Lung Biopsy: inqubo aphoyintimenti, umphumela nemiphumela

Izifo lokuvikela kubalulekile ekulondolozeni impilo. Imishini entsha kwekhulu lama-21 kwenza kube nokwenzeka ukuxilonga futhi kuvimbele ukuthuthukiswa izifo eziyinkimbinkimbi. Phakathi amasu sesimanjemanje kahle ngokwalo libonisa wamaphaphu biopsy, okuhlose wamaphaphu izicubu luhlolo sokugembula. Kuyini lokhu indlela, ngempumelelo kangakanani futhi indlela yokulungiselela kulolu cwaningo?

Lung Biopsy: inqubo aphoyintimenti nencazelo yalo

Lung isifo nje ukutholwa computed tomography (i-CT) kanye ultrasound. Nokho, kufanele iyiphi uphethwe kuqinisekisiwe, ikakhulukazi uma kuziwa izifo ezifana nenyumoniya, cystic yamaphaphu noma umdlavuza.

Lung biopsy - inqubo ezingaba 100% qinisekisa noma ukuphikisa uphethwe. essence yayo itholakala izicubu kwamaphaphu isiguli. Indaba uvivinyo lungase lube imuphi usayizi, futhi ikakhulukazi iqoqo yayo ekamelweni incike indawo zokugula noma isifo. Empeleni, kuye ngokuthi lezi zici, iphaphu biopsy engenziwa ngezindlela eziningana.

Lapho kubalulekile ukwenza biopsy yamaphaphu

Okokuqala, kulolu cwaningo okuhloswe ngaso eqinisekisa uphethwe, kunokuba ukutholakala zokugula. Lesi sakamuva kwenziwa elula imisebenzi, phakathi kwawo - ultrasound futhi computed tomography. Yikuphi biopsy izifo zamaphaphu okwenzile?

Kuyinto zokugula ezifana:

1. samaphaphu.

2. sofuba.

3. cystic yamaphaphu.

4. Ukunqotshwa kwe-izicubu interstitial.

5. Ukubuthelela ubomvu.

6. umdlavuza et al.

Lezi kanye nezinye izifo eziningi kungabangela ukuba afeze manipulations ezifana wamaphaphu biopsy. Injani ucwaningo futhi yiziphi izici umhlangano?

Izinhlobo wamaphaphu biopsy

Thola impahla ucwaningo ngezindlela eziningana. Ukukhetha omunye wabo incike indawo umthombo ukuvuvukala, endaweni ukubukeka kwezicubu angaphandle, ubomvu. Uyini biopsy we wamaphaphu, njengoba ucwaningo olwenziwe?

1. Bronchoscopy.

Le ndlela isetshenziswa ukuthola kwezinso ku umgudu engenhla, uqhoqhoqho futhi bronchi. It is kwenziwe nge ithuluzi ekhethekile - tube bronchoscopic okuyinto busuka ingaphakathi acinene, noma umlomo. It has a ikhamera encane ekupheleni evumela udokotela ohlinzayo ukubona ngaphakathi kwezindonga yomoya. Ukusebenza sivame esingaphansi kwehora.

2. Needle biopsy.

Sebenzisa le ndlela ukubuyisa obonakele ezicutshini zomzimba ukuthi sekuseduze ukuba nesifuba. Ithuluzi inaliti eside, okuyinto eyenziwa endaweni kusengaphambili imbobo ubude 4 mm. Wokubhoboza wenza kanyekanye ne-ultrasound noma CT ukulandelela isikhundla isihlobo inaliti ukuze indawo kwezicubu kocingo. Inqubo ithatha efanayo imizuzu 60.

3. evulekile wamaphaphu biopsy.

Uma udinga ukufunda isiqephu elikhulu kwezicubu zomzimba imbobo kwesifuba futhi kuthatha impahla usayizi edingekayo. Ngokungafani le ndlela itholakala lokuthi ukuthi kungenzeka ukuba liyobamba ucezu enkulu wamaphaphu izicubu.

4. Thoracoscopy.

Lung biopsy engenziwa ngosizo ubuchwepheshe yezokwelapha zesimanje. Thoracoscopy ingenye izibonelo ezinjalo, uma usebenzisa amathuluzi miniature kanye amakhamera mancane kakhulu ngobukhulu. Lokhu kwenza kube nokwenzeka ukumhlinza ngokucophelela futhi ngaphandle umonakalo omkhulu kuya isikhumba (wazigcaba ezincane ezimbili kuphela). Njengoba nokuvuselelwa ngemva thoracoscopy kuba ngesivinini esingaphezu inqubo ezinkulu kuhlinzwa.

Sensations emva ukuhlolwa

Lung biopsy kuhilela zokukhwabanisa kuhlinzwa noma esingokoqobo imizimba yabantu. Yiqiniso, ukuqaleka kungenzeka emva kokuhlinzwa: umphimbo obuhlungu, okulumayo, hoarseness ezinzima.

ukuphazamiseka yokwakheka elihlobene ne ukulimala izindwangu elithatha. Lapho efeza eyohlinzwa enjalo usebenzisa izinzwa, ngakho abantu ngesikhathi akusho ubuhlungu. Uma kuba wokubhoboza ke ukufakwa inaliti ithiphu yayo nabo ukukhanya wazizwa kancane esivuthayo ukuzwa, kabuhlungu.

