ʻO Biopsy o ke ala kiʻekiʻe

ʻO ke biopsy airway kiʻekiʻe kahi ʻoki e wehe i kahi ʻāpana o nā kiko mai ka ihu, waha, a me ka ʻāʻī. E nānā ʻia ke kiko ma lalo o ka microscope e kahi pathologist.

E pīpī ka mea mālama ola i kahi lāʻau numbing i kou waha a me kou puʻu. Hoʻokomo ʻia kahi paipu hao e hoʻopaʻa i kou alelo mai ke ala.

ʻO kekahi lāʻau lapaʻau numbing e kahe ana ma o ka paipu ma hope o ka ʻāʻī. ʻO kēia paha ka mea e ʻū ai ʻoe i ka mua. Ke mānoanoa a pehu paha ka wahi, manunu ia.

Nānā ka mea hāʻawi i ka wahi kūpono ʻole, a hemo i kahi ʻāpana liʻiliʻi o nā meaola. Hoʻouna ʻia i ka hale hana no ka hoʻokolokolo ʻana.

Mai ʻai no 6 a 12 mau hola ma mua o ka hoʻāʻo.

E haʻi i kāu mea hāʻawi inā lawe ʻoe i ka mea lahilahi o ke koko, e like me ka aspirin, clopidogrel, a i ʻole warfarin, ke kuhikuhi ʻoe i ka biopsy. Pono paha ʻoe e haʻalele i ka lawe ʻana iā lākou no kekahi manawa iki. Mai hōʻoki i ka lawe ʻana i nā lāʻau i ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.

Ke kuhi ʻia nei ka wahi, manaʻo paha ʻoe e like me ka wai e kahe ana ma hope o kou ʻāʻī. ʻIke paha ʻoe i ka pono o ka huehue a gag paha. A manaʻo paha ʻoe i ke kaomi a i ʻole ka ʻūlū mālie.

Ke pau ka helu ʻole, makaʻu paha kou ʻāʻī no kekahi mau lā. Ma hope o ka hoʻāʻo, e hoʻi ka reflex baty i 1 i 2 mau hola. A laila ʻai ʻoe a inu hoʻi i maʻamau.

E hana ʻia paha kēia hoʻāʻo inā manaʻo kāu mea hoʻolako aia he pilikia me kāu alaloa kiʻekiʻe. Hiki ke hana ʻia me ka bronchoscopy.

Kūleʻa nā pūnaewele o ke ala kiʻekiʻe, me ka ulu ʻole ʻole.

Nā pilikia a me nā kūlana i ʻike ʻia e pili pū me:

• ʻO Benign (noncancerous) cista a i ʻole nā ​​lehulehu
• Kanesa
• Nā maʻi āpau
• ʻO Granulomas a me nā mumū e pili ana (hiki ke kumu ʻia e ka maʻi kō)
• Nā maʻi Autoimmune, e like me granulomatosis me polyangiitis
• Necrotizing vasculitis

Nā pilikia no kēia kaʻina hana:

• Kahe (kekahi o ke kahe he maʻamau, ʻaʻole nui ke kahe koko)
• Nā pilikia hanu
• Eha ka 'ā'ī

Aia ka makaʻu o ke kolohe inā ʻoe e ale i ka wai a i ʻole ka meaʻai ma mua o ka pau ʻana o ka helu.

ʻO Biopsy - alaloa kiʻekiʻe

• Hōʻike ala kiʻekiʻe o luna
• ʻO Bronchoscopy
• Anatomia kuʻi

ʻO Frew AJ, Doffman SR, Hurt K, Buxton-Thomas R. maʻi hanu. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clark. 9th ed. Piladelapia, PA: Elsevier; 2017: chap 24.

ʻO Mason JC. Nā maʻi Rheumatic a me ka ʻōnaehana cardiovascular. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 94.

Yung RC, Flint PW. Endoscopy Tracheobronchial. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 72.