Pleural singano biopsy

Pleural biopsy ndi njira yochotsera zitsanzo za pleura. Imeneyi ndi minofu yopyapyala yomwe imayendetsa chifuwa ndikumazungulira mapapo. Biopsy yachitika kuti awone kuchuluka kwa matendawa.

Mayesowa atha kuchitika kuchipatala. Zitha kuchitikanso kuchipatala kapena kuofesi ya adotolo.

Njirayi imaphatikizapo izi:

• Mukamachita izi, mwakhala pansi.
• Wothandizira zaumoyo wanu amatsuka khungu pamalo a biopsy.
• Mankhwala osokoneza bongo (jekeseni) amabayidwa kudzera pakhungu ndikulowa m'mapapu ndi pachifuwa (nembanemba).
• Kenaka, singano yokulirapo, chobowoka imayikidwa pang'onopang'ono kudzera pakhungu kupita pachifuwa. Nthawi zina, woperekayo amagwiritsa ntchito kujambula kwa ultrasound kapena CT kuti atsogolere singano.
• Singano yocheperako mkati mwabowo imagwiritsidwa ntchito kutolera mitundu yazinyama. Nthawi imeneyi, mukufunsidwa kuti muyimbe, kung'ung'udza, kapena kunena "eee." Izi zimathandiza kupewa mpweya kulowa m'chifuwa, zomwe zingayambitse mapapo (pneumothorax). Nthawi zambiri, zitsanzo zitatu kapena kupitilira apo zimatengedwa.
• Chiyeso chikamalizidwa, bandage imayikidwa pamalopo.

Nthawi zina, kupendekera kopanda tanthauzo kumachitika pogwiritsa ntchito mawonekedwe a fiberoptic. Kukula kwake kumalola adotolo kuti awone kudera la pleura komwe ma biopsies amachotsedwa.

Muyesedwa magazi magazi asanafike. Mutha kukhala ndi x-ray pachifuwa.

Pamene mankhwala oletsa ululu am'deralo abayidwa, mutha kumva kupweteka pang'ono (monga pomwe pamayika chingwe) ndikumverera kotentha. Pamene singano ya biopsy imayikidwa, mutha kumva kukakamizidwa. Pamene singano ikuchotsedwa, mungamve kukoka.

Pleural biopsy nthawi zambiri amachitidwa kuti apeze chomwe chimayambitsa kusungunuka kwa madzi m'mapapo (pleural effusion) kapena zina zosaoneka bwino za nembanemba. Pleural biopsy amatha kudziwa chifuwa chachikulu, khansa, ndi matenda ena.

Ngati mtundu uwu wopempherera sikokwanira kuti mupeze matenda, mungafunike kupendekera kochita opaleshoni ya pleura.

Matenda a Pleural amawoneka abwinobwino, osakhala ndi zotupa, matenda, kapena khansa.

Zotsatira zosavomerezeka zitha kuwulula khansa (kuphatikiza khansa yam'mapapo yoyambira, mesothelioma yoyipa, ndi chotupa cham'mimba), chifuwa chachikulu, matenda ena, kapena matenda amtundu wa collagen.

Pali mwayi pang'ono kuti singano ibowole khoma la mapapo, lomwe lingagwere pang'ono m'mapapo. Izi nthawi zambiri zimakhala bwino pazokha. Nthawi zina, chubu pachifuwa chimafunika kukhetsa mpweya ndikukulitsa mapapo.

Palinso mwayi wotaya magazi kwambiri.

Ngati chitseko chotseka chokwanira sichikwanira kuti mupeze matendawa, mungafunike kuyezetsa magazi kwa pleura.

Kutseka kwachisankho; Chidziwitso cha singano cha pleura

• Zosangalatsa kwambiri

Klein JS, Wolemba AD. Thoracic radiology: kulowerera koyerekeza koyerekeza ndi kuwongolera zithunzi. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: mutu 19.

Bango JC. Zovuta za Pleural. Mu: Reed JC, mkonzi. Radiology pachifuwa: Zitsanzo ndi Kusiyanitsa. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 4.