Chiwindi biopsy: mmene kuchita m'chipatala

Mu zochiritsira zisakuyenda bwino kwambiri njira zithunzi kafukufuku (ultrasound, x-ray). Koma nthawi zina sikokwanira oterewa molondola. Mu ena pathologies amafuna minofu nyemba. Kupewa alowererepo opaleshoni ntchito kubala maselo a biopsy chiwindi. Kodi kupanga ndondomeko zimenezi? Chomwe Kwalamulidwa? Ndipo bwanji kafukufuku?

Tiyeni tifufuze.

ndi chiwindi biopsy Kodi

Izi ndi kafukufuku wapadera mankhwala, kulola kuzindikira thupi zosiyanasiyana kuvutika pa mlingo ma.

Tiyeni tione mawu ambiri, ngati biopsy chiwindi ulipo kale, monga kuchita ndondomeko. Kugwiritsa ntchito singano wapadera kutenga gawo laling'ono la nsalu, amene azikaphunzira zasayansi. Ndondomeko kuti anali kuseweretsa m'malo zovuta.

Nthawi zambiri funso n'lakuti ngati kuchita chiwindi biopsy tayu. phunziro wosatenga kusapeza kwa wodwalayo, monga chikuchitika padziko ochititsa dzanzi.

N'chifukwa mankhwala ndondomeko

Pakati pa odwala ambiri amakhulupirira kuti biopsy chiwindi kuikidwa pokhapokha ngati dotolo akuganiza khansa. Koma uwu si chifukwa chokha chimene phunziro ingaperekedwe.

Ndondomeko tikuyivomereza mu milandu zotsatirazi:

• kusanthula magazi imapereka maziko osadziŵa chiwindi matenda;
• maphunziro (ultrasound, X-ray, Kujambula, CT) analozera vuto thupi;
• kukhazikitsa digiri ya kuwonongeka chiwindi;
• wodwala ayenera kukonza chithandizo chabwino;
• pambuyo mankhwala zotchulidwa ayenera kumatanthauza mphamvu.

Kumbukirani, ngati inu anatuma chiwindi biopsy ndi ndondomeko kuchita ndi zimene dokotala adzakhala mwatsatanetsatane.

Phunziro anasonyeza kuti zosiyanasiyana pathologies, kuphatikizapo pamene:

• nonalcoholic matenda mafuta m'chiwindi;
• aakulu chiwindi B kapena C;
• mowa chiwindi matenda ;
• chachikulu biliary matenda enaake;
• autoimmune chiwindi ;
• chachikulu matenda cholangitis ;
• matenda Wilson.

Kukonzekera ndondomeko

Odwala kulandira biopsy chiwindi, mmene kuchita ndondomeko, adokotala mwatsatanetsatane. Iye mwatsatanetsatane zimene amayembekezera kafukufuku ameneyu.

Wodwala ayenera auzeni adokotala za mankhwala onse Iye amafuna. Izi akugwira ntchito osati mankhwala akuchipatala, komanso mavitamini, zowonjezera azitsamba.

Chadzulo mankhwala biopsy mtima kunyalanyaza, zowonjezera, zingachititse magazi:

1. Othetsa ululu monga "Aspirin", "ibuprofen".
2. thinners magazi, monga "Warfarin".
3. Zina zowonjezera zakudya kuchepetsa chiopsezo cha magazi yojambula.

Kuwonjezera mankhwala n'kofunika kudziwitsa dokotala wanu za thanzi lanu. Kupereka ulemu wapadera kwa mfundo zotsatirazi:

• anatsimikizira kapena mimba angakwanitsire;
• thupi lawo siligwirizana ndi mankhwala kapena lalabala;
• Posachedwapa anasamutsa chibayo;
• Kodi ascites ndi achilendo;
• matenda a m'thupi.

pamaso ndondomeko

Pofotokoza mmene kuchita biopsy chiwindi (chithunzi m'nkhani amalola kuti timudziwe bwino ndondomeko), dotolo mankhwala kwa kafukufuku mtima:

1. magazi. Ndi bwino wodwalayo kuti kudziwa mlingo wa clotting magazi. Ngati kafukufuku imasonyeza vuto, asanalankhule ndondomeko, dokotala adzapereka examinee mankhwala omwe amachepetsa chiopsezo magazi.
2. US. phunziro amatilola kuphunzira anatomical mbali structural za thupi.

Pamene mayesero onse zikuyendera, dokotala mankhwala tsiku la biopsy lapansi. maola 10 ndondomeko, muyenera kusiya zakudya chakudya. Kwa maola 8-6 pamaso ndondomeko ayenera kuchotsedwa kwa madzi. Nthawi yomweyo isanachitike biopsy mtima amalangiza kuti akhuthule chikhodzodzo. Ndipotu, pambuyo ndondomeko wodwala yomweyo kudzuka.

chiwindi biopsy

Kodi ndondomeko?

