Bronchoscopy uye Bronchoalveolar Lavage (BAL)

Zvemukati

• Chii chinonzi bronchoscopy uye bronchoalveolar lavage (BAL)?
• Chii chavanoshandiswa?
• Nei ndichida bronchoscopy neBAL?
• Chii chinoitika panguva yebronchoscopy neBAL?
• Ndichafanira here kuita chero chinhu kugadzirira bvunzo?
• Pane here njodzi kune bvunzo?
• Zvinorevei mhedzisiro yacho?
• Pane chimwe chinhu here chandinofanira kuziva nezve bronchoscopy neBAL?
• Zvinyorwa

Chii chinonzi bronchoscopy uye bronchoalveolar lavage (BAL)?

Bronchoscopy inzira inobvumidza mupi wezvehutano kutarisa pamapapu ako. Inoshandisa chubhu yakatetepa, ine mwenje inonzi bronchoscope. Iyo chubhu inoiswa kuburikidza nemuromo kana mumhino uye ndokufambisa ichidzika nehuro nekupinda mumhepo. Inobatsira kuongorora uye kurapa zvimwe zvirwere zvemapapu.

Bronchoalveolar lavage (BAL) maitiro ayo dzimwe nguva anoitwa panguva yebronchoscopy. Iyo inonziwo bronchoalveolar kusuka. BAL inoshandiswa kuunganidza muyenzaniso kubva mumapapu ekuyedzwa. Munguva yekuita, saline solution inoiswa kuburikidza nebronchoscope kushambidza mafafitera uye kutora muyero wemvura.

Mamwe mazita: anoshanduka bronchoscopy, bronchoalveolar kuwacha

Chii chavanoshandiswa?

Bronchoscopy inogona kushandiswa ku:

• Tsvaga uye ubate zvinokura kana zvimwe zvakavharika mumhepo
• Bvisa mamota emapapu
• Chengetedza kubuda ropa mumhepo
• Batsira kutsvaga chinokonzeresa chikosoro

Kana iwe watove waonekwa uine kenza yemapapu, iyo bvunzo inogona kubatsira kuratidza kuti yakanyanya sei.

Bronchoscopy neBAL inoshandiswa kuunganidza matishu ekuyedza. Iyi bvunzo inobatsira kuongorora kukanganisika kwakasiyana kwemapapu kusanganisira:

• Hutachiona hutachiona senge tibhii uye hutachiona pneumonia
• Fungal zvirwere
• Kenza yemapapu

Imwe kana zvese zviedzo zvinogona kushandiswa kana bvunzo yekufungidzira ikaratidza dambudziko rinogona kuve nemapapu.

Nei ndichida bronchoscopy neBAL?

Iwe unogona kuda imwe kana ese maviri bvunzo kana iwe uine zviratidzo zvehosha yemapapu, senge:

• Kuramba uchikosora
• Kunetseka kufema
• Kukosora ropa

Iwe unogona zvakare kuda BAL kana iwe uine immune system kusagadzikana. Zvimwe zvinodzivirira immune system, zvakaita seHIV / AIDS, zvinogona kukuisa panjodzi huru yehumwe hutachiona hwemapapu.

Chii chinoitika panguva yebronchoscopy neBAL?

Bronchoscopy uye BAL zvinowanzoitwa nepulmonologist. A pulmonologist chiremba anonyanya kuongorora nekurapa zvirwere zvemapapu.

Bronchoscopy inowanzo sanganisira anotevera matanho:

• Ungangoda kubvisa imwe kana yako yese hembe. Kana zvirizvo, unozopihwa hanzu yechipatara.
• Iwe uchagara pachigaro chakaita kunge chigaro chemazino kana kugara patafura yekuita uchisimudza musoro.
• Unogona kuwana mushonga (sedative) kuti ikubatsire kuzorora. Mushonga unoiswa jekiseni mutsinga kana kupihwa kuburikidza ne IV (intravenous) mutsara unozoiswa muruoko rwako kana ruoko.
• Wako mupi achapfapfaidza mushonga unovevevesa mukanwa uye pahuro, kuti usazonzwa chero kurwadziwa panguva yekuita.
• Wako mupi anoisa iyo bronchoscope pasi pehuro yako uye mumhepo yako nzira.
• Sezvo bronchoscope ichiendeswa pasi, mupi wako anoongorora mapapu ako.
• Wako mupi anogona kuita mamwe marapiro panguva ino, sekubvisa bundu kana kubvisa kuvhara.
• Panguva ino, iwe unogona zvakare kuwana BAL.

