Kodi lymph mfundo biopsy?

Lymph mfundo ndi ziwalo chitetezo cha m'thupi kuti ali ndi udindo woteteza thupi lathu kwa adani a wothandizila opatsirana. Ndi apa kuti kuwonongedwa kwa tizilombo toyambitsa matenda. Akadzayamba thupi, ndiye kulowa mwanabele ndi lymph otaya. Dziwani kuti matupi awa amagwiritsidwa akulimbana ndi maselo a khansa. Mu thupi la munthu pali pafupifupi 600 lymph mfundo.

Komabe, mabungwe awa kuvutika chifukwa osiyanasiyana. matenda zolondola Sizotheka. Nthawi zambiri anachita lymph mfundo biopsy. Nthawi zambiri ndikofunikira. Phunziro akapatsidwa kulongosola bwino etiology cha matenda kapena lymphostasis ndi lymphedema.

Ndi chiyani icho?

Kodi mtundu wa kafukufuku? Biopsy wa lymph mfundo pakhosi, armpit kapena groin - ndi njira yofala kuti Kwalamulidwa kwa zizindikiro zina. Ndipotu opaleshoni laling'ono. Mu njira ya ngati ndondomeko, adokotala ndi amachotsa gawo kapena thupi lonse.

Biopsy - zasayansi kuphunzira, amene amalola kudziwa kusintha fibrotic mu mediastinum, komanso monga mu khomo lachiberekero ndi inguinal lymph mfundo.

Imene milandu akapatsidwa?

Lymph mfundo biopsy amalola chizindikiritso yake ya kuyan'anila zimene zimachitika mu thupi. Choncho, maphunziro ofanana amachitika kuwerenga zambiri:

• Ndondomeko akapatsidwa kudziwa etiology ndi lymphadenopathy zilonda, ngati inu simungakhoze kupeza njira si olanda matenda;
• lymph mfundo biopsy imagwiridwa pamene lymphadenopathy, zikuchitika kwa nthawi yaitali, ngakhale pamene akulandira chithandizo chokwanira wodwalayo;
• pamene wodwala ali ndi zizindikiro chotupa etiology lymphadenopathy, mwachitsanzo, ndi chotupa proliferative kapena metastatic nyumba lymph mfundo;
• kudziwika pa kuona koyamba kwambiri anawonjezera, wandiweyani, koma sabweretsa chisoni lymph mfundo limodzi ndi zizindikiro za kuledzera ambiri a chamoyo.

Nthawi zina matenda, biopsy si anapatsidwa.

Amene sangachite biopsy?

Biopsy wa lymph mfundo pansi pa dzanja, groin kapena khosi angapo a contraindications, kuphatikizapo:

• khomo lachiberekero msana kyphosis, amene salola ndi biopsy wa lymph mfundo pakhosi;
• Ngati lymph mfundo kapena minofu ozungulira izo, pali zamafinya zinangoti;
• pamene hypocoagulation syndrome, umene ndi magazi clotting.

Lymph mfundo biopsy amafuna alowererepo akatswiri. Zoonadi, matupi awa ndi zinthu kuteteza thupi. kuwononga awo pansi matenda ena akhoza kukulitsa alili. Choncho, kusankha chipatala cha kutenga kusanthula katswiri akhale mwapadera.

njira zoyambirira

Ndiyeno, kodi kuchita biopsy kwa mwanabele? njirayi angathe kuchitidwa mu njira zingapo. The njira iyenera monga:

• panja kapena excision;
• puncture;
• kukhumba.

Aliyense wa njira ali ubwino wake makamaka ndi kuipa. Kusankha njira ya kusanthula ndi ofunika kutenga pasadakhale kukambirana ndi dokotala.

kukhumba biopsy

Njira biopsy ikuchitika ntchito singano woonda. Chida mokoma jekeseni wa subcutaneous limfouzlovuyu dongosolo kutayidwa pansi nsagwada kapena pamwamba clavicle, ndipo anachira mfundo kuwonjezera maphunziro. Kayendesedwe wochititsidwa kokha ndi outpatient maziko. Dziwani kuti pa biopsy ndi zokumana nazo mtima pafupifupi ululu. Choncho, njira suction amagwiritsidwa ntchito kwambiri mankhwala amakono.

The chida, amene yotengedwa zakuthupi mu mawonekedwe a woonda dzenje singano. Ngati lymph mfundo sanali palpable, ndiye kudziwa malo ake akulola chipangizo ultrasound. Njira imeneyi kawirikawiri amagwiritsidwa ntchito njira yopatsirana kapena metastatic mu zimakhala.

singano biopsy

Kodi lymph mfundo biopsy mu nkhani iyi? Puncture njira kumafuna yodalirika ndime ya zinthu zamoyo chifukwa mitundu yonse ya maphunziro histological.

Tikumbukenso kuti ndondomeko ndi ikuchitika kwambiri monga momwe chiyembekezo ndi. kusiyana ndi ku zipangizo. Pamene biopsy singano ntchito, wokonzeka madrenom kupereka excision komanso posungira zakuthupi kwachilengedwenso.

Komabe, njira imeneyi ali osavomerezeka ntchito pathologies khansa, ngati zimenezi zingayambitse kufala kwa maselo anakhudzidwa. Komanso, puncture ndi chiyembekezo biopsy zambiri amasonyeza chifukwa pachithunzichi.

njira excision

Open biopsy a mwanabele kumafuna kupeza mfundo mudziwe zambiri, kupyolera opaleshoni. ndondomeko kumatenga ola chimodzi. Pa phukusi la dokotala akupanga ang'ambe thupilo yaing'ono imene scalpel excision wa lymph mfundo ndi tating'ono ting'ono minofu connective.

