Kuqhelekile ukuziva usoyika kwaye unexhala xa ugqirha wakho ekuxelela ukuba "thabatha iqhekeza elincinci lesibindi sakho ukuze ulivavanye" (Liver Biopsy). Ngubani ongathandiyo ukuva amagama athi "ukufaka inaliti," akunjalo? Kodwa oku akoyikisi njengoko sicinga. Oku kunokukunceda ufumane ukuba yintoni kanye kanye ingxaki ngesibindi sakho. Ngoko masithethe ngale nto kwasekuqaleni.
Yintoni i-biopsy yesibindi?
Ngamafutshane, i-biopsy yesibindi yinkqubo apho iqhekeza elincinci kakhulu lesicubu (isampulu yezicubu) lisuswa kwisibindi sakho kusetyenziswa inaliti ekhethekileyo. Le sampulu yezicubu emva koko ihlolwa phantsi kwemakroskopu ngugqirha ochwephesha kwizicubu, obizwa ngokuba yi-pathologist. Olu vavanyo lunokunceda ekuchongeni uhlobo lwesifo esinaso isibindi sakho.
Ixesha elininzi, uphelelwa yi-anesthesia ngokupheleleyo, oko kuthetha ukuba awulali. Nangona kunjalo, ukuba uxhalabile okanye uxhalabile, unganikwa iyeza lokuthomalalisa (amayeza) ukukunceda uphumle. Oku kuya kukuvumela ukuba wenze oku ngaphandle kokungakhululeki kakhulu.
Kutheni ufuna i-biopsy yesibindi?
Ugqirha angakuthumela kolu vavanyo ngezizathu ezahlukeneyo.
- Ukuba iziphumo zovavanyo lwakho lwegazi zibonisa ii-enzymes zesibindi ezihlala ziphezulu ngendlela engaqhelekanga.
- Ukuba ulusu lwakho lujike lwaba tyheli ngaphandle kwesizathu esicacileyo, oko kuthetha ukuba une-jaundice.
- Ukuba iskeni yesibindi sakho (esifana ne-ultrasound okanye i-CT scan) sibonisa into engalunganga ngaso, njengethumba,
- Ukuba isibindi sidumbile kwaye sikhulu ngaphandle kwesizathu.
Olu vavanyo lunokuchonga ngokuchanekileyo inani lezifo ezinxulumene nesibindi. Umzekelo:
- Umhlaza wesibindi
- Isifo sesibindi esinamafutha
- Jonga ukuba zinzima kangakanani iimeko ezifana neHepatitis B kunye ne-C
- Jonga ukuba isibindi sinesifo sesibindi, kwaye ukuba kunjalo, sifikelele kwinqanaba elingakanani.
Kwakhona, ukuba umntu sele efumana unyango lwesifo sesibindi, olu vavanyo lwe-biopsy lunokunceda ekuqinisekiseni ukuba unyango luphumelele na.
Ngaba oku kuyabuhlungu ngokwenene?
Lo ngumbuzo omkhulu engqondweni yomntu wonke. Kuqhelekile ukucinga ngentlungu xa usiva igama elithi "ukufaka inaliti uze uthathe iqhekeza." Kodwa inyani yile, awuziva ntlungu xa inaliti ye-biopsy ifakwa esibindini.
Ugqirha uza kuqala ngokufaka inaliti yokubulala iintlungu kwindawo yesikhumba apho kuza kufakwa khona inaliti. Oku kufana nokufaka iintsini zibe nentlungu ngaphambi kokuba kukhutshwe izinyo. Usenokuziva utshile kancinci xa unikwa inaliti, kodwa loo ndawo iza kuba nentlungu ngokupheleleyo kumzuzu omnye. Emva koko, xa kufakwa inaliti ye-biopsy, uya kuziva uxinzelelo oluncinci, kungekhona intlungu.
Ziziphi iindlela zokwenza i-biopsy yesibindi?
Kukho iindlela ezahlukeneyo zokwenza i-biopsy yesibindi. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kwimeko yakho.
| Indlela ye-Biopsy | Indlela yokwenza ngokulula |
|---|---|
| I-Percutaneous Biopsy | Le yeyona ndlela isetyenziswa kakhulu kwaye ilula. Emva kokwenza ulusu lube nesiyezi, kufakwa inaliti eluswini lwesisu iye esibindini kwaye kuthathwa iqhekeza lesicwili. |
| I-Biopsy exhunyiweyo | Kuyafana nalapha ngasentla, kodwa emva kokuba izicubu zisusiwe, inaliti ifakwa ijeli ekhethekileyo. Le ndlela isetyenziswa kubantu abasengozini enkulu yokopha. |
| I-Laparoscopic Biopsy | Kwenziwa umngxuma omncinci kakhulu esiswini, kwaye kufakwa ityhubhu enekhamera (i-laparoscope). Ikhamera ijonga isibindi ize ithathe isiqwenga sethishu kwindawo oyifunayo. Uza kuba ne-anesthesia epheleleyo ngenxa yoku. |
| I-Transvenous / Transjugular Biopsy | Le ndlela isetyenziswa kubantu abaneengxaki zokujiya kwegazi. Ityhubhu encinci kakhulu (i-catheter) idluliselwa ngemithambo yegazi emikhulu entanyeni (umthambo we-jugular) iye esibindini, kwaye inaliti ye-biopsy idluliselwa kuloo tyhubhu ukuze kuthathwe iqhekeza lethishu. |
Ndingazilungiselela njani ngaphambi kokuba kwenziwe i-biopsy?
