ʻO ka biopsy pancreatic

Hana ʻia kahi pancreatic biopsy ma ka haukapila ʻoihana ma Yauza. ʻO kēia kahi kikoʻī o ka pancreas, i hana ʻia ma lalo o ka nānā ʻana o kahi scan ultrasound, a me ka hōʻiliʻili o nā waihona cellular no ka hoʻokolokolo histological. Hoʻohana ʻia kēia ʻano hana i mua o nā neoplasms i ʻike ʻia i kēia hoʻokolokolo e hoʻomaikaʻi i ko lākou ʻano, me ka ʻike no ka maʻi maʻi o ka pancreatic.

Nui nā ala ʻē aʻe no kahi biopsy o nā pancreas.

• Biopsy Percutaneous (ʻoi aku ka ʻōlelo pono biopsy, i hōʻoki ʻia - TIAB)
  Lawe ʻia ia me ka pūpū lōʻihi ʻokiʻoki ma lalo o ka anesthesia kūloko ma o ka pā o ka ʻōpū kuʻuna ma lalo o ka kaohi o ka ultrasound a i ʻole compute tomography. I kēia mau ala, hiki ke paʻakikī ke kiʻi i ka nila lāʻau i kahi hōʻoki liʻiliʻi (emi iho ma lalo o 2 cm). No laila, hiki ke hoʻohana ʻia kēia ala no ka loli ʻana i nā maʻamau (maʻamau), no ka laʻana, e hoʻokaʻawale i ke aʻalolo a me ke kaʻina oncological (ʻo ke kanesa pancreatic, maʻi hoʻokaʻawale).
• Nā biopsy intraoperative a me ka laparoscopic biopsy
  ʻO kahi biopsy intraoperative he tauira biopsy i lawe ʻia i ka wā o kahi hana - wehe ʻia, i hana ʻia ma o ka incision nui, a i ʻole laparoscopic, a i ʻole traumatic. Hana ʻia ʻo Laparoscopy ma o nā punctures i ka paia o ka ʻōpū ma ka hoʻohana ʻana i kahi laparoscope haʻihaʻi ʻōpio me kahi kāmeli-wikiō e hoʻouna ana i kahi kiʻi kiʻekiʻe ma kahi pale. ʻO ka maikaʻi o kēia hana, ʻo ka hiki ke nānā i ka ʻōpū o ka ʻōpū e ʻike ai i nā metastases, effusion maʻi. Hiki i ke kauka ke nānā loiloi i ke ʻano o ka pancreas, ka nui o ke ʻano o ka lāʻau ʻeha ma ka pancreatitis akamai, ʻike i ka hele mai o nā foci o ka necrosis, a e lawe i kahi biopsy mai i kahi papa o ke kanesa e kānalua nei i nā ʻōlelo o ka oncology.

Ka hoʻomākaukau ʻana no TIAB

• E ʻōlelo aku i kāu kauka e pili ana i nā maʻi āpau, nā maʻi a me nā kūlana o ke kino, e like me ka hapai, ka maʻi pulmonary a me ka maʻi puʻuwai, a me ke koko nui ʻole. Pono ʻoe e lawe i kekahi mau hoʻokolohua.
• Inā ʻoe e lawe i nā lāʻau lapaʻau, e hoʻomaopopo i kāu kauka ma mua. Maikaʻi ʻoe iā ʻoe e hōʻole i ka lawe ʻana i kekahi o lākou.
• Ke lawe ʻia nei ka kaʻina hana ma luna o ka ʻōpū ʻole, ma mua o ke aʻo ʻana ʻaʻole hiki iā ʻoe ke inu i ka wai.
• I ka lā ma mua o ka biopsy, pono ʻoe e haʻalele i ka inu a me ka inu ʻawa.
• Inā makaʻu nui ʻoe i ke kaʻina e hiki mai ana, haʻi i kāu kauka e pili ana iā ia, hiki ke hāʻawi ʻia e ka ʻaʻala o kahi tranquilizer (sedative).

Hoʻopau pinepine ʻia ke aʻo ʻana ma kahi kumu outpatient (koe wale nō kahi biopsy intraoperative e hui pū ai me ka ʻoihana).

Me kahi biopsy huila maikaʻi, hoʻohana ʻia kekahi kuamona kūloko, me kahi kūlohelohe intraoperative a me laparoscopic anesthesia.

