Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kuti "mutenge chidutswa chaching'ono cha chiwindi chanu kuti mukachiyese" (Chiwindi Biopsy). Ndani sakonda kumva mawu oti "kuika singano," sichoncho? Koma izi sizowopsa monga momwe timaganizira. Izi zingakuthandizeni kudziwa chomwe chikuvuta ndi chiwindi chanu. Tiyeni tikambirane izi kuyambira pachiyambi.
Kodi biopsy ya chiwindi ndi chiyani?
Mwachidule, kufufuzidwa kwa chiwindi ndi njira yomwe chidutswa chaching'ono kwambiri cha minofu (chitsanzo cha minofu) chimachotsedwa m'chiwindi mwanu pogwiritsa ntchito singano yapadera. Kenako chitsanzo cha minofuchi chimawunikidwa ndi maikulosikopu ndi dokotala yemwe ndi katswiri wa minofu, wotchedwa katswiri wa matenda. Kuyesaku kungathandize kuzindikira mtundu weniweni wa matenda omwe chiwindi chanu chili nawo.
Nthawi zambiri, mumakhala ndi mankhwala oletsa kugona, zomwe zikutanthauza kuti simugonedwa. Komabe, ngati muli ndi mantha kapena nkhawa, mungapatsidwe mankhwala ochepetsa ululu kuti akuthandizeni kupumula. Izi zidzakuthandizani kuchita izi popanda kumva chisoni kwambiri.
Nchifukwa chiyani mukufunika biopsy ya chiwindi?
Dokotala angakutumizireni mayesowa pazifukwa zingapo.
- Ngati zotsatira za mayeso anu a magazi zikusonyeza kuchuluka kwa ma enzymes a chiwindi nthawi zonse.
- Ngati khungu lanu lasanduka lachikasu popanda chifukwa chomveka, zikutanthauza kuti muli ndi jaundice.
- Ngati kujambulidwa kwa chiwindi chanu (monga ultrasound kapena CT scan) kwasonyeza kuti pali vuto ndi chiwindi chanu, monga chotupa,
- Ngati chiwindi chatupa ndi kukula popanda chifukwa.
Kuyezetsa kumeneku kungathe kuzindikira matenda angapo okhudzana ndi chiwindi molondola. Mwachitsanzo:
- Khansa ya chiwindi
- Matenda a chiwindi chamafuta
- Onani momwe matenda monga Hepatitis B ndi C alili oopsa
- Onani ngati chiwindi chayamba kudwala matenda a cirrhosis, ndipo ngati chilipo, mpaka pati.
Komanso, ngati wina akulandira kale chithandizo cha matenda a chiwindi, mayeso a biopsy awa angathandize kudziwa ngati chithandizocho chapambana.
Kodi izi zimapwetekadi?
Funso lalikulu kwambiri lomwe aliyense amafunsa ndi ili. Ndizabwinobwino kuganiza za ululu mukamva mawu akuti "kubaya singano ndi kutenga chidutswa." Koma zoona zake n'zakuti, simumva ululu uliwonse mukamaika singano ya biopsy m'chiwindi.
Dokotala adzayamba ndi jakisoni wa mankhwala oletsa ululu m'dera la khungu komwe singano idzayikidwe. Izi zikufanana ndi kuyika dzanzi m'kamwa musanachotse dzino. Mutha kumva kutentha pang'ono mukalandira jakisoni, koma deralo lidzakhala dzanzi kwathunthu mkati mwa mphindi imodzi. Kenako, singano ya biopsy ikayikidwa, mudzamva kupanikizika pang'ono, osati kupweteka.
Kodi njira zochitira biopsy ya chiwindi ndi ziti?
Pali njira zingapo zochitira biopsy ya chiwindi. Dokotala wanu adzasankha njira yoyenera kwambiri pa vuto lanu.
| Njira ya biopsy | Momwe mungachitire mosavuta |
|---|---|
| Kufufuza kwa Percutaneous | Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri komanso yosavuta. Pambuyo pochotsa dzanzi pakhungu, singano imalowetsedwa kudzera pakhungu la m'mimba kupita ku chiwindi ndipo chidutswa cha minofu chimatengedwa. |
| Kufufuza kwa Biopsy | Mofanana ndi zomwe zili pamwambapa, koma minofu ikachotsedwa, singano imalumikizidwa ndi jeli yapadera. Njirayi imagwiritsidwa ntchito kwa anthu omwe ali pachiwopsezo chachikulu cha kutuluka magazi. |
| Kufufuza kwa Laparoscopic | Kachidutswa kakang'ono kwambiri kamapangidwa m'mimba, ndipo chubu chokhala ndi kamera (laparoscope) chimayikidwa. Kamerayo imayang'ana chiwindi ndikutenga chidutswa cha minofu kuchokera pamalo omwe mukufuna. Mudzapatsidwa mankhwala oletsa ululu chifukwa cha izi. |
| Kusanthula kwa Transvenous / Transjugular Biopsy | Njira imeneyi imagwiritsidwa ntchito kwa anthu omwe ali ndi vuto la magazi kuundana. Chubu choonda kwambiri (catheter) chimadutsa m'mitsempha yayikulu yamagazi m'khosi (mtsempha wa jugular) kupita ku chiwindi, ndipo singano ya biopsy imadutsa m'chubucho kuti itenge chidutswa cha minofu. |
Kodi ndiyenera kukonzekera bwanji ndisanachite biopsy?
