I-needle biopsy yamaphaphu

I-needle biopsy yindlela yokususa ucezu lwethishu yamaphaphu ukuze ihlolwe. Uma kwenziwa ngodonga lwesifuba sakho, kubizwa ngokuthi yi-transthoracic lung biopsy.

Inqubo ivame ukuthatha imizuzu engama-30 kuye kwangama-60. I-biopsy yenziwa ngale ndlela elandelayo:

• I-x-ray yesifuba noma isifuba se-CT scan singasetshenziselwa ukuthola indawo ngqo ye-biopsy. Uma i-biopsy yenziwa kusetshenziswa i-CT scan, kungenzeka ukuthi ulele phansi ngesikhathi sokuhlolwa.
• Unganikezwa umuthi wokuthambisa ukuze ukhululeke.
• Uhlala nezingalo zakho ziphumule phambili etafuleni. Isikhumba sakho lapho kufakwa khona inaliti ye-biopsy siyakhishwa.
• Umjovo wendawo wokubulala izinhlungu (i-anesthetic) uyajova.
• Udokotela usika kancane esikhunjeni sakho.
• Inaliti ye-biopsy ifakwa ezicutshini ezingajwayelekile, isimila noma izicubu zamaphaphu. Kususwa ucezu oluncane lwenaliti.
• Inaliti iyasuswa. Ingcindezi ibekwa esizeni. Lapho ukopha sekuyekile, kufakwa ibhandishi.
• I-x-ray yesifuba ithathwa ngemuva nje kwe-biopsy.
• Isampula ye-biopsy ithunyelwa ebhodini. Ukuhlaziywa kuvame ukuthatha izinsuku ezimbalwa.

Akufanele udle amahora ayisithupha kuya kwayishumi nambili ngaphambi kokuhlolwa. Landela imiyalo ngokungathathi izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-aspirin, ibuprofen, noma izinciphisi zegazi ezinjenge-warfarin isikhathi esithile ngaphambi kwenqubo. Buza kumhlinzeki wakho wezempilo ngaphambi kokushintsha noma ukumisa noma imiphi imithi.

Ngaphambi kwenaliti yokuhlolwa kwezinaliti, kungenziwa i-x-ray yesifuba noma isifuba se-CT scan.

Uzothola umjovo wokubulala izinzwa ngaphambi kokuhlolwa komzimba. Lo mjovo uzoluma okwesikhashana. Uzozwa ingcindezi nobuhlungu obufushane, obubukhali lapho inaliti ye-biopsy ithinta iphaphu.

I-needle biopsy yenziwa lapho kunesimo esingajwayelekile eduze kwendawo yamaphaphu, ephashini uqobo, noma odongeni lwesifuba. Imvamisa, kwenziwa ukukhipha umdlavuza. I-biopsy ivame ukwenziwa ngemuva kokuvela kokungajwayelekile kwi-x-ray yesifuba noma ku-CT scan.

Ekuhlolweni okujwayelekile, izicubu zivamile futhi awukho umdlavuza noma ukukhula kwamagciwane, amagciwane, noma isikhunta uma kwenziwa isiko.

Umphumela ongajwayelekile ungaba ngenxa yalokhu okulandelayo:

• Ukutheleleka kwamaphaphu kwegciwane, igciwane, noma ukhunta
• Amaseli anomdlavuza (umdlavuza wamaphaphu, i-mesothelioma)
• Inyumoniya
• Ukukhula kwe-Benign

Kwesinye isikhathi, iphaphu eliwile (pneumothorax) livela ngemuva kwalokhu kuhlolwa. Kuzokwenziwa i-x-ray yesifuba ukubheka lokhu. Ingozi iphezulu uma unezifo ezithile zamaphaphu njenge-emphysema. Imvamisa, iphaphu eliwile ngemuva kwe-biopsy alidingi ukwelashwa. Kepha uma i-pneumothorax inkulu, kunesifo samaphaphu esivele sikhona noma asithuthuki, kufakwa ishubhu lesifuba ukukhulisa iphaphu lakho.

Ezimweni ezingavamile, i-pneumothorax ingasongela impilo uma umoya uphuma emaphashini, ubhajwe esifubeni, bese ucindezela amanye amaphaphu noma inhliziyo yakho.

Noma nini lapho kwenziwa i-biopsy, kunengozi yokuphuma kakhulu kwegazi (ukopha). Okunye ukopha kuvamile, futhi umhlinzeki uzoqapha inani lokopha. Ezimweni ezingavamile, ukuphuma kwegazi okukhulu nokusongela impilo kungenzeka.

I-needle biopsy akufanele yenziwe uma ezinye izivivinyo zibonisa ukuthi une:

• Ukuphazamiseka kwegazi kwanoma yiluphi uhlobo
• I-Bullae (i-alveoli ekhulisiwe eyenzeka nge-emphysema)
• I-Cor pulmonale (isimo esibangela uhlangothi lwangakwesokudla lwehluleka)
• Ama-cysts amaphaphu
• Umfutho wegazi ophezulu emithanjeni yamaphaphu
• I-hypoxia enamandla (i-oxygen ephansi)

Izimpawu zephaphu eliwile lihlanganisa:

• I-Blueness yesikhumba
• Ubuhlungu besifuba
• Ukushaya kwenhliziyo okusheshayo (ukushaya ngokushesha)
• Ukuphelelwa umoya

Uma kwenzeka okunye kwalokhu, shayela umhlinzeki wakho khona manjalo.

Intshisakalo Transthoracic; Isifiso senaliti esinamandla

• I-biopsy yamaphaphu
• I-biopsy ye-Lung izicubu

Ukunikezwa kwe-MF, uClements W, uThomson KR, uLyon SM. I-biopsy ye-Percutaneous kanye ne-drainage yamaphaphu, i-mediastinum, ne-pleura. Ku: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, abahleli. Ukungenelela Okuqondiswa Ngezithombe. 3rd ed. IPhiladelphia, PA: Elsevier; 2021: isahl. 103.

UKlein JS, uBhave AD. I-radiology ye-Thoracic: imidwebo yokuhlola yokuhlasela nokungenelela okuholwa yizithombe. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 19.