Yini iBiopsy yeSibindi?

-Delile

• Uma kukhonjisiwe
• Kwenziwa kanjani i-biopsy
• Yikuphi ukulungiselela okudingekayo
• Lulama kanjani
• Izinkinga ezingenzeka

I-biopsy yesibindi ukuhlolwa kwezokwelapha lapho kukhishwa khona ucezu oluncane lwesibindi, ukuze luhlaziywe ngaphansi kwe-microscope ngudokotela wezifo, futhi ngaleyo ndlela, ukuthola noma ukuhlola izifo ezilimaza lesi sitho, njenge-hepatitis, i-cirrhosis, izifo zesistimu okuthinta isibindi noma umdlavuza.

Le nqubo, ebizwa nangokuthi i-biopsy yesibindi, yenziwa esibhedlela, njengoba isampuli ithathwa esibindini ngenaliti ekhethekile, ngenqubo efana nokuhlinzwa okuncane futhi, yize kuyivelakancane, kungaba nezingozi ezithile, njengopha.

Imvamisa umuntu akalaliswa esibhedlela futhi ubuyela ekhaya ngosuku olufanayo, noma kunjalo kuyadingeka ukuthi ahambe aye esibhedlela ephelezelwa, ngoba kuyadingeka ukuphumula futhi ngeke akwazi ukushayela ngemuva kwe-biopsy.

Uma kukhonjisiwe

I-biopsy yesibindi isetshenziselwa ukuhlaziya izinguquko esibindini, ukuze ichaze ukuxilongwa futhi ikwazi ukuhlela kangcono ukwelashwa. Izinkomba eziyinhloko zifaka:

• Linganisa isifo sokusha kwesibindi okungapheli, uma kwenzeka kuba nokungabaza mayelana nokutholakala kwesifo noma ukuba bucayi kwesifo, futhi ukwazi ukubona ukushuba komonakalo wesibindi
• Hlola izifo ezidala ukufaka esibindini, njenge-Hemochromatosis, edala imali, noma isifo sikaWilson, esidala imali yethusi, isibonelo;
• Thola imbangela yamaqhubu wesibindi;
• Bheka imbangela ye-hepatitis, i-cirrhosis noma ukwehluleka kwesibindi;
• Hlaziya ukusebenza kokwelashwa kwesibindi;
• Hlola ubukhona bamangqamuzana omdlavuza;
• Sesha imbangela ye-cholestasis noma ushintsho emigodini ye-bile;
• Khomba isifo esihleliwe esithinta isibindi noma esidala umkhuhlane wemvelaphi engacacile;
• Hlaziya isibindi somuntu onganikela ngokufakelwa noma ngisho nokusolwa kokwenqatshwa noma enye inkinga ngemuva kokufakelwa kwesibindi.

Le nqubo yenziwa kuphela ngenkomba yezokwelapha futhi, imvamisa, yenziwa kuphela lapho ezinye izivivinyo ezihlola ubukhona bezilonda kanye nokusebenza kwesibindi zehlulekile ukunikeza imininingwane edingekayo, njenge-ultrasound, tomography, ukulinganiswa kwama-enzyme wesibindi (AST, ALT), ama-bilirubins noma i-albhamuin, ngokwesibonelo. Funda kabanzi mayelana nokuhlolwa okuhlola isibindi.

Kwenziwa kanjani i-biopsy

Ukwenza i-biopsy isibindi, kuvame ukusetshenziswa inaliti, ekhonjiswa ikakhulukazi kulawa macala, ukuze kuzanywe ukususa isampula ngomonakalo omncane ongavela esithombeni.

Amanye amasu ahlukene angasetshenziswa ngudokotela, futhi okuvame kakhulu ukwenziwa kwesibindi okucutshwayo, lapho inaliti ifakwa esikhunjeni iye esibindini, esisohlangothini lwesokunene sesisu. Inqubo kufanele yenziwe ngaphansi kwe-anesthesia noma i-sedation futhi, yize kungathandeki, lokhu akusona isivivinyo esidala ubuhlungu obukhulu.

Ngokuvamile, izivivinyo ezinjenge-ultrasound noma i-computed tomography zisetshenziswa njengesiqondisi sokuthola indawo ofuna ukuyifinyelela, kusuka lapho kuzoqoqwa khona isampula. Udokotela uthatha cishe amasampuli ama-3 kanti inqubo ithatha cishe isigamu sehora, kuya ngodaba ngalunye. Ngemuva kwalokho, amasampuli azohlaziywa ngaphansi kwesibonakhulu ukuhlola ubukhona bezinguquko kumaseli.

Ezinye izindlela zokuthola ukufinyelela kwesibindi nge-biopsy, ukufaka inaliti ngomthambo oyindilinga bese ufinyelela isibindi ngokujikeleza, okubizwa ngokuthi umzila we-transjugular, noma, futhi ngesikhathi sokuhlinzwa kwe-laparoscopic noma okuvulekile, kepha akuvamile.

Yikuphi ukulungiselela okudingekayo

Ngaphambi kokwenza i-biopsy yesibindi, udokotela angancoma ukuzila ukudla amahora angaba yisithupha kuya kwayisishiyagalombili. Ngaphezu kwalokho, kuyalulekwa ukuthi kumiswe ukusetshenziswa kwezidakamizwa ezingaphazamisa ukuvaleka kwegazi, cishe isonto elilodwa, njengezidakamizwa ezilwa nokuvuvukala, ama-anticoagulants noma i-AAS, ngokwesibonelo, okufanele kwenziwe ngokuya ngezeluleko zezokwelapha.

Lulama kanjani

Ngemuva kokuhlolwa kwesibindi, umuntu udinga ukuhlala esibhedlela ngaphansi kokubhekwa amahora angaba ngu-4. Udokotela angahlola futhi umfutho wegazi neminye imininingwane ebalulekile ukuze abone ukuthi kungaba khona yini ubunzima futhi ngabe kuphephile yini ukukhishwa, kepha ngokujwayelekile, abantu abalawulwa kahle bangaya ekhaya ngosuku olufanayo.

Umuntu kufanele aphume esibhedlela ngebhandeshi eceleni kwesisu, kuya ngohlobo lwenqubo, okufanele isuswe ngemuva kwezinsuku ezimbili, ekhaya, ngemuva kokuphulukiswa okuphephile.

Ngaphambi kokususa ukugqoka, kufanele kuthathwe ukunakekelwa ukuze kungamanziswa i-gauze futhi kuhlolwe ukuthi ihlale ihlanzekile, futhi uma kuphuma ukopha, ubomvu enxebeni, umkhuhlane, ngaphezu kwesiyezi, ukuquleka noma ubuhlungu obukhulu, kukhonjiswa ukuthi kuyahamba kudokotela ukuze ahlolwe.

Ukudambisa izinhlungu nokungaphatheki kahle udokotela angancoma ukuthi uthathe isidambisi sezinhlungu, futhi akunconywa ukwenza imizamo yamahora angama-24 ngemuva kwenqubo.

Izinkinga ezingenzeka

Yize i-biopsy yesibindi iyinqubo ephephile futhi izinkinga zivame ukwenzeka, ukuphuma kwegazi, ukugcwala kwamaphaphu noma i-gallbladder kanye nokutheleleka endaweni yokufaka inaliti kungenzeka.