Njani na nkovu node biopsy?

iindawo nkovu na amalungu omzimba okulwa nezifo ukuba banoxanduva lokukhusela umzimba wethu sisifo izinto ezosulelayo. Kulapha ukuba kutshatyalaliswe iintsholongwane izifo. Xa bengena emzimbeni, ngoko ukungena kwiindawo nkovu kunye flow nkovu. Kubalulekile ukuqaphela ukuba ezi imizimba nabo nzima iiseli zomhlaza. Emzimbeni womntu kukho malunga 600 iindawo nkovu.

Noko ke, le arhente nabo ubunzima ezahlukahlukeneyo izifo. ukuxilongwa akusoloko kusenzeka. Kaninzi eyenziwa nkovu node biopsy. Idla kuyimfuneko. Esinjalo isifundo lwanziwa ukucacisa umyalezo we sifo okanye lymphostasis kunye lymphedema.

Yintoni na?

Luhlobo luni uphando? Biopsy le nkovu node kwi entanyeni, kwekhwapha nasemiphakathweni - Longumgaqo oqhelekileyo omiselwe ezibonisa ezithile. Enyanisweni, lo utyando encinane. Ekuhambeni kwe nkqubo, ugqirha ususa inxalenye okanye umzimba wonke.

Biopsy - ukufunda elebhu, nto leyo evumela ukuba ukuchonga utshintsho fibrotic kwi mediastinum, kwakunye kwiindawo nkovu womlomo wesibeleko kunye inguinal.

Apho amatyala yabelwa?

Nkovu node biopsy ivumela ukuchongwa kwangethuba zokuphula ukuba kwenzeka emzimbeni. Ngoko ke, izifundo ezifanayo olwenziwe ukufundwa ezininzi:

• nkqubo yabelwa ukufumanisa umyalezo kunye lymphadenopathy onobungozi, ukuba awunako ukufumana iindlela non-invasive loxilongo;
• nkovu node biopsy olwenziwa xa lymphadenopathy, zisenzeka ixesha elide, naxa ekufumaneni unyango eyaneleyo isigulana;
• xa isigulane impawu ithumba umyalezo lymphadenopathy, umz, a sisilonda esidumbileyoesingaphakathi proliferative okanye izakhiwo nkovu node kuwenza;
• ekufumanekeni ngethuba loviwo sokuqala banzi kakhulu, zamahlathi, kodwa iindawo nkovu yalula ephelekwa iimpawu ukunxila jikelele eziphilayo.

Kwezinye iimeko zonyango, biopsy ayikho wabelwa.

Ngubani akakwazi ukwenza biopsy?

Biopsy le nkovu node phantsi ingalo, nasemiphakathweni okanye intamo lineqela Izimo, kuquka:

• kyphosis wesibeleko yomqolo, nto leyo akasivumeli biopsy of nkovu node kwi entanyeni;
• Ukuba esiludumbo nkovu okanye izihlunu zilurhangqile, kukho ubukrakra;
• xa syndrome hypocoagulation, nto leyo a ekunqandeni igazi.

Nkovu node biopsy kufuna ungenelelo yobungcali. Eneneni, ezi imizimba iziqalelo ekhusela umzimba womntu. umonakalo labo phantsi iingxaki ezithile ukuze kube kubi kuphela imeko yesigulane. Ngoko ke, khetha ekliniki ukungenisa kunye nocazululo neengcali kufuneka ingqalelo ekhethekileyo.

iindlela ezisisiseko

Ngoko ke, indlela ukwenza biopsy lwe kwiindawo nkovu? Le nkqubo iya kwenziwa ngeendlela ezininzi. Iindlela eziphambili ziquka:

• ngaphandle okanye Ukusikwa;
• kwenzakalani;
• mgomo.

