Bronchoscopy

Umxholo

• Kutheni ugqirha eyalela i-bronchoscopy?
• Ukulungiselela i-bronchoscopy
• Inkqubo yeBronchoscopy
• Iindidi zokucinga ezisetyenziswa kwi-bronchoscopy
• Umngcipheko webronchoscopy
• Ukufunyanwa kwakhona kwi-bronchoscopy

Yintoni i-bronchoscopy?

I-bronchoscopy luvavanyo oluvumela ugqirha wakho ukuba ahlole indlela ohamba ngayo. Ugqirha wakho uya kufakela isixhobo esibizwa ngokuba yi-bronchoscope ngeempumlo okanye emlonyeni nangaphantsi komqala wakho ukufikelela kwimiphunga yakho. I-bronchoscope yenziwe ngezinto eziguqukayo ze-fiber-optic kwaye inomthombo wokukhanya kunye nekhamera ekugqibeleni. Uninzi lwee-bronchoscopes ziyahambelana nevidiyo enemibala, ethi incede ugqirha abhale iziphumo zabo.

Kutheni ugqirha eyalela i-bronchoscopy?

Usebenzisa i-bronchoscope, ugqirha wakho unokujonga zonke izinto ezakha inkqubo yakho yokuphefumla. Oku kubandakanya i-larynx, i-trachea, kunye ne-airways encinci yemiphunga yakho, ebandakanya i-bronchi kunye ne-bronchioles.

I-bronchoscopy ingasetyenziselwa ukuxilonga:

• isifo semiphunga
• ithumba
• ukukhohlela okungapheliyo
• usulelo

Ugqirha wakho unokuyalela i-bronchoscopy ukuba unesifuba esingaqhelekanga se-X-ray okanye i-CT scan ebonisa ubungqina bosulelo, ithumba, okanye umphunga owileyo.

Uvavanyo ngamanye amaxesha lusetyenziswa njengesixhobo sonyango. Umzekelo, i-bronchoscopy inokuvumela ugqirha wakho ukuba ahambise amayeza kwimiphunga yakho okanye asuse into ebanjwe kukuhamba komoya, njengesiqwenga sokutya.

Ukulungiselela i-bronchoscopy

Isitshizi se-anesthetic sendawo sisetyenziselwa impumlo nomqala wakho ngexesha le-bronchoscopy. Uya kufumana umthomalalisi ukuze akuncede uphumle. Oku kuthetha ukuba uyakuvuka kodwa uyozele ngexesha lenkqubo. Ioksijini ihlala inikwa ngexesha lebronchoscopy. I-anesthesia ngokubanzi ayifane ifuneke.

Kuya kufuneka uphephe ukutya okanye ukusela nantoni na kwiiyure ezi-6 ukuya kwezi-12 phambi kwebronchoscopy. Ngaphambi kwenkqubo, cela ugqirha wakho ukuba ufuna ukuyeka ukuthatha:

• iasprini (iBayer)
• ibuprofen (Advil)
• iwarfarin
• abanye abacoci gazi

Yiza nomntu oza kudibana naye ukuze akuqhubele ekhaya emva koko, okanye ulungiselele ukuthuthwa.

Inkqubo yeBronchoscopy

Nje ukuba ukhululeke, ugqirha wakho uya kufaka i-bronchoscope empumlweni yakho. I-bronchoscope idlula ukusuka empumlweni yakho iye ezantsi emqaleni ize ifike kwi-bronchi yakho. Ibronchi ziindlela zomoya kwimiphunga yakho.

Ibhrashi okanye iinaliti zinokuncanyathiselwa kwi-bronchoscope ukuqokelela iisampulu zamathambo kwimiphunga yakho. Ezi iisampulu zinokunceda ugqirha wakho ukuba afumane naziphi na iimeko zemiphunga onokuba nazo.

Ugqirha wakho unokusebenzisa inkqubo ebizwa ngokuba kukuhlanjwa kwebronchial ukuqokelela iiseli. Oku kubandakanya ukutshiza isisombululo se-saline ngaphezulu komoya wakho. Iiseli ezihlanjwe ngaphezulu komhlaba ziyaqokelelwa kwaye zijongwe phantsi kwemicroscope.

