Biopsy - thirakiti biliary

Magulu a biliary biopsy ndikuchotsa pang'ono maselo ndi madzi kuchokera ku duodenum, ducts ducts, kapamba, kapena kapamba kapangidwe. Chitsanzocho chimayesedwa ndi microscope.

Chitsanzo cha biopsy tract biopsy chitha kupezeka m'njira zosiyanasiyana.

Chidziwitso cha singano chitha kuchitika ngati muli ndi chotupa chodziwika bwino.

• Tsamba la biopsy limatsukidwa.
• Singano yopyapyala imalowetsedwa m'derali kuti ikayesedwe, ndipo sampuli yamaselo ndi madzi amachotsedwa.
• Kenako singanoyo imachotsedwa.
• Anzanu amayikidwa pamalopo kuti athetse magazi. Tsambali lidzakutidwa ndi bandeji.

Ngati muli ndi kuchepa kapena kutsekeka kwa ma ndulu kapena ma pancreatic ducts, mungatenge chitsanzo ngati izi:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiogram (PTCA)

Simungathe kudya kapena kumwa maola 8 kapena 12 musanayezedwe. Wothandizira zaumoyo wanu adzakuwuzani pasadakhale zomwe muyenera kuchita.

Onetsetsani kuti muli ndi wina woti akuyendetseni kunyumba.

Momwe mayeso adzamverere kutengera mtundu wa njira yogwiritsira ntchito poyeretsa. Pogwiritsa ntchito singano, mumatha kumva kuluma pamene singano imalowetsedwa. Anthu ena amamva kupsinjika kapena kutsina pang'ono panthawiyi.

Mankhwala omwe amaletsa kupweteka ndikukuthandizani kuti muzisangalala amagwiritsidwa ntchito kwambiri m'njira zina za biliary tract biopsy.

Tsamba la biliary biopsy limatha kudziwa ngati chotupa chimayamba m'chiwindi kapena chimafalikira kuchokera kwina. Ikhozanso kudziwa ngati chotupacho chili ndi khansa.

Mayesowa atha kuchitika:

• Pambuyo poyesa thupi, x-ray, MRI, CT scan, kapena ultrasound imawonetsa kukula kosazolowereka m'magulu anu a biliary
• Kuyesa matenda kapena matenda

Zotsatira zabwinobwino zimatanthauza kuti palibe zisonyezo za khansa, matenda, kapena matenda muzitsanzo za biopsy.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Khansa yaminyewa ya bile (cholangiocarcinoma)
• Ziphuphu m'chiwindi
• Khansa ya chiwindi
• Khansara ya pancreatic
• Kutupa ndi mabala am'mimba (bile sclerosing cholangitis)

Zowopsa zimatengera momwe zitsanzo za biopsy zidatengera.

Zowopsa zingaphatikizepo:

• Kutuluka magazi patsamba latsamba
• Matenda

Kusanthula kwa cytology - thirakiti ya biliary; Ndondomeko ya biliary biopsy

• Gallbladder endoscopy
• Chikhalidwe chobira

Chernecky CC, Berger BJ. Biopsy, tsamba-lodziwika-tsatanetsatane. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2013: 199-201.

Stockland AH, Baron TH. Mankhwala a Endoscopic ndi radiologic a matenda a biliary. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 70.