I-Bronchoscopy

-Delile

• Kungani udokotela eyala i-bronchoscopy?
• Ukulungiselela i-bronchoscopy
• Inqubo ye-Bronchoscopy
• Izinhlobo zokucabanga ezisetshenziswa ku-bronchoscopy
• Izingozi ze-bronchoscopy
• Ukubuyiselwa kusuka ku-bronchoscopy

Kuyini i-bronchoscopy?

I-bronchoscopy isivivinyo esivumela udokotela wakho ukuthi ahlole izindlela zakho zomoya. Udokotela wakho uzofaka insimbi ebizwa nge-bronchoscope ngamakhala akho noma ngomlomo nangaphansi komphimbo wakho ukufinyelela emaphashini akho. I-bronchoscope yenziwe ngezinto eziguquguqukayo ze-fiber-optic futhi inomthombo wokukhanya nekhamera ekugcineni. Ama-bronchoscopes amaningi ayahambisana nevidiyo enemibala, esiza udokotela wakho ukubhala lokho abakutholile.

Kungani udokotela eyala i-bronchoscopy?

Usebenzisa i-bronchoscope, udokotela wakho angabuka zonke izakhiwo ezakha uhlelo lwakho lokuphefumula. Lokhu kufaka phakathi i-larynx yakho, i-trachea, kanye nemigwaqo yomoya emincane yamaphaphu akho, efaka i-bronchi ne-bronchioles.

I-bronchoscopy ingasetshenziselwa ukuxilonga:

• isifo samaphaphu
• isimila
• ukukhwehlela okungapheli
• ukutheleleka

Udokotela wakho angalawula i-bronchoscopy uma unesifuba esingajwayelekile se-X-ray noma i-CT scan ekhombisa ubufakazi bokutheleleka, isimila noma iphaphu eliwohlokile.

Ukuhlolwa kwesinye isikhathi kusetshenziswa njengethuluzi lokwelashwa. Isibonelo, i-bronchoscopy ingavumela udokotela wakho ukuletha imithi emaphashini akho noma asuse into ebanjwe ezindleleni zakho zomoya, njengocezu lokudla.

Ukulungiselela i-bronchoscopy

Isifutho sendawo sokubulala izinzwa sisetshenziswa ekhaleni nasemphinjeni wakho ngesikhathi se-bronchoscopy. Mhlawumbe uzothola isidambisi sokukusiza uphumule. Lokhu kusho ukuthi uzobe uphapheme kodwa uyozela ngesikhathi senqubo. I-oksijeni ivame ukunikezwa ngesikhathi se-bronchoscopy. I-anesthesia ejwayelekile ayidingeki kangako.

Uzodinga ukugwema ukudla noma ukuphuza noma yini amahora ayisithupha kuya kwayi-12 ngaphambi kwe-bronchoscopy. Ngaphambi kwenqubo, buza udokotela wakho uma udinga ukuyeka ukuthatha:

• i-aspirin (iBayer)
• ibuprofen (Advil)
• warfarin
• ezinye izinciphisi zegazi

Letha umuntu othile lapho uya khona ukuze akushayele uye ekhaya ngemuva kwalokho, noma ahlele izinto zokuhamba.

Inqubo ye-Bronchoscopy

Uma usukhululekile, udokotela wakho uzofaka i-bronchoscope emakhaleni akho. I-bronchoscope idlula kusuka ekhaleni lakho iye phansi emphinjeni ize ifinyelele ku-bronchi yakho. I-bronchi iyindlela yomoya emaphashini akho.

Amabhulashi noma izinaliti zingaxhunyaniswa ne-bronchoscope ukuqoqa amasampula wezicubu emaphashini akho. Lawa masampula angasiza udokotela wakho ukuxilonga noma yiziphi izimo zamaphaphu ongaba nazo.

Udokotela wakho futhi angasebenzisa inqubo ebizwa ngokuthi ukuwasha ubrononial ukuqoqa amaseli. Lokhu kuhilela ukufafaza isisombululo sikasawoti ebusweni bomoya wakho. Amaseli akhukhuliswa ebusweni ayaqoqwa bese ebhekwa ngaphansi kwesibonakhulu.

