EBUS (Endobronchial Ultrasound) dodokpɔ: Alesi woatsɔ fotoɖemɔ̃ akpɔ lãkusiwo me!

Ðewohĩ ɖɔkta aɖe gblɔ aɖuɖɔtoemedɔdada na wò hã. Ðewohĩ wokpɔ nu sue aɖe le wò ``(X-ray)`` alo ``(CT scan)`` dzi eye wogblɔ be ehiã be yewoalé ŋku ɖe eŋu geɖe wu. Le nɔnɔme mawo me la, esia nye dodokpɔ tɔxɛ aɖe si woyɔna be EBUS si wowɔna be woakpɔ nusi tututu le edzi yim le lãkusiwo me. Ðe míaƒo nu geɖe tso esia ŋua?

Nukae nye EBUS (endobronchial ultrasound)?

Kpuie ko la, EBUS (Endobronchial Ultrasound) nye dɔdamɔnu si me wotsɔa mɔ̃ sue aɖe si le abe fotoɖemɔ̃ ene dea wò lãkusi me be nàkpɔ nusi le wo me nyuie. Esia sɔ kple aɖuɖɔtoemedɔdada. Gake le go sia me la, wotsɔa ultrasound-mɔ̃ hã dea aɖuɖɔtoemekpɔmɔ̃a ƒe nuwuwu. Esia fia be ɖɔkta ate ŋu akpɔ nusi le wò lãkusi me abe ultrasound nɔnɔmetatawo ene. Bu eŋu abe vidzĩ si le vidzidɔ me ƒe ultrasound scan, si dia dɔdzẽ kple ʋuka siwo le lãkusi me ene.

Wozãa mɔnu sia tsɔ dea dzesi dɔléle vovovowo le lãkusi me, vevietɔ be woanya ne kansa (`(Cancer)`) kple afisi wòkaka ɖo (`(Staging)`). Nu nyui bubu enye be le EBUS dodokpɔ sia me la, ne ehiã la, woate ŋu axɔ lãkusi aɖe atsɔ aɖoe ɖa be woawɔ `(Biopsy)` dodokpɔ. Ekema àte ŋu awɔ nu eve zi ɖeka.

Eyata vovototo kae le `(Bronchoscopy)` kple EBUS dome?

Nyabiase nyui aɖe! `(Bronchoscopy)` nye ŋkɔ si wotsɔ na dɔwɔnu (`(Bronchoscope)`) kple mɔnu si wozãna zi geɖe tsɔ léa ŋku ɖe lãkusi me. Esia wɔnɛ be ɖɔktawo te ŋu tsɔa fotoɖemɔ̃ kpɔa nusi le lãkusi me, alo xɔa lãmenugbagbeviwo ƒe kpɔɖeŋu (`(Biopsy sample)`) alo tsi ƒe kpɔɖeŋu.

EBUS hã nye `(Bronchoscopy)`. Gake etɔxɛe nye be le `(Bronchoscope)` sia me la, wotsɔ `(Ultrasound)` ŋutete kpe ɖe eŋu . Eyata woateŋu akpɔ nuwo abe ʋuka siwo le lãkusi ƒe gliwo godo eye womateŋu akpɔ wo kple `(Bronchoscope)` si sɔ o gɔ̃ hã nyuie kple EBUS sia. Azɔ hã, enye kpekpeɖeŋu gã aɖe be woawɔ `(Biopsy)` to ŋkuléle ɖe `(Ultrasound)` nɔnɔmetata mawo ŋu kple aŋe ɖoɖo ɖe teƒe si tututu wòle.

Ðe EBUS dodokpɔ ƒomevi aɖewo lia?

Ẽ, EBUS dodokpɔ ƒomevi vevi geɖewo li. Ðɔkta nɔa te ɖe nusi hiã ɣemaɣi dzi tiaa ƒomevi si wòawɔ.

Radial Probe EBUS `(Radial Nusɔsrɔ̃ EBUS - RP-EBUS)`

`(RP-EBUS)` sia ate ŋu ana nàkpɔ wò yaƒoƒomɔ̃wo ƒe eme nyuie ŋutɔ, le dzidzenu 360 me . Ate ŋu ayi ɖe lãkusia me goglo wu eye wòakpɔ nukpɔkpɔ tsitotsito nyuie wu ƒomevi bubuwo. Ke hã, ne ehiã be nàwɔ `(Biopsy)` la, ele be nàzã dɔwɔnu vovovowo na ema.

Nukpɔsusu si le ʋuʋu ɖi EBUS `(Nukpɔmɔ̃ si le ʋuʋu ɖi EBUS - CP-EBUS)`

Woateŋu azã `(CP-EBUS)` sia le wò yaƒoƒomɔ̃ veviwo (si nye yaƒoƒomɔ̃ kple yaƒoƒomɔ̃wo) dzi ko. Ema fia be mate ŋu ayi ɖe lãkusia me goglo o. Gake amesia ya kpɔeViɖe gãtɔ enye be woateŋu awɔ `(Biopsy)` le dodokpɔa wɔɣi ne ehiã. Ke hã, nukpɔsusu si wokpɔ tso esia me la seɖoƒe li na vie eye me mekɔ tututu o wu `(RP-EBUS)`.

EBUS-Transbronchial Aŋe ƒe Ʋuʋu (EBUS-TBNA) .

Esia menye ƒomevi aɖe si to vovo o. Ne wole `(CP-EBUS)` dodokpɔ wɔm la, woyɔa mɔnu si wozãna tsɔ xɔa lãkusi (`(Tissue)`) alo tsi (`(Fluid)`) ƒe kpɔɖeŋu na `(Biopsy`)` be `(EBUS-TBNA)`. Ne míagblɔe tututu la, wotsɔa aŋe sue aɖe (`(Needle)`) toa yaƒoƒomɔ̃a ƒe gli ŋu , wozãa `(Ultrasound)`, eye woɖea kpɔɖeŋu tso teƒe si wodi.

Ɣekaɣie wòahiã be woawɔ EBUS dodokpɔ?

Zi geɖe la, ɖɔkta aɖe gbe be woado EBUS kpɔ ne wokpɔ nane si mebɔ o le wò akɔta ƒe X-ray alo CT scan me be woaku eme ayi ŋgɔe. Le kpɔɖeŋu me, CT-dɔdamɔnu ate ŋu aɖe ƒunukpeƒe sue aɖe afia le wò lãkusi me, alo ʋuka siwo vuvu. Le nɔnɔme mawo me la, EBUS dodokpɔ ate ŋu akpe ɖe ame ŋu wòanya nusi tututu wònye.

Wozãa EBUS dodokpɔa tsɔ dea dzesi nɔnɔmewo abe:

• Aklãdɔléle kple aɖuɖɔtoewo
• Aklãdɔléle alo kansa si le teƒe si le lãkusiwo dome (mediastinum) .
• Aɖuɖɔtoedɔlélewo abe sarcoidosis kple silicosis ene
• Yaƒoƒomɔ̃wo ƒe ʋuʋu (yaƒoƒomɔ̃wo ƒe ʋuʋu) .
• Kpe suesuesue siwo le lãkusi me (Pulmonary nodules) .

Gakpe ɖe eŋu la, wozãa EBUS dodokpɔ hã tsɔ nyaa kansa ƒe nɔnɔme aɖewo ƒe afɔɖeɖe (`Cancer staging`), si nye afisi kansa la kaka ɖo.

Aleke tututu EBUS dodokpɔa wɔa dɔe?

Ðɔkta si bi ɖe lãkusidɔlélewo me (`(Pulmonologist)`) ye wɔa EBUS dodokpɔ sia. Edea mɔ̃ tsɛ aɖe si me kekeli le (`(Bronchoscope)`) to wò yaƒoƒomɔ̃wo (`(Yamɔwo)`), to wò ŋɔti alo nu me. Wowɔa dɔa to `(Ultrasound)` mɔ̃ si wotsɔ bla ɖe `(Bronchoscope)` sia ƒe nugbɔ ŋu.

