Wetin kin apin insay yu lɔng? Lɛ wi tɔk bɔt brɔnkoskɔpi!

Sɔntɛnde yu kin kɔf ɔltɛm, i nɔ kin izi fɔ yu fɔ blo, ɔ yu kin gɛt smɔl blɔd na yu blɔd we yu de kɔf? Na dis kayn tɛm, we yu go si dɔktɔ, if i tɛl yu fɔ "du brɔnkoskɔpi", yu kin fil fred smɔl, nɔto so? So, wetin na dis brɔnkoskɔpi? Wetin mek dɛn kin du am? Yu tink se i kin at we dɛn dɔn du am? Tide, wi go tɔk bɔt di ansa to bɔku kwɛstyɔn dɛn we yu gɛt na yu maynd insay dis atikul. No rizin nɔr de fɔ frayd, dis nɔr kin tranga lɛk aw bɔrku pipul dɛn kin tink.

Wetin na brɔnkoskɔpi insay simpul wɔd dɛn?

Fɔ tɔk am simpul wan, brɔnkoskɔpi na we dɛn kin pas wan tin tiub we gɛt smɔl kamɛra (brɔnkoskɔp) insay yu winda paip (trachea) ɛn yu lɔng. I tan lɛk ɛndoskopi, we de luk insay yu bɛlɛ, bɔt dis wan na fɔ yu lɔng. Di kamɛra ɛn layt we de na di ɛnd pan dis tiub de mek di dɔktɔ si klia wan insay yu aywe. Dis kin ɛp fɔ no, asɛs, ɛn sɔmtɛm fɔ trit sɔm sik dɛn na di lɔng.

Jɔs lɛk we wata paip na wi os kin lɔk, wi kin put smɔl waya insay ɛn luk am. Dɔktɔ dɛn kin yuz dis tin fɔ si wetin de apin insay di lɔng dɛn.

Tu kayn brɔnkoskɔp tiub dɛn de:

• Fleksibul Brɔnkoskɔp: Dis na di wan we dɛn kin yuz mɔ. I kin chenj, lɛk rɔba tiub, so i kin izi fɔ pas dɔŋ di say we di briz de blo. Dɛn kin yuz am fɔ mek di say we di briz de blo opin, tek wan tisu sɛmpul (bayɔpsi), ɛn sok tin dɛn lɛk mכkus.
• Rigid Bronchoscope: Dis na tik, rigid tiub. Dɛn kin yuz am we big big blɔk de na di say we di briz de blo, ɔ fɔ du mɔ kɔmpleks tin dɛn lɛk fɔ put stent, fɔ trit di tumbu dɛn, ɔ fɔ stɔp di blɔd.

Wetin dɛn kin fɛn we dɛn du brɔnkoskɔpi?

Bɔku rizin dɛn de we mek dɔktɔ go aks yu fɔ mek dɛn du dis tɛst. Lɛ wi tek wan luk pan wetin dɛn bi:

• No se yu gɛt lɔng sik: Fɛn di tin we mek yu gɛt di sik, lɛk we yu de kɔf ɔltɛm, we yu de kɔf blɔd, ɛn i nɔ izi fɔ blo.
• Afta dɛn dɔn du ɛkstrem rayt ɔ CT skan: Dɛn kin du dis fɔ no mɔ if dɛn si sɔntin we nɔ kɔmɔn na yu ɛkstrem rayt ɔ CT skan, lɛk sayn dɛn fɔ gɛt kansa.
• Di tin dɛn we de ambɔg di we aw di briz de blo: Asɛs fɔ si if tin dɛn we de ambɔg ɛn smɔl na di say dɛn we di briz de blo ɛn pul ɔ trit dɛn.
• Detekt infεkshכn כ inflamεshכn: Fכ no εksεkεkt wetin de mek infεkshכn כ inflammatory kכndishכn dεm na di lכng.
• Tek wan sampul: Tek wan sampul fɔ di mכkus ɔ tisu (bayopsi) ɛn sɛn am fɔ mek dɛn du lab tɛst. Dis go ɛp fɔ no ustɛm na di sik.
• Put stent: Sɔntɛnde dɛn kin yuz dis we fɔ put smɔl tiub (stɛnt) fɔ mek di say we di briz de blo opin if i smɔl.

Imajin, wi anti Kamala in kɔf nɔ bin stɔp fɔ sɔm mɔnt. I bin ivin kɔf smɔl blɔd. We i du ɛkstrem rayt, wan smɔl say bin de na in lɔng. Dɔn di dɔktɔ se fɔ du brɔnkoskɔpi, na da tɛm de wi go ebul fɔ no di rayt tin we nɔ rayt.

Aw a fɔ rɛdi fɔ dis?

