Kuyinto lymph node biopsy kanjani?

Lymph node kukhona izinhlaka izivikeli mzimba ukuthi banesibopho ekuvikeleni umzimba wethu kusuka ngokuhlasela izinto ezithwala izifo. Kulapha lapho kubhujiswa nezilwanyana ezincane pathogenic. Lapho zingena umzimba, bese uthole ku-lymph kanye lymph ukugeleza. Kuyaphawuleka ukuthi lezi zindikimba nazo benenkinga amangqamuzana omdlavuza. Emzimbeni womuntu kukhona abangaba ngu-600 zamanzi.

Nokho, lezi ejensi futhi uhlushwa ezihlukahlukene izifo. ukusazi ngokunembile isifo esikuphethe akwenzeki ngaso sonke isikhathi. Ngakho ngokuvamile kwenziwa biopsy lymph node. Ngokuvamile kubalulekile. Ukutadisha okunjalo inikezwa ukucacisa etiology lesi sifo noma lymphostasis futhi abe nenkinga yokuvuvukala kwezicubu.

Kuyini lokhu?

Hlobo luni ucwaningo? Biopsy we-node lymph entanyeni, ikhwapha noma imbilapho - yinqubo evamile lomisiwe izinkomba ezithile. Empeleni, lokhu ukuhlinzwa ezincane. Ngokuhamba inqubo enjalo, udokotela kususa ingxenye noma lonke umzimba.

Biopsy - cwaningo laboratory, okuvumela ukukhomba izinguquko fibrotic ku mediastinum, kanye kule wesibeletho inguinal zamanzi.

Kukuyiphi amacala inikezwa?

biopsy lymph node ivumela ukuhlonza ngesikhathi esifanele ukwephulwa ezenzeka emzimbeni. Ngakho-ke, ucwaningo efanayo iqhutshwe ukufundwa eziningi:

• Inqubo inikezwa ukucacisa omsakazo kanye lymphadenopathy abulalayo, uma ungakwazi ukuthola izindlela non-koda ukuxilongwa;
• biopsy lymph node wenziwa uma lymphadenopathy, okwenzeka isikhathi eside, ngisho noma ethola ukwelashwa ezanele esigulini;
• lapho isiguli inezimpawu of isimila omsakazo lymphadenopathy, isib, a lesion proliferative noma metastatic lymph node izakhiwo;
• bangabonwa ngesikhathi luhlolo kokuqala lakhulisiwe kakhulu, obukhulu, kodwa kobuhlungu lymph node ephelezelwa izimpawu zokudakwa jikelele umzimba.

Kwezinye izimo zokwelapha, biopsy is ayizange inikezwe.

Ubani ayikwazi ukwenza biopsy?

Biopsy we-lymph node ngaphansi ingalo, imbilapho noma entanyeni enezinto eziningi Izimo, kuhlanganise:

• wesibeletho emgogodleni kyphosis, okuyinto akasivumeli biopsy ka-lymph node entanyeni;
• Uma engeyokuqala lymph noma nezicubu eziseduze ke, kukhona iqhubeka;
• lapho hypocoagulation syndrome, okuyinto ekunqandeni igazi.

biopsy lymph node edinga okhokhelwayo. Ngempela, lezi zindikimba izakhi ekuvikeleni umzimba womuntu. umonakalo zabo ngaphansi izifo ezithile angase babhebhethekise isimo lesiguli kuphela. Ngakho-ke, ukukhetha umtholampilo ngenxa ethatha ukuhlaziywa Uchwepheshe kufanele kube ukunakekela okukhethekile.

izindlela eziyisisekelo

Ngakho, indlela ukwenza biopsy ka-lymph? Le nqubo engenziwa ngezindlela eziningana. Izindlela eziyinhloko lifanele lifake hlangana:

• ongaphandle noma excision;
• lubhoboze;
• nenshisekelo.

Ngamunye izindlela kunezinzuzo zako kanye nebubi. Kukhethwa indlela ukuhlaziywa kuwufanele ukuthatha kusengaphambili ukuxoxa nodokotela wakho.

nenshisekelo biopsy

Le ndlela biopsy Kwenziwa kusetshenziswa inaliti mncane. Ithuluzi ngobumnene injected singene ongama limfouzlovuyu isakhiwo ngokufanele ngaphansi emhlathini noma ngaphezu clavicle, futhi ibuyiselwe impahla izifundo ezengeziwe. Inqubo uqhutshwa kuphela esigulini esingalalisiwe esibhedlela. Kuyaphawuleka ukuthi phakathi biopsy okuhlangenwe nakho nesineke cishe akukho ubuhlungu. Ngakho-ke, indlela ukuncela lisetshenziswa kakhulu imithi yesimanje.

