Esiswini biopsy: ezibonisa, le nkqubo, nto leyo yenza

gastroenterologists Daily aphathe abantu abaneengxaki ezahlukeneyo. Umsebenzi ophambili we ugqirha - uxilongo echanekileyo, ukwenzela ukuba ningethi ixesha, kwaye unike isigulane ithuba kuphila. Njengoko isifundo zokuxilonga unikwe biopsy isisu, ngenxa yokuba uhlalutyo inokuthenjwa ngenkqubo oncologic okusolwayo. Ngoko ke yintoni na biopsy yaye njani na kolu phando?

Biopsy: Inkcazelo indlela

Igama elithi "biopsy" wangena amayeza kulwimi Greek. It amiliswe kumazwi ezimbini: ". Inkangeleko" "nobomi" yaye Le ndlela isekelwe kwinto yokuba isigulane kuthatha intwana encinane yezihlunu kwaye baphande ngenyameko nokubunjwa kwayo cellular kwi ukukhulisa eliphezulu. Biopsy bahluka inkqubo kunye novavanyo izinto eklasini ukuchaneka. Kwezinye iimeko, izinto zingafuneka iimviwo histological. Oku kuthetha ukuba ukufunda ngesakhiwo kwingunqu inyama isampuli ethatyathiweyo. Ngamanye - uhlalutyo cytologic. Oku kuthetha ukuba esi sifundo siza kuba nesakhiwo, kukhutshwe kwaye bakwazi ukuthatha iisampula iiseli.

Xa abantu bethetha malunga nokuchaneka udidi nkqubo, wayecinga iintlobo ezintathu yokuntlokothiswa:

1. biopsy Classical, nto leyo yesibini igama - usetsho. Le nkqubo oluqhutywa nisaqala esi sifo, xa indawo nethumba ayikwazi ukubonwa nokuba abangaboniyo.
2. Vula biopsy, xa ngenxa kuphononongo ezibonakalayo ngexesha utyando. Oku kuba yonke neoplasm okanye nayiphi na inxalenye yayo.
3. Biopsy, leyo kwenziwa xa efumanise yamathumba, xa ugqirha ithathe umbandela ngqo yamathumba kumda ephilile. Biopsy lwenziwa kunye mbhobho, phantsi kweliso US, phantsi kolawulo X-ray okanye indlela stereotactic.

isisu gastrobiopsy

A biopsy esiswini na kwenziwa ngabo umguli kwi eninzi yezikhalazo. Injongo nokuqhathwa - ukufumana isiqwengana isifo esiswini ukwenzela uhlalutyo. Uphando isampuli efunyenwe an ukuchaneka ngaphezu kwe-95%, engqina utshintsho ancedisana ukuba ukujonga uhlobo linobuhlungu okanye ingozi ye ithumba.

A biopsy le isifo esiswini enokwenziwa usebenzisa probe ngaphandle ulawulo olubonakalayo okanye sebenzisa gastroscope. Esi sisixhobo ekhethekileyo evumela ukuba ukulawula ngokuthabatha isampuli abangaboniyo. Igama entsonkothileyo kakhulu kule nkqubo yonyango - endoscopy, okt esophagogastroduodenoscopy.

inkcazelo gastroscope

Gastroscope ikuvumela ukuba ukujonga eludongeni kuvuleke iminxunya, isisu kunye duodenum. Le izixhobo zonyango lophando ngokohlobo elide zokutyubhisha bhetyebhetye, nto leyo likwaneklinkhi umthombo wokukhanya, inkqubo woqondo kunye nesixhobo esisiso ukufaka amaqhekeza tse. Njengoko isixhobo enokusetyenziswa imela Nozenza izifinyiso zonyango, ndzhendzheleko okanye isixhobo solenoid retracting. Ukusetyenziswa izixhobo yenza kube lula ukufumana isampula kwisiza ilungu elithile.

Gastroscopy qho iphuculwe. Isixhobo uba zichanile yaye controllable. Indlela mihla igama elithile - biopsy endoscopic.

Iimpawu zibonisa ukuba ukusetyenziswa kwe biopsy esiswini

A biopsy kufuneka yabelwe kwakhona kwezi meko zilandelayo:

• izifundo eboniswe ekufumanekeni umhlaza ngezifo okanye iimeko precancerous;
• Uhlalutyo kusenokufuneka ukuba gastritis oyingozi okanye engapheliyo;
• ukucacisa inkqubo ze aphelise ukusola sisilonda of Oncology;
• xa kukho umonakalo isifo esiswini ukucacisa umda yelungu resection;
• biopsy esiswini ityhila ubukho okanye ukungabikho helicobacter ne ukungacoleki;
• uphando lokuvavanya imeko yomguli emva utyando okanye unyango radiation.

Noko ke, nangona ukusebenza aphezulu le ndlela kokuxilongwa ayinako isicelo kuzo zonke izigulane.

