Mitundu ya biopsy adziwe kuti

Panopa chiwerengero cha khansa ikukula tsiku lililonse. Prerequisites zambiri, koma zochitika ngati zimenezi n'kofunika molondola ndipo mwamsanga matenda, ndiye yekha zingatheke mphamvu ya mankhwala. Pali njira zambiri matenda a khansa, mmodzi wa iwo ndi biopsy. Mitundu, ubwino wa njira imeneyi angakhale osiyana, ndi iwo, tidzayesetsa ndi kudziwana m'nkhani ino.

Akamanena za biopsy ndi

Phunziro lino anafuna kulongosolerana matenda kapena kumveketsa alipo. Yolondola biopsy ndi wofanana ndi pafupifupi 100%. phunziro amatenga gawo laling'ono la chiwalo chilichonse, malingana ndi malo chotupa ndi kudwala.

Pa kukayikirana pa Oncology biopsy chimaika choyamba. Pamene biopsy ndi akutengedwa ndi zinthu zamoyo wochititsidwa kuliphunzira pansi simungathe kutiona. Ngati pali matenda kumayambitsa khansa kapena njira zina pathological mu zimakhala nthawizonse ayamba kusintha chabe sitingakane pansi maso a.

mitundu biopsy

Mitundu ya biopsy angakhale osiyana, iwo zina zosiyanasiyana malinga munda wa mankhwala:

1. A biopsy singano. Kufufuza zinthu zamoyo akutengedwa mwa syringe kapena suction mfuti.
2. Smears. biopsy Izi yafupika ubwenzi wa Wopanda pamwamba pa chotupa ndi kuti nkhani phunziro.
3. Excisional biopsy kumatanthauza kuchotsedwa kwathunthu kwa chotupa pamodzi ndi zimakhala ozungulira.
4. Incisional biopsy - ukuchitika zinthu zamoyo chotupa yokha.
5. A pakati biopsy. Iwo ikuchitika ntchito masingano wapadera, ndi thandizo lawo, kupeza ndime ya neoplasms minofu.

Vydklyayut osati osiyanasiyana biopsies, komanso njira kutenga zinthu zamoyo kafukufuku.

Njira zinthu zochepa chabe pamalangizo kwachilengedwenso

Malinga ndi malo chotupa ndi madokotala amagwiritsa ntchito njira zina za kutenga chuma.

Zabwino-needle biopsy. Mu mtundu uwu wa zinthu akutengedwa ntchito singano, amene anayambitsa mu malo pathological.

Smears anatengedwa ku chiberekero mu amaganiziridwa Oncology.

Tolstoigolnaya biopsy ikukhudza zimakhala zambiri Mwachitsanzo, amaganiziridwa Oncology chiwindi, prostate, m'mawere.

Kukhumba biopsy. Ananyamula mpanda zakuthupi ndi aspirator ndi. Njira imeneyi zimathandiza inu kulandira zidutswa angapo minofu.

zakuthupi wambiri akhoza ikuchitika pansi pa ulamuliro wa chindodo, zingakhale X-ray, Kujambula kapena ultrasound. Kulola kuti dokotala kuti aziona udindo wa singano.

biopsy akhoza kuchitidwa opaleshoni.

Mpanda pamoyo pamene endoscopy kapena fibrogastroduodenoscopy. Njira imeneyi nthawi zambiri ankachita ndi amaganiziridwa matenda a khansa ya m'matumbo, m'mimba, ndi kum'mero.

Popeza kukula kwa matenda, malo ake, dokotala wasankha pa njira zosonkhanitsira mfundo za cytological bwino.

Laboratory chotupa biopsy

Ziribe kanthu zimene mitundu ntchito dokotala biopsies, matenda cytological adzalola matenda zolondola. Pamene zinthu zamoyo akutengedwa, iwo anatumiza kwa zasayansi ndi cholinga kafukufuku.

Achite kafukufuku histological wa zimakhala. Pre anatengedwa dewatered chuma pogwiritsa ntchito njira yapadera mafuta akhoza impregnated ndi paraffin. Ndiye pangani ndi magawo ambiri woonda ndi kuika pa galasi Wopanda. Pakuti mankhwala bwino aone nthawi zambiri utoto.

Muzicheza cytology. The ndondomeko kukonzekera kwa kuchotsa minofu pafupifupi zofanana kuphunzira m'mbuyomu. Koma pali kusiyana kwakukulu pakati pa cytology wa - matenda oncological zakonzedwa mwa mawu a khalidwe la khansa. Zimene kuphunzira ndi chochepa nkhani, koma n'zosatheka kuchotsa chigamba cha nsalu, ndiye zabwino.

