Nenshisekelo biopsy: incazelo yenqubo

Izinsolo ngokuba khona yisiphi isifo kubangela umuntu ukuzwa. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene izinqubo umdlavuza. Umdlavuza uphethwe scary ngamunye nazo zonke abathandayo. Noma kunjalo, kukhona izindlela manje abaningi ukuze zilwe nabo. Ukuphumelela ekwelapheni pathologies oncological uphakeme izigaba sokuqala lesi sifo. Ngakho ukuze ngokushesha ukuthola umdlavuza, kumele bahlolwe lesibonakaliso sokuqala lesi sifo. Omunye izindlela zokuxilonga iyona biopsy nenshisekelo. Kuyinto fast kanti cishe kobuhlungu. Kwezinye izimo, le cwaningo ukhonza njengomdala yokumelapha.

Lokhu kwakwenziwa ngayiphi injongo nenshisekelo biopsy okwenzile?

Ukuze uqinisekise noma ukuphika ukuthi ukhona inqubo abulalayo kudinga ukutadisha indlela yokwakheka kumiswa sokugembula amaseli. It wenziwa usebenzisa 2 izindlela zokuxilonga. Lezi zihlanganisa histological neluhlolo cytological. Eyokuqala ukwenza ukuncishiselwa kusuka isitho ezilimele, staining futhi microscopy. Le ndlela ukuhlahlwa esezingeni umdlavuza. cwaningo Cytological ukwenza surface biopsy ndlovu swab. Ngaphezu kwalokho labetibambile microscopy steklopreparata. Ukuze uthole ukwaziswa okuzocatshangelwa cwaningo, waqhuba biopsy evulekile. Lokhu kuhlinza, lokusho ukususwa esinqunyiwe noma ephelele isitho. Enye indlela amaseli izibonelo zalokho kubhekwa nenshisekelo inaliti biopsy. Nayo ungakwazi ukufeza histological nokuhlaziya cytological. Ngenxa yale njongo, lo izinto eziphilayo azithathe ezivezwa umzimba wokubhoboza kanye cleavage of izingcezu ezincane endaweni ethintekile.

Izinzuzo inqubo nenshisekelo zihlanganisa:

1. Ukungabikho ukusikeka isikhumba.
2. inqubo Buhlungu.
3. Ikhono ukwenza kusimo sinenkonzo yokunakekela iziguli emakhaya.
4. ukusebenza Fast.
5. Ukunciphisa ingozi izinkinga ezingase ziphakame ngenxa kwinqubo (ukuvuvukala, ukopha).

Nenshisekelo biopsy kungase kusetshenziswa amathuluzi ezikhethekile noma abavamile inaliti esihle esetshenziselwa umjovo. It kuncike ukujula nendawo izimila.

Izimpawu ze-biopsy ukuziphatha

Nenshisekelo biopsy eyenziwa ngaso izimila esolwa izitho ezihlukahlukene. Phakathi kwabo - ndlala kanye indlala mammary, kwesibeletho, izindlala zamanzi, wendlala, amathambo, izicubu zomzimba ezithambile. Le ndlela zokuxilonga wenziwa ezimweni lapho kukhona ukufinyelela neoplasm. Ngu ubufakazi izimo ezilandelayo ubheke ucwaningo:

1. Izinsolo isimila esibulalayo.
2. Ukungakwazi ukucacisa uhlobo ukuvuvukala by ezinye izindlela.

Ezimweni eziningi, ukucacisa kulokho amaseli kuyinto neoplasm, ngaphandle cytological neluhlolo histological engenakwenzeka. Ngisho noma udokotela uyaqiniseka ebukhoneni isimila esibulalayo, uphethwe kufanele aqinisekiswe. Kuyadingeka ukusungula degree of cell kwamangqamuzana nokwelashwa izinyathelo. Ngaphezu umdlavuza, zikhona neziqu ingozi okufanele isuswe. Ngaphambi kokuqhubeka kokuhlinzwa, udinga ukuqinisekisa ukuthi akukho inqubo oncologic. Ngenxa yale njongo, futhi ekhiqizwa nenshisekelo biopsy.

Ngezinye izikhathi ukwelapha izinqubo ukuvuvukala iyasilela, naphezu ukwelashwa ezanele. Ezimweni ezinjalo, ukuhlolisisa histological kwezicubu ukubekela eceleni pathologies ezithile. Ngakho kungenzeka ukuthola isifo sofuba, syphilitic noma ezinye ukuvuvukala.

Zilungiselela isifundo

Kuye indawo sokugembula indawo zilungiselela isifundo zingase zihluke. Kuzo zonke izimo, ngaphambi nenshisekelo biopsy kudinga izinqubo zokuxilonga. Lezi zihlanganisa ukuhlolwa kwegazi kanye nomchamo, ekutholweni imingcele kwamakhemikhali, coagulation zokuhlolelwa sokusha kwesibindi negciwane lengculaza. Uma usola ukuthi unesimila kwasendaweni zangaphandle ukuqeqeshwa okuqondile liyadingeka. Lokhu kusebenza izimila yegilo wamabele, isikhumba, izindlala zamanzi. Kulezi zimo, inhlawulo inaliti nenshisekelo biopsy. Le ndlela kobuhlungu ngokuphelele futhi ufana shot abavamile. Uma isimila itholakala ezijulile ekugcwalisekeni trepanobiopsy edingekayo. It is kwenziwe nge ithuluzi akhethekile inaliti obukhulu. Lokhu kudinga izinzwa wendawo.

