Muzituluka biopsy: zizindikiro, ndondomeko, zimene

Daily gastroenterologists kuchitira anthu ndi mavuto osiyana. Ntchito yaikulu ya dotoloyo - matenda yolondola, kuti kutaya nthawi ndi wodwalayo mwayi kuti achire. Nthawi zambiri monga kuphunzira matenda akapatsidwa mimba biopsy, chifukwa ndi kusanthula yodalirika kwa amaganiziridwa ndondomeko oncologic. Nanga ndi biopsy bwanji ndi phunziro limeneli?

Biopsy: Kumasulira njira

Mawu akuti "biopsy" anadza ku mankhwala a Chigiriki. Iwo anapanga ku mawu awiri: '. Tione "" moyo "ndi njira zachokera chakuti mtima akutenga chidutswa ting'onoting'ono minofu ndi mosamala kufufuza kapangidwe kake ma pa magnification mkulu. Biopsy zimasiyanasiyana kuti ndondomeko ndi zochepa chabe pamalangizo mfundo kalasi molondola. Nthawi zina, nkhani ukafunidwe kwa Kupenda histological. Izi zikutanthauza kuti kuphunzira dongosolo la adzamva minofu chitsanzo atengedwa. Mu zina - yoganizira cytologic. Zimenezi zikutanthauza kuti phunziro adzakhala dongosolo, kubalana ndipo angathe kutenga chitsanzo maselo.

Pamene anthu kulankhula za kalasi lolondola ndondomeko, kumbukirani mitundu itatu mpheto:

1. Chakale biopsy, ndilo dzina chachiwiri - zakusaka. Ndondomeko ikuchitika mu magawo oyambirira a matenda, pamene malo chotupa sangathe kuonedwa ngakhale zowoneka.
2. Open biopsy, pamene nkhani yophunzira kutenga pa opaleshoni. Izi zikhoza kukhala neoplasm lonse kapena mbali yake iriyonse.
3. Biopsy, amene angathe kuchitidwa pa kudziwika zotupa, pamene dokotala akhoza kutenga chuma mwachindunji ku zotupa pa malire a minofu wathanzi. Biopsy imagwiridwa ndi endoscope ndi, kuyang'aniridwa ndi US, pansi X-ray ulamuliro kapena njira stereotactic.

m'mimba gastrobiopsy

A biopsy m'mimba angathe kuperekedwa kwa wodwala ku kwambiri madandaulo. Cholinga cha mpheto kwa - kupeza mpukutu wa mucosa chapamimba kwa kusanthula. Investigation wa nyemba analandira ndi lolondola kuposa 95%, natsimikiza kusintha zimakhala ndi kudziwa zilonda kapena chosaopsa chikhalidwe cha chotupa.

A biopsy wa mucosa chapamimba angathe kuchitidwa ntchito kafukufuku popanda zithunzi kapena ntchito gastroscope. Izi ndi chipangizo chapadera chimene chimathandiza kuchepetsa kudya chitsanzo zowoneka. dzina More zovuta za njirayi mankhwala - endoscopy, mwachitsanzo esophagogastroduodenoscopy.

Kufotokozera gastroscope

Gastroscope limakupatsani kuona mpanda wa kum'mero, m'mimba ndi duodenum. Izi mankhwala matenda zida ali maonekedwe a yaitali yamachubu kusintha, omwe m'nyumba gwero kuwala, dongosolo kuwala ndi chida leni kugwila zidutswa za nsalu. Ngati chida akhoza kugwiritsidwa ntchito mbano zachipatala mpeni, ndi kuzungulira kapena chipangizo solenoid retracting. Kugwiritsa ntchito zida ngati limachititsa kupeza chitsanzo kwa chiwalo malo enieni.

Gastroscopy zonse zilibwino. Zipangizo amakhala olondola ndi controllable. njira yamakono ndi dzina yeniyeni - endoscopic biopsy.

Zikuonetsa ntchito biopsy chapamimba

biopsy A ingaperekedwe milandu zotsatirazi:

• maphunziro anasonyeza kuti kudziwika khansa kudwala kapena zinthu precancerous;
• kusanthula akhoza zofunika gastritis pachimake kapena aakulu;
• kulongosola ndondomeko ndi kuthetsa anam'peza kukayikitsa Oncology;
• vuto la kuwonongeka kwa mucosa chapamimba kulongosola kuchuluka kwa chiwalo resection;
• Muzituluka biopsy limasonyeza kukhalapo kapena kusapezeka kwa helicobacter ndi kudzimbidwa;
• kuphunzira kuti aone mmene wodwalayo pambuyo opaleshoni kapena chithandizo cha kutentha.