Ngokuya ngesimo sakho esithile, udokotela wakho angathola okukodwa noma ngaphezulu kokulandelayo:

• igazi
• amafinyila
• ukutheleleka
• ukuvuvukala
• ukuvinjelwa
• isimila

Uma izindiza zakho zivaliwe, ungadinga i-stent ukuze uzigcine zivulekile. I-stent yishubhu elincane elingafakwa ku-bronchi yakho ne-bronchoscope.

Lapho udokotela wakho eseqedile ukuhlola amaphaphu akho, azosusa i-bronchoscope.

Izinhlobo zokucabanga ezisetshenziswa ku-bronchoscopy

Izinhlobo ezithuthukisiwe zokucabanga kwesinye isikhathi zisetshenziselwa ukwenza i-bronchoscopy. Amasu athuthukile anganikeza isithombe esinemininingwane engaphezulu yamaphaphu akho:

• Ngesikhathi se-bronchoscopy ebonakalayo, udokotela wakho usebenzisa ama-CT scan ukuze abone imigwaqo yakho yomoya ngokuningiliziwe.
• Ngesikhathi se-endobronchial ultrasound, udokotela wakho usebenzisa i-ultrasound probe enamathiselwe ku-bronchoscope ukubona izindlela zakho zomoya.
• Ngesikhathi se-fluorescence bronchoscopy, udokotela wakho usebenzisa ukukhanya kwe-fluorescent okunamathiselwe ku-bronchoscope ukubona ngaphakathi kwamaphaphu akho.

Izingozi ze-bronchoscopy

I-Bronchoscopy iphephile kubantu abaningi. Kodwa-ke, njengazo zonke izinqubo zokwelashwa, kunezingozi ezithile ezihilelekile. Izingozi zingafaka:

• ukopha, ikakhulukazi uma kwenziwa i-biopsy
• ukutheleleka
• inkinga yokuphefumula
• izinga eliphansi le-oxygen egazini ngesikhathi sokuhlolwa

Xhumana nodokotela wakho uma:

• ube nomkhuhlane
• bakhwehlela igazi
• unenkinga yokuphefumula

Lezi zimpawu zingabonisa inkinga edinga ukunakekelwa kwezokwelapha, njengokutheleleka.

Izingozi ezingavamile kakhulu kepha ezisongela impilo ze-bronchoscopy zifaka phakathi isifo senhliziyo nokuwa kwamaphaphu. Iphaphu eliwohlokile lingaba ngenxa ye-pneumothorax, noma ingcindezi eyandisiwe emaphashini akho ngenxa yokuphunyuka komoya kungqimba lwephaphu lakho. Lokhu kubangelwa ukuqhuma kwamaphaphu ngesikhathi senqubo futhi kuvame kakhulu nge-bronchoscope eqinile kunokulinganisa okuguqukayo kwe-fiber-optic. Uma umoya uqoqa uzungeze iphaphu lakho ngesikhathi senqubo, udokotela wakho angasebenzisa ithubhu yesifuba ukususa umoya oqoqiwe.

Ukubuyiselwa kusuka ku-bronchoscopy

I-bronchoscopy iyashesha, ihlala cishe imizuzu engama-30. Ngoba uzobe ulele, uzophumula esibhedlela amahora ambalwa uze uzizwe uphapheme kakhulu futhi ukuba ndikindiki komphimbo wakho kuyaphela. Ukuphefumula kwakho nomfutho wegazi kuzobhekwa ngesikhathi ululama.

Ngeke ukwazi ukudla noma ukuphuza noma yini kuze kube yilapho umphimbo wakho ungasekho ndikindiki. Lokhu kungathatha ihora elilodwa kuya kwamabili. Umphimbo wakho ungazizwa ubuhlungu noma uklwebhekile izinsuku ezimbalwa, futhi ungahle ube nesibindi. Lokhu kuvamile. Imvamisa ayihlali isikhathi eside futhi iyahamba ngaphandle kwemithi noma ukwelashwa.