Uke wakhwehlela isikhathi eside, mhlawumbe igazi elithile emphinjeni wakho, noma ubunzima bokuphefumula? Ngemva kwe-X-ray noma i-CT scan, ingabe udokotela uthe badinga ukufaka ikhamera encane ngaphakathi kwamaphaphu ukuze babheke? Yilokho esikubiza ngokuthi i-bronchoscopy. Leli gama lizwakala liyinkimbinkimbi futhi lesabisa, kodwa empeleni aliyesabisi kangako. Ake sibheke ngokushesha ukuthi kuyini, kwenziwa kanjani, nokuthi yini okudingeka ukwazi.
Kuyini i-Bronchoscopy?
Kalula nje, i-bronchoscopy inqubo esiza udokotela wakho ukuthi abone ngaphakathi kwemigudu yakho yomoya nasemaphashini. Lokhu kwenziwa kusetshenziswa ithuluzi elikhethekile elibizwa ngokuthi i-bronchoscope. Leli yipayipi elincane, eliguquguqukayo elinekhamera nokukhanya ekugcineni. Leli payipi lifakwa ngomlomo noma ekhaleni lakho, lidluliselwe epayipini lakho lomoya, bese lingena emaphashini akho, lapho lingabukwa khona kusikrini. Kufana nokubuka ividiyo yengaphakathi lamaphaphu akho.
Kunezinhlobo ezimbili zalezi bronchoscopes.
| Uhlobo lwedivayisi | Incazelo kanye nokusetshenziswa |
|---|---|
| I-Bronchoscope Eguquguqukayo | Lolu uhlobo oluvame ukusetshenziswa kakhulu. Luyipayipi elincane, eliguquguqukayo elingafakwa kalula ngisho nasezigabeni ezincane kakhulu zomgudu womoya. Lisetshenziselwa ukuxilonga izifo, ukuthatha amasampula e-mucus, kanye nokuthatha izingcezu ezincane zezicubu (ama-biopsy). |
| I-Bronchoscope Eqinile (engaguquguquki) | Leli yipayipi elijiyile, eliqondile. Lisetshenziswa ezimweni ezikhethekile. Isibonelo, kuyadingeka ukususa into enkulu evalekile endleleni yokuphefumula, ukuvimba ukopha ngokweqile, noma ukubeka i-stent ukuze kugcinwe indlela yokuphefumula evalekile ivulekile. |
Kungani udokotela angancoma lolu vivinyo?
Uma usola ukuthi kukhona okungahambi kahle emaphashini akho, udokotela uzoncoma lolu vivinyo ukuze athole imbangela eqondile. Cabanga ukube ubunento efana nale:
- Thola imbangela yezimpawu ezifana nokukhwehlela okuqhubekayo, ukukhwehlela igazi, kanye nobunzima bokuphefumula .
- Uma usola ukuthi kukhona okungajwayelekile emaphashini akho, mhlawumbe isimila somdlavuza, ku-X-ray noma ku-CT scan , qinisekisa ukuthi kukhona.
- Uma kukhona okuvalekile endleleni yokuphefumula (isibonelo, uma ingane encane igwinya into efana nethoyizi), yisuse.
- Ukuze uthole imbangela eqondile yokutheleleka noma ukuvuvukala emaphashini, thatha isampula ye-mucus lapho.
- Into ebaluleke kakhulu ukuthi ingcezu encane yezicubu (i-biopsy) ingathathwa endaweni esolisayo bese ithunyelwa ukuze iyohlolwa . Lokhu kubaluleke kakhulu ukwazi ngokuqinisekile ukuthi umdlavuza noma cha.
- Uma indlela yokungena komoya ivaliwe, kufakwa ipayipi elincane ukuze lihlale livulekile futhi. Lokhu sikubiza ngokuthi i-stent .
Ngingalungiselela kanjani lolu vivinyo?
Ukulungiselela lokhu akunzima kangako. Udokotela wakho uzokunikeza zonke izeluleko ozidingayo. Kodwa ngokuvamile, khumbula lezi zinto.
