Iintlobo biopsy nokubonakaliswa for

Okwangoku, inani umhlaza olukhulayo yonke imihla. Zinto zifuneka kuqala ukuze oku baninzi, kodwa ke kwiimeko ezinjalo kubalulekile ukuba ngokuchanekileyo yaye ngokukhawuleza nokuxilonga, ngoko kuphela ukuphumeza ukusebenza konyango. Kukho iindlela ezininzi moshilongo umhlaza, omnye kubo a biopsy. Types, ixabiso lale ndlela inokuba eyahlukileyo, kunye nabo, siya kuzama nokwazi kweli nqaku.

Kakuhle eli biopsy

Olu phando yenzelwe ukucacisa uxilongo okanye acacise ezikhoyo. Ukuchaneka le biopsy silingana phantse-100%. Uphononongo kuthatha inxalenye encinane naliphi na ilungu, ngokuxhomekeke kwindawo ye-thumba kunye ngezifo.

Xa urhano malunga Oncology biopsy umisa kuqala. Xa biopsy kuthathwa kunye nezinto eziphilayo kuqhutyelwa ukufunda ngaphantsi ngemicroscope. Ukuba kukho uphuhliso umhlaza okanye ezinye iinkqubo zophendlo lwezifo kwi ancedisana basoloko siqale ngokutshintsha ukuba nje azinakho ukutyeshelwa phantsi ngemicroscope.

imihlobo biopsy

Iintlobo biopsy zinokuba nomahluko, bangaze ingohluka ngokuxhomekeke njengengcali yamayeza:

1. Inaliti biopsy. Ukuphanda izinto eziphilayo kuthathwa ngokusebenzisa isirinji okanye umpu sokufunxa.
2. Smear. Le biopsy kuyehla ukuba uthimbo yesilayidi ukuya kumphezulu nethumba ukufumana izinto ezithile ukufunda.
3. biopsy Excisional lubandakanya nokususwa ngokupheleleyo nethumba kunye kwizihlunu ezingqongileyo.
4. biopsy Incisional - kuthatha izinto eziphilayo ezivela nethumba ngokwayo.
5. A biopsy core. Kuliwa ukusetyenziswa neenaliti ezizodwa, ngoncedo lwabo, ufumane kwalomu ka neoplasms zeethishu.

Vydklyayut nje iintlobo ezahlukeneyo biopsies, kodwa indlela ukuthatha izinto eziphilayo ukuze uphando.

Iindlela for izinto zesimo eziphilayo

Kuxhomekeka indawo ithumba, oogqirha usebenzisa ezinye indlela yokuthatha eziphathekayo.

Fine-inaliti biopsy. Kule hlobo izinto kuthathwa kusetyenziswa inaliti, ethe yaziswa kwi sayithi yezifo.

Smear ezithathwe wesibeleko in Oncology okusolwayo.

Tolstoigolnaya biopsy kubandakanya ukufumana izicwili ezininzi, umzekelo, Oncology okusolwayo isibindi, yesinye, webele.

Mgomo biopsy. Kwenziwa izinto ucingo kunye aspirator. Le ndlela ivumela ukuba ukufumana iziqwenga zeethishu ezininzi.

izinto eyanele mazenziwe phantsi kolawulo ukuskena, kunokuba-X-reyi, MRI okanye ultrasound. Avumela ugqirha esweni indawo yenaliti.

A biopsy ingaqhutywa xa kusenziwa utyando.

izinto Kucingo olubiyele ngexesha endoscopy okanye fibrogastroduodenoscopy. Le ndlela lidla kwenziwa kunye nomhlaza ekucingelwa ikholoni, isisu, yaye kuvuleke iminxunya.

Ngenxa ubungqongqo sifo, indawo yayo, ugqirha isigqibo indlela yokuqokelela izinto zokufunda ukulungiselela iimviwo cytological.

Laboratory ithumba biopsy

Enoba ziziphi na iindidi zosetyenziso biopsies ugqirha, uxilongo cytological uya kuvumela ukuxilongwa. Xa kuthathwa ukuba izinto eziphilayo, iyithumele elebhu ngenjongo yophando.

Ukwenza isifundo histological izicwili. Pre zithathwe izinto dewatered ngoncedo kwezisombululo ezizodwa namanqatha ingathi buzane kweparafini. Koko wenze zilayi kakhulu ezingcakacileyo, sibekwe ngendlela kwisilayidi yeglasi. Ukuze imithi engcono ukubonakala zidla obudaywe.

Chithani cytology. Le nkqubo ukulungiselela ukususwa yethishyu na twatse isifundo elidlulileyo. Kodwa kukho umahluko obalulekileyo phakathi cytology - sifo oncological ibekwe phantsi komgangatho umhlaza. Le ndlela yokufunda kuthathwa ngaphantsi ulwazi, kodwa nakwenzeka ukususwa isiziba somchako, nguye lo engcono.