Choncho kuika mtima pa tebulo ya opareshoni, kenako kutumikiridwa mankhwala ochititsa dzanzi ambiri. Malo ang'ambe thupilo adzapangidwa kukonzedwa disinfectants. Pambuyo kuti dokotala atuluka kuchotsa lymph mfundo. Kumapeto kwa ang'ambe thupilo mosamala sutured, ndi bandeji umagwiritsidwa ntchito pa izo.

Njira imeneyi biopsy amagwiritsidwa ntchito kusiyana ndi njira zina. Ichi ndi chifukwa kwambiri nkhani, komanso kudalilika zotsatira zake. Nthawi zina, lotseguka biopsy imagwiridwa intraoperatively. Zimenezi zimathandiza kuti diagnostics mofulumira. Ngati zimakhala ndi khansa, dokotala ukugwira yaitali ntchito alowererepo.

sentinel mfundo

Apachipata lymph mfundo biopsy imagwiridwa kudziwa kuchuluka kwa njira zilonda ndi kuchotsa mfundo zingapo lymph, koma osati gulu lonse.

Kudzera njira imeneyo n'kotheka kupulumutsa mbali ya matupi dongosolo. Apachipata lymph mfundo - amene poyamba anakhudzidwa ndi maselo zilonda. Khalidwe la zotupa kuti metastasize ziwalo izi ndi vuto lalikulu mankhwalawa Oncology. Pakali pano, sentinel lymph mfundo biopsy wakhala pafupifupi muyezo ndondomeko pamaso pa chotupa.

Kodi isanayambe biopsy chiyani?

Pamaso mtundu uliwonse kusanthula n'kofunika kukaonana ndi adokotala ndi bwino kufotokoza chikhalidwe chawo. Iwo ayenera kukuuzani za pathologies onse ndi matenda, thupi lawo siligwirizana. Komanso ofunika ponena za matenda magazi ndi mimba, ngati mkazi ali ndi pakati.

Ngati wodwala anapatsidwa mankhwala ntchito mankhwala, musanayambe ntchito ayenera kuuza munthu waluso. sabata limodzi pamaso ndondomeko, muyenera kusiya kumwa mankhwala amene amayambitsa magazi mkwiyo. mankhwala amenewa ndi monga "Heparin", "Cardiomagnyl", "Aspirin", "Warfarin", "Asperkard".

Ngati pa biopsy ntchito mankhwala ochititsa dzanzi ambiri, ndiye maola 10-12 ayenera kusiya kudya ndi kumwa.

pambuyo ndondomeko

Lymph mfundo biopsy sichiyambitsa ululu chifukwa ikuchitika kapena pogonekedwa ndi mankhwala ambiri, kapena kugwiritsa ntchito mankhwala wamba mankhwala ochititsa. Kutalika kwa ntchito ndi kwa mphindi 30 mpaka 50.

Wodwala pambuyo ndondomeko ndi masiku ochepa kukana kutenga Kusambakunso, kuyendera zipinda saunas, monga malo kuthirira kumene puncture woyesedwa, ndi osavomerezeka. Komanso, muyenera kupewa kwambiri thupi yaikulu. Zotsatira Research adzakhale okonzeka 7- 10 masiku.

Kodi kukhala mavuto?

Pambuyo lymph mfundo biopsy mavuto zimachitika zina. Choyamba sitiyenera kuiwala kuti ndondomeko zoona, opaleshoni. Ngakhale ankaona opaleshoni asang'ambe ndipo Mulimonsemo pali malowedwe mu thupi. Ndi chifukwa chake pa opaleshoni ngati kumaonjezera ngozi ya mavuto. Pa zochitika zimenezi amayambira:

• opatsirana zosokonezeka;
• chizungulire kapena kukomoka;
• lymphovascular kuwonongeka ndi minofu mitsempha;
• dzanzi wa thupi mbali, mmene kusanthula lymph mfundo ili;
• magazi, omwe sitili pa kuwononga kwambiri paokha pochitika maola ochepa.

Pambuyo biopsy ndi madokotala ndakuchenjezani odwala kuti ngati mavuto ena yomweyo kupempha thandizo la dokotala. Komanso mtengo kuyendera chipatala vuto la kutupa m'dera lymph mfundo kuyezedwa pa malungo, kuwonjezeka thupi kutentha. Ngati ululu si kutha masiku ngakhale pambuyo 7 pambuyo opaleshoni, m'pofunika dokotala. Chifukwa Ulendo katswiri kungakhale krupyanistyh yatsoka kapena mafinya mabala awo imene puncture chitachitidwa.

Mtengo wa ndondomeko

Mtengo wa biopsy wa mfundo lymph amadalira zifukwa zambiri. Mtengo wa ndondomeko akhoza osiyanasiyana monga 1.5 zikwi kwa 6.7 zikwi rubles. Ndi mu boma. Pankhani zipatala payekha, mtengo wa awa biopsy lymph mfundo kungakhale osachepera 14 zikwi rubles.

Chotero ndondomeko imatengedwa otetezeka kwambiri ndi njira yosavuta kwa Kupeza Vuto matenda ambiri ndi matenda anthu. Komabe, biopsy wa lymph mfundo za wodwalayo pangano zinafunika opaleshoni chotero. Komanso ndi kusamala kwambiri ayenera kusankha chipatala ndi dokotala amene adzachita ndondomeko. Izi kuteteza zosayembekezereka wa mavuto ndi zosokonezeka.

chidwi ziperekedwe kwa ndemanga za kuti chipatala, amene anagwira biopsy lymph mfundo. Ndi bwino kusankha mabungwe awo, amene yodziwika ndi odwala wakale yekha kumbali positive.