Bronchoscopy

Zamkati

• Chifukwa chiyani dokotala amalamula bronchoscopy?
• Kukonzekera bronchoscopy
• Ndondomeko ya Bronchoscopy
• Mitundu yamafanizo yomwe imagwiritsidwa ntchito mu bronchoscopy
• Zowopsa za bronchoscopy
• Kuchira kuchokera ku bronchoscopy

Kodi bronchoscopy ndi chiyani?

Bronchoscopy ndi mayeso omwe amalola dokotala wanu kuti awone momwe mukuyendera. Dokotala wanu adzalumikiza chida chotchedwa bronchoscope kudzera m'mphuno kapena pakamwa panu mpaka kummero kwanu kufikira mapapu anu. Bronchoscope imapangidwa ndi zinthu zopangidwa ndi fiber-optic ndipo imakhala ndi gwero lowala komanso kamera kumapeto. Ma bronchoscopes ambiri amagwirizana ndi makanema amtundu, omwe amathandiza dokotala kulemba zomwe apeza.

Chifukwa chiyani dokotala amalamula bronchoscopy?

Pogwiritsa ntchito bronchoscope, dokotala wanu amatha kuwona zonse zomwe zimapanga makina anu opumira. Izi zimaphatikizapo kholingo, trachea, ndi mayendedwe ang'onoang'ono am'mapapu anu, omwe amaphatikizapo bronchi ndi bronchioles.

Bronchoscopy itha kugwiritsidwa ntchito pozindikira:

• matenda am'mapapo
• chotupa
• chifuwa chosatha
• matenda

Dokotala wanu akhoza kuyitanitsa bronchoscopy ngati muli ndi chifuwa chosadziwika cha X-ray kapena CT scan chomwe chikuwonetsa umboni wa matenda, chotupa, kapena mapapo omwe agwa.

Mayesowa amagwiritsidwanso ntchito ngati chida chothandizira. Mwachitsanzo, bronchoscopy imatha kulola dokotala wanu kuperekera mankhwala m'mapapu anu kapena kuchotsa chinthu chomwe chagwidwa munjira yanu yampweya, ngati chidutswa cha chakudya.

Kukonzekera bronchoscopy

Mankhwala opatsirana m'deralo amagwiritsidwa ntchito pamphuno ndi pakhosi panthawi ya bronchoscopy. Mwinanso mungapeze mankhwala okuthandizani kuti mukhale omasuka. Izi zikutanthauza kuti mudzakhala ogalamuka koma osinza mukamachita izi. Oxygen nthawi zambiri amaperekedwa panthawi ya bronchoscopy. Anesthesia wamba samafunika kawirikawiri.

Muyenera kupewa kudya kapena kumwa chilichonse kwa maola 6 mpaka 12 isanafike bronchoscopy. Musanachitike, funsani dokotala ngati mukufuna kusiya kumwa:

• aspirin (Bayer)
• ibuprofen (Advil)
• warfarin
• zina zoonda magazi

Bweretsani munthu wina kuti mupite naye kunyumba kuti akayendetse kunyumba kwanu pambuyo pake, kapena konzekerani mayendedwe.

Ndondomeko ya Bronchoscopy

Mukakhala omasuka, dokotala wanu amalowetsa bronchoscope m'mphuno mwanu. Bronchoscope imadutsa pamphuno mpaka pammero mpaka ikafika ku bronchi yanu. Bronchi ndiyo njira yolowera m'mapapu anu.

Maburashi kapena singano atha kuphatikizidwa ndi bronchoscope kuti atolere minofu m'mapapu anu. Zitsanzozi zitha kuthandiza dokotala kuti azindikire vuto lililonse lomwe mungakhale nalo.

Dokotala wanu amathanso kugwiritsa ntchito njira yotchedwa kutsuka kwa bronchial kuti asonkhanitse maselo. Izi zimaphatikizapo kupopera mankhwala a saline pamwamba panjira yanu. Maselo omwe amatsukidwa kumtunda amasonkhanitsidwa ndikuyang'aniridwa ndi microscope.

