Mhando biopsy uye zvairatidza kuti

Pari nhamba kenza ari kukura ose zuva. Prerequisites nokuti ichi vazhinji, asi mumamiriro ezvinhu akadaro zvakakosha zvakarurama uye nokukurumidza rokuongorora, chete ipapo tinogona kuzadzisa kubudirira kurapwa. Kune nzira dzakawanda kuti chirwere kenza, mumwe wavo ari biopsy. Types, kukosha nzira iyi angava akasiyana, navo, tichaedza uye kuziva munyaya ino.

Musimboti wacho biopsy

kudzidza izvi zvichiitirwa kujekesa chirwere kana kujekesa aripo. Rakarurama biopsy akaenzana anenge 100%. Kudzidza anotora chikamu chiduku chero nhengo, zvichienderana nzvimbo bundu uye zvokurwara.

At nokufungirana pamusoro oncology biopsy unogadza kutanga. Kana biopsy chinobviswa uye zvipenyu zvinhu nevamwe kuridzidza nemaikorosikopu. Kana paine kukura kenza kana zvimwe pathological pezvakaitwa munyama nguva dzose vanotanga kuchinja kuti havambofi kungosiyiwa pasi maikorosikopu.

mhando biopsy

Mhando biopsy angava akasiyana, Vangatoonekwa siyana zvichienderana zvokurapa:

1. tsono A biopsy. Kuongorora zvinhu zvipenyu vanobviswa achishandisa sirinji kana kubvisa pfuti.
2. Smears. biopsy ichi ipfupi kuti kubatana zviri yemasiraidhi kusvikira pemvura bundu kuzochera zvinhu kuti kudzidza.
3. Excisional biopsy kunosanganisira kwakakwana kubviswa bundu pamwechete akapoteredza munyama.
4. Incisional biopsy - iri kutora zvinhu zvipenyu kubva bundu pachayo.
5. A panozogadzirika biopsy. Voitakura kunze nokushandiswa dzinokosha tsono, achibatsirwa wavo, kuwana shongwe tishu neoplasms.

Vydklyayut kwete chete mhando akasiyana biopsies, asiwo nzira kutora zvinhu zvipenyu yokutsvakurudza.

Nzira dzekufambisa zvakabudiswa utachiona zvinhu

Zvichienderana nzvimbo bundu, vanachiremba vari kushandisa vamwe nzira yokutora zvinhu.

Fine-tsono biopsy. In kwakadai zvinhu chinobviswa kushandisa tsono, riri kwakamboitwa pathological nzvimbo.

Smears akatorwa kubva cervix iri vakafunga oncology.

Tolstoigolnaya biopsy ndeyokuziva zvakawanda munyama Somuenzaniso, vakafungira oncology chiropa, prostate, zamu.

Chido biopsy. Vakatakura fenzi zvinhu ane aspirator. Nzira iyi inobvumira kuti kugamuchira vakawanda tishu zvimedu.

Yakawanda zvinhu anogona kuitwa kutongwa kushanda pakuvheneka, zvinogona maekisirei, MRI kana Ultrasound. Vanobvumira chiremba kuti kuongorora nzvimbo tsono.

A biopsy anogona kuitwa pakuvhiya.

Fence zvinhu panguva endoscopy kana fibrogastroduodenoscopy. Nzira iri kazhinji kwaiitwa pamwe vanofungidzirwa nekenza muura, dumbu, uye yegurokuro.

Kupiwa kwokuomerwa chirwere, ayo nzvimbo, chiremba asarudza pamusoro nzira kuunganidzwa mashoko cytological kuzviongorora.

Laboratory mota biopsy

Pasinei siyana rinoshandiswa chiremba biopsies, cytological chirwere achairega kuongororwa zvakarurama. Kana zvinhu zvipenyu rakundwa, izvozvo rwunotumirwa murabhoritari nechinangwa pakutsvakurudza.

Vaite chinhu histological kudzidza munyama. Pre atora dewatered zvinhu achibatsirwa chaiyo mafuta zvinogadzirisa kuti ipapo aigona akaiswa mushonga wokuuraya Paraffin. Zvadaro kunyatsoshandisa dzakaonda zvidimbu uye akaisa pamusoro girazi ondomoka. Nokuti zviri nani maonero zvinodhaka kazhinji muti.

Shandisa cytology. The regadziriro muitiro kuti kubviswa zvinyama zvachose kufanana kuna yapfuura kudzidza. Asi pane chinokosha musiyano pakati cytology - oncological chirwere vari kuisa maererano huri kenza. nzira iyi kudzidza anonzi zvishoma anodzidzisa, asi hazvibviri kubviswa chimedu jira, ndiye akanakisisa.

