Chii chinoitika mukati memapapu ako? Ngatitaurei nezve bronchoscopy!

Dzimwe nguva unombova nekukosora kunogara kwenguva refu, kunetseka kufema, kana ropa shoma mumhino yako paunokosora here? Panguva yakadaro, paunoenda kunoona chiremba, kana akakuudza kuti "ita bronchoscopy", unogona kunzwa kutya zvishoma, handiti? Saka, bronchoscopy iyi chii? Sei ichiitwa? Inorwadza here kana yaitwa? Nhasi, tichakurukura mhinduro dzemibvunzo yakawanda yauri kufunga nezvayo munyaya ino. Hapana chikonzero chekutya, izvi hazvina kuoma sezvinofungwa nevanhu vazhinji.

Chii chinonzi bronchoscopy muchidimbu?

Zvichitaurwa zviri nyore, bronchoscopy inzira iyo chubhu yakatetepa ine kamera diki (bronchoscope) inopinzwa mupaipi yemhepo (trachea) nemapapu. Zvakafanana ne endoscopy, iyo inotarisa mukati medumbu mako, asi iyi ndeyemapapu ako. Kamera nechiedza chiri kumagumo kwechubhu iyi zvinobvumira chiremba kuona mukati menzira dzako dzekufema zvakajeka. Izvi zvinogona kubatsira kuongorora, kuongorora, uye dzimwe nguva kurapa mamwe mamiriro emapapu.

Kungofanana nepanenge paine pombi yemvura mumba medu yakavharwa, tinoisa waya diki toitarisa. Vanachiremba vanoshandisa mudziyo uyu kuti vaone zviri kuitika mumapapu.

Kune mhando mbiri dzemachubhu e bronchoscope:

• Bronchoscope Inochinjika: Iyi ndiyo inonyanya kushandiswa. Inochinjika, sechubhu yerabha, saka inogona kupfuudzwa nyore nyore munzira yekufema. Inoshandiswa kuchengetedza nzira yekufema yakavhurika, kutora sampuli yenyama (biopsy), uye kuburitsa zvinhu zvakaita semanyoka.
• Bronchoscope Yakasimba: Iyi ichubhu yakakora uye yakasimba. Inoshandiswa kana paine kuvharika kukuru munzira yekufema, kana kuti kune mamwe maitiro akaomarara akadai sekuisa stent, kurapa bundu, kana kumisa kubuda ropa.

Chii chinowanikwa nebronchoscopy?

Pane zvikonzero zvakawanda zvinoita kuti chiremba akukumbire kuti uedze bvunzo iyi. Ngationei kuti ndezvipi:

• Kuziva chirwere chemapapu: Tsvaga chikonzero chezviratidzo zvako, zvakaita sekukosora kusingaperi, kukosora ropa, uye kufema zvakaoma.
• Mushure mekuongororwa kweX-ray kana CT: Izvi zvinoitirwa kuongorora zvakanyanya kana paine chimwe chinhu chisingawanzoonekwi paX-ray yako kana CT scan, zvakaita sezviratidzo zvegomarara.
• Kuvharika kwenzira dzekufema: Ongorora kana paine kuvharika uye kutetepa munzira dzekufema uye ubvise kana kurapa.
• Tsvaga hutachiona kana kuzvimba: Tsvaga kuti chii chaizvo chinokonzera hutachiona kana mamiriro ekuzvimba mumapapu.
• Tora sampuli: Tora sampuli yemucosal kana tishu (biopsy) woitumira kuti iongororwe murabhoritari. Izvi zvichabatsira kuona kuti chirwere chacho chii chaizvo.
• Isa stent: Dzimwe nguva nzira iyi inoshandiswa kuisa chubhu diki (stent) kuti nzira yekufema irambe yakavhurika kana yakamanikana.

Fungidzira, kukosora kwatete vedu Kamala hakuna kupera kwemwedzi yakati wandei. Vakatombokosora ropa shoma. Pavakatora X-ray, pakanga paine kanzvimbo kadiki pamapapu avo. Ipapo chiremba akati tiite bronchoscopy, ndipo pataigona kuziva kuti chii chaizvo chakanga chisina kumira zvakanaka.

Ndinofanira kugadzirira sei izvi?