Munguva yeBAL:

• Wako mupi anoisa shoma shoma yemunyu kuburikidza neiyo bronchoscope.
• Mushure mekugeza nzira dzekufema, iwo munyu unosvetwa uchikwira mubronchoscope.
• Musanganiswa wemunyu unenge uine masero nezvimwe zvinhu, zvakaita sehutachiona, huchaendeswa kubazi kunoongororwa.

Ndichafanira here kuita chero chinhu kugadzirira bvunzo?

Ungangoda kutsanya (kwete kudya kana kunwa) kwemaawa akati wandei usati waita maitiro ako. Wako mupi achakuzivisa iwe kuti inguvai yaunoda kudzivirira chikafu nekumwa.

Iwe unofanirwa zvakare kuronga kuti mumwe munhu akutyaire kumba. Kana iwe wakapihwa sedative, unogona kunge uchikotsira kwemaawa mashoma mushure mekuita kwako.

Pane here njodzi kune bvunzo?

Pane njodzi shoma yekuve nebronchoscopy kana BAL. Maitiro acho anogona kukupa unorwadza huro kwemazuva mashoma. Zvinetso zvakakomba hazviwanzo, asi zvinogona kusanganisira kubuda ropa mumhepo, hutachiona, kana chikamu chakakoromoka chemapapu.

Zvinorevei mhedzisiro yacho?

Kana yako bronchoscopy mhedzisiro yanga isiri yechinyakare, zvinogona kureva kuti une chirwere chemapapu senge:

• Kuvharika, kukura, kana bundu mune yemumhepo
• Kudimbudzira kwechikamu chemafafitera
• Kukanganiswa kwemapapu nekuda kwechirwere chemuviri senge rheumatoid arthritis

Dai iwe uine BAL uye yako yemapapu mhedzisiro mhedzisiro anga asiri echinyakare, zvinogona kureva kuti une kenza yemapapu kana rudzi rwehutachiona senge:

• Tiibhii
• Hutachiona mabayo
• Fungal chirwere

Kana iwe uine mibvunzo nezve mhedzisiro yako, taura nemupi wako wezvehutano.

Dzidza zvakawanda nezve bvunzo dzemarabhoritari, mareferenzi masosi, uye mhinduro dzekunzwisisa

Pane chimwe chinhu here chandinofanira kuziva nezve bronchoscopy neBAL?

Pamusoro peBAL, pane mamwe maitiro anogona kuitwa panguva yebronchoscopy. Izvi zvinosanganisira:

• Sputum tsika. Sputum rudzi rwakakora rwehutsi hwakagadzirwa mumapapu ako. Izvo zvakasiyana nekupfira mate kana mate. Tsika yemapfunde inotsvaga mamwe marudzi ehutachiona.
• Laser kurapa kana radiation kurapa mamota kana gomarara
• Kurapa kwekudzivirira kubuda ropa mumapapu

Zvinyorwa

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2. American Lung Association [Internet]. Chicago: American Lung Association; c2020. Bronchoscopy; [yakataurwa 2020 Jul 9]; [angangoita matatu skrini. Inowanikwa kubva: https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/bronchoscopy
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5. Nyika Yese Yevana [Internet]. Columbus (OH): Nyika Yose Chipatara chevana; c2020. Bronchoscopy (Flexible Bronchoscopy uye Bronchoalveolar Lavage); [yakataurwa 2020 Jul 9]; [dzinenge 4 skrini.] Inowanikwa kubva ku: https://www.nationwidechildrens.org/family-resource-education/health-wellness-and-safety-resource/helping-hands/bronchoscopy-flexible-bronchoscopy-and-bronchoalveolar-lavage
6. Patel PH, Antoine M, Ullah S. StatPearls. [Internet]. Treasure Island Kutsikisa; c2020. Bronchoalveolar Kubvisa; [yakagadziridzwa 2020 Kubvumbi 23; yakataurwa 2020 Jul 9]; Inowanikwa kubva: https://www.ncbi.nlm.nih.gov/books/NBK430762
7. RT [Indaneti]. Overland Park (KS): Medqor Yepamberi Hutano hweTekinoroji uye Zvishandiso; c2020. Bronchoscopy uye Bronchoalveolar Lavage; 2007 Feb 7 [yataurwa 2020 Jul 9]; [angangoita matatu skrini. Inowanikwa kubva: https://www.rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/bronchoscopy-and-bronchoalveolar-lavage/
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