Malingana ndi momwe muliri, dokotala wanu atha kupeza chimodzi kapena zingapo zotsatirazi:

• magazi
• ntchofu
• matenda
• kutupa
• kutchinga
• chotupa

Ngati njira zanu zampweya zatsekedwa, mungafunike stent kuti izitseguka. Stent ndi chubu chaching'ono chomwe chitha kuyikidwa mu bronchi yanu ndi bronchoscope.

Dokotala wanu akamaliza kuyesa mapapu anu, amachotsa bronchoscope.

Mitundu yamafanizo yomwe imagwiritsidwa ntchito mu bronchoscopy

Mitundu yotsogola nthawi zina imagwiritsidwa ntchito pochita bronchoscopy. Njira zapamwamba zitha kupereka chithunzi chatsatanetsatane chamkati mwa mapapu anu:

• Pakati pa bronchoscopy, dokotala wanu amagwiritsa ntchito makina a CT kuti awone momwe mukuyendera panjira mwatsatanetsatane.
• Pakati pa endobronchial ultrasound, dokotala wanu amagwiritsa ntchito kafukufuku wa ultrasound wophatikizidwa ndi bronchoscope kuti awone momwe mukuyendera.
• Pa bronchoscopy ya fluorescence, dokotala wanu amagwiritsa ntchito kuwala kwa fulorosenti komwe kumalumikizidwa ndi bronchoscope kuti awone mkatikati mwa mapapu anu.

Zowopsa za bronchoscopy

Bronchoscopy ndiyabwino kwa anthu ambiri. Komabe, monga njira zonse zamankhwala, pali zovuta zina zomwe zimakhalapo. Zowopsa zingaphatikizepo:

• magazi, makamaka ngati biopsy yachitika
• matenda
• kuvuta kupuma
• mulingo wochepa wama oxygen pamayeso

Lumikizanani ndi dokotala ngati:

• ndikutentha thupi
• akutsokomola magazi
• amavutika kupuma

Zizindikiro izi zitha kuwonetsa zovuta zomwe zimafunikira chithandizo chamankhwala, monga matenda.

Zowopsa kwambiri koma zowopsa zowopsa za bronchoscopy zimaphatikizapo kugunda kwamtima ndi kugwa kwamapapu. Mapapu omwe agwa atha kukhala chifukwa cha pneumothorax, kapena kupanikizika kwamapapu anu chifukwa cholowera mpweya m'mphuno mwanu. Izi zimachokera pakuboola m'mapapo panthawiyi ndipo ndizofala kwambiri ndi bronchoscope yolimba kuposa mawonekedwe osinthika a fiber-optic. Ngati mpweya usonkhanitsa m'mapapu anu panthawiyi, dokotala wanu amatha kugwiritsa ntchito chubu pachifuwa kuti achotse mpweya womwe mwasonkhanitsa.

Kuchira kuchokera ku bronchoscopy

Bronchoscopy ndiyosachedwa, imatha pafupifupi mphindi 30. Chifukwa udzakhala pansi, ukapumula kuchipatala kwa maola angapo mpaka utadzuka kwambiri ndipo dzanzi pakhosi pako litha. Kupuma kwanu ndi kuthamanga kwa magazi kumayang'aniridwa mukamachira.

Simudzatha kudya kapena kumwa chilichonse mpaka pakhosi panu pasakhalenso dzanzi. Izi zitha kutenga ola limodzi kapena awiri. Khosi lanu limatha kumva kupweteka kapena kukwapuka kwa masiku angapo, ndipo mutha kukhala osasa mawu. Izi si zachilendo. Nthawi zambiri sizikhala kwa nthawi yayitali ndipo zimapita popanda mankhwala kapena chithandizo.