Kodi Biopsy ya chiwindi ndi chiyani

Zamkati

• Zikawonetsedwa
• Momwe biopsy imachitikira
• Kukonzekera kotani komwe kuli kofunikira
• Kodi Kuchira
• Zovuta zotheka

Chiwindi chimafufuza momwe mankhwala amachotsera chidutswa chaching'ono cha chiwindi, kuti chifufuzidwe pansi pa microscope ndi wodwalayo, motero, kuti apeze kapena kuwunika matenda omwe akuwononga chiwalo ichi, monga chiwindi, matenda enaake, matenda amachitidwe zomwe zimakhudza chiwindi kapena khansa.

Njirayi, yomwe imadziwikanso kuti chiwindi, imachitika kuchipatala, chifukwa chitsanzocho chimatengedwa kuchokera pachiwindi ndi singano yapadera, mchitidwe wofanana ndi opaleshoni yaying'ono ndipo, ngakhale ndizosowa, pakhoza kukhala zoopsa zina, monga ngati magazi.

Nthawi zambiri munthuyo sagonekedwa mchipatala ndipo amabwerera kunyumba tsiku lomwelo, ngakhale kuli koyenera kupita kuchipatala ataperekezedwa, chifukwa ndikofunikira kupumula ndipo sangathe kuyendetsa pambuyo pa biopsy.

Zikawonetsedwa

Chiwindi chimagwiritsidwa ntchito pofufuza zosintha m'chiwindi, kuti mumvetse bwino za matendawa ndikukonzekera bwino mankhwalawo. Zizindikiro zazikulu ndi monga:

• Onaninso matenda a chiwindi osatha, ngati mukukayika za matenda kapena kukula kwa matendawa, komanso kudziwa kukula kwa chiwindi
• Onaninso matenda omwe amayambitsa chiwindi, monga Hemochromatosis, yomwe imayambitsa chitsulo, kapena matenda a Wilson, omwe amayambitsa ndalama zamkuwa, mwachitsanzo;
• Dziwani chomwe chimayambitsa mitsempha ya chiwindi;
• Fufuzani chifukwa cha matenda a chiwindi, matenda enaake kapena kulephera kwa chiwindi;
• Unikani mphamvu ya chithandizo cha chiwindi;
• Unikani pamaso pa maselo a khansa;
• Fufuzani chifukwa cha cholestasis kapena kusintha kwa ma ducts;
• Kuzindikira matenda amachitidwe omwe akukhudza chiwindi kapena omwe amayambitsa malungo osadziwika bwino;
• Fufuzani chiwindi cha omwe angakupatseni chowonjezera kapena ngakhale kukayikira kukanidwa kapena zovuta zina pambuyo pouzira chiwindi.

Njirayi imangochitika ndi chisonyezo cha zamankhwala ndipo, nthawi zambiri, imachitika kokha ngati mayeso ena omwe amayesa kupezeka kwa zotupa komanso kugwira ntchito kwa chiwindi alephera kupereka chidziwitso chofunikira, monga ultrasound, tomography, muyeso wa michere ya chiwindi (AST, ALT), ma bilirubins kapena albin, mwachitsanzo. Dziwani zambiri za mayeso omwe amayesa chiwindi.

Momwe biopsy imachitikira

Pofuna kuyesa chiwindi, singano imagwiritsidwa ntchito, makamaka yomwe imawonetsedwa pazochitikazi, kuti ayesere kuchotsa nyemba zosawononga chiwalo.

Njira zina zosiyanasiyana zitha kugwiritsidwa ntchito ndi adotolo, ndipo chofala kwambiri ndimatenda a chiwindi, omwe singano imalowetsedwa kudzera pakhungu kupita pachiwindi, chomwe chili kumanja kwa mimba. Ndondomekoyi iyenera kuchitidwa pansi pa anesthesia kapena sedation ndipo, ngakhale ndizovuta, uku si mayeso omwe amabweretsa zowawa zambiri.

Mwambiri, mayeso monga ultrasound kapena computed tomography amagwiritsidwa ntchito ngati chitsogozo chopeza dera lomwe mukufuna kufikira, kuchokera komwe zitsanzozo zisonkhanitsidwe. Dokotala amatenga pafupifupi zitsanzo zitatu ndipo njirayi imatenga pafupifupi theka la ola, kutengera mulimonsemo. Kenako, zitsanzozo zidzasanthulidwa pansi pa microscope kuti ziwone ngati pali kusintha kwa maselo.

Njira zina zopezera chiwindi cha biopsy, ndikulowetsa singano kudzera mumtambo wopindika ndikufikira chiwindi kudzera mukuzungulira, kotchedwa transjugular route, kapena, komanso panthawi ya laparoscopic kapena opaleshoni yotseguka, koma sizodziwika kwenikweni.

Kukonzekera kotani komwe kuli kofunikira

Asanachite biopsy ya chiwindi, adokotala amalimbikitsa kusala kudya kwa maola 6 mpaka 8. Kuphatikiza apo, amalangizidwa kuti asiye kugwiritsa ntchito mankhwala omwe angasokoneze magazi, pafupifupi sabata limodzi, monga mankhwala odana ndi zotupa, ma anticoagulants kapena AAS, mwachitsanzo, zomwe ziyenera kuchitidwa molingana ndi upangiri wazachipatala.

Kodi Kuchira

Pambuyo pofufuza chiwindi, munthuyo amafunika kukhala mchipatala ndikuyang'aniridwa kwa maola pafupifupi 4. Dokotala amatha kuyang'ananso kuthamanga kwa magazi ndi zina zofunika kuti awone ngati pangakhale zovuta zina komanso ngati zili zotheka kutulutsidwa, koma kawirikawiri, anthu omwe amayendetsedwa bwino amatha kupita kwawo tsiku lomwelo.

Munthuyo amayenera kuchoka kuchipatala ndi bandeji pambali pamimba, kutengera mtundu wamachitidwe, omwe ayenera kuchotsedwa pakatha masiku awiri, kunyumba, atachira bwino.

Musanachotse mavalidwewo, muyenera kusamala kuti musanyowetse gauze ndikuwonetsetsa kuti ndi oyera nthawi zonse, ndipo ngati pali magazi, mafinya pachilondacho, malungo, kuphatikiza chizungulire, kukomoka kapena kupweteka kwambiri, akuti akupita kwa dokotala kuti akamuyese.

Kuti muchepetse ululu komanso kusapeza bwino adotolo angakulimbikitseni kuti mutenge mankhwala ochepetsa ululu, ndipo sikulimbikitsidwa kuyesetsa kwa maola 24 mutadwala.

Zovuta zotheka

Ngakhale chiwindi ndi njira yotetezeka komanso zovuta sizimachitika kawirikawiri, kutuluka magazi, kuphulika kwa m'mapapo kapena ndulu ndi matenda panjira yolowetsa singano kumatha kuchitika.