Chiwindi

Chiwindi choyesa chiwindi ndimayeso omwe amatenga nyemba zingapo pachiwindi kuti ziwunikidwe.

Nthawi zambiri, kuyezetsa kumachitika mchipatala. Mayeso asanachitike, mutha kupatsidwa mankhwala oti muchepetse kupweteka kapena kukutetezani.

Zomwe zimapangidwazo zitha kuchitika kudzera pamakoma am'mimba:

• Ukagona chagada dzanja lako lamanja lili pansi pamutu pako. Muyenera kukhala bata momwe mungathere.
• Wopereka chithandizo chamankhwala apeza malo oyenera kuti singano ya biopsy iyikidwe m'chiwindi. Izi nthawi zambiri zimachitika pogwiritsa ntchito ultrasound.
• Khungu limatsukidwa, ndipo mankhwala otsekemera amalowetsedwa m'deralo pogwiritsa ntchito singano yaying'ono.
• Kudula pang'ono kumapangidwa, ndipo singano ya biopsy imayikidwa.
• Mudzauzidwa kuti mupumitse mpweya wanu pomwe biopsy ikutengedwa. Izi ndikuti muchepetse mwayi wowonongeka m'mapapu kapena chiwindi.
• Singanoyo imachotsedwa mwachangu.
• Anzanu adzagwiritsidwa ntchito poletsa magazi. Bandeji imayikidwa pamalo olowera.

Njirayi itha kuchitidwanso mwa kuyika singano mumtambo wamtunduwu.

• Ndondomekoyi ikachitika motere, mudzagona chagada.
• X-ray idzagwiritsidwa ntchito kutsogolera wothandizira ku mitsempha.
• A singano yapadera ndi catheter (woonda chubu) amagwiritsidwa ntchito potengera chithunzi cha biopsy.

Mukalandira sedation pamayesowa, mufunika wina woti akuyendetseni kunyumba.

Uzani wothandizira wanu za:

• Mavuto okhetsa magazi
• Mankhwala osokoneza bongo
• Mankhwala omwe mukumwa kuphatikiza zitsamba, zowonjezera, kapena mankhwala omwe mudagula popanda mankhwala
• Kaya muli ndi pakati

Muyenera kusaina fomu yovomerezeka. Mayeso amwazi nthawi zina amachitidwa kuti ayese magazi anu kutsekeka. Mudzauzidwa kuti musadye kapena kumwa chilichonse kwa maola 8 mayeso asanachitike.

Kwa makanda ndi ana:

Kukonzekera kofunikira kwa mwana kumadalira msinkhu wa mwana ndi kukhwima kwake. Wosamalira mwana wanu adzakuuzani zomwe mungachite kuti mukonzekeretse mwana wanu mayeso awa.

Mudzamva kupweteka kwambiri pamene mankhwala oletsa ululu abayidwa. Singano ya biopsy imatha kumverera ngati kupsinjika kwakukulu ndi kupweteka pang'ono. Anthu ena amamva kupweteka kumeneku paphewa.

Biopsy imathandizira kuzindikira matenda ambiri a chiwindi. Njirayi imathandizanso kuwunika siteji (yoyambirira, yayikulu) ya matenda a chiwindi. Izi ndizofunikira kwambiri pakubwera kwa matenda a hepatitis B ndi C.

Biopsy imathandizanso kuzindikira:

• Khansa
• Matenda
• Zomwe zimayambitsa michere ya chiwindi yomwe yapezeka poyesa magazi
• Chifukwa cha kukulitsa kwa chiwindi chosadziwika

Minofu ya chiwindi ndiyabwino.

Zovutazo zitha kuwulula matenda angapo a chiwindi, kuphatikiza chiwindi, matenda a chiwindi, kapena matenda monga TB. Ikhoza kutanthauzanso khansa.

Mayesowa amathanso kuchitidwa:

• Matenda a chiwindi (chiwindi chamafuta, chiwindi, kapena cirrhosis)
• Amebic chiwindi abscess
• Matenda a hepatitis
• Biliary atresia
• Matenda yogwira chiwindi
• Matenda osalekeza otupa chiwindi
• Kufalitsa coccidioidomycosis
• Chidziwitso
• Chiwindi B
• Chiwindi C
• Chiwindi D
• Matenda a hepatocellular carcinoma
• Hodgkin lymphoma
• Matenda a chiwindi osakhala mowa
• Non-Hodgkin lymphoma
• Matenda a biliary pulayimale, omwe masiku ano amatchedwa biliary cholangitis
• Pyogenic chiwindi abscess
• Matenda a Reye
• Kukula kwa cholangitis
• Matenda a Wilson

Zowopsa zingaphatikizepo:

• Mapapu atagwa
• Zovuta kuchokera ku sedation
• Kuvulaza ndulu kapena impso
• Kutuluka magazi mkati

Chiwindi - chiwindi; Zomwe zimayambitsa matenda; Singano biopsy ya chiwindi

• Chiwindi

Bedossa P, Paradis V, Zucman-Rossi J. Njira zamagulu ndi ma molekyulu. Mu: Burt AD, Ferrell LD, Hubscher SG, olemba. MacSween's Pathology ya Chiwindi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 2.

Berk PD, Korenblat KM. Yandikirani kwa wodwala yemwe ali ndi jaundice kapena mayeso osadziwika a chiwindi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 147.

Chernecky CC, Berger BJ. Chiwindi cha biopsy (chiwindi chokhazikika cha chiwindi) - kuzindikira. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2013: 727-729.

Amagwiritsa ntchito JE, Balistreri WF. Mawonetseredwe a matenda a chiwindi. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 355.

Wedemeyer H. Hepatitis C. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 80.