Ngokuxhomekeke kwimeko ethile, ugqirha unokufumana enye okanye ngaphezulu kwezi zilandelayo:

• igazi
• yencindi
• usulelo
• ukudumba
• ukuvaleka
• ithumba

Ukuba iindlela zakho zomoya zivaliwe, unokufuna i-stent ukuze uzigcine zivulekile. I-stent yityhubhu encinci enokuthi ibekwe kwi-bronchi yakho kunye ne-bronchoscope.

Xa ugqirha wakho egqibile ukuvavanya imiphunga yakho, baya kuyisusa i-bronchoscope.

Iindidi zokucinga ezisetyenziswa kwi-bronchoscopy

Iindlela eziphambili zokucinga ngamanye amaxesha zisetyenziselwa ukuqhuba i-bronchoscopy. Ubuchwephesha obuphambili bunokubonelela ngomfanekiso ogcwele ngakumbi wangaphakathi wemiphunga yakho:

• Ngexesha le-bronchoscopy ebonakalayo, ugqirha wakho usebenzisa i-CT scans ukubona iindlela zakho zomoya ngokweenkcukacha.
• Ngexesha le-endobronchial ultrasound, ugqirha wakho usebenzisa iprosesa ye-ultrasound eqhotyoshelwe kwi-bronchoscope ukubona umoya wakho.
• Ngethuba le-bronchoscopy ye-fluorescence, ugqirha wakho usebenzisa ukukhanya kwe-fluorescent eqhotyoshelwe kwi-bronchoscope ukubona ngaphakathi kwemiphunga yakho.

Umngcipheko webronchoscopy

I-Bronchoscopy ikhuselekile kubantu abaninzi. Nangona kunjalo, njengazo zonke iinkqubo zonyango, kukho iingozi ezithile ezichaphazelekayo. Iingozi zinokubandakanya:

• ukopha, ngakumbi ukuba kwenziwa i-biopsy
• usulelo
• ingxaki yokuphefumla
• inqanaba leoksijini esezantsi ngexesha lovavanyo

Nxibelelana nogqirha wakho ukuba:

• ndinomkhuhlane
• bakhohlela igazi
• unengxaki yokuphefumla

Ezi mpawu zingabonisa ingxaki efuna unyango, njengosulelo.

Inqabile kakhulu kodwa inokuba sesichengeni sobomi be-bronchoscopy kubandakanya ukubetha kwentliziyo kunye nokuwa kwemiphunga. Umphunga owileyo unokubangelwa yi-pneumothorax, okanye uxinzelelo olonyukayo kwimiphunga yakho ngenxa yokuphuma komoya kumngxunya wemiphunga yakho. Oku kubangelwa kukugqabhuka komphunga ngexesha lenkqubo kwaye kuqheleke kakhulu ngebronchoscope engqongqo kunendawo yokuguquguquka kwefibre-optic. Ukuba umoya uqokelela imiphunga yakho ngexesha lenkqubo, ugqirha wakho angasebenzisa ityhubhu yesifuba ukususa umoya oqokelelweyo.

Ukufunyanwa kwakhona kwi-bronchoscopy

I-bronchoscopy iyakhawuleza, ihlala malunga nemizuzu engama-30. Ngenxa yokuba uyolaliswa, uya kuphumla esibhedlele kangangeeyure ezimbalwa de uzive uphaphile ngakumbi kwaye ukuba ndindisholo emqaleni wakho kuyaphela. Ukuphefumla kwakho kunye noxinzelelo lwegazi kuya kujongwa ngexesha lokuchacha kwakho.

Awuyi kukwazi ukutya okanye usele nantoni na de ube umqala ungasekho. Oku kungathatha iyure enye ukuya kwezimbini. Umqala wakho unokuba buhlungu okanye ukrweleke kangangeentsuku ezimbalwa, kwaye usenokudinwa. Oku kuqhelekile. Ngokuqhelekileyo ayihlali ixesha elide kwaye ihamba ngaphandle kweyeza okanye unyango.