{"id":7130,"date":"2021-02-11T10:30:59","date_gmt":"2021-02-11T10:30:59","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=7130"},"modified":"2021-02-11T10:35:13","modified_gmt":"2021-02-11T10:35:13","slug":"bronhoscopia","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/bronhoscopia\/","title":{"rendered":"BRONHOSCOPIA"},"content":{"rendered":"

BRONHOSCOPIA – cui se adreseaza?<\/strong><\/p>\n

Dr. Mihaela Simion, medic specialist pneumolog
\nSpitalul Universitar de Urgenta Bucuresti<\/p>\n

\"\"<\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \"\"<\/a><\/strong><\/p>\n

    \n
  1. Ce inseamna bronhoscopie si de ce este recomandata pacientilor?<\/strong><\/li>\n<\/ol>\n

    Bronhoscopia<\/strong>\u00a0<\/strong>este o procedura minim invaziva ce permite vizualizarea interiorului cailor aeriene: laringe, corzi vocale, trahee, bronhii avand rol in diagnosticarea afectiunilor respiratorii, tratament precum si examinare inainte si dupa interventii de chirurgie toracica.<\/p>\n

    In func\u0163ie de tipul instrumentului utilizat, bronhoscopia este rigida sau flexibila.<\/p>\n

    Metoda de electie in evaluarea endoscopica este fibrobronhoscopia deoarece necesita anestezie locala, toleranta pacientului este foarte buna si se poate explora practic intreg teritoriul pulmonar.<\/p>\n

      \n
    1. Cine efectueaza bronhoscopia? <\/strong><\/li>\n<\/ol>\n

      Bronhoscopia este efectuata de catre un medic pneumolog cu competenta in endoscopie bronsica, ajutat de o\u00a0asistenta.<\/p>\n

      Pentru efectuarea bronhoscopiei este necesar consimtamantul informat al pacientului si \u00a0unele analize: spirometrie, electrocardiograma, analize de sange, radiografie cardio-pulmonara sau CT torace.<\/p>\n

      Explorari asociate bronhoscopiei sunt: biopsie bronsica, brosaj (periaj) bronsic, aspirat bronsic, punctia transbronsica, lavajul bronhoalveolar, EBUS.<\/p>\n

        \n
      1. Cat dureaza efectuarea bronhoscopiei?<\/strong><\/li>\n<\/ol>\n

        Bronhoscopia dureaza 5 – 10 minute, in functie de complexitatea cazului, cooperarii pacientului, a manevrelor efectuate si a experientei medicului.<\/p>\n

        Procedura se efectueaza dupa anestezie locala, cu pacientul in sezut, pe un scaun si presupune introducerea unui tub subtire numit bronhoscop prin nas sau prin gura. Astfel bronhoscopul avanseaza incet prin spatele gatului, trece de corzile vocale si patrunde in caile respiratorii.<\/p>\n

          \n
        1. Este bronhoscopia dureroasa?<\/strong><\/li>\n<\/ol>\n

          Bronhoscopia nu este dureroasa.<\/p>\n

          Medicul comunica permanent cu pacientul si este monitorizat nivelul de oxigen din sange.<\/p>\n

            \n
          1. Cand este necesara bronhoscopia?<\/strong><\/li>\n<\/ol>\n

            Indicatiile diagnostice<\/strong> in bronhoscopia flexibila sunt: hemoptizii, suspiciune de fistula bronho-pleurala, disfonie, tuse persistenta, wheezing, corp strain, arsuri chimice\/termice, sindroame obstructive ca atelectazie, emfizem obstructiv, aspecte radiologice anormale (pneumopatii interstitiale difuze, adenopatii hilare, procese de condensare parenchimatoase, imagini cavitare, nodulare, pleurezii), traumatism toracic, cancer pulmonar.<\/p>\n

            Indicatiile terapeutice<\/strong> sunt: extragerea de corp strain, bronhoaspiratii in hemoptizii si supuratii pulmonare, montare de stenturi sau proteze endobronsice, proceduri de laserterapie\/ crioterapie\/ electrocauterizare. Situatii speciale in intubatie sub ghidaj bronhoscopic, ecografie endobronsica (EBUS), administrare locala de medicamente.<\/p>\n

              \n
            1. Cand nu se efectueaza bronhoscopia?<\/strong><\/li>\n<\/ol>\n

              Contraindicatii: absenta consimtamantului, astm bronsic in criza, disfunctii ventilatorii cu scaderea VEMS sub 25%, hemoptizii masive recent oprite, infarct miocardic recent sub 3 luni, angina pectorala instabila, tulburari majore de ritm cardiac, bolnavi in stadii terminale, sindrom de vena cava superioara, deficit de coagulare, epilepsie, pacient necooperant, alergie la xilina.<\/p>\n

                \n
              1. Ce trebuie sa faceti dupa procedura?<\/strong><\/li>\n<\/ol>\n

                Pacientul poate merge acasa in aceeasi zi. Nu se consuma alimente si lichide 2 ore post examinare pentru a\u00a0evita inecul din cauza anesteziei locale. Pentru orice problema aparuta in urma investigatiei se va contacta medicul care a efectuat bronhoscopia. Revine pentru rezultatele analizelor.<\/p>\n

                In cazul in care dorit\u00adi mai multe informa\u00adtii cu privire la terapie, produse si servicii, va rugam sa accesat\u00adi:
                \nhttps:\/\/vitalaire.ro<\/a><\/p>\n

                sau contactati-ne la:
                \nTel: 0757 202 040\/0374 690 000
                \nEmail: info@                vitalaire.ro<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

                BRONHOSCOPIA – cui se adreseaza? Dr. Mihaela Simion, medic specialist pneumolog Spitalul Universitar de Urgenta Bucuresti \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 […]<\/p>\n","protected":false},"author":6,"featured_media":7139,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[471,315],"tags":[543],"class_list":["post-7130","post","type-post","status-publish","format-standard","has-post-thumbnail","category-medicina-de-familie","category-pneumologie","tag-bronhoscopia"],"yoast_head":"\nbronhoscopia; biopsie bronsica; astm bronsic; transbronsica;<\/title>\n<meta name=\"description\" content=\"bronhoscopia; biopsie bronsica; astm bronsic; transbronsica; xilina; epilepsie; proteze endobronsice; crioterapie; emfizem;\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/bronhoscopia\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"bronhoscopia; 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