Mea Kākau: Joan Hall
Lā O Ka Hana: 4 Pepeluali 2021
HōʻAno Hou I Ka Lā: 19 Nowemapa 2024
Anonim
Bronchoalveolar Lavage (BAL) in the ICU
Wikiō: Bronchoalveolar Lavage (BAL) in the ICU

Anter

He aha nā bronchoscopy a me ka bronchoalveolar lavage (BAL)?

ʻO Bronchoscopy kahi hana e hiki ai i ka mea lawelawe olakino ke nānā aku i kou mau māmā. Hoʻohana ia i kahi paipu lahilahi, kukui i kapa ʻia he bronchoscope. Hoʻokomo ʻia ka paipu ma ka waha a me ka ihu a neʻe i lalo i ka ʻāʻī a i loko o nā alaloa. Kōkua ia i ka diagnose a mālama ʻana i kekahi mau maʻi maʻi māmā

ʻO kahi Bronchoalveolar lavage (BAL) kahi hana e hana ʻia i kekahi manawa i ka manawa o ka bronchoscopy. Kāhea ʻia nō hoʻi ka holoi ʻana iā bronchoalveolar. Hoʻohana ʻia ka BAL e hōʻiliʻili i kahi hāpana mai nā ake māmā no ka hoʻāʻo ʻana. I ka wā o ke kaʻina hana, waiho ʻia kahi hopena saline ma o ka bronchoscope e holoi i nā alaloa a hopu i kahi hōʻailona wai.

Nā inoa ʻē aʻe: ka bronchoscopy maʻalahi, ka holoi ʻana i ka bronchoalveolar

No ke aha lākou e hoʻohana ai?

Hiki ke hoʻohana ʻia ʻo Bronchoscopy i:

  • E ʻike a mālama i nā ulu ʻana a i ʻole nā ​​wahi blockages ʻē aʻe i nā alaloa
  • Wehe i nā puʻupuʻu puʻupuʻu
  • Kaohi i ke kahe ʻana i ke ala ākea
  • Kōkua e loaʻa ke kumu o ka hoʻomau mau

Inā ua ʻike mua ʻia ʻoe me ka maʻi ʻaʻai puʻupuʻu, hiki i ka hōʻoia ke kōkua i ka hōʻike ʻana i kona koʻikoʻi.


Hoʻohana ʻia ʻo Bronchoscopy me BAL e hōʻiliʻili i nā mea no ka hoʻāʻo ʻana. Kōkua kēia mau hoʻokolohua i ke kuhi hewa ʻana i nā ʻano maʻi like ʻole o ka ake māmā:

  • Nā maʻi o ke koʻohune e like me ka tuberculosis a me ka maʻi koʻohune bacteria
  • Nā maʻi fungal
  • Kanesa maʻi ʻaʻai

Hiki ke hoʻohana ʻia i hoʻokahi a i ʻole ʻelua mau hoʻokolohua inā hōʻike kahi hōʻike kiʻi i kahi pilikia kūpono me nā akemāmā.

No ke aha wau e pono ai i ka bronchoscopy a me ka BAL?

Pono ʻoe i hoʻokahi a i ʻole ʻelua mau hoʻāʻo inā loaʻa iā ʻoe nā ʻōuli o ka maʻi lolo, e like me:

  • Mū kūmau
  • Hī pilikia
  • ʻApu ʻana i ke koko

Pono paha ʻoe i kahi BAL inā loaʻa ʻoe i ka maʻi ʻōnaehana pale maʻi. ʻO kekahi mau maʻi ʻōnaehana pale pale, e like me HIV / AIDS, hiki ke hoʻokau iā ʻoe i ka makaʻu kiʻekiʻe loa no kekahi mau maʻi lolo.

He aha ka hana i ka wā o bronchoscopy a me BAL?

Hana pinepine ʻia ʻo Bronchoscopy a me BAL e ka pulmonologist. ʻO kahi pulmonologist he kauka i loea i ka diagnostical a me ka mālama ʻana i nā maʻi o ka maʻi māmā.

