Skin biopsy: izinkomba, inqubo ye ukugcwaliseka, imiphumela

ezinqubweni zokwelapha iziguli eziningi kubangela ukwethuka. Abaqondi imigomo nezinqubo akucacile. Abanye baze give up cwaningo kudingekile, ukuqondiswa yizinkolelo imibono ekhaya emandleni ochwepheshe omakhelwane noma falling bedle eyeqisayo. Kodwa nje into udinga ukuxoxa nodokotela wakho, cela ukuze uthole imininingwane eyengeziwe ukuchaza lokho okushiwo yinkulumo uya khona. Ngokwesibonelo, uma isiguli inikezwa biopsy isikhumba, kufanele kuqondwe ukuthi le nqubo inikezwa ukucacisa uphethwe futhi wakwazi ukunqoba isifo ngendlela efanele usaqala.

A biopsy kwesikhumba - kuyini?

nenqubo ethile yokuthola isifo okuthiwa biopsy, lapho isiqeshana impahla ophilayo sithathwa okwengeziwe ukufunda ukwakheka kwamangqamuzana yayo. Ngakho-ke, biopsy isikhumba - excision lapho kutadishwa izingcezu isikhumba.

Material isifundo ingatholakala ngezindlela eziningana:

• Shaves;
• trepanobiopsiynym;
• ekzistsionnym.

Kukhethwa indlela kuncike isifo kusolwa, kodwa kuzo zonke izimo inqubo owazenza oyinyumba, amathuluzi ngokuvamile zalutho.

Izinkomba isikhumba biopsy

luhlolo histological we biopsy (biopsy) angaqokwa kulezi zimo ezilandelayo:

• e sitholakele webhaktheriya, fungal, izifo ezibangelwa amagciwane;
• sokunquma ingozi;
• ukucacisa umdlavuza;
• ukuhlola umphumela ngemva ukukhishwa kwe-isimila;
• okusolakala erythematosus;
• ngesifo sofuba esolwa isikhumba;
• nge zingcwecwe psoriatic;
• scleroderma, amyloidosis, Reticulose;
• ebukhoneni mycosis obunzima, walala;
• ngesikhathi isifo periarteritis nodosa;
• isifo Darier labantu lokukwazi ukuhlonza;
• njengendlela yokwelapha nokulawula.

Inombolo enkulu izabelo - ukuthola umdlavuza izimila. Lapho iqaphela ushintsho lesikhumba noma eziya ziba zimbi ihlanganisa sokuphulukiswa, udokotela uncamela liqoke biopsy bakwazi ukufeza ukwelashwa ngendlela efanele usaqala yentuthuko.

Ubani wenza ukubeka?

Kusukela izifo zesikhumba ukuze selashwe udokotela wesikhumba. Uma inkinga akucaci, kodwa isiguli azizwa ukungakhululeki, yena kufanele babonane nodokotela. Ngemva ukuhlolwa owelapha diagnostician ngiyothumela onguchwepheshe kwesokudla. Uzokutshela lapho ukwenza biopsy isikhumba.

biopsy lokho ithuluzi?

Njengoba sekushiwo, zikhona izindlela eziningana ngalo biopsy wenziwa. Kuye lokhu, akhethiwe nezinto ezidingekayo kanye namathuluzi. Ezimweni eziningi, iphakheji ngabanye, equkethe cannula nge kunesikhala, probe tube futhi ezithathekayo nge projection ngoba esaziwa isampula izicubu.

Wokubhoboza inaliti biopsy ngacula ubukhulu edingekayo. Lokhu kungaba ekhethekile isipetu mncane uhlelo othomathikhi nge indlela entwasahlobo noma cleaner inaliti.

Ezimweni eziningi, i-biopsy isikhumba wenziwa curettage. Kulokhu, ithuluzi kuyinto curette okwesongo noma spoon kuhlinzwa. La mathuluzi zingafani ububanzi ebusweni esivusa amadlingozi.

