Isibindi biopsy: indlela yokwenza esibhedlele

Xa yezonyango kwiminyaka yakutshanje yaphucuka kakhulu iindlela zophando ezibonwayo (ultrasound, x-ray). Kodwa ngamanye amaxesha ngokwaneleyo basibone ngokuchanekileyo. Kwezinye ezimbi ifuna isampuli kwithishyu. Ukunqanda yokungenelela ngotyando isetyenziselwa ukuvelisa iiseli ze-biopsy zesibindi. Indlela yokwenza le nkqubo? Kuba kuyo emiselweyo? Nokuba njani na uphando?

Makhe uphando.

Yintoni a biopsy isibindi

Olu phando yezonyango ezizodwa, uvumela ukuba ukuchonga umzimba kwiimeko ezininzi ezingaqhelekanga kwinqanaba zeselula.

Makhe sihlole ngokwemigaqo jikelele, ukuba biopsy isibindi sinikeziwe, njengoko kwenza le nkqubo. Ukusebenzisa inaliti okhethekileyo uthathe inxalenye encinane laphu, nto leyo ithunyelwe isifundo elebhu. Le nkqubo kuthathwa ukuba izakhi kunokuba nzima.

Amaxesha amaninzi umbuzo wokuba ngaba ukwenza kubi isibindi biopsy. Uphononongo engazisi ukungakhululeki isigulane, njengokuba kusenziwa phantsi zomzimba.

Kutheni amisele iinkqubo

Phakathi izigulane ngokubanzi kukholelwa ukuba isibindi biopsy baqeshwe kuphela ukuba ugqirha urhanela isifo somhlaza. Kodwa oku isizathu kuphela ukuba isifundo eyabelwe.

Le nkqubo kuyacetyiswa kwezi meko zilandelayo:

• analysis Igazi inika isiseko suspecting isifo sesibindi;
• izifundo (ultrasound X-ray, MRI, CT) waphawula ingxaki umzimba;
• ukuseka izinga lomonakalo kwesibindi;
• isigulane kufuneka bacwangcise unyango ngasekunene;
• emva konyango ezimiselweyo kufuneka kuchazwe okuhambisa.

Khumbula, ukuba babela biopsy isibindi yinkqubo ukwenza nento ugqirha uchaze ngokweenkcukacha.

Uphononongo lubonise ukuba iintlobo ezininzi ezimbi, kuquka xa:

• isifo okunamafutha isibindi nonalcoholic;
• kohlobo B okanye C;
• ezinxilisayo isifo sesibindi ;
• ukuqina biliary eziziiprayimari;
• hepatitis komzimba ;
• zamabanga cholangitis sclerosing ;
• isifo Wilson kaThixo.

Ukulungiselela inkqubo

Izigulane bafumane biopsy isibindi, ukuba benze njani na inkqubo, ugqirha uza uchaze ngokweenkcukacha. Uya uchaze yonke into okulindeleyo kule saveyi.

Isigulane kufuneka uxelele ugqirha malunga onke amayeza azithathayo. Oku kusebenza kuphela ukuba amayeza kagqirha, kodwa iivithamini, izongezo eengcambu.

Usuku ngaphambi kokuba amayeza biopsy nomonde obenziwe, izongezo, kungabangela ukuba ukopha:

1. Ntlungu ezifana "aspirin", "ibuprofen".
2. ithinasi igazi, ezifana "Warfarin".
3. amachiza ezithile okunesondlo ukucutha umngcipheko ukopha nhlanganiso.

Ukongeza amayeza, kubalulekile ukuba ukwazisa ugqirha wakho malunga nempilo yakho. Nikela ingqalelo ekhethekileyo kwezi ngongoma zilandelayo:

• kuqinisekiswa okanye ukukhulelwa kunokwenzeka;
• kukwalisa amayeza okanye latex;
• kutshanje adluliselwe pneumonia;
• Ingaba ascites into eyahlukileyo;
• izifo kwegazi.

phambi kokuba inkqubo

Echaza ukuba ukwenza njani biopsy isibindi (ifoto kweli nqaku likuvumela ukuba uqhelane kunye nenkqubo), ugqirha uyakukumisela kwisaveyi nomonde:

1. test Blood. Kuyacetyiswa ukuba umguli ukwenzela ukuqinisekisa inqanaba igazi ekunqandeni. Ukuba hlolisiso lubonisa ingxaki, ngokukhawuleza phambi kokuba inkqubo, ugqirha uza kunika examinee iyeza elo lunciphisa ubungozi ukopha.
2. US. Uphononongo ivumela ukuba bafunde iimpawu yokwakheka noshowo umzimba.

Xa wenzile zonke iimvavanyo, ugqirha uyakukumisela umhla biopsy. iiyure ezili-10 phambi kokuba inkqubo, kufuneka uyeke ukuthathwa ukutya. Kuba iiyure 8-6 phambi kokuba inkqubo kufuneka zilahlwe ukusuka kulwelo. Kwangoko phambi biopsy isigulane Siyaleza bayikhuphe isinye. Ngapha koko, emva kokuba inkqubo umguli akakwazi aphakame ngokukhawuleza.

isibindi biopsy

Njani le nkqubo?