ʻO ka lōʻihi o ke aʻo ʻana mai 10 mau minuke a i 1 hola, ma muli o ke ʻano.

Ma hope o kahi biopsy o nā pancreas

• Ma hope o kahi biopsy outpatient, noho mau ka mea maʻi i ka haukapila ma lalo o ka mālama ʻana i nā maʻi lapaʻau no 2-3 mau hola. A laila, me ke olakino maikaʻi, hiki iā ia ke hoʻi i ka home.
• Me ka hoʻopiʻi kaʻa ʻana - ke noho nei ka mea ma lalo o ka nānā ʻana o nā limahana olakino no kahi lā a i ʻole. Aia ia i ka nui o nā kaʻina.
• Ma hope o ka hoʻonāukiuki, ʻaʻole pono ka mea maʻi e hoʻokuke iā ia iho.
• I ka lā ma hope o ke kaʻina hana, pāpā ʻia ka waiʻona a me ka uahi.
• I loko o 2-3 lā, pono ia e haʻalele i ka hana kino.
• Hiki paha i kāu kauka ke kāpae i ka lawe ʻana i nā lāʻau lapaʻau i loko o ka hebedoma ma hope o ka biopsy.

ʻO Biopsy (puncture) i ka hopena o ka maʻi maʻi pancreatic

Nui nā maʻi pancreatic, me ka maʻi o ka pancreatic cancer, kahi kūlana hoʻoweliweli. ʻO ka wikiwiki ka hopena o ka maʻi kūpono, ʻoi aku ka nui o ka manawa e hoʻōla. ʻO ka huli ʻana i ka maʻi paleka o ka pancreatic i pili me ka haʻalele ʻana i nā hōʻailona o ka maʻi.

ʻO ka hopohopo ʻana o ke kanesa pancreatic mua hiki me kahi hoʻolālā hoʻohui, ʻo ia hoʻi:

• ka nānā ʻana i nā hoʻopiʻi hoʻomanawanui (ʻo ka mea kānalua loa ka ʻeha o ka epigastric me ka hōʻiliʻili ʻana i ke kua, ʻoiaʻiʻo ka hoʻolilo ʻana o ke kaumaha)
• radiation diagnostics (ultrasound, endo-ultrasound, CT, MRI, cholangiopancreatography, angiography),
• ka hoʻoholo ʻana o ka pae ʻana i ka pae ʻaina - CA 19-9, CEA,
• ka ʻike ʻana i kahi genis predisposition,
• lapalapolino diagnostic,
• puncture a me biopsy o ka pancreas no ka hoʻokolokolo histological a me ka hōʻoia i ka hōʻoia ʻana i ka maʻi.

ʻO ke ala kumu wale nō o ka mālama ʻana i ka maʻi paleka pancreatic e hāʻawi ai i ka manaʻolana no ka kūleʻa i ka manawa kūpono, ka wā hoʻomaka mua ʻana, ka hoʻohui ʻia e ka radiation mamao a i ʻole chemotherapy.

Ma ka Halemai haukapila ma Yauza, hiki iā ʻoe ke loaʻa ka maʻi ākea o nā maʻi pancreatic.

Nā lawelawe ma nā ʻōlelo ʻelua: Lūkia, ʻōlelo Pelekane.
E haʻalele i kāu helu kelepona a kāhea mākou iā ʻoe.

ʻO nā ʻano nui a me nā ala maʻamau o biopsy

Wahi a ke kaʻina hana o ke kaʻina hana, aia nā ʻano 4 no ka hōʻiliʻili ʻana i nā meaola olakino no ka noiʻi:

1. Pili loa. Ua lawe ʻia kahi hapa o ka iwi i ka wā e wehe ʻia ai ka hana ma ka pancreas. ʻO kēia ʻano o ka biopsy e pili ana inā pono ʻoe e lawe i kahi hoʻohālike mai ke kino a i ʻole ʻoi o ke kīpē. He kaʻina maʻalahi a paʻakikī paha.
2. Laparoscopic ʻAʻole hiki i kēia ala ke hana wale i kahi hoʻohālike biopsy mai kahi wahi i wehewehe maopopo ʻia, akā ke nānā pū nei i ke ana o ka ʻōpū e ʻike ai i nā metastases. ʻO kēia ʻano o ka biopsy e pili pono i nā pathologies oncological wale nō, akā no ka hoʻoholo ʻana i nā puka wai volumetric ma ka wahi o ka retroperitoneal e kū'ē ana i ke ʻano o ke pancreatitis o ka maʻi, a me nā nīpī o ka momona pankreatic momona.
3. Ke ʻano transdermal a i ʻole nā ​​momi pono aspire biopsy. Hāʻawi kēia hana diagnostic iā ʻoe i ka hoʻokaʻawale pololei i ke kaʻina oncological mai ke pancreatic. ʻAʻole pili kēia ʻano ʻia inā he ʻoi loa ka nui o ka pīpī ma lalo o 2 cm, ʻoiai ua paʻakikī ia ke komo pololei me ia, a ke hana ʻia nei hoʻi ma mua o ka hōʻea o ka ʻōpū e hiki mai ana. ʻAʻole hana ʻia ke kaʻina hana, akā ʻike ʻia me ka hoʻohana ʻana i ka ultrasound a i ʻike ʻia ai ka tomography.
4. Ka hopena Endoscopic, a transduodenal paha. Hoʻokomo ʻia ka hoʻolauna o kahi endoscope ma o ka duodenum a me ka biopsy i lawe ʻia mai ka poʻo o ka pancreas. Manaʻo ʻia e hoʻohana i kēia ʻano biopsy inā loaʻa kahi hohonu i ka neoplasm i loko o ka pancreas a loaʻa kahi liʻiliʻi.

Pono e hoʻomākaukau ai ma mua o ke kaʻina hana

Lawe ʻia ka mea ola manamana ma ka ʻōpū ʻole. Inā make ka mea maʻi i ka lemulewa, a laila 2-3 mau lā ma mua o ke kaʻina hana, nā meaʻai e kōkua i ka hoʻokumu ʻana i nā kāmena (nā lau maka, paleka, waiū, aʻa kālā) mai haʻalele i ka meaʻai.

Hoʻohana wale ʻia kahi biopsy inā loaʻa nā hualoaʻa o nā hoʻokolohua hōʻoia.

• ka nānā pinepine ʻana o ke koko a me ka urine,
• nā ʻila koko
• coagulation wā
• kahe koko
• index prothrombin.

Inā i hōʻike ʻia nā maʻi luhi koʻikoʻi a ʻike ʻia paha ka mea maʻi i ka maʻi koʻikoʻi nui, a laila ua hoʻohālikelike ʻia kahi huaola biopsy o nā mea ʻola.

Hoʻomaka ka hoʻihoʻi a me nā hoʻopiʻi hiki

Inā ua lawe ʻia ka lāʻau biopsy i ka wā o ka hōʻeha o ka ʻōpū, a laila ma hope o ka mea i lawe ʻia ka mea maʻi i ka ʻina mālama mālama e hoʻopaʻa i ka ʻano maʻamau. A laila hoʻokaʻawale iā ia i ke keʻena hoʻokele maʻamau, kahi e hoʻomau ai ʻo ia ma lalo o ka nānā ʻana o nā limahana olakino.

Inā ua hoʻohana ʻia ke ala o ka biopsy aspire buti manaʻo, a laila hoʻomanawanui ka mea maʻi ma lalo o ka mākaʻi ʻana o nā loea ma ka liʻiliʻi he ʻelua a ma hope o ka hana ʻana. Inā hoʻomau kona kūlana, a laila ma hope o kēia manawa ua hoʻokuʻu ʻia ʻo ia i ka home. ʻAʻole makemake ʻia ka mea maʻi e holo, no laila e maikaʻi ana inā mea kokoke iā ia e hele pū me ia i ke kahua olakino.

Ma hope o ke kaʻina hana, pono e hoʻomanawanui ka mea maʻi mai ka hoʻoikaika kino koʻikoʻi no nā lā 2-3. Manaʻo ʻia ʻia e hoʻōki i ka inu ʻawa a me ka uahi.

Ma ke ʻano he kānāwai, ʻae maikaʻi ka poʻe maʻi i kēia ʻano diagnostic. Eia nō naʻe, i kekahi mau hihia, ke wāwahi ka pili koko, hiki ke loaʻa ke koko, a ma nā hanana nui loa, nā cysts waha ʻole, fistulas form, or peritonitis e ulu ana. Hiki ke pale aku kēia inā hoʻokō ʻia ke kaʻina hana e kahi loea i ʻike ʻia i kahi ʻoihana lapaʻau i hōʻoia ʻia.