Bronchoscopy le Bronchoalveolar Lavage (BAL)

Litaba

• Bronchoscopy le bronchoalveolar lavage (BAL) ke eng?
• Li sebelisetsoa eng?
• Hobaneng ha ke hloka bronchoscopy le BAL?
• Ho etsahalang nakong ea bronchoscopy le BAL?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka bronchoscopy le BAL?
• Litšupiso

Bronchoscopy le bronchoalveolar lavage (BAL) ke eng?

Bronchoscopy ke mokhoa o lumellang mofani oa tlhokomelo ea bophelo ho sheba matšoafo a hau. E sebelisa tube e tšesaane, e bonesitsoeng e bitsoang bronchoscope. Phala e kenoa ka hanong kapa ka nkong ebe e isoa 'metsong ebe e ea le moeeng. E thusa ho hlahloba le ho phekola mafu a itseng a matšoafo.

Ho hlatsoa ha bronchoalveolar (BAL) ke mokhoa oo ka linako tse ling o etsoang nakong ea bronchoscopy. E boetse e bitsoa ho hlatsoa bronchoalveolar. BAL e sebelisetsoa ho bokella sampole matšoafong bakeng sa tlhahlobo. Nakong ea ts'ebetso, tharollo ea letsoai e kenngoa ka bronchoscope ho hlatsoa lifofane le ho nka sampole ea mokelikeli.

Mabitso a mang: bronchoscopy e tenyetsehang, ho hlatsoa bronchoalveolar

Li sebelisetsoa eng?

Bronchoscopy e ka sebelisoa ho:

• Fumana 'me u phekole kholo kapa tse ling tse thibelang moea
• Tlosa lihlahala tsa matšoafo
• Laola ho tsoa mali tseleng ea moea
• Thusa ho fumana sesosa sa khohlela e sa feleng

Haeba u se u fumanoe u na le mofetše oa matšoafo, tlhahlobo e ka thusa ho bonts'a hore na e matla hakae.

Bronchoscopy e nang le BAL e sebelisetsoa ho bokella lisele bakeng sa liteko. Liteko tsena li thusa ho fumana mathata a fapaneng a matšoafo ho kenyelletsa:

• Matšoao a baktheria a kang lefuba le pneumonia ea baktheria
• Mafu a fungal
• Kankere ea matšoafo

Teko e le 'ngoe kapa ka bobeli li ka sebelisoa haeba tlhahlobo ea litšoantšo e bonts'a bothata bo ka bang teng matšoafong.

Hobaneng ha ke hloka bronchoscopy le BAL?

U kanna ua hloka tlhahlobo e le ngoe kapa tse peli haeba u na le matšoao a lefu la matšoafo, joalo ka:

• Ho khohlela ho phehellang
• Ho hema ka thata
• Ho kgohlela madi

U kanna ua hloka BAL haeba u na le ts'oaetso ea sesole sa 'mele. Mathata a mang a sesole sa 'mele, joalo ka HIV / AIDS, a ka u beha kotsing e kholo ea tšoaetso ea matšoafo.

Ho etsahalang nakong ea bronchoscopy le BAL?

Bronchoscopy le BAL hangata li etsoa ke pulmonologist. Setsebi sa pulmonologist ke ngaka e sebetsanang le ho hlahloba le ho phekola mafu a matšoafo.

Bronchoscopy hangata e kenyelletsa mehato e latelang:

• U kanna ua hloka ho tlosa tse ling kapa liaparo tsohle tsa hau. Haeba ho joalo, o tla fuoa seaparo sa sepetlele.
• U tla otlolla ka setulo se kang setulo sa ngaka ea meno kapa u lule tafoleng ea ts'ebetso u phahamisitse hlooho.
• U kanna ua fumana moriana (sedative) ho u thusa ho phomola. Moriana o tla tšeloa ka mothapong kapa o fuoe ka mohala oa IV (intravenous) o tla beoa letsohong kapa letsohong la hau.
• Mofani oa hau o tla fafatsa moriana o thethefatsang molomong oa hao le 'metsong, kahoo o ke ke oa utloa bohloko nakong ea ts'ebetso.
• Mofani oa hau o tla kenya bronchoscope molaleng oa hau le moeeng oa hau.
• Ha bronchoscope e tlosoa fatše, mofani oa hau o tla hlahloba matšoafo a hau.
• Mofani oa hau a ka etsa mekhoa e meng ea kalafo ka nako ena, joalo ka ho tlosa hlahala kapa ho hlakola thibelo.
• Ka nako ena, o ka fumana BAL.

Nakong ea BAL:

• Mofani oa hau o tla beha letsoai le lenyane ka bronchoscope.
• Kamora ho hlatsoa lifofane, letsoai le huleloa ho bronchoscope.
• Motsoako oa letsoai o tla ba le lisele le lintho tse ling, joalo ka libaktheria, tse tla isoa labong ho ea hlahlojoa.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

U kanna ua hloka ho itima lijo (u se ke ua ja kapa ua noa) lihora tse 'maloa pele ho ts'ebetso ea hau. Mofani oa hau o tla u tsebisa hore na u hloka ho qoba lijo le lino nako e kae.

