Ngaba ukhe wakhwehlela ixesha elide, mhlawumbi igazi kwi-phlegm yakho, okanye ubunzima bokuphefumla? Emva kwe-X-ray okanye i-CT scan, ngaba ugqirha uthe kufuneka bafake ikhamera encinci ngaphakathi kwemiphunga ukuze bajonge? Yiloo nto siyibiza ngokuba yi-bronchoscopy. Eli gama livakala liyinkimbinkimbi kwaye liyoyikisa, kodwa eneneni aloyikisi kangako. Makhe sijonge ngokukhawuleza ukuba yintoni, yenziwa njani, kunye noko kufuneka ukwazi.
Yintoni iBronchoscopy?
Ngamafutshane, i-bronchoscopy yinkqubo enceda ugqirha wakho abone ngaphakathi kwimigudu yakho yomoya kunye nemiphunga. Oku kwenziwa kusetyenziswa isixhobo esikhethekileyo esibizwa ngokuba yi-bronchoscope. Le yityhubhu encinci, eguquguqukayo enekhamera kunye nokukhanya esiphelweni. Le tyhubhu ifakwa ngomlomo okanye empumlweni yakho, idluliselwe kwi-windpipe yakho, kwaye iye emiphungeni yakho, apho inokubonwa khona kwisikrini. Kufana nokubukela ividiyo yangaphakathi yemiphunga yakho.
Kukho iintlobo ezimbini zezi bronchoscopes.
| Uhlobo lwesixhobo | Inkcazo kunye nokusetyenziswa |
|---|---|
| I-Bronchoscope eguquguqukayo | Olu lolona hlobo lusetyenziswa kakhulu. Lumbhobho omncinci, oguquguqukayo onokufakwa lula nakumasebe amancinci omoya. Usetyenziselwa ukuxilonga izifo, ukuthatha iisampulu ze-mucus, kunye nokuthatha iziqwenga ezincinci zezicubu (ii-biopsy). |
| I-Bronchoscope Eqinileyo (ayiguquguquki) | Le yityhubhu etyebileyo nethe tye. Isetyenziswa kwiimeko ezikhethekileyo. Umzekelo, kuyimfuneko ukususa into enkulu evalekileyo kwindlela yomoya, ukunqanda ukopha kakhulu, okanye ukubeka i-stent ukugcina indlela yomoya ivaliwe ivulekile. |
Kutheni ugqirha angacebisa olu vavanyo?
Ukuba ukrokrela ukuba kukho into engalunganga ngemiphunga yakho, ugqirha uza kukucebisa olu vavanyo ukuze afumane unobangela ochanekileyo. Khawuthelekelele ukuba ubunento efana nale:
- Fumana unobangela weempawu ezinje ngokukhwehlela okungapheliyo, ukukhohlela igazi, kunye nobunzima bokuphefumla .
- Ukuba ukrokrela ukuba kukho into engaqhelekanga emiphungeni yakho, mhlawumbi ithumba elinomhlaza, kwi-X-ray okanye kwi-CT scan , qiniseka ukuba ikhona.
- Ukuba kukho into evalekileyo kwindlela yomoya (umzekelo, ukuba umntwana omncinci uginya into efana nethoyi), yisuse.
- Ukuze ufumane unobangela ochanekileyo wosulelo okanye ukudumba emiphungeni, thatha isampuli ye-mucus apho.
- Eyona nto ibalulekileyo kukuba iqhekeza elincinci lesicwili (i-biopsy) lingathathwa kwindawo ekrokrisayo lize lithunyelwe ukuze livavanywe . Oku kubaluleke kakhulu ukwazi ngokuqinisekileyo ukuba ngumhlaza okanye akunjalo.
- Ukuba indlela yomoya ivaliwe, kufakwa ityhubhu encinci ukuze ihlale ivulekile kwakhona. Oku sikubiza ngokuba yi-stent .
Ndingazilungiselela njani ezi vavanyo?
Ukulungiselela oku akunzima kangako. Ugqirha wakho uza kukunika lonke icebiso olifunayo. Kodwa ngokubanzi, khumbula ezi zinto.