Chiremba wako kana nesi achakupa mirairo chaiyo yekuti ungagadzirira sei usati waita bvunzo iyi. Asi kazhinji, hezvino zvimwe zvinhu zvaunofanira kuita:

• Kutsanya: Zvakanakisisa kusadya kana kunwa chero chinhu kwemaawa mashoma bvunzo isati yaitwa, kazhinji maawa matanhatu kusvika masere.
• Kurega mimwe mishonga: Ungangokumbirwa kuti urege kutora mimwe mishonga, yakaita semishonga inobvisa ropa (semuenzaniso, aspirin, warfarin), kana mishonga yechirwere cheshuga, kwemazuva mashoma. Zvakakosha kuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
• Munhu anokuendesa kumba nemotokari: Uchapihwa mushonga unonyaradza kuti unzwe hope panguva yekuongororwa uku, saka hauzokwanisi kutyaira mushure mekuongororwa. Saka, uchafanirwa kuuya nemumwe munhu anokuendesa kumba nemotokari.

Ndinoda kuongororwa neCT ndisati ndaitwa bronchoscopy here?

Kunze kwekunge paine dambudziko rekukurumidza, chiremba wako anowanzo raira kuti mapapu ako apinzwe CT scan (Computed Tomography scan) usati waita bronchoscopy. CT scan inogona kubatsira chiremba wako kuona kana bronchoscopy ichidikanwa, kana kuti pane nzvimbo dzinoda kuongororwa.

Chii chinoitika panguva yebronchoscopy?

Bvunzo iyi inowanzoitwa nachiremba wemapapu muchipatara kana muimba yekuvhiyiwa. Kazhinji, inoitirwa kunze kwechipatara. Izvi zvinoreva kuti unogona kuenda kumba zuva rimwe chete mushure mekuongororwa.

Uchapihwa mushonga wekuti unzwe hope uye wakasununguka. Kana uri kuitiswa bronchoscopy yakaoma kana biopsy, unogona kupihwa anesthesia yakajairika. Izvi zvinoreva kuti uchanzwa hope zvekuti hauzonzwi chero chinhu. Taura nachiremba wako nezverudzi rweanesthesia yauchapihwa.

Bronchoscopy inowanzoitwa seizvi:

1. Saline : Chubhu diki (IV line) inopinzwa mutsinga iri muruoko rwako uye mushonga unopihwa kuburikidza nayo kuti unzwe wakasununguka uye uine hope.

2. Kurara pamubhedha: Kurara pamubhedha musoro wakasimudzwa zvishoma.

3. Pfapfaidza kusvika yapera simba:Mushonga unopfapfaidza muromo wako (pamwe nemhino dzako) nepahuro. Izvi zvinoderedza kusagadzikana kwaunonzwa paunoisa chubhu.

4. Kuisa bronchoscope: Mushure mekunge warara uye wava nehope, chiremba achaisa bronchoscope zvishoma nezvishoma kuburikidza nemhino kana muromo wako, kana kuburikidza nechubhu inoiswa panguva iyoyo kana wakarara, mupaipi yemhepo wozopinda mumapapu ako.

5. Kubvisa mate: Sezvo usingakwanise kumedza, mate anoungana mumuromo mako anogona kubviswa nechubhu diki.

6. Kubvisa bronchoscope: Kana bvunzo yapera, chiremba anobvisa chubhu zvishoma nezvishoma.

7. Kuongororwa: Vashandi vezvehutano vachakutarisira kusvika wapora.

Unobva warara zvachose here paunenge uchiita izvi?

Unowanzonzwa hope dzakanyanya, uye ungatobatwa nehope. Izvi zvinoenderana nerudzi rwebronchoscopy yauri kuita uye zviri kutsvagwa nachiremba. Vanhu vazhinji vanoita izvi vachibatsirwa neanesthesia. Mimwe miedzo midiki inogona kuitwa neanesthesia yemunzvimbo chete.

Kuongororwa kwebronchoscopy kunotora nguva yakareba sei?

Kazhinji zvinotora maminetsi angangoita 30 kusvika 90. Nguva chaiyo inotorwa inoenderana nechikonzero chakaitwa nachiremba.

Chii chinoitika mushure mekuyedzwa?

Sezvambotaurwa, iyi inzira yekurapwa kunze kwechipatara, saka haufanirwe kugara muchipatara. Unogona kudzokera kumba mukati memaawa mashoma mushure mekuongororwa.

Chikwata chevanachiremba chichakutarisa kwenguva yakati kuti chione kana uri kufema uye uchimedza zvakanaka. Chiremba anogonawo kusarudza kutora X-ray yechipfuva mushure mekuongororwa kuti aone kana paine matambudziko.

