I-Bronchoscopy ne-Bronchoalveolar Lavage (BAL)

-Delile

• Yini i-bronchoscopy ne-bronchoalveolar lavage (BAL)?
• Zisetshenziselwani?
• Kungani ngidinga i-bronchoscopy ne-BAL?
• Kwenzekani ngesikhathi se-bronchoscopy ne-BAL?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi nge-bronchoscopy ne-BAL?
• Izinkomba

Yini i-bronchoscopy ne-bronchoalveolar lavage (BAL)?

I-Bronchoscopy inqubo evumela umhlinzeki wezempilo ukuthi abheke amaphaphu akho. Isebenzisa ishubhu elincane elikhanyisiwe elibizwa nge-bronchoscope. Ishubhu lifakwa emlonyeni noma ekhaleni bese lihanjiswa ngomphimbo lize liye ezindleleni zomoya. Kuyasiza ukuxilonga nokwelapha izifo ezithile zamaphaphu.

Ukuhlanza i-Bronchoalveolar (BAL) inqubo eyenziwa kwesinye isikhathi ngesikhathi se-bronchoscopy. Kubizwa nangokuthi ukuwashwa kwe-bronchoalveolar. I-BAL isetshenziselwa ukuqoqa isampula emaphashini ukuze ihlolwe. Ngesikhathi senqubo, kufakwa isixazululo sosawoti nge-bronchoscope ukugeza izindlela zomoya nokubamba isampula loketshezi.

Amanye amagama: i-bronchoscopy eguquguqukayo, ukuwashwa kwe-bronchoalveolar

Zisetshenziselwani?

I-Bronchoscopy ingasetshenziselwa uku:

• Thola futhi uphathe ukukhula noma okunye ukuvinjelwa ezindleleni zomoya
• Susa izicubu zamaphaphu
• Lawula ukopha emoyeni
• Siza ukuthola imbangela yokukhwehlela okungapheli

Uma usuvele utholakale unomdlavuza wamaphaphu, isivivinyo singasiza ukukhombisa ukuthi sinzima kangakanani.

I-Bronchoscopy ene-BAL isetshenziselwa ukuqoqa izicubu zokuhlolwa. Lezi zivivinyo zisiza ukuxilonga ukuphazamiseka okuhlukile kwamaphaphu kufaka phakathi:

• Ukutheleleka kwamagciwane njengesifo sofuba kanye ne-pneumonia yebhaktheriya
• Izifo zefungal
• Umdlavuza wamaphaphu

Ukuhlolwa okukodwa noma kokubili kungasetshenziswa uma ukuhlolwa kwe-imaging kukhombisa inkinga engaba khona ngamaphaphu.

Kungani ngidinga i-bronchoscopy ne-BAL?

Ungadinga ukuhlolwa okukodwa noma kokubili uma unezimpawu zesifo samaphaphu, njenge:

• Ukukhwehlela okungapheli
• Ukuphefumula kanzima
• Akhwehlele igazi

Ungadinga futhi i-BAL uma unesifo sokuzivikela komzimba. Ezinye izifo zamasosha omzimba, njenge-HIV / AIDS, zingakubeka engcupheni enkulu yokutheleleka ngamaphaphu.

Kwenzekani ngesikhathi se-bronchoscopy ne-BAL?

I-Bronchoscopy ne-BAL zivame ukwenziwa yi-pulmonologist. I-pulmonologist ngudokotela ogxile ekuhloleni nasekwelapheni izifo zamaphaphu.

I-bronchoscopy ivame ukufaka lezi zinyathelo ezilandelayo:

• Ungahle udinge ukususa ezinye noma zonke izingubo zakho. Uma kunjalo, uzonikezwa ingubo yasesibhedlela.
• Uzohlala esihlalweni esifana nesihlalo samazinyo noma uhlale etafuleni lenqubo uphakamise ikhanda.
• Ungathola umuthi (wokuthambisa) ukukusiza uphumule. Umuthi uzofakwa emthanjeni noma uzonikezwa ngomugqa we-IV (emthanjeni) ozobekwa engalweni noma esandleni sakho.
• Umhlinzeki wakho uzofafaza umuthi oyindikindiki emlonyeni wakho nasemphinjeni, ngakho-ke ngeke ubuzwe ubuhlungu ngesikhathi senqubo.
• Umhlinzeki wakho uzofaka i-bronchoscope phansi komphimbo wakho naku-airways yakho.
• Njengoba i-bronchoscope ihanjiswa phansi, umhlinzeki wakho uzohlola amaphaphu akho.
• Umhlinzeki wakho angenza ezinye izindlela zokwelapha ngalesi sikhathi, njengokukhipha isimila noma ukusula ukuvinjelwa.
• Kuleli qophelo, ungathola futhi i-BAL.

Ngesikhathi se-BAL:

• Umhlinzeki wakho uzobeka u-saline omncane nge-bronchoscope.
• Ngemuva kokugeza imigwaqo yomoya, usawoti uyamunzwa ungene kwi-bronchoscope.
• Isisombululo sikasawoti sizoqukatha amaseli nezinye izinto, njengamagciwane, azoyiswa elebhu ukuyohlolwa.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Ungadinga ukuzila ukudla (ungadli noma uphuze) amahora ambalwa ngaphambi kwenqubo yakho. Umhlinzeki wakho uzokwazisa ukuthi udinga isikhathi esingakanani ukugwema ukudla neziphuzo.

