Nigute ushobora guhitamo urushinge rwa biopsy kugirango ubone ubuvuzi?

Mubihe bigenda byiyongera mubisuzumwa byubuvuzi,urushinge rwa biopsyGira uruhare runini mu kubona ingero za tissue kugirango zisuzumwe neza, kandi guhitamo kwabo bifitanye isano itaziguye na biopsy, umutekano hamwe nuburambe bwabarwayi. Ibikurikira nisesengura ryuburyo bwa biopsy,ubwoko bwa inshinge za biopsy, ibipimo-by-urushinge rwinshinge, nibintu byingenzi byatoranijwe kugirango bitange ubuyobozi bufatika kubikorwa byubuvuzi.

1. Gusobanukirwa inzira ya biopsy

Intego nyamukuru yuburyo bwa biopsy ni ukubona icyitegererezo cyiza cya tissue kugirango dusobanure neza igikomere cyangwa gutegura gahunda yo kuvura. Gukenera urushinge rwa biopsy biratandukanye cyane hagati ya biopsy:

- Gusuzuma ibibyimba: ingano ihagije ya tissue irakenewe kugirango ishyigikire ibizamini bya pologologi no gupima genetike (urugero, EGFR, ALK ihinduka).

- Indwara zitwika: cytologiya irasabwa gusobanura ubwoko bwa selile cyangwa immunite.

- Isuzuma mbere yo gutangira: kubona icyitegererezo cyihuse kirakenewe kugirango uyobore protocole yo kubaga (urugero, kumenyekanisha amabere meza kandi mabi).

2. Ubwoko bwaurushinge rwa biopsyhamwe nubuvuzi

(1)Urushinge rwa Biopsy

- Ihame: Kubona umurongo wintangarugero mugukata imashini.

- Ibyiza:

Icyitegererezo cyuzuye, kibereye ikibyimba gikomeye (urugero, amabere, prostate) hamwe na biopsy yumubiri.

Ingano yicyitegererezo irahagije kugirango ushyigikire immunohistochemie no gupima molekile.

- Imipaka: ihungabana rinini ugereranije, ukeneye kumva neza ibimenyetso.

(2) Urushinge rwiza rwa Biopsy

- Ihame: Gukoresha igitutu kibi kugirango ubone guhagarika selile.

- Ibyiza:

Ihahamuka rike, rikwiranye na lymph node, tiroyide n'ibihaha.

Biroroshye gukora, birashobora kubona byihuse guhagarika selile.

Biroroshye gukora, yemerera kwisuzumisha byihuse.

- Imipaka: gutandukanya ibice, ntibishobora guhaza ibikenewe byo gusuzuma amateka.

(3) Urushinge rwa Biopsy Ifashwa na Vacuum (VAB)

- Ihame: Ihuza gukata imashini no kugabanya umuvuduko mubi kugirango utezimbere icyitegererezo.

- Ibyiza:

Ingero nyinshi zirashobora kuboneka mugice kimwe, kibereye microcalcified foci.

Kugabanya ibyago byo gusubiramo inshuro nyinshi kandi bitezimbere kwihanganira abarwayi.

(4) Gukata urushinge rwa Biopsy

- Ihame: Tissue yaciwe numutwe usobekeranye cyangwa icyuma kizunguruka.

- Ubwoko:

Urushinge ruciriritse: urugero Tru-Gukata Urushinge rwa Biopsy, kubice byoroshye.

Urushinge rw'impeta: urugero Urushinge rw'amagufwa ya Biopsy, ku ngingo z'amagufwa.

3. Urushinge rwibanze biopsy vs icyifuzo cyiza

4. Ibintu byingenzi ugomba gusuzuma muguhitamo inshinge nziza za biopsy

(1) Agace kagenewe biopsy

- Ibice byimbere (urugero, tiroyide, amabere): inshinge nziza cyangwa inshinge zingenzi bikunda guhuza ihungabana nibikenewe byo kwisuzumisha.

- Ibice byimbitse (urugero, umwijima, impyiko): inshinge ndende ya biopsy ihitamo kugirango uburebure bwinjira.

- Tissue yamagufa: inshinge zimpeta (urugero inshinge zo mu magufa ya biopsy) zigomba gukoreshwa kugirango wirinde gucikamo ibice.

