Inqubo yakho yeBronchoscopy kanye Neengozi Ezingenzeka
Iyini i-bronchoscopy, kungani lokhu kungenziwa, futhi yini ongayilindela? Yimiphi imiphumela emibi yezinkinga zenqubo?
I-bronchoscopy - Incazelo
I-bronchoscopy yinkqubo yezokwelapha lapho i-tube emincane (i-bronchoscope) efakwa emlonyeni wakho noma ekhaleni ukuze ubheke ngaphakathi kwemikhumbi yakho yokuhamba emoyeni. I-bronchoscopy ingenziwa ukuze kuhlolwe isimo esinjengomdlavuza wamaphaphu , noma ukuphatha inkinga yezokwelapha njengento yangaphandle efakiwe emoyeni we-airways.
I-Bronchoscopy Yenziwe Ngini?
I-bronchoscopy isetshenziselwa ukuhlola izimpawu zamaphaphu ezifana nokukhwehlela okungapheli , ukukhwehlela igazi (hemoptysis), noma uma isifo sephaphu noma umdlavuza wamaphaphu kucatshangwa emva kokungajwayelekile kubonakala kwizifundo ze-x-ray. Ngesikhathi i-bronchoscopy, odokotela bayakwazi zibone ngeso lengaphakathi ngaphakathi kwemimoya yomoya futhi uthathe i-biopsy yanoma yiziphi izindawo ezibonakala zingavamile, ukusiza ukuxilonga isifo samaphaphu noma umdlavuza wamaphaphu. Amasu amasha afana ne-endobronchial ultrasound avumela odokotela ukuba bahlole izicubu emaphashini asezindaweni ezijulile kunezindiza.
I-bronchoscopy nayo ingasetshenziselwa ukwelashwa . Ngesinye isikhathi kwenziwa ukuyeka ukuphuma e-airways, ukubeka i-stent ukuze ivule imimoya eminyene, ukukhipha izinto zangaphandle, noma ukwelapha umdlavuza wamaphaphu okhona noma eduze nemikhumbi ehamba phambili. Isibonelo salokhu kokugcina yi-brachytherapy, ukwelashwa lapho imisebe ihanjiswa khona ngqo ku-tumor nge-bronchoscope.
Izinhlobo zeBronchoscopy
Kunezinhlobo ezimbili ezinkulu zama-bronchoscopes asetshenziselwa ngesikhathi se-bronchoscopy, kuye ngokuthi isimo siyatholakala yini noma siyaphathwa.
Bronchoscopes Flexible
I-bronchoscope eguquguqukayo iyishubhu elincane elikhanyayo elikhanyayo elifakwe emakhaleni noma emlonyeni ukuze uthole ukufinyelela emoyeni.
Le nqubo isetshenziswe kaningi kune-bronchoscope eqinile futhi ayidingi ukuhlinzekwa kwezifo ezijwayelekile.
Bronchoscopes ezinamandla
I-bronchoscope eqinile iyishubhu eqinile cishe eyodwa kwegremu ububanzi efakwe ekamelweni lokusebenza ngaphansi kwe-anesthesia jikelele . I-bronchoscope eqinile ingase isetshenziswe uma uphepha e-airways yakho, ukubeka i-stent ukuze uvule umoya ovinjiwe, noma ukususa into yangaphandle.
Amasu amasha ku-Bronchoscopy
Ngaphandle kwendima yayo yendabuko ekuvumela udokotela ukuba ahlolisise i-bronchi yakho, amasu amasha avumela odokotela ukuba babone ngeso lengqondo izicubu ngaphakathi kwamapayipi angenwe ngaphakathi kwe-bronchi. Enye yalezi zindlela ezibizwa ngokuthi i- endobronchial ultrasound . Kule nqubo, i-tumor ejulile eya emoyeni ingahle ibonwe nge-ultrasound ne-biopsied phakathi ne-bronchoscopy (i-ultrasound eqondiswa izinyosi biopsy).
Ngaphandle kwamasu ahloselwe ukubheka okujulile kunezindiza ngesikhathi se-bronchoscopy, kunezinto eziningi zobuchwepheshe bezindaba ezisetshenziselwa ukuxilonga ama-cancer wamapayipi okuqala. Lokhu kufaka i-autofluorescence bronchoscopy, isithombe se-narrowband, ne-bronchoscopy ye-video yokukhulisa kakhulu.
Ukulungiselela I-Archochoscopy Yakho
Ngaphambi kokuyala i-bronchoscopy, udokotela wakho uzokhuluma nawe ngezingozi zenqubo, nokuthi yini angayilindela ukuthola ngokuhlola.
Uma kukhona noma yimiphi imithi engakhuphula ukuphuma kwegazi, njenge-Coumadin (i-warfarin), i-aspirin, noma imithi elwa nokuvuvukala njenge-Advil (ibuprofen), uzokutusa ukuyeka lokhu isikhathi esithile ngaphambi kokuhlolwa. Qinisekisa ukuthi uvumele udokotela wakho ukuthi aziphi noma yimiphi imithi yemithi ngoba ezinye zazo zingancipha igazi lakho. Ngaphambi kwenqubo, uzocelwa ukuba "ugijime" -ukuthi, ungadli noma uphuze noma yini (ngisho namanzi) amahora amaningana.
Phakathi neBronchoscopy Yakho
I-bronchoscopy ivame ukuqhutshwa yi-pulmonologist (isazi sephaphu) noma udokotela ohlinzayo wase-thoracic. Uma ufika esibhedlela, umhlengikazi uzokubuza imibuzo eminingana bese ufaka i-IV (umugqa ohambisayo) engalweni yakho.