1. Ukuzila Ukudla: Uzotshelwa ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlolwa, ngokuvamile amahora angu-6-8 . Lokhu kubaluleke kakhulu. Uma unokudla esiswini sakho ngesikhathi sokuhlolwa, kungabuya kungene emaphashini akho. Lokhu kungaba yingozi.
2. Tshela udokotela wakho ngemithi yakho: Uma uthatha noma yimiphi imithi yokunciphisa igazi noma yesifo sikashukela, kufanele nakanjani utshele udokotela wakho ngayo. Angase akucele ukuthi uyeke ukuthatha imithi izinsuku ezimbalwa. Tshela nodokotela wakho nganoma yimaphi amavithamini noma imithi yamakhambi oyithathayo.
3. Gwema ukushayela: Njengoba uzonikezwa umuthi wokudambisa kulokhu kuhlolwa, ngeke ukwazi ukushayela ngemuva kokuhlolwa. Ngakho-ke, kubalulekile ukuba othile akushayele ekhaya ngemoto .
Ngaphandle kwesimo esiphuthumayo, udokotela uvame uku-oda ukuhlolwa kwe-CT kwamaphaphu ngaphambi kokuhlolwa kwe-bronchoscopy. Lokhu kunikeza udokotela umbono omuhle, njengemephu, wokuthi angabheka kuphi ngqo.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kuvame ukwenziwa esibhedlela noma egumbini lokuhlinza. Esikhathini esiningi, ungaya ekhaya ngalolo suku. Ake sibheke kancane kancane ukuthi kwenzekani.
- Okokuqala, uzonikezwa umuthi wokudambisa nge-IV cannula ukuze uphumule futhi uzizwe ulele. Kancane kancane uzoqala ukuzizwa ulula futhi ulele kakhudlwana.
- Bese umlomo wakho nomphimbo wakhoKusetshenziswa i-spray eqeda izinhlungu. Lokhu kuzonciphisa ukungakhululeki, ukukhwehlela, kanye nesicanucanu ozizwayo lapho kufakwa ikhamera. Umphimbo wakho ungase uzizwe uqinile kancane futhi kungaba nzima ukuwugwinya. Lokhu kuvamile, ungakhathazeki.
- Ngemva kokuba ulele kakhulu, udokotela uzofaka i-bronchoscope ngokucophelela ngomlomo noma ekhaleni lakho bese eyidlulisela epayipini lomoya emaphashini akho.
- Ngeke uzwe ubuhlungu ngalesi sikhathi. Ukuphefumula kwakho, ukushaya kwenhliziyo, kanye namazinga omoya-mpilo konke kubhekwa yimishini. Ngakho-ke uphephile ngokuphelele.
- Ukuze kususwe amathe kanye ne-mucus eqoqana emlonyeni ngesikhathi sokuhlolwa, kungasetshenziswa ipayipi elincane ukuze limunce.
- Uma ukuhlolwa sekuqediwe, umpristi uzosusa ipayipi. Yonke inqubo ithatha cishe imizuzu engama-30 kuya kwengama-90 .
Ingabe ngizonikezwa i-anesthesia ngokugcwele ngenxa yalokhu?
Esikhathini esiningi, uzonikezwa umuthi wokudambisa (umuthi okwenza ulale kakhulu). Ungase ungakhumbuli ukuhlolwa. Kodwa-ke, uma kusetshenziswa i-bronchoscope eqinile, noma uma kwenziwa okuthile okuyinkimbinkimbi, kungadingeka ukuthi ufakwe ngaphansi kwe-anesthesia ejwayelekile. Udokotela wakho uzochaza lokhu kusenesikhathi.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuhlolwa, uzogcinwa egumbini lokululama amahora ambalwa ngaphambi kokuba uthunyelwe ekhaya. Abasebenzi bezokwelapha bazokunakekela kuze kube yilapho imiphumela yemithi yokulala iphela, usuqaphile ngokuphelele, futhi ungabi nankinga yokugwinya. Ngezinye izikhathi i-X-ray yesifuba ingathathwa ukuqinisekisa ukuthi azikho izinkinga ngamaphaphu akho.