Ilungiselela nenshisekelo biopsy we endometrium Kuthi ezahlukene. Ngaphezu vivinyo ngaphambi nokuqaliswa kwalo liyadingeka ukuze uthole imiphumela swab sangasese kanye wesibeletho. Uma isiguli owesifazane oseminyakeni yokuzala, a biopsy wenziwa phezu 25 th noma ngosuku 26 th of umjikelezo wokuya esikhathini. Ngo-post-menopausal cwaningo kungaba kwenziwe nganoma yisiphi isikhathi.

Buciko yegilo biopsy

Thyroid nenshisekelo biopsy wenziwa kusetshenziswa inaliti mncane. Kudingeka ebukhoneni Izigaxana ku izicubu zomzimba. Ngaphambi, udokotela wenza palpation we indlala yegilo. Ukuze wenze lokhu, isiguli ecelwa ukuba enze gulp. Kuleli qophelo, udokotela inquma ngqo kusayithi indawo. Le ndawo iphathwa nge isixazululo utshwala ngoba magciwane. Ngemva kwalokho, lo dokotela ifaka inaliti mncane ku entanyeni. Ngesinye isandla kwakhe elungisa iyunithi ukuthola amaseli focus sokugembula. Udokotela ukudansela isiginci sakhe plunger isipetu uthulule ngokwayo ukukhipha izinto eziphilayo azithathe. izicubu sokugembula ingena mafutha anciphisa isikhala esingaphakathi yenaliti, ngemva kwalokho-ke wabekwa slide ingilazi. Indaba okuholela wayiswa Cytology. Ukuze lubhoboze indawo sisetshenziswa a swab ukotini wasigcobhoza ikhambi utshwala, futhi fixed nge usimende ingcina.

Fine-inaliti nenshisekelo biopsy we indlala yegilo kusiza ukunquma ukuthi amangqamuzana omdlavuza basesimweni ngamaqhubu. Ngesikhathi engekho may ukwelashwa ngoludala of goiter. Uma udokotela iSifo umdlavuza we indlala yegilo kudinga ukususwa emzimbeni, ngelashwa nangemithi.

Su nenshisekelo biopsy we endometrium

Izimpawu I-lesizalo biopsies kusolakala umdlavuza, izinqubo hyperplastic (i-endometriosis, ama-polyp), ukuqapha yokwelapha i-hormone. Ucwaningo lwenziwa egumbini ukwelashwa noma yokusebenza ezincane ngaphansi kolawulo ultrasound. Ngokuyinhloko olwenziwa palpation kwezitho okhalo. Khona-ke silungise wesibeletho usebenzisa i-speculum. Umsele wesibeletho yethulwa umqhubi ekhethekile - ipayipi. Aspirated ngokusebenzisa okuqukethwe isipetu phakathi endometrium. Indaba okuholela wathunyelwa elabhorethri ukucacisa Ukwakheka yeselula ketshezi.

Kwezinye izimo, lesizalo nenshisekelo biopsy wenziwa usebenzisa idivayisi ekhethekile cleaner. Kuyadingeka ukuba kocingo okokusetshenziswa eyenziwa ngaphansi kwengcindezi. Ingasetshenziselwa ukuthola amasampula eziningana izinto eziphilayo azithathe uma wokubhoboza eyodwa.

Wokubhoboza biopsy ka lymph node kanye webele

A biopsy ka-lymph wenziwa uma udokotela osola a ukuvuvukala ethize noma ukusabalala lesifunda yesimila. Ucwaningo lwenziwe kusetshenziswa inaliti mncane. Isisetshenziswa kokusebenza kwalo kufana biopsy nenshisekelo we indlala yegilo. Inqubo efanayo yayisetshenziswa ukukhiqiza impahla izimila ebeleni. Ngaphezu kwalokho, ukuncela ibele biopsy wenziwa khona izinhlumba ezinkulu. Kulokhu, le nqubo akuyona zokuxilonga kuphela kodwa futhi zokwelapha.

Uma into oyifundayo etholwe alwanele noma uqinisekise uphethwe nalo ehluleka, wenziwa webele trepanobiopsy. It wenziwa ngaphansi kokulawulwa ultrasound izifundo. Ngakho kungenzeka ukulandelela intuthuko yenaliti. Kwezinye izimo, biopsy cleaner nenshisekelo.

Izimo ukwenza ucwaningo

Cishe asikho contraindications ukuqhuba biopsy esihle-inaliti. Ubunzima ezingavela uma isiguli sifuna umuntu yokugula ngengqondo noma ingane. Kulezi zimo, izinzwa ngomjovo liyadingeka, okuyinto akunakwenzeka ukwenza njalo. Umshini nenshisekelo noma esihle inaliti biopsy we endometrium akuyona efiselekayo ukwenza pathologies ukuvuvukala wesibeletho kanye esithweni sakho sangasese. Futhi, inqubo is hhayi kwenziwe ngesikhathi sokukhulelwa.

Ukuhunyushwa imiphumela inhlolovo

izifundo histological isilungile ngemuva kwezinsuku 7-10. ukuhlaziywa Cytological Kwenziwa ngokushesha. Ngemva smear noma ukulungiselela histological udokotela kwenza isiphetho ngabantu isakhiwo solwazi izimila. In the ukungabikho atypia, isimila kuyinto kungavamile ukuba ingozi. Uma amaseli etholwe kulolu cwaningo sihluke amangqamuzana avamile, waqinisekisa sitholakele "umdlavuza". Ezimweni ezinjalo, ngezinga iqoqo isimila kwamangqamuzana. Kule umhlahlo, nezindlela zokwelashwa kuncike.

Nenshisekelo biopsy: odokotela Izibuyekezo

Odokotela bathi indlela nenshisekelo biopsy kuyinto izifundo okuthembekile zokuxilonga, ephephile isiguli. At ulwazi okuqukethwe eliphansi kwasinikeza ukwaziswa izicubu amasampuli okuphindaphindiwe. Ukuze afeze lokhu cwaningo akudingi esibhedlela.