Hoʻopili maʻamau kahi bronchoscopy i kēia mau hana:


  • Pono paha ʻoe e hemo i kahi o kāu mau lole āpau paha. Inā pēlā, e hāʻawi ʻia ʻoe i ka ʻaukā lole.
  • E noho ʻoe i kahi noho e like me ka noho o ka kauka niho a i ʻole noho i luna o ka papa hana me kou poʻo i hāpai ʻia.
  • Loaʻa paha iā ʻoe ka lāʻau lapaʻau (sedative) e kōkua ai iā ʻoe e hoʻomaha. E hoʻokomo ʻia ka lāʻau i loko o kahi aa a hāʻawi ʻia ma o ka laina IV (intravenous) e hoʻokau ʻia i kou lima a lima paha.
  • E pīpī kāu mea hāʻawi i kahi lāʻau numbing i kou waha a me kou puʻu, no laila ʻaʻole ʻoe e ʻike i kahi ʻeha i ka wā o ke kaʻina hana.
  • E hoʻokomo kāu mea hāʻawi i ka bronchoscope i lalo i kou ʻāʻī a i kāu mau kahawai.
  • Ke hoʻoneʻe ʻia ka bronchoscope i lalo, e nānā ana kāu mea hāʻawi i kāu mau māmā.
  • Hiki i kāu mea hāʻawi ke hana i nā lāʻau ʻē aʻe i kēia manawa, e like me ka hemo ʻana i kahi tumo a i ʻole ka hoʻomaʻemaʻe ʻana i kahi paʻa.
  • I kēia manawa, loaʻa iā ʻoe kahi BAL.

Ma kahi BAL:

  • E hoʻokau kāu mea hāʻawi i kahi saline liʻiliʻi ma o ka bronchoscope.
  • Ma hope o ka holoi ʻana i nā ala ea, hānai ʻia ka paʻakai i loko o ka bronchoscope.
  • E loaʻa nā aʻa a me nā mea ʻē aʻe i ka hopena saline, e like me ka bacteria, e lawe ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

Pono ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) no kekahi mau hola ma mua o kāu kaʻina hana. E hoʻomaopopo ka mea hāʻawi iā ʻoe i ka lōʻihi e pono ai e hōʻalo i ka meaʻai a me ka inu.


Pono ʻoe e hoʻonohonoho e hoʻokele kekahi iā ʻoe i kou home. Inā hāʻawi ʻia ʻoe i kahi mea hoʻohiamoe, e hiamoe paha ʻoe no kekahi mau hola ma hope o kāu kaʻina hana.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka loaʻa ʻana o ka bronchoscopy a i ʻole ka BAL. Hāʻawi nā kaʻina hana iā ʻoe i ka ʻāʻī ʻeha no kekahi mau lā. Kūleʻa ʻole nā ​​kūpilikiʻi koʻikoʻi, akā hiki iā lākou ke hoʻopili i ke kahe ʻana i ke kahawai, maʻi, a i ʻole kahi ʻāpana i hāʻule o kahi akemāmā.

He aha ke ʻano o nā hopena?

Inā ʻaʻole maʻamau kāu mau hopena bronchoscopy, manaʻo paha ia he maʻi lolo kou e like me:

  • Kahi blockage, ulu ulu ʻana a i ʻole tumo i nā alaloa
  • Ka palena o kahi o nā alaloa
  • ʻO ka hōʻino ʻia o ka maʻi ma muli o kahi maʻi pale e like me ka rheumatoid arthritis

Inā loaʻa iā ʻoe ka BAL a ʻaʻole maʻamau kāu mau hopena hāpana, manaʻo paha ia ua loaʻa ʻoe i ka maʻi ʻaʻa maʻi a i ʻole kahi ʻano maʻi e like me:

  • Maʻi puʻu
  • Pulumonia koʻohune
  • Maʻi maʻi Fungal

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka bronchoscopy a me ka BAL?