Huro yako ichange isina chinhu kweinenge awa. Ungave uine pahuro panorwadza, kukosora, uye kuchema kwemaawa makumi maviri nemana anotevera. Madonhwe ekukosora anogona kushandiswa kuderedza pahuro panorwadza. Vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose mangwana acho. Chiremba wako achakuudza kana uchida kuderedza mabasa ako.

Chikwata chevanachiremba chichakuzivisai kuti muchatarisira riini mhinduro dzebvunzo uye kuti muchadzoka riini kunoona chiremba.

Zvinotora nguva yakareba sei kuti munhu apore?

Uchafanira kugara muchipatara kwemaminetsi angangoita makumi mana nemashanu, zvichida kwenguva yakareba, kusvika usisina hope uye zviratidzo zvako (zvakadai sekufema uye BP) zvadzokera pazvakajairika. Munguva iyi, vashandi vekurapa vachakutarisa zvakanyanya kuti vaone kana uine mimwe migumisiro isingawanzoitika mushure mekuongororwa.

Ndinogona kudya nekunwa mushure mekuongororwa here?

Usadye kana kunwa chero chinhu kusvika chiveve chiri pahuro pako chapera zvachose (zvinogona kutora kusvika awa imwe chete). Kana chiveve chapera, inwa mvura kutanga, wozotanga nezvikafu zvisina kunaka zvakaita seporiji neyogati.Kana ukadya kana kunwa nekukurumidza, chikafu nechinwiwa zvinogona kupinda mumapapu ako (aspirate) kana kuti unogona kudzipwa.

Ndezvipi zvinetso zvinogona kuitika ne bronchoscopy?

Bronchoscopy inzira yakachengeteka zvikuru, asi kune njodzi dzisingawanzoitiki, dzakadai se:

• Buri riri munzira yekufema.
• Kukuvara kana kuzvimba kwetsinga dzenzwi.
• Pneumothorax.

Kazhinji, vanachiremba vanoshandisa bronchoscope inochinjika nekuti inogona kutungamirirwa zviri nyore nemunzira dzemhepo uye inogona kusvika munzvimbo diki dzemapapu. Zvisinei, mune dzimwe nguva, bronchoscope yakaoma inodiwa.

Usati waita bvunzo iyi, taura nachiremba wako nezvenjodzi dziripo uye kana uri panjodzi huru yekusangana nematambudziko.

Zvinotora nguva yakareba sei kuti mhinduro dzebronchoscopy dzidzoke?

Bvunzai timu yenyu yezvekurapa kuti muchawana riini mhinduro. Kana muchiongororwa, mhinduro dzinofanira kuwanikwa mukati mevhiki. Zvichienderana nerudzi rwebvunzo, mhinduro dzinogona kuwanikwa munguva pfupi iri kutevera.

Chiremba wako achashandisa zvabuda muongororo iyi kusarudza matanho auchatora pakurapwa kwako kunotevera. Izvi zvinogona kusiyana kubva pamunhu kuenda kune mumwe, zvichienderana nezvakawanikwa panguva yebronchoscopy.

Ndinofanira kutaura nachiremba wangu rini?

Mushure mekuongororwa, unofanira kufonera chiremba wako nekukasika kana ukaona chimwe chezviratidzo izvi. Izvi zvinogona kuva zviratidzo zvehutachiona, mapapu akadonha, kana rimwe dambudziko:

• Kurwadziwa kwechipfuva.
• Kutadza kufema zvakanaka.
• Fivha isingaperi.
• Kukosora nguva dzose kana kukosora ropa.
• Zviratidzo zvepneumonia (semuenzaniso fivha yakanyanya, kurwadziwa pachipfuva, mhino inoyerera).

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

Bronchoscopy haisi yekutya. Iyi bvunzo yakachengeteka inobatsira kuwana matambudziko mumapapu ako nemunzira dzekufema. Dzimwe nguva inogona kushandiswa kuarapa. Inoitwa munzvimbo yekumirira varwere, uko chubhu diki inopinzwa mumapapu ako. Kana chiremba wako akakuudza kuti uite bvunzo iyi, iye achakuudza zvakawanda nezvekugadzirira kwayo. Kana uine mibvunzo, usazeza kubvunza chiremba wako. Hutano hwako ndihwo chinhu chakakosha!

Bronchoscopy , kuongororwa kwemapapu, chirwere chekufema, biopsy, stent, mapapu, kukosora