Mitundu ya m'mawere biopsies

khansa ya m'mawere ndi kudwala ndi ofala pakati pa akazi. mtundu wa khansa panopa ndithu labwino komanso mankhwala ngati wapezeka mu magawo oyambirira, koma si amayi onse ali kwambiri za thanzi lawo, zomwe nthawi zina zimabweretsa mavuto aakulu. ife kawirikawiri kupita kwa dokotala pamene matenda wapita patali. Kuti apange matenda zolondola mu matenda a matenda m'mawere zotsatirazi mitundu ya biopsies:

1. Zabwino-singano chiyembekezo. Iwo anagwiritsa ntchito malo pathological mu bere bwino zimadziŵika. Female Choncho mukhoza kukhala, bwaloli biopsy bwino ankachitira ndi njira antiseptic, singano zabwino yophatikiza ndi syringe ndiye retracted pang'ono minofu kapena madzimadzi, ngati anali ndi chotupa.
2. Stereotactic singano biopsy. Kugwiritsa ntchito singano potenga minofu kuphunzira kuchokera ku madera a chotupa cha. Ndi malo zozama za kudwala anayamba kutenga chuma kuti ndi ultrasound kapena mammography, kudziŵa malo chotupa cha.
3. Tolstoigolnaya chifuwa biopsy anachita kupeza lalikulu minofu. Chifukwa chaichi singano wandiweyani ndi wapadera kudula chipangizo.
4. An biopsy incisional imagwiridwa pansi mankhwala oletsa ululu pamalopo, ngati mukufuna chidutswa cha chotupa minofu.
5. Excisional biopsy - ndi mtundu wa ntchito yaing'ono, imene dokotala amadula kokha gawo kapena chotupa chonse, izo zonse zimadalira kukula kwake.

Palibe pathologies chifuwa biopsy Amasankhidwa

losiyanasiyana biopsies ku Oncology n'zofunika, koma kafukufuku amasonyeza, ndi matenda ena kapena kani, kuti achotse Oncology pa iwo:

• mastitis, nthawi zambiri amapezeka mu kuyamwitsa akazi;
• chifuwa, zingakhale zosiyanasiyana ndi mmodzi wa iwo angakhoze kupita Oncology;
• M'mawere chotupa ;
• fibroadenoma;
• intraductal papilloma.

Mu pathologies onsewa kuti achite biopsy kuti akatsimikizire matenda ndi matenda molondola.

khomo lachiberekero Biopsy

Tafotokoza kuti zimenezi biopsy (tanthauzo, mitundu ya khansa ya m'mawere), koma ndi kafukufuku wamba ndi pathologies khomo lachiberekero. Salamula njirayi gynecologist motero amayesetsa zolinga izi: kutsimikiza kuti amvetse kapena kutsutsa matenda, amene anaperekedwa pambuyo cytology lapansi.

Maziko cholinga biopsy khomo lachiberekero ndi kukhalapo kwa pathologies zotsatirazi:

• .. Chikutha, mwachitsanzo, matenda kungakhale chizindikiro cha khansa;
• chisindikizo anapeza pa anayendera kapena kukula;
• Yankho zabwino HPV;
• kusintha mu nyumba ya maselo amene anafotokozedwa pambuyo phunziro cytological;
• exophytic condyloma.

Mitundu ya biopsies khomo lachiberekero akhoza ntchito zosiyanasiyana, malingana ndi cholinga ndi makulidwe pathological gawo. Pano pali mitundu zambiri ntchito:

1. Biopsy imagwiridwa ndi singano woonda m'manja mwa colposcope a.
2. Kuzungulira, kapena wailesi yoweyula, ndi biopsy. Pa izo overlaps ndi kuzungulira wa waya pa malo amene ayenera kuphunzira, ndipo anadutsa kuti panopa, imbaenda necrosis. Nkhani Choncho analandira si zowonongeka ndi wokonzeka kuphunzira.
3. Mphero biopsy imagwiridwa ndi scalpel a. Excised zaminyewa ndi minofu connective kuti akuya mamilimita 3. Pambuyo alowererepo zimenezi atsekedwa ndi stitches.

Mitundu ya biopsies khomo lachiberekero anasankha dokotala kuwala zizindikiro zonse.

The njira ya biopsy khomo lachiberekero

Kufunika biopsy khomo lachiberekero kwenikweni ayenera kukambirana nawo wodwala. dokotala imatiuza mkazi zingachitike, natenga chilolezo ake olembedwa kuti ndondomeko. Iwo ikuchitika pa masiku 5-7 cha kuzungulira kusamba.

