Mediastinoscopy ine biopsy

Mediastinoscopy ine biopsy inzira inoiswa chishandiso chakavhenekerwa (mediastinoscope) inoiswa munzvimbo muchipfuva pakati pemapapu (mediastinum). Tissue inotorwa (biopsy) kubva kune chero kujairika kukura kana lymph node.

Maitiro aya anoitwa muchipatara. Iwe unozopihwa general anesthesia kuitira kuti iwe uvete uye usanzwa chero kurwadziwa. Chubhu (endotracheal tube) inoiswa mumhino kana muromo wako kuti ikubatsire kufema.

Kacheka kekuvhiya kanogadzirwa pamusoro pechipfuva chete. Chigadzirwa chinonzi mediastinoscope chinoiswa kuburikidza nekucheka uku uye zvinyoronyoro zvichipfuura nepakati-chikamu chechipfuva.

Masampuli etishu anotorwa ema lymph node akakomberedza nzira dzemhepo. Iyo chiyero chinobva chabviswa uye iyo yekuvhiya yakatemwa yakavharwa nemastitches.

Bhokisi x-ray rinowanzozotorwa panopera maitiro.

Maitiro acho anotora maminetsi makumi matanhatu kusvika makumi mapfumbamwe.

Iwe unofanirwa kusaina fomu rekubvuma rine ruzivo. Hauchakwanise kuve nechikafu kana mvura mvura kwemaawa masere bvunzo isati yaitwa.

Iwe unenge wakarara panguva yekuita. Pachave nehumwe hunyoro pane saiti yemaitiro mumashure. Unogona kunge uine huro.

Vanhu vazhinji vanogona kubva muchipatara mangwanani anotevera.

Muzviitiko zvakawanda, mhedzisiro yeiyo biopsy yakagadzirira mumazuva mashanu kusvika manomwe.

Maitiro aya anoitwa kuti utarise uyezve biopsy lymph node kana chero kumwe kukura kusingaenzanisike muchikamu chepamberi chemediastinum, padyo nepachipfuva chako.

• Chikonzero chakajairika ndechekuona kana kenza yemapapu (kana imwe gomarara) yapararira kune idzi node node. Uku kunodaidzwa kunzi staging.
• Maitiro aya anoitwawo kune zvimwe hutachiona (tibhii, sarcoidosis) uye autoimmune kusagadzikana.

Biopsies e lymph node tishu akajairika uye haaratidze zviratidzo zvegomarara kana hutachiona.

Kuwana zvisina kujairika kunogona kuratidza:

• Hodgkin chirwere
• Kenza yemapapu
• Lymphoma kana mamwe mamota
• Sarcoidosis
• Kupararira kwechirwere kubva kune mumwe muviri chikamu kune chimwe
• Tiibhii

Iko kune njodzi yekuboora iyo yegurokuro, trachea, kana tsinga dzeropa. Mune zvimwe zviitiko, izvi zvinogona kutungamira mukubuda ropa izvo zvinogona kutyisidzira hupenyu. Kugadzirisa kukuvara, iro zamu raizoda kutsemurwa uye chipfuva kuvhurwa.

• Mediastinum

Cheng GS, Varghese TK. Mediastinal tumors uye cysts. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray & Nadel's Bhuku reRefiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 83.

Putnam JB. Mapapu, madziro echipfuva, pleura, uye mediastinum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 57.