Ithuluzi, okuyothi ekhishwe okokusebenza uhlobo inaliti mncane eziyize. Uma engeyokuqala lymph wayengekho palpable ke ukucacisa indawo yayo evumela idivayisi ultrasound. Le ndlela yokubamba izinhlanzi ngokuvamile sisetshenziswa izinqubo ezithathelwanayo noma metastatic ezicutshini.

inaliti biopsy

Kushiwo ngamuphi umqondo ukuthi lymph node biopsy kulesi simo? Wokubhoboza indlela Kuhlanganisa ukuthola ikholomu ye izinto eziphilayo azithathe zonke izinhlobo izifundo histological.

Kufanele kuqashelwe ukuthi inqubo enjalo wenziwa ngendlela efanayo njengenhlangano nenshisekelo. Umahluko wukuthi amathuluzi. Lapho biopsy Kusetshenziswa inaliti, ayihlomele madrenom ukuhlinzeka excision kanye nokugcinwa we izinto eziphilayo azithathe.

Nokho, le ndlela akuyona Kunconywa ukuba isetshenziswe umdlavuza pathologies, njengoba lokhu kungaholela ukusabalala amaseli abathintekayo. Ngaphezu kwalokho, umshini wokubhoboza futhi nokufuna kugunyazwe ugqozi biopsy ngokuvamile ukukhombisa yi ayilungile.

excision indlela

Vula biopsy of izindlala zamanzi Kuhlanganisa ukuthola impahla elilodwa ukuze kuqhutshekwe nocwaningo, ngemva kokuhlinzwa. Inqubo ihlala okungenani ibe ihora elilodwa. Phakathi kokungenela udokotela yenza imbobo encane okuyothi ngalo excision nommese ka-lymph node kanye izingcezu ezincane zezicubu zezinzwa.

ngokubeka Ngakho isiguli etafuleni yokusebenza, bese iqondiswa ukubulawa kwezinzwa okuvamile. Endaweni lapho okuhlatshelwa khona imbobo zizokwenziwa izibulali-magciwane kusetshenzwe. Ngemva kwalokho, udokotela wabe ukususa-lymph. Ekupheleni kwe-imbobo sutured ngokucophelela, futhi ibhandishi sisetshenziswa phezu kwalo.

Le ndlela biopsy isetshenziswa kakhulu ukudlula ezinye izindlela. Lokhu kungenxa kakhulu ulwazi, kanye ukuthembeka imiphumela. Kwezinye izimo, biopsy evulekile wenziwa intraoperatively. Lokhu kuvumela ukuhlola okusheshayo. Uma izicubu kukhona anomdlavuza, udokotela okhipha i kokungenela enwetshiwe op.

sentinel ISIZINDA

Sentinel lymph node biopsy wenziwa ukunquma nokudlanga izinqubo okubulalayo nokuhlala ukususa ISIZINDA eziningana lymph, kodwa hhayi lonke iqembu.

Ngokusebenzisa inqubo enjalo ingenzeka ukulondoloza ingxenye yemizimba isakhiwo. Sentinel lymph node - yibo kuqala ehlaselwe amaseli ebulalayo. Ukuthambekela ezimileni kuya iyakhula ukuba lezi zitho inkinga eyinhloko ekwelapheni of Oncology. Kuze kube manje, sentinel lymph node biopsy isibe inqubo cishe elimisiwe khona kuwuphawu lwesimila.

Yini okufanele yenziwe ngaphambi biopsy?

Ngaphambi noma yiluphi uhlobo ukuhlaziywa kuyadingeka ukuvakashela udokotela futhi uchaze ngokucacile isimo sabo. Kufanele ngikuxoxele zonke pathologies nezinkinga zempilo, nokungezwani komzimba nezinto. Futhi Kuhle kokusho mayelana iziyaluyalu ukopha nokukhulelwa, uma owesifazane ekhulelwe.