Uyophinde afanele wena nabaqapheli ukuze ukucindezeleka kwegazi lakho kanye nesilinganiso senhliziyo kungenziwa kuhlolwe kuyo yonke inqubo. Udokotela owenza le nqubo uzovakashela nawe ukuxoxa ngenqubo kanye nezingozi zayo, futhi akucele ukuthi usayine ifomu lokuvuma . Uma une-bronchoscopy eqinile, i-anesthesiologist izokukhuluma nawe nge-anesthesia ngaphambi kokuthi ungene ekamelweni lokusebenza.
Ngesikhathi i-bronchoscopy eguquguqukayo, uzonikezwa imithi yokwenza ulale ( ukulala ebusuku ), kanye nemithi yokusiza iminyango eyomile emaphashini akho. I-anesthetic yendawo izosetshenziselwa ukuphazamisa umphimbo wakho noma ikhala ngaphambi kokuba i-bronchoscope ifakwe. Lokhu kungabangela ukuba ukhwehlele okwesikhashana. Isikhathi isikhathi inqubo ethathayo ingashintsha, futhi iyoxhomeka kulokho okubonwa udokotela wakho ngesikhathi senqubo nokuthi ngabe i-biopsy yenziwe noma cha.
Nge-bronchoscopy eqinile, uzothathwa uyiswe ekamelweni lokusebenza futhi unikezwe isisindo sokujola jikelele ngaphambi kwenqubo.
Yini Ongayilindela Ngemuva Kwesikhwama Sakho?
Uma usuqedile nge-bronchoscopy yakho, uzoyiswa ekamelweni lokutakula lapho uzobe uhlolwe eduze amahora amabili kuya kwangu-4. Uzozizwa u-groggy njengemiphumela yemithi egugile, futhi kuvamile ukuba umphimbo wakho uzizwe ucasuliwe futhi ukhulume isikhathi esithile. Ungase ukhwehlele inani elincane legazi elimnyama, futhi lokhu kungaqhubeka usuku noma ezimbili. Uma usukwazi ukugwinya ngaphandle kokuchofoza, uzovunyelwa ukuba udle, uqale ngamanzi okuphuza. Njengoba imiphumela yemithi ingahlala amahora amaningana, uzocelwa ukuba ulethe omunye umuntu ongakuqhubela ekhaya.
Izinkinga ezingenzeka
Iningi labantu libekezelela i-bronchoscopy kahle ngezingqinamba ezincane. Ezinye izinkinga ezingase zixoxwe nodokotela wakho zihlanganisa:
- Ukukhipha igazi - Inani elincane lokugaya kungenzeka, ikakhulukazi uma i-biopsy ithathwe ngesikhathi senqubo
- I-Pneumothorax (iphaphu eliphelile) - Uma i-pneumothorax encane, udokotela wakho angase alandele nje ngesifuba x-ray, kodwa uma ikhulu, ithubhu yesifuba ingadinga ukufakwa ukuze isuse umoya.
- Ukutheleleka
- Ukuthuthumela
- I-spasms enqamula emoyeni njenge-laryngospasm (i-spasm ye-larynx), noma i-bronchospasm (i-spasm ye- bronchi )
- Izinkinga ze-cardiac ezifana neshyindo senhliziyo engavamile
- Izinkinga ezihlobene ne-anesthesia
Imiphumela Yakho
Ukulandela i-bronchoscopy yakho, udokotela wakho uzohlela i-aphoyintimenti yokuxoxa ngemiphumela yakho. Uma ngabe i-biopsy ithathwe ngesikhathi senqubo yakho, kuzothatha izinsuku ezimbalwa ukuze ibhodi ihlole izicubu futhi ithumele imiphumela kudokotela wakho.
Uma udokotela wakho esolwa ukuthi unomdlavuza wamaphaphu, hlola lolu lwazi ukuthi ungayifunda kanjani umbiko wakho we-pathology yomdlavuza wamaphaphu .
Nini Ukubiza Udokotela Wakho
Kumele ubize udokotela wakho uma unezimpawu noma imibuzo ephathelene nawe. Shayela udokotela wakho ngendlela efanele uma ukhwehlela igazi elibomvu elimhlophe (ungase ube negazi elimnyama elimnyama ukusuka enkambisweni), uthuthukise umkhuhlane, noma uqaphele noma yikuphi okubuhlungu ekuphefumuleni kwakho.
> Imithombo:
> Andolfi, M., Potenza, R., Capozzi, R., Liparulo, V., Puma, F., no K. Yasufuku. Indima ye-bronchoscopy ekutholeni umdlavuza we-Lung Early: A Review. I-Journal ye-Thoracic Disease . 2016. 8 (11): 3329-3337.
> I-Herth, F. Bronchoscopy / Endobronchial Ultrasound. Imingcele ye-Radiation Therapy kanye ne-Oncology . 2010. 42: 55-62.
> Khan, K., Nardelli, P., Jaegar, A. et al. I-Bronchoscopy Yokuhamba Nge-Cancer Early Lung: Umgwaqo Wokuthola Ukwelapha. Ukuthuthukiswa kweTherapy . 2016. 33 (4): 580-96.
> Lee, P. et al. Ukuphathwa kwezinkinga ezivela ku-bronchoscopy yokuxilonga nokungenelela. I-Respirology . 2009. 14 (7): 940-53.
> Lin, C., noF. Chung. Izimpumputhe ZaseCentral Airway: I-Bronchoscopy Eyingaphakathi Ekuxilongweni Nokuphathwa. I-Journal ye-Thoracic Diseases . 2016. 8 (10): E1168-1176.