Vhura pleural biopsy

Iyo yakavhurika yekukumbira bhaopsy inzira yekubvisa uye kuongorora iwo matishu anoisa mukati mechipfuva. Nyama iyi inonzi pleura.

Yakavhurika yekukumbira bhaopsy inoitwa muchipatara uchishandisa general anesthesia. Izvi zvinoreva kuti unenge wakarara uye kurwadziwa pasina. Chubhu inozoiswa kuburikidza nemuromo wako ichidzika nehuro yako kuti ikubatsire kufema.

Kuvhiya kunoitwa nenzira inotevera:

• Mushure mekuchenesa ganda, chiremba anovhiya anoita kucheka kudiki kuruboshwe kana kurudyi kwechipfuva.
• Mbabvu dzakapatsanurwa zvinyoro nyoro.
• Chikamu chinogona kuiswa kuti chione nzvimbo kuti ive biopsied.
• Tissue inotorwa kubva mukati mechipfuva yoendeswa kurabhoritari kunoongororwa.
• Mushure mekuvhiyiwa, ronda rakavharwa nezvisungo.
• Chiremba wako anogona kusarudza kusiya pombi yepurasitiki muchipfuva chako kudzivirira mweya nemvura kubva pakuvaka.

Iyo yekufema chubhu inogona kusakwanisa kubviswa chaipo mushure mekuvhiyiwa. Nekudaro, iwe ungangoda kuve uri pamushini wekufema kwenguva yakati.

Iwe unofanirwa kutaurira mupi wehutano kana iwe uri nepamuviri, neutachiona kune chero mishonga, kana kana uine dambudziko rekubuda ropa. Ive neshuwa yekuudza mupi wako nezve yese mishonga yaunotora, kusanganisira mahebhu, zvinowedzera, uye izvo zvakatengwa pasina mushonga.

Tevera rairo yechiremba wako yekusadya kana kunwa usati waitwa.

Paunomuka mushure mekuita, unonzwa uchikotsira kwemaawa akati wandei.

Pachave nehumwe hunyoro uye kurwadziwa uko iko kwekucheka kwekucheka kuri iko. Vazhinji vanovhiya vanobairira anoshanda kwenguva refu anesthetic yemuno panzvimbo yekuvhiya saiti kuitira kuti uve nemarwadzo mashoma mushure.

Iwe unogona kuva nehuro inorwadza kubva pombi yekufema. Unogona kudzikamisa marwadzo nekudya echando machipisi.

Unogona kunge uine chubhu muchipfuva chako kubvisa mweya. Izvi zvichabviswa gare gare.

Maitiro aya anoshandiswa kana chiremba anovhiya achida chidimbu chakakura chetishu kupfuura chaanogona kubviswa ne pleural sindano biopsy. Chiyero chinowanzoitwa kazhinji kutonga kunze mesothelioma, rudzi rwepapu bundu.

Izvo zvinoitwawo kana paine chinoyerera muchipfuva mhango, kana kana iko kutaridzika kwakananga kweiyo pleura nemapapu kuchidikanwa.

Maitiro aya anogona zvakare kuitwa kuti aongorore metastatic pleural bundu. Urwu ndirwo rudzi rwegomarara rwakapararira kubva pane imwe nhengo kuenda kuchikumbiro.

Iyo pleura ichave yakajairwa.

Kuwanikwa kusingawanzo kungave kuri nekuda kwe:

• Kusanzwisisika kwemashuga kukura (neoplasms)
• Zvirwere zvinokonzerwa nehutachiona, fungus, kana chirwere
• Mesothelioma
• Tiibhii

Pane mukana mushoma we:

• Mhepo inodonha
• Kuwedzeredza kurasikirwa kweropa
• Utachiona
• Kukuvara kumapapu
• Pneumothorax (mapapu akadonha)

Biopsy - vhura pleura

• Mapapu
• Incision yezvipembenene zvinyama biopsy
• Pleural mhango

Chernecky CC, Berger BJ. Biopsy, saiti-yakatarwa - specimen. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 199-202.

Wald O, Izhar U, Sugarbaker DJ. Mapapu, madziro echipfuva, pleura uye Mediastinum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 21st ed. St Louis, MO: Elsevier; 2022: chitsiko 58.