Yu dɔktɔ ɔ nɔs go gi yu patikyula instrɔkshɔn bɔt aw fɔ pripia bifo yu du dis tɛst. Bɔt in jɔnal, na sɔm tin dɛn ya yu fɔ du:

• Fast: I bɛtɛ fɔ lɛ yu nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo yu du di tɛst, bɔku tɛm na lɛk 6 to 8 awa.
• Fɔ stɔp sɔm mɛrɛsin dɛn: Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, lɛk tin dɛn we de mek yu blɔd tan (e.g., aspirin, warfarin), ɔ mɛrɛsin fɔ dayabitis, fɔ sɔm dez. I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɔyl mɛrɛsin dɛn we yu de tek.
• Sɔmbɔdi fɔ drayv yu go na os: Dɛn go gi yu mɛrɛsin fɔ mek yu slip we yu de du dis tɛst, so yu nɔ go ebul fɔ drayv afta di tɛst. So, yu go nid fɔ kam wit pɔsin we go drayv yu go na os.

A nid fɔ gɛt CT skan bifo dɛn du mi brɔnkoskɔpi?

If nɔto imejensi, bɔku tɛm yu dɔktɔ go ɔda fɔ mek dɛn CT skan (Computed Tomography scan) fɔ yu lɔng bifo dɛn du brɔnkoskɔpi. CT skan kin ɛp yu dɔktɔ fɔ no if i nid fɔ du brɔnkoskɔpi, ɔ if ɛni say de we yu nid fɔ chɛk.

Wetin kin apin we dɛn de du brɔnkoskɔpi?

Bɔku tɛm, na dɔktɔ we de mɛn di pulmonɔlɔjis kin du dis tɛst na ɔspitul ɔ ɔpreshɔn rum. Bɔku tɛm, dɛn kin du am pan ɔutpatient. Dis min se yu kin go na os di sem de afta di tɛst.

Dɛn go gi yu mɛrɛsin fɔ mek yu slip ɛn fil fayn. If yu de du rigid bronchoscopy ɔ biopsy, dɛn kin gi yu jenɛral anestezi. Dis min se yu go so slip dat yu nɔ go fil natin. Tɔk to yu dɔktɔ bɔt us kayn anestesia dɛn go gi yu.

Bɔku tɛm dɛn kin du brɔnkoskɔpi lɛk dis:

1. Salin : Dɛn kin put smɔl tiub (IV layn) insay wan vein na yu an ɛn dɛn kin gi yu mɛrɛsin tru am fɔ mek yu fil rilaks ɛn slip.

2. Ledɔm na bed: Ledɔm na bed wit di ed we yu ɔp smɔl.

3. Sprɛy fɔ mek yu nɔ fil:Dɛn kin put sprɛy we kin mek yu nɔ fil fayn na yu mɔt (ɛn sɔntɛm na yu nos) ɛn yu trot. Dis go mek yu nɔ fil fayn we yu de put di tiub insay.

4. Fɔ put di brɔnkoskɔp insay: Afta yu dɔn mek yu fil fayn ɛn yu dɔn slip, di dɔktɔ go put di brɔnkoskɔp smɔl smɔl tru yu nos ɔ yu mɔt, ɔ tru wan tiub we dɛn put da tɛm de if dɛn anestez yu, insay yu winda paip ɛn afta dat i go put am insay yu lɔng.

5. Fɔ pul saliva: Bikɔs yu nɔ ebul fɔ swɛla, yu kin pul di saliva we kin gɛda na yu mɔt wit smɔl tiub.

6. Fɔ pul di brɔnkoskɔp: We di ɛgzam dɔn, di dɔktɔ kin pul di tiub smɔl smɔl.

7. Ɔnda ɔbshɔbishɔn: Di mɛdikal staf go tek kia ɔf yu te yu gɛt kɔnshɛns bak.

Yu kin slip kpatakpata we yu de du dis?

Bɔku tɛm yu go fil bad bad wan, ɛn yu kin ivin slip. Dis dipen pan di kayn brɔnkoskɔpi we yu de du ɛn wetin di dɔktɔ de luk fɔ. Bɔku pipul dɛn kin du dis ɔnda jenɛral anestezi. Sɔm smɔl smɔl tɛst dɛn kin bi wit jɔs wan lokal anestetik.

Aw lɔng i kin tek fɔ mek dɛn du brɔnkoskɔpi?

Bɔku tɛm i kin tek lɛk 30 to 90 minit so . Di rayt tɛm we i kin tek kin dipen pan di rizin we mek di dɔktɔ de du am.

Wetin kin apin afta di tɛst?

As wi bin dɔn tɔk, dis na ɔutpatient prosidur, so yu nɔ nid fɔ de na ɔspitul. Yu kin go na os insay sɔm awa afta di tɛst.

