Lung Transplantation and Bronchoscopy: a diagnosis of rejection

What is a Bronchoscopy?

Patients who received lung transplantation well know what a Bronchoscopy. For those on the waiting list, which has never had; Mach don't worry you don't get to know. A Bronchoscopy is usually performed by a pulmonologist (lung physician) and a small camera on the end of a long probe Eng simply pass through the respiratory tract consist of adaptation. Can be inserted through the nose or mouth and breathing tube is also the patient still on a breathing machine (fan). The camera is placed at the bottom in both lungs while the patient is slightly sedated. The patient is usually known as what some hospitals "conscious sedation". Which is basically awake enough to breath and gags but tired enough to think about what happens, is that only a bad dream means.

Information after lung transplantation

Diagnosis

There are mainly two reasons that doctors will Bronchoscopies lung after transplantation. The first reason for diagnostic purposes, where the physician may or may not suspect something wrong did, but he needs to find out. A Bronchoscopy is performed at regular intervals to see if they pass through the body of new lung transplantation. A rejection is a sign that the body is not the body and trying to get rid of it, as was a bacterium. Needs immediate medical care once diagnosed. Biopsies are from various locations in the lungs to find possible rejection. A biopsy to send a bit far from the lung tissue and in the laboratory under the microscope. Usually, the doctor is that 6-8 times more times, each Bronchoscopy depending on how patients tolerate and how much it bleeds. It takes about 24 hours to know if lung biopsy is a rejection or not showed.

Diagnostics for Bronch is if a patient shows signs of pneumonia and a culture must be done. You run a culture, are the pulmonologist bug (bacteria, viruses or fungi) that the new lung is entered to identify and manage appropriately. Unfortunately many patients with lung cancer are infected graft with "Superbugs", requiring strong antibiotics, because adapted and are resistant to weaker as Cyprus or clomid.

Therapeutic

A Bronchoscopy makes other therapeutic intentions. In other words means found to treat a skin condition in the lungs, where patient pulmonary complications occur. The more important that we see are the collection of thick mucus, sometimes part of the lung is covered. The doctor will use the scope and go and wash out really well. The term for the occlusion is a mucus plug. A patient feels better typically 100%, once the problem has been resolved.

A rare complication after bronchial stenosis of lung transplantation. Stenosis means limit. Bronchial stenosis so means that bronchial tubes has become tight, and harder for air to go. This is usually done on the website, where the surgeon together the new lung bronchial connected with patients. The scar tissue that forms the narrowest makes the air passage. The condition is diagnosed a Bronchoscopy and can by 2 ways quite similar are treated, which will make a cardiologist, to disable the blocks in a heart. The first step is to use a balloon, that at the close to open it is inflated. If you open and stays that way, it is good. Does it back up, a stent may be used to keep it open. Like you into your heart. The difference is that happens in the lungs, into the bloodstream.

These were the main reasons, which are de facto Bronchoscopies of patients undergoing lung transplantation. Number one, who always at an early stage is believed post-transplant regardless of whether the patient is asymptomatic. That's why Bronchoscopies so regularly carried out to catch them soon.

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