Komabe, ngakhale dzuwa mkulu njira matenda simungawagwiritse odwala onse.

contraindications

Mu matenda a matenda aliwonse dokotala ayenera kuona kuti sizingawononge wodwalayo komanso kuti asaone moyo wake pangozi. Kuchokera pa mfundo imeneyi, poika ndondomeko aliyense amaganizira contraindications n'kotheka. Mu nkhani ya biopsy m'mimba ndi:

• mkhalidwe wa mantha;
• matenda a mtima ndi dongosolo mtima;
• kutupa kapena njira zina pathological mu pharynx, m'phuno ndi Airways;
• diathesis (hemorrhagic mawonekedwe);
• matenda opatsirana mu gawo pachimake;
• kuchepetsa wa kholingo;
• pamaso pa perforations m'mimba khoma;
• m'mimba lamoto mankhwala;
• kuvutika maganizo
• matupi awo sagwirizana anachita dzanzi (lidocaine wa, etc.).

Kuwonjezera pa contraindication zoonekeratu, dokotala ayenera kuganizira yokonza maganizo a wodwalayo kuti ndondomeko. Ngati pali mantha kutchulidwa, ndiye ndi bwino kuchita phunzirolo.

Kodi kukonzekera biopsy ndi

Ngati inu perekani mimba biopsy, wodwala ayenera kunena kuchipatala. Mwaukadaulo kuchititsa ndondomeko mu outpatient zotheka, koma sizingathandize, kuyambira pa nkhani ya mavuto kuthandiza wodwala kudzakhala kovuta kwambiri.

Pamaso pa mpheto ogwira ntchito zachipatala ayenera kuonetsetsa kuti palibe contraindications. Pambuyo pake, wodwalayo Kwalamulidwa ndi X-ray m'mimba.

Wodwalayo ankafuna kudziletsa kwambiri kwa zakudya ndi zakumwa maola 12-15 isanafike ndondomeko. Muzituluka biopsy imagwiridwa kokha pa chopanda kanthu m'mimba kuyambira chakudya misa kusokoneza kuchita anayendera mkati mwa chapamimba mucous ndi gag reflex amayamba pamene kutumikiridwa gastroscope chubu. Kudziletsa tiyenera tikhale okhwima kuti tsiku pamaso ndondomeko, odwala saloledwa ngakhale bwezerani mano anu ndi ntchito kumatafuna chingamu.

The njira wochita

Choncho wodwala anatuma biopsy m'mimba. Kodi ndondomeko? Ngati wodwalayo ndi mafungulo ndipo sangathe kudzilimbitsa yekha, iye anapereka chithunzi cha sedative. munthu ayenera kugona pa mbali lako lamanzere ndi kuwongoka. dokotala amangomvera M'mimbamo m'kamwa ndi kum'mero chapamwamba antiseptic ndipo akuyamba kulowa endoscope. Mu malo ano zachipatala mu biopsy m'mimba ikuchitika ntchito zapamwamba zipangizo zachipatala, kutanthauza kuti foni yakumanja ndi zoonda, ndi kamera ndi chipangizo chifukwa chotenga osachepera nyemba kukula. Ingestion zida izi pafupifupi sayambitsa nkhawa. Khalidwe la ndondomeko ndi katswiri kuona polojekiti.

Chinawathandiza kumvetsa n'chakuti chapamimba biopsy

Decoding zimadalira zotsatira kuchokera zasayansi amene adaperekeza kuwunika apeza masenti ntchito njira zosiyanasiyana yodalirika zambiri. Tsiku chiphaso mmene - kuchokera masiku atatu.

Zotsatira onse salembedwa m'magulu angapo:

1. Chosakwanira kusanthula. The zochuluka sikokwanila zotsatirapo odalirika, muyenera kubwereza ndondomeko.
2. Normal kusanthula. zakuthupi si anomaly, matenda si anatsimikizira.
3. zotsatira zabwino. Kukhalapo kwa chotupa zikutsimikiziridwa, khalidwe lake - wabwino. Amafuna polojekiti ndi kusanthula linabwerezedwa patapita nthawi yina.
4. chifukwa zilonda. Neoplasm imakhala ndi maselo a khansa, anafotokozedwa ndi kukula kwake, woyengeka kutanthauzira anatsimikiza digiri.

Decoding mwina akupanga mfundo za mawonekedwe a matenda, fotokozani boma maselo zimakhala za thupi kukhazikitsa miyeso villous crypts zaminyewa ndi kuya.

ndondomeko Malo

Lero, wodwalayo ali ndi ufulu wosankha. Iye akhoza kukatenga malo zachipatala, iye ali ndi chidaliro pazipita. Anthu a Russia, mwachitsanzo, akhoza kuwasandutsa masiku zachipatala likhale "SM-Clinic." Ndi maukonde yaikulu malo zachipatala, kuphatikizapo 12 Mipikisano chilango mabungwe ana ndi akulu.

Pamene inu kulankhula ndi chipatala anthu otsimikiza chiyeneretso cha anthu ake, kuwonjezera, chinthu chofunika kwambiri zochita ndi kupezeka kwa zipangizo zamakono zachipatala. Medical pakati "masentimita-Clinic" angathe kukwaniritsa makasitomala ambiri wovuta. Kutembenukira ku gastroenterologist, mungathe bwanji kuti biopsy m'mimba idzachitike ndi anthu oyenerera pogwiritsa ntchito zochitika atsopano m'munda wa endoscopy.