Di mɛdikal tim go wach yu fɔ sɔm tɛm fɔ si if yu de blo ɛn swɛla fayn. Di dɔktɔ kin disayd bak fɔ du ɛkstrem na in chɛst afta di ɛgzam fɔ si if ɛni prɔblɛm de.

Yu trot go swɛ fɔ lɛk wan awa so. Yu kin gɛt trot we de at, kɔf, ɛn kray fɔ di nɛks 24 awa. Yu kin yuz kɔf drɔp fɔ pul di trot we de at. Bɔrku pipul kin go bak to nɔrmal tin fɔ du di nɛks de. Yu dɔktɔ go tɛl yu if yu nid fɔ stɔp di tin dɛn we yu de du.

Di mɛdikal tim go mek yu no ustɛm yu go ebul fɔ ɛkspɛkt di tɛst rizɔlt ɛn ustɛm yu fɔ go bak fɔ go si di dɔktɔ.

Aw lɔng i kin tek fɔ mek i wɛl?

Yu go nid fɔ de na di ɔspitul rikavari rum fɔ at le 45 minit, sɔntɛm fɔ lɔng tɛm, te yu nɔ de slip igen ɛn yu impɔtant sayn dɛn (lɛk fɔ blo ɛn blɔd prɛshɔn) kam bak to nɔmal. Insay dis tɛm, di mɛdikal wokman dɛn go de wach yu gud gud wan fɔ si if yu gɛt ɛni ɔda kayn bad bad tin we kin apin afta di tɛst.

A kin it ɛn drink afta di tɛst?

Nɔ it ɔ drink ɛnitin te di swɛt na yu trot dɔn go ɔlsay (we kin tek wan awa). We di swɛt dɔn go, drink sɔm wata fɔs, dɔn bigin wit bland it dɛn lɛk pɔrit ɛn yogɔt.If yu it ɔ drink tumɔs kwik, di it ɛn drink kin go insay yu lɔng (aspirate) ɔ yu kin chok.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin de du brɔnkoskɔpi?

Bronchoscopy na wan we we rili sef, bɔt prɔblɛm dɛn de we nɔ kin apin so ɔltɛm, lɛk:

• Wan ol we de na di say we di briz de blo.
• Damej ɔ inflamɛns na di vokal kɔd dɛn.
• Nyumotɔraks we de na di bɔdi.

Bɔku tɛm, dɔktɔ dɛn kin yuz wan fleksibul brɔnkoskɔp bikɔs i kin izi fɔ gayd am tru di say dɛn we di briz de blo ɛn i kin rich smɔl smɔl say dɛn na di lɔng dɛn. Bɔt sɔm tɛm dɛn de, dɛn kin nid fɔ yuz rigid brɔnkoskɔp.

Bifo yu du dis tɛst, tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin ɛn if yu gɛt bɔku prɔblɛm dɛn.

Aw lɔŋ i kin tek fɔ mek di brɔnkoskɔpi rizɔlt kam bak?

Aks yu mɛdikal tim ustɛm yu go gɛt di rizɔlt. If dɛn tek bayɔpsi we dɛn de du di tɛst, di rizɔlt fɔ de insay wan wik. Dipen pan di kayn tɛst, di rizɔlt kin de kwik ɔ leta.

Yu dɔktɔ go yuz dɛn rizɔlt ya fɔ disayd wetin yu go du nɛks tritmɛnt. Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin, i kin dipen pan wetin dɛn bin fɛn we dɛn bin de du di brɔnkoskɔpi.

Ustɛm a fɔ kɔntak mi dɔktɔ?

Afta di tɛst, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn sayn ya. Dɛn tin ya kin bi sayn dɛn fɔ se yu gɛt infekshɔn, yu lɔng dɔn fɔdɔm, ɔ ɔda prɔblɛm:

• Chɛst de pen.
• I nɔ kin izi fɔ yu fɔ blo.
• Fiva we de kɔntinyu fɔ de.
• Kɔf ɔltɛm ɔ kɔf blɔd.
• Di sayn dɛm fɔ nyumonia (e.g. ay fiva, chɛst pen, nɔs we de rɔn).

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Bronchoscopy nɔto natin fɔ fred. Na sef tɛst we de ɛp fɔ fɛn prɔblɛm na yu lɔng ɛn yu aywe. Sɔntɛnde, dɛn kin ivin yuz am fɔ trit dɛn. Dɛn kin du am na ɔtpeshɛnt sɛtin, usay dɛn kin pas wan smɔl tiub insay yu lɔng. If yu dɔktɔ tɛl yu fɔ du dis tɛst, i go tɛl yu mɔ bɔt aw fɔ rɛdi fɔ am. If yu gɛt ɛni kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ. Yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl!

` Bronkoskopi, lכng egzamin, rεspiretכri sik, bayopsi, stent, lכng, kכf