1. Ukuzila ukutya: Uza kuyalelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezimbalwa ngaphambi kovavanyo, ngesiqhelo iiyure ezi-6-8 . Oku kubaluleke kakhulu. Ukuba unokutya esiswini sakho ngexesha lovavanyo, kungabuya kungene emiphungeni yakho. Oku kunokuba yingozi.
2. Xelela ugqirha wakho ngamayeza akho: Ukuba uthatha amayeza okunciphisa igazi okanye esifo seswekile, ngokuqinisekileyo kufuneka umxelele ugqirha wakho ngaloo nto. Angakucela ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa. Xelela ugqirha wakho nangazo naziphi na iivithamini okanye amayeza esintu owasebenzisayo.
3. Kuphephe ukuqhuba: Ekubeni uza kunikwa isithomalalisi kolu vavanyo, awuyi kukwazi ukuqhuba emva kovavanyo. Ngoko ke, kubalulekile ukuba umntu akuqhubele ekhaya .
Ngaphandle kwemeko engxamisekileyo, ugqirha uhlala eyalela ukuba kwenziwe i-CT scan yemiphunga ngaphambi kokuba kwenziwe i-bronchoscopy. Oku kunika ugqirha umbono olungileyo, njengemephu, wendawo kanye apho afanele ajonge khona.
Kwenzeka ntoni ngexesha lovavanyo?
Olu vavanyo ludla ngokwenziwa esibhedlele okanye kwigumbi lotyando. Uninzi lwexesha, ungaya ekhaya ngaloo mini inye. Makhe sijonge inyathelo ngenyathelo ukuba kwenzeka ntoni.
- Okokuqala, uza kunikwa isithomalalisi nge-IV cannula ukukunceda uphumle kwaye uzive ulele. Uya kuqala kancinci kancinci uzive ulula kwaye ulele ngakumbi.
- Emva koko umlomo nomqala wakhoKusetyenziswa i-spray ebangela ukuba umntu angakwazi ukuzibamba. Oku kuya kunciphisa ukungakhululeki, ukukhohlela, kunye nesicaphucaphu osivayo xa ufaka ikhamera. Umphimbo wakho usenokuvakala uqinile kancinci kwaye kunokuba nzima ukuwuginya. Oku kuqhelekile, ungakhathazeki.
- Emva kokuba ulele kakhulu, ugqirha uza kufaka i-bronchoscope ngononophelo ngomlomo okanye empumlweni yakho aze ayidlulisele kwi-windpipe yakho iye emiphungeni yakho.
- Awuyi kuva ntlungu ngeli xesha. Ukuphefumla kwakho, isantya sentliziyo, kunye namanqanaba eoksijini konke kujongwa ngoomatshini. Ngoko ke ukhuselekile ngokupheleleyo.
- Ukuze kususwe amathe kunye nencindi eqokelelana emlonyeni ngexesha lovavanyo, kungasetyenziswa ityhubhu encinci ukuze ifunxe.
- Xa uvavanyo lugqityiwe, umbingeleli uza kuyisusa ityhubhu. Yonke le nkqubo ithatha malunga nemizuzu engama-30 ukuya kwengama-90 .
Ngaba ndiza kupholiswa ngokupheleleyo yile nto?
Ixesha elininzi, uya kunikwa iyeza lokuthomalalisa (amayeza akwenza ulale kakhulu). Usenokungakhumbuli uvavanyo. Nangona kunjalo, ukuba kusetyenziswa i-bronchoscope eqinileyo, okanye ukuba kukho into enzima eyenziwayo, kunokufuneka ufakwe phantsi kwe-anesthesia eqhelekileyo. Ugqirha wakho uza kukuchazela oku kwangaphambili.
Kwenzeka ntoni emva kovavanyo?
Emva kovavanyo, uza kugcinwa kwigumbi lokuchacha iiyure ezimbalwa ngaphambi kokuba uthunyelwe ekhaya. Abasebenzi bezonyango baza kukunyamekela de imiphumo yamayeza okulala iphele, uzive uphaphile, kwaye ungabi nangxaki yokuginya. Ngamanye amaxesha i-X-ray yesifuba inokuthathwa ukuqinisekisa ukuba akukho ngxaki kwimiphunga yakho.
