Bronchoscopy thiab Bronchoalveolar Lavage (BAL)
Zoo Siab
- Dab tsi yog bronchoscopy thiab bronchoalveolar lavage (BAL)?
- Lawv siv rau dab tsi?
- Vim li cas kuv thiaj li xav tau bronchoscopy thiab BAL?
- Yuav muaj dab tsi tshwm sim thaum lub sij hawm mob ntsws thiab BAL?
- Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
- Puas muaj kev pheej hmoo rau kev kuaj?
- Cov txiaj ntsig li cas?
- Puas muaj lwm yam ntxiv uas kuv xav paub txog kev mob ntsws thiab BAL?
- Ua tim khawv
Dab tsi yog bronchoscopy thiab bronchoalveolar lavage (BAL)?
Bronchoscopy yog tus txheej txheem uas tso cai rau cov kws kho mob saib xyuas koj lub ntsws. Nws siv txoj hlab nyias nyias, ntu hu ua bronchoscope. Lub raj xa mus rau ntawm lub qhov ncauj lossis lub ntswg thiab txav cia caj pas thiab mus rau hauv cov hlab cua. Nws pab tshawb nrhiav thiab kho qee cov kab mob ntsws.
Bronchoalveolar lavage (BAL) yog cov txheej txheem uas qee zaum tau ua thaum lub sijhawm xoos hluav taws xob. Nws tseem hu ua ntxuav bronchoalveolar. BAL yog siv los sau cov qauv ntawm lub ntsws los kuaj. Lub sijhawm ua cov txheej txheem, cov kua tshuaj qab ntsev yog muab tso los ntawm lub tshuab nqus hluav taws xob txhawm rau ntxuav cov hlab pas thiab ntes cov kua dej.
Lwm lub npe: cov tshuaj kho mob bronchoscopy, kho mob bronchoalveolar
Lawv siv rau dab tsi?
Bronchoscopy yuav siv los:
- Pom thiab kho cov kev loj hlob lossis lwm yam kev thaiv ntxiv hauv cov hlab pa
- Tshem tawm cov qog hlav
- Tswj los ntshav pa hauv nruab nrog pa
- Pab nrhiav qhov ua rau pheej hnoos tsis tu
Yog tias koj twb tau kuaj pom tias muaj mob qog nqaij hlav ntsws, kuaj yuav pab qhia tias mob hnyav npaum li cas.
Bronchoscopy nrog BAL yog siv los sau cov ntaub so ntswg rau kev sim. Cov kev kuaj no pab txheeb xyuas cov teeb meem sib txawv ntawm cov ntsws suav nrog:
- Cov kab mob sib kis zoo li mob ntsws thiab mob ntsws muaj dej
- Kab mob pwm
- Mob ntsws cancer
Ib lossis ob qhov kev ntsuam xyuas yuav siv tau yog tias kev ntsuam xyuas cov duab kos pom muaj teeb meem nrog lub ntsws.
Vim li cas kuv thiaj li xav tau bronchoscopy thiab BAL?
Koj tuaj yeem xav tau ib qho lossis ob qhov kev kuaj mob yog tias koj muaj cov tsos mob ntawm ntsws, xws li:
- Pheej hnoos
- Teeb meem ua pa
- Kev hnoos ntshav
Koj kuj tseem xav tau BAL yog tias koj muaj lub cev tsis muaj zog tiv thaiv kab mob. Qee cov kab mob tiv thaiv kab mob, xws li HIV / AIDS, tuaj yeem ua rau koj muaj kev pheej hmoo siab rau qee cov mob ntsws.
Yuav muaj dab tsi tshwm sim thaum lub sij hawm mob ntsws thiab BAL?
Bronchoscopy thiab BAL feem ntau ua los ntawm tus ntsuas ntsws ntsws. Kws kuaj ntsws yog kws kho mob tshwj xeeb hauv kev kuaj thiab kho cov kab mob ntsws.
Txoj kev siv duab bronchoscopy feem ntau suav cov theem hauv qab no:
- Koj yuav tau hle koj cov khaub ncaws ib txhia los yog tag nrho. Yog li ntawd, koj yuav tau hnav khaub ncaws tsev kho mob.
- Koj yuav zaum hauv ib lub rooj zaum uas zoo li kws kho hniav lub rooj zaum lossis zaum ntawm cov txheej txheem nrog koj lub taub hau tsa.
- Koj tuaj yeem tau txais tshuaj (sedative) kom pab koj so. Cov tshuaj yuav raug txhaj rau hauv txoj hlab ntshav lossis muab los ntawm txoj leeg ntshav IV (tso ntshav) uas yuav muab tso rau hauv koj txhais caj npab lossis tes.
- Koj tus kws kho mob yuav muab tshuaj loog rau hauv koj lub qhov ncauj thiab caj pas, yog li koj yuav tsis hnov mob ib zaug li thaum tab tom kho mob.
- Koj tus kws kho mob yuav muab txoj hlab nqus tsom hauv koj lub caj pas thiab mus rau hauv koj cov hlab pa.
- Raws li daim bronchoscope txav mus qis, koj tus kws khomob yuav kuaj koj lub ntsws.
- Koj tus kws kho mob yuav ua lwm yam kev kho mob rau lub sijhawm no, xws li tshem cov qog lossis tshem tawm qhov thaiv.
- Txij ntawm no, koj kuj tseem yuav tau txais BAL.
Thaum BAL:
- Koj tus kws khomob yuav tso cov ntsev me me rau hauv lub tshuab nqus pa hluav taws xob.
