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1}{\creatim\yr2014\mo11\dy19\hr16\min43}{\revtim\yr2014\mo11\dy28\hr9\min14}{\printim\yr2014\mo11\dy28\hr9\min13}{\version5}{\edmins52} {\nofpages1}{\nofwords318}{\nofchars1819}{\nofcharsws2133}{\vern24615}{\*\password 00000000}}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/office/word/2003/wordml}{\xmlns2 urn:schemas-microsoft-com:office:smarttags}} \paperw12240\paperh15840\margl1701\margr850\margt1134\margb1134\gutter0\ltrsect \widowctrl\ftnbj\aenddoc\donotembedsysfont0\donotembedlingdata1\grfdocevents0\validatexml0\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0\showxmlerrors0\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3 \jcompress\viewkind1\viewscale100\rsidroot3357649 \fet0{\*\wgrffmtfilter 013f}\ilfomacatclnup0\ltrpar \sectd \ltrsect\linex0\sectdefaultcl\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2 \pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6 \pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\qr \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid7941510 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1049\langfe1049\cgrid\langnp1049\langfenp1049 {\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid3357649\charrsid6759184 Naluzze}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid3357649\charrsid7941510 }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid3357649\charrsid6759184 D}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid6759184 oreen}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid7941510 }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid6759184 M}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid3357649\charrsid7941510 .}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid7941510 , }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid6759184 Pytetska}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid7941510 }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid6759184 N}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid6759184\charrsid7941510 .}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid3357649\charrsid7941510 \par }\pard \ltrpar\qc \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid3357649 {\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1031\langfe1049\langnp1031\insrsid3357649\charrsid7941510 \par }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1033\langfe1049\langnp1033\insrsid6759184\charrsid10301833 APPLICATION OF TRACHEOSCOPY IN PULMONOLOGY PRACTICE. THE BASIC PRINCIPLES OF THE METHOD \par }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang9\langfe1049\langnp9\insrsid3357649\charrsid3357649 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}Kharkiv{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}National{\*\xmlclose}{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}Medical{\*\xmlclose}{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}University{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} \par \par }\pard \ltrpar\qj \fi720\li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid10301833 {\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 Tracheoscopy is a procedure that lets the doctor look inside the trachea (windpipe) and d own into the lower airways. To do this, a tool called an endoscope is used. This is a thin, flexible tube with a light and camera on the tip. This sheet explains the procedure and what to expect. \par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid10301833 {\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang9\langfe1049\langnp9\insrsid11207095 \tab }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 Technique of }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid10301833 }{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 t}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 racheoscopy.}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang1033\langfe1049\langnp1033\insrsid11207095\charrsid10301833 }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 The procedure can take up to 45 minutes. }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 Patient}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 will go home the same day. Before the procedure begins, }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 patient\rquote s}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 throat will be numbed. }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 Doctor}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 may also be given medication to help relax. During the procedure}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid13177982\charrsid10301833 need}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 : \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid13177982\charrsid10301833 \endash pati}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid11207095\charrsid10301833 e}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid13177982\charrsid10301833 nt}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 sit upright in a chair that supports }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid13177982\charrsid10301833 his}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 head. \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid13177982\charrsid10301833 \endash t}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 he endoscope is gently inserted into }{ \rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 patient\rquote s}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 nose and moved down into }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 his }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 throat, between the vocal cords. It may then be advanced into the lower airways. }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 Patient}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 will need to breathe through }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid11207095\charrsid10301833 his }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 mouth while the endoscope is in place. \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid13177982\charrsid10301833 \endash }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 The endoscope sends pictures from inside the trachea and lower airways to a video screen. The doctor uses the images to move the scope and look for problems. \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid13177982\charrsid10301833 \endash }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 If needed, the endoscope can be used to take a small tissue sample (biopsy) from inside the trachea or airways. This sample is sent to a lab for testing. \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang1033\langfe1049\langnp1033\insrsid13177982\charrsid10301833 \endash }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 When the test is done, the endoscope is removed. \par }\pard \ltrpar\qj \fi720\li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid10301833 {\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 After the Procedure d}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 ue to the numbing medication, swallowing may be hard at first. This may last a few hours. Don\rquote t eat or drink until swallowing returns to normal. Follow any instructions you have been given, such as: \par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid10301833 {\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 \tab if patient smoke, stop for at least 24 hours after the procedure. Smoking will make throat irritation worse and slow recovery; \par \tab if a biopsy was taken, try not to cough or clear patient\rquote s th}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 roat. This will help prevent bleeding. \par \tab Once you are able to swallow normally, drink plenty of water.}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 Use throat lozenges as prescribed by your doctor. \par }\pard \ltrpar\qj \fi720\li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid10301833 {\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid10301833 Risks and Possible Complications}{\rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\lang9\langfe1049\langnp9\insrsid3349854 }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 of this procedure}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 :}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 \par }\pard \ltrpar\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid10301833 {\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash b}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 leeding}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 ;}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash i}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 nfection}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 ;}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash s}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 welling of the throat}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 ;}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash b}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 reathing problems}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 ;}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash v}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 omiting}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 ;}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash f}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 ood or fluids going into the airways (aspiration) \par }{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854 \endash v}{\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 \fs28\lang9\langfe1049\langnp9\insrsid3349854\charrsid3357649 ocal cord paralysis (rare) \par \par }}