Biopsy - iphecana biliary

I-biliary tract biopsy kukususwa kwexabiso elincinci leeseli kunye nolwelo kwi-duodenum, i-bile ducts, i-pancreas, okanye i-pancreatic duct. Isampulu ihlolwa phantsi kwemicroscope.

Isampulu ye-biopsy ye-biopsy inokufunyanwa ngeendlela ezahlukeneyo.

I-biopsy yenaliti inokwenziwa ukuba unesisu esichazwe kakuhle.

• Indawo ye-biopsy icociwe.
• Inaliti ebhityileyo ifakwa kwindawo eza kuvavanywa, kwaye isampulu yeeseli kunye nolwelo ziyasuswa.
• Inaliti iyasuswa.
• Uxinzelelo lubekwa kwindawo yokumisa ukopha. Indawo iya kugqunywa ngebhandeji.

Ukuba unciphise okanye uvalela i-bile okanye i-pancreatic ducts, isampuli inokuthathwa ngexesha leenkqubo ezinje:

• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Ipolututaticatichephepatic cholangiogram (PTCA)

Awungekhe utye okanye usele iiyure eziyi-8 ukuya kwezi-12 nangaphezulu phambi kovavanyo. Umboneleli wakho wezempilo uza kukuxelela kwangaphambili ukuba kufuneka wenze ntoni.

Qiniseka ukuba unaye umntu okuqhubela ekhaya.

Uvavanyo luya kuziva njani kuxhomekeke kuhlobo lwenkqubo esetyenzisiweyo ukususa isampulu ye-biopsy. Nge-biopsy yenaliti, unokuziva uhlaba njengoko inaliti ifakiwe. Abanye abantu baziva beziva bexinekile okanye bencwina ngexesha lenkqubo.

Amayeza amisa iintlungu kwaye akuncede uphumle aqhele ukusetyenziswa kwezinye iindlela ze-biliary tract biopsy.

I-biliary tract biopsy inokumisela ukuba isisu siqale esibindini okanye sisasazeka kwenye indawo. Kananjalo inokumisela ukuba ngaba eli thumba linomhlaza.

Olu vavanyo lunokwenziwa:

• Emva kovavanyo lomzimba, i-x-ray, i-MRI, i-CT scan, okanye i-ultrasound ibonisa ukukhula okungaqhelekanga kwiphepha lakho le-biliary
• Ukuvavanya izifo okanye usulelo

Iziphumo eziqhelekileyo zithetha ukuba akukho zimpawu zomhlaza, isifo, okanye usulelo kwisampulu ye-biopsy.

Iziphumo ezingaqhelekanga zinokubangelwa:

• Umhlaza wemibhobho yenyongo (cholangiocarcinoma)
• Umqala esibindini
• Umhlaza wesibindi
• Umhlaza wepancreatic
• Ukuvuvukala kunye nokuqhaqha kwamathambo e-bile (i-primary sclerosing cholangitis)

Umngcipheko uxhomekeke kwindlela isampulu ye-biopsy ethathwe ngayo.

Iingozi zinokubandakanya:

• Ukopha kwindawo ye-biopsy
• Usulelo

Uhlalutyo lweCytology - iphecana le-biliary; Iphecana le-biopsy

• I-gallbladder endoscopy
• Inkcubeko yeBile

IChernecky CC, iBerger BJ. I-Biopsy, indawo ekhethekileyo yesiza. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2013: 199-201.

IStockland AH, iBaron TH. Unyango lwe-Endoscopic kunye ne-radiologic yesifo se-biliary. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 70.