Ebyuma ebikozesebwa mu by’obujjanjabi ebiddiŋŋana okukebera ennyindo

Reusable bronchoscope ye endoscope esobola okuddamu okukozesebwa oluvannyuma lw’okutta obuwuka emirundi mingi n’okuzaala, okusinga ekozesebwa okuzuula n’okujjanjaba endwadde z’okussa. Bw’ogeraageranya n’ebyuma ebikebera emisuwa eby’ennono ebikozesebwa omulundi gumu, erina ebirungi mu kukekkereza ssente n’okukuuma obutonde bw’ensi, naye yeetaaga enkola enkakali ey’okuyonja n’okutta obuwuka okukakasa nti tewali bulabe.

1. Ensengeka enkulu n’enkola

Ekitundu ky’okuyingiza: ekyuma ekigonvu ekigonvu (ebiseera ebisinga mm 2.8-6.0 mu buwanvu obw’ebweru), ekiyinza okuyingira mu nnyindo n’ennyindo ng’eyita mu kamwa/ennyindo.

Enkola y’amaaso:

Fiber bronchoscope: ekozesa optical fiber bundle okulungamya ekifaananyi (ekisaanira okwekenneenya okusookerwako).

Electronic bronchoscope: eriko sensa ya CMOS eya high-definition ku nkomerero y’omu maaso, ekifaananyi kyeyoleka bulungi (mainstream trend).

Omukutu ogukola: ebikozesebwa nga biopsy forceps, cell brushes, laser optical fibers, n’ebirala bisobola okuteekebwamu okutwala sampuli oba okujjanjaba.

Ekitundu ekifuga: tereeza enkoona ya lenzi (fukamira waggulu ne wansi, kkono ne ddyo) okusobola okwanguyiza okwetegereza amatabi g’ennyindo ag’enjawulo.

2. Ensonga enkulu ez’okukozesa

Okuzuula obulwadde:

Okukebera kookolo w’amawuggwe (biopsy, brushing) .

Okutwala sampuli z’obuwuka obuleeta endwadde okusobola okufuna obulwadde bw’amawuggwe

Okunoonyereza ku kuzimba kw’emikutu gy’empewo oba ebintu ebitali bimu

Obujjanjabi:

Okuggyawo emibiri egy’ebweru egy’emikutu gy’empewo

Stenosis dilation oba okuteeka stent

Okufuyira eddagala mu kitundu (nga obujjanjabi bw’akafuba) .

3. Enkola enkulu ez’okuddamu okukozesebwa

Okukakasa obukuumi, ebiragiro ebikwata ku kutta obuwuka n’okuzaala (nga ISO 15883, WS/T 367) birina okugobererwa ennyo:

Okusooka okulongoosa ku kitanda: Amangu ddala, ssuka payipu n’eddagala ery’okunaaba enziyiza (enzyme wash solution) ng’omaze okugikozesa okuziyiza ebivaamu okukala.

Okwoza mu ngalo: Menyawo ebitundu ne bbulawuzi payipu n’ebintu ebiri kungulu.

Okutta obuwuka/okuzaala okw’omutindo ogwa waggulu:

Okunnyika mu ddagala (nga o-phthalaldehyde, peracetic acid).

Okuzaala mu plasma mu bbugumu eri wansi (ekola ku ndabirwamu ez’ebyuma ezitagumira bbugumu erya waggulu).

Okukala n’okutereka: Teeka mu kabineti ennyonjo eyetongodde okwewala obucaafu obw’okubiri.

4. Ebirungi n’obuzibu

Nnemedwa

Ensimbi entono: Ensimbi ezisaasaanyizibwa mu kukozesa okumala ebbanga eddene ziba wansi nnyo okusinga ez’ebyuma ebikebera empewo ebikozesebwa omulundi gumu.

Okukuuma obutonde: Okukendeeza ku kasasiro w’ebyobujjanjabi (obucaafu bw’obuveera mu sikopu ezisuulibwa).

Emirimu egy’enjawulo: Emikutu eminene egy’emirimu giwagira emirimu egy’amaanyi (nga frozen biopsy).

Ebikoma

Obulabe bw’okukwatibwa obuwuka: Singa okuyonja tekukolebwa bulungi, kiyinza okuvaako obulwadde bw’okusalasala (nga Pseudomonas aeruginosa).

Okuddaabiriza okuzibu: Okukulukuta n’okukola kw’amaaso byetaaga okukeberebwa buli kiseera, era ssente ezisaasaanyizibwa mu ndabirira nnyingi.

5. Omuze gw’enkulaakulana

Okulongoosa ebintu: Okusiiga eddagala eritta obuwuka (nga silver ions) kikendeeza ku bulabe bw’okukwatibwa obuwuka.

Okwoza mu ngeri ey’amagezi: Ebyuma ebiyonja mu bujjuvu n’okutta obuwuka biyamba okukola obulungi.

Hybrid mode: Amalwaliro agamu gakozesa omugatte gwa "repetitive + disposable" okutebenkeza obukuumi n'omuwendo.

Okubumbako

Ebikozesebwa mu kukebera empewo ebiddiŋŋana bikulu nnyo mu kuzuula n’okujjanjaba enkola y’okussa. Zikekkereza era zikola, naye zeesigamye ku nkola enkakali ey’okutta obuwuka. Mu biseera eby’omu maaso, olw’okukulaakulana kw’ebikozesebwa ne tekinologiya w’okuzaala, obukuumi bwabyo bujja kwongera okulongooka.