Kodi bronchoscopy m'mapapo ndi bronchus: ndemanga. kaya kuchita bronchoscopy wakwiya?

Kodi kuchita bronchoscopy? anthu ochepa mukudziwa, koma izo zikumveka mawu opweteka. Ndipo palibe zodabwitsa. Ndi njira zosavuta, amene ali mavuto ena. Chumacho mu wosabala chipinda cha opareshoni, kutsatira zinthu zonse mosamala yoyenera chitetezo.

Kodi kuwala bronchoscopy

Reviews cha odwala amene anadutsa njirayi mmene kuchita bronchoscopy bronchial anatontholetsa. Chinthu chofunika kwambiri - zilibe kupweteka, suchedwa kutha, ndipo pamene mwachita bwino, izo sasiya zotsatira zoipa.

Chachikulu matenda ndi achire mwayi bronchoscope kuposa zoperewerazo ndi kusapeza wodwala pa ndondomeko. Ndipo komabe, kodi matenda ndi achire bronchoscopy: bwanji kuti aliyense wa njira izi?

Pa nthawi, bronchoscopy - njira kwambiri ndi mwachilengedwe wa nkhaniyi ndipo akugwira ena zochita zachipatala M'mimbamo mkati mwa mapapo, bronchi ndi trachea. Nditadziŵana mu bronchoscope kuwala, dokotala pa polojekiti ya mukhoza kuona chithunzi chonse ndiponso kupanga matenda zolondola.

Kuwonjezera matenda achire, ndipo ngakhale unachitikira bronchoscopy a. Reviews odwala wakale - Direct umboni kuti katundu akangofika njirayi ndi othandiza kwambiri: kuchotsa mwamsanga matupi ena ndi zinthu pathological ku bronchi, ndi oyamba mankhwala zofunika.

mitundu bronchoscopy

Kodi kupanga bronchoscopy okhwima, nanga kumasiyana ndi kusintha? Mwakhama (okhwima) bronchoscope ndi dongosolo la ouma machubu dzenje ndi tochi ndi kamera mbali imodzi ndi mkono ena. okhwima ndondomeko bronchoscope chofunika kudziwa thupi zakunja mu bronchi kapena Airways kapena kuti magazi asiye kutuluka kuchokera ku ziwalo zina kupuma.

Unachitikira okhwima bronchoscopy pogonekedwa ndi mankhwala ambiri. Monga mankhwala ochititsa dzanzi ambiri, wodwala safuna kuona kusapeza, sizimawasuntha ndi sikusokoneza dokotala kumvetsera.

okhwima bronchoscope zambiri ntchito mwadzidzidzi chipinda madokotala ndi magulu akayakaya popereka thandizo loyamba, monga munthu afa madzi, mbwenye. Iyi ndi njira yachidule ndiponso yothandiza kuchotsa madzimadzi ku mapapo. Pa kudziwika pathologies osiyanasiyana mu ndondomeko matenda okhwima bronchoscope zimathandiza adokotala pomwepo pa malopo kuchotsa iwo. Pamene kusintha bronchoscopy zimenezi sizingatheke, dokotala kuti kenako kachiwiri kulowa unit mu Airways wodwalayo.

Popeza umboni wolunjika kwa mtundu yaikulu ya madokotala bronchoscopy yesani kugwiritsa ntchito bronchoscopy kusintha, zimene zinachitikira yekha mankhwala oletsa ululu pamalopo. Ndi chubu yosalala ya chingwe kuwala ndi kutsogozedwa, video kamera kumalekezero ndi chokhethemulira pa ena.

Ngakhale mtundu kusintha kwa bronchoscopy imatengedwa makamaka matenda ndi catheter wapadera mu bronchoscope fibreoptic, ngati n'koyenera, adzachotsa madzi kuchokera machubu bronchial, kapena kugonjera iwo mankhwala. Iye mosavuta ndi kupwetekedwa kochepa kwa nembanemba mucous kudutsa kumalekezelo a dongosolo kupuma.

Mankhwala ochititsa dzanzi: ambiri kapena mukusonkhanapo?

mankhwala ochititsa dzanzi General ingaperekedwe pamene kusintha bronchoscopy malingana malingaliro makamaka wodwalayo (mwana, wosakhazikika psyche, mkhalidwe wa mantha ndi nkhawa).

mankhwala oletsa ululu pamalopo zimaphatikizapo kugwiritsa ntchito lidocaine wa mu mawonekedwe a kutsitsi ndi kuthirira kaye sinuses m'mphuno, nasopharynx, ndiye ngati muyenda chipangizo - ya m'phuno, trachea ndi bronchi. Lidocaine wa si relieves ululu komanso limaleka gag ndi chifuwa reflex. Only mankhwala oletsa ululu pamalopo ali osavomerezeka okalamba, kapena ngati wodwalayo ali ndi matenda aakulu a dongosolo mtima.

Terms of ntchito bronchoscopy

Matenda bronchoscopy chofunika milandu zotsatirazi:

• chifuwa chachikulu;
• kusuta nthawi ya zaka 5;
• kukayikitsa khansa ya m'mapapo;
• atelectasis ya phapo;
• magazi;
• kutsekeka kwa dongosolo kupuma;
• yaitali chifuwa cha chiyambi sakudziwika;
• kudwala wapezeka pa zithunzi radiographic (kutupa zigawo, zisindikizo).

Komanso, achire bronchoscopy anaika:

• kupeza matupi yachilendo dongosolo kupuma;
• kuchotsa neoplasms toyalana Airways;
• stent Kusinthaku kapepala kakuti kupuma ndi kutsekereza zotupa awo.

