Kodi bronchoscopy nanga anapanga?

Mu mankhwala amakono, pali njira zambiri kuphunzira mundawo kupuma ndi kuzindikira matenda awo. Pa funso la chimene bronchoscopy, amayankhidwa motere: Ndondomeko ndi kotheka kukayendera mosamala mapapo ntchito yapadera woonda chubu (bronchoscope). The chipangizo matenda zida kamera kakang'ono ndipo kuunika, amene amathandiza mucosal videofiksatsiyu thupi. Bronchoscope kudzera pakamwa kapena mphuno akuratno chimachititsanso mu mmero, trachea ndi kapepala kupuma, ndiye katswiri akuchititsa phunziro la mipata pakati pa mikono ya thupi.

Akamanena za ndondomeko,

Pali mitundu iwiri ya zipangizo matenda: kugawa okhwima mtundu. Iwo zingasiyane m'lifupi.

Ntchito bronchoscope kusintha ndi ofala. chida amatha kusamukira ku nthambi zing'onozing'ono mwakuya - bronchioles. Limagwirira ntchito njira zotsatirazi:

• mpweya gulu.
• Collection secretions madzimadzi ndi ntchofu.
• Kutumiza mankhwala mu ziwalo.

Bronchoscopy imagwiridwa pogonekedwa ndi mankhwala ambiri ndi okhwima mtundu chipangizo, ponena kuti ayese lonse mipata mpweya. ukulu:

• Kuchotsa madzimadzi zimabwezera zoonera.
• Kukhazikitsa magazi kulamulira.
• Kuchotsa airway kuchokera particles Link (kuphatikizapo ana).

kufufuza Bronchoscopic ikuchitika unit opaleshoni ndi oyamba annesteziruyuschih zinthu.

Pamene ndondomeko ulipo?

Kodi bronchoscopy, ndipo pamene imasonyezedwa? njira mu funso ndi bwino kuti milandu zotsatirazi:

• Funsani zotupa chosaopsa.
• Pamene Kupeza Vuto matenda oncological wa bronchi ndi.
• Kudziwika Bung airway njira (mwasayansi - kutsekeka).
• dera Constriction mu mfundo bronchopulmonary.
• Matenda a njira yotupa ndi matenda, kuphatikizapo TB, interstitial chikhalidwe cha matenda.
• Kudziwa zimayambitsa chifuwa aakulu ndi zoonera.
• Tsimikizani kapena kupatula matenda a mawanga kusinkhasinkha pa chifuwa X-ray.

Bronchoscopy kuwala - ndichiyani ndi momwe angachitire?

Pamaso kuchita njirayi, muyenera kukhala mfulu kwathunthu kwa zokongoletsera, zodzikongoletsera, kupeza mano otere pulagi-chibwano, magalasi kukhudzana ndi zina zotero. Pre m'pofunika kukaona chimbudzi. Matendawa wopangidwa ndi osachepera zovala pa mtima.

Phunziro kusintha bronchoscope sayenera ochititsa dzanzi ambiri. Ndi okwanira m'dera ochititsa dzanzi ndi kugwiritsira mankhwala ndi kupopera pakamwa kapena mphuno. Wodwalayo m'chigawo supine kapena kudya. Katswiri akulowa chipangizo izo mapanganowo zina mwa pakhosi kwa thupi mayeso.

Features

ndi bronchoscopy mu ndondomeko chiyani? Chionetsero limasonyeza m'dera chithunzi yokutidwa ndi kusuntha ake pang'onopang'ono cha bronchi ndi mapapo. Ngati ndondomeko nazonso umalimbana kuchotsa mamina bronchial, imodzi kupopera dokotala saline njira yothetsera thupi ili.

Pamene kutumikiridwa bronchoscope okhwima mtundu kunyengerera anthu pangozi mtima akuyamba pambuyo chiphaso cha mankhwala ochititsa dzanzi ambiri. Ntchito lonse sakondwera kuposa mphindi 40-50. Olanda (mlendo) chikhalidwe cha ndondomeko kumafuna ena lalifupi konzanso. Pambuyo bronchoscopy sayenera kwa maola 2-3 pa kudya chakudya, madzi, ndudu. Komanso, simukhala kumbuyo amazilamulira galimoto.