Lindela lezi zinto ngemva kokufika ekhaya:
- Umphimbo obuhlungu: Ungase ube nomphimbo obuhlungu, ukukhwehlela okuncane, kanye nokushaqeka cishe usuku lonke. Ungakhathazeki ngakho. Ungathola impumuzo ngokuthatha amaconsi okukhwehlela alungele umphimbo wakho.
- Ukudla Nokuphuza: Ungadli noma uphuze lutho kuze kube yilapho umphimbo obuhlungu usuphelile ngokuphelele (okungathatha ihora noma ngaphezulu) . Ukwenza kanjalo kungabangela ukuthi ukudla noma isiphuzo kuphume emaphashini. Uma umphimbo obuhlungu usuphelile, phuza amanzi kuqala, bese uqala ngokudla okuthambile njengephalishi ne-yogurt.
- Ukuphumula: Phumula kahle ngalolo suku. Ungaqhubeka nemisebenzi yakho evamile ngosuku olulandelayo.
Uzotshelwa ngaphambi kokuba uphume esibhedlela ukuthi imiphumela izotholakala nini nokuthi kufanele uphinde ubonane nodokotela wakho nini. Uma kuthathwe i-biopsy, kungathatha izinsuku ezimbalwa, noma ngisho nesonto, ukuthi imiphumela ifike.
Izici eziyingozi nezimpawu okufanele uzibike kudokotela wakho ngokushesha
Okokuqala, lokhu kuhlolwa okuphephile kakhulu . Izinkinga azivamile. Kodwa kuhle ukuziqaphela.
- Imbobo encane endleleni yokuphefumula.
- Ukutheleleka okuncane noma ukuvuvukala kwezintambo zezwi.
- Isimo esifana nephaphu eliwile. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-pneumothorax .
Nakuba izinto ezinjengalezi zingavamile ukwenzeka, ithimba lezokwelapha likulungele ukubhekana nanoma yisiphi isimo esinjalo.
Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya, kungaba uphawu lokutheleleka noma enye inkinga. Uma lokhu kwenzeka, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) noma ushayele udokotela wakho ngokushesha.
| Izimpawu okufanele uziqaphele | Incazelo |
|---|---|
| Ubuhlungu besifuba | Ubuhlungu obukhulu besifuba obukhula lapho uphefumula. |
| Ubunzima obukhulu bokuphefumula | Uma uzizwa unzima kakhulu ukuphefumula. |
| Umkhuhlane ophezulu | Umkhuhlane oqhubeka ngemva kwamahora angu-24. |
| Ukopha ngokweqile okune-mucus | Uma wopha igazi elingaphezu kwethisipuni ngesikhathi (imicu embalwa yegazi ijwayelekile). |
| Izimpawu ze-pneumonia | Umkhuhlane omkhulu, ukucobeka, kanye nobunzima bokuphefumula kwenzeka kanyekanye. |
Umlayezo Wokuya Nawe Ekhaya
- I-Bronchoscopy iyindlela yokuhlola ephephile kakhulu nebalulekile ehlola ngaphakathi kwamaphaphu akho ukuze ihlole futhi mhlawumbe yelaphe nezifo.
- Ungesabi lokhu. Kuzokwenza ulale, ngakho ngeke uzwe ubuhlungu noma ukungakhululeki.
- Landela imiyalelo kadokotela (ukuzila ukudla, ukuyeka imithi ethile) ngokucophelela ngaphambi kokuhlolwa.
- Njengoba ungeke ukwazi ukushayela ngemva kokuhlolwa, kubalulekile ukuthi ulethe umuntu ozokushayela ekhaya.
- Umphimbo obuhlungu kanye nokukhwehlela okuncane kuyinto evamile ngemva kokuhlolwa. Kodwa-ke, uma uzwa ubuhlungu esifubeni, ukuphelelwa umoya okukhulu, noma umkhuhlane omkhulu, yazisa udokotela wakho ngokushesha noma uye esibhedlela.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho