ʻO Bronchoscopy - kahi hoʻāʻo maʻalahi e nānā i loko o nā māmā me kahi kāmela

Ua loaʻa anei iā ʻoe ka ʻūhū no ka manawa lōʻihi, malia paha he koko i loko o kou phlegm, a i ʻole ka paʻakikī o ka hanu ʻana? Ma hope o kahi X-ray a i ʻole CT scan, ua ʻōlelo anei ke kauka e pono lākou e kau i kahi kāmela liʻiliʻi i loko o nā māmā e nānā? ʻO ia ka mea a mākou e kapa nei he bronchoscopy. He ʻano paʻakikī a weliweli ke kani o ka inoa, akā ʻaʻole ia he mea weliweli loa. E nānā koke kākou i ke ʻano o ia mea, pehea e hana ʻia ai, a me nā mea āu e pono ai e ʻike.

He aha ka Bronchoscopy?

I ka ʻōlelo maʻalahi, he kaʻina hana ka bronchoscopy e kōkua i kāu kauka e ʻike i loko o kou mau ala ea a me nā māmā. Hana ʻia kēia me ka hoʻohana ʻana i kahi mea hana kūikawā i kapa ʻia he bronchoscope. He ʻōmole lahilahi a palupalu kēia me kahi kāmela a me ke kukui ma ka hopena. Hoʻokomo ʻia kēia ʻōmole ma kou waha a i ʻole ihu, hoʻoili ʻia i lalo o kou ʻōpū hanu, a i loko o kou mau māmā, kahi e hiki ai ke nānā ʻia ma kahi monitor. Ua like ia me ka nānā ʻana i kahi wikiō o loko o kou mau māmā.

ʻElua ʻano o kēia mau bronchoscopes.

No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?

Inā manaʻo ʻoe he hewa kekahi mea me kou mau māmā, e paipai ke kauka i kēia hoʻāʻo e ʻike i ke kumu pololei. E noʻonoʻo inā loaʻa iā ʻoe kekahi mea e like me kēia:

• E ʻimi i ke kumu o nā hōʻailona e like me ke kuʻi mau, ka ʻū ʻana i ke koko, a me ka paʻakikī o ka hanu ʻana .
• Inā ʻoe e kānalua i kahi mea ʻē i loko o kou mau māmā, malia paha he puʻupuʻu kanesa, ma kahi X-ray a i ʻole CT scan , e hōʻoia ʻia.
• Inā ua ālai ʻia kekahi mea i loko o ke ala ea (no ka laʻana, inā moni kekahi keiki liʻiliʻi i kahi mea e like me ka mea pāʻani), e wehe iā ia.
• No ka hoʻoholo ʻana i ke kumu pololei o ka maʻi a i ʻole ka mumū i loko o nā māmā, e lawe i kahi hāpana mucus mai laila mai.
• ʻO ka mea nui loa, ʻo ia ka hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai kahi wahi kānalua a hoʻouna ʻia no ka hoʻāʻo ʻana . He mea nui loa kēia e ʻike pono ai inā he maʻi ʻaʻai a ʻaʻole paha.
• Inā ua ālai ʻia ke ala ea, hoʻokomo ʻia kahi ʻōmole liʻiliʻi e wehe hou ai. Kāhea mākou i kēia he stent .

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

ʻAʻole paʻakikī ka hoʻomākaukau ʻana no kēia. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo a pau āu e pono ai. Akā ma ke ʻano laulā, e hoʻomanaʻo i kēia mau mea.

1. Hoʻokē ʻai: E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ka hoʻāʻo ʻana, ʻo ia hoʻi he 6-8 hola . He mea nui loa kēia. Inā he meaʻai kāu i loko o kou ʻōpū i ka wā o ka hoʻāʻo ʻana, hiki ke piʻi hou mai a komo i loko o kou mau māmā. Hiki ke lilo i mea weliweli kēia.

2. E haʻi i kāu kauka e pili ana i kāu mau lāʻau lapaʻau: Inā ʻoe e lawe ana i kekahi mau lāʻau hoʻokahe koko a i ʻole nā ​​lāʻau lapaʻau maʻi diabetes, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea. Hiki iā ia ke noi iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no kekahi mau lā. E haʻi pū i kāu kauka e pili ana i nā huaora a i ʻole nā ​​lāʻau lapaʻau āu e lawe nei.

3. Mai hoʻokele kaʻa: No ka mea e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomaha no kēia hoʻokolohua, ʻaʻole hiki iā ʻoe ke hoʻokele ma hope o ka hoʻokolohua. No laila, he mea nui e loaʻa i kekahi e hoʻokele iā ʻoe i ka home .

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

Hana pinepine ʻia kēia hoʻāʻo ma ka haukapila a i ʻole ka lumi hana. I ka hapa nui o ka manawa, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. E nānā kākou i kēlā me kēia ʻanuʻu i ka mea e hana ʻia.

• ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi mea hoʻomaha ma o kahi IV cannula e kōkua iā ʻoe e hoʻomaha a hiamoe. E hoʻomaka mālie ʻoe e ʻike i ka māmā a me ka hiamoe.
• A laila kou waha a me kou puʻuHoʻopili ʻia kahi pīpī hoʻomānoʻo. E kōkua kēia i ka hoʻēmi ʻana i ka ʻoluʻolu ʻole, ka ʻū ʻana, a me ka luaʻi āu e ʻike ai i ka wā e hoʻokomo ʻia ai ke kāmela. Hiki iā ʻoe ke manaʻo i kahi ʻū iki i loko o kou puʻu a paʻakikī ke ale. He mea maʻamau kēia, mai hopohopo.
• Ma hope o kou hiamoe nui ʻana, e hoʻokomo pono ke kauka i ka bronchoscope ma kou waha a i ʻole kou ihu a hoʻokomo i lalo i kou ʻōpū hanu i loko o kou mau māmā.
• ʻAʻole ʻoe e ʻeha i kēia manawa. Ke nānā ʻia nei kou hanu ʻana, ka helu o ka puʻuwai, a me nā pae oxygen e nā mīkini. No laila ua palekana loa ʻoe.
• No ka wehe ʻana i ka lawai a me ka mucus e hōʻiliʻili ana i loko o ka waha i ka wā o ka hoʻokolokolo ʻana, hiki ke hoʻohana ʻia kahi ʻōmole liʻiliʻi e omo ai iā lākou.
• Ke pau ka hoʻāʻo ʻana, e wehe ke kahuna i ka ʻōmole. ʻO ke kaʻina hana holoʻokoʻa ma kahi o 30 a 90 mau minuke .

E hoʻomaʻemaʻe piha ʻia anei au no kēia?

ʻO ka hapa nui o ka manawa, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomaha (lāʻau lapaʻau e hoʻohiamoe loa ai ʻoe). ʻAʻole paha ʻoe e hoʻomanaʻo i ka hoʻāʻo. Eia nō naʻe, inā hoʻohana ʻia kahi bronchoscope paʻa, a inā paha e hana ʻia ana kekahi mea paʻakikī, pono paha ʻoe e kau ʻia ma lalo o ka anesthesia laulā. E wehewehe mua kāu kauka i kēia.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o ka hoʻāʻo ʻana, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no kekahi mau hola ma mua o ka hoʻouna ʻia ʻana i ka home. E mālama nā limahana lapaʻau iā ʻoe a hiki i ka pau ʻana o nā hopena o ka lāʻau hiamoe, ua maopopo loa ʻoe, a ʻaʻole ʻoe e pilikia i ka ale ʻana. I kekahi manawa hiki ke lawe ʻia kahi X-ray umauma e hōʻoia ʻaʻohe pilikia me kou mau māmā.

E manaʻo i kēia mau mea ma hope o kou hoʻi ʻana i ka home:

• ʻEha ka ʻāʻī: Loaʻa paha iā ʻoe ka ʻeha o ka ʻāʻī, ka ʻū iki, a me ka leo palahalaha no hoʻokahi lā. Mai hopohopo no ia mea. Hiki iā ʻoe ke hoʻomaha ma ka lawe ʻana i nā kulu ʻū maikaʻi no kou ʻāʻī.
• ʻAi a me ka Mea Inu: Mai ʻai a inu paha i kekahi mea a pau loa ka ʻeha o ka puʻu (hiki ke hala i hoʻokahi hola a ʻoi aku paha) . ʻO ka hana ʻana pēlā e hiki ai ke hoʻoheheʻe ʻia ka meaʻai a mea inu paha i loko o nā māmā. Ke pau ka ʻeha o ka puʻu, e inu mua i ka wai, a laila e hoʻomaka me nā meaʻai palupalu e like me ka porridge a me ka yogurt.
• Hoʻomaha: E hoʻomaha maikaʻi i kēlā lā. Hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau i ka lā aʻe.

E haʻi ʻia aku iā ʻoe ma mua o kou haʻalele ʻana i ka haukapila i ka wā e loaʻa ai nā hopena a me ka wā e pono ai ʻoe e ʻike hou i kāu kauka. Inā ua lawe ʻia kahi biopsy, hiki ke hala i kekahi mau lā, a i ʻole hoʻokahi pule paha, no ka hiki ʻana mai o nā hopena.

Nā kumu pilikia a me nā hōʻailona e hōʻike koke aku i kāu kauka

ʻO ka mea mua, he hoʻāʻo palekana loa kēia. He mea kākaʻikahi loa nā pilikia. Akā he mea maikaʻi ke makaʻala iā lākou.

• He puka liʻiliʻi ma ke ala ea.
• He maʻi liʻiliʻi a i ʻole ka pehu ʻana o nā kaula leo.
• He ʻano like me ka hiolo ʻana o ka māmā. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he pneumothorax .

ʻOiai he mea kākaʻikahi loa ka hanana ʻana o nā mea e like me kēia, ua mākaukau ka hui lapaʻau e hoʻoponopono i kekahi kūlana e like me ia.

Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home, he hōʻailona paha ia o kahi maʻi a i ʻole kekahi pilikia ʻē aʻe. Inā hana kēia, e hele i ka Emergency Department (ETU) o ka haukapila a kāhea koke aku i kāu kauka.