Biopsy - ipheshana biliary

I-biliary tract biopsy ukususwa kwamanani amangqamuzana namanzi kusuka ku-duodenum, ama-bile ducts, amanyikwe, noma i-pancreatic duct. Isampuli ihlolwa ngaphansi kwesibonakhulu.

Isampula ye-biopsy tract biopsy ingatholakala ngezindlela ezihlukile.

Inaliti biopsy ingenziwa uma unesimila esichazwe kahle.

• Isayithi le-biopsy liyahlanzwa.
• Kufakwa inaliti ezacile endaweni ezohlolwa, bese kususwa isampula lamaseli noketshezi.
• Inaliti bese iyasuswa.
• Kufakwa ingcindezi endaweni ukunqanda noma yikuphi ukopha. Isayithi lizombozwa ngebhandishi.

Uma unokunciphisa noma ukuvinjelwa kwamathambo e-bile noma ama-pancreatic, isampula ingathathwa ngesikhathi sezinqubo ezinjenge:

• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• I-Percutaneous transhepatic cholangiogram (PTCA)

Ungahle ungadli noma uphuze amahora ayi-8 kuya kwayi-12 noma ngaphezulu ngaphambi kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwezempilo uzokutshela ngaphambi kwesikhathi ukuthi yini okudingeka uyenze.

Qiniseka ukuthi unomuntu ozokushayela ekhaya.

Ukuthi isivivinyo sizozizwa kanjani kuncike ohlotsheni lwenqubo esetshenzisiwe ukususa isampula ye-biopsy. Nge-biopsy yenaliti, ungazizwa udosi njengoba inaliti ifakwa. Abanye abantu bazizwa bezwa ukucinana noma ukucinana ngesikhathi senqubo.

Imithi emisa izinhlungu futhi ikusize uphumule ijwayele ukusetshenziselwa ezinye izindlela ze-biliary tract biopsy.

I-biliary tract biopsy inganquma ukuthi ngabe isimila siqale esibindini noma sisakazeka sisuka kwenye indawo. Futhi kunganquma ukuthi isimila sinomdlavuza yini.

Lokhu kuhlolwa kungenziwa:

• Ngemuva kokuhlolwa komzimba, i-x-ray, i-MRI, i-CT scan, noma i-ultrasound ikhombisa ukukhula okungajwayelekile epheshaneni lakho le-biliary
• Ukuhlola izifo noma ukutheleleka

Umphumela ojwayelekile usho ukuthi azikho izimpawu zomdlavuza, izifo, noma ukutheleleka kusampula ye-biopsy.

Imiphumela engajwayelekile ingabangelwa:

• Umdlavuza wemigudu yenyongo (cholangiocarcinoma)
• Ama-cysts asesibindi
• Umdlavuza wesibindi
• Umdlavuza wepancreatic
• Ukuvuvukala nokulimala kwemibhobho ye-bile (i-primary sclerosing cholangitis)

Izingozi zincike ekutheni isampuli ye-biopsy yathathwa kanjani.

Izingozi zingafaka:

• Ukopha endaweni ye-biopsy
• Ukutheleleka

Ukuhlaziywa kweCytology - ipheshana le-biliary; I-Biliary tract biopsy

• Endoscopy ye-gallbladder
• Isiko leBile

IChernecky CC, iBerger BJ. I-Biopsy, isampuli-eqondene nesiza. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: 199-201.

IStockland AH, iBaron TH. Ukwelashwa kwe-Endoscopic ne-radiologic yesifo se-biliary. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 70.