Nganye kwezi ndlela zinezibonelelo yayo ethile nezingalunganga. Ukhetho indlela lokuvandlakanya kubalulekile ukungenisa kwangaphambili ukuba uxoxe nogqirha wakho.

mgomo biopsy

Le ndlela biopsy lwenziwa kusetyenziswa inaliti. Isixhobo ngobunono lesitofu isakhiwo limfouzlovuyu ongama zilahlwe phantsi ngomhlathi okanye ngaphezu clavicle, wabuyisa izinto kwizifundo zokuqhubela phambili. Inkqubo yenziwa kuphela qho kwesibhedlele. Kubalulekile ukuphawula ukuba ngexesha biopsy isiguli phantse ntlungu. Ngoko ke, indlela sokufunxa isetyenziswa rhoqo kakhulu yesilungu.

Isixhobo, atsalwa apho izinto iluhlobo yenaliti obhityileyo umngxuma. Ukuba esiludumbo nkovu wayengekho uvalo, ngoko ukucacisa indawo yayo ivumela isixhobo ultrasound. Le ndlela isoloko isetyenziswa kwiinkqubo esosulelayo okanye kuwenza zomzimba.

inaliti biopsy

Njani na nkovu node biopsy kule meko? indlela okuhlatywa kubandakanya nokufumana kwalomu ka izinto eziphilayo kuzo zonke iintlobo izifundo histological.

Kufuneka kuqatshelwe ukuba nkqubo oluqhutywa ngendlela efanayo njengento mgomo. Umahluko phakathi izixhobo. Xa kusetyenziswa biopsy inaliti, exhobele madrenom ngokubonelela Ukusikwa ngokunjalo nokugcinwa kwezinto eziphilayo.

Nangona kunjalo, le ndlela iya akukhuthazwa ukuba zisetyenziswe ezimbi umhlaza, njengoko oku kungakhokelela ekusasazweni iiseli abachaphazelekayo. Ngaphezu koko, zokuhlatywa yaye ngeminqweno biopsy zidla ngokubonisa njengabaneziphumo engachanekanga.

indlela Ukusikwa

biopsy Vula nodes nkovu kubandakanya ekufumaneni izinto ngazo olu phando, ngenxa uqhaqho. Le nkqubo ihlala ubuncinane zibe yiyure enye. Ngexesha seyingenelele ngoncedo ugqirha yenza liqatywe encinane apho incakuba Ukusikwa nkovu node kunye iingceba kwizicwili.

Ngaloo ukubeka isigulane phezu kwetafile yokusebenza, uze emva koko elawulwa Ukubulawa jikelele. Indawo apho liqatywe iza kwenziwa izibulali phambili. Emva koko ugqirha uyemka ukususa ezalathelwe nkovu. Ekupheleni kwale liqatywe sutured ngocoselelo, kwaye iqhiya isicelo phezu kwayo.

Le ndlela biopsy isetyenziswa kakhulu kunezinye iindlela. Oku kubangelwa kakhulu ulwazi, kwakunye ukuthembeka kweziphumo. Kwezinye iimeko, biopsy evulekileyo luyenziwa intraoperatively. Oku kukuvumela ukuba kuxilongo ekhawulezileyo. Ukuba izixwexwe nomhlaza, ugqirha uphumeza ukungenelela eyongezelelweyo operative.

nodes kubhazabhaza

Kubhazabhaza nkovu node biopsy yenzelwa ukujonga ukuxhaphaka iinkqubo okubulalayo ukususa iindawo nkovu eziliqela, kodwa hayi iqela lonke.

Ngokusebenzisa le nkqubo elinjalo ukusindisa yinxalenye imizimba isakhiwo. Kubhazabhaza nkovu node - abo bachatshazelwa kuqala iiseli amabi. Utyekelo yamathumba iyakhula kwezi amalungu yeyona ngxaki iphambili kunyango Oncology. Ukuza kuthi ga ngoku, sentinel nkovu node biopsy iye inkqubo phantse eqhelekileyo phambi ithumba.

Yintoni ekufuneka yenziwe phambi kokuba biopsy?

Phambi naluphi na uhlobo zohlalutyo kuyimfuneko ukutyelela ugqirha kwaye uchaze ngokucacileyo imeko yabo. Kufuneka kukuxelela ngazo zonke ezimbi kunye neengxaki zempilo, negazi. Kwakhona kubalulekile ukuphawula ngokuphazamiseka ukopha kunye nokukhulelwa, umfazi xa ekhulelwe.

