Izinhlobo biopsy nokubonakaliswa ngoba

Okwamanje, inani umdlavuza lukhula nsuku zonke. Okudingeka zalokhu ziningi, kodwa ezimweni ezinjalo kubalulekile kahle futhi ngokushesha ukuxilonga, senza kanjalo siyobe siphonsa sifinyelele ukuphumelela ukwelashwa. Zikhona izindlela eziningi ukuze komdlavuza, omunye wabo kuyinto biopsy. Izinhlobo, ukubaluleka le ndlela ingase ibe khona ehlukile, nabo, sizozama wazane kulesi sihloko.

Ingqikithi yalo biopsy

Lolu cwaningo kuhloswe ukucacisa uphethwe noma ukucacisa ekhona. Ukunemba biopsy ilingana cishe 100%. Lolu cwaningo ithatha ingxenye encane kabi noma isiphi isitho, kuye ngokuthi indawo yesimila pathology.

Ngezinye izinsolo ku Oncology biopsy uqoka kuqala. Lapho biopsy esithathwayo kanye izinto eziphilayo azithathe uqhutshwa silitadishe ngesibonakhulu. Uma kukhona emdlavuzeni noma ezinye izinqubo sokugembula emzimbeni njalo azoqala ukushintsha ukuthi umane akunakugwenywa ngaphansi ngesibonakhulu.

izinhlobonhlobo biopsy

Izinhlobo biopsy zingase zihluke, zingase zibe njalo ngisho ziyahlukahluka kuye emkhakheni wezokwelapha:

1. A biopsy inaliti. Ukuze kuphenywe izinto eziphilayo azithathe esithathwayo esebenzisa isipetu noma isibhamu ukuncela.
2. Smear. Lokhu biopsy kuyehla kube okunamathiselwe slide ebusweni isimila ukuze uthole okunye okubalulekile ukuze cwaningo.
3. biopsy Excisional kuhilela nokususwa ngokuphelele isimila kanye nezicubu eziseduze.
4. biopsy Incisional - kuthatha izinto eziphilayo azithathe kusukela isimila uqobo.
5. A core biopsy. It Kwenziwa nokusetshenziswa izinaliti ekhethekile, ngosizo lwabo, uthole ikholomu kwezicubu neoplasms.

Vydklyayut hhayi kuphela izinhlobo ezahlukene biopsies, kodwa futhi indlela ukuthatha izinto eziphilayo azithathe ukuze kwenziwe ucwaningo.

Izindlela izinto izibonelo zalokho yemvelo

Kuye indawo isimila, odokotela basebenzisa ezinye indlela ukuthatha impahla.

Fine-inaliti biopsy. Kulesi nohlobo impahla esithathwayo kusetshenziswa inaliti, okuyinto yethulwa kuleli isayithi sokugembula.

Smear ethathwe wesibeletho in Oncology okusolwayo.

Tolstoigolnaya biopsy ihilela ukuhlela kahle izicubu okwengeziwe, isibonelo, esolwa Oncology isibindi, wendlala, webele.

Nenshisekelo biopsy. Kwaqhubeka kocingo impahla nge aspirator. Le ndlela ikuvumela ukuba athole amaningi izicubu izinsalela.

impahla eyanele esiyolandelwa ngaphansi kokulawula ukuskena, kungaba-X-ray, i-MRI noma ultrasound. Bavumela udokotela ukuqapha isikhundla yenaliti.

A biopsy kungase kwenziwe phakathi nokuhlinzwa.

Fence impahla ngesikhathi Endoscopy noma fibrogastroduodenoscopy. Le ndlela ibizwa ngokuvamile wayekwenza nomdlavuza esolwa nopopopo, esiswini, futhi emphinjeni.

Banikezwe ngobucayi isifo, indawo yayo, udokotela enquma indlela yokuqoqa amaphuzu cytological luhlolo.

Laboratory isimila biopsy

Kungakhathaliseki ukuthi iziphi izinhlobo ukusetshenziswa udokotela biopsies, uphethwe cytological kuzovumela ukusazi ngokunembile isifo esikuphethe. Uma izinto eziphilayo azithathe esithathwayo, it is ithunyelwa elabhorethri ngenhloso yocwaningo.

Feza ucwaningo histological kwezicubu. Oku kuthathwe impahla dewatered ngosizo ekhethekile amafutha izixazululo ukuthi ayengase ke ukuba afuthwe ngesibulali upharafini. Khona-ke wenze le tincetu mncane kakhulu futhi libekwe slide ingilazi. Ukuze ngokuvamile izidakamizwa ukubonakala kangcono kudaywa.

Chitha Cytology. Inqubo ukulungiselela ukususwa izicubu cishe nsé esifundweni esandulelayo. Kodwa kunomehluko obuyisisekelo phakathi Cytology - isifo oncological asethwe ngokuya izinga umdlavuza. Le ndlela yokufunda kubhekwa esingaphansi ulwazi, kodwa ukungabi nakwenzeka kwento ukususwa indwangu, nguye engcono.

