I lung chhungah eng thil nge thleng? Bronchoscopy chungchang hi han sawi ila!

A châng chuan khuh reng reng, thawk harsa, emaw, i khuh laiin i phlegm-ah thisen tlem i nei em? Chutiang hunah chuan doctor hmu tura i kal chuan "bronchoscopy ti rawh" a tih chuan hlauhna tlem i nei thei a ni lawm ni? Chuti a nih chuan, he bronchoscopy hi eng nge ni? Engvangin nge tih a nih? A tih zawh chuan a na em? Vawiin hian he thuziak-ah hian i rilrua zawhna tam tak i neihte chhanna kan sawi dawn a ni. Hlauh chhan tur a awm lo, hei hi mi tam zawkin an ngaihtuah angin a harsa lo.

Bronchoscopy tih hi eng nge ni?

A awlsam zawngin, bronchoscopy chu camera te tak te (bronchoscope) hmanga tube te tak te chu i thlipui (trachea) leh lung chhungah i luhtir thin a ni. Endoscopy ang mai a ni a, chu chuan i pum chhung a en a, mahse hei hi i lung tan a ni. He tube tawp lama camera leh light hian doctor chuan i thawkna kawng chhungril chu chiang takin a hmu thei a ni. Hei hian lung natna thenkhat hriatchhuahna, tehna leh a chang chuan enkawlna kawngah a pui thei a ni.

Kan in chhunga tui pipe a inkhar lai ang bawkin wire te tak te kan dah a, kan en thin. Doctor-te chuan he hmanrua hi hmangin lung chhunga thil thlengte an en thin.

Bronchoscope tube hi chi hnih a awm a, chungte chu:

• Flexible Bronchoscope: Hei hi hman tam ber a ni. A flexible a, rubber tube ang mai a ni a, chuvangin awlsam takin thawkna kawng hnuaiah a kal thei a ni. Thli kawng hawn reng nan te, tissue sample (biopsy) lak nan te, mucus ang chi thil te chu suction out nan te hman a ni.
• Rigid Bronchoscope: Hei hi tube thuk tak, rigid tak a ni. Thlipui kawngkhar (blockage) lian tak a awm chuan emaw, thil tih harsa zawk, stent dah te, tumor enkawl te, thisen chhuah tihtawp te tan te hman thin a ni.

Bronchoscopy hian eng nge a hmuh?

Doctor-in he test hi tihsak tura a tih chhan hi chhan hrang hrang a awm. Eng nge an nih hi han thlir ila:

• Lung natna hriatchhuah: I natna lan chhuah chhan zawng rawh, chu chu khuh chhunzawm zel, thisen khuh, leh thawk harsa tih te hi a ni.
• X-ray emaw CT scan hnuah: Hei hi i X-ray emaw CT scan emaw-ah thil danglam tak, cancer chhinchhiahna ang chi hmuh a nih leh nih loh chhui chian lehzual nan tih a ni.
• Thli kawng khar: Thlawhna kawng khar leh tawt awm leh awm loh enfiah la, paih emaw, enkawl emaw rawh.
• Infection emaw inflammation emaw hriatchhuah: Lung chhunga infection emaw inflammatory condition emaw awm chhan dik tak zawng rawh.
• Sample la: Mucus emaw tissue emaw (biopsy) sample la la, lab test turin thawn rawh. Hei hian natna chu eng nge a nih chiang taka hriat theih nan a pui ang.
• Stent dah: A chang chuan he method hmang hian tube te tak te (stent) dahin, boruak kawng chu a zim a nih chuan a inhawng reng thei a ni.

Ngaihtuah teh, kan pi Kamala khuh chu thla tam tak chhung chu a reh lo. Thisen tlem pawh a khuh chhuak. X-ray a tih chuan a lungah hmun te tak te a awm a. Tichuan doctor chuan Bronchoscopy ti turin a ti a, chutih lai tak chuan eng nge dik lo tih chiang takin kan hre thei ang.

Hemi atan hian engtin nge ka inbuatsaih ang?

