Chiremba paakakuudza kuti unofanira kuongororwa chiropa, wakatya zvishoma uye wakatya, handiti? "Sei zvakadaro?", "Zvicharwadza zvakanyanya here?", "Kuvhiyiwa kukuru here?" Mibvunzo yakawanda inofanira kunge yakauya mupfungwa dzako. Usatya, izvi hazvina kukura kana kutyisa sezvaunowanzofunga. Ngatitaurei nezvazvo zvakadzama uye nhasi.
Zvichitaurwa zviri nyore, chii chinonzi biopsy yechiropa?
Kuongororwa kwechiropa inzira diki yekurapa iyo chidimbu chidiki chenyama (sampuli yenyama) chinotorwa kubva muchiropa chako uchishandisa tsono yakakosha. Sezvatinotora ropa kuti tiongorore chirwere, muchiitiko ichi, chidimbu chidiki chechiropa pachacho chinotorwa choongororwa.
Sampuro yenyama inotumirwa kurabhoritari, uko chiremba wezvirwere , chiremba ane hunyanzvi mukuongorora nyama uye kuongorora zvirwere, anoitarisa pasi pemaikorosikopu kuti aone kuti chirwere chechiropa ndecherudzii.
Sei tichifanira kuita Biopsy yeChiropa?
Pane zvikonzero zvikuru zviviri zveizvi.
1. Kuongorora chirwere: Dzimwe nguva kuongororwa kweropa kana kuti kuongororwa kweropa kunogona kuratidza kuti pane dambudziko nechiropa chako. Asi zvingasava nechokwadi chekuti chii. Muzviitiko zvakadaro, vanachiremba vanoti bvunzo iyi ye biopsy ndiyo nzira yakanakisisa yekusimbisa zvimwe zvirwere zvechiropa (chiyero chegoridhe).
2. Kuyera mamiriro echirwere: Kana uine chirwere chechiropa chisingaperi, bvunzo iyi inoshandiswawo kuona kuti chapararira kusvika papi uye kuti chiropa chakuvara zvakadii. Zvikuru, inogona kupa mamakisi (F0 kusvika F4) ehuwandu hwe fibrosis , kureva kuti, kuumbwa kweganda risinganyanyi kupora. Aya ndiwo maitiro ekurapa, kurapwa, uye fungidziro yechirwere.
Ndezvipi zvirwere zvinogona kuonekwa nebvunzo iyi?
Kuongororwa kwechiropa kunogona kuona zvirwere zvakasiyana-siyana zvine chekuita nechiropa.
| Rudzi rwechirwere | Mienzaniso |
|---|---|
| Zvirwere zvechiropa zvinowanzoonekwa | |
| Chiropa chine mafuta | Chirwere cheChiropa Chine Mafuta |
| Chiropa chisingaperi | Chiropa Chisingaperi |
| Chirwere cheCirrhosis | Kurwara kwechiropa |
| Kenza yechiropa | Kenza yechiropa |
| Zvikonzero chaizvo nezvirwere | |
| Zvirwere zvechiropa zvinokonzerwa nezvikonzero zvakasiyana-siyana | Chirwere chechiropa chinokonzerwa nedoro |
| Chiropa chinozvimba chinokonzerwa nematambudziko ekudzivirira muviri (autoimmune hepatitis) | |
| Zvirwere zvinokonzerwa nekuwandisa kwesimbi mumuviri (Hemochromatosis) | |
| Chirwere cheWilson | |
| Chiropa chehepatitis B kana C | |
| Tibhii | |
Kuongororwa kwechiropa kunoitwa sei? Ndedzipi nzira dzinoshandiswa?
Pane nzira nhatu huru dzekuita izvi. Chiremba wako achasarudza nzira yakakodzera zvichienderana nemamiriro ako ezvinhu.
1. Kuongororwa kwechiropa nemuviri
Iyi ndiyo nzira inonyanya kushandiswa uye iri nyore. 'Percutaneous' zvinoreva 'kuburikidza neganda.' Chiremba anotora muenzaniso uyu nekuisa tsono diki nepaganda riri kurudyi rwedumbu rako, pasi pembabvu dzako, zvakananga muchiropa.
2. Kuongororwa kwechiropa neTransvenous Liver Biopsy
Nzira iyi inoshandiswa kana uri panjodzi yekubuda ropa, kana kuti uine chirwere chakadai se ascites. 'Transvenous' zvinoreva 'kuburikidza netsinga'. Pano, chubhu diki (catheter) inopinzwa netsinga huru iri mumutsipa (tsinga yejugular), uye tsono inopfuudzwa nechubhu iyoyo kuenda kuchiropa.
3. Kuvhiyiwa kwechiropa Biopsy
Dzimwe nguva, chidimbu chechiropa chinogona kubviswa panguva yekuvhiyiwa kwedumbu (kuvhiyiwa kwakavhurika kana laparoscopic) nekuda kwechimwe chikonzero.
