Imashini ya Bronchoscope

Bronchoscope nigikoresho cyibanze cyo gusuzuma no kuvura indwara zubuhumekero zigezweho. Iratahura igisubizo cyuzuye kuva kwisuzumisha kugeza kwivuza hakoreshejwe uburyo bworoshye bwa tekinike, bugaragara kandi busobanutse neza. Ibikurikira nintangiriro kuva mubice bitanu: ihame rya tekiniki, gukoresha amavuriro, ubwoko bwibikoresho, imikorere yimikorere niterambere ryiterambere.

1. Ihame rya tekiniki nibikoresho bigize ibikoresho

Bronchoscopy ni endoskopi yoroheje cyangwa ikomeye yinjira muri trachea, bronchi hamwe nu mwuka wa kure cyane unyuze mu kanwa / izuru. Ibice nyamukuru birimo:

Umubiri w'indorerwamo: diameter nziza cyane (2.8 ~ 6mm), igishushanyo kigoramye, gihuza nuburyo bugoye bwo guhumeka neza.

Sisitemu yo gufata amashusho: ibisobanuro bihanitse bya CMOS / fibre optique yohereza amashusho, ishyigikira urumuri rwera, NBI (amashusho mato mato), fluorescence nubundi buryo.

Umuyoboro ukora: urashobora gushyiramo ingufu za biopsy, brushes, cryoprobes, fibre optique nibindi bikoresho byo kuvura.

Sisitemu y'abafasha: ibikoresho byo guswera, ibikoresho byo kuhira, umwanya wo kugendagenda (nka electronique ya electronique ya EBUS).

2. Ibisabwa byo kwa muganga

1. Umwanya wo gusuzuma

Kwipimisha kanseri y'ibihaha: Menya kanseri y'ibihaha yo hambere kandi uyobore biopsy (TBLB / EBUS-TBNA).

Indwara zandura: Shakisha sputum / bronchoalveolar lavage fluid (BAL) kugirango umenye indwara.

Isuzuma ryumuhanda: Gusuzuma stenosis, fistula, umubiri wamahanga, igituntu nibindi bikomere.

2. Umwanya wo kuvura

Gukuraho umubiri w’amahanga: Kuvura byihutirwa byabana / abantu bakuru bifuza kubwimpanuka imibiri yamahanga.

Gushyira stent: Kuraho stenosis yo mu kirere iterwa n'ibibyimba bibi cyangwa inkovu.

Ubuvuzi bwa Ablation: Laser / cryosururgie / icyuma cya gaz ya argon kugirango ikureho ibibyimba cyangwa granuloma.

Kuvura Hemostasis: Electrocoagulation cyangwa gutera imiti kugirango wirinde indwara ya hemoptysis ikabije.

3. Ubwoko bwibikoresho no guhitamo

Ubwoko Ibiranga Bikurikizwa

Fibre bronchoscope Umubiri windorerwamo woroshye, diameter ntoya (2.8 ~ 4mm) Abana, ubushakashatsi bwumuhanda wa peripheri

Electronic bronchoscope Igisobanuro gisobanutse cyane, gishyigikira imikorere ya NBI / gukuza Igipimo cya kanseri hakiri kare, biopsy neza

Ikomeye ya bronchoscope Umuyoboro munini (6 ~ 9mm), ushyigikire kubagwa bigoye Hémoptysis nini, gushyira stent, gukuraho laser

Ultrasound bronchoscope (EBUS) Ufatanije no gusikana ultrasound, suzuma lymph node mediastinal lymph node kanseri y'ibihaha (N1 / N2 lymph node biopsy)

4. Igikorwa cyo gukora (gufata urugero rwa bronchoscope yo gusuzuma)

Gutegura mbere yo gutangira

Umurwayi yiyiriza amasaha 6, anesthesi yaho (spray ya lidocaine) cyangwa anesthesia rusange.

Gukurikirana ECG (SpO₂, umuvuduko wamaraso, umuvuduko wumutima).

Inzira yo kwinjira

Amazuru (birushijeho kuba byiza) cyangwa umunwa (umuyoboro mugari).

Intambwe y'ibizamini

Itegereze glottis, trachea, carina, ibumoso n'iburyo nyamukuru bronchi n'amashami agabanije.

Iyo ibisebe bimaze kuboneka, biopsy, koza cyangwa lavage birakorwa.

Kuvura nyuma yo kubagwa

Kurikirana ibibazo nka pneumothorax no kuva amaraso, kandi ntukarye cyangwa unywa amasaha 2.

V. Imipaka yikoranabuhanga niterambere ryiterambere

Ifashwa na AI

AI iranga ibikomere biteye inkeke (nka kanseri mu mwanya) mugihe nyacyo kugirango igabanye igipimo cyo kwisuzumisha.

Electromagnetic yogukoresha bronchoscope (ENB)

Shikira ibihaha bya peripheri (<1cm) neza nka "GPS".

Ikoreshwa rya bronchoscope

Irinde kwandura umusaraba, ubereye indwara zandura nk'igituntu na COVID-19.

Robo ya bronchoscope

Ukuboko kwa robo ikora neza kugirango itezimbere intsinzi ya biopsy ya kure (nka platform ya Monarch).

Incamake

Ikoranabuhanga rya Bronchoscopique riratera imbere muburyo bwukuri, bwubwenge kandi butagaragara cyane, kandi agaciro kacyo kari muri:

Gusuzuma hakiri kare - kuvumbura ibikomere byihishe byindwara nka kanseri yibihaha nigituntu.

Treatment Kuvura neza - gusimbuza thoracotomy no kuvura neza ibisebe byo mu kirere.

Recovery Gusubirana vuba - ibizamini byinshi birashobora kurangira kuko abarwayi n’ibikorwa bishobora gusubukurwa umunsi umwe.

Mu bihe biri imbere, hamwe no guhuza amashusho ya molekuline hamwe n’ikoranabuhanga rya robo, bronchoscopi izaba urubuga rwibanze rwo gusuzuma no kuvura indwara z’ubuhumekero.