I doctor emaw nurse emaw chuan he test i neih hmaa inbuatsaih dan tur chiang takin a hrilh ang che. Mahse a tlangpuiin, i tih tur thenkhat chu hetiang hi a ni:

• Chaw nghei: Test hma darkar engemaw zat ei leh in loh a tha ber a, a tlangpuiin darkar 6 atanga darkar 8 vel a ni.
• Damdawi thenkhat chawlhsan: Damdawi thenkhat, thisen tithianghlimtu (e.g., aspirin, warfarin), emaw zunthlum damdawi te chu ni engemaw zat ei khap turin an ti thei che a ni. Damdawi, vitamin leh herbal remedies i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh.
• In lama khalhtu tur che: He test neih chhung hian i mut theih nan sedative pek i ni ang a, chuvangin test zawhah i khalh thei dawn lo. Chuvangin, in lama hruai tur che mi i rawn hruai a ngai dawn a ni.

Bronchoscopy neih hmain CT scan ka mamawh em?

Emergency a nih loh chuan i doctor chuan bronchoscopy hmain i lung CT scan (Computed Tomography scan) a order fo thin. CT scan hian i doctor chu bronchoscopy neih a ngai em tih a hre thei a, a nih loh leh enfiah ngai hmun a awm em tih a hriat theih bawk.

Bronchoscopy neih chhung hian eng nge thleng?

He test hi damdawi in emaw, operation room emaw-ah pulmonologist- in a ti tlangpui. A tam zawkah chuan outpatient basis-a tih a ni. Chumi awmzia chu test zawh ni vek hian in lamah i haw thei tihna a ni.

I mut theih nan leh i hahdam theih nan damdawi pek i ni ang. Rigid bronchoscopy emaw biopsy emaw i neih chuan general anesthesia pek i ni thei bawk. Chumi awmzia chu engmah i hre lo ang tih khawpin i muhil dawn tihna a ni. Eng ang anesthesia nge pek i nih dawn tih i doctor nen sawiho rawh.

Bronchoscopy hi hetiang hian tih a ni tlangpui:

1. Saline : Tube te tak te (IV line) chu i kut vein pakhatah dahin, chuta tang chuan damdawi pek a ni a, chu chuan i rilru a hahdam a, i muhil thei a ni.

2. Khum chunga mut: Khum chunga mu, lu chawi sang deuh.

3. Numb thlenga spray tur:I hmui (leh i hnar pawh a ni thei) leh i rilruah numbing spray an hnawih thin. Hei hian tube i dah luh huna i rilru hahna chu a tiziaawm ang.

4. Bronchoscope dah dan: I rilru hahdam leh i mutthilh hnuah doctor chuan zawi zawiin i hnar emaw, i hmui emaw hmangin emaw, anesthetized i nih chuan chutih laia dah tube hmangin emaw, i thlipui chhungah a dah ang a, chu chu i lung chhungah a dah ang.

5. Chaw lakchhuah: I ei theih loh avangin i ka chhunga hmui lo awm khawm chu tube te tak te hmangin i la chhuak thei a ni.

6. Bronchoscope lakchhuah: Examination zawh veleh Doctor chuan zawi zawiin tube chu a la chhuak thin.

7. Under observation: I hriatna i neih leh hma loh chuan medical staff ten an enkawl ang che.

Hetianga i tih lai hian i muhil vek em?

I muhil nasa hle fo ang a, i muhil pawh a ni thei. Hei hi i bronchoscopy chi hrang hrang leh doctor-in a zawn danah a innghat a ni. Mi tam zawk chuan general anesthesia hmangin an ti thin. Test tenau thenkhat chu local anesthetic chauh hmangin tih theih a ni.

Bronchoscopy hian eng chen nge hun a duh?

A tlangpuiin minute 30 atanga 90 vel a ni . A hun dik tak chu doctor-in a tih chhanah a innghat a ni.

Test zawhah eng nge thleng?

Sawi tawh ang khan hei hi outpatient procedure a nih avangin damdawi ina awm reng a ngai lo. Test zawh darkar tlemte chhungin in lamah i haw thei ang.

Medical team chuan rei vak lo an enkawl ang che, i thawk tha em tih leh i ei tha em tih an en ang. Doctor pawhin exam zawhah chest X-ray lak a, harsatna a awm leh awm loh en turin a rel thei bawk.