Lindela ezi zinto emva kokuba ufikile ekhaya:
- Umphimbo obuhlungu: Usenokuba nomphimbo obuhlungu, ukukhohlela okuncinci, kunye nokurhawuzelela kancinci malunga nosuku. Ungakhathazeki ngayo loo nto. Ungafumana isiqabu ngokuthatha amaconsi okukhohlela alungele umqala wakho.
- Ukutya Nesiselo: Musa ukutya okanye ukusela nantoni na de umphimbo obuhlungu uphele ngokupheleleyo (okungathatha iyure nangaphezulu) . Ukwenza njalo kunokubangela ukuba ukutya okanye isiselo siphume emaphashini. Nje ukuba umphimbo obuhlungu uphele, sela amanzi kuqala, uze uqale ngokutya okuthambileyo okufana ne-porridge kunye ne-yogurt.
- Phumla: Phumla kakuhle ngaloo mini. Ungaqhubeka nemisebenzi yakho yesiqhelo ngosuku olulandelayo.
Uza kuxelelwa ngaphambi kokuba uphume esibhedlele ukuba iziphumo ziya kufumaneka nini kwaye kufuneka uphinde ubone ugqirha wakho nini. Ukuba kwenziwe i-biopsy, kungathatha iintsuku ezimbalwa, okanye iveki, ukuba iziphumo zifike.
Izinto ezinobungozi kunye neempawu ekufuneka uzixele kugqirha wakho ngoko nangoko
Okokuqala, olu luvavanyo olukhuselekileyo kakhulu . Iingxaki azixhaphakanga kakhulu. Kodwa kulungile ukuzazi.
- Umngxuma omncinci kwindlela yomoya.
- Usulelo oluncinci okanye ukudumba kwemithambo yelizwi.
- Imeko efana neyokuwohloka komphunga. Ngokwezonyango, oku sikubiza ngokuba yi-pneumothorax .
Nangona izinto ezinje zisenzeka rhoqo, iqela lezonyango likulungele ukujongana nayo nayiphi na imeko enjalo.
Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuyela ekhaya, oko kungaba luphawu losulelo okanye enye ingxaki. Ukuba oku kuyenzeka, yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) okanye utsalele umnxeba ugqirha wakho ngokukhawuleza.
| Iimpawu ekufuneka uziqaphele | Inkcazo |
|---|---|
| Iintlungu zesifuba | Intlungu ebuhlungu esifubeni eyandayo xa uphefumla. |
| Ubunzima obukhulu bokuphefumla | Ukuba uziva kunzima kakhulu ukuphefumla. |
| Umkhuhlane ophezulu | Umkhuhlane ohlala ukho emva kweeyure ezingama-24. |
| Ukopha kakhulu kunye ne-mucus | Ukuba wopha ngaphezu kwethisipuni ngexesha (imiqolo embalwa yegazi iqhelekile). |
| Iimpawu zePneumonia | Umkhuhlane ophezulu, ukudinwa, kunye nobunzima bokuphefumla ziyenzeka kunye. |
Umyalezo Wokuya Ekhaya
- I-Bronchoscopy luvavanyo olukhuselekileyo nolubalulekileyo olujonga ngaphakathi kwimiphunga yakho ukuze luchonge kwaye mhlawumbi lunyange nezifo.
- Musa ukoyika oku. Kuza kukwenza ulale, ngoko awuyi kuva ntlungu okanye ukungakhululeki.
- Landela imiyalelo kagqirha (ukuzila ukutya, ukuyeka amayeza athile) ngononophelo ngaphambi kovavanyo.
- Ekubeni ungayi kukwazi ukuqhuba emva kovavanyo, kubalulekile ukuba uze nomntu oza kukuqhubela ekhaya.
- Umphimbo obuhlungu kunye nokukhwehlela okuncinci zizinto eziqhelekileyo emva kovavanyo. Nangona kunjalo, ukuba ufumana iintlungu esifubeni, ukuphefumla okunzima, okanye umkhuhlane ophezulu, yazisa ugqirha wakho ngoko nangoko okanye uye esibhedlele.











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