Inaliti i-biopsy yenaliti

I-Pleural biopsy inqubo yokususa isampula ye-pleura. Lesi isicubu esincane esizungeza isifuba futhi sizungeze amaphaphu. I-biopsy yenziwa ukuhlola i-pleura yesifo sokutheleleka.

Lokhu kuhlolwa kungenziwa esibhedlela. Kungenzeka futhi kwenziwe emtholampilo noma ehhovisi likadokotela.

Inqubo ifaka okulandelayo:

• Ngesikhathi senqubo, uhleli phezulu.
• Umhlinzeki wakho wokunakekelwa kwezempilo uhlanza isikhumba esizeni se-biopsy.
• Isidakamizwa se-numbing (i-anesthetic) sijojowe esikhumbeni nasendlini yamaphaphu nodonga lwesifuba (ulwelwesi lwe-pleural).
• Inaliti ekhudlwana, engenalutho bese ifakwa ngobumnene ngesikhumba emgodini wesifuba. Kwesinye isikhathi, umhlinzeki usebenzisa i-ultrasound noma i-CT imaging ukuqondisa inaliti.
• Kusetshenziswa inaliti encane yokusika ngaphakathi kwalowo oyize ukuqoqa amasampula ezicubu. Ngalesi sigaba senqubo, ucelwa ukuthi ucule, uhayize, noma uthi "eee." Lokhu kusiza ukuvimbela umoya ukuthi ungangeni emgodini wesifuba, okungadala ukuthi iphaphu liwe (pneumothorax). Imvamisa, kuthathwa amasampula amathathu noma ngaphezulu we-biopsy.
• Lapho isivivinyo sesiqedile, kufakwa ibhandeshi phezu kwesiza se-biopsy.

Kwezinye izimo, i-pleural biopsy yenziwa kusetshenziswa ubukhulu be-fiberoptic. Ububanzi buvumela udokotela ukuthi abuke indawo ye-pleura lapho kuthathwa khona ama-biopsies.

Uzohlolwa igazi ngaphambi kwe-biopsy. Kungenzeka ube ne-x-ray yesifuba.

Lapho kufakwa i-anesthetic yendawo, ungahle uzwe ukubhoboza okuncane (njengalapho kufakwa intambo efakwa ngaphakathi) nokuzwa okuvuthayo. Lapho inaliti ye-biopsy ifakiwe, ungazizwa ucindezelekile. Njengoba inaliti isuswa, ungazizwa udonsa.

I-Pleural biopsy ivame ukwenziwa ukuthola imbangela yokuqoqwa koketshezi oluzungeze iphaphu (i-pleural effusion) noma okunye okungajwayelekile kolwelwesi lwe-pleural. I-Pleural biopsy ingahlola isifo sofuba, umdlavuza, nezinye izifo.

Uma lolu hlobo lwe-pleural biopsy alwanele ukwenza ukuxilongwa, ungadinga i-biopsy yokuhlinzwa ye-pleura.

Izicubu ze-Pleural zibonakala zivamile, ngaphandle kwezimpawu zokuvuvukala, ukutheleleka noma umdlavuza.

Imiphumela engajwayelekile ingaveza umdlavuza (kufaka phakathi umdlavuza oyinhloko wamaphaphu, i-mesothelioma ebulalayo, nesimila se-metastatic pleural), isifo sofuba, ezinye izifo, noma isifo se-collagen semithambo.

Kukhona ithuba elincane lokuthi inaliti igqobhoze udonga lwephaphu, olungadilika kancane amaphaphu. Lokhu kuvame ukuba ngcono ngokwako. Kwesinye isikhathi, kudingeka ishubhu lesifuba ukukhipha umoya futhi sandise iphaphu.

Kukhona nethuba lokwehla kwegazi ngokweqile.

Uma i-pleops biopsy evaliwe inganele ukwenza ukuxilongwa, ungadinga i-biopsy yokuhlinzwa ye-pleura.

I-biopsy evaliwe evaliwe; I-Needle biopsy ye-pleura

• I-Pleural biopsy

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.

Umhlanga JC. Imiphumela ye-Pleural. Ku: Reed JC, ed. I-Radiology yesifuba: Amaphethini nokutholwa okwehlukile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 4.