Bronchoscopy: Reflection Of The Lungs

The doctor can use the bronchoscope to examine the lungs and airways. In addition, the method helps in the treatment, for example, to extract viscous mucus. During lung reflection, the doctor introduces a bronchoscope into the airway via the mouth or nose. Modern bronchoscopes consist of a soft, flexible tube with a diameter of two to six millimeters. At the top of the tube sits a camera with light source. This camera sends its images in real time to a monitor on which the doctor examines the patient’s airways.

In addition, the bronchoscope can inject and aspirate liquid and thereby perform a so-called bronchial lavage. In addition, very small pliers or brushes can be advanced through the tube and tissue samples taken. These biopsy specimens will be examined later by the doctor under a microscope. In addition, a miniature ultrasound head can image the environment of the airways.

For what reasons does the doctor perform a bronchoscopy?

A bronchoscopy may be necessary for both treatment and diagnosis, for example if there is suspicion of lung cancer in the room or if treatment is to be scheduled for a known lung tumor. Doctors can also use this method to introduce radioactive substances into the lungs in order to irradiate tumors locally. Restrictions of the respiratory tract can be clarified by bronchoscopy. Similarly, the doctor can investigate reduced ventilation of partial areas of the lung, so-called atelectasis. With the lung reflection and bronchial lavage cells and germs can also be extracted from the lungs.

bronchoscope-to-examine-the-lungs

Doctors also use lung plasmas to look for and remove foreign bodies. In ventilated patients, the position of the breathing tube can also be corrected with it. In addition, secretions such as mucus plugs can be washed away with the bronchoscope and inserted so-called stents, which seemed to the airways from the inside and keep them open.

How is an examination with the bronchoscope going?

On the day of the examination the patient comes sober. He receives a spray that stuns the throat and suppresses the gagging. Then, the patient is virtually always injected with a short narcotic into the vein, so that he feels nothing at all from the examination. If necessary, sedatives are also used.

The doctor introduces the bronchoscope through the mouth or nose into the trachea. Afterwards, he examines the mucous membrane of the airways, which can be imagined as a “bronchial tree” with more and more ramifications. The doctor examines all bronchi to a maximum of the third or fourth diversion. This usually takes 10 to 15 minutes. The airways themselves are insensitive to pain.

If a bronchial lavage is needed, the doctor injects about 20-100 milliliters of sterile fluid into the lower respiratory tract and then sucks it off. It extracts bacteria and cells from the surface of the respiratory tract and subsequently examines them in the laboratory.

After the examination, the patient should abstain from eating and drinking for about two hours until the anesthetic of the throat has subsided. Otherwise there is a risk of swallowing. If the patient has been given tranquilisers or anesthesia, they are not allowed to drive the same day.

What other types of bronchoscopy are there?

In addition to the lung reflection with a flexible tube, there is still the investigation with a rigid tube. This tube can, for example, better remove foreign matter from the lungs. Even if a tumor severely restricts the airways, rigid bronchoscopy has advantages. Sometimes the doctor can remove tumors directly using laser devices or argon bombers. Argon beamer are coagulation devices that transfer energy via argon gas and soil the tissue two to three millimeters deep. The doctor uses them to destroy tissue and stop bleeding. If he has to use stents to stretch a constriction, it works better with the rigid bronchoscope.

Is a bronchoscopy dangerous?

The bronchoscope may cause nosebleeds or sore throat with difficulty swallowing, hoarseness or coughing, and very rarely injure the larynx. Even short-term fever sometimes occurs afterwards, especially in lavages. Severe incidents are very rare in bronchoscopy.

Removing the tissue samples may cause slight bleeding. Therefore, one should expect in the first two days that you abhustet blood to a small extent. Every now and then, the bleeding is so severe that they have to be breastfed by the endoscope.

In some cases, injury to the alveoli causes the lungs to leak and form a so-called pneumothorax. This means that air flows into the space between the lungs and the surrounding lung cavity and causes the feeling of being short of air. Then, if necessary, the application of a chest tube is necessary: ‚Äč‚ÄčThis plastic tube through the chest wall conveys the infiltrated air to the outside.

Possible exclusion reasons

A bronchoscopy can be problematic in generally very poor condition or serious comorbidities: If a heart failure or an acute myocardial infarction present, the function of the lungs massively reduced or the blood clotting are disturbed, you should consider the need for the investigation carefully and together with the doctor benefits and consider possible disadvantages.

Possible exclusion reasons

A bronchoscopy can be problematic in generally very poor condition or serious comorbidities: If a heart failure or an acute myocardial infarction present, the function of the lungs massively reduced or the blood clotting are disturbed, you should consider the need for the investigation carefully and together with the doctor benefits and consider possible disadvantages.

Doctors Tips Of Prevention And Cognition, Heart Attacks

Ischemic heart disease.

Ischemia is a decrease in blood supply to a body organ, tissue or partially arrested by constriction or blockage of the blood vessels, and it is the right medical term for reduced blood flow to the heart. Cured or blocked arteries usually cause us, and it is the leading cause of death in most Western countries. The growth of these tissues is called arteriosclerosis.

Atherosclerosis typically begins in early adolescence but is rarely diagnosed until late in life usually due to a stroke or heart attack. Autopsies of healthy young men who died during the Korean and Vietnam War showed signs of the disease. Early diagnosis and treatment can stop the progression of atherosclerosis and prevent a medical emergency.

According to the United States data for 2004 for about 65% of men and 47% of women, the first symptom of atherosclerosis is heart attack or sudden cardiac death (death within one hour after onset of symptoms) or obstruction of the arteries that cause the Brain as a result of a stroke.

