IGum Biopsy

-Delile

• Iyini i-gum biopsy?
• Izinhlobo zama-gum biopsies
• I-incisional biopsy
• I-biopsy ethandekayo
• I-biopsy enamandla
• Ibhulashi biopsy
• Yini ukuhlolwa kwe-gum biopsy okusetshenziselwa yona?
• Ukulungiselela i-gum biopsy
• Yini ongayilindela ngesikhathi se-gum biopsy
• Ukulungisa indawo
• I-biopsy evulekile engabonakali noma ekhethekile
• I-biopsy yenaliti enhle kakhulu
• I-biopsy yenaliti yomgogodla oyisisekelo
• Ibhulashi biopsy
• Kunjani ukululama?
• Ingabe kukhona ubungozi be-gum biopsy?
• Imiphumela ye-gum biopsy

Iyini i-gum biopsy?

I-gum biopsy inqubo yezokwelapha lapho udokotela esusa khona isampula lezicubu ezinsinini zakho. Isampula bese lithunyelwa elabhorethri ukuze lihlolwe. IGingiva elinye igama elisho izinsini, ngakho-ke i-gum biopsy ibizwa nangokuthi yi-gingival biopsy. Izicubu ze-gingival yizicubu ezizungeza ngokushesha futhi zisekele amazinyo akho.

Odokotela basebenzisa i-gum biopsy ukuthola izimbangela zezicubu zezinsini ezingavamile. Lezi zimbangela zingabandakanya umdlavuza womlomo nokukhula okungenalo umdlavuza noma izilonda.

Izinhlobo zama-gum biopsies

Kunezinhlobo ezahlukahlukene zama-gum biopsies.

I-incisional biopsy

I-incisional gum biopsy yindlela ejwayelekile kakhulu ye-gum biopsy. Udokotela wakho uzosusa ingxenye ethile yezicubu ezisolisayo bese eyihlola ngaphansi kwesibonakhulu.

Isazi sezifo singanquma ukuthi kunamaseli anomdlavuza yini ezicutshini zezinsini ezisusiwe. Futhi bangaqinisekisa umsuka wamaseli, noma uma asakazekele enhlini evela kwenye indawo emzimbeni wakho.

I-biopsy ethandekayo

Ngesikhathi se-gum biopsy ekhethekile, udokotela wakho angasusa ukukhula konke noma isilonda.

Lolu hlobo lwe-biopsy luvame ukusetshenziselwa ukukhipha isilonda esincane okulula ukusifinyelela. Udokotela wakho uzosusa ukukhula kanye nezinye izicubu ezinempilo eziseduze.

I-biopsy enamandla

Ama-biopsies angokwemvelo izinqubo lapho udokotela efaka inaliti ye-biopsy esikhunjeni sakho. Kunezinhlobo ezimbili ezihlukene: i-needle biopsy ne-core needle biopsy.

I-needle biopsy enhle isebenza kahle kakhulu kwizilonda okulula ukuzibona nokuzizwa. I-core biopsy yenaliti inikeza izicubu eziningi kune-needle biopsy enhle. Lokhu kungaba wusizo lapho kudingeka izicubu eziningi kudokotela wakho ukuze axilonge.

Ibhulashi biopsy

I-brush biopsy inqubo engeyona engavumelekile. Udokotela wakho uzoqoqa izicubu ngokugcoba ngamandla ibhulashi endaweni engajwayelekile yegamu lakho.

I-brush biopsy imvamisa kuyisinyathelo sokuqala sikadokotela wakho uma izimpawu zakho zingabizi i-biopsy esheshayo, ehlasela kakhulu. Isetshenziselwa ukuhlolwa kokuqala.

Uma imiphumela yokuhlolwa ikhombisa noma yimaphi amangqamuzana noma umdlavuza osolisayo noma ongajwayelekile, udokotela wakho cishe uzokwenza i-biopsy yokugaya noma yokunquma ukuze aqinisekise ukuxilongwa.

Yini ukuhlolwa kwe-gum biopsy okusetshenziselwa yona?

Ukuhlolwa kwezinsini zezinsini zezinsini ezingavamile noma ezisolisayo. Udokotela wakho angayincoma ukuthi isize ukuxilonga:

• umkhuhlane noma isilonda esinsinini sakho esihlala isikhathi eside kunamasonto amabili
• isichibi esimhlophe noma esibomvu kusinamu sakho
• izilonda ezinsinini zakho
• ukuvuvukala kwesinamu sakho okungapheli
• izinguquko ezinsinini zakho ezidala amazinyo noma amazinyo okufakelwa

I-gum biopsy nayo ingasetshenziswa kanye nokuhlolwa kwe-imaging ukuveza isigaba somdlavuza osevele ukhona. Ukuhlolwa kokufanekisa kufaka ama-X-ray, ama-CT scan, nama-MRI scan.

