I-Bronchoscopy kunye ne-Bronchoalveolar Lavage (BAL)

Umxholo

• Yintoni i-bronchoscopy kunye ne-bronchoalveolar lavage (BAL)?
• Zenzelwe ntoni?
• Kutheni le nto ndifuna i-bronchoscopy kunye ne-BAL?
• Kwenzeka ntoni ngexesha le-bronchoscopy kunye ne-BAL?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga ne-bronchoscopy kunye ne-BAL?
• Izalathiso

Yintoni i-bronchoscopy kunye ne-bronchoalveolar lavage (BAL)?

I-Bronchoscopy yinkqubo evumela umboneleli wezempilo ukuba ajonge imiphunga yakho. Isebenzisa ityhubhu encinci, ekhanyisiweyo ebizwa ngokuba yi-bronchoscope. Umbhobho ufakwa emlonyeni okanye empumlweni kwaye wehla ngomqala nasemoyeni. Inceda ekuchongeni nasekunyangeni izifo ezithile zemiphunga.

I-bronchoalveolar lavage (BAL) yinkqubo edlalwa ngamanye amaxesha ngexesha le-bronchoscopy. Ikwabizwa ngokuba kukuhlamba ibronchoalveolar. I-BAL isetyenziselwa ukuqokelela isampulu kwimiphunga yovavanyo. Ngexesha lenkqubo, isisombululo se-saline sifakwa kwi-bronchoscope ukuhlamba iindlela zomoya kunye nokubamba isampulu yolwelo.

Amanye amagama: i-bronchoscopy eguqukayo, ukuhlamba i-bronchoalveolar

Zenzelwe ntoni?

I-Bronchoscopy ingasetyenziselwa:

• Fumana kwaye uphathe ukukhula okanye ezinye iibhloksi kwiindlela zomoya
• Susa amathumba emiphunga
• Lawula ukopha kwindlela yomoya
• Nceda ufumane unobangela wokukhohlela okungapheliyo

Ukuba sele ufumene ukuba unomdlavuza wamaphaphu, uvavanyo lunokunceda ukubonisa ukuba lukhulu kangakanani.

I-Bronchoscopy ene-BAL isetyenziselwa ukuqokelela izicwili kuvavanyo. Ezi mvavanyo zinceda ukufumanisa ukuphazamiseka okungafaniyo kwemiphunga kubandakanya:

• Usulelo lwebhakteria njengesifo sephepha kunye nenyumoniya yebhakteria
• Usulelo lomngundo
• Umhlaza wemiphunga

Olunye okanye zombini iimvavanyo zinokusetyenziswa ukuba uvavanyo lokucinga lubonisa ingxaki enokubakho kwimiphunga.

Kutheni le nto ndifuna i-bronchoscopy kunye ne-BAL?

Unokufuna olunye okanye zombini iimvavanyo ukuba uneempawu zesifo semiphunga, ezinje:

• Ukukhohlela okungapheliyo
• Ingxaki yokuphefumla
• Ukukhohlela igazi

Unokufuna i-BAL ukuba unesifo sokungasebenzi komzimba. Ezinye iingxaki zomzimba, ezifana ne-HIV / AIDS, zinokukubeka emngciphekweni omkhulu wosulelo oluthile lwemiphunga.

Kwenzeka ntoni ngexesha le-bronchoscopy kunye ne-BAL?

I-Bronchoscopy kunye ne-BAL zihlala zenziwa yi-pulmonologist. I-pulmonologist ngugqirha ogxile ekuchongeni nasekunyangeni izifo zemiphunga.

I-bronchoscopy ihlala ibandakanya la manyathelo alandelayo:

• Kuya kufuneka ususe ezinye okanye zonke iimpahla zakho. Ukuba kunjalo, uyakunikwa ingubo yasesibhedlele.
• Uya kuhlala esihlalweni esifana nosihlalo wamazinyo okanye uhlale kwitafile yenkqubo uphakamise intloko.
• Unokufumana iyeza (lokuthomalalisa) ukukunceda uphumle. Iyeza liya kufakwa emthanjeni okanye linikezwe nge-IV (intravenous) line eya kuthi ibekwe engalweni okanye esandleni sakho.
• Umboneleli wakho uya kutshiza iyeza elirhabaxa emlonyeni nasemqaleni, ukuze ungaziva zintlungu ngexesha lenkqubo.
• Umboneleli wakho uya kufaka i-bronchoscope ezantsi emqaleni wakho nakwindlela yakho yomoya.
• Njengoko i-bronchoscope ihanjiswa phantsi, umboneleli wakho uya kuvavanya imiphunga yakho.
• Umboneleli wakho angenza olunye unyango ngeli xesha, njengokususa ithumba okanye ukucima ukubhloka.
• Okwangoku unokufumana i-BAL.

Ngexesha le-BAL:

• Umboneleli wakho uya kubeka inani elincinci le-saline nge-bronchoscope.
• Emva kokuhlamba iindlela zomoya, i-saline ifunxwe inyuswe iye kwi-bronchoscope.
• Isisombululo se-saline siya kuba neeseli kunye nezinye izinto, ezinjengeebhaktheriya, eziza kusiwa elebhu ukuvavanywa.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Kuya kufuneka ukhawuleze (ungatyi okanye usele) iiyure ezininzi ngaphambi kwenkqubo yakho. Umboneleli wakho uya kukwazisa ukuba ufuna ixesha elingakanani ukuthintela ukutya neziselo.

Kuya kufuneka ulungiselele ukuba umntu akugoduse. Ukuba unikwe into yokuthambisa, usenokozela iiyure ezimbalwa emva kwenkqubo yakho.

Ngaba bukhona ubungozi kuvavanyo?

Kukho umngcipheko omncinci wokuba ne-bronchoscopy okanye i-BAL. Inkqubo inokukunika umqala obuhlungu iintsuku ezimbalwa. Iingxaki ezinqabileyo zinqabile, kodwa zinokubandakanya ukopha kwindlela yomoya, usulelo, okanye indawo eyaphukileyo yemiphunga.

Zithetha ntoni iziphumo?

Ukuba iziphumo zakho ze-bronchoscopy zazingaqhelekanga, kunokuthetha ukuba unesifo semiphunga esifana:

• Ukuvaleka, ukukhula, okanye ithumba kwindlela yomoya
• Ukuncitshiswa kwenxalenye yomoya
• Umonakalo wemiphunga ngenxa yokuphazamiseka komzimba njenge-rheumatoid arthritis

Ukuba ubunayo i-BAL kwaye iziphumo zakho zesampulu yemiphunga bezingaqhelekanga, oko kunokuthetha ukuba unomhlaza wemiphunga okanye uhlobo losulelo olufana:

• Isifo sephepha
• I-pneumonia yentsholongwane
• Usulelo lomngundo

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga ne-bronchoscopy kunye ne-BAL?

Ukongeza kwi-BAL, kukho ezinye iinkqubo ezinokwenziwa ngexesha le-bronchoscopy. Oku kubandakanya:

• Inkcubeko yesikhohlela. Isikhohlela luhlobo olungqindilili lwee-mucus ezenziwe kwimiphunga yakho. Yahlukile kunokutshica okanye amathe. Inkcubeko yesikhohlela ihlola iintlobo ezithile zosulelo.
• Unyango lwe-Laser okanye i-radiation ukunyanga amathumba okanye umhlaza
• Unyango lokulawula ukopha emiphungeni

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.