Bu eŋu kpɔ, `(Ultrasound)` sia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ ɖoa ​​nusiwo le wò lãkusi me ƒe nɔnɔmetata siwo me kɔ ɖe ŋkuléleɖenuŋumɔ̃. Ðɔkta ate ŋu alé ŋku ɖe nɔnɔmetata mawo ŋu, afia asi `(Bronchoscope)` la le afisi tututu wòdi be yeakpɔe le, eye wòalé ŋku ɖe teƒe ma ŋu tsitotsito ŋutɔ. Ewɔa dɔ abe `(Sonar)` ɖoɖo ene be wòake ɖe nuwo ŋu le atsiaƒu te.

Aleke wòle be madzra ɖo ɖe EBUS dodokpɔ ŋu?

Wò ɖɔkta alo kɔdzidɔwɔlawo ana mɔfiame wò le alesi nàdzra ɖo ɖe wò EBUS dodokpɔa ŋui ŋu. Ne nane si me mekɔ o le mɔfiameawo me la, kpɔ egbɔ be yegabiae ake. Zi geɖe la, ahiã be nàwɔ nu siwo gbɔna:

• Woate ŋu abia tso asiwò be nàwɔ ʋudɔ aɖewo hafi adoe kpɔ.
• Woabia tso asiwò be mègaɖu nu alo ano naneke o gaƒoƒo ʋee aɖewo hafi dodokpɔa nadze egɔme (`(Nutsitsidɔ)`) . Zi geɖe la, ele be nàtsi nu adɔ abe gaƒoƒo 6 va ɖo 8 ene.
• Woate ŋu abia tso asiwò be nàdzudzɔ atike aɖewo (abe ʋumenugbagbeviɣitikewo ene) nono ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa. Ele be nàgblɔ atike siwo katã nèzãna hã na wò ɖɔkta , eye atike siwo katã nèzãna hã le eme.
• Di ame aɖe si aku wò ayi aƒeme le dodokpɔa megbe. Woana atike si naa ame ƒe dzi dzea eme, eyata màte ŋu aku ʋu le dodokpɔa megbe o. Ele vevie be ame aɖe nanɔ gbɔwò.

Nukae dzɔna le EBUS dodokpɔa wɔɣi? Ðe mase vevea?

Hafi dodokpɔa nadze egɔme la, woana nàmlɔ aba alo kplɔ̃ dzi. Ɣe ma ɣi:

Hafi dodokpɔa nadze egɔme

• Ne ehiã la, dɔnɔdzikpɔlawo akpe ɖe ŋuwò nànɔ tsitrenu.
• Wotsɔa mɔ̃ sue aɖe (`(Intravenous - IV)`) dea ʋuka aɖe me le wò alɔnu eye wonaa dzetsi. `(IV)` sia nye afisi dɔnɔdzikpɔla si naa alɔ̃dɔdɔ alo alɔ̃dɔdɔ ƒe atikewɔla ana atike si hiã wò. Atike sia mana nàse veve alo vevesese aɖeke o vaseɖe esime dodokpɔa wu enu. Ɣeaɖewoɣi la, woana atike si naa ame ƒe dzi dzea eme si sɔ (`(Alɔ̃dɔdɔ si sɔ)`), alo atike si naa alɔ̃dɔdɔ wò katã (`(Alɔ̃dɔdɔ si sɔ gbɔ)`) . Wò ɖɔkta agblɔ nya sia na wò do ŋgɔ.
• Woatsɔ atike si naa ame ƒe dzi gbãna la asisi ɖe wò nu (alo ŋɔti) kple ŋɔti ŋu. Esia ana teƒea natsi, eyata màse veve aɖeke ne wotsɔ aɖuɖɔtoememɔ̃a de eme o.