Mhando zamu biopsies

kenza yemazamu iri hwakanaka zvakajairika zvokurwara pakati pavakadzi. mhando iyi kenza pari zvikuru anongokurukurwa zvakanaka kurapwa kana dzakaonekwa mukutanga mumatanho, asi kwete vakadzi vose vari zvakakomba neutano, izvo dzimwe nguva kunoita kuti inosuruvarisa. isu kazhinji kuenda chiremba kana hosha anyanyisa. Kuti kuongororwa zvakarurama mune chirwere kubva pazamu chirwere, zvinotevera marudzi biopsies:

1. Fine-tsono chido. Rinoshandiswa kana pathological nzvimbo iri chityu zvakanaka detectable. Female Saka anogona kugara, vakatozodzokera biopsy zvakanaka kubatwa akambozvishandisa kuuraya utachiona mhinduro, tsono zvakanaka akaiswa, kuti sirinji ari ipapo retracted shoma zvinyama kana fluid kana kwaiva chikofu.
2. Stereotactic tsono biopsy. Kushandisa tsono pakutora zvinyama kudzidza kubva munzvimbo dzakasiyana-siyana bundu. With zvakadzama nzvimbo zvokurwara akareva kutora mashoko acho nenzira Ultrasound kana mammography, kuti azive nzvimbo bundu.
3. Tolstoigolnaya zamu biopsy akaita kuwana guru nharaunda tishu. Nokuda kwaizvozvi tsono riri makobvu chaiwo okurwadzisa mudziyo.
4. An incisional biopsy rinoitwa pasi omunzvimbo yokutindivadza, sezvo unofanira kuwana chidimbu bundu rinenge.
5. Excisional biopsy - imwe mhando oparesheni duku, apo chiremba anocheka kunze chete chikamu kana bundu rose, zvose zvinoenderana ukuru hwaro.

Under hapana pathologies zamu biopsy anogadzwa

Mhando dzakasiyana-siyana biopsies mu oncology zvinokosha, asi kudzidza ichi inoratidza, uye zvimwe zvirwere, kana kuti, kuti asava oncology navo:

• mastitis, izvo rinowanzoberekera vakadzi kuyamwisa;
• nechityu, zvingava zvakasiyana siyana uye mumwe wavo anogona kuenda oncology;
• Zamu chikofu ;
• fibroadenoma;
• intraductal papilloma.

In pathologies izvi zvose kuita chinhu biopsy ushe kubva chirwere chakakomba zvikuru uye rokuongorora nemazvo.

remuromo Biopsy

Takurukura kuti biopsy yakadaro (tsanangudzo, mhando kenza yemazamu), asi chinhu chakajairika tsvakurudzo uye remuromo pathologies. Ibasa ichi nzira gayinakorojisiti uye nokudaro anodzingana zvinotevera zvinangwa: kusimbisa, kujekesa kana agodzivisa nechirwere, yakapiwa shure cytology.

The hwaro chinangwa remuromo biopsy ndiyo kuvapo zvinotevera pathologies:

• .. kukurwa kwevhu, kureva kuti chirwere kungava chiratidzo kenza;
• mucherechedzo rakawanikwa munguva rokuongorora kana kukura;
• zvakanaka Kupindura HPV;
• kuchinja muchitokisi zvivako kuti vaizivikanwa mushure cytological kudzidza;
• exophytic condyloma.

Mhando remuromo biopsies anogona basa siyana, zvichienderana nechinangwa uye pathological chikamu hukuru. Heano mhando zvinowanzoshandiswa:

1. Biopsy rinoitwa ne tsono nhete kudzorwa imwe colposcope.
2. Loop, kana Radio wave, a biopsy. Panguva payo overlaps munhu loop kuti waya pamusoro site zvinofanira kudzidzwa, uye vakayambuka nawo ano, iyo inosvitsa necrosis. The nokudaro akawana zvinhu haisi tagovera uye akagadzirira kudzidza.
3. Wedge biopsy rinoitwa chete scalpel. Excised epithelial uye connective zvinyama kuti kudzika 3 mm. Mushure wakadaro Kupindira dzakavharika pamwe stitches.

Mhando remuromo biopsies yasarudzwa chiremba muchiedza vose zviratidzo.

Nzira yacho remuromo biopsy

Kudiwa remuromo biopsy hazvo dzinofanira kukurukurwa murwere. Chiremba inozivisa mukadzi pezvingazoitika, uye zvinotora mvumo yake yakanyorwa nzira. Voitakura pana mazuva 5-7 kumwedzi.