Ma waho aʻe o ka BAL, aia kekahi mau kaʻina hana i hiki ke hana ʻia i ka wā o ka bronchoscopy. Pākuʻi ʻia kēia mau mea:

  • Moʻomeheu Sputum. ʻO Sputum kahi ʻano mānoanoa o ka mucus i hana ʻia i loko o kou mau akemāmā. ʻOkoʻa ia ma mua o ka kuha a i ka lawai paha. Kuhi kahi moʻomeheu sputum i kekahi ʻano o nā maʻi.
  • ʻO ka laser therapy a radiation paha e mālama i nā tumors a i ʻole ke kanesa
  • ʻO ka mālama ʻana e kaohi i ke kahe ʻana o ka hanu i nā māmā

Nā kūmole

  1. ʻAhahui Kanaka ʻAmelika [Pūnaewele]. Atlanta: ʻAmelika Hui Pū ʻIa ʻAmelika Hui Pū ʻIa. c2020. Bronchoscopy; [hoʻohou 2019 Jan 14; i helu ʻia 2020 Jul 9]; [ma kahi o 5 pale]. Loaʻa mai: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/endoscopy/bronchoscopy.html
  2. ʻAhahui Lū ʻAmelika [Pūnaewele]. ʻO Kikako: ʻAmelika Hui Pū ʻIa ʻAmelika; c2020. Bronchoscopy; [helu ʻia 2020 Jul 9]; [ma kahi o 3 pale]. Loaʻa mai: https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/bronchoscopy
  3. ʻO Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. ʻO Ed Ed, Kindle. Piladelapia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Bronchoscopy; p. 114.
  4. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co., Inc. c2020. Bronchoscopy; [hōʻano hou ʻia 2019 Jul; i helu ʻia 2020 Jul 9]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/lung-and-airway-disorder/diagnosis-of-lung-disorder/bronchoscopy
  5. Nationwide Children’s Internet [Pūnaewele]. Columbus (OH): Halemai Kamaliʻi a puni ka ʻāina; c2020. Bronchoscopy (Flexible Bronchoscopy a me Bronchoalveolar Lavage); [helu ʻia 2020 Jul 9]; [ma kahi o nā pale ʻehā.] Loaʻa mai: https://www.nationwidechildrens.org/family-resource-education/health-wellness-and-safety-resource/helping-hands/bronchoscopy-flexible-bronchoscopy-and-bronchoalveolar-lavage
  6. ʻO Patel PH, Antoine M, Ullah S. StatPearls. [Pūnaewele]. Ka Paʻi Moku ʻo Treasure; c2020. ʻO Bronchoalveolar Lavage; [hoʻohou i ka 2020 Apr 23; i helu ʻia 2020 Jul 9]; Loaʻa mai: https://www.ncbi.nlm.nih.gov/books/NBK430762
  7. RT [Pūnaewele]. Pāka Overland (KS): Medqor Advanced Healthcare Technology a me nā pono hana; c2020. ʻO Bronchoscopy a me Bronchoalveolar Lavage; 2007 Feb 7 [helu ʻia 2020 Jul 9]; [ma kahi o 3 pale]. Loaʻa mai: https://www.rtmagazine.com/disorder-diseases/chronic-pulmonary-disorder/asthma/bronchoscopy-and-bronchoalveolar-lavage/
  8. Radha S, Afroz T, Prasad S, Ravindra N. Diagnostic pono o ka bronchoalveolar lavage. J Cytol [Pūnaewele]. 2014 Jul [helu ʻia 2020 Jul 9]; 31 (3): 136–138. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274523
  9. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. Bronchoscopy: Hōʻike Hou; [hōʻano 2020 2020 9; helu ʻia 2020 Jul 9]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/bronchoscopy
  10. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2020. ʻO Encyclopedia Health: Bronchoscopy; [helu ʻia 2020 Jul 9]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07743
  11. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Bronchoscopy: Pehea e hana ai; [hōʻano 2020 2020 24; i helu ʻia 2020 Jul 9]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200480
  12. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Bronchoscopy: Pehea e hoʻomākaukau ai; [hōʻano 2020 2020 24; i helu ʻia 2020 Jul 9]; [ma kahi o 4 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200479
  13. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Bronchoscopy: Nā hopena; [hōʻano 2020 2020 24; helu ʻia 2020 Jul 9]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#aa21557
  14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Bronchoscopy: Hōʻike Manaʻo Hōʻike; [hōʻano 2020 2020 24; i helu ʻia 2020 Jul 9]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200477
  15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Bronchoscopy: No ke aha e hana ʻia ai; [hōʻano 2020 2020 24; i helu ʻia 2020 Jul 9]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200478

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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