U lokela hape ho hlophisa hore motho e mong au khannele hae. Haeba u filoe moriana o robatsang, u ka 'na ua otsela lihora tse' maloa ka mor'a hore u mo etse.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho ba le bronchoscopy kapa BAL. Mekhoa e ka u fa 'metso ka matsatsi a' maloa. Mathata a tebileng ha a fumanehe hangata, empa a ka kenyelletsa ho tsoa mali moeeng, tšoaetso, kapa karolo e robehileng ea matšoafo.

Liphetho li bolelang?

Haeba liphetho tsa hau tsa bronchoscopy li ne li sa tloaeleha, ho ka bolela hore u na le lefu la matšoafo le kang:

• Thibelo, kholo kapa hlahala moeeng
• Ho khutsufatsa karolo e 'ngoe ea lifofane
• Tšenyo ea matšoafo ka lebaka la lefu la mmele la ho itšireletsa mafung joalo ka ramatiki ea ramatiki

Haeba u ne u e-na le BAL 'me sephetho sa hau sa matšoafo se ne se sa tloaeleha, ho ka bolela hore u na le mofetše oa matšoafo kapa mofuta oa ts'oaetso joalo ka:

• Lefuba
• Pneumonia ea baktheria
• Tšoaetso ea fungal

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka bronchoscopy le BAL?

Ntle le BAL, ho na le lits'ebetso tse ling tse ka etsoang nakong ea bronchoscopy. Tsena li kenyelletsa:

• Tloaelo ea sekhohlela. Sekgohlola ke mofuta o motenya wa mamina a entsweng matshwafong a hao. E fapane le mathe kapa mathe. Tloaelo ea sekhohlela e hlahloba mefuta e itseng ea tšoaetso.
• Phekolo ea laser kapa radiation ho phekola lihlahala kapa mofetše
• Kalafo ea ho laola ho tsoa mali matšoafong

Litšupiso

1. Mokhatlo oa American Cancer [Inthanete]. Atlanta: Mokhatlo oa Amerika oa Kankere Inc .; c2020. Bronchoscopy; [e ntlafalitsoeng 2019 Jan 14; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/endoscopy/bronchoscopy.html
2. Mokhatlo oa Amerika oa Lung [Inthanete]. Chicago: Mokhatlo oa Lung oa Amerika; c2020. Bronchoscopy; [e qotsitsoeng ka la 2020 Phupu 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/bronchoscopy
3. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Bronchoscopy; leq. EA-114.
4. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2020. Bronchoscopy; [e ntlafalitsoeng 2019 Jul; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/lung-and-airway-disorders/diagnosis-of-lung-disorders/bronchoscopy
5. Sechaba sa Bana [Inthanete]. Columbus (OH): Sepetlele sa Naha sa Bana; c2020. Bronchoscopy (Flexible Bronchoscopy le Bronchoalveolar Lavage); [e qotsitsoeng ka la 2020 Phupu 9]; [hoo e ka bang li-skrini tse 4.] E fumaneha ho tsoa ho: https://www.nationwidechildrens.org/family-resource-education/health-wellness-and-safety-resource/helping-hands/bronchoscopy-flexible-bronchoscopy-and-bronchoalveolar-lavage
6. Patel PH, Antoine M, Ullah S. StatPearls. [Inthanete]. Ho Hatisa Sehlekehlekeng sa Treasure; c2020. Ho hlaseloa ha bronchoalveolar; [e ntlafalitsoeng ka la 2020 Mmesa 23; e qotsitsoeng ka 2020 Phupu 9]; E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/books/NBK430762
7. RT [Inthanete]. Overland Park (KS): Theknoloji e tsoetseng pele ea tlhokomelo ea bophelo bo botle ea Medqor; c2020. Bronchoscopy le Bronchoalveolar Lavage; 2007 Feb 7 [e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/bronchoscopy-and-bronchoalveolar-lavage/
8. Radha S, Afroz T, Prasad S, Ravindra N. Ts'ebeliso ea ts'ebeliso ea bronchoalveolar lavage. J Cytol [Inthanete]. 2014 Jul [e qotsitsoeng ka 2020 Phupu 9]; 31 (3): 136–138. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274523
9. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Bronchoscopy: Kakaretso; [e ntlafalitsoeng 2020 Jul 9; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/bronchoscopy
10. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Bronchoscopy; [e qotsitsoeng ka la 2020 Phupu 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07743
11. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Bronchoscopy: Kamoo e Etsoang Kateng; [e ntlafalitsoeng 2020 Feb 24; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200480
12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea bophelo bo botle: Bronchoscopy: Mokhoa oa ho itokisa; [e ntlafalitsoeng 2020 Feb 24; e qotsitsoeng ka 2020 Phupu 9]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200479
13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea bophelo bo botle: Bronchoscopy: Liphetho; [e ntlafalitsoeng 2020 Feb 24; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#aa21557
14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Bronchoscopy: Kakaretso ea Teko; [e ntlafalitsoeng 2020 Feb 24; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200477
15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Bronchoscopy: Hobaneng ha e etsoa; [e ntlafalitsoeng 2020 Feb 24; e qotsitsoeng ka 2020 Phupu 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200478

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.