Mea Kākau: Lewis Jackson
Lā O Ka Hana: 12 Mei 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
Mastering Bronchoscopy for Thoracic Surgery: Chapter 2
Wikiō: Mastering Bronchoscopy for Thoracic Surgery: Chapter 2

Anter

He aha ka bronchoscopy?

ʻO kahi bronchoscopy kahi hōʻike e hiki ai i kāu kauka ke nānā i kāu mau kahawai. E wili kāu kauka i kahi mea kani i kapa ʻia he bronchoscope ma o kou ihu a waha paha a iho i kou ʻāʻī e hiki i kou mau māmā. Hana ʻia ka bronchoscope i kahi mea fiber-optic maʻalahi a he kumu kukui a me kahi kāmela ma ka hopena. Kūlike ka hapa nui o nā bronchoscope me ke wikiō kala, i kōkua i kāu kauka e kākau i kā lākou mau loaʻa.

No ke aha ke kauka e kauoha ai i kahi bronchoscopy?

Ke hoʻohana nei i ka bronchoscope, hiki i kāu kauka ke nānā i nā hanana āpau e hana i kāu ʻōnaehana hanu. Hoʻopili kēia i kāu larynx, trachea, a me nā alaloa liʻiliʻi o kou mau māmā, e komo pū me ka bronchi a me nā bronchioles.

Hiki ke hoʻohana ʻia i kahi bronchoscopy e kuhikuhi ai:

  • he mai lolo
  • he tumo
  • he puʻu hoʻomau
  • he maʻi maʻi

Hiki i kāu kauka ke kauoha i kahi bronchoscopy inā loaʻa iā ʻoe kahi X-ray umauma ʻino a CT paha e hōʻike ai i ka hōʻike o kahi maʻi, kahi tumo, a i ʻole he hāpule i hāʻule.


Hoʻohana ʻia ka hoʻokolohua i kekahi manawa ma ke ʻano he mea hana lapaʻau. ʻO kahi laʻana, hiki i kahi bronchoscopy ke ʻae i kāu kauka e lawe i nā lāʻau i kou mau māmā a hemo paha i kahi mea i hopu ʻia i kāu mau kahawai, e like me kahi meaʻai.

Ke hoʻomākaukau nei no kahi bronchoscopy

Hoʻopili ʻia kahi spray anesthetic kūloko i kou ihu a me kou puʻu i ka wā o ka bronchoscopy. E loaʻa paha iā ʻoe kahi lāʻau hoʻomālie e kōkua ai iā ʻoe e hoʻomaha. ʻO kēia ka ala ʻana akā e hiamoe ana i ka wā o ke kaʻina hana. Hāʻawi pinepine ʻia ka oxygen i ka manawa o ka bronchoscopy. ʻAʻole makemake nui ʻia ka anesthesia ākea.

Pono ʻoe e hōʻalo i ka ʻai ʻana a i ʻole ka inu ʻana i kekahi mea no 6 a 12 mau hola ma mua o ka bronchoscopy. Ma mua o ke kaʻina hana, e nīnau i kāu kauka inā pono ʻoe e haʻalele i ka lawe ʻana:

  • aspirin (Bayer)
  • ibuprofen (Advil)
  • Warfarin
  • lahilahi koko ʻē aʻe

Lawe mai i kahi mea me ʻoe i kāu manawa e hoʻokele ai iā ʻoe i ka home ma hope, a i ʻole hoʻonohonoho i ka halihali.

Nā kaʻina hana Bronchoscopy

Ke hoʻomaha ʻoe, e hoʻokomo kāu kauka i ka bronchoscope i kou ihu. Hele ka bronchoscope mai kou ihu a i kou ʻāʻī a hōʻea i kou bronchi. ʻO ka bronchi nā kahawai i kou mau māmā.


Hoʻopili a palaki ʻia paha i ka bronchoscope e hōʻiliʻili i nā mea kikoʻī mai kou mau māmā. Hiki i kēia mau laʻana ke kōkua i kāu kauka e hōʻoia i nā kūlana pehu āu i loaʻa.

Hiki paha i kāu kauka ke hoʻohana i kahi hana i kapa ʻia ʻo ka holoi bronchial e hōʻiliʻili i nā hunaola. Hoʻopili kēia i ka pīpī ʻana i kahi wai paʻakai ma luna o ka ʻaoʻao o kāu mau kahawai. Hōʻiliʻili ʻia nā hunaola i holoi ʻia o ka ʻili a nānā ʻia ma lalo o kahi microscope.

Kaukaʻi ʻia i kāu kūlana kikoʻī, hiki i kāu kauka ke loaʻa i hoʻokahi a ʻoi paha o kēia mau mea:

  • koko
  • ʻūlū
  • he maʻi maʻi
  • pehu
  • kahi paʻa
  • he tumo

Inā kāohi ʻia kāu mau kahawai, pono ʻoe i kahi stent e wehe iā lākou. ʻO kahi stent kahi paipu liʻiliʻi i hiki ke hoʻokomo ʻia i kāu bronchi me ka bronchoscope.

