Uyini bronchoscopy futhi senziwa kanjani?

Ngo inqubo yokwelapha yesimanje, kunezindlela eziningi ukutadisha ipheshana zokuphefumula futhi ukukhomba izifo zabo. On umbuzo ukuthi bronchoscopy, ingase iphendulwe ngendlela elandelayo: a inqubo okwenza ukuba ahlole ngokucophelela emaphashini usebenzisa tube ekhethekile mncane (bronchoscope). Idivayisi zokuxilonga ifakwe ngekhamera amancane ukukhanya, esinikela mucosal videofiksatsiyu umzimba. Bronchoscope ngomlomo noma ekhaleni akuratno uhamba ku emphinjeni, kuqhoqhoqho kanye ipheshana zokuphefumula, ke uchwepheshe is uqhuba isifundo kwezikhala phakathi izingalo umzimba.

Ingqikithi yalo inqubo,

Kunezinhlobo ezimbili zama-amadivayisi zokuxilonga: uhlobo nezimo futhi kube lukhuni. Zingase ziyehluka ububanzi.

Ukusebenzisa bronchoscope nezimo landile. Ithuluzi uyakwazi ukuhambisa emagatsheni amancane ukujula - bronchioles. Lusebenza le nqubo elandelayo:

• umoya-mpilo inhlangano.
• Ukuqoqwa uketshezi uketshezi isikhwehlela.
• Delivery izidakamizwa ku izitho.

Bronchoscopy wenziwa ngaphansi izinzwa jikelele nge uhlobo idivayisi eqinile esisetshenziselwa ukuhlola ububanzi emoyeni izikhala. nobukhulu bayo:

• Ukususwa uketshezi ngokweqile futhi ukubeka amabala.
• Ukwenza umsebenzi we-ukopha control.
• Ukuvula umgudu kusukela ezinhlayiyeni zangaphandle (kubandakanya izingane).

uphenyo Bronchoscopic wenziwa iyunithi yokusebenza kanye izinto isingeniso annesteziruyuschih.

Lapho inqubo inikezwa?

Uyini bronchoscopy, futhi lapho kuboniswa? Indlela okukhulunywa izilungele kulezi zimo ezilandelayo:

• Ukukhomba izimila ingozi.
• Lapho kuhlolwa izifo oncological ze- bronchi.
• Ukuthola Bung umgudu izinqubo (ngokwesayensi - ukuvimbela).
• Constriction esifundeni e-node bronchopulmonary.
• Ukuxilongwa izinqubo ukuvuvukala futhi ezithathelwanayo, okubalwa kuzo nesifo sofuba, nemvelo interstitial lesi sifo.
• Ukuhlonza izimbangela ukukhwehlela chronic zokubona.
• Qinisekisa noma ukubeka sitholakele kuveza izindawo at esifubeni X-ray.

Bronchoscopy ukukhanya - kuyini futhi kanjani?

Ngaphambi kokwenza le nqubo, kumele ube nhlobo izigqizo, imigexo, amazinyo okufakelwa plug-emhlathini, contact lens kanye nokunye okufana nalokho. Oku uyelulekwa uvakashele yangasese. Ukuxilongwa kwenziwa okungenani izingubo kogulayo.

Lolu cwaningo bronchoscope nezimo ayidingi ukubulawa kwezinzwa okuvamile. Kwanele izinzwa wendawo ngu ukuphatha izidakamizwa by sishaye emlonyeni noma ikhala. Isiguli lisasesimweni lisalele noma behlezi. Uchwepheshe ingena idivayisi luthuthukisa okwengeziwe ngokusebenzisa emphinjeni emzimbeni test.

Izici

Uyini bronchoscopy enqubeni? Isibonisi ikhombisa endaweni isithombe embozwe hambisa yayo kancane kancane ekufezeni bronchi kanye namaphaphu. Uma inqubo Lokhu kuhloswe ngakho eqothula isikhwehlela bronchial, kanyekanye sishaye nosawoti isixazululo wezokwelapha kulesi umzimba.

Lapho bronchoscope iqondiswa uhlobo eqinile nakho ngeke kusize nolukhohlisayo nesineke sezimo eziphuthumayo iqala ngemva kokuthola ukubulawa kwezinzwa okuvamile. Lonke operation kuthatha akukho kuka imizuzu 40-50. Okuhlaselayo (alien) ubunjalo inqubo kudinga ezithile zokusisiza ukuba silulame iDemo. Ngemva bronchoscopy kufanele uyeke amahora 2-3 ku ukudla, amanzi, ugwayi. Futhi, ungatholi ngemuva Izilawuli imoto.

