Isidumbu

I-biopsy ukususwa kocezu oluncane lwezicubu ukuze kuhlolwe elebhu.

Kunezinhlobo ezahlukahlukene zama-biopsies.

I-needle biopsy yenziwa kusetshenziswa i-anesthesia yendawo. Kunezinhlobo ezimbili.

• Isifiso senaliti esihle sisebenzisa inaliti encane exhunywe kwisirinji. Amanani amancane kakhulu amaseli wezicubu ayasuswa.
• ICore biopsy isusa izicucu zezicubu kusetshenziswa inaliti engenalutho enamathiselwe entweni elayishwe entwasahlobo.

Nganoma yiluphi uhlobo lwe-needle biopsy, inaliti idluliswa kaningana ngezicubu ezihlolisiswayo. Udokotela usebenzisa inaliti ukususa isampula lezicubu. Izinaliti biopsies zivame ukwenziwa kusetshenziswa i-CT scan, i-MRI, i-mammogram, noma i-ultrasound. Lawa mathuluzi wokuthatha izithombe asiza ukuholela udokotela endaweni efanele.

I-biopsy evulekile ukuhlinzwa okusebenzisa i-anesthesia yendawo noma ejwayelekile. Lokhu kusho ukuthi ukhululekile (uhlezi) noma ulele futhi awunazinhlungu ngesikhathi senqubo. Kwenziwa egumbini lokuhlinzwa esibhedlela. Udokotela ohlinzayo usika indawo ethintekile, bese izicubu ziyasuswa.

I-biopsy ye-laparoscopic isebenzisa ukusikeka okuncane kakhulu kunokuhlinzwa okuvulekile. Insimbi efana nekhamera (i-laparoscope) namathuluzi kungafakwa. I-laparoscope isiza ukuqondisa udokotela ohlinzayo endaweni efanele ukuthatha isampula.

I-biopsy lesion yesikhumba yenziwa lapho kukhishwa inani elincane lesikhumba ukuze lihlolwe. Isikhumba sihlolwa ukubheka izimo zesikhumba noma izifo.

Ngaphambi kokuhlela i-biopsy, tshela umhlinzeki wakho wokunakekelwa kwezempilo nganoma imiphi imithi oyiphuzayo, kufaka phakathi amakhambi nezithako. Ungacelwa ukuthi uyeke ukuthatha ezinye isikhashana. Lokhu kufaka phakathi abanciphisi begazi abanjengo:

• Ama-NSAID (i-aspirin, ibuprofen)
• IClopidogrel (i-Plavix)
• I-Warfarin (Coumadin)
• Isi-Dabigatran (Pradaxa)
• I-Rivaroxaban powder (i-Xarelto)
• I-Apixaban (Eliquis)

Ungayeki noma ushintshe imithi yakho ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Nge-biopsy yenaliti, ungahle uzwe ingcosana encane ebukhali esizeni se-biopsy. I-anesthesia yendawo ijojowe ukunciphisa izinhlungu.

Ku-biopsy evulekile noma ye-laparoscopic, i-anesthesia ejwayelekile ivame ukusetshenziswa ukuze ungabi nezinhlungu.

I-biopsy ivame ukwenziwa ukuhlola izicubu zesifo.

Izicubu ezisuswe zivamile.

I-biopsy engajwayelekile isho ukuthi izicubu noma amaseli anesakhiwo esingajwayelekile, umumo, usayizi, noma isimo.

Lokhu kungasho ukuthi unesifo, njengomdlavuza, kepha kuya nge-biopsy yakho.

Izingozi ze-biopsy zifaka:

• Ukopha
• Ukutheleleka

Kunezinhlobo eziningi ze-biopsies futhi akuzona zonke ezenziwa ngenaliti noma ngokuhlinzwa. Buza umhlinzeki wakho ngolwazi oluthe xaxa mayelana nohlobo oluthile lwe-biopsy onayo.

Isampula yamathishu

I-American College of Radiology (ACR), iSociety of Interventional Radiology (SIR), kanye neSociety for Pediatric Radiology. Ipharamitha yokusebenza ye-ACR-SIR-SPR yokusebenza kwe-biopsy yenaliti eqondiswa ngesithombe (PNB). Kubuyekezwe u-2018 (Isixazululo 14). www.acr.org/-/media/ACR/Files/Practice-Parameters/PNB.pdf. Kufinyelelwe ngoNovemba 19, 2020.

IChernecky CC, iBerger BJ. I-Biopsy, eqondene nesiza - isampuli. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 199-202.

UKessel D, uRobertson I. Ukuthola ukuxilongwa kwezicubu. Ku: Kessel D, Robertson I, ama-eds. I-Radiology yokungenelela: Umhlahlandlela Wokusinda. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 38.

Amasu ka-Olbricht S. Biopsy kanye nokuxoshwa okuyisisekelo. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 146.