Pamaso pa mpanda zinthu khomo pachibelekeropo mosamala ankachitira ndi njira antiseptic. Ankalamulira ndondomeko ntchito kalirole kapena colposcope. Ngati mukufuna alowererepo kwambiri amene zamizidwa ndi kusakhala.

Pankhani mtundu kumachitika excision biopsy m'dera pathological kapena gawo zace. Pambuyo ndondomeko, chilonda amaliona hemostatics kapangidwe, ngati n'koyenera, ndiye anatseka ndi stitches.

Kodi zotsatira za biopsy khomo lachiberekero akhoza kundiuza?

Pambuyo kuchotsa zinthu zamoyo ndi anatumiza histological ndi cytological bwinobwino zimene zimasonyeza za pathologies zotsatirazi:

• carcinoma;
• dysplasia;
• njira maziko a chiyambi zosiyanasiyana.

Mu phunziro anapezeka sangathe anatsimikizira, ndi kusintha zazing'ono zimapezeka nyumba ma, sipangakhalenso amayamba ndi:

• chosaopsa zotupa;
• matenda opatsirana;
• matenda m'thupi.

biopsy khomo lachiberekero ndi imodzi mwa njira zikuluzikulu matenda. Zotsatira kulola matenda mpaka 100%, omwe savutika kusankha dokotala wa mankhwala.

Malangizo kwa odwala pamaso biopsy

Nthawi zambiri, ndondomeko biopsy ikuchitika mwachindunji ofesi ya dokotala, kaya mammolog, gynecologist kapena katswiri wina. Nthawi zina kwambiri m'chipatala chofunika.

Pamaso ndondomeko, dokotala ayenera kuuza wodwala kuti mfundo zotsatirazi:

1. Ife suspend anticoagulation.
2. Siyani kumwa mankhwala odana ndi yotupa.
3. Musamalandire mu masiku angapo otsatira pamaso ndondomeko, "Aspirin" ndi analogues ake.
4. Ngati aona Kusakhazikika boma maganizo, dokotala amalimbikitsa kutenga mankhwala.
5. Asanayambe kugwira ndondomeko si kofunika kudya ndi kumwa.
6. M'pofunika kuyan'ana mwambo wa aseptic ndi antiseptic.

Ngati chisanadze onse mafunso awa dokotala ikufotokoza ndi mtima, monga ulamuliro, ndondomeko chikuchitika mu mode yachibadwa.

Osafunika zotsatira biopsy

Ife anayang'ana pa zimene biopsy mitundu, phindu. Njira kuphunzira, pali osiyana, koma nkhani zambiri amalola matenda molondola ndipo mwamsanga. kawirikawiri izi biopsy ndi zosokonezeka. Ngati ndondomeko ikuchitika ndi akatswiri, kuti chirichonse amayendetsa bwino ndipo popanda zotsatira, koma musati kukusalani chitukuko cha zinthu zimenezi chowawa.

Mwina magazi kuchokera ku dera wambiri. Pambuyo ndondomeko, bala nthawizonse ankachitira njira hemostatics ndi ntchito bandeji ngati n'koyenera. Nkofunika kupewa magazi pa m'mapapo bronchoscopy, mwinamwake izo zikhoza kuyambitsa mavuto aakulu.

Zikuonekeratu kuti biopsy kumabweretsa kuwonongeka limba. Koma kusiyana minofu ndi kufinya kumachitika pamene ndondomeko imagwiridwa ndi anthu simungathe. Nthawi imeneyi n'kofunika matenda.

Infection akhoza ankafufuza malo. Izi zimachitika pamene kumvera malamulo a aseptic ndi antiseptic.

Septic mantha lingachititse kufalitsa yogwira tizirombo.

Pewani mavuto onse, chirichonse mitundu ya biopsy si ntchito, n'zotheka ngati tikugwiritsa ntchito zida zamakono ndipo nthawi zonse kutsatira malamulo a ukhondo. Chotero kupewa matenda a bala, ndi maonekedwe a matendawo.

Choncho, taona mwatsatanetsatane mitundu ya biopsies. Necropsy ndi sayansi kuti amaphunzira njira pathological mu zimakhala. Choncho biopsy - izi ndi imodzi mwa njira zake, koma ayenera kuti kwambiri nkhani ndi zolondola. Chofunika, odwala mu nthawi kuwona dotolo ngati simungathe yekha kupanga matenda zolondola, koma kodi osazengereza ndi mankhwala.

Dzisamalire ndi kusamala kwa thanzi lawo.