Mpheto tichipeza magawo zotsatirazi:

1. Pamaso ndondomeko, mtsempha sedative mankhwala.
2. Wodwala kupemphedwa kuti kudzivula. Iye amagona pa nsana wake, amasiyiratu dzanja lake lamanja pa mutu wake.
3. Malo khungu, amene adzakhala puncture, kupopera mankhwala. M'dera lino, mankhwala oletsa ululu pamalopo chikuyendetsedwera.
4. Doctor ntchito yoyendera ndi Buku kapena pogwiritsa ntchito ultrasound makina kupeza chiwindi. A singano wapadera anafuna biopsy, ndi jekeseni kudzera pakhungu awiriwa nthiti pomwe m'munsi. Kuti atsogolere Ndime ya singano, mtima wa angapemphedwenso kutulutsa ndi kugwira mpweya kwa kanthawi. Chigumula chimenechi adzateteza ndi puncture mwangozi phapo.
5. Ngati ndi kotheka, dokotala anu adzapereka kuboola wina, koma njira ina.
6. ndondomeko kumatenga za 15-30 Mphindi.

Pakuti amaganiziridwa Oncology kapena matenda enaake mwina ena angapo njira chiwindi biopsy. Kodi khansa mpheto izi? Biopsies nthawi zina ikuchitika ndi laparoscopy.

mitundu ya njira

Pali mitundu ingapo ya mpheto izi. Only dokotala ndikhoza kukuuzani inu momwe kuchita biopsy chiwindi.

Wodwalayo imodzi mwa njira zotsatirazi zikhoza analimbikitsa:

1. Percutaneous biopsy. Iyi ndi njira ambiri. Takambirana pamwambapa njira imeneyi.
2. Transjugular biopsy. Wodwala lagona pa nsana wake pa tebulo x-ray. Mankhwala, dokotala amaika mu khosi. Ndiye izo zimapanga ang'ambe thupilo yaing'ono m'mitsempha jugular wa wokonzeka kusintha chubu pulasitiki anaikapo. Iye mokoma tili m'mavuto mu chotengeracho. Pamene chubu umalandira mtsempha kwa chiwindi, ndi kutumikiridwa Mosiyana wothandizila ndi kuchita mndandanda wa zithunzi. Ndiye mwa chubu kutenga minofu nyemba. The catheter mosamala kuchotsedwa. Pa khosi bandeji.
3. Laparoscopic biopsy. Ndondomeko anachita pogonekedwa ndi mankhwala ambiri. Wodwala akumva kanthu. A mtima pa tebulo ya opareshoni. dokotala amapangitsa ochepa kapena ang'ambe thupilo yaing'ono pamimba. Kudzera amacheka ndi zipangizo wapadera, komanso yaing'ono kanema kamera kuti ntchito fano thupi pa polojekiti ndi. dokotala amaona thupi mwatsatanetsatane. Zimenezi zimathandiza kuti atenge zofunika zitsanzo zonse minofu. Pambuyo kuchotsa zoimbira, ang'ambe thupilo chatsekedwa.

pambuyo ndondomeko

Tsopano inu mukudziwa, ngati anatuma biopsy chiwindi, monga kuchita ndondomeko. Nthawi konzanso amadalira kwathunthu pa mtundu wa mpheto.

Childs, mtima wa bwino:

1. Pambuyo biopsy ndi, mtima ndi kuwapititsa ku kuchipatala. Namwino oyang'anira adzionere, kuthamanga kwa magazi ndi kupuma wodwalayo.
2. Munthu saloledwa kutuluka bedi kwa maola 2-4 ngati anachita percutaneous biopsy. Pakuti njira zina mitundu zikuchulukirachulukira.
3. Odwala amene kutumikiridwa mankhwala sedative, simuyenera apite kumbuyo gudumu. Ndi bwino kufunsa achibale ndikutengereni kunyumba kuchokera ku chipatala.
4. Masana sayenera zolemera.
5. Ululu pa puncture malo kungapitirire milungu.
6. Ndi zinthu bwinobwino, inu mukhoza kubwerera mu masiku 1-2.

zosokonezeka zotheka

Ngati biopsy ndi imagwiridwa ndi dotolo wodziwa, ndi ndondomeko otetezeka kotheratu.

Komabe nthawi zina zotsatira izi zingachitike:

1. Ululu. Kusapeza pambuyo ndondomeko - ndi vuto ambiri. Nthawi zambiri ndi yaing'ono chowawa zomverera. Mu nkhani ya kusapeza kwambiri kwa wodwala Kwalamulidwa mankhwala analgesic.
2. Magazi. Odwala ena Vuto zimenezi zingachitikire. Ngati magazi kwambiri, wodwalayo chofunika magazi kapena opaleshoni.
3. Infection. Ndithu osowa vuto. Kudzera ang'ambe thupilo kapena puncture mu zonse m'mimba amatha kulowa bakiteriya.
4. Mwangozi kuwonongeka pafupi ziwalo. N'kovuta kwambiri. The singano akhoza kuvulaza ziwalo pafupi (m'mapapo, ndulu).

maganizo odwala

Ndipo tsopano ona zimene odwala ndikuganiza za njirayi ngati biopsy chiwindi. Kodi kuchita izo?

Umboni kusonyeza kuti mwambowo pafupifupi nthawi zonse kumachititsa munthu mantha. Komabe, biopsy yokha chikuchitika mosavuta. Anthu ena amakhalanso ndi soreness pang'ono. Koma kusapeza ndi chocheperako.

Odwala amene atsatila ndi zofunikira za dokotala, ndi pafupifupi palibe mavuto anakumana.

The apadera mabungwe mankhwala mwambo chiwindi biopsy ndondomeko. Choncho sitiyenera kuwaopa.