Bronchoscopy ndi Bronchoalveolar Lavage (BAL)

Zamkati

• Kodi bronchoscopy ndi bronchoalveolar lavage (BAL) ndi chiyani?
• Kodi amagwiritsa ntchito chiyani?
• Chifukwa chiyani ndimafunikira bronchoscopy ndi BAL?
• Kodi chimachitika ndi chiyani pa bronchoscopy ndi BAL?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndiyenera kudziwa za bronchoscopy ndi BAL?
• Zolemba

Kodi bronchoscopy ndi bronchoalveolar lavage (BAL) ndi chiyani?

Bronchoscopy ndi njira yomwe imathandizira othandizira azaumoyo kuyang'ana mapapu anu. Imagwiritsa ntchito chubu chowonda, chowala motchedwa bronchoscope. Chubu chimayikidwa kudzera mkamwa kapena mphuno ndikusunthira kummero ndikulowera munjira zopumira. Zimathandiza kuzindikira ndi kuchiza matenda ena am'mapapo.

Kuwotcha kwa bronchoalveolar (BAL) ndi njira yomwe nthawi zina imachitika pa bronchoscopy. Amatchedwanso kutsuka kwa bronchoalveolar. BAL imagwiritsidwa ntchito kutolera zitsanzo m'mapapu kuti zikayesedwe. Pogwiritsa ntchito njirayi, mchere wothira madzi umayikidwa kudzera mu bronchoscope kuti utsuke mawayilesi ndikupeza madzi amadzimadzi.

Mayina ena: bronchoscopy wosinthasintha, kutsuka kwa bronchoalveolar

Kodi amagwiritsa ntchito chiyani?

Bronchoscopy itha kugwiritsidwa ntchito:

• Pezani ndikuchiza zophukira kapena zotchinga zina munjira zopumira
• Chotsani zotupa zam'mapapo
• Pewani kutuluka kwa magazi panjira
• Thandizani kupeza chomwe chimayambitsa kutsokomola kosalekeza

Ngati mwapezeka kale kuti muli ndi khansa ya m'mapapo, mayeserowa angathandize kuwonetsa kuti ndi ovuta bwanji.

Bronchoscopy yokhala ndi BAL imagwiritsidwa ntchito kutolera minofu yoyesera. Mayeserowa amathandizira kuzindikira zovuta zosiyanasiyana zamapapu kuphatikiza:

• Matenda a bakiteriya monga chifuwa chachikulu ndi chibayo cha bakiteriya
• Matenda a fungal
• Khansa ya m'mapapo

Mayeso amodzi kapena onse awiri atha kugwiritsidwa ntchito ngati kuyesa kwa kujambula kukuwonetsa vuto m'mapapu.

Chifukwa chiyani ndimafunikira bronchoscopy ndi BAL?

Mungafunike mayesero amodzi kapena onse awiri ngati muli ndi zizindikiro za matenda am'mapapo, monga:

• Chifuwa chosalekeza
• Kuvuta kupuma
• Kutsokomola magazi

Mwinanso mungafune BAL ngati muli ndi vuto la chitetezo cha mthupi. Matenda ena amthupi, monga HIV / AIDS, atha kukuyikani pachiwopsezo chachikulu chotenga matenda am'mapapo.

Kodi chimachitika ndi chiyani pa bronchoscopy ndi BAL?

Bronchoscopy ndi BAL nthawi zambiri zimachitika ndi pulmonologist. Pulmonologist ndi dokotala yemwe amadziwika bwino pozindikira komanso kuchiza matenda am'mapapo.

Bronchoscopy nthawi zambiri imaphatikizapo izi:

• Mungafunike kuchotsa zina kapena zovala zanu zonse. Ngati ndi choncho, mupatsidwa diresi lachipatala.
• Mudzakhala pampando womwe uli ngati mpando wa dotolo wamano kapena kukhala patebulo loyang'anira mutu wanu mutakweza.
• Mutha kupeza mankhwala (ogonetsa) kuti akuthandizeni kupumula. Mankhwalawa adzalowetsedwa mumtsempha kapena kuperekedwa kudzera mu mzere wa IV (intravenous) womwe udzaikidwa m'manja kapena m'manja mwanu.
• Wopereka wanu adzapopera mankhwala otsekemera m'kamwa mwanu ndi mmero, kuti musamve kuwawa kulikonse mukamachita izi.
• Wopereka wanu adzaika bronchoscope pakhosi panu komanso muma airways anu.
• Bronchoscope ikasunthidwa pansi, omwe amakupatsani mwayi amafufuza mapapu anu.
• Omwe amakupatsirani mankhwalawa atha kuchiritsa ena pompano, monga kuchotsa chotupa kapena kuchotsa kutseka.
• Pakadali pano, mutha kupezanso BAL.

Pa BAL:

• Wopereka wanu adzaika saline pang'ono kudzera mu bronchoscope.
• Pambuyo kutsuka njira zam'mpweya, mchere umayamwa mpaka kulowa mu bronchoscope.
• Mchere wamchere umakhala ndimaselo ndi zinthu zina, monga mabakiteriya, omwe amapita nawo ku labu kukayezetsa.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Mungafunike kusala (osadya kapena kumwa) kwa maola angapo musanachite. Wothandizira anu adzakudziwitsani nthawi yayitali bwanji kuti mupewe chakudya ndi zakumwa.