Le dodokpɔa wɔɣi

Esi aklãdɔdalaa na nèŋlɔ be eye wò ŋɔti vuvu vɔ la, aklãŋutinunyala la:

• Ðɔktaa ade aɖuɖɔtoemekpɔmɔ̃ to wò ŋɔti alo nu me.
• Ekplɔnɛ toa yaƒoƒomɔwo dzi eye wòfiaa mɔe yia afisi wòhiã be woakpɔe le.
• Ne ehiã la, woaɖe biopsy ƒe kpɔɖeŋu ɖeka alo esi wu nenema.
• Emegbe woɖea aɖuɖɔtoemekpɔmɔ̃a ɖa vivivi.

Màse veve aɖeke le dodokpɔa wɔɣi o elabena woana atike si naa alɔ̃dɔdɔ wò. Gake àte ŋu ase ŋɔti me veve, akɔta, alo aɖi ƒoƒo abe ŋkeke ɖeka ene le dodokpɔa megbe. Ne menye nenema o la, ne èle veve sem vevie la, ele be nàgblɔe na wò ɖɔkta enumake.

Ɣeyiɣi didi kae EBUS dodokpɔa xɔa?

Zi geɖe la, EBUS dodokpɔ xɔa miniti 30 va ɖo 90 (anɔ abe gaƒoƒo ɖeka kple afã ene) . Gake ɣeyiɣi sia ate ŋu ato vovo le wò nɔnɔmea nu. Eyata bia wò ɖɔkta ɣeyiɣi didi kae wòaxɔ. Ne dodokpɔa wu enu la, ahiã kokoko be nànɔ kɔdzi abe gaƒoƒo ɖeka alo eve ene hafi nàte ŋu ayi aƒeme.

Nukae nàte ŋu akpɔ mɔ na le EBUS dodokpɔ vɔ megbe?

Zi geɖe la, àte ŋu ayi aƒeme le dodokpɔa megbe gaƒoƒo ʋɛ aɖewo. Atikewɔlawo akpɔ dziwò vaseɖe esime nànɔ ŋudzɔ bliboe, nàgbɔ ya nyuie, eye nàte ŋu ami nu. Woagblɔ ɣeyiɣi si nàxɔ wò dodokpɔ me tsonu kple ɣeyiɣi si wòle be nàgakpɔ ɖɔkta ake hã na wò.

Nusiwo gbɔna ate ŋu adzɔ abe ŋkeke ɖeka ene le dodokpɔa megbe:

• Kɔmeve aɖe si le ŋɔti me
• Gbe si le ɖiɖim sesĩe
• Kɔdzidɔ aɖe

Esɔ be nàkɔ ʋu vi aɖe , eye wòadzo le gaƒoƒo alo ŋkeke ʋɛ aɖewo megbe. Gake ne medzudzɔ le ŋkeke ʋɛ aɖewo megbe o, alo ne ʋu geɖe le dodom la, ele be nàna wò ɖɔkta nanya godoo .

Ðe afɔku aɖewo le EBUS dodokpɔa mea?

EBUS nye dɔwɔwɔ si me afɔku mele boo o , gake ƒã ŋutɔ la, kuxi aɖewo ate ŋu ado mo ɖa. Esiawo dometɔ aɖewoe nye:

• Ʋudodo (`(Ʋudodo)`) .
• Dɔlékui (`(Dɔléle)`) .
• Aɖuɖɔtoe si mu (alo Pneumothorax) - Esia nye ɣeyiɣi si me ya si tso lãkusi me ate ŋu age ɖe akɔta ƒe do me.
• Yagbɔgbɔ ƒe blanuiléle - Esia fia gbɔgbɔmekuxiwo, abe alesi womate ŋu agbɔ ya si woyɔna be carbon dioxide le ŋutilã me nyuie o ene.

Viɖe kawoe le EBUS dodokpɔa ŋu?

Ne wotsɔe sɔ kple nɔnɔmetatawo ɖeɖe ƒe mɔnu bubuwo kple lãmenugbagbeviwo ɖeɖeɖa mɔnuwo la, viɖe geɖe le EBUS ŋu.