Kukonzekera kwa wodwalayo kuphunzira

Kodi bronchoscopy ndi mmene yokonzekera? Monga ulamuliro, odwala kuphunzira za yekha ataona kusapeŵeka za kayendetsedwe ndi kuwerenga mitundu yonse ya mabuku mmene kuchita bronchoscopy. Ubwino wa ndondomeko amadalira luso la dokotala ndi njira udindo ndi kukonzekera bwino wodwala.

Muyenera choyamba kuti adutse ndi mayesero angapo ndi kupeza anayesedwa (general ndi amuzolengedwa kusanthula magazi, mkodzo, m'mapapo mwanga ntchito mayeso, chifuwa x-ray, ndi electrocardiogram mtima, ndi ena, malinga ndi matenda wodwalayo ndi cholinga cha phunziroli). dokotala anu kudzayankhula ndi wodwala, ndikuuzeni, kodi bronchoscopy, monga adzakhala ndisanabadwe, n'chifukwa chiyani mwafufuza pasadakhale.

Komanso iye anapempha kuti kumaliza mafunso, zimene ziyenera mwachindunji:

• alipo matenda a mtima;
• mavuto ndi clotting magazi;
• matenda autoimmune;
• mankhwala osokoneza bongo ndipo kungakhale matupi awo sagwirizana anachita;
• kumwa mankhwala;
• matenda aakulu pachimake;
• mimba udindo, ndi makhalidwe ena a chamoyo, zimene zimakhudza Inde wochita bronchoscopy.

Ndi kuyendera anakonza wodwala opanda kudya, kumwa, utsi maola osachepera 8. m'mimba anthu ayenera kukhala wopanda kanthu. Chovomerezeka kutenga mankhwala ofewetsa tuvi pasadakhale kapena kuika mankhwala oyeretsera.

Odwala mphumu amaloledwa kutenga ndi iwe mu inhaler opaleshoni. odwala ambiri zinachitikira ndi mantha kwambiri pamaso pa mayeso. Pankhaniyi, munthu akulimbikitsidwa kutenga sedative wofatsa. Nkofunika kuti boma maganizo a wodwala - kuti pa ndondomeko, iye anali wodekha ndi omasuka - mwinamwake dokotala kudzakhala kovuta kupanga magulu yosalala ndi yeniyeni, pa potsata mphamvu ya kafukufuku.

Wakwiya kuchita ngati bronchoscopy

Mosiyana ndi ziyembekezo, ndondomeko bronchoscopy imagwiridwa popanda kumva ululu uliwonse. Pamene anadzetsa pa mwake chubu mu mmero ndi mphuno yatsekera, m'kamwa dzanzi ndi vuto kumeza. mtima kupuma si zovuta, popeza m'mimba mwake chubu ndi yaing'ono.

pambuyo ndondomeko

Wodwalayo anachira kotheratu ndipo akhoza kusiya nyumba kuchipatala, kutenga chakudya ndi madzi maola 2-3 pambuyo ndondomeko. Kusuta ndi mowa si zofunika kwa masiku awiri oyamba. Ngati mitsempha anatengedwa, mu tsiku ndi bwino kuti apite kumbuyo gudumu ndi kuyendetsa galimoto, chifukwa iwo kuchepetsa tcheru, liwiro, komanso mmene munthu.

contraindications

Monga ndondomeko zina chamankhwala, bronchoscopy angapo a contraindications.

1. wachibale, ngati mmene zinalili ndi chodzidzimutsa ndipo simungathe kupanga matenda ndi njira zosiyanasiyana:

• mimba (2 ndi 3 trimester);
• anapezerapo shuga;
• yatupa chithokomiro England;
• uchidakwa;
• mphumu.

2. Mtheradi, ngati nkotheka sizingasinthe kuwononga thanzi:

• decompensated wina wa matenda a dongosolo mtima (m'mnyewa wamtima infarction, kung'ambika aneurysm, matenda a mtima, mtima arrhythmia, matenda oopsa);
• kupuma kulephera kapena zophinja wa patency dongosolo bronchial;
• mtima thrombosis - ubongo kapena m'mapapo;
• psycho-ubongo matenda mtima (khunyu, misala);
• ululu m'mimba ya chiyambi zosiyanasiyana.

zosokonezeka zotheka

Bronchoscopy ndondomeko ndi zovuta kwambiri, ndi makhalidwe ake olondola cha ululu uli kokha pang'ono zilonda zapakhosi. Komabe, ndi ngozi palibe inshuwaransi, ndi ndondomeko angasonyeze mavuto:

1. Mawotchi kuwonongeka kapena ngakhale puncture ya m'mapapo, bronchus ndi trachea zingachititse kuti magazi.
2. Pamaso ndondomeko ikuchitika ndithu ziwengo mayeso, wodwala uyu chikuyendetsedwera mlingo wochepa wa wothandizila mankhwala ochititsa. Koma nthawi zina zimachitika kuti mayesero ndi bwino, ndi ziwengo akuwonekera ngakhale m'kupita kwa ndondomeko, ndi akawawonjezere mlingo. N'zotheka laryngeal edema ndi anaphylactic mantha.
3. The m'phuno za wodwala aliyense payekha, nthawi zina chifukwa mbali anatomical wa bronchoscope akhoza kuwononga zingwe wanu amapilira.
4. Kulephera kutsatira malangizo dokotala pambuyo ndondomeko, zikhoza kukhala kuwonongeka kwambiri thanzi ndi magazi.

Choncho, pambuyo kupenda zonse zotheka zizindikiro, contraindications ndi kuopsa dokotala kapena pulmonologist Mzimuyo phindu la bronchoscopy, izo negotiates ndi wodwalayo ndi chilolezo olembedwa adzakhala tisonyezeni tsiku ndi ola ndondomeko.