A biopsy we indlala yegilo: ukuthi kuyini, indlela esenziwe? A biopsy we indlala yegilo: ukulungiselela, ukuhumusha imiphumela cwaningo, imiphumela

Ezimweni zanamuhla wokwelapha isifo somdlavuza yegilo sekuphenduke ezingeni kunalokho okusezingeni eliphezulu. Kulesi namanje akwaziwa ukuthi isidingo sokungenelela Sakhiwo sangekhatsi umzimba, okungukuthi, wenzela biopsy we indlala yegilo. Kuyini lokhu? - You buza. Impendulo akuyona eside ukufika, uma yegilo yakho Izigaxana mkhulu kunezinhliziyo 1 cm ngobukhulu, noma uma sekube izinhlangano eziningana ezinjalo. Iqiniso lokuthi we ultrasound ngaso sonke isikhathi esanele. Ukuze ukwazi uhlobo imfundo, udinga ukuthatha isampula impahla futhi ucabangele isimo sayo.

Ukuhlonishwa izinqubo ezidingekayo

Ososayensi abaningi, kanye World Health Organization iphawule wayesiqaphela isidingo sokuhlala ukwenza inqubo enjalo. Ososayensi baveza ukuthi imfundo, ngisho usayizi encane kakhulu, uma kwakunamabandla angaphezu kwelilodwa, ibe nomthelela omubi kakhulu emzimbeni womuntu, ngakho-ke, ukucacisa isimo sawo - kungumsebenzi wawo wonke udokotela, ebhekene nenkinga enjalo esigulini. Abantu bacele usizo ngale nkinga, bangaphansi kokuqondisa kukadokotela sika. Uqoka Kugcine lwahlolwa ukuze izinga lama-hormone ezifana hormone yegilo, triiodothyronine-thyroxine, nokunye. gqwa ultrasound Luhlolo nazo esimisiwe, ngokuvamile lezi zindlela okwenziwa izikhathi 3-6 ngenyanga, ngaphezu, iziguli kudingeka ukulawula isimo sabo siqu.

kokubonisana kwangaphambilini

Ngokubonisana udokotela wakho uzokutshela yonke imininingwane, okuyinto kuhambisana biopsy we indlala yegilo: ukuthi kuyini, lokho akufezile, lokho izinyathelo wokulungiselela okudingeka badlule ngakhona ukuze enze lokho, nokunye.

Ingabe izinzwa?

Kuyinto umbuzo yemvelo ephakama esigulini ngasinye: indlela ukwenza biopsy we indlala yegilo? Nakuba igama umsindo scary, inqubo ayikanye umbono wesabeka kangaka. Eqinisweni, le nto yeselula kusuka kusayithi wokubhoboza ngenaliti ekhethekile mncane kakhulu.

Ukulungiselela inqubo

Wenza biopsy we indlala yegilo, amalungiselelo, ngenhlanhla, kungadingeki, kumaminithi. udokotela Anesthesia ngaphambi umsebenzi kwenziwa ngenxa yezizathu ezimbili:

1. Okuhlangenwe nakho nesineke cishe akukho ubuhlungu esiyitholayo kuphela inaliti umjovo.

2. izidakamizwa injected ongafinyelela isampuli isisindo yamangqamuzana, ngokuqinisekile kuthinte izinga, kanye nenqubo kuzophindwa izikhathi eziningi.

Indlela eyinhloko biopsy kulungile inaliti wokubhoboza.

Inqubo biopsy

Ukuze sithole isimo izinto eziphilayo azithathe ISIZINDA iyaqala kokwenza inqubo biopsy. Luhilela esisuka nge material ekhethekile inaliti begazi kusukela ekwakhekeni, okuyinto yadluliselwa cwaningo. Zonke iziguli ezine-abaye batholakala bene-imfundo enjalo kumelwe ibhekane ukwenza inqubo enjalo. I obuhlolwe kahle kakhulu ngesikhathi biopsy ukuba bakhulu ibalula imfundo.

Ngobusuku obandulela inqubo, uma isiguli sifuna ujabule kakhulu, uJehova angakunika, sine. Inqubo langempela iqala isikhundla lesiguli kusofa nekhanda lakhe aphonswe emuva. Ukufakwa indawo iphathwa ngotshwala, kulandele isibhamu eziningana endaweni esisuka kusukela ISIZINDA we izinto eziphilayo azithathe. Yenza isibhamu ambalwa okudingayo, njengoba ukubhoboza imbobo eyodwa abakwazi ukunikeza ezidingekayo ukuze bahlole inani impahla. Okulandelayo, impahla ekhethekile ubekwe ingilazi nabanye futhi wathumela kuJehowashi luhlolo histological.

