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Bronkhoskopiya chist

«Baroi chi yak odami khubero ba bronkhoskopiya ravon meuned? – gufta aksar vaqt az pulmonolog  yo az jarrohi torakali (torakalnogo khirurga) mepursand. Biyoed mutakhassisoni sohahoi judogonaro (makhsusro) pushtiboni mekunem: in tahqiqi invazivi ast (yane bronkhoskop ba daruni organizmi odam vorid meshavad), mehnati bronkhoskopist boshad arzon nameistad, baroi hamin ham agar sababi jiddi naboshad odatan bronkhoskopiyaro tain namekunand.

bronhoskopiya

Ba nishonahoi mamulie, ki zarurati bronkhoskopiyaro pesh meorand inho dokhil meshavand.

– khuntufkuni;
– nafastangi, agar hej malumote oidi illatnokii dil yo astma naboshad;
– gumonbar shudan ba omosi shushho yo iltihobi muzmini bronkhho.

Tarikhi alohida – tahqiq bo maqsadi daryoft kardan va bezarar kardani jismhoi begona,  ki ba rohhoi nafaskashi aftidaand.

Bronkhoskopisthoi kudakona kolleksiyai purrai tugmaho, nishonahoi sarisinagi, bozichahoi khurdro jamovari kardaand, ki onhoro az darakhti bronkhialii bemoroni khurdsol paydo karda barovardaand.

Dar vaqti bronkhoskopiya dukhtur metavonad biopsiya girad —  anburchai bronkhoskop metavonad porachai khurdi luobi bronkhro gazida girad, ki badan onro dar shubai patomorfologi dar zeri mikroskop tahqiq mekunand. Dar holathoi muglaqu dukhura in imkon medihad, ki tashkhisi durust guzoshta shavad. Dar bayni khalq behuda nameguyand, ki tashkhisgari behtarin – patologoanatom ast. Bazan vaqt bronkhoskopiyaro ba maqsadhoi tabobati niz istifoda mebarand – to in ki mavodhoi dorugiro vorid kunand va bronkhhoi tangshudaro vasetar kunand va stentho (vasekunandaho) vasl kunand.

7 SAVOL DAR BORAI BRONHOSKOPIYA

BISYOR BEMORON AZ ON DAR TASHVISHAND, KI DAR ASNOI IN GUNA TAHQIQOTKUNI CHI TAVR NAFAS HOHAND KASHID

Baroi on ki hissiyoti noforam dar gulu kamtar karda shavand va refleksi qaykuni bartaraf karda shavad, pesh az prosedura kovokii dahonro bo mahluli  lidokain  dorushuyi mekunand. Diametri bronkhoskop az murii (surokhii) bronkhho kamtar ast va ba hej vajh nafasgir shudan imkon nadorad. Ba gayr az in dar vaqti tahqiqkuni mo ba bemoron tavsiya medihem, ki tez-tez va bo sathi boloi, ba misli sagcha nafas kashand– in na faqat diqqati onhoro ba sui digar mekashad, balki ba tavri ilovagi refleksi qaykuniro niz kamtar mekunad.

CHI TAVR BA TAHQIQOT TAYYOR MESHAVAND?

Az avvali begohiruzi digar khurok khurdan mumkin nest. Pesh az khob dorui oromkunandaro khurdan mumkin ast, odami ehsosoti (emotsionali) metavonad pagohi niz in dorukhuriro takror kunad, ammo in boyad bo dukhtur maslihat karda shavad. Pagohi behtar ast, ki to tahqiqot hej chiz nanushed. Agar shumo dandonhoi protezii judoshavanda doshta boshed, boyad pesh az bronkhoskopiya onhoro kushoda gired.

OYO YAGON HEL TAHLIL SUPORIDAN ZARUR AST?

Bale, tahlili guruhi khun va rezus-faktor, markerhoi virushoi gepatitho, sifilis va VNMO (VICH) va koagulogramma (tahlili lakhtbandii khun). Agar shumo doimi doruhoi tunukkunandai khunro istemol mekarda boshed, hatman dukhturo ogoh namoed. 

TAHQIQOT DAR KUJO  VA CHI TAVR GUZARONIDA MESHAVAD?

Bemor dar rui stul menishinad yo dar rui nimkati muloim khob meravad. Dar nazdi dukhtur monitori kalone istodaast, ki rasmi uzvhoi rohhoi nafaskashii shumo ba on intiqol doda meshavand. Se daqiqa kifoya ast, ki bronkhhoi shumo bodiqqat mushohida karda shavand va rasmi on ba khotirai kompyuter navishta shavad. Agar dukhtur baroi giriftani biopsiya az mavzei shubhanok qaror dihad, boz 1-2 daqiqai digar zarur meoyad.

OYO GIRIFTANI BIOPSIYA – DARDNOK AST?

Ne, pardahoi luobii bronkhho amalan dardro his namekunand, baroi hamin hatto dorui bedardkunanda ham zarur nameshavad.

PAS AZ BRONHOSKOPIYA CHI GUNA EHSOSOTI NOFORAM BOQI MEMONAD?

Az sabai tasiri anesteziya shoyad dar guluyaton hissiyoti nohinjori va mushkilii furubarii obi dahon paydo shavad. In guna nishonaho (simptomho) pas az 40-60 daqiqa nopadid meshavand. Az sababi barangezishi pardahoi luobii bronkhho shoyad kame sulfa paydo shavad, bazan bo khatchahoi surkhe dar balgam. Agar dar davomi ruz in guna nishonaho nopadid shavand – hamaash khub ast, ammo agar onho davom yoband – dar in bora  ba dukhturaton khabar dihed.

OYO ZARURATI BISTARI KARDAN (GOSPITALIZATSIYA) VUJUD DORAD?

In tahqiqot az rui qoida bo fibrobronkhoskopi elastiki dar darmongoh (poliklinika) guzaronida meshavad. Dar holati makhsusan dushvor  az rui natijahoi bronkhoskopiyai muloim mumkin ast sakhtashro tain kunand. On tavassuti behiskuni (dar zeri narkoz) va dar sharoiti statsionari ijro karda meshavad.

Malumotho az tarafi khonai nashriyotii «Zdorove» peshnihod shudaand.

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