Another problem that can cause ischemic heart disease is an aneurysm. It is a localized, pathological, blood-filled dilation of a blood vessel causing a weakling from the vascular wall. Plaque forms in the arteries causing it an obstacle and the blood flow around the constipation pressure on the walls of the arteries. This can cause the walls of the arteries to balloon out and weaken as the blood moves around the obstacle. If one of these balloons or aneurysms explodes then death can occur within minutes.

When the plaque is displaced from the arterial walls it will travel into the heart and cause one of the blood vessels of the heart to get blocked, causing a heart attack. If the plaque gets lodged in one of the blood vessels, the blood supply to the brain, then it becomes a stroke.

heart-attack

Ischemic is caused by a diet rich in fats and physical inactivity. A high-fat diet leads to high levels of cholesterol in the blood. The American Heart Association offers a range of guidelines for total blood cholesterol and heart disease risk. The desirable LDL is less than 100 mg / dl. However, the report from the National Cholesterol Education Program in 1987 suggesting that total blood cholesterol should be below 200 mg / dL of normal blood cholesterol when cholesterol levels between 200 and 239 mg / dL are considered borderline high, and higher than 240 mg / dl is considered high cholesterol.

Many scientists, nutritionists, and activists are concerned about ischemic heart disease, and they are trying to educate the American people into a healthier diet. And this power of healthy suggestion seems to work on restaurants. Especially since 2004, fast food chains have begun to offer healthier menu options such as yogurt, salads and fruits. Many restaurants now print some nutritional information on their menus and specifically offer heart-smart recipes.

Over-the-counter products and Vitamins are common and can help relieve heart disease such as Pectin, Foti, Vitamin C, Niacin, and EPA. Foti also called He Shou Wu in China is legendary in his ability to extend life. Modern studies have shown that Foti has the ability to lower serum cholesterol, prevent premature gray hair, promote red cell growth, increase blood and longevity at the cellular level. This herb raises the level of naturally occurring antioxidant superoxide dismutase (SOD) in the body. Foti can reduce blood cholesterol by inhibiting intestinal absorption, which helps to reduce atherosclerosis and other heart diseases.

Niacin is the next thing, a perfect treatment that corrects most causes of coronary heart disease. Niacin blocks the release of fatty acids from the fat cells. Niacin plays an important role in gene expression, energy production, and hormone synthesis. You can not live without it. Niacin also tends to alter LDL particle distribution to larger particle size and improve HDL functioning. The intake of 3 g of niacin for less than two weeks to reduce serum cholesterol by 26 percent.

Vitamin C has been shown to counteract the development of cholesterol deposits in the arteries. Within hours of receiving vitamin C patients showed a sharp decline in blood cholesterol.

Pectin limits the amount of cholesterol your body can absorb. High pectin in apples can count why “One day keeps the doctor away”.

Studies of Greenland Eskimo’s lack of heart attacks have shown that Eico sapentaenoic acid (EPA) lowers cholesterol significantly, even more than polyunsaturated fat. It also triggers a significant reduction in triglycerides. Salmon oil is one of the most famous natural EPA sources.

If you are at risk of heart disease then you will find a good health care professional before beginning any kind of home treatment.

Always ask your doctor before using this information, this article is nutritional in nature and is not considered medical advice.

Cardiomegaly Heart Disease Expansion Cardiomyopathy

Cardiomegaly is not a disease, but the symptom of a problem with the heart, which causes it to become enlarged. Your heart may become enlarged during pregnancy, or due to a condition that puts stress on the heart, such as coronary artery disease, prolapse or stenosis of one of the heart valves, or problems in the electrical heart rhythm. Occasionally the cause of an enlarged heart may not be known.

The symptoms of cardiomegaly are variable. In the early stages, no symptoms will be felt. Then, as the heart continues to grow, some people will not experience any symptoms at all, while others experience shortness of breath, dizziness, an abnormal heart rate, cough, chest pain or swelling in the feet. The symptoms may be caused by the condition that causes the heart to be enlarged. For example, if your heart valves have been damaged by rheumatic heart disease, you may notice an irregular heartbeat, also called an arrhythmia. Some cardiac arrhythmias cause shortness of breath and dizziness.

High blood pressure causes the heart to work harder to pump blood through the body. When the heart needs to beat faster or harder, the muscles thicken producing cardiomyopathy or stiffening of the heart muscle, which can lead to cardiomegaly over time.

cardiomegaly-heart-disease-expansion-cardiomyopathy

A heart attack, infections, connective tissue disorders, congenital heart disease, certain medications, and cancer radiation can all damage heart, producing enlargement. Pulmonary hypertension, or high blood pressure in the lungs can increase the heart’s workload, causing the right side to be enlarged.

Iron deficiency anemia, resulting in a lack of red blood cells, produces a domino effect. If there are fewer red blood cells to transport oxygen, the heart must work harder to pump more blood to form the lack of oxygen. Over time, untreated anemia can lead to an enlarged heart. On the other hand, too much iron, or a problem with iron metabolism can put pressure on the left side of the heart, weakening the muscles and making balancing cardiomegaly.

Thyroid disorders, both a sluggish thyroid and an overactive thyroid can cause heart problems and cardiomegaly. A rare blood disorder called amyloidosis causes amyloids to build up abnormal proteins in the heart because of it’s enlargement.

Cardiomegaly may be asymptomatic or very serious, depending on the underlying cause or heart disease. The aim of the treatment is to control the symptoms and reduce whatever damage is caused by the factors causing enlargement of the heart. Cardiomegaly can not be cured, and usually can not be reversed, but it can be successfully treated and the symptoms controlled.