Esiswini biopsy: izinkomba, inqubo, okuyinto enze

gastroenterologists Daily aphathe abantu abanezinkinga ezahlukene. Umsebenzi oyinhloko we udokotela - uphethwe yini, ukuze singathwesi lisale, futhi anikeze isiguli ithuba alulame. Ngokuvamile njengoba ucwaningo zokuxilonga inikezwa biopsy isisu, ngoba ukuhlaziya okunokwethenjelwa kakhulu esolwa inqubo oncologic. Ngakho yini biopsy nendlela ukuthi imiphumela yalolu cwaningo?

Biopsy: Incazelo indlela

Igama elithi "biopsy" wangena imithi kusukela ngolimi lwesiGreki. Kumiswa It is futhi lisuselwa emagameni amabili: ". ukubukeka" "ukuphila" futhi Indlela kusekelwe yokuthi isiguli kuthatha isiqeshana encane kwezicubu ngokucophelela ukuphenya ngezithako zawo yeselula ngesikhathi kokukhulisa okusezingeni eliphezulu. Biopsy buyehluka kuye ngesikhatsi inqubo zalokho impahla esigabeni ukunemba. Kwezinye izimo, indaba Kungase kudingeke izinhlelo zokuphepha luhlolo histological. Lokhu kusho ukuthi isifundo isakhiwo uzohanjiswa izicubu isampula elathathwa. Ngamanye - I-cytologic ukuhlaziywa. Lokhu kusho ukuthi lolu cwaningo ngeke isakhiwo, ukukhiqizwa kabusha akwazi ukuthatha isampula amaseli.

Lapho abantu bakhuluma ngokuthuthukisa isigaba ukunemba inqubo, cabanga ezintathu izinhlobo zokukhwabanisa:

1. Classical biopsy, okuyinto igama lesibili - yokusesha. Le nqubo wenziwa kusaqalwa lesi sifo, lapho indawo yesimila ayikwazi ukutholwa ngisho ongaboni.
2. Vula biopsy, lapho indaba for cwaningo phakathi nokuhlinzwa. Lokhu kungaba lonke neoplasm noma iyiphi ingxenye yayo.
3. Biopsy, okungase kwenziwe phezu ukuthola izimila, uma udokotela ukuthatha impahla ngokuqondile izimila emngceleni inyama ephilile. Biopsy wenziwa nge endoscope, ngaphansi kokuqondisa US, ngaphansi kolawulo-X-ray noma indlela stereotactic.

gastrobiopsy isisu

A biopsy isisu ingasatshenziswa isiguli ngesikhathi eziningi izikhalazo. Umgomo we zokukhwabanisa - uthole isiqeshana mucosa esiswini ahlolwe. Ukuphenywa isampuli etholwe nge ukunemba ezingaphezu kuka-95%, eqinisekisa ushintsho ezicutshini futhi ukucacisa uhlobo abulalayo noma ingozi kuwuphawu lwesimila.

A biopsy we mucosa esiswini kungaba kwenziwe usebenzisa uphenyo ngaphandle kokulawula ezibukwayo noma sebenzisa gastroscope. Le idivayisi ekhethekile evumela ukulawula ethatha isampula ongaboni. igama eziyinkimbinkimbi lokhu inqubo yezokwelapha - Endoscopy, esophagogastroduodenoscopy isb.

incazelo gastroscope

Gastroscope ikuvumela ukubuka udonga emphinjeni, esiswini futhi duodenum. Lokhu imishini kwezokwelapha zokuxilonga ine uhlobo eside ka tubing nezimo, okuyinto iwuMnyuziyamu umthombo wokukhanya, uhlelo optical futhi ithuluzi langempela ukuze uthwebule izingcezu lendwangu. Njengoba kungase ithuluzi ingasetshenziswa nezizenze ummese yezokwelapha, iluphu noma idivayisi Solenoid kukhishwa. Ukusetshenziswa imishini enjalo yenza kube lula ukuthola isampula isitho indawo ethize.

Gastroscopy is njalo ngcono. Imishini iba esinembile futhi luyalawuleka. Indlela yesimanje yigama ethize - biopsy endoscopic.

Izinkomba ngokusetshenziswa biopsy esiswini

A biopsy ingase yabelwe kulezi zimo ezilandelayo:

• izifundo wabonisa ngenxa ukuthola umdlavuza zokugula noma izimo precancerous;
• Umuntu angase adinge kokuhlahlela yokudleka kolwelwesi lwesisu oyingozi noma ezingamahlalakhona;
• ukucacisa inqubo nekugwema izinsolo esidalwa yizilonda emathunjini sibe of Oncology;
• uma umonakalo we mucosa esiswini ukucacisa kwenkululeko isitho resection;
• biopsy esiswini wembula khona noma ukungabi khona helicobacter ne ukuqunjelwa;
• ucwaningo ukuhlola ngezimo zesiguli emva kokuhlinzwa noma ukwelashwa ngemisebe.

Nokho, naphezu kahle eliphezulu le ndlela ukuxilongwa awukwazi ukusebenzisa zonke iziguli.

