avumele oogqirha ukuba bahlalutye izicubu emiphakeni ephantsi kuneendlela zokuhamba.
I-bronchoscopy nayo ingasetyenziselwa unyango . Ngamanye amaxesha kwenziwa ngelokuyeka ukuphuma kwi-airways, ukubeka i-stent ukuvula i-airways enqandekileyo, ukususa izinto zangaphandle, okanye ukunyanga umhlaza wemiphunga okhoyo okanye kufuphi ne-airways enkulu. Umzekelo welokugqibela u-brachytherapy, unyango apho i-radiation ihanjiswa ngqo kwi-tumor nge-bronchoscope.
Iintlobo zeBronchoscopy
Kukho iintlobo ezimbini ezibalulekileyo ze-bronchoscopes ezisetyenziswe ngexesha le-bronchoscopy, kuxhomekeke kwimeko efunyaniswayo okanye ephathwayo.
Bronchoscopes eziFlexible
I-bronchoscope eguquguqukayo ishubhu esinezibane ezikhanyayo ezifakwe kwiipumlo okanye emlonyeni ukuze kufumaneke ukungena kwi-airways.
Le nkqubo isetyenziswa kaninzi kune-bronchoscope eqinile kwaye ayifuni i-anesthetic jikelele.
Bronchoscopi ezinamandla
I-bronchoscope eqinile iyiphubhu egxinyiweyo malunga nektenti enye ububanzi efakwe kwigumbi lokusebenza phantsi kwe-anesthesia jikelele . I-bronchoscope eqinile ingasetyenziselwa ukuba uphepha kwi-airways yakho, ukubeka i-stent ukuvula i-airways enqandekileyo, okanye ukususa into yangaphandle.
Iinkqubo ezintsha kwiBronchoscopy
Ukongeza kwendima yalo yendabuko ekuvumela ukuba ugqirha ukuba ahlolisise i-bronchi yakho, ubuchule obutsha buvumela oogqirha ukuba bajonge iiswini eziphakathi kwemiphunga engenanga kwi-bronchi. Enye yalezi zixhobo ezaziwa ngokuba yi- endobronchial ultrasound . Kule nqubo, i-tumor ejulile kwi-airways ingabonakaliswa nge-ultrasound kunye ne-biopsied ngexesha le-bronchoscopy (i-biopsy eyayikhokelwa yi-apiop biopsy).
Ukongezelela kwiinkqubo ezijoliswe ukuba zijonge ngaphaya kwe-airways ngexesha le-bronchoscopy, kukho ubuchwepheshe obuninzi beendaba ezisetyenziselwa ukuxilonga i-cancer yamandulo yamaphaphu. Ezi ziquka i-autofluorescence bronchoscopy, umfanekiso we-narrowband, kunye ne-high-magnification video bronchoscopy.
Ukulungiselela I-Bronchoscopy yakho
Ngaphambi kokuba ulandele i-bronchoscopy, ugqirha uya kuthetha nawe malunga neengozi zenkqubo, kunye noko angalindela ukufumana ngokuvavanya.
Ukuba unayo nayiphi na imishanguzo enokunyusa igazi, njenge-Coumadin (warfarin), aspirin, okanye amayeza anxamnye nokuvuvukala njenge-Advil (ibuprofen), uya kucetyiswa ukuba ayeke ukuchitha le ixesha ngaphambi kokuvavanywa. Qinisekisa ukuvumela ugqirha wakho ukuba wazi malunga naluphi na unyango lwemithi kuba ezinye zazo zinokuncipha igazi lakho. Ngaphambi kwenkqubo, uya kucelwa ukuba "ukhawuleze" -ukuthi, ungadli okanye uphuze nantoni (nokuba ngamanzi) ngeeyure eziliqela.
Ngexesha leBronchoscopy yakho
I-bronchoscopy ivame ukuqhutyelwa yi-pulmonologist (umphunga wengcali) okanye ugqirha ogqirha. Xa ufika esibhedlele, umongikazi uza kukubuza imibuzo emininzi kwaye ubeke i-IV (umgca wendlela) engalo yakho.
Uya kulungelelana nawe kunye nabagadi beenyawo ukwenzela ukuba uxinzelelo lwegazi kunye nentengo yenhliziyo ihlolwe kuyo yonke inkqubo. Ugqirha owenza le nkqubo uya kuhanjelwa nawe ukuba axoxe ngenkqubo kunye nemingcipheko yayo, kwaye akucele ukuba usayine ifomu yokuvuma . Ukuba unesi-bronchoscopy eqinile, i-anesthesiologist iya kuthetha nawe malunga ne-anesthesia ngaphambi kokuba ungene kwigumbi lokusebenza.