Imininingwane evela ku-gum biopsy, kanye nokutholakele kokuhlolwa kwe-imaging, kungasiza udokotela wakho ukuthola umdlavuza wezinsini ngokushesha ngangokunokwenzeka. Ukuxilongwa kwangaphambilini kusho ukushaqeka okuncane ekususweni kwezicubu nasezingeni eliphakeme lokusinda.

Ukulungiselela i-gum biopsy

Imvamisa, awudingi ukwenza okuningi ukulungiselela i-gum biopsy.

Tshela udokotela wakho uma uthatha noma yimiphi imishanguzo kadokotela, imishanguzo yokuthenga noma izithako zemithi. Xoxani ngokuthi kufanele zisetshenziswe kanjani ngaphambi nangemva kokuhlolwa.

Eminye imishanguzo ingathinta imiphumela ye-gum biopsy. Lokhu kufaka phakathi imishanguzo ethinta ukujiya kwegazi, njengabahlinzeki begazi, kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin noma ibuprofen.

Udokotela wakho angakunikeza imiyalo ekhethekile uma uthatha noma iyiphi yale mithi.

Kungadingeka ukuthi uyeke ukudla amahora ambalwa ngaphambi kwe-gum biopsy yakho.

Yini ongayilindela ngesikhathi se-gum biopsy

I-gum biopsy ivame ukwenzeka njengenqubo yokugula esibhedlela noma ehhovisi likadokotela wakho. Udokotela, udokotela wamazinyo, i-periodontist, noma udokotela ohlinzayo ngomlomo wenza i-biopsy. I-periodontist ngudokotela wamazinyo ogxile ezifweni ezihlobene nezinsini nezicubu zomlomo.

Ukulungisa indawo

Okokuqala, udokotela wakho uzobulala izicubu zezinsini ngento ethile eyisihloko, njengokhilimu. Ngemuva kwalokho bazofaka umuthi wokubulala izinzwa wasendaweni ukuze ukhulule ushingamu lwakho. Lokhu kungaluma. Esikhundleni somjovo, udokotela wakho angakhetha ukufafaza i-painkiller ezingxenyeni zakho zezinsini.

Udokotela wakho angasebenzisa i-retractor yesihlathi ukuze kube lula ukufinyelela wonke umlomo wakho. Leli thuluzi libuye lithuthukise ukukhanya ngaphakathi komlomo wakho.

Uma indawo yesilonda kunzima ukuyifinyelela, ungathola i-anesthesia ejwayelekile. Lokhu kuzokubeka ebuthongweni obukhulu kuyo yonke inqubo. Ngaleyo ndlela, udokotela wakho angahamba azungeze umlomo wakho futhi afinyelele ezindaweni ezinzima ngaphandle kokukubangela ubuhlungu.

I-biopsy evulekile engabonakali noma ekhethekile

Uma une-biopsy evulekile engabonakali noma engaxubeki, udokotela wakho uzokwenza imbobo encane ngesikhumba. Ungase uzwe ukucindezela okuthile noma ukungakhululeki okuncane ngesikhathi senqubo. I-topical anesthetic udokotela wakho ayisebenzisayo kufanele ikuvikele ekuzizweni ubuhlungu.

I-Electrocauterization kungadingeka ukunqanda noma yikuphi ukuphuma kwegazi. Le nqubo ifaka phakathi ukusebenzisa ugesi noma i-laser ukuvala imithambo yegazi. Kwezinye izimo, udokotela wakho uzosebenzisa iziqu ukuvala indawo evulekile futhi asheshise ukutakula kwakho. Kwesinye isikhathi imithungo iyabamba. Lokhu kusho ukuthi ancibilika ngokwemvelo. Uma kungenjalo, uzodinga ukubuya esikhathini esingangesonto ukuze zisuswe.

I-biopsy yenaliti enhle kakhulu

Uma une-biopsy yenaliti enqamulelayo, udokotela wakho uzofaka inaliti ngesilonda esikuhlamu lwakho bese ekhipha amanye amaseli. Bangaphindaphinda inqubo efanayo ezindaweni ezihlukene endaweni ethintekile.

