Bronchoscopy iyo Bronchoalveolar Lavage (BAL)

Qanacsan

• Waa maxay bronchoscopy iyo bronchoalveolar lavage (BAL)?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay bronchoscopy iyo BAL?
• Maxaa dhacaya inta lagu jiro baaritaanka sambabka iyo BAL?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado bronchoscopy iyo BAL?
• Tixraacyo

Waa maxay bronchoscopy iyo bronchoalveolar lavage (BAL)?

Bronchoscopy waa nidaam u oggolaanaya bixiye daryeel caafimaad inuu fiiriyo sambabadaada. Waxay isticmaashaa dhuuban dhuuban oo laydh ah oo loo yaqaan bronchoscope. Tuubbada ayaa la marinayaa afka ama sanka waxaana loo dhaadhicinayaa cunaha iyadoo la marsiinayo hawo mareenka. Waxay ka caawisaa baaritaanka iyo daaweynta cudurrada sanbabada qaarkood.

Bronchoalveolar lavage (BAL) waa habsocod mararka qaarkood la sameeyo inta lagu jiro baaritaanka bronchoscopy. Waxaa sidoo kale loo yaqaan 'bronchoalveolar washing'. BAL waxaa loo isticmaalaa in laga soo qaado sambal sambabada si loo baaro. Inta lagu guda jiro howsha, xalka cusbada ayaa la marinayaa bronchoscope si loo dhaqo marinnada hawada loona soo qaado sambal dheecaan ah.

Magacyada kale: bronchoscopy jilicsan, bronchoalveolar Maydh

Maxaa loo adeegsadaa?

Bronchoscopy waxaa loo isticmaali karaa in:

• Raadi oo daawee koritaanka ama xannibaadaha kale ee marinnada hawada
• Ka qaad burooyinka sambabaha
• Xakamee dhiigbaxa marinka hawada
• Ka caawi helitaanka sababta qufaca joogtada ah

Haddii mar hore lagaa helay kansarka sanbabada, baaristu waxay kaa caawin kartaa inaad muujiso sida ay u daran tahay.

Bronchoscopy oo leh BAL ayaa loo isticmaalaa in lagu ururiyo nudaha baaritaanka. Imtixaanadani waxay caawiyaan baaritaanka ciladaha kala duwan ee sambabaha oo ay ka mid yihiin:

• Infekshannada bakteeriyada sida qaaxada iyo oof-wareenka bakteeriyada
• Caabuq fangas
• Kansarka sambabka

Mid ama labadaba tijaabooyin ayaa la isticmaali karaa haddii tijaabada imaging ay muujisay dhibaato ka iman karta sambabada.

Maxaan ugu baahanahay bronchoscopy iyo BAL?

Waxaad u baahan kartaa hal ama labadaba baaritaan haddii aad leedahay astaamaha cudurka sambabka, sida:

• Qufac joogto ah
• Neefsashada oo dhib ah
• Qufac dhiig

Waxa kale oo laga yaabaa inaad u baahato BAL haddii aad leedahay cillad xagga nidaamka difaaca jidhka ah. Qaar ka mid ah cilladaha nidaamka difaaca jirka, sida HIV / AIDS, waxay kugu ridi karaan halista sare ee cudurada sanbabada qaarkood.

Maxaa dhacaya inta lagu jiro baaritaanka sambabka iyo BAL?

Bronchoscopy iyo BAL badanaa waxaa sameeya dhakhtarka sambabka. Dhakhtarka sambabada (pulmonologist) waa dhakhtar ku takhasusay baaritaanka iyo daaweynta cudurada sambabaha.

