N'chifukwa kupanga puncture ya chithokomiro England.

Kale anakwanitsa kukhala lingaliro chikhalidwe Chotupa chija, amene akuimira kukula kwa chithokomiro England kukula, angayambe njira zosiyanasiyana m'chilengedwe. Ndipo pali monga chotupa, hyperplastic, kutupa kapena m'thupi. Pamene onse a mitundu imeneyi ya khosi lotupa buku la mankhwala opaleshoni adzakhala osiyana, kuti ranges ku kuchotsa England kumaliza resection. Chifukwa choyamba cha zonse muyenera kuchita mosamala masiyanidwe pakati pa matenda osiyanasiyana a chithokomiro. Kusiyanitsa matenda amenewa ndi zotheka pa phunziro morphological. Pankhaniyi ayenera kukhala kuona cytological khamu England kuti kulongosola matenda. pansi ultrasound malangizo zimenezi kumwedwa ndi puncture ya chithokomiro England.

Kodi puncture ya chithokomiro England.

cholinga chake - ndi oyamba la singano mu mfundo lotsirovanny kuti chithokomiro biopsy chitachitidwa pansi ultrasound chiongoko ndi chiyembekezo cha nkhani za pamalowo m'mikhalidwe aseptic. Puncture ya chithokomiro England - ndondomeko yomwe ikuchitika pafupifupi popanda kumva ululu uliwonse (ngakhale amafuna mankhwala ochititsa dzanzi) ndipo wanyamula chiopsezo kochepa matendawo iliyonse. Kagulu zapambuyo khomo lachiberekero mfundo pamalo, zomwe n'zochepa kwambiri, musati amafuna chithandizo, ndipo pafupifupi nthawi zonse nokha.

The zikuonetsa kuti chabwino singano kukhumba chitachitidwa chithokomiro chiyembekezo kapena singano biopsy ya England chomwecho pansi ultrasound malangizo awa:

- shchitovidki mfundo iliyonse zotheka dongosolo, kukula, ndi pachilichonse;

- zovuta ndi Mipikisano chambered chotupa;

- ectopic (ili atypically), owonjezera chithokomiro England (aberrant);

- sternal khosi lotupa (chithokomiro kudwala malo);

- kobwereza khosi lotupa (zomwe pamene mobwerezabwereza kusintha mu chithokomiro England anayamba mankhwala);

- mismatch ultrasound deta ndiponso zipatala matenda;

- kumasulira maganizo a apeza ultrasound, zotsutsana ndiponso zotsutsana zotsatira za akufufuza;

- metastases kuti ndi khomo lachiberekero mwanabele ndi metastasis gwero njakata;

- kuyambirira cytological cheke asanagule njira asang'ambe Mwachitsanzo, kuumitsa a mitundu yonse cysts chithokomiro ;

- kuwonjezeka chithokomiro akakufunsani kudziwa thyroiditis Hashimoto a.

Komanso chithokomiro puncture pansi ultrasound malangizo ali contraindications:

- decompensated kuphwanya coagulation magazi;

- matenda kugwirizana ndi kuphwanya chilungamo pa khoma mtima (mwiniwakeyo intravascular coagulation), mu nthawi imene chiopsezo ndondomeko zomwe zili zake zambiri;

- olimba mtima kukana kuchititsa puncture;

- maganizo mtima mu gawo pachimake cha matenda.

Matenda zizindikiro zomwe zikuonetsa kuti chiopsezo kwambiri kwa osauka khalidwe malo a chithokomiro, ndi:

-Age mtima, amene zimasiyanasiyana pansi makumi awiri ndi zaka makumi asanu zakubadwa;

-muzhskoy pansi;

walitsa wa mutu ndi khosi m'dera m'mbiri;

Ngati kukula mfundo, oposa 3.5 masentimita;

ndi akazi amene akudwala nthawi yaitali chifuwa zotupa ndi kumaliseche, komanso matenda ena yotupa;

-mnogokratno opareshoni odwala (khosi lotupa kobwereza);

-Face kukhala kutengera za kumtundu kuti kukanika ziwalo zoberekera ndi mbali ya England, komanso kuti zotupa.

anawalemba pamwamba pa zonse zimene dokotala amapereka zizindikiro mankhwala pokhapokha mayeso zonse zofunikira. Kafukufuku awa: mbiri zachipatala ndi madandaulo, zizindikiro (deta matenda), zotsatira za MAGAZI (kuti azindikire mahomoni) ndi ultrasound wa khansa yemweyo, ndipo onetsetsani kuti singano biopsy ya chithokomiro England.