Kukho izinto ezimbalwa ekufuneka uzenze ngaphambi kolu vavanyo. Kubaluleke kakhulu ukuba uzilandele ngqo ezi zinto.
- Xelela ugqirha wakho yonke into: Ukuba ukhulelwe, unesifo sentliziyo okanye semiphunga, une-allergies kumayeza athile, okanye uneengxaki zokopha, mxelele konke kwangaphambili.
- Sixelele ngazo zonke amayeza owasebenzisayo:Xelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye nezongezo ozithathayo. Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba uthatha amayeza okunciphisa igazi, afana ne -aspirin, i-clopidogrel (Plavix), i-warfarin (Coumadin), okanye i-apixaban (Eliquis) . Ugqirha wakho angakucela ukuba uyeke ukusebenzisa la mayeza kwiintsuku ezimbalwa ngaphambi kokuba kwenziwe i-biopsy.
- Buza imibuzo: Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga noku.
- Ukuyeka ukutya nokusela: Ugqirha wakho uza kukuxelela ukuba kufuneka uyeke ukutya nokusela iiyure ezingaphi ngaphambi kokuba kwenziwe i-biopsy. Landela elo xesha ngokuchanekileyo.
- Umntu oza kukuqhubela ekhaya: Ekubeni ungazukukwazi ukuziqhubela ekhaya emva kovavanyo lwe-biopsy, zise umntu oza kukuqhubela ekhaya.
Kwenzeka ntoni ngomhla wokwenziwa kwe-biopsy?
Le nkqubo idla ngokuhamba ngolu hlobo.
Ngaphambi kwe-biopsy
Ugqirha uza kukuchazela yonke inkqubo kwakhona, akuxelele ngeengxaki ezinokubakho, aze afumane imvume yakho. Ukuba kuyimfuneko, baza kukunika i-sedation ukuze bakuncede uphumle. Banokwenza ne-ultrasound ukuze bafumane indawo efanelekileyo yokufaka inaliti.
Xa i-biopsy yenziwe
Uza kunikwa ilokhwe yesibhedlele uze ucelwe ukuba ulale ebhedini. Ngokuqhelekileyo, uza kucelwa ukuba ulale phantsi ingalo yakho yasekunene iphantsi kwentloko yakho kwaye ingqiniba yakho yasekunene iphume. Kubalulekile ukuhlala uzolile kangangoko ngeli xesha. Ugqirha uza kucoca indawo, anike amayeza okubulala iintlungu, enze umsike omncinci, afake inaliti ye-biopsy, aze emva kwemizuzwana embalwa, asuse iqhekeza lesicwili. Lonke eli nyathelo lithatha malunga nemizuzu eli-15-30.
Emva kwe-biopsy
Emva koko uza kugcinwa kwigumbi lokuchacha malunga neeyure ezi-2-4 ukujonga ukuba uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho kuqhelekile na.
- Usenokuziva ubuhlungu obuncinci kwindawo ohlatywe kuyo inaliti, kunye nentlungu ethile egxalabeni okanye emqolo. Iipilisi zokunciphisa iintlungu ziya kunikwa ukuba kuyimfuneko.
- Kuphephe ukuphakamisa izinto ezisindayo okanye ukwenza umthambo onzima kangangeveki emva kokwenziwa kwe-biopsy.
- Musa ukuthatha amayeza okunciphisa igazi afana ne-aspirin ngaphandle kwengcebiso kagqirha wakho. Ungathatha i-paracetamol (i-acetaminophen) ukuba kuyimfuneko.
- Ugqirha uza kukuchazela oku xa efumana ingxelo yovavanyo lwakho kwiintsuku ezimbalwa.
Ngaba kukho naziphi na iingozi koku?
Ixesha elininzi, akukho ngxaki. Nangona kunjalo, kulungile ukuqaphela izinto ezingaqhelekanga ezinokwenzeka.
- Ukopha: Usenokuba uphuma igazi ngaphakathi. Uza kuhlolwa esibhedlele ukuze kuhlolwe oku.
- Ukuvuza kwenyongo: Inyongo inokuvuza kwisibindi okanye kwinyongo.
- Iingxaki ezinxulumene nemiphunga:Kunqabile kakhulu, inaliti ye-biopsy ingangena kwi-pleura, yonakalise imiphunga (pneumothorax).
Ukuba unale mpawu, fowunela ugqirha wakho ngoko nangoko okanye uye kwi-ETU.
Ukuba kukho naziphi na kwezi mpawu zilandelayo ezibonakala zingadlulanga iiyure ezingama-72 emva kokuhlolwa kwe-biopsy, tsalela umnxeba ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Umkhuhlane okanye ukubanda
- Isiyezi
- Ubunzima bokuphefumla
- Iintlungu zesifuba
- Ukudumba kwesisu okanye ukugcwala
- Iintlungu zesisu ezikhulayo
- Ububomvu, ukudumba, kunye nentlungu eqatha kwindawo yokubhoboza
Ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla, fowunela u-1990 ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Liver Biopsy luvavanyo olukhuselekileyo nolwenziwa rhoqo oluhlola ngokuchanekileyo impilo yesibindi sakho.
- Ngenxa yokuba ulusu luba ndindisholo xa usenza oku, aluziva buhlungu njengoko unokucinga. Uziva nje ukurhawuzelela okuncinci.
- Kubaluleke kakhulu ukuze ukhuseleke ukulandela imiyalelo kagqirha ngaphambi nasemva kovavanyo.
- Ukuba kuvela naziphi na iimpawu ezingaqhelekanga (umkhuhlane, iintlungu eziqatha, ubunzima bokuphefumla) emva kovavanyo, funa ingcebiso kagqirha ngokukhawuleza.
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