I-biopsy yenaliti yemiphunga

Inaliti yemiphunga yindlela yokususa iqhekeza lesicwili semiphunga kuvavanyo. Ukuba yenziwe ngodonga lwesifuba sakho, ibizwa ngokuba yi-transthoracic lung biopsy.

Inkqubo ihlala ithatha imizuzu engama-30 ukuya kwengama-60. I-biopsy yenziwa ngale ndlela ilandelayo:

• I-x-ray yesifuba okanye isifuba se-CT scan singasetyenziselwa ukufumana indawo ngqo kwi-biopsy. Ukuba i-biopsy yenziwe kusetyenziswa i-CT scan, unokuba ulele ngexesha loviwo.
• Unokunikwa umthomalalisi ukuze uphumle.
• Uhleli ngeengalo zakho uphumle phambili etafileni. Ulusu lwakho apho inaliti ye-biopsy ifakiwe khona luyakhuhlwa.
• Iyeza lendawo lokuphelisa iintlungu (iintlungu)
• Ugqirha usika kancinci kulusu lwakho.
• Inaliti ye-biopsy ifakwe kwithishu engaqhelekanga, ithumba okanye izicubu zemiphunga. Iqhekeza elincinci lisuswe kunye nenaliti.
• Inaliti iyasuswa. Uxinzelelo lubekwe kule ndawo. Xa ukopha kuyekile, kufakwa nebhandeji.
• I-x-ray yesifuba ithathwa kanye emva kwe-biopsy.
• Isampulu ye-biopsy ithunyelwa kwilebhu. Uhlalutyo luhlala luthatha iintsuku ezimbalwa.

Akufanele utye iiyure ezi-6 ukuya kwezi-12 phambi kovavanyo. Landela imiyalelo malunga nokungathathi i-nonsteroidal anti-inflammatory drugs (i-NSAIDs) ezinje nge-aspirin, ibuprofen, okanye ii-thinner zegazi ezifana ne-warfarin kangangexesha eliphambi kwenkqubo. Jonga umboneleli wakho wezempilo ngaphambi kokutshintsha okanye ukuyeka nawaphi na amayeza.

Phambi kwenaliti yokuvavanywa kwemiphunga, i-x-ray yesifuba okanye isifuba se-CT scan sinokwenziwa.

Uya kufumana inaliti ye-anesthetic ngaphambi kwe-biopsy. Le naliti iya kuluma okomzuzwana. Uyakuva uxinzelelo kunye neentlungu ezifutshane, ezibukhali xa inaliti ye-biopsy ichukumisa umphunga.

Inaliti ye-lung biopsy yenziwa xa kukho imeko engaqhelekanga kufutshane nomphezulu wemiphunga, emiphungeni uqobo, okanye eludongeni lwesifuba. Rhoqo, kwenziwa ukukhupha umhlaza. I-biopsy ihlala yenziwe emva kokungaqhelekanga kuvela kwisifuba x-ray okanye kwi-CT scan.

Kuvavanyo oluqhelekileyo, izicubu ziqhelekile kwaye akukho mhlaza okanye ukukhula kweebhaktheriya, ii-virus, okanye iifungi xa kwenziwa inkcubeko.

Iziphumo ezingaqhelekanga zinokubangelwa zezi zinto zilandelayo:

• Intsholongwane, intsholongwane, okanye usulelo lokungunda kwemiphunga
• Iiseli ezinomhlaza (umhlaza wemiphunga, mesothelioma)
• Ukukrala kwemiphunga
• Ukukhula kweBenign

Ngamanye amaxesha, umphunga owileyo (pneumothorax) uvela emva kolu vavanyo. I-x-ray yesifuba iya kwenziwa ukukhangela oku. Umngcipheko uphezulu ukuba unezifo ezithile zemiphunga ezinjenge-emphysema. Ngokwesiqhelo, imiphunga ewile emva kokuvavanywa ayifuni unyango. Kodwa ukuba i-pneumothorax inkulu, kukho isifo sesifo semiphunga esele sikhona okanye asiphucuki, kufakwa ityhubhu yesifuba ukwandisa umphunga.

Kwiimeko ezinqabileyo, i-pneumothorax inokuba sengozini yobomi ukuba umoya uyaphuma emiphungeni, ubambeke esifubeni, kwaye ucofe yonke eminye imiphunga okanye intliziyo.

Nanini na xa kwenziwa i-biopsy, kukho umngcipheko wokopha kakhulu (ukopha). Olunye ukopha kuqhelekile, kwaye umboneleli uya kubeka esweni inani lokopha. Kwiimeko ezinqabileyo, ukopha okukhulu nokusongela ubomi kunokwenzeka.

Inaliti ye-biopsy akufuneki yenziwe ukuba olunye uvavanyo lubonisa ukuba une:

• Ukuphazamiseka kwegazi kulo naluphi na uhlobo
• I-Bullae (i-alveoli eyandisiweyo eyenzeka nge-emphysema)
• I-Cor pulmonale (imeko ebangela ukuba icala lasekunene lentliziyo lisilele)
• Ingqele yemiphunga
• Uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga
• Ihypoxia enamandla (ioksijini ephantsi)

Iimpawu zomphunga owileyo zibandakanya:

• Ukuba mhlophe kwesikhumba
• Iintlungu zesifuba
• Inqanaba lentliziyo elikhawulezayo (ukubetha ngokukhawuleza)
• Ukuqhawukelwa ngumphefumlo

Ukuba kukho enye yezi zinto eyenzekayo, tsalela umnikezeli wakho kwangoko.

Inqwenela yenaliti yeTransthoracic; Inaliti yenaliti

• I-biopsy yemiphunga
• I-biopsy yemiphunga yemiphunga

Inikezwe iMF, uClements W, uThomson KR, uLyon SM. I-Percutaneous biopsy kunye nomsele wamaphaphu, i-mediastinum, kunye ne-pleura. Ku: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, ii-eds. Ungenelelo olukhokelwa ngumfanekiso. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2021: isahl. 103.

UKlein JS, uBhave AD. I-radiology ye-Thoracic: ukungenelela kokuqonda isifo kunye nongenelelo olukhokelwa yimifanekiso. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 19.