• Ðɔkta ateŋu azã ``Bronchoscope'' eye wòafia mɔ ``Ultrasound'' la ɖe teƒe si tututu hiã be wòakpɔ nɔnɔmetata siwo wòdi la eme nakɔ.
• Woate ŋu awɔ biopsy ɖeɖe kple fotoɖeɖe siaa le dodokpɔ ɖeka me. Mehiã be woawɔ dodokpɔ eve vovovowo o. Ɣeaɖewoɣi la, anya wɔ be woakpɔ kansa eye woanya afisi wòle le ɣeyiɣi ɖeka me.
• Esia nye dɔdamɔnu si wowɔna le kɔdzi . Esia fia be womatsɔ wò ade kɔdzi o eye àte ŋu ayi aƒeme gbemagbe ke.
• Esia nye dɔdamɔnu si me womewɔa nu boo aɖeke le o . Ema fia be afɔku siwo le eme abe amekoko le gaglãgbe ene mele eme o. Eyata àte ŋu ahaya kaba.

Nukae nye EBUS dodokpɔa me tsonu? Nukae wofia?

Ne wò EBUS dodokpɔa bia be nàxɔ lãkusi aɖe alo tsi aɖe la, wò ɖɔkta aɖoe ɖe dodokpɔxɔ aɖe be wòakpɔe ɖa be dɔlékui, kansa, alo nɔnɔme bubuwo le ŋuwò hã, le wò nɔnɔmea nu. Wò ɖɔkta aɖe emetsonuwo me na wò eye wòagblɔ nusi nàwɔ emegbe na wò. Ðewohĩ ahiã be nàlala ŋkeke ʋɛ aɖewo hafi emetsonuwo natrɔ ava.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne nyabiase aɖewo alo eƒe nugbegblẽ le ame ŋu si mèle mɔ kpɔm na o la, ƒo nu kple wò ɖɔkta . Vevietɔ ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dɔléle ƒe dzesi aɖewo le ŋuwò. Dzesi mawo dometɔ aɖewoe nye:

• Dzoxɔxɔ (`(Adzoxɔxɔ)`) .
• Akɔtave (`(Akɔtave)`) .
• Yagbɔgbɔ sesẽ
• Nu mimi sesẽ
• Ʋu ƒe kɔdzidede atraɖii
• Aɖuɖɔtoe/aɖuɖɔtoe ƒe ŋutetemanɔamesi - Togbɔ be esia medo ƒome kple EBUS tẽ o hã la, ate ŋu adzɔ ɣeaɖewoɣi le alɔ̃dɔdɔ megbe, eyata ele vevie be woayɔe ne edzɔ.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

EBUS (Endobronchial Ultrasound) nye dɔdamɔnu si me womewɔa nu boo aɖeke le o, si wowɔna le kɔdzi, si ate ŋu ana woalé ŋku ɖe tɔtrɔ siwo le lãkusia me ŋu nyuie, tsitotsito. Ate ŋu axɔ lãmenugbagbeviwo kple tsi ƒe kpɔɖeŋuwo hã, eye afɔku ʋɛ aɖewo koe anɔ eme wu mɔnu bubuwo.

Ðo ŋku edzi be mègahe ɖe megbe le nya ɖesiaɖe si le asiwò ku ɖe alesi wowɔa dodokpɔae, nusi dim ɖɔktawo le, kple ɣeyiɣi si me dodokpɔa me tsonu ava ŋu la biabia wò ɖɔkta o. Ne ènya nusi nàkpɔ mɔ na do ŋgɔ la, akpe ɖe ŋuwò nàɖe wò dzimaɖitsitsi dzi akpɔtɔ. Nɔ lãmesẽ me!

` EBUS, Endobronchial Ultrasound, Aklãdɔléle, Aɖuɖɔtoemekpɔkpɔ, Ultrasound, Biopsy, Aklãdɔléle, Yagbɔdɔlélewo