Kuwopsa ndi ziletso

Kodi bronchoscopy nanga zotsatira zake? funso limeneli lidzayankhidwa pafupifupi ndithu: mpheto si limodzi zosangalatsa, apeza kwambiri mankhwala Komabe, zosokonezeka pathological n'zochepa kwambiri.

Zotheka mavuto:

• Maonekedwe a magazi nthawi zambiri kumachitika pamene munthu biopsy.
• Pali chiwerengero chochepa cha pakutchulidwa matenda ndi matenda.
• Nthawi zina pali vuto kupuma.
• Pa mlingo mpweya magazi mwina kusiya njira.

Contraindications kwa bronchoscopy:

• Akuluakulu tracheal constriction kapena capping ndondomeko (stenosis).
• kuthamanga okwera magazi ziwiya m'mapapo mwanga magazi (matenda oopsa).
• Osaneneka kukhosomola kapena gagging zoipa chionetsedwe.

Odwala ndi kofunikira kwambiri mpweya woipa mu magazi, kutsogolo kwa mpheto angafunike kupuma makina wapadera. Njira imeneyi zimathandiza ntchito yobweretsa mwachindunji mpweya m'mapapo.

ndondomeko kukonzekera

Choyamba, muyenera kukaonana ndi mbiri zachipatala chilango zonse zotheka, Kudziwa ndi zodalirika zotsatira za njirayi. The katswiri ayenera mokwanira kuyenda terminology mankhwala dzina, ndi lingaliro mbiri wodwalayo ndi mfundo za kukhalapo kwa thupi lawo siligwirizana ndi mankhwala.

Iwo ankaona malangizo akukhuzidwa pamaso matenda pa magaziwo kapena mayesero ena. Mwambo umenewu ndi zachilendo kwa ambiri a kayendetsedwe ka matenda. Kwa maola 10-12 isanafike likufa bronchoscopy ayenera kupewa kudya.

umboni

Bronchoscopy kuwala - ndichiyani? Umboni anagawa kumalo ozizira. Mogwirizana zina zabwino zonse, tiyenera kuona kuti chamankhwala osati angatchedwe zosangalatsa. nyota Cholinga cha phunziro pansi kulingalira, ambiri kuwona zinthu zotsatirazi:

• Mwayi kufufuza boma mkati mapapo ndi adziwe molondola kwambiri za chikhalidwe chawo.
• Thandizo pokhazikitsa matenda komaliza ndi zolondola.
• nthawi yotalika ka ndondomeko popanda kufunika ochititsa dzanzi ambiri.

Ndi mayankho odwala, 80% kudziwika pa siteji oyambirira pathologies khansa ya dongosolo kupuma ndi chifukwa molumikizana ndi biopsy bronchoscopy.

Waukulu mavuto monga kusapeza, ndithu wovuta, kuopa khalidwe la mpheto.

kuipa

Bronchoscopy, ndemanga imene nthawi zambiri mu njira zoipa, angathetse mavuto ambiri matenda popanda njirayi ndi kovuta kudziwa kapena zingadziŵike mu gawo zapamwamba za matendawa. Komabe, madandaulo a zotsatira za ntchito ndi monga izi:

• Kupweteka kwa mphuno komanso pakhosi, chifuwa, zomwe zikhoza kwa maola angapo mlungu umodzi kapena kuposerapo.
• Akuvutikira kupuma pa ndondomeko.
• Zosasangalatsa Timatha thupi zakunja thupi maola angapo pambuyo bronchoscopy.

kawirikawiri pangakhale mavuto kwenikweni kwambiri. Mumadziwika milandu akutali, pamene wodwala ndi khansara pambuyo bronchoscopy anaulula magazi. Kenako, kwa zaka zingapo anakhalabe hoarseness, zilonda zapakhosi, ndi kufooka.

Pomaliza

Chirichonse chomwe icho chinali, bronchoscopy m'mapapo - ndi zothandiza masiku ano njira mosamala ziwalo kupuma, popanda zomwe n'zovuta kuti apange matenda zolondola m'njira yake ndikupeza zotupa zilonda pa siteji oyambirira. Ndondomeko angazindikire zosiyanasiyana matenda kapepala kakuti kupuma, kuti akhoza kupulumutsa munthu, osati thanzi, komanso moyo.