Zosokoneza biopsy

Mu matenda opweteka, kuyambitsidwa matenda oyambirira n'kofunikira. Imodzi mwa njira zogwiritsira ntchito kwambiri komanso zodziŵika bwino zamankhwala zamakono ndizovuta. Chofunika kwambiri cha njirayi ndikutenga zitsanzo za minofu (biopsy) ndi kukayikira kwa khansa ndi phunziro lake pang'onopang'ono pang'ono mu laboratori. Teknoloji yamakono imakulolani kuti mulowe mkati mwa chiwalo chirichonse, kotero kuti zitsanzo za minofu zikhoza kutengedwa kuchokera ku gawo lirilonse la thupi. Nthawi zina, pogwiritsa ntchito dokotala, adokotala amachotsa malo osokoneza bongo, kotero kuti kuwonjezera pa zofufuza, nthawi zambiri amayamba kuchiza.

Pali mitundu yambiri ya biopsies, yomwe imasiyana mofanana ndi momwe zimayambira.

1. Chiwerengero chosayembekezereka , chosiyana ndi kukula kwake, chimaphatikizapo kuchotsa opaleshoni ya thupi lonse.
2. Pogwiritsa ntchito mankhwala osokoneza bongo, mbali zina za chiwalo kapena minofu yomwe yawonongeka kapena yowonongeka ndi ndondomeko ya matendawa imachotsedwa.
3. Chiphuphu chimaphatikizapo kutenga chidutswa chodabwitsa cha minofu pogwiritsa ntchito singano yapadera ya singano, yomwe imathyola minofuyo.
4. Mu aspiration chiwopsezo, zomwe zili m'gulu linalake kapena zinyama zimayesedwa pogwiritsa ntchito sitiroko yachipatala. Njirayi ikudziwika ndi liwiro la ndondomeko, komanso kupezeka kwake. Komabe, zimangowonjezera kuyesedwa koyenera, ndiko kuti, kuyesa mawonekedwe a ma selo a minofu. N'zosatheka kudziwa momwe kamvekedwe kameneka kamatchulidwira (kuchita kafukufuku wake) pogwiritsira ntchito zida zokhudzana ndi aspiration.
5. Pamene phokoso lamakono limagwiritsidwa ntchito ndi chipangizo chapadera - chimakhala chotsalira, chomwe chimachotsedwa.

Udindo wa chiwopsezo pa matenda oyambirira a matenda sungakhale wotsimikizika kwambiri. Kudziwa mapangidwe a ma makina ndi mapangidwe a zitsanzo zomwe zimagwira ntchito zimalola munthu kuweruza matenda enaake, chikhalidwe chake ndi kukula kwake. Njira imeneyi imatsimikizira kuti matendawa amatha kuchitika m'zaka zoyambirira za chitukuko chake, chomwe ndi chikhalidwe chokhalira ndi moyo mu chotupa chachikulu. Kuti atsimikizidwe kuti ali ndi matendawa, kuti athe kuwonjezera zotsatira za chiwopsezo, njira zina zogwiritsira ntchito zimagwiritsidwa ntchito: X-ray, endoscopic, immunological, ndi zina zotero. Chiwopsezo chimagwiritsidwanso ntchito kuti adziwe momwe angapangire opaleshoni kuti athetse khansa ya khansa.

Pali njira zingapo zogwirira ntchito, yomwe cholinga chake ndi kufufuza chiwalo kapena minofu ya chidwi.

Fibrogastroscopy imapangidwira matenda ndi zovuta za kapangidwe ka zakudya. Panthawiyi, wodwalayo amalowetsedwa m'kamwa ndi chubu lochepa kwambiri, lomwe mkati mwake amalowera ulusi. Kumapeto kwa ulusi pali mbendera, zomwe zimatenga zinthu zakuthupi. Pamene mapepala amapezeka, amachotsedwa.

Fibrocolonoscopy imachitidwa ndi matenda a m'matumbo akulu. Ndondomeko yotsatilayi ndi yosiyana ndi ndondomeko yomwe yafotokozedwa pamwambapa.

Nthaŵi zina, amagwiritsidwa ntchito mfuti, yomwe amawombera mphezi. Chotsatira chake, chigawo chochepa cha minofu imakhalabe mu singano kumapeto kwa mfuti.

Zovuta pambuyo pa chikhalidwe, monga lamulo, ndizochepa. Odwala ena amamva kupweteka kochepa panthawiyi komanso pambuyo pake. Kupweteka kwakukulu ndizosachitika kawirikawiri. Ziwerengero zimati kuti zotsatira zowonongeka pambuyo pa chiwopsezo zimapezeka pokhapokha pa 1 peresenti ya 10,000. Izi zikuwonetsa chitetezo chokwanira cha njirayi.

Zotsutsana ndi biopsies siziri zambiri, koma ziri. Izi zikuphatikizapo kuphulika kwa magazi, kutaya kwa mphamvu zothandizira, njira yothetsera zovuta zomwe sizinawonongeke, komanso kukana kwa wodwalayo kuti achite.