Xa ugqirha ekuxelela ukuba kufuneka wenze i-biopsy yesibindi, woyika kancinci kwaye woyika, akunjalo? "Kutheni kunjalo?", "Ngaba kuza kuba buhlungu kakhulu?", "Ngaba lutyando olukhulu?" Imibuzo emininzi kufuneka ukuba ifike engqondweni. Musa ukoyika, oku akukukhulu okanye akoyiki njengoko ucinga rhoqo. Makhe sithethe ngale nto ngokweenkcukacha nangokulula namhlanje.
Ngamafutshane, yintoni i-biopsy yesibindi?
I-biopsy yesibindi yinkqubo encinci yezonyango apho kuthathwa iqhekeza elincinci kakhulu lesicubu (isampulu yezicubu) kwisibindi sakho kusetyenziswa inaliti ekhethekileyo. Njengokuba sithatha isampuli yegazi ukuze sivavanye isifo, kule meko, kuthathwa iqhekeza elincinci lesibindi ngokwaso lize lihlolwe.
Isampuli yezicubu ithunyelwa kwilebhu, apho ingcali yezifo , ugqirha ochwephesha ekuhloleni izicwili nasekuxilongeni izifo, uyijonga phantsi kwemicroscope ukuze afumanise ukuba loluphi uhlobo lwesifo sesibindi.
Kutheni kufuneka senze i-Liver Biopsy?
Kukho izizathu ezibini eziphambili zoku.
1. Uxilongo: Ngamanye amaxesha uvavanyo lwakho lwe-scan okanye lwegazi lunokubonisa ukuba kukho ingxaki kwisibindi sakho. Kodwa isenokungaqinisekanga ngokupheleleyo ukuba yintoni. Kwiimeko ezinjalo, oogqirha bathi olu vavanyo lwe-biopsy yeyona ndlela ilungileyo yokuqinisekisa ezinye izifo zesibindi (umgangatho ogqwesileyo).
2. Ukulinganisa inqanaba: Ukuba unesifo sesibindi esinganyangekiyo, olu vavanyo lukwasetyenziselwa ukufumanisa ukuba sisasazeke kangakanani kwaye umonakalo owenziwe kwisibindi ungakanani. Ngokukodwa, lunokunika amanqaku (F0 ukuya kwi-F4) obungakanani be- fibrosis , oko kukuthi, ukwakheka kwezicubu ezingafunekiyo. Le yindlela amayeza, unyango, kunye noqikelelo lwesifo ezichongwa ngayo.
Zeziphi izifo ezinokuchongwa ngolu vavanyo?
I-biopsy yesibindi inokuchonga iimeko ezahlukeneyo ezinxulumene nesibindi.
| Uhlobo lwemeko yezonyango | Imizekelo |
|---|---|
| Izifo zesibindi ezifunyaniswa rhoqo | |
| Isibindi esinamafutha | Isifo sesibindi esinamafutha |
| I-hepatitis engapheliyo | I-Hepatitis engapheliyo |
| Imeko ye-Cirrhosis | Isifo sesibindi |
| Umhlaza wesibindi | Umhlaza wesibindi |
| Izizathu ezithile kunye nezifo | |
| Izifo zesibindi ezibangelwa zizizathu ezahlukeneyo | Isifo sesibindi esibangelwa butywala |
| I-Autoimmune hepatitis (ukudumba kwesibindi okubangelwa ziingxaki zenkqubo yomzimba yokuzikhusela) | |
| Izifo ezibangelwa yi-iron eninzi emzimbeni (i-Hemochromatosis) | |
| Isifo sikaWilson | |
| I-hepatitis B okanye C ebangelwa yintsholongwane | |
| Isifo sephepha | |
Yenziwa njani iBiopsy yesibindi? Ziziphi iindlela ezisetyenziswayo?
Kukho iindlela ezintathu eziphambili zokwenza oku. Ugqirha wakho uya kukhetha eyona ndlela ifanelekileyo ngokwemeko yakho.
1. I-Biopsy yesibindi esingena esikhumbeni
Le yeyona ndlela isetyenziswa kakhulu kwaye ilula. 'I-Percutaneous' ithetha 'ngokusebenzisa ulusu.' Ugqirha uthatha isampuli ngokufaka inaliti encinci ngolusu olukwicala lasekunene lesisu sakho, phantsi kweembambo zakho, ngqo esibindini.
2. I-Transvenous Liver Biopsy
Le ndlela isetyenziswa ukuba usemngciphekweni wokopha, okanye ukuba unesifo esifana ne-ascites. 'I-Transvenous' ithetha 'ngomthambo'. Apha, umbhobho omncinci (i-catheter) ufakwa ngomthambo omkhulu entanyeni (umthambo we-jugular), kwaye inaliti idluliselwa kuloo mbhobho iye esibindini.
3. Utyando lweBiopsy yesibindi
Ngamanye amaxesha, iqhekeza lesibindi linokususwa ngexesha lotyando lwesisu (utyando oluvulekileyo okanye lwe-laparoscopic) ngesinye isizathu.