Izimo

Ngo sitholakele isifo yimuphi udokotela kufanele ukuthi kube nomonakalo isiguli hhayi ukuze adalule ukuphila kwakhe engozini. Kususelwa kule isimiso, ekumisweni noma iyiphi inqubo uyakucabangela zonke Izimo kungenzeka. Endabeni a biopsy isisu kuyinto:

• beshaqekile;
• isifo senhliziyo kanye uhlelo senhliziyo nemithambo yegazi;
• ukuvuvukala noma ezinye izinqubo sokugembula kule pharynx, umphimbo kanye yomoya;
• diathesis (ifomu oluhambisana);
• izifo ezithathelwanayo ngo esigabeni acute;
• ukuvaleka emphinjeni;
• khona odongeni perforations esiswini;
• amakhemikhali esiswini ezishile;
• kwezinso engqondo
• ukuphendula iguliswa imithi yokubulala izinzwa (lidocaine, njll).

Ngaphandle contraindication sobala, udokotela kufanele inake ukulungiswa ngokwengqondo isiguli inqubo. Uma kukhona ukwesaba evelele, khona-ke kungcono hhayi ukuba sifeze cwaningo.

Kanjani ukuze balungiselele biopsy

Uma wabela a biopsy esiswini, isiguli kufanele uyiswe esibhedlela. Ngokomthetho kokuqhuba izinqubo e sinenkonzo yokunakekela iziguli kungenzeka, kodwa kungekona ukuhlakanipha ukwenzenjalo, kusukela esimweni yezinkinga ukusiza isiguli kuyoba nzima kakhulu.

Ngaphambi manipulation abasebenzi bezokwelapha kumelwe uqiniseke ukuthi azikho Izimo. Ngemva kwalokho, isiguli ezinqunyiwe -X ray-isisu.

Isiguli required bashabalala esiqinile kusukela nokudla neziphuzo amahora 12-15 ngaphambi inqubo. biopsy esiswini wenziwa kuphela esiswini esingenalutho kusukela mass ukudla ukugxambukela enze ukuhlolwa sangaphakathi esiswini lwamafinyila kanye Gag reflex kungenzeka kwabangela uma iqondiswa gastroscope tube. Ukungasebenzisi kufanele ukuziphatha ngesandla esiqine kangaka ukuthi ngosuku ngaphambi inqubo, iziguli abavunyelwe ngisho ukuxubha amazinyo akho bese usebenzisa ushingamu.

Le ndlela yokwenza inqubo

Ngakho, isiguli inikezwa biopsy isisu. inqubo kanjani? Uma isiguli keyed futhi akakwazi ukuzibamba ngoba yena inikezwa shot sine. Umuntu kufanele oyakulala ngazo ngohlangothi lwakho kwesokunxele bese qondisani. Udokotela asingatha ngalo ingaphakathi ngomlomo kanye kuqhoqhoqho engenhla isinqandakuvunda futhi iqala ukungena endoscope. Ngo zokwelapha zanamuhla kule biopsy esiswini Kwenziwa ngokusebenzisa imishini eziphambili zezokwelapha, okusho ukuthi kwihendisethi inamakhasi ambalwa, futhi ikhamera kanye nedivayisi ngokuthatha zikasayizi isampula. Zokungenisa yalesi imishini cishe akusho ibakhathaze. Ukuziphatha inqubo nguchwepheshe ogcina qapha.

Sokuqonda biopsy esiswini

Kulungiswa incike Imiphumela kusukela zokucwaninga olwenziwa ukuhlaziya njengoba amasenti ucwaningo ukusebenzisa izindlela ezahlukene ukuthola ulwazi. Usuku kokuthola impendulo - kusukela izinsuku ezintathu.

Yonke imiphumela kunemibandela zihlukaniswe ngamaqembu eziningana:

1. ukuhlaziywa Akuphelele. Inani impahla akwanele ukuba nemiphumela okuthembekile, kumele usuphinda.
2. ukuhlaziywa Jwayelekile. Indaba akuyona anomaly, uphethwe is hhayi ukuqinisekisile.
3. yi Good. Ukuba khona isimila kuqinisekisiwe, ubuntu bakhe - okuhle. Idinga zokuqapha kanye nokuhlaziywa liphindwe emva kwesikhathi esithize.
4. yi Ebulalayo. Neoplasm siqukethe amangqamuzana omdlavuza, kuchazwe lingakanani, kwasendaweni elicwengiweyo kunqunywa degree.

Kulungiswa elakhiwa ulwazi mayelana ukuma sifo, chaza isimo kwamangqamuzana nezicubu zomzimba ukusungula Ubukhulu villous crypts EPITHELIAL nokujula.

inqubo Indawo

Namuhla, isiguli ilungelo lokukhetha. Yena ingacosha isikhungo sezokwelapha, umnikeza ukuzethemba esiphezulu. Izakhamuzi Russia, isibonelo, ezingenza abe egqunywe yesimanje yezokwelapha "SM-Clinic." Kuyinto inethiwekhi elikhulu zokwelapha, kuhlanganise 12 izikhungo multi-izigwegwe izingane kanye nabantu abadala.

Uma uxhumana no-abantu sezempilo kufanele uqiniseke ziqu ngabasebenzi balo, ngaphezu, isici esibalulekile isinqumo kuyinto ukutholakala imishini yezokwelapha zesimanje. isikhungo Medical "CM-Clinic" uyakwazi ukwanelisa amakhasimende olindele kunazo. Waphenduka wabheka la gastroenterologist, ungaqiniseka ukuthi biopsy esiswini oyokwenziwa izisebenzi eziqeqeshiwe usebenzisa ngentuthuko yakamuva emkhakheni Endoscopy.