Pamberi fenzi zvinhu cervix nokungwarira kubatwa akambozvishandisa kuuraya utachiona mhinduro. Pehurumende muitiro achishandisa magirazi kana colposcope. Kana uchida kupindira huru kuti anesthetized.

Maererano mhando kunoitika excision biopsy pamusoro pathological nzvimbo kana mugove waro. Mushure nzira, vanga ikarapwa hemostatics sezvamunoita uye, kana kutsvakwa, ipapo yakaguma stitches.

Chii migumisiro remuromo biopsy angamuzivisa?

Pashure Kubviswa zvoutachiona zvinhu zvinonzi akatuma histological uye cytological ongororo, iyo inoratidza zvinotevera pathologies:

• carcinoma;
• dysplasia;
• pezvakaitwa yaitwa siyana mavambo.

Kudzidza akaonekwa hazvigoni yasimbiswa, uye kuchinja kuduku zvinowanikwa cellular zvivako, izvo zvinogona kukonzerwa:

• benign anomera;
• zvirwere;
• hormone zvirwere.

remuromo biopsy mumwe huru chirwere maitirwo ezvinhu. Migumisiro kubvumira rokuongorora kusvika 100%, izvo zviri nyore zvikuru kuti chiremba wacho kusarudza kurapwa.

Zvinotarisirwa kuti varwere vasati biopsy

Kakawanda, mashoko biopsy nzira rinoitwa zvakananga muhofisi yachiremba, kana mammolog, gayinakorojisiti kana zvimwe nyanzvi. Mune zvisingawanzoitiki chaizvo zvinoitika, muchipatara kunodiwa.

Pamberi nzira, chiremba anofanira kuudza murwere kuti mashoko anotevera:

1. Tinotofanira misa anticoagulation.
2. Regai kutora Anti-anogumbura zvinodhaka.
3. Usarerutsa mumazuva mashomanana anotevera pamberi muitiro, "asipurini" uye ayo analogues.
4. Kana akaona Kusagadzikana kunetsa, chiremba rinokurudzira achitora sedatives.
5. Asati kuita muitiro hazvina zvakakodzera kuti vadye nokunwa.
6. Zvakakodzera kuongorora kuchengetwa aseptic uye akambozvishandisa kuuraya utachiona.

Kana pre-zvose mibvunzo iyi chiremba inokurukura murwere, sezvo mutemo, muitiro kunoitika nenzira dzose nzira.

Sadikanwa Migumisiro biopsy

We akatarira zvakaitwa biopsy marudzi, ukoshi. Nzira dzokudzidza, pane zvakasiyana, asi zvikuru mashoko, hunobvumira iwe rokuongorora zvakarurama uye nokukurumidza. Very kashoma zvinotevera biopsy vari matambudziko. Kana nzira iri kuitwa nenyanzvi, kuti zvose anomhanya zvakanaka uye pasina migumisiro, asi regai haabatanidzi kukura rwakashata zviitiko izvi.

Zvinogona ropa kubva munzvimbo yaunodya zvokunyama. Mushure nzira, vanga nguva dzose zvakaipa hemostatics mhinduro uye isa bhandeji kana zvakakodzera. Zvakakosha kudzivisa ropa panguva bronchoscopy zvemapapu, zvimwe unogona kutungamirira zvakakomba.

Zviri pachena kuti biopsy kunotungamirira kukuvara nenyere. Asi pakakoromoka rinenge uye kupwanywa kunoitika kana muitiro rinoitwa nevanhu sakodzera vashandi. Muzviitiko izvi zvakakosha hutachiwana.

Chirwere chinogona kuongororwa nzvimbo. Izvi zvinoitika kana kwete maererano nemitemo aseptic uye akambozvishandisa kuuraya utachiona.

Septic kuvhunduka kungamutsawo tichishingaira kufambiswa noutachiona.

Dzivisa zvose matambudziko, chero mhando biopsy haina kushandiswa, zvinokwanisika kana tikashandisa michina ano uye kutevera mitemo utsanana. Saka ndisabatwe ane chirwere chiri ronda, uye chitarisiko yematambudziko.

Saka, takurukura muudzame marudzi biopsies. Necropsy ndiye nesayenzi kuti vanodzidza pathological pezvakaitwa zviri munyama. Saka biopsy - ndiwo mumwe nzira kwayo, asi zvinofanira kutaurwa kuti kupfuura dzawo uye yakarurama. Chikurukuru, varwere panguva kuona chiremba kana usingakwanisi chete kuita zvakarurama nechirwere, asi regai kunonoka pamwe nokurapwa.

Zvichengetedze uye basa atinoitwa utano hwavo.