Ngokwesiqhelo, ngaphandle kokuba wenze utyando olukhulu, awuyi kulaliswa (i-anesthesia eqhelekileyo). Ugqirha ufuna ukuba uvuke. Kodwa ukuba uyoyika, banokukunika i-thomalaliso ukuze uzive unxilile kancinci.
Ungazilungiselela njani ngaphambi kokuba kwenziwe i-biopsy?
Kukho izinto ezimbalwa ekufuneka uzenze ngaphambi koku.
- Ukuthetha nogqirha wakho: Thetha nogqirha wakho ngembali yakho yempilo kunye namayeza owasebenzisayo. Usenokucelwa ukuba uyeke ukusebenzisa amanye amayeza, afana ne-blood thinners, malunga neveki ngaphambi kokuba kuqale unyango.
- Uvavanyo lwegazi: Kuza kwenziwa uvavanyo lwegazi ukujonga amandla akho okujiya kwegazi. Ukuba kukho ukusilela, kunokunyangeka ngaphambi kokuba kwenziwe i-biopsy.
- Ukuzila Ukutya: Uhlala ucelwa ukuba uyeke ukutya okanye ukusela malunga neeyure ezisi-8 ngaphambi kovavanyo. Nangona kunjalo, landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Cwangcisa kwangaphambili: Ukuba uza kunikwa i-sedation, lungiselela ukuba umntu akuqhubele ekhaya kwangethuba. Kwakhona, lungiselela iveki yokuphumla emva kovavanyo lwe-biopsy.
Kwenzeka ntoni ngomhla wokwenziwa kwe-biopsy?
Uvavanyo luthatha malunga nemizuzu eli-15-30, kodwa kuya kufuneka uhlale esibhedlele iiyure ezininzi ujongiwe emva koko.
Ngethuba ndibhala uvavanyo:
1. Uza kulaliswa ebhedini, kwaye indawo apho inaliti iza kufakwa khona (icala lasekunene lesisu okanye intamo) iya kucocwa kakuhle kwaye kufakwe isibulali-ntsholongwane.
2. Okulandelayo , kufakwa i-anesthetic yendawo kuloo ndawo. Uza kuziva ukutshisa kancinci xa oku kusetyenziswa, kodwa loo ndawo iza kuba ndindisholo kumzuzu omnye.
3. Emva kokuba indawo ingasebenzi kakuhle, ugqirha wenza umngxuma omncinci aze afake inaliti ye-biopsy kuyo.
4. Usenokucelwa ukuba ubambe umphefumlo wakho okwethutyana. Akukho ntlungu xa inaliti ingena, kodwa ungaziva uxinzelelo oluncinci ngaphakathi .
5. Emva kwemizuzwana embalwa, isampuli iyathathwa ize inaliti isuswe. Emva koko kufakwa iplasta kuloo ndawo.
6. Emva kovavanyo lwe-biopsy, uza kujika uye kwicala lakho lasekunene okwethutyana. Oku kuya kunceda ukubeka uxinzelelo kwisibindi ngobunzima bakho kwaye kuncede ekumiseni ukopha.
Ngaba kukho naziphi na iingozi emva kovavanyo?
Olu luvavanyo olukhuselekileyo ngokubanzi. Iingxaki ezinkulu azixhaphakanga (malunga ne-0.1%). Nangona kunjalo, iingxaki ezimbalwa ezincinci zinokwenzeka.
- Intlungu: Usenokufumana iintlungu ezincinci kwicala lasekunene lesisu sakho okanye egxalabeni lasekunene emva kovavanyo. Oku kunokulawulwa ngemithi yokuthomalalisa iintlungu.
- Uxinzelelo lwegazi oluphantsi: Abanye abantu banokuziva benesiyezi kancinci. Oku kudla ngokunyamalala emva kwexesha elithile.
Nangona kunjalo, ukuba ufumana ezi mpawu zilandelayo emva kokubuyela ekhaya, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Umkhuhlane ophezulu
- Ubuthathaka obukhulu okanye ukutyhafa
- Ubunzima bokuphefumla
- Ukubetha kwentliziyo
- Ukutyheli kwamehlo okanye ulusu (i-Jaundice)
- Intlungu ebuhlungu
- Ukudumba kwesisu
Umyalezo Wokuya Ekhaya
- I-Liver Biopsy luvavanyo olubaluleke kakhulu nolukhuselekileyo ngokubanzi lokufumanisa isifo sesibindi ngokuqinisekileyo.
- Oku kudla ngokwenziwa xa usezingqondweni, kwaye indawo ekubhekiselwa kuyo ayiziva ntlungu ingako.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (njengokuyeka amayeza, ukuzila ukutya) ngaphambi kovavanyo.
- Emva kovavanyo, kufuneka uphephe umsebenzi onzima kwaye uphumle malunga neveki.
- Ukuba ufumanisa iimpawu ezifana nentlungu eqatha, umkhuhlane, okanye ukuquleka emva kokubuyela ekhaya, funa ingcebiso kagqirha ngoko nangoko.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, ungathandabuzi ukuthetha nogqirha.
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