Kazhinji, kunze kwekunge uri kuvhiyiwa kukuru, hauzorare (general anesthesia). Chiremba anoda kuti umuke. Asi kana uchitya, vanogona kukupa mushonga wekunyaradza kuti unzwe wakadhakwa zvishoma.
Ungagadzirira sei biopsy isati yaitwa?
Pane zvinhu zvishoma zvaunofanira kuita izvi zvisati zvaitika.
- Kutaura nachiremba wako: Taura nachiremba wako nezvenhoroondo yehutano hwako nemishonga yauri kutora. Ungakumbirwa kuti urege kutora mimwe mishonga, yakadai semishonga inobvisa ropa mumuviri, inenge vhiki imwe chete isati yasvika.
- Kuongororwa kweropa: Kuongororwa kweropa kuchaitwa kuti uone kugona kwako kugayiwa kweropa. Kana paine kushomeka kweropa, rinogona kurapwa usati waongororwa.
- Kutsanya: Unowanzo kumbirwa kuti urege kudya kana kunwa kwemaawa masere bvunzo isati yaitwa. Zvisinei, tevera mirairo yachiremba wako nemazvo.
- Ronga pachine nguva: Kana uchizopiwa mushonga wekuderedza kurwara, ronga kuti mumwe munhu akuendese kumba nemotokari nguva isati yakwana. Uyewo, gadzirira vhiki yekuzorora mushure mekuongororwa kweropa.
Chii chinoitika pazuva re biopsy?
Bvunzo iyi inotora maminetsi angangoita 15-30, asi uchafanira kugara muchipatara kwemaawa akati wandei uchitariswa mushure mezvo.
Paunenge uchinyora bvunzo:
1. Ucharadzikwa pamubhedha, uye nzvimbo ichapinzwa tsono (kurudyi kwedumbu kana mutsipa) ichacheneswa zvakanaka uye mushonga unouraya utachiona uchaiswa.
2. Tevere , mushonga unotindivadza unopinzwa munzvimbo iyi. Uchanzwa kupisa zvishoma kana ukashandiswa, asi nzvimbo yacho ichapera simba mukati meinenge miniti.
3. Kana nzvimbo yacho yave nechinhu chisina simba, chiremba anoita kucheka kudiki obva aisa tsono ye biopsy nepairi.
4. Ungangokumbirwa kuti ubatisise mweya wako kwechinguva. Hapana kurwadziwa kana tsono ichipinda, asi unganzwa kumanikidzwa zvishoma mukati .
5. Mushure memasekonzi mashoma, sampuli inotorwa uye tsono inobviswa. Zvadaro plaster inoiswa panzvimbo yacho.
6. Mushure mekuongororwa, uchadzoserwa kurudyi kwenguva yakati. Izvi zvichabatsira kumanikidza chiropa nehuremu hwako uye kumisa kubuda ropa.
Pane njodzi here mushure mekuongororwa?
Iyi inowanzo kuve bvunzo yakachengeteka. Matambudziko akakomba haawanzoitiki (anenge 0.1%). Zvisinei, matambudziko madiki anogona kuitika.
- Marwadzo: Unogona kunzwa kurwadziwa kudiki kurudyi kwedumbu rako kana pafudzi rekurudyi mushure mekuongororwa. Izvi zvinogona kudzorwa nemishonga inoderedza marwadzo.
- Kuderera kweropa: Vamwe vanhu vanogona kunzwa dzungu zvishoma. Izvi zvinowanzopera mushure mechinguva.
Zvisinei, kana ukaona zviratidzo zvinotevera mushure mekudzokera kumba, unofanira kufonera chiremba wako nekukasika .
- Fivha yakanyanya
- Kushaya simba kwakanyanya kana kufenda
- Kuoma kufema
- Kurova kwemoyo
- Kutsvuka kwemaziso kana ganda (Jaundice)
- Kurwadziwa kwakanyanya
- Kuzvimba mudumbu
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwechiropa inzira yakakosha uye yakachengeteka yekuongorora chirwere chechiropa.
- Izvi zvinowanzoitwa paunenge wakarara, uye nzvimbo yacho isina kunzwa zvakanaka saka haunzwi kurwadziwa kwakanyanya.
- Zvakakosha kutevedzera mirairo yachiremba (yakadai sekurega kushandisa mishonga, kutsanya) usati waongororwa.
- Mushure mekuongororwa, unofanira kudzivisa basa rakaoma uye kuzorora kweinenge vhiki.
- Kana ukaona zviratidzo zvakaita sekurwadziwa kwakanyanya, fivha, kana kupera simba mushure mekudzokera kumba, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muine mibvunzo kana zvinokunetsai nezvenyaya iyi, musazeza kutaura nachiremba.
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