Ureteral retrograde burashi biopsy

Ureteral retrograde brush biopsy ndi njira yochitira opareshoni. Pochita opaleshoniyi, dokotalayo amatenga tinthu tating'onoting'ono tating'onoting'ono ta impso kapena ureter. Ureter ndi chubu chomwe chimalumikiza impso ndi chikhodzodzo. Minofu imatumizidwa ku labu kukayezetsa.

Njirayi imagwiritsidwa ntchito:

• Anesthesia yachigawo (msana)
• Anesthesia wamba

Simumva kuwawa kulikonse. Kuyesaku kumatenga pafupifupi mphindi 30 mpaka 60.

Cystoscope imayikidwa koyamba kudzera mu mtsempha kulowa chikhodzodzo. Cystoscope ndi chubu chokhala ndi kamera kumapeto.

• Kenako waya wolondolera amalowetsedwa kudzera mu cystoscope kulowa mu ureter (chubu pakati pa chikhodzodzo ndi impso).
• Cystoscope imachotsedwa. Koma waya wotsogolera watsala m'malo mwake.
• Ureteroscope imayikidwa pamwamba kapena pafupi ndi waya wowongolera. Ureteroscope ndi telesikopu yayitali, yopyapyala yokhala ndi kamera yaying'ono. Dokotalayo amatha kuwona mkati mwa ureter kapena impso kudzera pakamera.
• Burashi ya nayiloni kapena yachitsulo imayikidwa kudzera mu ureteroscope. Malo oti biopsied apakidwe ndi bulashi. Ma biopsy forceps atha kugwiritsidwa ntchito m'malo mwake kuti atole zitsanzo za minofu.
• Brush kapena biopsy forceps imachotsedwa. Minofuyo imachotsedwa pachidacho.

Chitsanzocho chimatumizidwa ku labu yazachipatala kuti akawunike. Chida ndi waya wowongolera amachotsedwa mthupi. Tepu yaying'ono kapena stent imatha kusiya ureter. Izi zimalepheretsa kutsekeka kwa impso chifukwa chotupa chifukwa cha njirayi. Amachotsedwa pambuyo pake.

Simungathe kudya kapena kumwa chilichonse kwa maola 6 musanayese. Wothandizira zaumoyo wanu adzakuwuzani momwe muyenera kukonzekera.

Mutha kukhala ndi zovuta pang'ono kapena zovuta pambuyo poyesa mayeso. Mutha kukhala ndikumverera kotentha nthawi zingapo zoyambirira mukakhetsa chikhodzodzo. Muthanso kukodza pafupipafupi kapena mumakhala ndi magazi mumkodzo wanu masiku angapo mutadwala. Mutha kukhala osasangalala ndi stent yomwe ipitilize kukhalapo mpaka itachotsedwa nthawi ina.

Mayesowa amagwiritsidwa ntchito potenga zitsanzo kuchokera ku impso kapena ureter. Imachitika ngati x-ray kapena mayeso ena awonetsa malo okayikira (chotupa). Izi zitha kuchitidwanso ngati pali magazi kapena maselo osadziwika mkodzo.

Minofu imawoneka yachilendo.

Zotsatira zachilendo zitha kuwonetsa ma cell a khansa (carcinoma). Mayesowa amagwiritsidwa ntchito posiyanitsa zilonda za khansa (zoyipa) ndi zopanda khansa (zotupa).

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana
• Matenda

Vuto lina lomwe lingachitike panjirayi ndi bowo (zotsekemera) mu ureter. Izi zitha kuyambitsa vuto la ureter ndipo mungafunike opaleshoni ina kuti mukonze vutoli. Uzani wothandizira wanu ngati muli ndi vuto la chakudya cham'madzi. Izi zitha kukupangitsani kuti musamayanjane ndi utoto wosiyanasiyana womwe wagwiritsidwa ntchito poyeserera.

Mayesowa sayenera kuchitidwa kwa anthu omwe ali ndi:

• Matenda a mkodzo
• Kutsekedwa pamunsi kapena pansi pa tsambalo

Mutha kukhala ndi ululu wam'mimba kapena kupweteka mbali yanu (mbali).

Magazi ochepa mumkodzo ndi abwinobwino nthawi zingapo zoyambirira mukakodza mutatha. Mkodzo wanu ukhoza kuwoneka ngati pinki pang'ono. Nenani za mkodzo wamagazi kapena kutaya magazi komwe kumatenga nthawi yayitali kuposa kutulutsa chikhodzodzo katatu kwa omwe amakupatsani.

Itanani omwe akukuthandizani ngati muli ndi:

• Ululu womwe ndi woyipa kapena sukukhala bwino
• Malungo
• Kuzizira
• Mkodzo wamagazi kwambiri
• Kutuluka magazi komwe kumapitilira mutakhetsa chikhodzodzo katatu

Biopsy - burashi - kwamikodzo thirakiti; Bwezeretsani ureteral brush biopsy cytology; Cytology - ureteral retrograde burashi biopsy

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo
• Chiwerewere

Kallidonis P, Liatsikos E. Urothelial zotupa zam'mimba zam'mikodzo komanso ureter. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 98.

National Institute of Diabetes ndi tsamba la Digestive and Impso Diseases. Cystoscopy & ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Idasinthidwa mu June 2015. Idapezeka pa Meyi 14, 2020.