(2) Impamvu zihariye z'abarwayi

- Imyaka n'itegeko nshinga: abana cyangwa abarwayi bafite intege nke bagomba guhitamo urushinge ruto (urugero, 20G) kugirango bagabanye ibibazo.

- Imikorere ya coagulation: abarwayi bafite ikibazo cya coagulation bakeneye kwirinda inshinge nini (urugero, 16G) kugirango bagabanye ibyago byo kuva amaraso.

- Imiterere yo mumutwe: abarwayi bahangayitse barashobora guhitamo inshinge za biopsy zifashishijwe na vacuum kugirango bagabanye igihe cyo kubaga.

(3) Ubucucike bw'imyenda n'ahantu

- Tissue yuzuye (urugero, prostate, umwijima): hitamo urushinge rwa biopsy rufite imbaraga zikomeye zo gukata (urugero, urushinge rwa 18G).

- Imiyoboro y'amaraso ituranye / imitsi: ultrasound / CT iyobowe na CT irasabwa guhitamo urushinge rwa biopsy rwateye imbere.

(4) Ingano y'urushinge n'uburebure

- Guhitamo ibisobanuro:

Urushinge rwiza (20-22G): kuri cytologiya cyangwa ibikomere byo hejuru.

Urushinge ruto (14-18G): rukwiranye no gusuzuma amateka cyangwa ibikomere byimbitse.

- Guhitamo uburebure: bigenwa nubujyakuzimu bwo gutobora (urugero: biopsy y'ibihaha igomba kuba ≥15cm).

(5) Igishushanyo mbonera cy'inshinge

- Inshinge ya inshinge: ibereye imyenda yoroshye kugirango igabanye guhangana.

- Impanuro eshatu: zikoreshwa mubice byamagufwa, kugirango byongere kwinjira.

- Ikimenyetso: Urushinge rwa biopsy ruyobowe na MRI rugomba gushyirwaho titanium.

(6) Guhuza nuburyo bwo gufata amashusho

- Ubuyobozi bwa Ultrasound: Urushinge rwa Biopsy rufite impeta zikura zigomba gutoranywa.

- Ubuyobozi bwa CT / MRI: ibikoresho bitari magnetique cyangwa ibikoresho bike (urugero, titanium alloy) bigomba guhitamo.

(7) Uburyo bwo gukuramo icyitegererezo

- Gukata imashini: bikoreshwa mubibyimba bikomeye hamwe na sampling yuzuye.

- Kunywa igitutu kibi: bikwiranye na cytologic, byoroshye gukora.

- Vacuum-ifashwa: ikoreshwa kurubuga rwinshi rwicyitegererezo, kuzamura imikorere.

(8) Ihumure ry'abarwayi n'umutekano

- Kurwanya ububabare: urushinge rwiza ntiruhahamuka kandi rwihanganira abarwayi.

- Kwirinda ingorane: irinde gutobora inshuro nyinshi urushinge rwinshi, kugabanya ibyago byo kurwara pneumothorax no kuva amaraso.

(9) Igiciro no kugerwaho

- Ikiguzi-cyiza: urushinge rwa biopsy rwuzuye (urugero, TSK) ruhenze cyane, ariko rufite igipimo kinini cyo gutsinda.

- Ubwishingizi bw'ubuvuzi: bukeneye guhitamo ibicuruzwa murwego rwo kwishyura ukurikije politiki yaho.

5. Umwanzuro

Guhitamourushinge rwa biopsybisaba gusuzuma byimazeyo imiterere yindwara, uko abarwayi bahagaze, imiterere ya tekiniki nibintu byubukungu. Mubikorwa byubuvuzi, amahame akurikira agomba gukurikizwa:

1.

2. Shyira imbere umutekano: irinde inshinge zibyibushye kubarwayi bafite uburwayi bwa coagulation, kandi ukore uyobowe nishusho kumitsi yegeranye.

3. Gukora neza no guhumurizwa: inshinge zifasha vacuum zifashishijwe na biopsy zirashobora kunoza imikorere, kandi inshinge nziza zirashobora kugabanya ububabare bwumurwayi.

Binyuze mu guhitamo siyanse inshinge za biopsy, ukuri kwisuzumisha kurashobora kunozwa kuburyo bugaragara, ibyago byingaruka birashobora kugabanuka, kandi amaherezo imiti yihariye irashobora kugaragara.