Ulusu lwesifo se-biopsy

I-biopsy yesilonda esikhumbeni kuxa inani elincinci lolusu lisuswe ukuze livavanywe. Ulusu luvavanyelwe ukukhangela iimeko zolusu okanye izifo. I-biopsy yolusu inokunceda umboneleli wakho wezempilo ukuba afumanise okanye akhuphe iingxaki ezinje ngomhlaza wolusu okanye i-psoriasis.

Uninzi lweenkqubo lunokwenziwa kwiofisi yomboneleli wakho okanye kwiofisi yezonyango. Kukho iindlela ezininzi zokwenza i-biopsy yolusu. Yeyiphi inkqubo onayo exhomekeke kwindawo, ubungakanani, kunye nohlobo lwesilonda. Isilonda yindawo engaqhelekanga yesikhumba. Oku kunokuba sisigaqa, sibuhlungu, okanye indawo yombala wolusu engaqhelekanga.

Phambi kokuba kwenziwe i-biopsy, umboneleli wakho uya kubamba indawo yesikhumba ukuze ungaziva nto. Iindidi ezahlukeneyo ze-biopsies zolusu zichaziwe apha ngezantsi.

KUSETYENZISWA KWEBHAYIBHILE

• Umboneleli wakho usebenzisa i-blade encinci okanye i-razor ukususa okanye ukukrwela amanqwanqwa angaphandle esikhumba.
• Yonke okanye inxalenye yesilonda iyasuswa.
• Awudingi imithungo. Le nkqubo iya kushiya indawo encinci enesitayile.
• Olu hlobo lwe-biopsy luhlala lwenziwa xa umhlaza womhlaza ukrokrelwa, okanye irhashalala ebonakala ngathi inqabile kulwaleko oluphezulu lolusu.

UKUQHUBA IBHAYIBHILE

• Umboneleli wakho usebenzisa isixhobo se-cookie cutter-like punch tool ukususa ulusu olunzulu. Indawo esusiweyo imalunga nobume kunye nobungakanani bokusula kwepensile.
• Ukuba usulelekile okanye usulelekile kwi-immune disorder, umboneleli wakho angenza ngaphezu kweyodwa i-biopsy. Enye ye-biopsies ihlolwa phantsi kwemicroscope, enye ithunyelwe elebhu ukuvavanywa njengeentsholongwane (inkcubeko yesikhumba).
• Ibandakanya konke okanye inxenye yesilonda. Unokuba nezitishi zokuvala indawo.
• Olu hlobo lwe-biopsy luhlala lwenziwa ukufumanisa irhashalala.

I-BIOPSY EBALULEKILEYO

• Ugqirha usebenzisa imela yotyando (scalpel) ukususa sonke isilonda. Oku kunokubandakanya ubunzulu bolusu kunye namafutha.
• Indawo ivaliwe ngemithungo yokubuyisela ulusu ndawonye.
• Ukuba indawo enkulu i-biopsied, ugqirha osebenzisa ugqirha unokusebenzisa ufakelo lwesikhumba okanye i-flap ukubuyisela isikhumba esisusiweyo.
• Olu hlobo lwe-biopsy luqhele ukwenziwa xa kukho uhlobo lomhlaza wolusu ekuthiwa yi-melanoma.

I-BIOPSY EQHELEKILEYO

• Le nkqubo ithatha isiqwenga sesilonda esikhulu.
• Inxalenye yokukhula iyanqunyulwa ize ithunyelwe elebhu yoviwo. Unokuba nezititshi, ukuba ziyafuneka.
• Emva kokuxilongwa, konke okunye ukukhula kunganyangwa.
• Olu hlobo lwe-biopsy luqhele ukwenziwa ukunceda ukufumanisa izilonda kulusu okanye izifo ezibandakanya izicwili ezingaphantsi kolusu, ezinje ngezicubu ezinamafutha.