Uma isiguli yokwelapha babelwe abasebenzisa imithi, ngaphambi kokuqala ukusebenza kufanele batshele umuntu onekhono. Ngelinye isonto ngaphambi inqubo, kufanele ayeke nokusebenzisa izidakamizwa ezibangela igazi ukucasuka. Le mithi ihlanganisa "Heparin", "Cardiomagnyl", "aspirin", "Warfarin", "Asperkard".

Uma ngesikhathi biopsy isetshenziswa ukubulawa kwezinzwa okuvamile ke amahora 10-12 Kufanele uyeke ukudla nokuphuza.

ngemva kokuhlinzwa

Lymph node biopsy kubangela ubuhlungu ngoba wenziwa noma ngaphansi izinzwa jikelele, noma nge ukusetshenziswa kwezidakamizwa izinzwa wendawo. Isikhathi msebenzi kusukela imizuzu engu-30 kuya ku-50.

Isiguli emva inqubo babe izinsuku ezimbalwa ukuba senqabe ushawa noma ubhavu, ngokuvakashela amakamelo kanye sauna, njengoba indawo ukuchelela lapho wokubhoboza lwenziwe, it is hhayi Kunconywa. Futhi, kufanele ugweme ngokweqile amandla omzimba. Imiphumela Ucwaningo uzolunga ngoba 7- 10 izinsuku.

Yini kungaba izinkinga?

Ngemva lymph node yezinkinga biopsy kwenzeke kwezinye izimo. Okokuqala akufanele sikhohlwe ukuthi inqubo eqinisweni, ukuhlinzwa. Nakuba kubhekwe ukuhlinzwa kancane koda futhi, kunoma yisiphi isimo lapho is Ukungena emzimbeni. Kungenxa yalesi sizathu ukuthi phakathi nokuhlinzwa ngale ndlela kwandisa amathuba yezinkinga. Phakathi kwemicimbi ngokuvamile kwenzeka:

• yezinkinga zomuntu
• isiyezi noma ekuqulekeni;
• umonakalo lymphovascular futhi izinzwa izicubu;
• ukungabi namizwa umzimba okuyingxenye, lapho ihlaziye lymph node elise;
• ukopha, okuyinto ngokungabi bikho umonakalo ngokuzimela ukudlula amahora ambalwa.

Ngemva biopsy, odokotela bexwayisa iziguli ukuthi uma nanoma yiziphi izinkinga kufanele ngokushesha nokufuna usizo lochwepheshe. Futhi kuwufanele ngokuvakashela umtholampilo uma ukuvuvukala endaweni lymph node kumele sibukwe ngesikhathi imfiva, ukwanda izinga lokushisa lomzimba. Uma ubuhlungu ingabe usekhona izinsuku ngisho nangemva 7 emva kokuhlinzwa, kubalulekile ukuba kudokotela. Isizathu sokuba ukuvakashelwa onguchwepheshe kungenzeka nesenzakalo krupyanistyh noma ubovu zichithe emanceba abo okuyothi ngalo wokubhoboza wawenziwa.

Lokho okwakudingeka ukuze kukhokhwe inqubo

Izindleko a biopsy we-node lymph kuyinto kuncike ezicini eziningi. Intengo ye inqubo kungaba isukela ruble kusuka 1.5 ayizinkulungwane eziyinkulungwane 6.7. Kuyinto ezikhungweni zomphakathi. Ngokuphathelene emitholampilo yangasese, izindleko zale biopsy lymph node kungenzeka ruble hhayi ngaphansi kuka 14 eziyinkulungwane.

inqubo enjalo kubhekwa ephephile kakhulu futhi indlela elula ekuxilongeni izifo eziningi neziyaluyalu kubantu. Nokho, i-biopsy we-node lymph isiguli isivumelwano edingekayo ukuze ukuhlinzwa okunjalo. Futhi ngokucophelela okukhulu Kufanele ukhethe umtholampilo kanye nodokotela ngubani uzolifeza inqubo. Lokhu kuzovimba nesenzakalo nemiphumela engemihle kanye nezinkinga.

Ngokukhethekile kufanele ikhokhwe kuzibuyekezo ukuthi umtholampilo, okuyinto eyenziwa biopsy lymph node. Kungcono ukukhetha labo izikhungo, izimpawu iziguli wangaphambili kuphela ohlangothini oluhle.