Guudmarka
Ultrasound endobronchial waa qaabsocod caafimaad oo la samayn karo inta lagu guda jiro bronchoscopy, si loo siiyo macluumaad dheeraad ah si loo ogaado ama loo ogaado heerka maskaxda sambabada. Farsamadani cusub waxay u oggolaaneysaa takhaatiirta inay eegaan gobollada sambabadaada iyo aagga xabadka ee caadiyan u baahnayn qalliinno dheeraad ah ee qalliinka si loo qiimeeyo.
Nidaamka waxaa caadi ahaan loo sameeyaa sida nidaamka bukaan socodka ama qalliinka maalinta isku midka ah waxaana loo tixgeliyaa habka ugu yar ee habka soo noqnoqoshada.
Nidaamka
Ultrasound endobronchial waxaa badanaa lagu sameeyaa "suuxdin nidaameed" taasoo micnaheedu yahay inaad aad u seexaneyso oo aadan dareemeynin raaxo la'aan, laakiin ma noqon doonto mid aad u hurda sida aad ku noqon laheyd suuxdin guud. Hase yeeshee, nidaamku wuxuu noqon karaa suuxdin guud haddii loo baahdo.
Kahor intaan la sameynin ultrasound-ta loo yaqaan 'endobronchial ultrasound', dhakhtarkaagu wuxuu marka hore samayn doonaa bronchoscopy. Qalabka bronchoscopy , tuubo ayaa lagaa soo mariyaa afkaaga ama sankaaga trachea (dhiiqada dabaysha) ka dibna ku sii socota hawo-mareenka weyn ee keena sambabadaada. Ka dib marka tuubada la dhigo, dhakhaatiirtu waxay isticmaalaan baaritaan gaar ah oo ultrasound ah si loogu diro hirarka dhawaaqa (ultrasound) iyada oo loo marayo derbiyada marinnada hawada ee meelaha ku hareereysan, oo ay ku jiraan sanbabada iyo dhexdhexaadinta (aagga xabadka oo u dhaxeeya sanbabada).
Haddii goobo aan caadi ahayn laga arko ultrasound, dhakhtarkaagu wuxuu markaas qaadan karaa muunad ka mid ah cirbad yar oo uu hagayo ultrasound. Qaabkani wuxuu ka kooban yahay dheecaan ka-qaadis dheeri ah. Irbadda waxaa lagu soo bandhigaa darbiga marinka hawadaada iyo unugyada sambabada, halka dhakhtarkaagu uu daawan karo waqtiga dhabta ah ee ultrasound oo ah meesha cirbadda uu socdo. Waxaa jira qalab yar oo dhamaadka cirbadan kuwaas oo qaadan kara saamiga mid kasta gobollada laga shakiyo.
Kadib marka la dhamaystiro nidaamkaaga, sambalka waxaa loo diraa shaybaarka si loo eego joogitaanka kansarka, ama waxyaabo kale oo aan caadi ahayn.
Calaamadaha
Si aad ugula taliso daaweynta ugu fiican ee kansarka sanbabada, waxaa muhiim ah in la fahmo marxaladda kansarka sanbabada - haddii, iyo inta ay le'eg tahay kansarku ku faafay. Dhaqdhaqaaq sax ah ayaa yarayn kara cadadka unugyada laga saaro waqtiga qalitaanka kansarka sanbabada . Waxa kale oo laga yaabaa inay kaa tagto adigoo u maraya qaliin aan loo baahnayn haddii kansarkaaga si habboon loo daaweeyo hab kale, sida daaweynta kiimiko, daaweyn la beegsado, immunotherapy , daaweynta shucaaca, ama isku dhafka dawooyinkaas.
Caadiyan, waxqabadka saxda ah wuxuu badanaa u baahan yahay baaritaanno isdabajoog ah sida mediastinoscopy iyo qalliinnada kale ee xabadka sida fayraska wadnaha ama shabakada. Wadno-baarista waa nidaam la mid ah qalliinka laparoscopic ee caloosha, kaliya waxaa lagu sameeyaa laabta. Gudniinka fircooniga ah waa qalliinka furan ee furan kaas oo inta badan ku lug leh jarista iyo ka bixinta qeyb ka mid ah feeraha ama feeraha. Xaaladaha qaarkood, ultrasound-endobronch ayaa dhakhtarku siin karaa macluumaadka ay u baahan yihiin si ay u qabtaan kansarka iyada oo aaney ku talineynin hababkan soo noqnoqonaya.
Marka laga soo tago habka yar-yar ee maskaxda, ultrasound endobronchal ayaa laga yaabaa in ay ku caawiso dhakhaatiirta in ay ku adkaato in ay gaaraan meelaha.
Waxay kaloo mararka qaarkood aqoonsan kartaa waxyaabo badan, iyo qanjidhada yaryar ee laga yaabo in lagu arko dhexdhexaadin dhexdhexaad ah.
Sababaha afar sababood ee ugu muhiimsan ee dhakhtarkaagu kugula talin karo ultrasound endobronchid:
- Si aad u eegto jiritaanka burooyinka ama qanjirada cirifka ah .
- Si loo baadho burooyinka ku jira sanbabada.
- Si loo cadeeyo qanjirada numbarada dhexdhexaad ah (meelaha udhexeeya sanbabada) ama hilum (gobolka ku dhow dusha sambabada.)
- Si loo baadho burooyinka ku jira dhexdhexaadinta.
Marka laga soo tago cudurka kansarka sanbabada, ultrasound endobronchial ayaa sidoo kale loo isticmaali karaa in lagu ogaado cudurrada ama caawimaad si loo ogaado xaaladaha sambabada ee sambabada sida sarcoidosis .
Soo celinta
Dadka intooda badan waxay u dulqaadanayaan nidaamkan si aad u fiican waxayna awoodaan inay ka baxaan isbitaalka maalinta isla habka loo fuliyo. Nidaamkani uma baahna meel kasta oo la jeexjeexo oo si dhakhso ah u noqosho heer daryeel ah oo ku saabsan dalka.
Dhibaatooyinka
Dhibaatooyinka ultrasound-ka ah ayaa ah kuwa ugu horreeya ee laga yaabo inay dhacaan sababtoo ah bronchoscopy ama sabab u ah biopsiga lafteeda. Kuwaas waxaa ka mid noqon kara dhiigbax, infakshan, burbur ku dhaca sambab, ama dhibaatooyin la xiriira suuxdinta loo sameeyay si loo sameeyo habka.
Ilaha:
Herth, F. Bronchoscopy / Endobronchial Ultrasound. Xannibaadyada Rugeynta Raajatada iyo Onkoloji . 2010. 42: 55-62.
Kinsey, L, iyo D. Arenberg. Endobronchial ultrasound-ku-hoggaansanaanta udub-dhexaad udub-dhexaad ah oo loogu talagalay daaweynta kansarka sanbabada unugyada yar-yar. Somali Journal of Numbarka iyo Xanuunka Daryeelka Caafimaadka . 2014. 189 (6): 640-9.
Yasufuku, K. et al. Doorka tallaalka ultrasound-ka ah ee loo yaqaan 'ultrasound-led' wuxuu u hoggaansan yahay talaalka sambabada ee kaansarka sanbabada. General Thoracic iyo Qaliinka Wadnaha . 2008. 56 (6): 268-76.
Yasufuku, K. Ultrasound Endobronchial: Tilmaamaha, ka-hortagga, iyo dhibaatooyinka. UpToDate. La sii daayay 01/08/16. http://www.uptodate.com/contents/endobronchial-ultrasound-indications-contraindications-and-complications