Types of biopsies amabele

umhlaza webele i ngezifo eqhelekileyo noko phakathi kwabafazi. Olu hlobo lomhlaza kungoku into ihambelana kakuhle kunyango ukuba ibonakele usaqala, kodwa hayi bonke abafazi nzulu ngempilo yabo, nto leyo maxa wambi ekhokelela imiphumo ebuhlungu. kaninzi siye kwagqirha xa sifo uye kude kakhulu. Ukwenza ukuxilongwa kwi uxilongo lwesifo nencum, ezi ndidi zilandelayo biopsies:

1. Eskom Fine-inaliti. Oku kusetyenziswa xa isiza zophendlo lwezifo emabeleni avelayo kakuhle. Female Kanjalo kuhlala, indawo biopsy iphathwa kakuhle isisombululo kubola, inaliti omhle ifakiwe, i isirinji ke ingekaxolisi imali encinane yezihlunu okanye ulwelo, ukuba kwaba cyst.
2. biopsy inaliti Stereotactic. Ukusebenzisa inalithi ngokuthatha zomzimba ukufunda ezivela kwiindawo ezahlukahlukeneyo thumba. Ngendawo enzulu leengxaki wabhenela ekuthatheni imathiriyeli ultrasound okanye mammography, ukuba ukukhomba indawo nethumba.
3. Tolstoigolnaya isifuba biopsy lwenziwa ukufumana indawo enkulu kwithishyu. Ukulungiselela le njongo inaliti eshinyene kunye isixhobo okhethekileyo ahlabayo.
4. An biopsy incisional lwenziwa phantsi zomzimba yengingqi, njengoko ufuna ukufumana iqhekeza ijwabu ithumba.
5. biopsy Excisional - uhlobo usebenze encinane, apho ugqirha usika inxalenye kuphela okanye lonke ithumba, konke oko kuxhomekeke kubungakanani bayo.

Makungaze naphantsi kwazo ezimbi biopsy incum ubekwa

Iintlobo ngeentlobo biopsies in Oncology zibalulekile, kodwa esi sifundo utyhila, kunye nezinye izifo, okanye mandithi, ukuze zingabandakanywa Oncology kubo:

• semibele, nto leyo ke kaninzi kwenzeka webele-ukondla abafazi;
• ibele, kunokuba iintlobo ezahlukeneyo kwaye omnye wabo unako ukungena Oncology;
• Amabele cyst ;
• fibroadenoma;
• papilloma intraductal.

Kuzo zonke ezi ezimbi kufuneka enze biopsy ukuze kuthintelwe izifo ngakumbi kakhulu nokuxilonga ngokuchanekileyo.

Biopsy wesibeleko

Siye sahlolisisa ukuba biopsy onjalo (inkcazelo, iintlobo umhlaza webele), kodwa yinto uphando eqhelekileyo kunye ezimbi wesibeleko. Inika le ugqirha nkqubo kwaye ulandela ezi njongo zilandelayo: ukuqinisekisa, ukucacisa okanye ukuphikisa uxilongo, osihlangulayo emva cytology leyo.

Isiseko ngenjongo biopsy wesibeleko ubukho ezimbi zilandelayo:

• .. Ukhukuliseko, okt ukuya sifo kungaba uphawu umhlaza;
• uphawu bufunyenwe ngethuba lokuhlolwa okanye ukukhula;
• okuhle HPV;
• utshintsho izakhiwo iseli eziye zachongwa emva kwesifundo cytological;
• condyloma exophytic.

Iintlobo biopsies wesibeleko esinokusetyenziselwa ezahlukeneyo, kuxhomekeka injongo kunye nobukhulu icandelo yezifo. Nazi ezi ntlobo kakhulu kusetyenziswa:

1. Biopsy lwenziwa kunye inaliti phantsi kolawulo colposcope.
2. Ngokwenzekayo, okanye wave irediyo, biopsy. Ngexesha kuyo esilala ndzhendzheleko of wire kwindawo ekufuneka zifundwe, wacanda ngayo ngoku, nto leyo ekhokelela necrosis. Izinto ukuzithengela ayikho onakeleyo ilungele zokufunda.
3. Nesinqumka biopsy lwenziwa nge kuphungula. Excised epithelial kunye zomzimba nokuqina ukuya kubunzulu we 3 mm. Emva sokungenela avalwa yaseZimbabwe.

Iintlobo biopsies wesibeleko ezikhethiweyo ongugqirha ekukhanyeni zonke izalathisi.

Indlela le biopsy wesibeleko

Imfuneko biopsy wesibeleko ngokuyimfuneko kufuneka ukuba kuxoxwe ngayo isigulane. Ugqirha yazisa mfazi neziphumo kunokwenzeka, kwaye ithatha imvume yakhe ebhaliweyo kule nkqubo. Kuliwa kwiintsuku 5-7 ukuba sexesheni.

Phambi elucingweni izinto wesibeleko iphathwa ngobunono isisombululo kubola. inkqubo elawulwa ngokusebenzisa nezipili okanye colposcope. Ukuba ufuna ukungenela enkulu anesthetized.

