Ureteral retrograde brashi biopsy

Ureteral retrograde brashi biopsy inzira yekuvhiya. Munguva yekuvhiyiwa, chiremba wako anovhiya anotora muyenzaniso mudiki wetishu kubva mumutsara weitsvo kana ureter. Iyo ureter ndiyo chubhu inobatanidza itsvo kune dundira. Iyo turu inotumirwa kune lab yekuyedzwa.

Maitiro aya anoitwa uchishandisa:

• Dunhu (musana) anesthesia
• General kutindivadza

Hauzonzwa chero kurwadziwa. Muedzo unotora maminetsi makumi matatu kusvika makumi matanhatu.

Iyo cystoscope inotanga kuiswa kuburikidza neiyo urethra kupinda mudundira. Cystoscope ipombi ine kamera pamagumo.

• Ipapo tambo inotungamirwa inoiswa kuburikidza neiyo cystoscope kupinda mureterter (iyo chubhu iri pakati peya dundira neitsvo).
• Iyo cystoscope inobviswa. Asi waya yekutungamira inosara iri panzvimbo.
• A ureteroscope inoiswa pamusoro kana padivi peye tambo waya. Iyo ureteroscope yakareba, yakatetepa teresikopu ine kamera diki. Chiremba anovhiya anogona kuona mukati meiyo ureter kana itsvo kuburikidza nekamera.
• Iyo nylon kana simbi bhurasho inoiswa kuburikidza neiyo ureteroscope. Iyo nzvimbo ichave biopsied inoshambwa nebrashi. Biopsy forceps inogona kushandiswa pachinzvimbo chekutora svumbunuro svumbunuro.
• Iyo bharashi kana biopsy forceps inobviswa. Iyo turu inotorwa kubva kuchiridzwa.

Muenzaniso wacho unobva watumirwa kubazi rezvirwere kuti riongororwe. Chimbo uye waya yekufambisa inobviswa kubva mumuviri. Iyo diki chubhu kana stent inogona kusiiwa mune iyo ureter. Izvi zvinodzivirira itsvo kuvharika kunokonzerwa nekuzvimba kubva munzira. Inobviswa gare gare.

Unogona kusakwanisa kudya kana kunwa chero chinhu kwemaawa matanhatu usati wayedzwa. Anopa hutano hwako anokuudza iwe zvaunoda kugadzirira.

Iwe unogona kuve nekupwanya kwakapfava kana kusagadzikana mushure mekuedzwa kwapera. Iwe unogona kunge uchinzwa kupisa nguva dzishoma dzekutanga paunodurura dundira rako. Iwe unogona zvakare kuita weti kakawanda kana kuve neropa mumurini wako kwemazuva mashoma mushure mekuita. Iwe unogona kusagadzikana kubva kune stent iyo inozoenderera irimo kusvikira yabviswa pane imwe nguva inotevera.

Muedzo uyu unoshandiswa kutora sampuro yetishu kubva kuitsvo kana ureter. Inoitwa kana x-ray kana imwe bvunzo yaratidza inofungidzirwa nzvimbo (lesion). Izvi zvinogona zvakare kuitwa kana paine ropa kana masero asina kujairika mumurini.

Iyo turu inoratidzika seyakajairika.

Mhedzisiro isina kujairika inogona kuratidza cancer maseru (carcinoma). Uyu muedzo unowanzo shandiswa kutaurira musiyano uripo pakati pecancer (yakaipa) uye isina-cancer (benign) maronda.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kuwanda kweropa
• Utachiona

Imwe ingangoita njodzi yemaitiro aya igomba (perforation) mune ureter. Izvi zvinogona kukonzeresa ureter uye ungangoda kumwe kuvhiyiwa kugadzirisa dambudziko. Udza mupiki wako kana iwe uine allergies yezvokudya zvegungwa. Izvi zvinogona kukonzeresa kuti iwe urege kugadzikana nedhi yekusiyanisa yakashandiswa panguva yemuedzo uyu.

Uyu muedzo haufanire kuitwa mune vanhu vane:

• Urinary turakiti hutachiona
• Kuvharika pane kana pazasi peiyo biopsy saiti

Iwe unogona kunge uine kurwadziwa kwepamuviri kana kurwadziwa kudivi rako (parutivi).

Kashoma reropa mumurini zvakajairika iwo mashoma ekutanga nguva dzaunodhonza mushure mekuita. Weti yako inogona kutaridzika kunge pinki. Mhan'arira weti ine ropa rakawanda kana kubuda ropa izvo zvinogara kwenguva yakareba kupfuura katatu kudonhedza dundira kumupi wako.

Fonera mupiki wako kana iwe uine:

• Marwadzo akaipa kana kuti haasi kuve nani
• Kupindwa nechando
• Kutonhora
• Weti ine ropa rakawanda
• Kubuda ropa kunoenderera mushure mekunge wadurura dundira rako katatu

Biopsy - brashi - weti turakiti; Kudzosera ureteral brashi biopsy cytology; Cytology - ureteral retrograde brashi biopsy

• Itsvo anatomi
• Itsvo - kuyerera kweropa uye weti
• Ureteral biopsy

Kallidonis P, Liatsikos E. Urothelial mamota epamusoro eurinary turakiti uye ureter. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 98.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Cystoscopy & ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Yakagadziridzwa munaJune 2015. Yakasvika May 14, 2020.