Biopsy - pampitšana biliary

Karolo ea biliary biopsy ke ho tlosoa ha lisele tse nyane le maro ho tsoa duodenum, ducts bile, pancreas, kapa pancreatic duct. Sampole e hlahlojoa ka microscope.

Sampole ea biopsy pampitšana ea biliary e ka fumanoa ka mekhoa e fapaneng.

Biopsy ea nale e ka etsoa haeba u na le hlahala e hlalositsoeng hantle.

• Sebaka sa biopsy sea hloekisoa.
• Ho kenngoa nale e tšesaane sebakeng seo ho ea hlahlojoa, 'me ho tlosoa sampole ea lisele le mokelikeli.
• Joale nale e tlosoa.
• Khatello e beoa sebakeng seo ho emisa ho tsoa mali. Sebaka sena se tla koaheloa ka bandage.

Haeba o na le methapo e koalang kapa e koalang methapo ea bile kapa ea manyeme, sampole e ka nkuoa nakong ea lits'ebetso tse kang:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiogram (PTCA)

U kanna oa se khone ho ja kapa ho noa lihora tse 8 ho isa ho tse 12 kapa ho feta pele ho tlhahlobo. Mofani oa hao oa tlhokomelo ea bophelo o tla u joetsa pele ho nako hore na o hloka ho etsa eng.

Etsa bonnete ba hore u na le motho ea u khannelang hae.

Teko e tla ikutloa joang ho latela mofuta oa ts'ebetso e sebelisitsoeng ho tlosa sampuli ea biopsy. Ka nalane ea nale, u ka utloa bohloko ha nale e kentsoe. Batho ba bang ba ikutloa ba sithabetse kapa ba penya maikutlo nakong ea ts'ebetso.

Meriana e emisang ho opeloa le ho u thusa ho phomola e sebelisoa hangata bakeng sa mekhoa e meng ea likokoana-hloko tsa biliary.

Biopsy ea pampiri ea biliary e ka tseba hore na hlahala e qalile sebeteng kapa e hasane sebakeng se seng. E ka tseba hape hore na hlahala e na le mofetše.

Teko ena e kanna ea etsoa:

• Kamora tlhahlobo ea 'mele, x-ray, MRI, CT scan, kapa ultrasound li bonts'a kholo e sa tloaelehang ea pampitšana ea hau ea biliary
• Ho etsa liteko tsa mafu kapa tšoaetso

Sephetho se tloaelehileng se bolela hore ha ho na matšoao a mofets'e, lefu kapa tšoaetso sampong ea biopsy.

Liphetho tse sa tloaelehang li ka bakoa ke:

• Kankere ea methapo ea bile (cholangiocarcinoma)
• Likokoana-hloko sebeteng
• Kankere ea sebete
• Kankere ea pancreatic
• Ho ruruha le khaello ea methapo ea bile (primary sclerosing cholangitis)

Likotsi li ipapisitse le hore sampole ea biopsy e nkuoe joang.

Likotsi li ka kenyelletsa:

• Ho tsoa mali sebakeng sa biopsy
• Tšoaetso

Cytology and analysis - pampitšana biliary; Biliary pampitšana biopsy

• Endoscopy ea gallbladder
• Setso sa Bile

CC ea Chernecky, Berger BJ. Biopsy, sebaka se ikhethileng sa "site". Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. Philadelphia, PA: Elsevier Saunders; 2013: 199-201.

Stockland AH, Baron TH. Kalafo ea Endoscopic le radiologic ea lefu la biliary. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 70.