Ukuba isigulane labelwa unyango usebenzisa amayeza, phambi kokuba uqale umsebenzi kufuneka umxelele loo mntu abanezakhono. Iveki enye phambi kokuba inkqubo, kufuneka uyeke ukuthatha amachiza kubangele ubuhlungu igazi. La machiza aquka "lweeHedfowuni", "Cardiomagnyl", "aspirin", "Warfarin", "Asperkard".

Ukuba ngexesha biopsy isetyenziswa zomzimba jikelele, ngoko iiyure 10-12 kufuneka ayeke ukutya nokusela.

emva kwenkqubo

Nkovu node biopsy ebangela ntlungu kuba kuliwa phandle mhlawumbi phantsi zomzimba jikelele, okanye ukusebenzisa iziyobisi intlungu. Ubude tyando ukusuka kwimizuzu engama-30 ukuya kuma-50.

Isigulana emva kokuba inkqubo neentsuku ezimbalwa ukwala ukuthatha ishawa okanye ibhafu, ukutyelela amagumbi ama njengendawo ukunkcenkceshela apho okuhlatywa sele lwenziwe, ayikhuthazwa tu. Kwakhona, kufuneka uphephe amandla kakhulu emzimbeni. Iziphumo zophando ziya kuba zilungele 7- 10 iintsuku.

Yintoni babe ezinobuzaza?

Emva nkovu node iingxaki biopsy kwenzeka kwezinye iimeko. Okokuqala asifanele silibale ukuba inkqubo leyo, enyanisweni, uqhaqho. Nangona ingqalelo utyando kancinane ezihlaselayo, kuyo nayiphina imeko sele lilide apho waya emzimbeni. Kungenxa yesi sizathu ukuba ngexesha utyando enjalo kwandisa umngcipheko iingxaki. Phakathi kwezi ziganeko akholisa ukubakho:

• iingxaki esosulelayo;
• isiyezi okanye niphele;
• umonakalo lymphovascular nemithambo inyama;
• ndindisholo yenxenye yomzimba, apho nkovu esiludumbo yacazululwa ibekwe;
• ukopha, nto leyo xa kungekho umonakalo omkhulu ngokuzimeleyo kudlule iiyure ezimbalwa.

Emva kokuba biopsy, oogqirha balumkise izigulane ukuba naziphi na iingxaki kufuneka ngoko nangoko bafune uncedo lobungcali. Kwakhona kubalulekile ukutyelela ekliniki xa ukudumba kwindawo node nkovu ukuba bayaxilongwa nangecesina, ukunyuka lobushushu emzimbeni. Ukuba iintlungu na ziphele iintsuku emva kwe-7 emva kotyando, kuyimfuneko ukuba udibane nogqirha. Isizathu sokuba tyelelo oyingcaphephe inokuba isahlakalo krupyanistyh okanye ubovu ndiyenza amanxeba abo ekuthe okuhlatywa lwenziwa.

Ixabiso le-nkqubo

Nendleko biopsy ye esiludumbo nkovu kuxhomekeke kwizinto ezininzi. Ixabiso le nkqubo iqale ukusuka 1.5 lamawaka 6.7 amawaka engange. Kungenxa kumaziko karhulumente. Ngokuphathelele kwiiklinikhi zabucala, iindleko ezi nkovu node biopsy kusenokungabikho ngaphantsi kwe-14 amawaka engange.

Loo nkqubo iphephile kakhulu kwaye indlela elula for zokufumanis izifo ezininzi ukugula ebantwini. Noko ke, kukho biopsy le nkovu node ye isigulana isivumelwano ofunekayo utyando ezinjalo. Kwakhona ngononophelo kakhulu kufuneka ukhethe eklinikhi kwaye ugqirha oza kwenza le nkqubo. Oku kuya kuthintela kukuvela iziphumo ezibi kunye nezigulo.

ingqalelo ekhethekileyo kufuneka zihlawulwe reviews belo yeklinikhi, ziqhuba biopsy nkovu node. Kungcono ukukhetha loo maziko, obubonakala ngokuba yincwadi evuliweyo izigulane bangaphambili kuphela kwicala ezintle.