Pehea ka hana ʻana i kahi biopsy pancreatic, nā hiʻohiʻona o ke kaʻina hana

ʻO ka biopsy pancreatic kahi hōʻike diagnostic koʻikoʻi no ka mea ʻo ka pancreas (pancreas) ka mea nui i nā mea nui o ka digestive a me ka endocrine system. Hoʻopū ka pancreas i nā makana nui a me nā enzyme e pili ana i nā hana o ka metabolism a me ka hoʻoneʻe ʻana.

I kēia pane, nā pancreatic dysfunction kahi ola weliweli e koi ana i ka mālama koke.

ʻO nā ala e hiki ke hilinaʻi nui ʻia no ka hoʻoholo ʻana i ke ʻano o ka pancreas me ka nānā ʻana i ke kiʻekiʻe o nā hormone a me nā pancreatic enzymes i ke koko, kahi ultrasound o ke ʻano, a me kahi biopsy o nā pancreas.

He aha ka biopsy pancreatic

Wahi a kahi pancreatic biopsy e pili ana i nā hana diagnostic invasive (nā hoʻopuka loiloi he mau lāʻau lapaʻau e pili ana i ka komo ʻana i ka ʻili a i nā membula a mucous paha), no laila, e hana ʻia ke kaʻina hana e like me ke kauka ʻana i kahi kauka, i kahi maʻi gastrological, oncological a i ʻole ka haukapila.

No ka hōʻemi i ka hopena o nā hoʻopiʻi a hoʻonui i ka pololei o ka lako, kahi maʻi maʻi pancreatic e hana ʻia ma lalo o ka mākaʻi ʻana o kahi scan ultrasound.

Ke hoʻokō nei i kahi biopsy o ka pancreas, ke kauka, e hoʻohana ana i nā pono lāʻau biopsy kūikawā, e lawe i kahi laʻehā o ka pihi pancreatic no ka hoʻokolokolo. Eia kekahi, hoʻouna ʻia nā mea i loaʻa i ka laboratorium, kahi i hoʻopaʻa ʻia ai a nānā ʻia ma lalo o kahi mikroscope.

E like me ka hōʻike ʻana, hiki i nā ʻikepili immunohistochemical me nā reagents kūikawā hiki ke hoʻopili hou ʻia.

ʻO nā hualoaʻa o kahi biopsy i wehewehe ʻia e hui pū me nā hōʻailona o nā haʻawina ʻē aʻe, no laila pono pū kekahi ke kauka hele hele i ka decryption.

ʻO ka hōʻailona nui no ka biopsy pancreatic ʻo ka hele ʻana o kahi maʻi pancreatic i loko o ka mea maʻi.

Hiki i kahi biopsy pancreatic ke hoʻoholo iā ʻoe:

neoplasm stage,
ka komo ʻana o ka hoʻouka ʻana i nā ʻūpili o nā ʻōpū kokoke (kekahū o ke kūloko o ka ulu ʻana),
ka hopena o ka metastasis.

Hiki i kahi biopsy ke hana i kahi prognosis a koho i ka maʻi kūpono loa.

Hiki i kahi biopsy o ke pancreas ke ʻae iā ʻoe:

ka loiloi i ka hoʻokolohua histological o nā kūmole pancreatic,
ke nānā aku i ka kūlana o nā hana aea a me ko lākou hiki ke hana i nā enzymes a me nā hormone,
ʻike i nā hua maʻi kalepa ma ke ʻano he kiko o ka kiko,
loiloi i ka pilikia o ka hoʻomohala ʻana i nā neoplasms pancreatic,
hana i ka maʻi maʻi ma waena o nā maʻi like ʻole o ka pancreas.

Nā hōʻailona no ka biopsy pancreatic

ʻO ka hōʻailona nui no ka biopsy pancreatic ʻo ia ka kānalua o ka ʻōpū maʻi lahilahi.

I ka nui o nā hihia, hiki i ka maʻi maʻi pancreatic ke hoʻohālike i nā hōʻailona o ka pankuditis maʻi pateudotumor no ka manawa lōʻihi. ʻO ka maʻi ʻokoʻa ma waena o ka maʻi pancreatitis a me ke kūleʻa pinepine ke paʻakikī o ka pilikia, a ʻo kahi biopsy wale nō ke ala e hiki ai i ka ʻike pono.