Izinhlobo webele biopsies

umdlavuza wamabele zokugula ezijwayelekile kakhulu phakathi kwabesifazane. Lolu hlobo lomdlavuza okwamanje ngempela ikufanele kahle ekwelashweni uma sitholakale okwakuhlalwa kuzo lapho kusaqalwa, kodwa hhayi bonke abesifazane mabi ngempilo yabo, ngezinye izikhathi kuholela edabukisayo. sivamile ukuya kudokotela uma isifo Seledlulise amalawulo. Ukushaya ukusazi ngokunembile isifo esikuphethe e uphethwe yesifo webele, lezi zinhlobo ezilandelayo biopsies:

1. nenshisekelo Fine-inaliti. Isetshenziselwa lapho isayithi sokugembula ebeleni kahle avelayo. Female ngaleyo ndlela uhlale, indawo biopsy iphathwa kahle i solution isinqandakuvunda, inaliti esihle sifakwe, le isipetu ke kubuyiswe esincane izicubu noma uketshezi, uma kwaba nginesimila.
2. Stereotactic inaliti biopsy. Kusetshenziswa inaliti ngokuthatha izicubu ukutadisha kuvela ezindaweni ezihlukahlukene yesimila. Nge indawo ezijulile zokugula yakhetha ngokuthatha impahla ukuba ngu-ultrasound noma mammography, ukukhomba indawo yesimila.
3. Tolstoigolnaya webele biopsy kwenziwe ukuthola indawo enkulu ihlule. Ngenxa yale njongo inaliti emaningi nedivaysi ekhethekile ahlabayo.
4. Kuvele biopsy incisional wenziwa ngaphansi izinzwa wendawo, njengoba kudingeka uthole ucezu nezicubu lwesimila.
5. biopsy Excisional - uhlobo imisebenzi emincane, phakathi kwesikhathi lapho udokotela enquma kuphela ingxenye noma lonke isimila, konke kuncike lingakanani.

Ngaphansi akukho pathologies webele biopsy umiselwa

Imihlobo ehlukeneko biopsies in Oncology zibalulekile, kodwa lokhu ukuhlola okuthile kwembula, nezinye izifo, noma kunalokho, ukuze ingafaki Oncology at kubo:

• mastitis, okuyinto ngokuvamile kwenzeka ngo abesifazane ukuncelisa;
• webele, kungaba izinhlobo ezahlukene futhi omunye wabo ungaya ku Oncology;
• Wamabele simila ;
• fibroadenoma;
• papilloma intraductal.

Kuzo zonke lezi pathologies kumele wenze biopsy wokuthi yadalwa isifo esiyingozi kakhulu futhi ukuxilonga ngokunembile.

Biopsy wesibeletho

Sesihlole ukuthi biopsy enjalo (definition, izinhlobo umdlavuza webele), kodwa ucwaningo ezivamile futhi pathologies wesibeletho. Wedlulisela lokhu wezifo zabesifazane inqubo futhi ngaleyo ndlela olandela le migomo elandelayo: ukuqinisekisa, ukucacisa noma ukuphikisa uphethwe eyabekwa emva Cytology.

Ngesisekelo ngenjongo biopsy wesibeletho kuyinto nokuba khona pathologies ezilandelayo:

• .. Ukuguguleka kwenhlabathi, ie sifo kungaba uphawu lomdlavuza;
• uphawu wathola ngesikhathi sokuhlolwa noma ukukhula;
• kusabela okuhle ukuze HPV;
• izinguquko kuseli izakhiwo ezakhonjwa ngemva kwesifundo cytological;
• condyloma exophytic.

Izinhlobo biopsies wesibeletho bangaqashwa ezihlukahlukene, kuye ngezi- inhloso sokugembula kwesigaba osayizi. Nazi izinhlobo kuvame kakhulu ukuba kusetshenziswe:

1. Biopsy wenziwa ngenaliti mncane ngaphansi kokulawula a colposcope.
2. Loop, noma amagagasi, a biopsy. Phakathi ke ligamanxa iluphu wire esayithini okufanele afunda, futhi zidlula zamanje, okuholela necrosis. Indaba ngaleyo ndlela etholwe akuyona alimele ilungele cwaningo.
3. Wedge biopsy wenziwa nge nommese. Excised EPITHELIAL kanye ezicutshini kuya kwezingu-3 mm ukujula. Ngemva kokuthi i-sokungenela avalwa yaseZimbabwe.

Izinhlobo biopsies wesibeletho akhethiwe udokotela ekukhanyeni zonke izinkomba.

Le ndlela yokwenza ye biopsy wesibeletho

Isidingo biopsy wesibeletho ngempela kudingeka kuxoxwe ngazo nesiguli. Udokotela yazisa owesifazane yalokho okungase kulandele, futhi kuthatha kwemvume yakhe ebhaliwe inqubo. It wenziwa ezinsukwini 5-7 of umjikelezo wokuya esikhathini.

