Gastric biopsy: zvairatidza, muitiro, vanoita

Daily gastroenterologists kubata vanhu vane matambudziko akasiyana. The chikuru basa chiremba - yakarurama nechirwere, kuti arege kurasikirwa nguva, uye kupa murwere mukana wokugadzirisa. Kazhinji sezvo yokuongororwa kudzidza iri hurukuro nomudumbu biopsy, nokuti akavimbika kupfuura Kuongororwa kuti vanofungidzirwa oncologic muitiro. Saka chii chinonzi biopsy uye sei kudzidza ichi?

Biopsy: A rondedzero nzira

Shoko rokuti "biopsy" akapinda mushonga kubva mutauro wechiGiriki. Zvinonzi aumba kubva pamashoko maviri: ". Zvinoonekwa" "upenyu" uye Nzira inobva ndechokuti murwere anotora dukuduku nhindi zvinyama uye nokungwarira kuongorora ayo cellular sezvamunoita panguva pamatunhu magnification. Biopsy dzinosiyana maererano muitiro uye zvakabudiswa zvinhu pamusoro zvakarurama kirasi. Mune zvimwe zviitiko, mashoko kungadiwa kuti histological kuzviongorora. Izvi zvinoreva kuti kudzidza maumbirwo vachatongerwa zvinyama yokuenzanisira wakatorwa. Dzimwe - nokuti cytologic kuongorora. Izvi zvinoreva kuti kudzidza kuchava chivako, kubereka uye vachikwanisa kutora nzwisa masero.

Kana vanhu kutaura kururama kirasi nzira, aifunga mhando nhatu evanhu:

1. Classical biopsy, unova zita rechipiri - kutsvaka. nzira iyi rinoitwa mukutanga nzendo chirwere, kana nzvimbo yacho bundu haigoni kuonekwa kunyange nemaziso.
2. Open biopsy, apo mashoko chidzidzo tora pakuvhiya. Izvi zvinogona kuva neoplasm rose kana kuti chimwe chikamu chazvo.
3. Biopsy, izvo zvinogona kuitwa pamusoro vasabatwa anomera, kana chiremba anogona kutora zvinhu zvakananga kubva namamota pamuganhu utano tishu. Biopsy rinoitwa neboka endoscope, pasi pokudzora US, pasi X-ray kuzvidzora kana stereotactic nzira.

dumbu gastrobiopsy

A biopsy mudumbu anogona kupiwa murwere panguva yakawanda kugunun'una. Vavariro kuchinja - kuwana zveMagwaro gastric mucosa kuti ongororo. Kuongorora zviri akatiwanira mharidzo ane kururama anopfuura 95%, achisimbisa kuchinja nzvimbo dzomuviri uye kuona akaipa kana benign nehunhu bundu.

A biopsy of gastric mucosa anogona kuitwa uchishandisa vachiongorora pasina kutarisana kuzvidzora kana kushandisa gastroscope. Ichi zano rinokosha kuti unobvumira kudzora kunwa mharidzo nemaziso. zita More kunzwisisa izvi yezvokurapa nzira - endoscopy, kureva esophagogastroduodenoscopy.

Description gastroscope

Gastroscope unokubvumira kuona rusvingo yegurokuro, dumbu uye duodenum. Izvi kurapwa chirwere midziyo ine chimiro zvokutora kureba kusanduka Tubing, izvo dzimba chiedza bhuku, Manyiminya maitiro uye chaiko chokushandisa akakunda zvidimbu rejira. Sezvo chishandiso angashandiswa nembato yezvokurapa banga, mumwe loop kana solenoid retracting mudziyo. Kushandiswa midziyo kwakadaro zvinoita kuti vawane nzwisa kubva yakananga nhego nzvimbo.

Gastroscopy inongogara kuitwa akavandudzika. The midziyo hunowedzera yakarurama uye controllable. Nzira ano ndiwo chaiwo zita - endoscopic biopsy.

Zvairatidza kuti kushandiswa gastric biopsy

A biopsy vangaendeswa zvinotevera nyaya:

• Zvidzidzo yakaratidza kuti vasabatwa kenza zvokurwara kana precancerous mamiriro;
• Ongororo kungadiwa kuti rikwanise kana chisingaperi gastritis;
• kujekesa muitiro uye kubvisa maronda nokufungirana pamusoro oncology;
• pakuparwa kuzotadzira gastric mucosa kujekesa kukura kwebasa nhego resection;
• Gastric biopsy kunoratidza kuvapo kana kusavapo helicobacter pamwe fufune;
• kudzidza kuongorora mamiriro murwere mushure kuvhiyiwa kana mwaranzi mishonga.

Zvisinei, pasinei mukuru kunyatsoshanda kuti nzira iyi nechirwere havagoni kushanda varwere vose.