Nā hōʻailona no ka biopsy pancreatic:

kānalua o ka mea maʻi i loaʻa i nā ʻoma pancreatic,
ka pono no ka maʻi hoʻokaʻawale ʻana ma waena o nā maʻi hōʻeha a me nā makika benign, a me nā neoplasms a me ka pancreatitis maʻi pseudotumor.
ka pono e hōʻike i ka koʻikoʻi o ka maʻi pancreatitis,
ka nele i nā ʻike o nā hana diagnostic non-invasive diagnostic (ultrasound o ke kino, nā maʻi kulina, a me nā mea aʻe).
ka pono e hoʻoholo i ka pili e mālama a hoʻokaʻawale paha i kahi hapa o ka pancreas (pancreatic resection).

ʻO ka biopsy no ka maʻi maʻi pancreatic ka hopena ʻoi aku ka maikaʻi a me ka hilinaʻi i ke ala maʻi.

Biopsy Pancreatic - Nā Kūkulu

ʻAʻole hana ʻia kahi biopsy pancreatic inā ua loaʻa i ka mea maʻi:

nā maʻi hoʻokāʻeha koʻikoʻi,
nā maʻi āpau papa somatic ma ka wili paʻa.

Eia kekahi, kahi biopsy i contraindicated i nā wahine hāpai. No nā keiki, mālama ʻia kahi biopsy pancreatic inā pono loa ia.

Nā ʻano o ka biopsy pancreatic

I kēia manawa, ua hoʻohana ʻia nā ʻano ʻoi o ka biopsy:

kaaumono
laparoscopic
percutaneous
Endoscope.

Me nā biopsies intraoperative, hoʻomaʻemaʻe pololei ʻia ka pancreatic tissue i ka wā o kahi kaʻina wehe ʻana i ke kino ma luna o ke kino. ʻO ka manawa pinepine, ʻo kēia ʻano maʻi e hoʻohana i ka wā e pono ai ke kiʻi i nā mea mai ka huelo o ka pancreas.

Hiki ke hana ʻia kahi biopsy intraoperative me ka hoʻohana ʻana i kēia mau ʻano:

neʻe - hiki i kēia hana biopsy ke loaʻa inā he maʻi nui ka papa lehulehu i loaʻa ma ka ʻaoʻao o luna a i ʻole lalo o ka papa. Hana ʻia kēia ʻano biopsy ma o ka incision ma ka paia o ka ʻōpū. E lawe i kahi pono biopsy, e hoʻohana i kahi pono kuʻi a me nā pu
transduodenal - hana ʻia ke aʻo ʻana ma o ka duodenum. E hahau i ka pīpī, e hoʻohana i kahi lāʻau nīnika lōʻihi e pili ana i kahi syringe he 10-milliliter i loaʻa iā 4 mililiter o ka lewa.

ʻO ka liʻiliʻi liʻiliʻi ka hana traumatic a me ka maʻamau ʻo ia ka percutaneous pancreatic biopsy. Hoʻohana pinepine ʻia kahi ʻōiwi makemake i ka biopsy, akā hiki ke kuhikuhi pū ʻia ʻo trepanobiopsy.

Hoʻokomo ʻia ka lāʻau weli ma lalo o ka anesthesia kūloko ma o ka kihi liʻiliʻi o ka ʻili. ʻO ka biopsy e nānā ʻia e ka ultrasound a me ka CT paha.

Me kahi biopsy huina maikaʻi, loaʻa nā ʻola sela, a me kahi trepanobiopsy, kahi kolana ʻāpana.

Pono e hoʻomaopopo ʻia hiki ke hoʻohana ʻia i ka biopsy hiki no ke kumu therapeutic no ka pā holoi o nā cysts, abscesses, etc.

Hoʻohana ʻia nā lapalapa laparoscopic me ka hoʻohana ʻana i ka endoscope a hoʻohana ʻia inā he maʻi pseudocysts nui a maʻi paha ke ahonui, na maʻi maʻi pancreatic, a i ʻole nā pilikia pathary tract pathologies.

Pehea e hoʻomākaukau ai no kahi kaʻina hana biopsy

Ma mua o ke koho ʻana i kahi biopsy, hoʻomanawanui ka mea maʻi i kahi loiloi piha ʻana:

ka nānā pinepine ʻana o ke koko a me ka urine,
hōʻike palapala koko
coagulogram,
Paona o ka pancreas,
Nā hōʻike maʻi alerē no nā anesthetics i hoʻohana ʻia no ka biopsy (e like me nā hōʻike ʻana).
ʻoi aku ka wā hāpai (no nā wahine o ka wā hānau).

Eia kekahi, 12 mau hola ma mua o ke kaʻina hana, pono e haʻalele ka puhipuhi.

No nā lā ʻekolu a ʻehā lā, hōʻike ʻia ʻo ia e wehe i ka ʻai ʻana i ka mea inu wai ʻona, ʻo ia hoʻi kekahi lāʻau i kekahi māmā māmā (i ʻole i ka pīpī o ka iʻa, spicy, fatty, smoked, etc.).