Le ndlela yokwenza ye. Shaves isikhumba biopsy

Ukuze aphuce biopsy wenziwa ngensingo nommese noma wezokwelapha. Kulokhu, ebusweni phuca ukuqina ku kwemizi. Sika projecting ingxenye neziqu sokugembula afakwe esitsheni ngesixazululo formalin. A zokukhwabanisa ingxenye ikhava indwangu oyinyumba. Inqubo, kanye nezinye izimo, wenziwa ngaphansi izinzwa wendawo.

Punch biopsy

Kulokhu, ukuhlolisisa histological ka biopsies ethathwe isikhungo lesion. Ikholomu kwesikhumba futhi ongama amafutha ihlabekile Burr inaliti ijikeleziswa futhi ekhishwe. Khona-ke wathatha nge esebenzisa futhi ezaziqoshwe ezingeni elifanele. Uma uyikha phezulu le isilonda, esingeqile 3 mm, isichibi sisetshenziswa oyinyumba. Nge elikhulu ububanzi isilonda sutured.

excision biopsy

Kule ndlela, le lesion is excised nge eduze kwendawo enempilo zesikhumba. Le ndlela ephumelelayo for ukuthola izimila ebulalayo. Zonke ezinye ukumboza isilonda ngendwangu oyinyumba, kodwa uma isilonda likhulu, it is sutured noma amboze xhumelela isikhumba.

ithuluzi ngamanye Skin biopsy ayisetshenziswa kabusha. Zonke amabhandeshi kufanele kube oyinyumba. Umphumela ukuhlaziywa usulungile ngemva kwamasonto 1-4. Isikhathi incike eyinkimbinkimbi lokucubungula biopsy.

A biopsy e psoriasis

iziguli eziningi zikholelwa ukuthi psoriasis kungenziwa ngaphande kokuhlola ngumuntu ukubukeka. Nokho, i-biopsy isikhumba kuyadingeka ukuze psoriasis, wokuthi yadalwa nezinye izifo. Ngo ezinzima inqubo biopsy samanje izimpukane ithole, lelo u ibonakalisa yokungavuthwa histological futhi ukuqina keratinocyte ungqimba.

Lapho kususwa impahla ucwaningo, ngaphansi uqwembe ebonakalayo ukukhomba ukopha. Lokhu kuwubufakazi bokuthi zokugula e permeability semithambo endaweni le lesion. Ngaphezu kwalokho, wembula angiogenesis ngesivinini esikhulu.

Survey Ukulungiselela

amalungiselelo Inxanxathela ngokuba biopsy isikhumba liyadingeka. Ngaphambi inqubo, udokotela kumele baziswe izidakamizwa kuthathwe eqeda ukuvuvukala, nokungezwani komzimba nezinto kanye nokuthambekela ukopha. Abesifazane kudingeka azise udokotela wakho mayelana nokukhulelwa.

Yokutakula kwinqubo

Ngu ukususwa isayithi isampula okungase kuthintwe ngokucophelela kuphela wageza izandla zakhe ngensipho nangamanzi. Ibhandishi noma ezinye impahla kuhlinzwa isuswe olulodwa ngemva zokukhwabanisa.

Okugeza amanxeba esetshenziswa ngaphandle insipho colorants kanye isithokela ejenti. Ngemva kokugeza, ebusweni isilonda sisetshenziswa petrolatum wamafutha noma amagciwane. Phinda bandaging isilonda wenziwa udokotela. Uma isiqondiso eyengeziwe wayengekho, ufaka isicelo ngebhandeshi oyinyumba noma indwangu elibiza esimweni amanxeba ezindaweni wagcoba izingubo. Indawo lapho biopsy isikhumba wawenziwa, kubalulekile ukuba humidify amafutha akhethekile izikhathi eziningana ngosuku. Lokhu kuzogwema ukubukeka uqweqwe.

Uma ithrekhi ezibomvana kusukela biopsy noma ezigcwalise up kancane, kufanele ubone udokotela. Lokhu kungaba izimpawu zokugula.

Okungenani ngesonto emva inqubo, kukhawulwe edonsa imikhiqizo vitamin E, ungaphuzi utshwala, musa ukuthatha aspirin noma i-ibuprofen. Ukuhluleka ukwenza njalo ingadala ukopha.