I-biopsy yenaliti yomgogodla oyisisekelo

Uma une-biopsy yenaliti eyisisekelo esinqunyiwe, udokotela wakho uzocindezela insingo eyisiyingi encane endaweni ethintekile. Inaliti isika isigaba sesikhumba esinomngcele oyindilinga. Ukudonsa maphakathi nendawo, udokotela wakho uzokhipha ipulagi, noma ingqikithi, yamaseli.

Ungase uzwe ukucindezela okukhulu noma ukuphuma komsindo kusuka enalithini elayishwe entwasahlobo lapho kukhishwa isampula lesicubu. Akuvamile ukopha okuningi okuvela kusayithi phakathi nalolu hlobo lwe-biopsy. Indawo ivame ukuphilisa ngaphandle kokudinga imithungo.

Ibhulashi biopsy

Uma une-biopsy yebhulashi, ungahle ungadingi i-topical noma i-anesthetic yendawo esizeni. Udokotela wakho uzokuhlikihla ngamandla ibhulashi endaweni engajwayelekile yegamu lakho. Ungahle uzwe ukuphuma kwegazi okuncane, ukungakhululeki, noma ubuhlungu phakathi nale nqubo.

Njengoba le ndlela ingavumi, ngeke udinge ukuthungwa ngemuva kwalokho.

Kunjani ukululama?

Ngemuva kwegum biopsy yakho, ukuba ndikindiki kwezinsini zakho kuzophela kancane kancane. Ungaqala kabusha imisebenzi yakho ejwayelekile nokudla ngosuku olufanayo.

Ngesikhathi sokululama kwakho, isayithi le-biopsy lingahle libe buhlungu izinsuku ezimbalwa. Udokotela wakho angakucela ukuthi ugweme ukuxubha isayithi isonto elilodwa.Uma uthola iziqu, kungadingeka ukuthi ubuyele kudokotela noma kumazinyo wakho ukuze ususwe.

Xhumana nodokotela wakho uma izinsini zakho:

• wopha
• uvuvuke
• hlala unobuhlungu isikhathi eside

Ingabe kukhona ubungozi be-gum biopsy?

Ukopha isikhathi eside nokutheleleka kwezinsini kuyizingozi ezimbili ezingaba zimbi kakhulu, kepha ezingavamile, zokutholakala kwezinsini.

Xhumana nodokotela wakho uma uhlangabezana:

• ukopha ngokweqile esizeni se-biopsy
• ukudabuka noma ubuhlungu obuhlala isikhathi eside kunezinsuku ezimbalwa
• ukuvuvukala kwezinsini
• umkhuhlane noma amakhaza

Imiphumela ye-gum biopsy

Isampula lezicubu ezithathwe ngesikhathi se-gum biopsy yakho liya elabhorethri yezifo. I-pathologist ngudokotela ogxile ekuxilongweni kwezicubu. Bazohlola isampula ye-biopsy ngaphansi kwesibonakhulu.

I-pathologist izokhomba noma yiziphi izimpawu zomdlavuza noma okunye okungahambi kahle bese yenza umbiko kudokotela wakho.

Ngaphezu komdlavuza, imiphumela engajwayelekile evela ku-gum biopsy ingakhombisa:

• I-amyloidosis ehlelekile. Lesi yisimo lapho amaprotheni angajwayelekile, abizwa ngama-amyloid, akha khona ezithweni zakho futhi asakaze kwezinye izingxenye zomzimba wakho, kufaka phakathi izinsini zakho.
• I-thrombotic thrombocytopenic purpura (TTP). I-TPP yisifo esingajwayelekile, esingahle sibe yingozi sokuvala igazi esingadala ukopha kwezinsini.
• Izilonda zomlomo we-Benign noma izifo.

Uma imiphumela ye-brush biopsy yakho ibonisa amangqamuzana angaphambi kokuba nomdlavuza noma onomdlavuza, ungadinga i-biopsy e-excisional noma ye-percutaneous ukuqinisekisa ukuxilongwa ngaphambi kokuqala ukwelashwa.

Uma i-biopsy yakho ikhombisa umdlavuza wezinsini, udokotela wakho angakhetha uhlelo lokwelashwa olususelwa esigabeni somdlavuza. Ukuxilongwa kusenesikhathi komdlavuza wezinsini kungasiza ekuqinisekiseni ukuthi unethuba elingcono kakhulu lokwelashwa nokuphulukiswa.