Xelela umboneleli wakho:

• Malunga namayeza owathathayo, kubandakanya iivithamini kunye nezongezo, amayeza esintu, kunye namayeza awathengisayo
• Ukuba unayo i-aleji
• Ukuba uneengxaki zokopha okanye uthathe ichiza elincinci legazi njengeasprini, warfarin, clopidogrel, dabigatran, apixaban, okanye ezinye iziyobisi
• Ukuba u okanye ucinga ukuba unokukhulelwa

Landela imiyalelo yomboneleli wakho malunga nendlela yokulungiselela i-biopsy.

Umboneleli wakho unoku-odola i-biopsy yolusu:

• Ukuchonga unobangela wokungxamiseka kolusu
• Ukuqinisekisa ukuba ukukhula kolusu okanye ulusu lwesikhumba ayingomhlaza wolusu
  

Izicubu ezazisuswe zavavanywa phantsi kwemicroscope. Iziphumo zihlala zibuyiselwa kwiintsuku ezimbalwa ukuya evekini okanye nangaphezulu.

Ukuba ulusu lolusu luyingozi (hayi umhlaza), awusayi kufuna olunye unyango. Ukuba lonke ulusu lolusu aluzange lususwe ngexesha le-biopsy, wena kunye nomboneleli wakho unokuthatha isigqibo sokuyisusa ngokupheleleyo.

Emva kokuba i-biopsy iqinisekisa ukuxilongwa, umboneleli wakho uya kuqala isicwangciso sonyango. Iingxaki ezimbalwa zolusu ezinokuthi zifumaniswe zezi:

• Psoriasis okanye dermatitis
• Usulelo kwiibhaktheriya okanye kwifungus
• Melanoma
• Umhlaza wesiseko somhlaza wesiseko
• Umhlaza wesikhumba esine squamous

Umngcipheko we-biopsy yolusu unokubandakanya:

• Usulelo
• I-Scar okanye i-keloids

Uyaopha kancinci ngexesha lenkqubo.

Uya kugoduka ngebhandeji phezu kwendawo. Indawo ye-biopsy inokuba yithenda kwiintsuku ezimbalwa emva koko. Unokuba nenani elincinci lokopha.

Kuxhomekeke kuhlobo luni lwe-biopsy onayo, uya kunikwa imiyalelo yendlela yokukhathalela:

• Indawo yesikhumba se-biopsy
• Ukuthunga, ukuba unayo
• Ukufakelwa kwesikhumba okanye i-flap, ukuba unayo

Injongo kukugcina indawo icocekile kwaye yomile. Lumka ungangqubeki okanye wolule ulusu kufutshane nendawo, enokubangela ukopha. Ukuba une-stitches, ziya kukhutshwa malunga neentsuku ezi-3 ukuya kwezi-14.

Ukuba wopha ngokuphakathi, sebenzisa uxinzelelo kuloo ndawo kangangemizuzu eli-10 okanye njalo. Ukuba ukopha akuyeki, tsalela umnikezeli wakho ngoko nangoko. Kuya kufuneka ubize umnikezeli wakho ukuba unempawu zosulelo, ezinje:

• Ubomvu ngakumbi, ukudumba, okanye iintlungu
• Umjelo ovela okanye ojikeleze ukusikwa okuxineneyo, okuluhlaza, okuluhlaza, okanye okumthubi, okanye okunuka kakubi (ubofu)
• Ifiva

Nje ukuba inxeba liphole, unokuba nesiva.

Ulusu lwe-biopsy; Shaves biopsy - ulusu; Punch biopsy - ulusu; I-biopsy ekhethekileyo - ulusu; I-incisional biopsy - ulusu; Umhlaza wolusu - i-biopsy; I-Melanoma - i-biopsy; Umhlaza weseli squamous - biopsy; Umhlaza wesiseko se-Basal-biopsy

• I-Basal Cell Carcinoma -ukusondela
• I-Melanoma - intamo
• Ulusu

IDinulos JGH. Iinkqubo zotyando lweDermatologic. Ku: I-Dinulos JGH, ed. I-Habif's Clinical Dermatology: Isikhokelo sombala wokufumanisa isifo kunye nonyango. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 27.

Ephakamileyo WA, Tomasini CF, Argenziano G, Zalaudek I. Imigaqo esisiseko yesikhumba. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 0.

I-Pfenninger JL. Ulusu lwe-biopsy. Ku: Fowler GC, ii-eds. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.