Kufanele futhi uhlele ukuthi othile akuhambise ekhaya. Uma unikezwe umuthi wokuthambisa, ungahle wozele amahora ambalwa ngemuva kwenqubo yakho.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuba ne-bronchoscopy noma i-BAL. Izinqubo zingakunika umphimbo obuhlungu izinsuku ezimbalwa. Izinkinga ezinkulu azivamile, kepha zingafaka ukopha ezindleleni zomoya, ukutheleleka, noma ingxenye ewohlokile yamaphaphu.

Isho ukuthini imiphumela?

Uma imiphumela yakho ye-bronchoscopy ibingajwayelekile, kungasho ukuthi unenkinga yamaphaphu efana nale:

• Ukuvinjelwa, ukukhula, noma isimila ezindleleni zomoya
• Ukuncipha kwengxenye yezindlela zomoya
• Ukulimala kwamaphaphu ngenxa yokuphazamiseka komzimba okufana nesifo samathambo

Uma ngabe une-BAL futhi imiphumela yakho yesampula yamaphaphu ibingejwayelekile, kungasho ukuthi unomdlavuza wamaphaphu noma uhlobo lokutheleleka olufana nalokhu:

• Isifo sofuba
• I-pneumonia yebhaktheriya
• Ukutheleleka kwefungal

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi nge-bronchoscopy ne-BAL?

Ngaphezu kwe-BAL, kunezinye izinqubo ezingenziwa ngesikhathi se-bronchoscopy. Lokhu kufaka phakathi:

• Isiko lesikhohlela. Isikhwehlela uhlobo olujiyile lwamafinyila olwenziwe emaphashini akho. Ihlukile kunokukhafula noma amathe. Isiko lesikhwehlela lihlola izinhlobo ezithile zezifo.
• Ukwelashwa nge-Laser noma imisebe yokwelapha izicubu noma umdlavuza
• Ukwelashwa ukulawula ukopha emaphashini

Izinkomba

1. I-American Cancer Society [Inthanethi]. I-Atlanta: I-American Cancer Society Inc.; c2020. I-Bronchoscopy; [kubuyekezwe i-2019 Jan 14; kukhonjiwe ngo-2020 Jul 9]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/endoscopy/bronchoscopy.html
2. I-American Lung Association [i-Inthanethi]. IChicago: I-American Lung Association; c2020. I-Bronchoscopy; [icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/bronchoscopy
3. UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. I-Bronchoscopy; k. 114.
4. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2020. I-Bronchoscopy; [kubuyekezwe i-2019 Jul; icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/lung-and-airway-disorders/diagnosis-of-lung-disorders/bronchoscopy
5. Izwe Lonke Lezingane [i-Intanethi]. IColumbus (OH): Isibhedlela Sezingane Sezwe Lonke; c2020. I-Bronchoscopy (i-Flexible Bronchoscopy ne-Bronchoalveolar Lavage); [icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-4.] Kutholakala kusuka: https://www.nationwidechildrens.org/family-resource-education/health-wellness-and-safety-resource/helping-hands/bronchoscopy-flexible-bronchoscopy-and-bronchoalveolar-lavage
6. UPatel PH, u-Antoine M, u-Ullah S. StatPearls. [Inthanethi]. Ukushicilelwa Kwe-Treasure Island; c2020. Ukuhlanza i-Bronchoalveolar; [kubuyekezwe ngo-2020 Eph 23; kukhonjiwe ngo-2020 Jul 9]; Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/books/NBK430762
7. RT [Inthanethi]. I-Overland Park (KS): I-Medqor Advanced Healthcare Technology namathuluzi; c2020. I-Bronchoscopy ne-Bronchoalveolar Lavage; 2007 Feb 7 [icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/bronchoscopy-and-bronchoalveolar-lavage/
8. URadha S, Afroz T, Prasad S, Ravindra N. Ukusetshenziswa kwesifo sokuhlanza i-bronchoalveolar. J Cytol [Inthanethi]. 2014 Jul [icashunwe ngo-2020 Jul 9]; 31 (3): 136–138. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274523
9. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. I-Bronchoscopy: Ukubuka konke; [kubuyekezwe ngo-2020 Jul 9; icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/bronchoscopy
10. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: iBronchoscopy; [icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07743
11. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Bronchoscopy: Kwenziwa Kanjani; [kubuyekezwe ngo-2020 Feb 24; kukhonjiwe ngo-2020 Jul 9]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200480
12. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Bronchoscopy: Ungazilungiselela Kanjani; [kubuyekezwe ngo-2020 Feb 24; kukhonjiwe ngo-2020 Jul 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200479
13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Bronchoscopy: Imiphumela; [kubuyekezwe ngo-2020 Feb 24; kukhonjiwe ngo-2020 Jul 9]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#aa21557
14. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Bronchoscopy: Ukubuka konke kokuhlolwa; [kubuyekezwe ngo-2020 Feb 24; icashunwe ngo-2020 Jul 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200477
15. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Bronchoscopy: Kungani Yenziwa; [kubuyekezwe ngo-2020 Feb 24; kukhonjiwe ngo-2020 Jul 9]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200478

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.