Ke pau kāu kauka i ka nānā ʻana i kāu mau māmā, e lawe lākou i ka bronchoscope.

Nā ʻano o ke kiʻi i hoʻohana ʻia i ka bronchoscopy

Hoʻohana ʻia nā ʻano kiʻi o ke kiʻi kiʻekiʻe i kekahi manawa e alakaʻi i kahi bronchoscopy. Hiki i nā ʻenehana kiʻekiʻe ke hāʻawi i kahi kiʻi kikoʻī o loko o kou mau māmā:


  • I ka wā o ka bronchoscopy ʻike kamepiula, hoʻohana kāu kauka iā CT scans e ʻike i kāu mau kahawai i nā kikoʻī.
  • I loko o kahi ultrasound endobronchial, hoʻohana kāu kauka i kahi kuʻina ultrasound i hoʻopili ʻia i ka bronchoscope e ʻike ai i kou mau kahawai.
  • I ka manawa o ka bronchoscopy fluorescence, hoʻohana kāu kauka i kahi kukui uila i hoʻopili ʻia i ka bronchoscope e ʻike i ka loko o kou mau māmā.

Nā pilikia o kahi bronchoscopy

Palekana ʻo Bronchoscopy no ka hapa nui o ka poʻe. Eia nō naʻe, e like me nā kaʻina hana olakino āpau, aia kekahi mau pilikia e pili ana. Pākuʻi ʻia paha nā pilikia:

  • kahe ana ke koko, ʻoiaʻiʻo inā hana ʻia kahi biopsy
  • maʻi maʻi
  • pilikia hanu
  • kahi pae oxygen haʻahaʻa haʻahaʻa i ka wā o ka hoʻāʻo

Kāhea aku i kāu kauka inā ʻoe:

  • he kuni
  • ke kahe nei ke koko
  • pilikia i ka hanu ʻana

Hiki i kēia mau hōʻailona ke hōʻike i kahi pilikia e koi ai i ka lāʻau lapaʻau, e like me ka maʻi.

Kākaʻikahi loa akā hiki ke hoʻoweliweli i nā ola o ka bronchoscopy me ka hōʻeha puʻuwai a me ka hāʻule ʻana o ka māmā Hiki i kahi māmā hāʻule ma muli o kahi pneumothorax, a i ʻole hoʻonui hoʻonui ʻia i kou māmā ma muli o ka pakele o ka ea i loko o ka pale o kou māmā. Nā hualoaʻa ia mai ka puncture o ka lung i ke kaʻina hana a ʻoi aku ka maʻamau me ka bronchoscope ʻoʻoleʻa ma mua o kahi pae fiber-optic hiki ke maʻalahi. Inā ʻākoakoa ka ea a puni kou māmā i ke kaʻina hana, hiki i kāu kauka ke hoʻohana i kahi pahu pahu e lawe i ka ea i hōʻiliʻili ʻia.

Loaʻa mai kahi bronchoscopy

Kahi wikiwiki kahi bronchoscopy, mau ma kahi o 30 mau minuke. No ka mea e hoʻowalewale ʻia ʻoe, e hoʻomaha ʻoe i ka haukapila no ʻelua mau hola a hiki i kou wā e ala hou ai a mae ka numbness i kou puʻu. E nānā ʻia kou hanu ʻana a me kou kaomi koko i kou wā e ola ai.

ʻAʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea a hiki i ka manawa o ka puʻu o kou ʻāʻī. Hiki i kēia ke lilo i hoʻokahi a i ʻelua mau hola. ʻEha a ʻeha paha paha kou ʻāʻī i ʻelua mau lā, a haʻalulu ʻoe. He maʻamau kēia. ʻAʻole lōʻihi ka lōʻihi no ka manawa lōʻihi a hele aku me ka ʻole o ka lāʻau.

HaʻIʻIa

Ke kamaʻilio pū mākou e pili ana i ka moʻomeheu Burnout, pono mākou e hoʻohui i nā kānaka kīnā ʻole

Ke kamaʻilio pū mākou e pili ana i ka moʻomeheu Burnout, pono mākou e hoʻohui i nā kānaka kīnā ʻole

Pehea mākou e ʻike ai i ke ʻano o ka honua a mākou e koho ai - a kaʻana like ʻana i nā ʻike i hiki ke hoʻopaʻa i ke ʻano o kā mākou mālama ʻana i kekahi i kekahi, no ka maikaʻi. He kuanaʻike mana kēia...
9 nā koho ʻē aʻe i ka kope (a no ke aha ʻoe e hoʻāʻo ai iā lākou)

9 nā koho ʻē aʻe i ka kope (a no ke aha ʻoe e hoʻāʻo ai iā lākou)

ʻO ka kofe ka mea inu i ke kakahiaka no nā mea he nui, ʻoiai koho ʻē aʻe i ka inu ʻole no nā kumu he nui.No kekahi, ʻo ka nui o ka caffeine - 95 mg i kēlā me kēia lawelawe - hiki ke hana i ka hopohopo...