Chii chinonzi Biopsy yeRopa
Zvemukati
Chiropa biopsy kuongororwa kwechiremba umo chidimbu chidiki chechiropa chinobviswa, kuti chiongororwe pasi pe microscope nachiremba, uye nekudaro, kuongorora kana kuongorora zvirwere zviri kukuvadza nhengo iyi, sehepatitis, cirrhosis, systemic zvirwere izvo zvinokanganisa chiropa kana kunyange cancer.
Maitiro aya, anonziwo chiropa biopsy, anoitwa kuchipatara, sezvo sampuro inotorwa kubva muchiropa ine tsono yakakosha, mune imwe nzira yakafanana nekuvhiyiwa kudiki uye, kunyangwe isingawanzo, pangave nenjodzi, sekubuda ropa.
Kazhinji munhu wacho haararame muchipatara uye anodzoka kumba musi mumwe chete, kunyangwe zvichidikanwa kuti uende kuchipatara uchiperekedzwa, nekuti zvinodikanwa kuti uzorore uye haugone kutyaira mushure mebhiopsy.
Kana zvaratidzwa
Chiropa biopsy inoshandiswa kuongorora shanduko muropa, kuitira kutsanangura kuongororwa uye kugona kuronga zvirinani kurapwa. Zviratidzo zvikuru zvinosanganisira:
- Wongorora chisingaperi hepatitis, kana kusava nechokwadi pamusoro pekuongororwa kana kukura kwechirwere, zvakare kugona kuona kukura kwekukuvara kwechiropa
- Ongorora zvirwere zvinokonzeresa kuiswa muchiropa, zvakaita seHemochromatosis, iyo inokonzeresa kuisa simbi, kana chirwere cheWilson, icho chinokonzeresa mari yemhangura semuenzaniso
- Ziva chinokonzera maronda emuropa;
- Tarisa chikonzero chehepatitis, cirrhosis kana kutadza kwechiropa;
- Ongorora kushanda kwerapi kwechiropa;
- Ongorora kuvapo kwemasero ekenza;
- Tsvaga chikonzero checholestasis kana shanduko mumatope enyongo;
- Ziva systemic chirwere chiri kubata chiropa kana chinokonzera fever isina kujeka mabviro;
- Wongorora chiropa cheanogona kuisa mutapi kana chero kufungira kwekurambwa kana kumwe kuomarara mushure mekuisirwa chiropa.
Maitiro aya anongoitwa nekuratidzwa kwekurapa uye, kazhinji, kunoitwa chete kana kumwe kuyedzwa kunoongorora kuvepo kwezvironda uye kushanda kwechiropa kwakundikana kupa ruzivo rwakakosha, senge Ultrasound, tomography, kuyerwa kwemakemikari echiropa (AST, ALT), bilirubins kana albumin, semuenzaniso. Dzidza zvakawanda nezve bvunzo dzinoongorora chiropa.
Maitiro ebiopsy anoitwa sei
Kuita biopsy chiropa, tsono inowanzo shandiswa, kunyanya inoratidzirwa kune aya makesi, kuitira kuyedza kubvisa sampuli ine zvishoma zvingangoitika kukuvara kunhengo.
Dzimwe nzira dzakasiyana dzinogona kushandiswa nachiremba, uye yakanyanya kuwanda ndeyekutsvaira chiropa biopsy, umo tsono inopinzwa kuburikidza neganda kusvika kuchiropa, riri kurudyi kwemudumbu. Maitiro acho anofanirwa kuitwa pasi peanesthesia kana sedation uye, kunyangwe isina kugadzikana, iyi haisi bvunzo inokonzeresa kurwadziwa kwakawanda.
Kazhinji, bvunzo dzakadai seultrasound kana computed tomography dzinoshandiswa senge gwara rekutsvaga nzvimbo yaunoda kusvika, kubva kwaizotorwa muyenzaniso. Chiremba anotora angangoita matatu sampuro uye maitiro acho anotora ingangoita hafu yeawa, zvinoenderana nenyaya imwe neimwe. Ipapo, iwo masampuro anozoongororwa pasi peiyo microscope kuongorora kuvepo kweshanduko mumasero.
Dzimwe nzira dzekuwana mukana wekuwana chiropa chebiopsy, ndeyekuisa tsono kuburikidza nejugular tsinga uye kusvika pachiropa kuburikidza nekutenderera, inonzi nzira inochinja, kana, zvakare panguva ye laparoscopic kana kuvhurwa kwekuvhura, asi iwo mashoma.
Kugadzirira kupi kunodiwa
Usati waita chiropa chechipfuva, chiremba anogona kukurudzira kutsanya kwemaawa matanhatu kusvika masere. Uye zvakare, zvinokurudzirwa kumisa mashandisiro emishonga inogona kukanganisa kugwamba kweropa, kweinenge vhiki rimwe, senge inorwisa-kupisa mishonga, anticoagulants kana AAS, semuenzaniso, izvo zvinofanirwa kuitwa maererano nezano rekurapa.
Kudzorera sei
Mushure mekuvharwa kwechiropa, munhu anoda kugara muchipatara achitariswa kwemaawa angangoita mana. Chiremba anogona zvakare kutarisa BP uye imwe data rakakosha kuti aone kana pangave nezvinetso uye kuti zvakachengeteka here kuburitswa, asi kazhinji, vanhu vanodzorwa zvakanaka vanogona kuenda kumba nezuva rimwe chete.
Munhu wacho anofanira kubva muchipatara nebhandeji padivi pemimba, zvinoenderana nerudzi rwemaitiro, ayo anofanira kubviswa mushure memazuva maviri, kumba, mushure mekupora kwakachengeteka.
Usati wabvisa kupfeka, chengetedzo inofanira kutorwa kwete yekunyorova gauze uye kutarisa kuti inogara yakachena here, uye kana paine kubuda ropa, pus muronda, fivha, kuwedzera nedzungu, kufenda kana kurwadziwa kwakanyanya, zvinoratidzwa kuenda kuna chiremba kuti aongororwe.
Kurerutsa marwadzo uye kusagadzikana chiremba anogona kukurudzira kuti utore mushonga wekutapudza, uye hazvikurudzirwi kuedza kwemaawa makumi maviri nemana mushure mekuitwa.
Zvinogona kuitika
Kunyangwe chiropa biopsy iri yakachengeteka maitiro uye matambudziko asingawanzo kuitika, kubuda ropa, kuputika kwemapapu kana nduru uye hutachiona panzvimbo yekuisa tsono saiti inogona kuitika.