Vula i-lung biopsy

I-biopsy evulekileyo yemiphunga ngotyando lokususa iqhekeza elincinci lomphunga. Isampulu iyavavanywa umhlaza, usulelo, okanye isifo semiphunga.

I-biopsy evulekileyo yemiphunga yenziwa esibhedlele kusetyenziswa i-anesthesia ngokubanzi. Oku kuthetha ukuba uya kulala kwaye awunazintlungu. Umbhobho uza kubekwa emlonyeni wakho use emqaleni ukuze uncede uphefumle.

Olu tyando lwenziwa ngale ndlela ilandelayo:

• Emva kokucoca ulusu, ugqirha wenza ukusika okuncinci kwicala lasekhohlo okanye lasekunene kwesifuba sakho.
• Iimbambo zahlulwe ngobunono.
• Umda wokubukela unokufakwa kumngxunya omncinci phakathi kweembambo ukubona indawo ekufuneka ichazwe.
• Izicubu zithathwa emiphungeni zize zithunyelwe elebhu ukuze zihlolwe.
• Emva kotyando inxeba livaliwe ngemithungo.
• Ugqirha wakho ushiya ityhubhu encinci esifubeni sakho ukukhusela umoya kunye nolwelo ekwakheni.

Kuya kufuneka uxelele umboneleli wezempilo ukuba ukhulelwe, uxabisa kuwo nawaphi na amayeza, okanye ukuba unengxaki yokopha. Qiniseka ukuba uxelela umboneleli wakho ngawo onke amayeza owathathayo, kubandakanya imifuno, izongezo, kunye nezo zithengwe ngaphandle kommiselo.

Landela imiyalelo yakho yotyando yokungatyi okanye ukusela ngaphambi kwenkqubo.

Xa uvuka emva kwenkqubo, uya kuziva ukozela iiyure ezininzi.

Kuya kubakho ukuthamba kunye neentlungu apho ukusikwa kotyando kufumaneka khona. Uninzi loogqirha batofa i-anesthetic yendawo esebenza ixesha elide kwindawo esikiweyo ukuze ungabi nentlungu emva koko.

Unokuba nomqala obuhlungu ukusuka kumbhobho. Unokwenza lula ngentlungu ngokutya ii-ice chips.

I-biopsy evulekileyo yemiphunga iyenziwa ukuvavanya iingxaki zemiphunga ezibonwe kwi-x-ray okanye kwi-CT scan.

Imiphunga kunye nezicubu zemiphunga ziya kuba zeziqhelekileyo.

Iziphumo ezingaqhelekanga zinokubangelwa:

• I-Benign (hayi umhlaza) amathumba
• Umhlaza
• Usulelo oluthile (ibhaktiriya, intsholongwane, okanye ukungunda)
• Izifo zemiphunga (i-fibrosis)

Inkqubo inokunceda ukufumanisa iimeko ezahlukeneyo, ezinje:

• Isifo semiphunga
• I-Sarcoidosis (ukudumba okuchaphazela imiphunga kunye nezinye izicwili zomzimba)
• I-Granulomatosis nge-polyangiitis (ukudumba kwemithambo yegazi)
• Uxinzelelo lwegazi kwimiphunga (uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga)

Kukho ithuba elincinci loku:

• Ukuvuza komoya
• Ukuphulukana kwegazi ngokugqithileyo
• Usulelo
• Ukwenzakala emiphungeni
• IPneumothorax (umphunga owileyo)

I-Biopsy - imiphunga evulekileyo

• Amaphaphu
• Ukuqhawula i-lung biopsy

IChernecky CC, iBerger BJ. I-Biopsy, indawo ekhethekileyo-isampuli. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 199-202.

UWald O, Izhar U, uSugarbaker DJ. Umlenze, udonga lwesifuba, i-pleura, kunye ne-mediastinum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2022: isahluko 58.