Buqhinga enala manqanaba alandelayo:

1. Phambi kokuba inkqubo, ngokuzitofa umthomalalisi.
2. Isigulana siya kucelwa ukuba undress. Uwa phezu emqolo yaye ibeka isandla sakhe sokunene phantsi kwentloko yakhe.
3. indawo ye eluswini, apho aya kuba okuhlatywa, iintsholongwane. Kule ndawo, zomzimba lengingqi kulawulwa.
4. Doctor usebenzisa uhlolo ncwadi okanye ngokusebenzisa umatshini ultrasound ukufumana esibindini. Inaliti ezizodwa ezilungiselelwe biopsy, iya ngokuzitofela ngesikhumba phakathi ezimbombeni zaso ezimbini ilungelo engezansi. Ukwenzela ukuba kulungiselelwe sicatshulwa yenaliti, isigulane usenokucelwa ukuba uwukhuphe ubambe umoya okwethutyana. Esinjalo isiganeko kuya kusikhusela nxamnye okuhlatywa ngengozi kwemiphunga.
5. Ukuba kuyimfuneko, ugqirha wakho uya kuthwala elinye osisaqhwithi, kodwa kwinkalo eyahlukileyo.
6. Le nkqubo ithatha malunga 15-30 imizuzu.

Kuba Oncology okusolwayo okanye ukuqina inokuba nabanye biopsy indlela esibindini. Njani umhlaza le ukuphululwa? Biopsies wambi olwenziwe laparoscopy.

iindlela

Kukho iintlobo ezininzi kule nokuqhathwa. ugqirha kuphela kukuxelela indlela wenze biopsy isibindi.

Isigulana enye yezi ndlela zilandelayo recommended:

1. biopsy Percutaneous. Le yeyona ndlela ixhaphakileyo. Siye sahlolisisa ngasentla ngale ndlela.
2. biopsy Transjugular. Isigulane ubuxoki emqolo phezu kwetafile x-reyi. Ukubulawa, ugqirha ifaka kungena entanyeni. Ngoko yenza liqatywe encinane Kusenjalo jugular of a ityhubhu yeplastiki bhetyebhetye ifakiwe. Uye ngobunono kwiglasana ebethelelwa kulo isitya. Xa ityhubhu lufika Kwangale hepatic, oko ilungiselelwayo arhente uthelekiso kunye wenza uthotho imifanekiso. Emva koko nge ityhubhu athathe isampuli kwithishyu. Le catheter isusiwe ngenyameko. Kwi walisusa entanyeni.
3. biopsy laparoscopy. Lenquba yenzelwa phantsi Ukubulawa jikelele. Isigulane uziva nto. Isigulana phezu kwetafile yokusebenza. Ugqirha yenza ezimbalwa okanye liqatywe encinane esiswini. Ukutyhubela ukusikwa zizixhobo ezizodwa, kwakunye ikhamera yevidiyo elincinane Iiprojekthi umfanekiso umzimba kwi esweni. Ugqirha ubona umzimba ngokweenkcukacha. Oku kukuvumela ukuba uthathe zonke iisampulu zeethishu kuyimfuneko. Emva kokususa izixhobo, ukuba liqatywe luvalwe.

emva kwenkqubo

Ngoku uyazi, ukuba wabelwe i biopsy isibindi, njengoko kwenza le nkqubo. Ithuba kwimo uxhomekeke ngokupheleleyo kuhlobo yokuntlokothiswa.

Ngokuqhelekileyo, isigulana kucetyiswa:

1. Emva kokuba biopsy, umguli ithuthelwe ewadini. Umongikazi iqwalasela ukubetha, uxinzelelo lwegazi nokuphefumla yesigulane.
2. Umntu akavumelekanga ukuba ingakwazi nokuphuma ebhedini iiyure 2-4 xa eyenziwa biopsy percutaneous. Kuba kwezinye iinkqubo ntlobo buyanda.
3. Abaguli ayesenza amayeza umthomalalisi, kufuneka bangayifumani emva kwevili. Kungcono ukucela izalamane ukuthatha ekhaya evela esibhedlele.
4. Emini kufuneka phakamisa iintsimbi.
5. Intlungu kwindawo okuhlatywa usenokungaguquki iiveki.
6. Ngemisebenzi yesiqhelo, unako ukubuyela kwiintsuku 1-2.

iingxaki kunokwenzeka

Ukuba biopsy lwenziwa yi-ngugqirha onamava, ukuba inkqubo ekhuselekileyo ngokupheleleyo.

Noko ke, maxa, imiphumo zilandelayo zenzeke:

1. Pain. Kuyaphela emva kokuba inkqubo - i ingxaki ixhaphakileyo. Kaninzi iba njengokungathi ezincinane esibuhlungu. Kwimeko kabi kakhulu isigulane emiselweyo unyango iintlungu.
2. Ukopha. Kwezinye izigulane, le ingxaki zinokwenzeka. Ukuba wopha kakhulu, isigulane kufuneka ukutofelwa igazi okanye uqhaqho.
3. Gciwane. Lidla kama esinqabileyo. Esebenzisa imbobo okanye okuhlatywa kwi kwisisu ingangena igciwane.
4. umonakalo ngengozi izitho ezikufuphi. Inqabile kakhulu. Inaliti nga kwenzakale amalungu ezikufuphi (umphunga, inyongo isinye).

umbono kwizigulane

Kwaye ngoku khangela ukuba izigulane ucinga le nkqubo nje biopsy isibindi. Indlela ukukwenza oko?

Baqinisekiswa zibonisa ukuba siganeko phantse lonke yenza umntu uloyiko. Nangona kunjalo, lo biopsy ngokwayo lwenzeka kakhulu lula. Abanye abantu zifumana bomzimba okungephi. Kodwa ukuqaleka njee.

Izigulane abangqinelanayo ngokupheleleyo zonke iimfuno gqirha, kunye neze iingxaki nazo.

Amaziko yonyango ethile inkqubo zesibindi biopsy wesiNtu. Ngoko ke, asifanele bakoyike.