Imikhawulo Sibekezele

Ukuze isiguli komkhawulo: ayikwazi ukugwinya phakathi naleyo nqubo. Lokhu kungenxa yokuthi i-inaliti kuyinto mncane kakhulu, futhi ukwakheka ezincane, ngakho push kancane ungathumela inaliti ayo ngokuthatha indlela okungeyona futhi ngeke sizifake lezo zinto. Inqubo ephelele wenziwa usebenzisa umshini ultrasound. It okudingekayo ukulawula isiqondiso yenaliti ngaphansi kwesikhumba, it kwandisa amathuba nesenzakalo yayo iyunithi ethintekile. Yonke inqubo ithatha esiphezulu isigamu sehora, kungaba enze njengenhlangano sinenkonzo yokunakekela iziguli emakhaya, futhi ngesikhathi isesibhedlela.

Ukuhlolwa imiphumela inqubo

luhlolo Cytological ka amasampula etholwe wathatha isilinganiso ngesonto elilodwa. Ukunemba Imiphumela kakhulu - 95%, 100, ngoba kukhona isici womuntu okungukuthi abasebenzi eyenza wokubhoboza, musa njalo ezingeni elifanele ziqu, kanye nenqubo ngokwayo likubeka ngokucacile. Iningi lezingane izifo eyiphutha noma uninformative ewela ezimeni ezimbalwa isizinda, usayizi okuyinto awufiki eyodwa isentimitha.

Indlela okubekwe ngayo Benign endabeni ukwenza inqubo enjalo kuyinto goiter nodular, futhi zonke zayo ezihlukahlukene. Uhlanzekile lapho ithola umphumela uba-98% kuzo zonke izimo. Encwadini ingozi ibuye ecabanga ukwakhiwa okunjalo iSifo njengoba colloids iqembu follicular epithelium - ematfuba ubumsulwa nge izifo ezifana kuyinto 95%.

Ebulalayo e-50% amacala uxilongwe amayunithi:

• nobunzima umehluko adenoma;
• node izimpawu atypia;
• senzo epithelium follicular.

Ezimweni ezinjalo, amazwi lokhu - neoplasia follicular.

I esiyingozi kakhulu futhi ngokuvamile kakhulu kukhona izifo ebulalayo:

• amareferensi sitholakele carcinoma ngokuvamile isayithi umdlavuza cishe sasiyikhulu namashumi amaphesenti;
• carcinoma okusolakala - amaphesenti angaba ngu-80-90 okungenzeka;
• e-70% amacala sitholakele umdlavuza zesiteji ayikwazi siqambe engeyokuqala ebulalayo.

Ukuhlaziywa ezengeziwe amasampuli

Kwezinye izimo, yegilo Imiphumela biopsy kudingeka kuqhutshwe uphenyo. Ngokwesibonelo, kaningi ukuqhuba ukuhlolwa ezishaywayo ne inaliti khona thyroglobulin noma calcitonin. Lokhu kuhlola kungaba ukunemba ucwaningo, uma imiphumela izifundo ezivamile babe olungalungile, ngakho adenomas ngezinye izikhathi ezikhonjwe we nezindlala parathyroid, okuyinto zitholakala ngaphakathi indlala yegilo.

Lapho sebuphelele yegilo biopsy imiphumela cwaningo zinikwa isiguli kwetinhlobo letikhetsekile. Kukhona elotshiwe lonke ulwazi ebalulekile etholwe emva amasampula yokuhlola: isimo node, indawo, usayizi nokunye. Ngokuvamile, isikhathi esiphezulu asalinde imiphumela - lokho izinsuku ezingu-7, ngezinye izikhathi, abanye izikhungo, kunalokho, igama elithi ihlaziya kokuhlaziywa izinsuku 1-2.

Enye indlela ukuhlola of umdlavuza

Radioisotope ukuskena - kungenye indlela ukuhlola isimo ISIZINDA. Akazange siqambe a biopsy, futhi kuyisinyathelo kwangaphambilini phambi kwakhe. Ngo amagama wezokwelapha, kukhona imiqondo emibili: ISIZINDA ashisayo nabandayo. amaseli yegilo ukuncela iodine oyingxenye indlala. Lapho zaphathwa isiguli iodine enemisebe ku izithombe yegilo 2 ungavula isithombe. Uma inhlangano indlala siqukethe impahla yeselula,, ngoba noma ngabe yisiphi isizathu, ayikwazi ukudonsa iodine, kuvela umfanekiso bluish, futhi kuyoba indawo abandayo. Uma i-iodine asebenzayo amuncwa umzimba, isithombe uphendulela osawolintshi isithombe, kuyoba indawo ashisayo.