Kuvele biopsy evulekile wenziwa ngaphansi izinzwa jikelele. Ngemva kokuhlinzwa, isiguli uyozizwa ukukhanya sleepy futhi ibuthakathaka. Kuhlukile uyalulama emva thoracoscopy: kunemidanti cishe kobuhlungu, isivinini, futhi okubaluleke - nokuvuselelwa akuthathi isikhathi esiningi.

Izimo

Kuphephile wamaphaphu biopsy? Imiphumela yalokhu inhlolovo zingase zihluke, isb. K. Lihlobene nokubhekana ubuso esephule isikhumba noma umgudu ubuqotho lwamafinyila. Ukuze ugweme ukuxakeka kungenzeka, inqubo hhayi kwenziwe khona kwalezi kwezinso e isiguli:

1. ukwehluleka Inhliziyo kakhulu.

2. Oxygen indlala.

3. Isifo sokulahlekelwa yigazi.

4. Kubi igazi ekunqandeni.

5. zokuphefumula ukwehluleka.

6. yokucindezeleka okwandayo emaphashini.

7. ISIZINDA e yomoya.

Noma yimaphi kula izici zingase zibangele ngenxa yokwehluleka biopsy. Nokho, kuwufanele ukukhumbula ukuthi ukuvuselelwa kuncike degree yentuthuko isifo yamaphaphu, hhayi kuphela impilo yayo yayinezinkinga ezicini oshiwo ngenhla.

Xoxa nodokotela wakho ngaphambi luhlolo

Iziguli eziningi unesithakazelo indlela yokulungiselela ukuhlinzwa. Zikhona amaphuzu amaningana ezinkulu:

1. Ungathathi ngasethunjini noma amanzi amahora 6-12 ngaphambi kokuhlinzwa.

2. izikhathi esiyizinsuku ezinga-3 kumele ayeke ukuphuza amaphilisi eqeda ukuvuvukala.

3. Kungokufanayo nemithi mncane ukuthi igazi.

Iphuzu lokugcina is phetho ukuhlinzwa lapho cwaningo nesineke. Inkinga iwukuthi luhlolo koda ngaso sonke isikhathi sihambisana ukopha. umfutho wayo kuncike ngokuyinhloko nokwelapha, Nokho, ukwamukelwa kwenkolelo-ze igazi thinners, ungakwazi senze isimo sishube.

Ngaphambi kokuhlinzwa, kumelwe waphinda ibhekane ultrasound, CT scan noma esifubeni X-ray. Futhi kudingeka ukuhlolwa igazi.

Ngokushesha ngaphambi kokuba uhlinzwe, udokotela kufanele ukukhuluma nawe. Kudingeka wazi izinto ezilandelayo: ukhulelwe noma cha (uma isiguli - owesifazane), kungakhathaliseki ukuthi kukhona iguliswa noma iyiphi imithi, uma uthatha imithi ye-okwamanje, azikho izinkinga nge igazi ekunqandeni.

Yini imizwa isiguli azizwa ngesikhathi nangemva biopsy?

Kuyaqondakala ukuthi indlela enokwethenjelwa kakhulu sokunquma pathologies zokuphefumula ukuthinteka kwamaphaphu biopsy. Indlela yokwenza lokhu ukuhlaziywa, kakhulu, kuyacaca kakade, Nokho, ezigulini ukuze inqubo enjalo, kukhona imibuzo eyiqiniso. Kungakhathaliseki umuntu ukuzwisa ubuhlungu ngesikhathi ukuhlinzwa? Yiziphi imiphumela emibi cwaningo ezingase ziphakame ngesikhathi nokuvuselelwa?

Ngu uqobo, ukusebenza wenziwa ngaphansi izinzwa isenzo aqede ubuhlungu. Ngakho-ke, asikho isidingo wesabe biopsy, udokotela ngokwanele ukuba balalele futhi sizivumelanise nezimfuneko zawo.

Ngo inqubo nokuvuselelwa kuyinsakavukela kuyinto nomlomo owomile, izwi hoshozela. Futhi, isiguli ingase ikhononde iphika noma ubuhlungu besifuba. Ngezinye izikhathi kukhona yezinkinga ezifana pneumothorax noma hemoptysis. Nokho, ziyisici ivelakancane.

Ukuhlaziya imiphumela cwaningo

Lung biopsy Kwenziwa ukwenza ukusazi ngokunembile isifo esikuphethe futhi lulungile elihlobene ne kwezinso umgudu wokuphefumula. Ngemva kokwenza lokhu ucwaningo okwenzeka 3 kuya 5 izinsuku ngaphambi Imiphumela sekulungile. Kusekhona lolu hlobo ukuhlaziywa, njengoba biopsy enwetshiwe. Kulokhu, imiphumela uzolunga kungekho ngokushesha kunezinsuku 2 amaviki.

Ngokuvamile, i-biopsy wenziwa ukuqinisekisa ukuxilongwa noma ngemva CT / ultrasound, imiphumela okuyinto embulwa kumiswa osolisayo emaphashini futhi yomoya.

Ngaziphi izizathu kungaba bahlulelwe isimo umgudu wokuphefumula kuyinto evamile? Okokuqala, ukungabi webhaktheriya noma viral amaseli, ubomvu. Okwesibili, isakhiwo se-evamile isitho izicubu emangqamuzaneni okuthiwa akufaki ngokugcwele khona izimila ingozi noma abulalayo. Zonke imiphumela wamaphaphu biopsies elotshiwe bangena semininingwane nesineke.