Lymph node biopsy

Lymph node biopsy ndiko kubviswa kwema lymph node tishu yekuongororwa pasi pe microscope.

Iwo ma "lymph node" madiki madiki anoita masero machena eropa (lymphocyte), ayo anorwisa hutachiona. Lymph node inogona kuteya hutachiona hunokonzera hutachiona. Kenza inogona kupararira kune lymph node.

Lymph node biopsy inowanzoitwa mukamuri yekuvhiya muchipatara kana kunzvimbo yekuvhiya yekurapa. Bhiopsy inogona kuitwa nenzira dzakasiyana.

Kuvhura biopsy kuvhiya kubvisa zvese kana chikamu cheiyo lymph node. Izvi zvinowanzoitwa kana paine lymph node inogona kunzwika pabvunzo. Izvi zvinogona kuitwa neinesthesia yemuno (mushonga unovhundutsa) jekiseni munzvimbo, kana pasi peanesthesia. Maitiro acho anowanzoitwa nenzira inotevera:

• Iwe unorara patafura yekuongorora. Iwe unogona kupihwa mushonga wekukudzikamisa uye kukuita kuti uve nehope kana iwe unogona kunge uine general anesthesia, zvinoreva kuti wakarara uye hauna kurwadziwa.
• Iyo biopsy saiti inonatswa.
• Chinhu chidiki chekuvhiya (incision) inoitwa. Iyo lymph node kana chikamu cheiyo node inobviswa.
• Iyo incision yakavharwa netambo uye bhandeji kana kunamira kwemvura kunoiswa.
• Bhiopsy yakavhurika inogona kutora maminetsi makumi matatu kusvika makumi mashanu.

Kune mamwe kanzira, nzira yakakosha yekutsvaga yakanyanya lymph node kune biopsy inoshandiswa. Izvi zvinonzi sentinel lymph node biopsy, uye inosanganisira:

Chidiki che tracer, ingave radioactive tracer (radioisotope) kana dhayi yebhuruu kana ese ari maviri, inobaiwa panzvimbo yebundu kana munzvimbo yebundu.

Iyo yekuteedzera kana dhayi inoyerera ichipinda padyo (yemuno) node kana node. Idzo node dzinodaidzwa kunzi nongedzo dzesentinel. Iyo sentinel node ndiyo yekutanga lymph node kune iyo kenza inogona kupararira.

Iyo sentinel node kana node zvinobviswa.

Lymph node biopsies mudumbu inogona kubviswa ne laparoscope. Iri diki chubhu ine mwenje uye kamera inoiswa kuburikidza nekacheka mudumbu. Imwe kana zvimwe zvimwe zvinoitwa zvichagadzirwa uye zvishandiso zvichaiswa kubatsira kubvisa node. Iyo lymph node inowanikwa uye chikamu kana chese chabviswa. Izvi zvinowanzoitwa pasi peanesthesia, zvinoreva kuti munhu ane maitiro aya anenge akarara uye asingarwadziwe.

Mushure mekunge sampuro yabviswa, inotumirwa kurabhoritari kunoongororwa.

Tsono biopsy inosanganisira kuisa tsono mune lymph node. Rudzi rwebiopsy urwu runogona kuitwa nana radiologist ine anesthesia yemuno, uchishandisa ultrasound kana CT scan kuti uwane iyo node.

Udza mupiki wako:

• Kana iwe uri nepamuviri
• Kana iwe uine chero mishonga yemagetsi
• Kana uine matambudziko ekubuda ropa
• Ndeapi mishonga auri kutora (kusanganisira chero zvinowedzerwa kana mishonga yemakwenzi)

Wako mupi anogona kukubvunza iwe kuti:

• Rega kutora chero ropa rinotapisa, senge aspirin, heparin, warfarin (Coumadin), kana clopidogrel (Plavix) sekurairwa
• Usadya kana kunwa chero chinhu mushure menguva yakati rebei pamberi pebiopsy
• Svika pane imwe nguva kuitira maitiro

Kana jekiseni remuno rikajowa, iwe unozonzwa kubaya uye kurira zvinyoro. Iyo biopsy saiti ichave inorwadza kwemazuva mashoma mushure mekuyedzwa.

Mushure mekuvhura kana laparoscopic biopsy, marwadzo acho akapfava uye unogona kuadzora nemushonga unorwadza wepamusoro-the-counter. Iwe unogona zvakare kuona kumwe kupwanya kana kuyerera kwemvura kwemazuva mashoma. Tevedzera rairo yekutarisira iyo incision. Ipo iyo incision iri kupora, dzivisa chero mhando yeakanyanya kurovedza muviri kana kurema kusimudza iyo inokonzeresa kurwadziwa kana kusagadzikana. Kumbira mupiki wako mirawo yakanangana nezve zviitwa zvaunogona kuita.

Muedzo unoshandiswa kuongorora cancer, sarcoidosis, kana hutachiona (senge tibhii):

• Kana iwe kana mupi wako achinzwa kuzvimba glands uye hazviendi
• Kana ma lymph node asina kujairika aripo pane mammogram, ultrasound, CT, kana MRI scan
• Kune vamwe vanhu vane gomarara, senge kenza yemazamu kana melanoma, kuti vaone kana gomarara rapararira (sentinel lymph node biopsy kana tsono biopsy neradiologist)

Mhedzisiro yeiyo biopsy inobatsira mupi wako kusarudza pamusoro pekuwedzera bvunzo uye kurapwa.

Kana iyo lymph node biopsy isingaratidze chero zviratidzo zvekenza, zvinowanzoitika kuti mamwe maLymph node ari padyo anewo kenza-isina. Ruzivo urwu runogona kubatsira mupi kusarudza nezvezve bvunzo uye kurapwa.

Mhedzisiro isina kujairika inogona kunge yakakonzerwa nemamiriro mazhinji akasiyana, kubva kutapukanana kwakanyanya kusvika kugomarara.

Semuenzaniso, akawedzera lymph node anogona kunge achikonzerwa ne:

• Gomarara (chipfuva, mapapu, muromo)
• HIV
• Kenza yeiyo lymph tishu (Hodgkin kana isiri Hodgkin lymphoma)
• Utachiona (tibhii, chirwere chekati)
• Kuzvimba kwema lymph node uye dzimwe nhengo uye nyama (sarcoidosis)

Lymph node biopsy inogona kukonzera chero yeanotevera:

• Kubuda ropa
• Utachiona (mune zvisingawanzoitika zviitiko, ronda rinogona kutapukirwa uye ungangoda kutora mishonga inorwisa mabhakitiriya)
• Kukuvara kwetsinga kana bhaopsy yaitwa pane lymph node padyo nemitsipa (iyo chiveve inowanzoenda mumwedzi mishoma)

Biopsy - lymph nodes; Vhura lymph node biopsy; Tsono yakanaka yekutsvagisa tsono; Sentinel lymph node biopsy

• Lymphatic maitiro
• Lymph node metastases, CT scan

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.

Chung A, Giuliano AE. Mepu yeLymphatic uye sentinel lymphadenectomy yekenza yemazamu. Mune: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Chipfuva: Yakakwana Management yeBenign uye Malignant Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chitsuwa 42.

National Cancer Institute webhusaiti. Sentinel lymph node biopsy. www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet. Yakagadziridzwa Chikumi 25, 2019. Yakasvika muna Chikunguru 13, 2020.

Wechidiki NA, Dulaimi E, Al-Saleem T. Lymph node: cytomorphology uye kuyerera cytometry. Mune: Bibbo M, Wilbur DC, eds. Yakakwana Cytopathology. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 25.