Bronchoscopy badanaa waxay kujirtaa talaabooyinka soo socda:

• Waxaa laga yaabaa inaad u baahato inaad iska saarto dharkaaga qaar ama dhammaantiis. Hadday sidaas tahay, waxaa lagu siin doonaa goonnada isbitaalka.
• Waxaad ku fariisaneysaa kursi u eg sida kursiga dhakhtarka ilkaha ama waxaad ku fariisan doontaa miiska nidaamka adiga oo madaxaaga kor u qaadaya.
• Waxaa laga yaabaa inaad hesho daawo (dajin) si ay kaaga caawiso inaad nasato. Daawada waxaa lagu mudayaa xididka ama waxaa lagugu siinayaa xarig IV (xidid gale) oo gacantaada ama gacantaada lagaa saari doono.
• Bixiyahaagu wuxuu ku buufin doonaa daawo ku suuxisa afkaaga iyo cunaha, si aadan u dareemin wax xanuun ah inta lagu gudajiro howsha.
• Bixiyahaagu wuxuu galiyaa bronchoscope-ka cunahaaga hoostiisa iyo marinnada neeftaada.
• Maaddaama bronchoscope-ka hoos loo dhaqaajinayo, takhtarkaaga ayaa baari doona sambabadaada.
• Bixiyahaagu wuxuu sameyn karaa daaweyn kale waqtigan, sida ka saarista buro ama nadiifinta xannibaadda.
• Waqtigan xaadirka ah, waxaad sidoo kale heli kartaa BAL.

Inta lagu jiro BAL:

• Bixiyahaagu wuxuu gelin doonaa qadar yar oo cusbada bronchoscope.
• Ka dib marka la maydho marinnada hawada, cusbada ayaa lagu nuugay maaddada loo yaqaan 'bronchoscope'.
• Xalka cusbada ayaa ku jiri doona unugyo iyo waxyaabo kale, sida bakteeriyada, taas oo la geyn doono shaybaar si loo baaro.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Waxaa laga yaabaa inaad u baahato inaad soonto (waxna ha cunin hana cabin) dhowr saacadood kahor howshaada. Bixiyahaaga ayaa kula socodsiin doona inta aad u baahan tahay inaad iska ilaaliso cuntada iyo cabitaanka.

Sidoo kale waa inaad diyaarsataa inuu qof kuu kaxeeyo guriga. Haddii lagu siiyay suuxdin, waxaad noqon kartaa mid lulmo dhawr saacadood kadib qalliinkaaga.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in la helo baaritaanka-baako ama BAL. Nidaamyadu waxay ku siin karaan dhuun xanuun maalmo dhawr ah. Dhibaatooyinka halista ah waa dhif, laakiin waxay ku jiri karaan dhiig-baxa marinnada neefta, infekshinka, ama qayb ka mid ah sambabka oo burburay.

Maxay natiijooyinka ka dhigan yihiin?

Haddii natiijooyinka baaritaankaaga 'bronchoscopy' aysan caadi ahayn, waxaa laga yaabaa inay ka dhigan tahay inaad qabto cillad sambabaha ah sida:

• Xannibaadda, koritaanka, ama buro ku jirta marinnada hawada
• Cidhiidhiga qayb ka mid ah marinnada hawada
• Waxyeellada sambabka oo ay ugu wacan tahay jirro xagga difaaca ah sida rheumatoid arthritis

Haddii aad leedahay BAL oo natiijooyinka sambabkaaga aan caadi ahayn, waxaa laga yaabaa inay ka dhigan tahay inaad qabto kansarka sanbabada ama nooc infakshan sida:

• Qaaxada
• Oof-wareenka bakteeriyada
• Caabuq fangas

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado bronchoscopy iyo BAL?

Marka lagu daro BAL, waxaa jira habab kale oo la samayn karo inta lagu jiro baaritaanka bronchoscopy. Kuwaas waxaa ka mid ah:

• Dhaqanka Xaakada. Xaakadu waa nooc xaako ah oo xab ah oo sambabkaaga laga sameeyo. Way ka duwan tahay candhuuf ama candhuuf. Dhaqanka xaakadu wuxuu hubiyaa noocyada cudurada qaarkood.
• Daaweynta laser-ka ama shucaaca lagu daaweeyo burooyinka ama kansarka
• Daaweyn lagu xakameynayo dhiigbaxa sanbabada

Tixraacyo

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5. Qaranka oo dhan [Internetka]. Columbus (OH): Isbitaalka Qaranka ee Carruurta; c2020. Bronchoscopy (Flexible Bronchoscopy iyo Bronchoalveolar Lavage); [waxaa laga soo xigtay 2020 Jul 9]; [ilaa 4 shaashadood.]
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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.