A biopsy ya chithokomiro England: icho chiri, momwe anapanga? A biopsy ya chithokomiro England: lokonzekera, kutanthauzira zotsatira za kufufuza, zotsatira za

Zinthu zamakono zochizira khansa chithokomiro wauka kwa mlingo m'malo okwezeka. Mu ichi Zatsala kufunika alowererepo mu dongosolo mkati mwa thupi, ndiye, anachita biopsy ya chithokomiro England. Ndi chiyani icho? - Inu kufunsa. Yankho si yaitali kubwera ngati chithokomiro wanu tinatake tozungulira kuposa 1 masentimita kukula, kapena ngati pakhala mabungwe angapo amenewa. Popeza kuti a ultrasound si nthawi zokwanira. Kudziwa chikhalidwe cha maphunziro, muyenera chitsanzo cha chuma ndi kuganizira chikhalidwe chake.

Kuzindikira ndondomeko zofunika

Asayansi ambiri, komanso World Health Organization wakhala anazindikira kufunika mwambo umenewo. Asayansi amanena kuti maphunziro, ngakhale kukula kwambiri yaing'ono, ngati kuposa wina, kunathandiza kwambiri chowawa pa thupi la munthu Choncho, kulongosola chilengedwe chake - ndi udindo wa dokotala aliyense, anakumana ndi vuto la wodwala. Anthu kukapempha ndi vutoli, ndi moyang'aniridwa ndi dokotala. Limaikanso Last anayesedwa za mulingo wa mahomoni monga chithokomiro timadzi, triiodothyronine, thyroxine, ndi zina zotero. mayeso nthawi ultrasound amagwiritsidwa yoikidwiratu, kawirikawiri njira zoterezi zimagwiridwa nthawi 3-6 mwezi, kuwonjezera, odwala amafunika kulamulira m'chigawo chawo.

upo kuyambirira

Mogwirizana ndi dokotala wanu angakuuzeni mfundo zonse zomwe limodzi ndi biopsy ya chithokomiro England: icho chiri, chimene chikuchitika, zomwe kukonzekera ofuna kudutsa kuti akapereke izo, ndi zina zotero.

Kodi mankhwala oletsa ululu?

Ndi funso achilengedwe amene angakhalepo wodwala aliyense: mmene kuchita biopsy ya chithokomiro England? Ngakhale kuti dzina zikumveka wowopsa, ndondomeko pakokha loopsa. Ndipotu nkhaniyi ma kuchokera puncture malo ndi wapadera woonda kwambiri singano.

Kukonzekera ndondomeko

Anachita biopsy ya chithokomiro England, kukonzekera zomwe, poyamba, si chofunika, mu mphindi. Mankhwala ochititsa dzanzi dokotala patsogolo ntchito ikuchitika zifukwa ziwiri:

1. Zinachitikira mtima pafupifupi ululu ndi ankangotsatira jekeseni singano.

2. jekeseni mankhwala angafikire chitsanzo maselo kulemera, adzachita bwanji quality, ndi ndondomeko zidzabwerezedwa nthawi zambiri.

The njira yaikulu ya biopsy zabwino singano puncture.

Ndondomeko biopsy

Kudziwa chikhalidwe cha zinthu zamoyo wa mfundo za akuyamba kuchita ndondomeko biopsy. Kumafuna anatambasula ndi wapadera singano zinthu zamoyo mapangidwe, amene imafalikira phunzirolo. odwala onse amene anawapeza ndi maphunziro ayenera kukumana ndi ndondomeko zimenezi. The kuyang'anitsitsa mosamala kwambiri pa biopsy kuti lalikulu maphunziro osakwatira.

Madzulo a ndondomeko, ngati wodwalayo okondwa, angakambe sedative. Ndondomeko zenizeni akuyamba ndi malo wodwalayo pampando ndi mutu wake kuponyedwa kumbuyo. Jekeseni malo amaliona ndi mowa, kenako akatemera angapo m'dera anatambasula pa mfundo za chuma kwachilengedwenso. Kupanga akatemera ochepa mukufuna, monga puncture umodzi sangapereke kofunika kuti aletse zochuluka. Kenako, nkhaniyo anasankha aikidwa pa galasi, adatuma kwa Kupenda histological.

