Ndondomeko yanu ya Bronchoscopy ndi Zowopsa Zowoneka
Kodi bronchoscopy ndi chiani, nanga n'chifukwa chiyani njirayi ingakwaniritsidwe, ndipo mungayembekezere chiyani? Kodi zotsatira zake zingatheke bwanji?
Bronchoscopy - Tanthauzo
Bronchoscopy ndi njira yachipatala yomwe phukusi lopapatiza (bronchoscope) limayikidwa kudzera pakamwa panu kapena mphuno kuti muyang'ane mkati mwa njira zanu zazikulu. Mankhwala a bronchoscopy angapangidwe kuti azindikire matenda monga khansa ya m'mapapo , kapena kuti asamalire vuto lachipatala monga chinthu chachilendo chimene chimapezeka mumlengalenga.
Kodi Bronchoscopy Yachitika Pati?
Bronchoscopy imagwiritsidwa ntchito kuyesa zizindikiro za m'mapapo monga chifuwa chachikulu , kukhetsa magazi (hemoptysis), kapena matenda a mapapu kapena khansara yamapapu akudzidzidzidwa pambuyo pa zochitika zachilendo pa maphunziro a X-ray.Pakati pa bronchoscopy, madokotala amatha Onetsetsani kuti mkati mwa airways mukhale ndi chiwopsezo cha malo omwe akuwoneka opanda zachilendo, kuti muwone matenda a mapapu kapena kansa ya m'mapapo. Njira zatsopano monga endobronchial ultrasound zimaperekanso madokotala kuunika minofu m'mapapu omwe ali pamtunda kuposa momwemo.
Bronchoscopy ingagwiritsidwe ntchito pa chithandizo . Nthawi zina amaletsa kuika magazi m'mlengalenga, kuika mphepo kuti imitsegulire njira zowonongeka, kuchotsa zinthu zakunja, kapena kuchiza khansa ya m'mapapo yomwe imakhala mkati kapena pafupi ndi ndege yaikulu. Chitsanzo chakumapeto kwake ndi brachytherapy, chithandizo chimene chimatulutsa mpweya wodwala pogwiritsa ntchito bronchoscope.
Mitundu ya Bronchoscopy
Pali mitundu iwiri ikuluikulu ya bronchoscopes yomwe imagwiritsidwa ntchito pa bronchoscopy, malingana ndi chikhalidwe chomwe chikupezeka kapena chithandizo.
Zojambulajambula Zosinthasintha
Bronchoscope yokhazikika ndi tiyi yofewa yomwe imayikidwa kudzera m'mphuno kapena pakamwa kuti tipeze mpweya.
Njirayi imagwiritsidwa ntchito mobwerezabwereza kuposa kukhwima kwa bronchoscope ndipo sichifuna kuti munthu azichita bwino.
Bronchoscope Zachilendo
Mbalame yolimba ya bronchoscope ndi thumba lolimba kwambiri pafupifupi masentimita imodzi m'mimba mwake lomwe limalowetsedwa m'chipinda chogwiritsira ntchito pansi pa anesthesia . Mungagwiritse ntchito bronchoscope yolimba ngati mwaika magazi mumtunda wanu, kuti mutseke mpweya kuti mutsegule ndege, kapena kuchotsa chinthu china chachilendo.
Njira Zatsopano mu Bronchoscopy
Kuwonjezera pa chikhalidwe chawo polola dokotala kuti afufuze bronchi yanu, njira zatsopano zimalola madokotala kuti aone ngati matendawa ali m'mapapu omwe sapitirira ku bronchi. Imodzi mwa njira zimenezi zimatchedwa endobronchial ultrasound . Mu njirayi, chotupa chakuya kumalo amtunda angayang'ane ndi ultrasound ndi biopsied pa bronchoscopy (chingwe chowongolera singano).
Kuphatikiza pa njira zowoneka mozama kuposa momwe zimakhalira pansi pa bronchoscopy, palinso zamakono zamakono zamakono zomwe amagwiritsidwa ntchito kuti apeze khansa ya m'mapapo oyambirira. Izi zikuphatikizapo autofluorescence bronchoscopy, zithunzi zochepa za bandegu, ndi kanema kotchuka kwambiri ya bronchoscopy.
Kukonzekera Bronchoscopy Yanu
Musanayambe kulangiza bronchoscopy, dokotala wanu adzakambirana nanu za kuopsa kwa ndondomekoyi, ndi zomwe angayembekezere kupeza poyesera.
Ngati muli ndi mankhwala ena omwe angathe kuwonjezera magazi, monga Coumadin (warfarin), aspirin, kapena mankhwala odana ndi kutupa monga Advil (ibuprofen), amavomereza kuti asiye izi kwa nthawi yisanayambe. Onetsetsani kuti dokotala adziwe ngati muli pa mankhwala ena amchere chifukwa zina mwazi zikhoza kuchepetsanso magazi anu. Musanayambe ndondomekoyi, mudzafunsidwa kuti "muthamangire" -kuti musadye kapena kumwa chirichonse (ngakhale madzi) kwa maola angapo.
Pa Bronchoscopy Yanu
Kawirikawiri bronchoscopy imachitidwa ndi katswiri wamapiritsi (katswiri wa mapapo) kapena dokotala wa opaleshoni. Mukafika kuchipatala, namwino adzakufunsani mafunso angapo ndikuyika IV (intravenous line) m'dzanja lanu.
