Overview
An endobronchial ultrasound chirongwa chekurapa chinogona kuitwa panguva yebronchoscopy, kupa humwe humwe ruzivo rwekuongorora kana kutsvaga danho rekenza yemapapu. Iyi nzira inoshandiswa inoita kuti vanachiremba vatarise nzvimbo dzemapapu enyu uye nzvimbo dzakapoteredza nzvimbo iyo yakagara ichitsvaka nzira dzakawanda dzokuvhiya dzisingagoni kuongorora.
Nzira yacho inowanzoitwa sechirongwa chekubuda kunze kana kushanda kwezuva rimwechete uye inonzi inenge isinganzwisisi nzira.
Nzira
An endobronchial ultrasound inowanzoitwa pasi pe "maitiro anesthesia" zvinoreva kuti iwe uchange uchinge wakarara uye haunzwi uchinetseka, asi hauzove wakarara zvakanyanyisa sezvaunenge uine anesthétique. Izvi zvinogona, zvisinei, zvinogona kuitwa nehuwandu hwemasimba anesthetic kana zvichidikanwa.
Usati waita endobronchial ultrasound, chiremba wako anotanga kutanga kuita bronchoscopy. Muchigadzirwa chebhanoscopy , tube inowanikwa kuburikidza nemuromo wako kana mumhino yako muchechea wako (iwe mhepo yako) uyezve kupinda mumhepo huru inoenda mumapapu ako. Mushure mokunge tube iri panzvimbo, vanachiremba vanoshandisa sarudzo yakakosha ye ultrasound kuti vatumire mafungu emhepo (ultrasound) kuburikidza nemadziro einzira dzenyu kumativi akapoteredza, kusanganisira mapapu uye mediastinum (nzvimbo yebhokisi iri pakati pemapapu).
Kana nzvimbo dzisina kujairika dzichionekwa pane ultrasound, chiremba wako anogona kutora sampu yezvigunwe nediki duku tsono inotungamirirwa ne ultrasound. Iyi nzira yehupopi inonzi transbronchial sindano ultrasound. Nete inotorwa kuburikidza nemadziro edzimunharaunda yako uye mumapapu ako, apo chiremba wako anogona kutarisa munguva chaiyo pa ultrasound chaiyo iyo nheyo iri kuenda Kune chipfeko chiduku pamugumo weshanga iyo inogona kutora samuro chero ipi zvayo kushungurudza nzvimbo.
Mushure mokunge maitiro ako apera, samuenzaniso inobva yatumirwa kubhi kuti iongorore kuvapo kwekenza, kana zvimwe zvisiri izvo.
Zviratidzo
Kukurudzira mishonga yakanakisisa yemukenza wemapapu, zvinokosha zvikuru kunzwisisa chirwere chemukenza wemapapu - kana, uye kusvika kure, kenza yakapararira. Nzira yakarurama inogona kuderedza huwandu hwezvisikwa zvinobviswa panguva yekuvhiyiwa kwemukenza wemapapu . Izvi zvinogona kukubatsirawo kuti usapinda mukuvhiyiwa zvisina kufanira kana kenza yako inogona kurapwa zvakanakisisa neimwe nzira, yakadai sechemotherapy, inorapwa kurapwa, immunotherapy , chirwere chemaawa, kana kusanganiswa kwezvirapa.
Nenzira, kugadzirisa kwakarurama kwawanzoita kuongororwa kwemasimba akadai se mediastinoscopy uye mamwe maitiro ekuvhiya akadai se thoracoscopy kana thoracotomy. Iro thoracoscopy inzira inofanana nekuvhiya kweparoscopic pamimba, chete inowanikwa mubhokisi. Chirwere cheputika chirwere chekuvhara chifukidzo chakazaruka chinowanzobatanidza kudzvora nekubvisa chikamu chebambo kana nenyundo. Mune zvimwe zviitiko, endobronchial ultrasound inogona kupa vanachiremba ruzivo rwavanoda kuti vagadzire chirwere chepachirwere vasingafaniri kukurudzira izvi zvinowanzovhiringidza nzira.
Mukuwedzera pakuva nzira isina kuderedza, inonzi endobronchial ultrasound inogona kubatsira vanachiremba kuti vawane zvakaoma kusvika kune dzimwe nzvimbo.
Iyo inogonawo dzimwe nguva kuziva zvimwe, uye zviduku zvidhi nodes zvinogona kuonekwa nemasikirwo emasikirini.
Zvikonzero zvina zvakakosha chiremba wako angakurudzira kuti endobronchial ultrasound:
- Kutarisa kuvapo kwemamota kana lymph nodes yakakura .
- Kuongorora zvirwere mumapapu.
- Kuti uongorore lymph nodes mu mediastinum (iyo iri pakati pemapapu) kana hilum (iyo iri pedyo nepamusoro pemapapu.)
- Kuti uongorore matumire mu mediastinum.
Mukuwedzera pakutsvaga uye kugadzira mapiritsi emapapu emapapu, endobronchial ultrasound inogonawo kushandiswa kuona hutachiona kana kubatsira kuti uongorore zvirwere zvinopisa mumapapu sarcoidosis .
Kudzorera
Vanhu vazhinji vanobvumira izvi nenzira yakajeka uye vanokwanisa kubva muchipatara musi iwoyo iyo nzira inoshandiswa. Izvi hazvidi kuti chero zvipi zvichitarisirwa uye zviri kukurumidza kuva muchengeti wekutarisira munyika yose.
Matambudziko
Zvinetso zve endobronchial ultrasound zvinonyanya izvo zvinogona kuitika nekuda kwebonchoscopy kana nekuda kwebiopsy pachayo. Izvi zvinogona kusanganisira kubuda ropa, hutachiona, kuputsika kwemapapu, kana zvinetso zvine chokuita neanesthetics inopiwa kuita iyo nzira.
Sources:
Mhedziso, F. Bronchoscopy / Endobronchial Ultrasound. Muganhu muRadioation Therapy uye Oncology . 2010. 42: 55-62.
Kinsey, L, uye D. Arenberg. Endobronchial ultrasound-inotungamirirwa transbronchial nenyuchi aspiration yekuti kwete-duku kenza yemapapu yemapapu. American Journal of Respiratory and Critical Care Medicine . 2014. 189 (6): 640-9.
Yasufuku, K. et al. Basa re endobronchial ultrasound-rinotungamirirwa neutronschial needle aspiration mukutarisira kenza yemapapu. Jeneral Thoracic and Cardiovascular Surgery . 2008. 56 (6): 268-76.
Yasufuku, K. Endobronchial ultrasound: Zviratidzo, zvinopesana, uye zvinetso. Kusvika pari zvino. Updated 01/08/16. http://www.uptodate.com/contents/endobronchial-ultrasound-indidzo-contraindications-and-complications