Pali zinthu zingapo zomwe muyenera kuchita musanayese mayesowa. Ndikofunikira kwambiri kuti muzitsatira izi molondola.
- Uzani dokotala wanu zonse: Ngati muli ndi pakati, muli ndi matenda a mtima kapena mapapo, muli ndi ziwengo chifukwa cha mankhwala enaake, kapena muli ndi vuto la kutuluka magazi, muuzeni zonse pasadakhale.
- Tiuzeni za mankhwala onse omwe mumamwa:Uzani dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zomwe mumamwa. Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala ochepetsa magazi, monga aspirin, clopidogrel (Plavix), warfarin (Coumadin), kapena apixaban (Eliquis) . Dokotala wanu angakupempheni kuti musiye kumwa mankhwala awa masiku angapo musanachite biopsy.
- Funsani mafunso: Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo pankhaniyi.
- Kusiya kudya ndi kumwa: Dokotala wanu adzakuuzani maola angati musanachite biopsy kuti musiye kudya ndi kumwa. Tsatirani nthawi imeneyo ndendende.
- Munthu woti akuyendetseni kunyumba: Popeza simudzatha kuyendetsa nokha mutatenga biopsy, bweretsani munthu woti akuyendetseni kunyumba.
Kodi chimachitika ndi chiyani tsiku la biopsy?
Njira imeneyi nthawi zambiri imakhala motere.
Asanachite biopsy
Dokotala adzakufotokozeraninso za njira yonseyi, adzakuuzani za mavuto omwe angakhalepo, ndikupempha chilolezo chanu. Ngati pakufunika kutero, adzakupatsani mankhwala ochepetsa ululu kuti akuthandizeni kupumula. Angakuyeseninso ndi ultrasound kuti apeze malo oyenera oikira singano.
Pamene biopsy yachitika
Mudzapatsidwa chovala cha kuchipatala ndipo mudzapemphedwa kugona pabedi. Nthawi zambiri, mudzapemphedwa kugona ndi dzanja lanu lamanja pansi pa mutu wanu ndi chigongono chanu chakumanja chitatuluka. Ndikofunikira kukhala chete momwe mungathere panthawiyi. Dokotala adzayeretsa malowo, adzakupatsani mankhwala ochepetsa ululu, adzacheka pang'ono, adzaika singano ya biopsy, ndipo mkati mwa masekondi ochepa, adzachotsa chidutswa cha minofu. Njira yonseyi imatenga pafupifupi mphindi 15-30.
Pambuyo pa biopsy
Kenako mudzasungidwa m'chipinda chochiritsira odwala kwa maola pafupifupi 2-4 kuti muwone ngati kuthamanga kwa magazi ndi kugunda kwa mtima wanu zili bwino.
- Mungamve kupweteka pang'ono pamalo omwe mwabayira jakisoni, komanso kupweteka pang'ono paphewa kapena kumbuyo kwanu. Mankhwala ochepetsa ululu adzaperekedwa ngati pakufunika kutero.
- Pewani kunyamula zolemera kapena kuchita masewera olimbitsa thupi kwa sabata imodzi mutachita biopsy.
- Musamwe mankhwala ochepetsa magazi monga aspirin popanda upangiri wa dokotala. Mutha kumwa paracetamol (acetaminophen) ngati pakufunika kutero.
- Dokotala adzakufotokozerani izi akalandira lipoti lanu la mayeso patatha masiku ochepa.
Kodi pali zoopsa zilizonse pa izi?
Nthawi zambiri, sipamakhala mavuto. Komabe, ndi bwino kudziwa za zochitika zosachitika kawirikawiri zomwe zingachitike.
- Kutuluka magazi: Mwina mukutuluka magazi mkati. Mudzayang'aniridwa kuchipatala kuti muwone ngati izi zili choncho.
- Kutuluka kwa ndulu: Ndulu imatha kutuluka m'chiwindi kapena m'chidutswa cha ndulu.
- Mavuto okhudzana ndi mapapo:Kawirikawiri, singano ya biopsy imatha kugunda pleura, kuwononga mapapo (pneumothorax).
Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo kapena pitani ku ETU.
Ngati zizindikiro zotsatirazi zikupezeka mkati mwa maola 72 kuchokera pamene biopsy yachitika, imbani dokotala wanu nthawi yomweyo, kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Malungo kapena kuzizira
- Chizungulire
- Kuvuta kupuma
- Kupweteka pachifuwa
- Kutupa m'mimba kapena kudzaza
- Kuwonjezeka kwa ululu m'mimba
- Kufiira, kutupa, ndi ululu waukulu pamalo obowoledwa
Ngati mukumva kupweteka pachifuwa kapena kupuma movutikira, imbani 1990 nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Kuyeza chiwindi (Liver Biopsy) ndi njira yotetezeka komanso yodziwika bwino yoyezera thanzi la chiwindi chanu.
- Chifukwa khungu limakhala lopanda mphamvu mukamachita izi, silimva kupweteka monga momwe mungaganizire. Mumangomva kunjenjemera pang'ono.
- Ndikofunikira kwambiri kuti mukhale otetezeka kutsatira malangizo a dokotala musanayambe komanso mutatha kuyezetsa.
- Ngati zizindikiro zachilendo (malungo, kupweteka kwambiri, kupuma movutikira) zitachitika pambuyo pa mayeso, funsani upangiri wa dokotala mwamsanga.











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