Ngokumalunga uhlobo kwenzeka Ukusikwa biopsy kwindawo yezifo okanye inxenye yayo. Emva kokuba inkqubo, inxeba iphathwa hemostatics Ukwakhiwa kunye, ukuba oyifunayo, ngoko zivalwe yaseZimbabwe.

Yintoni na iziphumo biopsy wesibeleko na onokumxelela?

Emva ukususwa kwezinto eziphilayo uthunyelwa ukuba histological kunye cytological yoviwo, leyo utyhila ezimbi zilandelayo:

• carcinoma;
• dysplasia;
• iinkqubo imvelaphi imvelaphi ezahlukeneyo.

Kwi sifundo wafunyaniswa ayikwazi kuqinisekiswa, kunye neenguqu ezingephi afumaneka nezakhiwo zeselula, leyo kuxhokonxwa:

• ngamathumba ebubonisayo;
• izifo ezosulelayo;
• izifo hormone.

biopsy wesibeleko lelinye iinkqubo eziphambili diagnostic. Iziphumo kuvumela ukuxilonga ukuya kwi-100%, nto leyo kulula kakhulu ukuba ukhetho kagqirha zonyango.

Izindululo izigulane phambi biopsy

Amaxesha amaninzi, le nkqubo biopsy yenziwa ngokuthe ngqo kwi-ofisi kagqirha, nokuba mammolog, ugqirha okanye enye specialist. Kwiimeko ezinqabe kakhulu, nokulaliswa esibhedlele iyafuneka.

Phambi kokuba inkqubo, ugqirha kufuneka azise isigulane nkcukacha zilandelayo:

1. Siza ukuba gxotha anticoagulation.
2. Misa ukuthatha amachiza-ukudumba.
3. Musa ukuthatha ngemihla embalwa elandelayo phambi kokuba inkqubo, "aspirin" kunye analogue yayo.
4. Ukuba isimo ngokweemvakalelo wabona ukungazinzi, ugqirha incomela ukuba uthatha nadlamkisayo.
5. Phambi kokwenza inkqubo akukho mfuneko ukuba badle, basele.
6. Kuyimfuneko ukuba esweni ukugcinwa aseptic kunye kubola.

Ukuba pre-yonke le mibuzo ugqirha lithetha isigulane, njengoko umthetho, le nkqubo uthatha indawo kwindlela eqhelekileyo.

imiphumela izigelekeqe biopsy

Siye sajonga ukuba biopsy iintlobo, ixabiso. Iindlela zokufunda, kukho ezahlukeneyo, kodwa ezifundisayo kakhulu, it ikuvumela ukuba ukufumanisa ngokuchanekileyo kwaye ngokukhawuleza. kunqabile kakhulu biopsy ezilandelayo iingxaki. Ukuba le nkqubo yenziwa ziingcali, ukuba yonke into ihamba kakuhle kwaye ngaphandle iziphumo, kodwa musa ngaphandle uphuhliso kwezi ziganeko ezibi.

Kusenokwenzeka ukuba ukopha ukusuka izinto kwindawo otyiwa. Emva kokuba inkqubo, inxeba ayesoloko endiphatha izisombululo hemostatics kunye nokusebenzisa umhlabelo, ukuba kuyimfuneko. Kubalulekile ukuphepha ukopha ngexesha lung bronchoscopy, kungenjalo kunokukhokelela kwintlekele.

Kucacile ukuba biopsy kukhokelela umonakalo omzimba. Kodwa inyama isikhewu kunye ukugruzuka kwenzeka xa le nkqubo eyenziwa ngabasebenzi ezingenachaphaza. Kule meko kubalulekile ukuthintela usulelo.

Usulelo ingaphandwa ndawo. Oku kwenzeka xa ngokungayithobeli imithetho aseptic kunye kubola.

mothuko yokubolisa zingabangela nokusasazwa esebenzayo kwegciwane.

Kuphephe zonke iingxaki, nantoni na iintlobo biopsy lisusiwe, kunokwenzeka ukuba sisebenzisa izixhobo zale mihla kwaye landela njalo imithetho kwezococeko. Ngoko ke uya kukuphepha ufumana zokugula inxeba, kunye ukubonakala iingxaki.

Ngoko ke, siye sahlolisisa ngokweenkcukacha iindidi biopsies. Necropsy kukuba isayensi ufunda iinkqubo zophendlo lwezifo zomzimba. Ngoko biopsy - le yenye yeendlela zayo, kodwa kufuneka yathi awona ulwazi noluchanekileyo. Okona kubalulekileyo, izigulane ngexesha ukubona ugqirha ukuba ungenza kuphela ukwenza ukuxilongwa elichanekileyo, kodwa ke musani kuba emva kwexesha kunye nonyango.

Thatha nokuzikhathalela wena kunye nesimo uxanduva ngayo impilo yabo.