Darkar khat vel chhung chu i rilru a na ang. Darkar 24 chhung chu i rilru a na thei a, i khuh a, i bengchheng thei bawk. Cough drops hmang hian kawr natna tihdam theih a ni. Mi tam zawk chu a tuk zingah thil pangngaiah an kir leh thei a ni. I thiltih kha tihtlem a ngai a nih chuan i doctor chuan a hrilh ang che.

Medical team chuan engtikah nge test result i beisei theih ang tih leh engtikah nge doctor hmu tura i kir leh tur tih an hriattir ang che.

A dam leh theih nan eng chen nge hun a duh?

Damdawi in recovery room-ah minute 45 tal i awm a ngai dawn a, chu aia rei pawh i muhil tawh lo va, i vital signs (thaw leh thisen sang ang chi) te chu a pangngaia a lo awm leh hma loh chuan i awm a ngai dawn a ni. Hemi chhung hian medical staff te chuan uluk takin an lo enfiah ang che a, test zawhah side effect danglam tak i neih leh neih loh an enfiah ang che.

Test zawhah ka ei leh in thei ang em?

I rilru a natna chu a bo vek hma loh chuan engmah ei leh in suh (darkar khat thleng pawh a daih thei). A rilru a buai tawh chuan tui tlem in hmasa la, chutah chuan ei tur bland tak tak, porridge leh yogurt te hmangin tan la rawh.I ei leh in rang lutuk chuan ei leh in chu i lung chhungah a lut thei (aspirate) emaw i chok thei bawk.

Bronchoscopy hmanga harsatna awm thei te chu engte nge ni?

Bronchoscopy hi a him hle a, mahse a hlauhawmna a awm tlem hle a, chungte chu:

• Thlawhna kawngah khur a awm.
• Vocal cords chhia emaw inflammation emaw a awm.
• Pneumothorax natna (Pneumothorax) a ni.

A tam zawkah chuan doctor-te chuan flexible bronchoscope an hmang a, a chhan chu boruak kaltlangin awlsam taka kaihhruai theih a nih vang leh lung hmun tenau tak tak thleng thei a nih vang a ni. Mahse, a then phei chuan rigid bronchoscope hman a ngai thin.

He test hi i tih hmain i doctor nen a hlauhawm dan leh harsatna i neih theihna tur risk sang tak i neih leh neih loh te sawipui hmasa phawt ang che.

Bronchoscopy result a lo chhuah leh theih nan eng chen nge a ngaih?

Engtikah nge result i hmuh dawn tih i medical team te zawt rawh. Test neih chhungin biopsy lak a nih chuan kar khat chhungin result hmuh theih a ni tur a ni. Test chi hrang hrang a zirin a hma emaw a hnu emaw pawhin result a awm thei.

I doctor chuan heng result te hi hmangin i enkawlna tur chu eng nge ni ang tih a rel ang. Hei hi mi hrang hrangah a inang lo thei a, bronchoscopy neih chhunga thil hmuhchhuah a zirin a ni.

Engtikah nge ka doctor ka biak ang?

Test zawhah heng symptoms te hi i neih chuan doctor i ko nghal tur a ni. Chûngte chu natna hrik, lung tlu emaw, harsatna dang emaw chhinchhiahna a ni thei:

• A rilru a na.
• Thâwk harsa.
• Fever awm reng.
• Khuh chhunzawm zel emaw, thisen chhuak khuh emaw.
• Pneumonia natna lan chhuah dan (e.g. khawsik sang, rilru na, hnar luang chhuak).

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Bronchoscopy hi hlauh tur a ni lo. Test him tak a ni a, i lung leh thawkna kawng hrang hranga harsatna awmte chu a zawng chhuak thei a ni. A châng chuan enkawl nân pawh hman theih a ni. Outpatient setting-ah tih a ni a, chutah chuan tube te tak te chu i lung chhungah a lut a ni. I doctor-in he test hi nei turin a hrilh che a nih chuan, a inbuatsaih dan tur a hrilh belh ang che. Zawhna i neih chuan doctor zawh hreh suh. I hriselna hi a pawimawh ber!

` Bronchoscopy, lung enfiah, thawkna lam natna, biopsy, stent, lung, khuh