I-biopsy yesibindi

I-biopsy yesibindi isivivinyo esithatha isampula lezicubu ezivela esibindi ukuze zihlolwe.

Isikhathi esiningi, ukuhlolwa kwenziwa esibhedlela. Ngaphambi kokwenziwa kovivinyo, unganikezwa umuthi wokuvikela izinhlungu noma wokukudambisa (ukudambisa).

I-biopsy ingenziwa ngodonga lwesisu:

• Uzolala ngomhlane ngesandla sokudla ngaphansi kwekhanda lakho. Udinga ukuhlala uthule ngangokunokwenzeka.
• Umhlinzeki wezokunakekelwa kwempilo uzothola indawo efanele yenaliti ye-biopsy ezofakwa esibindi. Lokhu kuvame ukwenziwa ngokusebenzisa i-ultrasound.
• Isikhumba siyahlanzwa, bese kufakwa umuthi obandayo endaweni lapho kusetshenziswa inaliti encane.
• Kwenziwa ukusika okuncane, bese kufakwa inaliti ye-biopsy.
• Uzotshelwa ukuthi ubambe umoya ngenkathi kuthathwa i-biopsy. Lokhu ukunciphisa amathuba omonakalo emaphashini noma esibindini.
• Inaliti isuswa ngokushesha.
• Ingcindezi izosetshenziswa ukunqanda ukopha. Ibhandishi libekwa ngaphezulu kwesiza sokufaka.

Inqubo ingenziwa futhi ngokufaka inaliti emthanjeni oyindilinga.

• Uma inqubo yenziwa ngale ndlela, uzolala ngomhlane.
• Ama-X-ray azosetshenziselwa ukuqondisa umhlinzeki emthanjeni.
• Inaliti ekhethekile nepayipi (ithubhu elincanyana) kusetshenziselwa ukuthatha isampula le-biopsy.

Uma uthola ukuthanjiswa kulolu vivinyo, uzodinga umuntu ozokushayela ekhaya.

Tshela umhlinzeki wakho mayelana:

• Izinkinga zokopha
• Ukungezwani nezidakamizwa
• Imithi oyiphuzayo efaka amakhambi, izithasiselo, noma imishanguzo oyithenge ngaphandle kwencwadi kadokotela
• Noma ngabe ukhulelwe

Kufanele usayine ifomu lokuvuma. Ukuhlolwa kwegazi kwesinye isikhathi kwenziwa ukuze kuhlolwe ikhono legazi lakho lokuvala. Uzotshelwa ukuthi ungadli noma uphuze noma yini amahora ayisishiyagalombili ngaphambi kokuhlolwa.

Okwezinsana nezingane:

Ukulungiselela okudingekayo enganeni kuncike eminyakeni yobudala nokukhula kwayo. Umhlinzeki wengane yakho uzokutshela ukuthi yini ongayenza ukulungiselela ingane yakho lolu vivinyo.

Uzozwa ubuhlungu obuhlabayo lapho kufakwa i-anesthetic. Inaliti ye-biopsy ingazizwa njengengcindezi ejulile nobuhlungu obunzima. Abanye abantu babuzwa lobu buhlungu ehlombe.

I-biopsy isiza ukuxilonga izifo eziningi zesibindi. Le nqubo isiza nokuhlola isigaba (sokuqala, esithuthukile) sesifo sesibindi. Lokhu kubaluleke kakhulu ekutheleleni kwe-hepatitis B no-C.

I-biopsy nayo isiza ukuthola:

• Umdlavuza
• Izifo
• Imbangela yamazinga angajwayelekile ama-enzyme wesibindi atholakele ekuhlolweni kwegazi
• Imbangela yokwandiswa kwesibindi okungaqondakali

Izicubu zesibindi zijwayelekile.

I-biopsy ingaveza izifo eziningana zesibindi, kufaka phakathi i-cirrhosis, hepatitis, noma izifo ezifana nesifo sofuba. Kungakhombisa nomdlavuza.

Lokhu kuhlolwa nakho kungenzelwa:

• Isifo sesibindi esinotshwala (isibindi esinamafutha, i-hepatitis, noma i-cirrhosis)
• Ithumba lesibindi se-Amebic
• I-hepatitis ezenzakalelayo
• I-biliary atresia
• I-hepatitis esebenzayo engapheli
• Isifo sokusha kwesibindi esingapheli
• Kusatshalaliswe i-coccidioidomycosis
• I-Hemochromatosis
• I-Hepatitis B
• I-Hepatitis C
• IHepatitis D
• I-hepatocellular carcinoma
• IHodgkin lymphoma
• Isifo sesibindi esinamafutha esingewona utshwala
• I-non-Hodgkin lymphoma
• Isifo sokuqina kwesibindi esiyinhloko, manje esibizwa ngokuthi yi-primary biliary cholangitis
• Ithumba lesibindi se-Pyogenic
• I-Reye syndrome
• I-sclerosing cholangitis
• Isifo sikaWilson

Izingozi zingafaka:

• Iphaphu eliwile
• Izinkinga ezivela ku-sedation
• Ukulimala enyongweni noma ezinso
• Ukopha ngaphakathi

I-biopsy - isibindi; I-biopsy enamandla; I-Needle biopsy yesibindi

• I-biopsy yesibindi

UBedossa P, uParadis V, uZucman-Rossi J. amasu weselula namaseli. Ku: Burt AD, Ferrell LD, Hubscher SG, ama-eds. IMacSween's Pathology yesibindi. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 2.

IBerk PD, iKorenblat KM. Sondela esigulini nge-jaundice noma ngokuhlolwa kwesibindi okungavamile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 147.

IChernecky CC, iBerger BJ. I-biopsy yesibindi (i-biopsy yesibindi esingapheliyo) - ukuxilonga. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: 727-729.

Isikwele JE, Balistreri WF. Ukubonakaliswa kwesifo sesibindi. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 355.

Wedemeyer H.Hepatitis C. Ku: Feldman M, Friedman LS, Brandt LJ, abahleli. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 80.