- Tom qab ntxuav cov hlab pas, cov kua qaub ncu yog nqus rau hauv txoj hnyuv.
- Cov tshuaj ntsev yuav muaj cov kab mob thiab lwm yam tshuaj, xws li cov kab mob, uas yuav muab coj mus rau chav kuaj ntshav coj los kuaj.
Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
Koj yuav tsum tau yoo mov (tsis txhob noj lossis haus) rau ob peb teev ua ntej koj txoj kev ua. Koj tus kws khomob yuav qhia rau koj paub ntev npaum li cas koj yuav tsum zam rau zaub mov thiab dej haus.
Koj kuj yuav tsum npaj kom muaj ib tug neeg tsav koj mus tsev. Yog tias koj tau muab tshuaj rau tsaug zog, koj yuav tsaug zog li ob peb teev tom qab koj txoj kev kuaj mob.
Puas muaj kev pheej hmoo rau kev kuaj?
Qhov feem ntau yuav muaj feem ua kom muaj txoj hlab ntsws lossis BAL. Cov txheej txheem yuav ua rau koj mob caj pas rau ob peb hnub. Cov mob hnyav yuav tsis tshua pom muaj, tab sis nws yuav suav nrog qhov ntshav tawm ntawm txoj hlab pa, kev kis mob, lossis qee qhov ntsws tsaus muag.
Cov txiaj ntsig li cas?
Yog hais tias koj cov txiaj ntsig bronchoscopy tsis zoo li qub, nws yuav txhais tau tias koj muaj mob ntsws xws li:
- Qhov blockage, kev loj hlob, lossis qog hauv cov hlab pa
- Qhov nqaim ntawm ib feem ntawm cov pa
- Lub ntsws ua puas vim yog lub cev tiv thaiv kab mob xws li mob caj dab
Yog tias koj muaj BAL thiab koj lub ntsws cov txiaj ntsig tsis zoo, nws yuav txhais tau tias koj muaj mob ntsws lossis ib hom kev kis mob xws li:
- Tub Ntshaw
- Cov kab mob ntsws mob
- Kab mob pwm
Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.
Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.
Puas muaj lwm yam ntxiv uas kuv xav paub txog kev mob ntsws thiab BAL?
Ntxiv nrog rau BAL, muaj lwm cov txheej txheem uas tuaj yeem ua lub sijhawm xoo hluav taws xob. Cov no suav nrog:
- Sputum kab lis kev cai. Hnoos qeev yog tuab cov hnoos qeev ua hauv koj lub ntsws. Nws txawv dua qhov nti lossis qaub ncaug. Kab mob hnoos qeev hais txog qee yam mob.
- Kev kho laser lossis hluav taws xob los kho qog lossis mob qog noj ntshav
- Kev kho mob txhawm rau tswj kev los ntshav hauv cov ntsws
Ua tim khawv
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- Koom Haum Koom Tes Asmeskas [Is Taws Nem]. Chicago: Lub Koom Haum Asmeskas Kev Sib Tw; c2020. Bronchoscopy; [hais tawm 2020 Jul 9]; [txog 3 ntxaij]. Muaj los ntawm: https://www.lung.org/lung- health-diseases/lung-procedures-and-tests/bronchoscopy
- Hinkle J, Cheever K. Brunner & Suddarth phau ntawv ntawm Kev Kuaj Xyuas thiab Kuaj Xyuas Ntsuas. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Kev Noj Qab Haus Huv, Lippincott Williams & Wilkins; c2014. Bronchoscopy; p. 114.
- Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co., Inc .; c2020. Bronchoscopy; [hloov tshiab 2019 Jul; hais txog 2020 Jul 9]; [txog 2 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/home/lung-and-airway-disorders/diagnosis-of-lung-disorders/bronchoscopy
- Hauv Teb Chaws Cov Me Nyuam [Is Taws Nem]. Columbus (OH): Thoob Hauv Tsev Kho Mob Cov Menyuam; c2020. Bronchoscopy (Yooj Yim Bronchoscopy thiab Bronchoalveolar Lavage); [hais tawm 2020 Jul 9]; [txog 4 cov ntxaij.] Muaj los ntawm: https://www.nationwidechildrens.org/family-resources-education/health-wellness-and-safety-resources/helping-hands/bronchoscopy-flexible-bronchoscopy-and-bronchoalveolar-lavage
- Patel PH, Antoine M, Ullah S. StatPearls. [Is Taws Nem]. Cov Khoom Muaj Nyiaj Is Nrias; c2020. Bronchoalveolar Lavage; [kho tshiab 2020 Apr 23; hais txog 2020 Jul 9]; Muaj los ntawm: https://www.ncbi.nlm.nih.gov/books/NBK430762
- RT [Internet]. Overland Park (KS): Medqor Advanced Healthcare Technology thiab Cuab Yeej; c2020. Bronchoscopy thiab Bronchoalveolar Lavage; 2007 Lub Ob Hlis 7 [raug nplua 2020 Jul 9]; [txog 3 ntxaij]. Muaj los ntawm: https://www.rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/bronchoscopy-and-bronchoalveolar-lavage/
- Radha S, Afroz T, Prasad S, Ravindra N. Kev kuaj mob ntawm bronchoalveolar lavage. J Cytol [Internet]. 2014 Jul [raug nplua 2020 Jul 9]; 31 (3): 136–138. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274523
- Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Bronchoscopy: Txheej txheem cej luam; [kho tshiab 2020 Jul 9; hais txog 2020 Jul 9]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/bronchoscopy
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Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.
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