Iyenso adzakugwirirani ndi oyang'anitsitsa kuti magazi anu ndi kuthamanga kwa mtima ziwoneke panthawi yonseyi. Dokotala akukonzekera adzachezera ndi inu kuti akambirane njirayi ndi ngozi zake, ndikukupemphani kuti mulembe fomu yoyenera. Ngati muli ndi vuto lolimba la bronchoscopy, wodwalayo amakuuzeni za anesthesia musanapite ku chipinda chogwiritsira ntchito.
Pa bronchoscopy yokhazikika, mudzapatsidwa mankhwala kuti mugone tulo ( madzulo akugona ), ndi mankhwala othandizira kuwuma khungu m'mapapu anu. Mankhwala otsekemera am'dera lanu adzagwedezeka pamtima kapena pamphuno musanalowe bronchoscope. Izi zingachititse kuti mutenge chifuwa kwa kanthawi. Nthawi yochuluka yomwe njirayi imatengera ikhoza kusiyana, ndipo izi zimadalira zomwe dokotala akuwona panthawiyi komanso ngati biopsy yachitika kapena ayi.
Pogwiritsa ntchito bronchoscopy yolimba, mudzatengedwera ku chipinda chogwiritsira ntchito ndikupatsidwa mankhwala osokoneza bongo musanachitike.
Kodi Mungayang'ane Chiyani Mukamaliza Bronchoscopy Yanu?
Mukadzatha ndi bronchoscopy yanu, mudzatengedwera kupita kuchipatala komwe mudzakayang'anitsitsa maola awiri kapena anayi. Mudzamva groggy ngati zotsatira za mankhwala akutha, ndipo zimakhala zovuta kuti mmero wanu ukhale wokhumudwa komanso ukulira kwa nthawi ndithu. Mutha kutsokomola magazi pang'ono, ndipo izi zikhoza kupitirira tsiku limodzi kapena awiri. Mukatha kumeza popanda kumwa, mumaloledwa kudya, kuyambira ndi madzi. Popeza zotsatira za mankhwalawa zingathe kukhala maola angapo, mudzafunsidwa kuti mubweretse munthu wina yemwe angakufikitseni kunyumba.
Zovuta Zilipo
Anthu ambiri amalekerera bwino bronchoscopy bwino ndi mavuto ochepa. Zina mwazovuta zomwe dokotala angakambirane ndizo ndizo:
- Kupuma - Kuchuluka kwa magazi kungabwereke, makamaka ngati chiwombankhanga chinatengedwa panthawiyi
- Pneumothorax (mapaipi otayika) - Ngati pneumothorax ndi yaing'ono, dokotala wanu akhoza kungochitsatira ndi chifuwa cha x-ray, koma ngati ndi yaikulu, chubu la chifuwa chiyenera kuikidwa kuti lichotse mpweya.
- Kutenga
- Kusokonezeka
- Kuphulika kwapansi pamtunda monga laryngospasm (spasm ya larynx), kapena bronchospasm (spasm ya bronchi )
- Matenda a mtima monga mtima wosadziwika
- Zovuta zokhudzana ndi anesthesia
Zotsatira zanu
Pambuyo pa bronchoscopy yanu, dokotala wanu adzakonzekera msonkhano kuti akambirane zotsatira zanu. Ngati biopsy inatengedwa nthawi yanu, idzatenga masiku angapo kuti labu liziyang'ana minofu ndi kutumiza zotsatira kwa dokotala wanu.
Ngati dokotala akudandaula kuti mungakhale ndi khansa ya m'mapapo, onani zowonjezera za momwe mungawerenge lipoti lanu la kansa ya mapapu .
Nthawi yoitanira Dokotala Wanu
Muyenera kutchula dokotala wanu ngati muli ndi zizindikiro kapena mafunso omwe akukukhudzani. Aitaneni dokotala mwanjira yoyenera ngati mukutsokomola magazi ofiira (mungakhale ndi magazi ofiira otsalawo), mukhale ndi malungo, kapena muwone kuti mukupuma kwambiri.
> Zotsatira:
> Andolfi, M., Potenza, R., Capozzi, R., Liparulo, V., Puma, F., ndi K. Yasufuku. Udindo wa Bronchoscopy mu Kufufuza kwa Khansa Yam'mbuyo Yam'mbuyo: Kubwereza. Journal of Thoracic Disease . 2016. 8 (11): 3329-3337.
> Mphuno, F. Bronchoscopy / Endobronchial Ultrasound. Mipata ya Mankhwala Opatsirana Ndi Mafilimu . 2010. 42: 55-62.
> Khan, K., Nardelli, P., Jaegar, A. et al. Bronchoscopy Yoyendetsa Khansa Yam'mbuyo Yam'mimba: Njira Yotsata Mankhwala. Kupititsa patsogolo mu Thandizo . 2016. 33 (4): 580-96.
> Lee, P. et al. Kusamalira zovuta kuchokera ku matenda ndi matenda opatsirana pogonana. Respirology . 2009. 14 (7): 940-53.
> Lin, C., ndi F. Chung. MaseĊµera Akumidzi Omwe Ali Pamtunda: Bronchoscopy Yophatikizapo mu Kuzindikira ndi Utsogoleri. Journal of Thoracic Diseases . 2016. 8 (10): E1168-1176.