Nquma izingxenye ubumsulwa ngoba lezi zithombe kunzima ngempela, kodwa uma sikhuluma kwenzeke, uma engeyokuqala ashisayo, ematfuba ukuthi abulalayo, kuyinto ephansi kakhulu kunalokho uma isithombe emuva okuphambene. Njengoba radioisotope ukuskena akusho asinikeza impendulo ecacile, odokotela namanje zigcine asesebenzisa uphethwe wokugcina kwengqondo e ngesimo biopsy we indlala yegilo.

A biopsy we indlala yegilo: ngemiphumela

Wokubhoboza we indlala yegilo, eqinisweni - kuba inqubo ngokuphelele ayinangozi. Ngemva cishe never ukuthuthukisa nanoma yiziphi izinkinga, kanti uma, akulutho kakhulu. Ngakho, into embi kakhulu engehlela - ukopha endaweni ifindo noma ukuvuvukala endaweni yokukhuleka wokubhoboza, lezi yezinkinga ziphathwa aphansi.

Ezinye kancane-unolwazi noma, ngokuvamile, abantu abangenalwazi bakholelwa ukuthi wesibeletho lymph node ngemuva kokuthatha isampula ingozi yini ube yingozi, kodwa kungcono ubuze besimo ngokuphelele ukuthi akwenzeki. izimila Benign bangaba ebulalayo nge ncazelo, VO - kuba uma udokotela ngesikhathi Ukuhlola amasampula yezithunywa zevangeli ngiye ngaphuthelwa into, kodwa kwenzeka kakhulu kuyaqabukela. Ngokuvamile, musa ulalele izindaba mayelana izakhiwo nezesabekayo idume a biopsy we indlala yegilo, imiphumela yalo baqiniseka abangelutho.

Kungaba nomdlavuza uma kwakungeyona

Uma engeyokuqala anomdlavuza, iyisifo okubulalayo nokuhlala khona ekuqaleni lakhiwa. Uma ekuqaleni ukukhula kulezi amayunithi bezakhiwe bemvelo yokuthi kukhona avele umdlavuza bengayi. Iqiniso liwukuthi lapho engeyokuqala ziqala ukumila, isivele Oncology etholakalayo. Nakuba engeyokuqala hhayi beqala ukwanda, asikho kakhulu ukuhlola kungani UBANI uncoma yokuhlola kuphela labo ISIZINDA ukuthi idlule ngobukhulu 1 cm noma ngaphansi uma kumiswa, kodwa imiphumela ultrasound kuwo ngokusobala izimpawu samanje umdlavuza.

Yebo, noma kanjani, kunezimo lapho ngemva wokubhoboza ngemva kweminyaka embalwa, engeyokuqala uqala zikhule, futhi ngemva inqubo yesibili kubonakala sengathi kukhona kusadingeka umdlavuza. Khona-ke kukhona ezifana inkulumo okulusizi like "biopsy Umngane wami delalalas we indlala yegilo, ukubuyekezwa ezinhle futhi emva inqubo ezinyangeni eziyisithupha ifindo eqala ukukhuluphala, iyini inkinga lapha?". Isiphetho sendaba lapha akukhona ukuthi umdlavuza kwabonakala nje manje, inkinga sivame e ezicashile ezintathu:

• I wokubhoboza wokuqala okwenziwe ngesikhathi i unit osayizi amancane kakhulu. Cishe, udokotela, uma ukwenza inqubo, nje ukhethe impahla okungalungile, ngamanye amazwi, musa hit iyunithi.

• Okungafanele amasampuli imiklamo. Abanye ochwepheshe, ikakhulukazi labo abasebenza emadolobheni amancane lapho biopsy we indlala yegilo, lokho ayiqondakali unolwazi, nokuthi kumele enze, kulapho awazi, lokho imiphumela okungalungile etholakala.

• Udokotela-cytologist, lapho ukuqaqwa bafeza biopsy we indlala yegilo, akakwazanga ukumsiza eqaphela egunjini lokuhlolwa kwezifo. Inqubo ngokwaso engenziwa ngokuphelele futhi amasampula Ungase futhi uthole okuhle, kodwa ulwazi udokotela-cytologist Kubalulekile, ngoba kokunakekela kwakhe kuncike ithole ukuxilongwa okufanele.

Yilokho kukhona ukwazi mayelana nendlela biopsy yegilo wenziwa, ukuthi kuyini nokuthi kungani kudingeka ke.