Muyeneranso kukonzekera kuti wina azikupititsani kunyumba. Ngati mwapatsidwa mankhwala ogonetsa, mutha kugona chifukwa cha maola ochepa mutachita.

Kodi pali zoopsa zilizonse pamayeso?

Pali chiopsezo chochepa chokhala ndi bronchoscopy kapena BAL. Njirazi zitha kukupatsani zilonda zapakhosi masiku angapo. Zovuta zazikulu ndizochepa, koma zimaphatikizaponso kutuluka m'magazi, matenda, kapena gawo lakugwa lamapapo.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati zotsatira zanu za bronchoscopy sizinali zachilendo, zingatanthauze kuti muli ndi matenda am'mapapo monga:

• Kutsekeka, kukula, kapena chotupa m'mayendedwe ampweya
• Kupendeketsa gawo lina lamaulendo apandege
• Kuwonongeka kwa mapapo chifukwa cha matenda amthupi monga nyamakazi

Mukadakhala ndi BAL ndipo zotsatira za mapapu anu sizinali zachilendo, zitha kutanthauza kuti muli ndi khansa yam'mapapo kapena mtundu wa matenda monga:

• Matenda a chifuwa chachikulu
• Chibayo cha bakiteriya
• Matenda a fungal

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndiyenera kudziwa za bronchoscopy ndi BAL?

Kuphatikiza pa BAL, palinso njira zina zomwe zingachitike panthawi ya bronchoscopy. Izi zikuphatikiza:

• Chikhalidwe cha Sputum. Sputum ndi ntchintchi yotupa yomwe imapangidwa m'mapapu anu. Ndizosiyana ndi kulavulira kapena malovu. Chikhalidwe cha sputum chimayang'ana mitundu ina ya matenda.
• Mankhwala a Laser kapena radiation kuti athetse zotupa kapena khansa
• Chithandizo chothandizira magazi kutuluka m'mapapu

Zolemba

1. American Cancer Society [Intaneti]. Atlanta: Bungwe la American Cancer Society Inc .; c2020. Bronchoscopy; [yasinthidwa 2019 Jan 14; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 5]. Ipezeka kuchokera: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/endoscopy/bronchoscopy.html
2. American Lung Association [Intaneti]. Chicago: Msonkhano wa American Lung; c2020. Bronchoscopy; [adatchula 2020 Jul 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/bronchoscopy
3. Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Wokoma. Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Bronchoscopy; p. 114.
4. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co., Inc .; c2020. Bronchoscopy; [yasinthidwa 2019 Jul; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.merckmanuals.com/home/lung-and-airway-disorders/diagnosis-of-lung-disorders/bronchoscopy
5. Nationwide Ana [Internet]. Columbus (OH): Chipatala cha Nationwide Children's Hospital; c2020. Bronchoscopy (Flexible Bronchoscopy ndi Bronchoalveolar Lavage); [adatchula 2020 Jul 9]; [pafupifupi zowonetsera 4.] Ipezeka kuchokera:
6. [Adasankhidwa] Patel PH, Antoine M, Ullah S. StatPearl. [Intaneti]. Kusindikiza Chuma Pachilumba; c2020. Bronchoalveolar Lavage; [zosinthidwa 2020 Apr 23; yatchulidwa 2020 Jul 9]; Ipezeka kuchokera: https://www.ncbi.nlm.nih.gov/books/NBK430762
7. RT [Intaneti]. Overland Park (KS): Medqor Advanced Healthcare Technology ndi Zida; c2020. Bronchoscopy ndi Bronchoalveolar Lavage; 2007 Feb 7 [yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/bronchoscopy-and-bronchoalveolar-lavage/
8. Radha S, Afroz T, Prasad S, Ravindra N. Kuzindikira zofunikira pakutsuka kwa bronchoalveolar. J Cytol [Intaneti]. 2014 Jul [wotchulidwa 2020 Jul 9]; 31 (3): 136–138. Ipezeka kuchokera: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274523
9. UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida Health; c2020. Bronchoscopy: Mwachidule; [yasinthidwa 2020 Jul 9; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/bronchoscopy
10. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2020. Health Encyclopedia: Bronchoscopy; [adatchula 2020 Jul 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07743
11. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Zambiri Zaumoyo: Bronchoscopy: Momwe Zimapangidwira; [yasinthidwa 2020 Feb 24; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 5]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200480
12. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Zambiri Zaumoyo: Bronchoscopy: Momwe Mungakonzekerere; [yasinthidwa 2020 Feb 24; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200479
13. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Zambiri Zaumoyo: Bronchoscopy: Zotsatira; [yasinthidwa 2020 Feb 24; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 8]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#aa21557
14. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Bronchoscopy: Kufotokozera mwachidule; [yasinthidwa 2020 Feb 24; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200477
15. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Zambiri Zaumoyo: Bronchoscopy: Chifukwa Chake Amachita; [yasinthidwa 2020 Feb 24; yatchulidwa 2020 Jul 9]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200478

Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.