Amavavu Endlela eyodwa Okwehliswa kwevolumu yamaphaphu e-Bronchoscopic

Amavavu Endlela eyodwa Okwehliswa kwevolumu yamaphaphu e-Bronchoscopic

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    Amavavu Endlela eyodwa Okwehliswa kwevolumu yamaphaphu e-Bronchoscopic

    Izindlela ezihlukile ze-bronchoscopic esikhundleni sokuhlinzwa kokunciphisa umthamo wamaphaphu (LVRS) zisanda kuhlongozwa;indlela yokudlula umoya kanye nokunciphisa umthamo wamaphaphu we-bronchoscopic (BLVR) ngokuqinisekile kuyisinyathelo esisodwa esingaphezu komkhuba wamanje we-LVRS.Ikakhulukazi, i-BLVR enamavalvu endlela eyodwa izamile elabhorethri yokuhlola kanye nasezilungiselelweni zomtholampilo ezikhethiwe.Ivalvu yendlela eyodwa ivumela umoya ukuthi uphume engxenyeni yamaphaphu ehlukanisiwe ngesikhathi sokuphelelwa isikhathi esivamile futhi ivimbela umoya ekugcwaliseni kabusha iphaphu ngesikhathi sokuphelelwa yisikhathi.Ukubekwa kwalawa ma-valve ku-segmental bronchi kungase kuhlukanise ngokusebenza indlela yomoya ehlinzeka ngezingxenye ezigcwele kakhulu zamaphaphu emphysematous., ithanda ukwehla kwamandla emali ngisho ne-atelectasis, futhi ngaleyo ndlela ilingise i-LVRS ekunikeleni kwayo ekudambiseni izimpawu.

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    I-Emphasys endobronchial valve (EBV) iyi-endobronchial prosthesis eyakhelwe kokubili ukulawula nokuqondisa kabusha ukugeleza komoya.Kuyi-one-way, polymer, duckbill valve efakwe ngaphakathi kwesilinda sensimbi engagqwali exhunywe kusigcinayo esizikhulisayo se-nickel-titanium (nitinol).Ivimbela umoya ukuthi ungangeni ephashini eliqondiwe kodwa ivumela umoya namafinyila ukuthi uphume.I-EBV inikezwa ngosayizi abathathu, ngamunye uhloselwe uhla oluhlukile lwamadiamitha elume ye-bronchial: 4.0/5.5 mm (ububanzi bangaphakathi/bangaphandle), 5.0/7.0 mm, kanye no-6.5/8.5 mm;i-valve ngayinye inobude obuyi-10 mm.

     

    Uma i-EBV ilethwa ku-bronchus eqondiwe, isigcini siyakhula ukuze sithinte izindonga zelume.Le valve futhi iklanyelwe ukuvumela umoya ukuthi uphume engxenyeni yamaphaphu ehlukanisiwe kuyilapho ivimbela umoya ekugcwaliseni indawo yamaphaphu eqhelile ngesikhathi sokuphefumula: ikhipha umoya ngesikhathi sokuphelelwa yisikhathi futhi ivale lapho ukugeleza kubuyiselwa emuva ngesikhathi sokuhogela.

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