Izingozi nokuvinjelwa

Uyini bronchoscopy futhi yiziphi imiphumela yayo? Lo mbuzo ungaphendulwa pheze ngokuqinisekile: manipulation akuyona okuhle, Nokho, njengoba ucwaningo kakhulu kwezokwelapha, ukuxakeka sokugembula ezingajwayelekile kakhulu.

Okungenzeka imiphumela emibi:

• Ukubukeka ukopha kuvame kakhulu kwenzeka uma biopsy.
• Kukhona inani elincane lomphakathi wabo okuvela nezifo ezithelelwanayo angase azithole.
• Ngezinye izikhathi kukhona nobunzima bokuphefumula.
• Phakathi ezingeni umoya-mpilo egazini lingase lehle nezinqubo.

Izimo for bronchoscopy:

• Serious tracheal constriction noma capping inqubo (stenosis).
• Isigqugquzeli wegazi imithambo yegazi yamaphaphu wegazi (hypertension).
• ukukhwehlela akahlanye noma gagging kabi wazwakalisa.

Iziguli kokuba amazinga aphezulu e-carbon dioxide egazini, phambi zokukhwabanisa kungase kudingeke ukuphefumula umshini ekhethekile. Le nqubo ivumela supply ngqo umoya-mpilo emaphashini.

nqubo yokulungiselela

Okokuqala, kudingeka uthintane iphrofayela zezokwelapha ezikhuluma zonke nemiphumela kungenzeka, umnqopho kanye ukuthembeka imiphumela le nqubo. Lo chwepheshe kumelwe ngokwanele uzulazule amagama izidakamizwa igama, unombono ngomlando lesiguli kanye nokwaziswa mayelana nokuba khona komzimba nemithi ethile.

It kubhekwa isiqondiso ngokuphelele evamile phambi uphethwe ku ngegazi noma nolunye uvivinyo. Lo mkhuba kuvamile impela ukuba iningi izindlela zokuxilonga. Kwaphela amahora 10-12 ngaphambi othola bronchoscopy kufanele agweme ukudla.

nobufakazi

Bronchoscopy ukukhanya - kuyini? Nobufakazi ihlukaniswe polar. Ikhumbula zonke umehluko wemisindo nemiqondo yamagama, kufanele kuqondwe ukuthi yiziphi izinqubo zokwelapha hhayi kuphela kungenziwa esibizwa ezimnandi. kokufaneleka Inhloso cwaningo akhuluma ngayo, abaningi ukubona ezicini ezilandelayo:

• Ithuba lokuhlola isimo ngaphakathi emaphashini kanye nokuhlolwa olunembile kakhulu isimo sabo.
• Usizo ekusunguleni uphethwe wokugcina futhi zilungile.
• Small isikhathi esinqunyelwe inqubo ngaphandle kwesidingo ukubulawa kwezinzwa okuvamile.

Ngu izimpendulo iziguli, 80% of the ukuthola ngendlela efanele usaqala lomdlavuza pathologies umgudu wokuphefumula kungenxa ngokuhlanganyela biopsy bronchoscopy.

Imiphumela esemqoka ezingezinhle zihlanganisa ukungakhululeki, ngempela ungakhululekile, ukwesaba indlela yokuziphatha zokukhwabanisa.

nebubi

Bronchoscopy, ukubuyekezwa ngokuvamile ngendlela engafanele, ongaxazulula izinkinga eziningi zokuxilonga ukuthi ngaphandle le nqubo kunzima ukuthola noma kungaba azimisele esigabeni eziphambili lesi sifo. Noma kunjalo, izikhalazo ngemiphumela yalo msebenzi zihlanganisa lokhu okulandelayo:

• Ubuhlungu ekhaleni nomphimbo, esifubeni, okungase kuhlale athathe amahora ambalwa kuya isonto noma ngaphezulu.
• Trouble ukuphefumula ngesikhathi sale nqubo.
• ukuzwa abuhlungu nomzimba angaphandle emzimbeni amahora ambalwa ngemva bronchoscopy.

Kakhulu akuvamile kungase kube yezinkinga abalulekile ngempela. Akwaziwa amacala elingalodwa, lapho isiguli umdlavuza ngemva bronchoscopy wembula ukopha. Ngemva kwalokho, wayengundunankulu waseSamoa iminyaka eminingana wahlala hoarseness, namathansela, nobuthakathaka.

isiphetho

Kungakhathaliseki ukuthi laliyini, wamaphaphu bronchoscopy - kuyindlela ephumelelayo yesimanje of luhlolo kwezitho zokuphefumula, ngaphandle okuyinto kunzima ukwenza ukusazi ngokunembile isifo esikuphethe ngendlela esifike ngesikhathi futhi ukukhomba izimila abulalayo ngendlela efanele usaqala. Inqubo kungathola ezihlukahlukene izifo kule ipheshana zokuphefumula, engasindisa umuntu, ezempilo hhayi kuphela, kodwa futhi ekuphileni.