Ngaphambi kocingo impahla wesibeletho aphathwe ngokucophelela nge isixazululo isinqandakuvunda. inqubo elawulwa usebenzisa izibuko noma colposcope. Uma ufuna ukungenela enkulu ukuthi basuke anesthetized.

Ngokuphathelene uhlobo kwenzeka excision biopsy kwendawo sokugembula noma ingxenye yayo. Emva inqubo, isilonda iphathwa hemostatics ekuqambeni izingoma, uma uthanda, siphethe yaseZimbabwe.

Yini imiphumela biopsy wesibeletho ongamtshela?

Ngemva ukususwa izinto eziphilayo azithathe lithunyelwa ngoba histological futhi cytological luhlolo, okuyinto wembula pathologies ezilandelayo:

• carcinoma;
• dysplasia;
• izinqubo zangokwasemuva zezinhlelo imisuka ehlukahlukene.

Esifundweni kwatholakala asinakukuqinisekisa, futhi ushintsho oluncane atholakala izakhiwo amaselula, okungase senziwa:

• izimila ingozi;
• izifo ezithathelwanayo;
• iziyaluyalu hormone.

biopsy wesibeletho ingenye izinqubo main zokuxilonga. Imiphumela uvumele ukuxilonga-100%, okuyinto lula ukukhetha likadokotela yokwelashwa.

Izincomo iziguli ngaphambi biopsy

Isikhathi esining impela, inqubo biopsy Kwenziwa ngqo ehhovisi udokotela, kungakhathaliseki mammolog, udokotela wezifo zabesifazane noma ezinye onguchwepheshe. Ezimweni ezingavamile kakhulu, esibhedlela liyadingeka.

Ngaphambi inqubo, udokotela kufanele wazise isiguli ulwazi olulandelayo:

1. Sizoba ukumisa anticoagulation.
2. Ayeke nokusebenzisa izidakamizwa eqeda ukuvuvukala.
3. Ungathathi ezinsukwini ezimbalwa ezizayo phambi inqubo, "aspirin" futhi analogue yayo.
4. Uma isimo esingokomzwelo ukubonwa kokuntengantenga kwezomnotho, udokotela incoma ukuthatha sedatives.
5. Ngaphambi kokwenza inqubo ke akudingekile ukuba badle futhi baphuze.
6. Kuyadingeka ukuba iqaphe ukugcinwa aseptic kanye isinqandakuvunda.

Uma i-pre-zonke lezi imibuzo udokotela acoce isiguli, njengoba umthetho, inqubo ithatha indawo kwimodi ejwayelekile.

imiphumela engathandeki biopsy

Sibheke ukuthi biopsy izinhlobo, inani. Izindlela cwaningo, kunezinhlobo ezahlukene, kodwa ulwazi eziningi, ikuvumela ukuxilonga ngokunembile futhi ngokushesha. Kakhulu akuvamile biopsy abalandelayo ukuxakeka. Uma inqubo yenziwa ngochwepheshe, ukuthi yonke into iqhubeke ngaphandle kwezihibe futhi ngaphandle kwemiphumela, kodwa musa ukubeka eceleni ukuthuthukiswa lezi izigigaba ezingezinhle.

Kungase kube opha endaweni engayitholi impahla. Emva inqubo, isilonda ayiziphathanga hemostatics izixazululo futhi zisebenza ngebhandeshi uma kunesidingo. Kubalulekile ukugwema ukopha phakathi wamaphaphu bronchoscopy, kungenjalo kungaholela emiphumeleni engathí sina.

Kuyacaca ukuthi biopsy kuholela umonakalo isitho. Kodwa izicubu-gap kanti futhi nokulimala kwenzeka lapho inqubo wenziwa izisebenzi ukuzibhala. Kulezi zimo kubalulekile ukuvimbela ukutheleleka.

Ukutheleleka kungenziwa endaweni uphenyo. Lokhu kwenzeka uma kungagcinwa imithetho aseptic kanye isinqandakuvunda.

ukushaqeka Septic kungase kubangele ukusakazwa asebenzayo kwegciwane.

Gwema zonke izinkinga, noma izinhlobo biopsy alisetshenziswa, kungenzeka uma sisebenzisa imishini yesimanje futhi njalo balandele imithetho kwendle. Ngakho ngeke ukugwema ngegciwane isilonda, futhi ukubonakala ngenxa yezinkinga.

Ngakho, siye sahlola ngokuningiliziwe izinhlobo biopsies. Necropsy isayensi ukuthi etadisha izinqubo sokugembula ezicutshini. Ngakho biopsy - lena enye yezindlela yayo, kodwa kumele kuthiwe kakhulu futhi kunembile. Okubaluleke kakhulu, iziguli ngesikhathi ukuze ubone udokotela uma ungakwazi kuphela ukwenza ithole ukuxilongwa okufanele, kodwa ungabi ngasekupheleni nokwelashwa.

Zinakekele futhi sengqondo wemfanelo maqondana nempilo yabo.