Yintoni i-Biopsy yesibindi

Umxholo

• Xa kubonisiwe
• Kwenziwa njani i-biopsy
• Loluphi ulungiselelo oluyimfuneko
• Unjani na uXolo
• Iingxaki ezinokwenzeka

I-biopsy yesibindi luvavanyo lonyango apho kususwa khona iqhekeza elincinci lesibindi, ukuze lihlalutywe ngemicroscope ngugqirha wezifo, kwaye ke, ukufumanisa okanye ukuvavanya izifo ezonzakalisa eli lungu, njenge-hepatitis, i-cirrhosis, izifo zenkqubo ezichaphazela isibindi okanye umhlaza.

Le nkqubo, ikwabizwa ngokuba yi-biopsy yesibindi, yenziwa esibhedlele, njengoko isampulu ithathwa esibindini ngenaliti ekhethekileyo, kwinkqubo efanayo notyando oluncinci kwaye, nangona kunqabile, kunokuba khona ingozi, njengokuphuma kwegazi.

Ngokwesiqhelo umntu akalaliswa esibhedlele kwaye ubuyela ekhaya kwangolo suku lunye, nangona kunyanzelekile ukuba uye esibhedlele ehamba kunye, kuba kuyimfuneko ukuphumla kwaye ngekhe akwazi ukuqhuba emva kwe-biopsy.

Xa kubonisiwe

I-biopsy yesibindi isetyenziselwa ukuhlalutya utshintsho esibindini, ukuze ichaze isifo kwaye ikwazi ukucwangcisa ngcono unyango. Iimpawu eziphambili zibandakanya:

• Vavanya i-hepatitis engapheliyo, kwimeko yamathandabuzo malunga nokuchongwa kwesifo okanye ukuba qatha kwesi sifo, ukwazile ukubona ubungakanani bomonakalo wesibindi
• Vavanya izifo ezibangela iidipozithi esibindini, ezinje ngeHemochromatosis, ebangela iidipozithi zentsimbi, okanye isifo sikaWilson, esibangela iidipozithi zobhedu, umzekelo;
• Chonga unobangela wamaqhuqhuva esibindi;
• Khangela unobangela we-hepatitis, i-cirrhosis okanye ukusilela kwesibindi;
• Hlaziya ukusebenza kwonyango kwisibindi;
• Vavanya ubukho beeseli zomhlaza;
• Khangela unobangela cholestasis okanye utshintsho kwimibhobho inyongo;
• Chonga isifo esichaphazela isibindi okanye esibangela umkhuhlane ongacacanga kakuhle;
• Hlaziya isibindi somntu onokunikezela ngokufakela okanye ukukrokrelwa kokwaliwa okanye enye ingxaki emva kokufakelwa kwesibindi.

Le nkqubo yenziwa kuphela kukuboniswa kwezonyango kwaye, ngokubanzi, kwenziwa kuphela xa ezinye iimvavanyo ezivavanya ubukho bezilonda kunye nokusebenza kwesibindi zisilele ukubonelela ngolwazi oluyimfuneko, njenge-ultrasound, tomography, umlinganiso wee-enzyme zesibindi (AST, ALT), ii-bilirubins okanye i-albhamuin, umzekelo. Funda ngakumbi ngovavanyo oluvavanya isibindi.

Kwenziwa njani i-biopsy

Ukucoca isibindi, kusetyenziswa inaliti edla ngokusetyenziswa, ngakumbi eboniswe kula matyala, ukuzama ukususa isampulu ngowona monakalo mncinci kwilungu.

Ezinye iindlela ezahlukeneyo zinokusetyenziswa ngugqirha, kwaye eyona nto ixhaphakileyo kukujikeleza kwesibindi, apho inaliti ifakwa kulusu luye esibindini, elikwicala lasekunene lesisu. Inkqubo kufuneka yenziwe phantsi kwe-anesthesia okanye i-sedation kwaye, nangona ingonwabisi, ayisiyiyo le vavanyo ebangela iintlungu ezininzi.

Ngokubanzi, iimviwo ezinje nge-ultrasound okanye i-computed tomography zisetyenziswa njengesikhokelo sokufumana indawo ofuna ukufikelela kuyo, apho isampulu iya kuqokelelwa khona. Ugqirha uthatha malunga neesampuli ezi-3 kwaye inkqubo ithatha malunga nesiqingatha seyure, kuxhomekeke kwimeko nganye. Emva koko, iisampulu ziya kuhlalutywa phantsi kwemicroscope ukuvavanya ubukho beenguqu kwiiseli.

Ezinye iindlela zokufumana ukufikelela kwesibindi kwi-biopsy, kukufaka inaliti ngokusebenzisa umthambo wejugular kwaye ufikelele kwisibindi ngokujikeleza, okubizwa ngokuba yindlela edlulayo, okanye, nangexesha lotyando lwe-laparoscopic okanye oluvulekileyo, kodwa azixhaphakanga.

Loluphi ulungiselelo oluyimfuneko

Ngaphambi kokwenza i-biopsy yesibindi, ugqirha unokucebisa ngokuzila ukutya malunga neeyure ezi-6 ukuya kwezi-8. Ukongeza, kuyacetyiswa ukuba kunqunyanyiswe ukusetyenziswa kwamachiza anokuphazamisa ukujiya kwegazi, kangangeveki e-1, njengezidambisi-zintsholongwane, ii-anticoagulants okanye i-AAS, umzekelo, ekufuneka yenziwe ngokweengcebiso zonyango.

Unjani na uXolo

Emva kokuvavanywa kwesibindi, umntu kufuneka ahlale esibhedlele phantsi koqwalaselo malunga neeyure ezi-4. Ugqirha unokujonga uxinzelelo lwegazi kunye nolunye ulwazi olubalulekileyo ukuze abone ukuba kungabakho naziphi na iingxaki nokuba kukhuselekile na ukukhutshwa, kodwa ngokubanzi, abantu abalawulwa kakuhle banokugoduka kwangolo suku lunye.

Umntu kufuneka ashiye isibhedlele ngebhandeji kwicala lesisu, kuxhomekeke kuhlobo lwenkqubo, ekufuneka isuswe emva kweentsuku ezi-2, ekhaya, emva kokuphola okukhuselekileyo.

Phambi kokususa isinxibo, kufuneka kuthathelwe ingqalelo ukungamanzisi i-gauze kwaye ujonge ukuba ihlala icocekile, kwaye ukuba kukho ukopha, ubofu enxebeni, umkhuhlane, ukongeza isiyezi, ukuphelelwa ngamandla okanye iintlungu eziqatha, kubonisiwe ukuba kuyahamba kugqirha ukuze avavanywe.

Ukuthomalalisa iintlungu nokungonwabi ugqirha unokucebisa ukuba uthathe isithomalalisi iintlungu, kwaye akukhuthazwa ukuba wenze iinzame iiyure ezingama-24 emva kwenkqubo.

Iingxaki ezinokwenzeka

Nangona i-biopsy yesibindi yinkqubo ekhuselekileyo kwaye iingxaki zinqabile ukwenzeka, ukuphuma kwegazi, ukugqobhoza kwemiphunga okanye inyongo kunye nosulelo kwindawo yokufaka inaliti inokwenzeka.