Malamulo oletsa wodwala

Wodwalayo ndi malire: zikhoza kumeza pa ndondomeko. Ichi ndi chifukwa chakuti singano ndi zoonda, ndi mapangidwe wochepa, Kankhani pang'ono angatumize singano kolakwika ndi sadzatenga kuti zinthu. Ndondomeko lonse imagwiridwa ntchito makina ultrasound. Iwo anafunika kulamulira chitsogozo cha singano pansi pa khungu, kumachititsa wa pakuwonekera kwake mu unit akhudzidwa. Ndondomeko lonse amatenga munthu pazipita theka la ola, akhoza kuchita monga outpatient, ndipo pamene kuchipatala.

Kufufuza zotsatira za ndondomeko

Cytological kupenda zitsanzo analandira anatenga avareji ya mlungu umodzi. Zoona zotsatira ndi mkulu - 95%, osati 100, chifukwa pali chinthu chinanso anthu kuti ndi ndodo chimene chimachititsa puncture, sikuti nthawi zonse msinkhu chokwanira cha choyenereza ndi ndondomeko pakokha achindunji kwambiri. The apamwamba kuchuluka diagnoses olakwika kapena uninformative imagwera pa nthawi ya zochepa chabe pamalangizo mfundo ndi, kukula kwa zomwe sangafikire centimeter wina.

Chosaopsa mawu mu nkhani ya mwambo umenewo ndi khosi lotupa nodular, ndi yofanana zake zonse. Ungwiro pamene kulandira zotsatira ndi 98% milandu onse. Mu mtima wabwino nawonso atasinkhasinkha ndi formulations ngati diagnoses monga colloids gulu follicular epithelium - Mwina wa chiyero ndi diagnoses amenewa ndi 95%.

Zilonda 50% milandu amapezeka mayunitsi:

• vuto differentiating adenoma;
• mfundo ndi zizindikiro atypia;
• kuchuluka kwa epithelium follicular.

Zikatero, mawu a ichi - neoplasia follicular.

The owopsa ndipo nthawi zambiri ndi zilonda diagnoses:

• maumboni mu matenda a carcinoma ndi chotupa chija malo pafupi kwathunthu;
• amaganiziridwa carcinoma - za 80-90 peresenti Mwina;
• mu 70% milandu matenda a chotupa chija staging sangathe kulamulira kunja mfundo zilonda.

Khadili zina zitsanzo

Nthawi zina, chithokomiro zotsatira biopsy muyenera atafufuza. Mwachitsanzo, nthawi zambiri kuchititsa mayesero chamadzi ndi singano pamaso pa thyroglobulin kapena calcitonin. Mayesero amenewa akhoza kusintha yolondola kafukufuku, ngati zotsatira za maphunziro ochiritsira anali zolakwika, kotero nthawizina kuzindikiridwa adenomas wa zopangitsa za parathyroid, zomwe zili mu chithokomiro England.

Pamene anamaliza chithokomiro biopsy zotsatira za kufufuza amapatsidwa kwa wodwalayo pa njira yapadera. Pali zinalembedwa mfundo zonse zofunika analandira pambuyo zitsanzo mayeso: udindo mfundo, malo, kukula ndi zina zotero. Childs, nthawi pazipita kuyembekezera zotsatira - kuti masiku 7, zina yaitali ndipo ena malo M'malo mwake, mawu kusanthula kuwunika masiku 1-2.

Njira ina onani a chotupa chija

Radioisotope chindodo - njira yina fufuzani udindo wa mfundo. Iye sunaletse ndi biopsy, ndipo ndi chinthu choyambirira kutsogolo kwake. Mu terminology zachipatala, pali mfundo ziwiri: kutentha ndi kuzizira mfundo. maselo a mabele kuyamwa ayodini omwe ali mbali ya England lapansi. Pamene kutumikiridwa kwa wodwala ayodini nyukiliya pa zithunzi chithokomiro 2 angapatutse fano. Ngati England msonkhano imakhala nkhani ndi ma, zimene zifukwa chirichonse, si kuyamwa ayodini, likukhalira fano bluish, ndipo adzakhala malo ozizira. Ngati ayodini yogwira imatsala chithunzi akutembenukira yowala lalanje image, adzakhala malo otentha.