Contraindications

In nechirwere upi chirwere chiremba anofanira kuona kuti hapana chakaipa kuti murwere uye kwete pachena upenyu hwake pangozi. Kubva musi musimboti ichi, pakugadzwa upi nzira inorangarira zvose zvinobvira contraindications. Kana munhu biopsy mudumbu iri:

• ezvinhu nehana;
• mwoyo chirwere uye kumwoyo;
• kuzvimba kana zvimwe pathological pezvakaitwa vari pharynx, dokeriro uye Airways;
• diathesis (Hemorrhagic chimiro);
• zvirwere zviri rikwanise Danho;
• aienda pamusoro yegurokuro;
• kuvapo perforations nomudumbu rusvingo;
• dumbu pakutsva makemikari;
• mupfungwa abnormalities
• sema paakasangana dzokutindivadza (lidocaine, etc.).

Kunze pachena contraindication, chiremba anofanira kufunga mupfungwa gadziriro murwere nokuda nzira. Kana paine raidudzwa kutya, ipapo zviri nani kwete kuita kudzidza.

Sei kugadzirira biopsy

Kana iwe kurongera dumbu biopsy, murwere anofanira raireva kuchipatara. Zvazviri kuitisa nzira iri outpatient zvichibvira, asi hakukurudzirwi, kubva panyaya yematambudziko vanobatsira murwere zvichava zvikuru kwakaoma.

Pamberi kuchinja zvokurapa mudonzvo anofanira nechokwadi chokuti hapana contraindications. Pashure paizvozvo, murwere ushandiswe X-ray mudumbu.

Murwere waida vaitofanira pakuzvinyima zvokudya nezvokunwa kwemaawa 12-15 asati nzira. Gastric biopsy rinoitwa chete usina chawadya kubva zvokudya gobvu kupindira kuita chinhu womukati rokuongorora pamusoro gastric mucous uye gag dzepanguva anogona kukonzerwa kana kuzviita gastroscope chubhu. Kurega inofanira kuva kuzviomesera kuti pazuva pamberi nzira, varwere havabvumirwi kunyange kukwesha mazino enyu uye shandisa kutsenga chingamu.

The maitiro nzira

Saka, murwere basa rimwe biopsy mudumbu. Sei muitiro? Kana murwere keyed uye haagoni kudzikama pachake, iye akabayira vapfurwa kuti kunyaradza. The munhu anofanira norutivi rwako rworuboshwe uye ruramisa kumusoro. Chiremba unobata waiita mhango uye yokumusoro yegurokuro akambozvishandisa kuuraya utachiona uye anotanga kupinda endoscope. Mazuva zvokurapa nzvimbo mudumbu biopsy rinoitwa kushandisa akura zvokurapa zvokushandisa, izvo zvinoreva kuti handset chitete, uye kamera uye zano nokutora shoma mharidzo saizi. Ingestion zvokushandisa ichi kushanda haakonzeri kusanzwa. Mufambiro nzira nokuda nyanzvi nokucherechedza Monitor.

Achiongorora zvaive gastric biopsy

Decoding kunobva zvawanikwa kubva murabhoritari vakaperekedza ari kuongorora sezvo pakutsvakurudza masendi vanoshandisa nzira dzakasiyana yokuwana mashoko. Date okutambirwa rudaviro - kubva pamazuva matatu.

Zvabuda zvose vari conditionally rakakamurwa mapoka akawanda:

1. Kukwana ongororo. Huwandu zvinhu hazvina kukwana kugadzira yakavimbika zvabuda, unofanira kudzokorora muitiro.
2. Normal ongororo. The acho haasi anomaly, chirwere haisi yasimbiswa.
3. mugumisiro Good. Kuvapo bundu akatsinhira, unhu hwake - zvakanaka. Kunoda zvichiongororwa uye ongororo wakadzokororwa pashure imwe nguva.
4. Akaipa mugumisiro. Neoplasm ine masero kenza, kunorondedzerwa neDare saizi, yakanatswa localization tsunga dhigirii.

Decoding ringave riine mashoko pamusoro pezvakaita chirwere, tsanangura mamiriro masero uye nyama dzomuviri kumisa kukura villous epithelial crypts uye kudzika.

vakatozodzokera nzira

Nhasi, murwere ane kodzero yokusarudza. Anogona atore zvipatara, anomupa kunonyanyisa chivimbo. Vagari Russia Somuenzaniso, unogona kurichinja kuva ano wezvokurapa kunhaka "SM-Clinic." Ndicho kupfuura samambure zvokurapa nzvimbo, kusanganisira 12 multi-nechirango masangano vana uye vakuru.

Kana iwe kutaura utano centre vanhu vanofanira kuva nechokwadi chokuti zvinodiwa yevashandi vayo, mukuwedzera, chinhu chinokosha munzvimbo kusarudza Kuwanikwa ano dzokurapa michina. Medical centre "CM-Clinic" anogona kugutsa zvikuru zvakawandisa vatengi. Achitendeukira kuna gastroenterologist, unogona kuva nechokwadi chokuti ari mudumbu biopsy chichaitwa kunze vashandi vanokwanisa kushandisa achangobuda zviitiko pasango endoscopy.