Inaliti ye-biopsy yenaliti

I-Pleural biopsy yinkqubo yokususa isampulu ye-pleura. Esi sisicwili esibhityileyo esidibanisa isifuba kwaye sijikeleze imiphunga. I-biopsy yenziwa ukujonga ubukho besifo sosulelo.

Olu vavanyo lunokwenziwa esibhedlele. Inokwenziwa kwiklinikhi okanye kwiofisi kagqirha.

Inkqubo ibandakanya oku kulandelayo:

• Ngexesha lenkqubo, uhleli phezulu.
• Umboneleli wakho wezempilo ucoca ulusu kwindawo ye-biopsy.
• Iyeza lokuqaqamba (i-anesthetic) litofwe ngesikhumba nakwilaphu lemiphunga kunye nodonga lwesifuba (inwebu yokubumba).
• Inaliti enkulu, engenamngxuma ibekwa ngobunono ngolusu kwisifuba. Ngamanye amaxesha, umboneleli usebenzisa i-ultrasound okanye i-CT imaging ukukhokela inaliti.
• Kusetyenziswa inaliti yokusika encinci ngaphakathi kumngxuma wokuqokelela iisampulu zethishu. Ngeli xesha lenkqubo, uyacelwa ukuba ucule, ungqume, okanye uthi "eee." Oku kunceda ukuthintela umoya ukuba ungangeni kwisifuba esifubeni, esinokubangela ukuba umphunga uwe (pneumothorax). Ngokwesiqhelo, kuthathwa iisampulu ezintathu okanye nangaphezulu ze-biopsy.
• Xa uvavanyo lugqityiwe, i-bandage ifakwe kwisiza se-biopsy.

Kwezinye iimeko, i-biopsy yesicelo yenziwa kusetyenziswa ubungakanani be-fiberoptic. Ubungakanani buvumela ugqirha ukuba ajonge indawo ye-pleura apho kuthathwa khona ii-biopsies.

Uya kuba novavanyo lwegazi ngaphambi kwe-biopsy. Uya kuba nesifuba x-ray.

Xa kutofwe i-anesthetic yendawo, unokuziva uhlaba kancinci (njengaxa kubekwe intambo efakwa ngaphakathi) kunye noluvo oluvuthayo. Xa inaliti ye-biopsy ifakiwe, unokuziva uxinzelelo. Njengoko inaliti isuswa, unokuziva utsala.

I-biopsy ye-Pleural ihlala isenziwa ukufumana unobangela wokuqokelelwa kolwelo olujikeleze imiphunga (ukungxengxeka kwembumba) okanye okunye ukungaqheleki kwembumba yomlomo. I-Pleural biopsy inokufumanisa isifo sephepha, umhlaza kunye nezinye izifo.

Ukuba olu hlobo lwe-biopsy yesicelo alonelanga ukwenza uxilongo, unokufuna i-biopsy yoqhaqho ye-pleura.

Izicubu zomzimba zibonakala ziqhelekileyo, ngaphandle kweempawu zokudumba, usulelo, okanye umhlaza.

Iziphumo ezingaqhelekanga zingabonakalisa umhlaza (kubandakanya umhlaza wamaphaphu wokuqala, isifo esibi se-mesothelioma, kunye nesifo se-metastatic pleural tumor), isifo sephepha, ezinye izifo, okanye isifo se-collagen vascular.

Kukho amathuba amancinci wenaliti yokugqobhoza udonga lwemiphunga, olunokuthi luwahle umphunga. Oku kuhlala kulunge ngokwako. Ngamanye amaxesha, ityhubhu yesifuba iyafuneka ukukhupha umoya kwaye wandise umphunga.

Kukwakho nethuba lokuphulukana negazi ngokugqithileyo.

Ukuba i-biopsy evaliweyo evaliweyo ayonelanga ukwenza uxilongo, unokufuna i-biopsy yokuhlinzwa ye-pleura.

Kuvaliwe ukucela i-biopsy; I-biopsy yenaliti yesicelo

• I-biopsy yePleural

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.

Ingcongolo JC. Iziphumo zePleural. Ku: Ingcongolo JC, ed. I-Radiology yesifuba: Iipateni kunye nokuchongwa okwahlukileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 4.