Munyori: Janice Evans
Zuva Rekusika: 2 Chikunguru 2021
Gadziridza Zuva: 15 Mbudzi 2024
Anonim
Transperineal Prostate Biopsies Under Local Anesthesia
Vhidhiyo: Transperineal Prostate Biopsies Under Local Anesthesia

Prostate biopsy ndiko kubviswa kwetudiki masampuli etrostate tishu kuti uiongorore zviratidzo zvegomarara reprostate.

Prostate idiki, gland rakakura saizi pasi pechidzitiro. Inoputira urethra, iyo chubhu inoburitsa weti kunze kwemuviri. Prostate inogadzira urume, chinoyerera chinotakura urume.

Kune nzira nhatu huru dzekuita prostate biopsy.

Kuchinja kweprostate biopsy - kuburikidza nekamu. Iyi ndiyo nzira yakajairika.

  • Iwe uchakumbirwa kuti urambe wakarara parutivi rwako nemabvi ako akakotama.
  • Mutapi wezvehutano anoisa chinongedzo chemunwe-chakakura ultrasound muchikamu chako. Unogona kunzwa kusagadzikana kana kumanikidzwa.
  • Iyo ultrasound inobvumira mupi kuona mifananidzo yeprostate. Uchishandisa iyi mifananidzo, mupi anozobaya mushonga unovhiringidza wakakomberedza prostate.
  • Zvino, uchishandisa ultrasound kutungamira iyo biopsy tsono, mupi anoisa iyo tsono muprostate kutora sampuro. Izvi zvinogona kukonzera kupfupika kunorwadza kunzwa.
  • Dzinogona kutorwa dzinosvika gumi kusvika gumi neshanu. Vachaendeswa kubazi kunoongororwa.
  • Maitiro ese anotora maminetsi gumi.

Dzimwe nzira dzeprostate biopsy dzinoshandiswa, asi kwete kazhinji. Izvi zvinosanganisira:


Transurethral - kuburikidza urethra.

  • Iwe unozogamuchira mushonga wekuti uve nehope kuti usanzwa kurwadziwa.
  • Iyo inochinjika chubhu ine kamera pamagumo (cystoscope) inoiswa kuburikidza nekuvhurwa kweiyo urera kumusoro kwepenhengo.
  • Sampuli dzemashuga dzinounganidzwa kubva kuprostate kuburikidza nehukuru.

Zvakakwana - kuburikidza neparineum (ganda riri pakati peanus uye chikosoro).

  • Iwe unozogamuchira mushonga wekuti uve nehope kuti usanzwa kurwadziwa.
  • Tsono inoiswa mukati me perineum kuti inhonge nyama yeprostate.

Wako mupi achakuzivisa nezve njodzi uye zvakanakira biopsy. Ungatofanira kusaina fomu rekubvuma.

Mazuva akati wandei pamberi peiyo bhaopsy, mupi wako anogona kukuudza kuti mira kutora chero:

  • Anticoagulants (ropa rinoonda mishonga) senge warfarin, (Coumadin, Jantoven), clopidogrel (Plavix), apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban powder (Xarelto), kana aspirin
  • NSAIDs, senge aspirin uye ibuprofen
  • Mishonga inowedzera
  • Mavhitaminzi

Ramba uchitora chero mishonga yekunyorera kunze kwekunge mupi wako akakuudza kuti usaitore.


Wako mupi anogona kukubvunza iwe kuti:

  • Idya zvikafu zvidiki chete zuva risati rasvika bhaopsy.
  • Ita enema kumba usati maitiro ekuchenesa rectum yako.
  • Tora mishonga inorwisa mabhakitiriya zuva rapfuura, zuva ra, uye zuva rakatevera bhaopsy yako.

Munguva yekuita iwe unogona kunzwa:

  • Kusadzikama hunyoro apo probe ichiiswa
  • Kakuruma kapfupi kana sampuro ikatorwa neiyo biopsy tsono

Mushure mekuita, iwe unogona kunge uine:

  • Kushungurudzika mune yako rectum
  • Zvishoma zveropa muzvituru zvako, weti, kana urume, izvo zvinogona kugara kwemazuva kusvika kumavhiki
  • Chiedza kubuda ropa kubva pane yako rectum

Kuchengetedza hutachiona mushure meiyo bhaopsy, mupi wako anogona kupa mishonga inorwisa mabhakitiriya kuti atore kwemazuva akati wandei maitiro acho. Ive neshuwa yekutora iyo yakazara dosi sekurairwa.

Biopsy inoitwa kutarisa gomarara reprostate.

Wako mupi anogona kukurudzira prostate biopsy kana:

  • Kuongororwa kweropa kunoratidza kuti une yakakwira kupfuura yakajairika prostate yakatarwa antigen (PSA) nhanho
  • Wako mupi anowana bundu kana kusagadzikana muprostate yako panguva yedigital rectal bvunzo

Zvakajairika mhedzisiro kubva kubiopsy inoratidza kuti hapana maseru ekenza akawanikwa.


A yakanaka biopsy mhedzisiro zvinoreva kuti cancer maseru akawanikwa. Iyo lab ichapa masero giredhi inonzi Gleason mamaki. Izvi zvinobatsira kufanotaura kuti gomarara richakurumidza sei kukura. Chiremba wako achataura newe nezvesarudzo dzako dzekurapa.

Iyo biopsy inogona zvakare kuratidza maseru anotaridzika kunge asina kujairika, asi anogona kana anogona kunge asiri cancer. Wako mupi achataura newe nezve matanho api aunotora. Iwe ungangoda imwe biopsy.

Prostate biopsy inowanzo chengeteka. Ngozi dzinosanganisira:

  • Utachiona kana sepsis (hutachiona hwakanyanya hweropa)
  • Dambudziko rekupfuura weti
  • Allergic reaction kumishonga
  • Kubuda ropa kana kupwanya pane iyo biopsy saiti

Prostate gland biopsy; Inoshanduka prostate biopsy; Yakanaka tsono biopsy yeprostate; Core biopsy yeprostate; Targeted prostate biopsy; Prostate biopsy - transrectal Ultrasound (TRUS); Stereotactic transperineal prostate biopsy (STPB)

  • Utano hwemurume hwekubereka

Babayan RK, Katz MH. Biopsy prophylaxis, maitiro, matambudziko, uye kudzokorora biopsies. Mune: Mydlo JH, Godec CJ, eds. Kenza yeprostate: sainzi uye kiriniki maitiro. 2nd ed. Waltham, MA: Elsevier; 2016: chits. 9.

Trabulsi EJ, Halpern EJ, Gomella LG. Prostate biopsy: maitiro uye imaging. Mune: Partin AW, Dmochowski RR, Kavoussi LR, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 150.

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