Izimo

Xa lokufunyaniswa nasiphi na isifo ugqirha kufuneka abone ukuba akukho ngozi kwisigulana kwaye ukuveza ubomi bakhe emngciphekweni. Ngokusekelwe kulo mgaqo, ekuqeshweni nayiphi na inkqubo ethathela ingqalelo zonke Izimo kunokwenzeka. Kwimeko apho biopsy ye nesisu:

• nematha;
• isifo sentliziyo kunye nemithambo yegazi;
• ukudumba okanye ezinye iinkqubo zophendlo lwezifo kwi pharynx, kwingqula kunye yomoya;
• diathesis (ifom ukopha);
• Izifo ezosulelayo kwinqanaba oyingozi;
• licuthe le kuvuleke iminxunya;
• phambi kodonga perforations isisu;
• iikhemikhali isisu aphembe umlilo;
• ukungaphili engqondweni
• uxabane ukuba iintlungu (lidocaine, njalo njalo).

Ngaphandle contraindication ezicacileyo, ugqirha kufuneka athathele ingqalelo ukulungiselela nangokwasengqondweni sesigulane le nkqubo. Ukuba kukho uloyiko ngokukhawuleza, ngoko ke kungcono ukuba ukwenza isifundo.

Indlela ukulungiselela ukuba biopsy

Ukuba kokunika biopsy isisu, isigulane kufuneka ibhekiswe esibhedlele. Nngokobuchwepheshe ukuqhuba iinkqubo zezigulana kunokwenzeka, kodwa akukho ndlela, ekubeni kwimeko iingxaki ukunceda isigulane kuya kuba nzima kakhulu.

Phambi kokuba manipulation abasebenzi bezonyango kufuneka aqinisekise ukuba akukho Izimo. Emva koko, isigulane emiselwe i-X-ray esiswini.

Isigulane kufuneka kuzilwe engqongqo ukutya neziselo iiyure 12-15 phambi le nkqubo. biopsy esiswini lwenziwa kuphela kwi ungatyanga ukususela mass ukutya ukuphazamisa enze uhlolo lwangaphakathi esiswini uxakaxa kunye gag reflex inokuba izakufunyanwa xa kubhalwa gastroscope ityhubhu. Ukuzila kufuneka ibe ngqongqo ukuze ngomhla phambi kokuba inkqubo, izigulane awavumelekanga ukuba nokuba ukuhlamba amazinyo akho kwaye usebenzise ukuhlafuna itshungama.

Indlela kwale nkqubo

Ngenxa yoko, isigulana unikwe biopsy esiswini. Njani na indlela? Ukuba isigulane ifakwe kwikhompyutha kwaye ukuzola ngokwakhe, yena wanikela shot sine. Lo mntu kufuneka, lala ngecala lakho lasekhohlo, ukuqondisa up. Ugqirha nophethe kwisisu ngomlomo kuvuleke iminxunya eliphezulu kubola kwaye iqala ukungena mbhobho wokuhlola. Kumaziko zonyango mihla kwi biopsy esiswini yenziwa usebenzisa izixhobo ophezulu zonyango, nto leyo ethetha ukuba nefoni ibhityile, kunye nekhamera kunye isixhobo ngokuthatha ubungakanani lwesampulu ebuncinane. Zokungenisa yale izixhobo phantse akubangeli uqeqeshwa. Ihambo inkqubo ngumntu oyingcaphephe ngokubheka esweni.

Ziqonde biopsy esiswini

Kokuhlaziya kuxhomekeke kwiziphumo mayingasuswa elebhu bona abamkhaphayo uhlalutyo njengoko iisenti zophando usebenzisa iindlela ezahlukeneyo zokufumana ulwazi. Umhla zokufumana impendulo - ukususela iintsuku ezintathu.

Zonke ziphumo kwemiqathango yahlulwe amaqela ezininzi:

1. Uhlalutyo ezingagqitywanga. Ubungakanani izinto akwanelanga ukuvelisa iziphumo ezithembekileyo, kufuneka uphinde le nkqubo.
2. Uhlalutyo Eqhelekileyo. Le nto ayikho into anomaly, uxilongo ayikho iqinisekisiwe.
3. emihle. Ubukho Ithumba kuqinisekisiwe, ubuntu bakhe - elungileyo. Ifuna esweni kunye nocazululo liphindwe emva kwexesha elithile.
4. ngenxa amabi. Neoplasm iqulathe ziiseli zomhlaza, echazwa ubungakanani bayo, kwasendaweni yahluzwa wayezimisele isidanga.

Kokuhlaziya ukuze kubandakanye ulwazi malunga imilo esi sifo, ukuchaza imeko iiseli kunye nezihlunu umzimba lokuseka imilinganiselo crypts villous epithelial kunye nobunzulu.

inkqubo Venue

Namhlanje, isigulana umntu unelungelo lokukhetha. Uyakwazi pick up kwiziko lonyango, umnika ukuzithemba ubuninzi. Abahlali Russia, umzekelo, ezingenza abe egqunywe yanamhlanje yonyango "SM-Clinic." Yeyona womnatha inkulu kumaziko onyango, kuquka 12 amaziko multi-disciplinary abantwana kunye nabantu abadala.

Xa qhagamshelana abantu kwiziko lezempilo kufuneka aqinisekiswe nokulungela kwabasebenzi bayo, ukongeza, kukho into ebalulekileyo isigqibo ubukho bezixhono zonyango mihla. iziko Medical "CM-Clinic" uyakwazi ukwanelisa abathengi eyona inzima. Ukhankanye ukuba indlela gastroenterologist, unokuqiniseka ukuba biopsy isisu siya kwenziwa ngabasebenzi abaqeqeshiweyo usebenzisa nokuqhubekayo kummandla endoscopy.