Ngexesha le-bronchoscopy eguquguqukayo, uya kunikwa imishanguzo yokwenza ulale ( ubuthongo bulele ), kunye neyeza ukunceda ukucima iminyango kwimiphunga yakho. I-anesthetic yendawo iya kusetyenziselwa ukuphazamisa umqala wakho okanye impumlo phambi kokuba i-bronchoscope ifakwe. Oku kunokukwenza ukuba ukhwehle okwesikhashana. Isixa sithuba enkqubo esithathayo siyahluka, kwaye siya kuxhomekeka kwinto ugqirha wakho abona ngayo ngexesha le nkqubo kwaye ingaba akukho-biopsy yenziwe.
Nge-bronchoscopy eqinile, uya kuthatyathwa kwigumbi lokusebenza kwaye unikezwe i-anesthetic jikelele phambi kwenkqubo.
Yintoni onokuyilindela emva kweBronchoscopy yakho?
Xa ugqityiwe ne-bronchoscopy yakho, uya kuthathwa kwigumbi lokubuyisela apho uza kuhlolisiswa ngokufutshane malunga neeyure ezimbini ukuya kwezine. Uya kuziva u-groggy njengemiphumo yeyeza ukuguquka, kwaye kuyaqheleka ukuba umqala wakho uzive ecasuke kwaye utyhutyhile ixesha elithile. Unokukhwehlela ixabiso elincinci legazi elimnyama, kwaye oku kuya kuqhubeka usuku okanye ezimbini. Xa usuyakwazi ukugwinya ngaphandle kokukhahlela, uya kuvunyelwa ukuba udle, uqale ngamanzi e-sips. Ekubeni iimiphumo zonyango zingapheli iiyure eziliqela, uya kucelwa ukuba ulethe umntu onokukuqhubela ekhaya.
Iingxaki ezinokwenzeka
Uninzi lwabantu lunyamezela i-bronchoscopy kakuhle kunye neengxaki ezincinci. Ezinye iingxaki ezinokuthi udokotela wakho akwazi ukuxoxa nawe ziquka:
- Ukuhlamba - I-small amount of bleeding inokuvela, ngakumbi ukuba i-biopsy ithathwe ngexesha le nkqubo
- I-Pneumothorax (umphunga owayo) - Ukuba i-pneumothorax encinci, ugqirha wakho unokuyilandela ngesifuba x-ray, kodwa ukuba ikhulu, ityhubhu yesifuba ingadinga ukufakwa ukuze isuse umoya.
- Sulelo
- Ukuthuka
- I-Spasms e-airway njenge-laryngospasm (i-spasm ye-larynx), okanye i-bronchospasm (i-spasm ye- bronchi )
- Iingxaki ze-cardiac ezinjengeengqumbo zesimo senhliziyo
- Iingxaki ezinxulumene ne-anesthesia
Iziphumo zakho
Ukulandela i-bronchoscopy yakho, ugqirha wakho uya kuqulunqa i-aphoyintimenti yokuxoxa ngeziphumo zakho. Ukuba i-biopsy ithathwe ngexesha lwenkqubo yakho, kuya kuthatha iintsuku ezimbalwa kwilebhu ukuvavanya izicubu kwaye uthumele iziphumo kugqirha wakho.
Ukuba ugqirha ugxeka ukuba unomdlavuza wamaphaphu, khangela le ngcaciso malunga nendlela yokufunda ingxelo yengxelo yomhlaza wemiphunga yemiphunga .
Nini ukubiza uDokotela wakho
Ufanele ubize ugqirha wakho ukuba unayo impawu okanye iimbuzo ezikukhathazayo. Shayela ugqirha wakho ngendlela efanelekileyo xa ukhwehlela igazi elibomvu eliqaqambileyo (unokuba negazi elimnyama elimnyama elishiye kwinkqubo), uhlakulele umkhuhlane, okanye uqaphele ukuqhuma kokuphefumula.
> Imithombo:
> Andolfi, M., Potenza, R., Capozzi, R., Liparulo, V., Puma, F., kunye noK. Yasufuku. Indima yeBronchoscopy kwi-Diagnosis ye-Cancer yangaphambili ye-Lung: Ukuhlaziywa. Umbhalo Wezifo Zesifo . 2016. 8 (11): 3329-3337.
> I-Herth, F. Bronchoscopy / Endobronchial Ultrasound. Imida yeeNyango kunye no-Oncology . 2010. 42: 55-62.
> Khan, K., Nardelli, P., Jaegar, A. et al. I-Bronchoscopy ye-Navigational ye-Cancer yangaphambili ye-Lung: Indlela eya kwiNyango. Uphuhliso lwezonyango . 2016. 33 (4): 580-96.
> Lee, P. et al. Ulawulo lweengxaki ezivela kwi-bronchoscopy. Ukuhlaselwa . 2009. 14 (7): 940-53.
> Lin, C., no F. Chung. Izibilini eziMaphakathi-moya: I-Bronchoscopy yangaphakathi kwi-Diagnosis noLawulo. I-Journal yeTagracic Diseases . 2016. 8 (10): E1168-1176.