Kudziwa zigawo chiyero cha zithunzi izi ndi kovuta, koma ngati tikukamba za ziyerekezo, ngati mfundo yotentha, n'kutheka kuti ndi zilonda, n'chozama kuposa ngati chithunzi kumbuyo kwa pandunji. Popeza radioisotope chindodo sapereka yankho lomveka bwino, madokotala akadali kukathera kutsatira matenda chomaliza cha m'maganizo mawonekedwe a biopsy ya chithokomiro England.

A biopsy ya chithokomiro England: zotsatira

Puncture ya chithokomiro England, zoona - izo mwamtheradi chabwinobwino ndondomeko. Pambuyo pafupifupi konse kukhala mavuto alionse, ndipo ngati iwo ali, ndi ang'onoang'ono kwambiri. Kotero, chinthu choyipa chomwe chingabweretse - kutaya kwa magazi mu mfundo kapena kutupa pa puncture malo, zosokonezeka awa asonyezedwa pulayimale.

Ena pang'ono-kuuzidwa kapena, ambiri, anthu osadziwa amakhulupirira kuti khomo lachiberekero lymph mfundo atakhala chitsanzo kwa mtima wabwino akhoza kukhala yoopsa, koma ndi fallacy mtheradi kuti sizichitika. zotupa chosaopsa akhoza kukhala zilonda ndi tanthauzo, osasunga - ndi ngati dokotala pa kuona zitsanzo sitinazione chinachake, koma zimachitika kawirikawiri. Ambiri, musamvere nkhani za katundu m'khutu, umene uli wotchuka kwa biopsy ya chithokomiro England, zotsatira za izo zonyozeka mwamtheradi.

Iwo akhoza kudwala khansa ngati izo sizinali

Ngati mfundo khansa, ndi matenda oopsa ndipo poyamba paja anayamba kupanga. Ngati pachiyambi cha kukula mu mayunitsi sanali anamanga chilengedwe kotero panali kuoneka khansara sindingakhoze. mfundo ndi yakuti pamene mfundo ndi iyamba kukula, ndi kale kupezeka Oncology. Ngakhale mfundo si anayamba kukula, pali zambiri kukayendera chifukwa WHO akuonetsa kuyezetsa yekha mfundo amene upambana mu kukula kwa masentimita 1 kapena zochepa ngati mapangidwe, koma zotsatira za ultrasound mu bwino zizindikiro pano khansa.

Inde, ndithudi, pali zochitika pamene patapita puncture patapita zaka zingapo, mfundo akuyamba kukula, ndipo pambuyo njira yachiwiri zikuoneka kuti pakadali ndi khansa. Ndiye pali momvetsa chisoni mawu amenewa ngati "Mzanga delalalas biopsy ya chithokomiro England, ndemanga zabwino ndipo pambuyo ndondomeko mu miyezi sikisi mfundo anayamba kukula, vuto ndi chiyani apa?". Mfundo yofunika apa si khansara anaonekera uko pakali pano, vuto zambiri Mwamsanga mu mokoma zitatu:

• The puncture woyamba anachita pa zamitundu yaing'ono kwambiri unit. Ambiri mwina, dokotala, pamene kuchita ndondomeko, Anangonditenga zinthu zolakwika, mwa kulankhula kwina, musati anagunda unit.

• Kusagwiritsa zitsanzo zosankhidwazi njira. Akatswiri ena, makamaka ntchito m'midzi pamene biopsy ya chithokomiro England, chimene bwino zimenezo, komanso mmene ayenera kuchita, m'pamenenso sindikudziwa, ndizo zotsatira cholakwika analandira.

• The dokotala-cytologist, pamene decryption anagwira biopsy ya chithokomiro England, sakanachitira mwina akuona kudwala. Ndondomeko palokha angathe kuchitidwa mwangwiro ndi zitsanzo angathe bwino, koma dokotala-cytologist nzeru ndi zofunika kwambiri, chifukwa cha chisamaliro chake zimadalira matenda zolondola.

Ndizo zonse zomwe zilipo za momwe mabele biopsy imagwiridwa, icho chiri ndi chifukwa chake n'kofunika.