Eia kekahi, ʻekolu mau lā ma mua o ka biopsy pancreatic, pono nā meaʻai a pau e hiki ke piʻi i ka hoʻokumu ʻana i ka mīkini a me ka lemulewa pono e hoʻoneʻe ʻia mai ka meaʻai (ka ʻūlū huaʻai, legumes, nā huahana momona momona, a me kahi kīʻaha ʻula e pono e haʻalele ʻia)

Inā pono, ʻekolu a ʻehā mau lā ma mua o ka biopsy, ua kuhikuhi ʻia ka mea maʻi i nā lāʻau e hōʻemi ai i ka pua ʻana.

Pancreas biopsy - pehea e hana ai a pehea ka nui o lākou i ka haukapila

Ma mua o ke kaʻina hana, hoʻokō nā kauka i ke kahua o ka biopsy me ka antiseptics a alakaʻi i ka anesthesia kūloko. Wahi a nā hōʻailona, hiki ke hana ʻia kahi hana biopsy pancreatic ma lalo o ka hanana anesthesia maʻamau.

Inā pono, ua lawelawe ʻia ʻo Dicinon i ka mea maʻi e pale i ke kahe.

No ka hoʻonui i ka pololei o ke kaʻina a me ka hōʻemi o ka hopena o nā hopena ʻaoʻao, e hana ʻia ana kahi biopsy pancreatic ma lalo o ka mākaʻikaʻi o kahi scan ultrasound.

Ma hope o ka hoʻōla ʻana i ka ʻāwili biopsy a me ka hōʻeha i ke kaumaha, ke kauka, ma lalo o ka mākaʻi ʻana o kahi ultrasound (a i ʻole CT), e hoʻouka i kahi ʻanuʻu biopsy kūikawā a lawe i ka umauma o ka maʻi pancreatic. Ma hope o kēlā, hiki ke holoi ʻia me nā antiseptics a i ʻole nā mea lapaʻau ma loko o ka huʻu biopsy.

ʻO ke kaʻina holoʻokoʻa e lawe ma kahi o ʻumikumamālima mau minuke.

Hōʻalo ʻia kahi biopsy asprie a paʻa i nā hopena ʻaoʻao. I nā hanana pinepine, loaʻa paha nā ʻōpiopio ma muli o ka hōʻino kino vascular.

Wahi a nā hōʻike, ma kahi o ka biopsy aspire, hiki ke hana ʻia:

endangiopiko retrograde cholangiopancreatography (ERCP). Ma kēia kaʻina hana, hoʻāla ʻia ka neʻe mai me ke kāmeʻa (endoscope) ma o ka waha, i loko o ka pā liʻiliʻi (i nā pancreas). Ke hoʻokō nei i kēia kaʻina hana e hiki ai iā ʻoe ke lawe i ke kiʻi o ke kino a hana i kahi manawa biopsy,
ʻO nā hoʻokolohua ultrasound endoscopic. Me kēia ʻano hana, pū pū kekahi me ERCP, ua hoʻokomo ʻia kahi endoscope i loko o ka pancreas. Ma hope o kēlā, ʻike ʻia ka wahi o ka hana o ka hoʻoulu ʻia e kahi sensor ultrasound a me kahi ʻāpana o ke kiko o ka iwi a hōʻiliʻili ʻia e ka pū lāʻau biopsy.
hōʻike pāpale laparoscopic. Ma nā hoʻokolohua laparoscopic, ua kau ʻia kahi endoscope ma o kahi liʻiliʻi i loko o ka pā o ka ʻōpū. I ka wā o ke aʻo ʻana, hiki i ke kauka ke nānā i ka ʻili a me ka loiloi i kahi a me ka nui o ka maʻi. Ma hope o kēia, lawe ʻia ka ʻili no ka noiʻi.

ʻO nā hui i hoʻoili ʻia i ka wā biopsy o ka pancreas e hoʻouna ʻia i ke kahu noiʻi no nā haʻawina hou a i ʻole immunohistochemical.

Nā biopsy Pancreas - nā hopena a me ke ola ma hope o

E like me nā hōʻike, hiki ke hoʻihoʻi ʻia ka mea maʻi i ka meaʻai makua no nā hola 24-48.

I ka wā e hiki mai ana, pono e maʻi ka mea maʻi i ka meaʻai No. 5p e like me ka Pevzner. Hoʻomaopopo ka papaʻai no ka liʻiliʻi i hoʻokahi mahina, ʻoiai, ma ke kauoha a kahi gastroenterologist, ke hoʻolōʻihi ʻia nei ka meaʻai.

ʻO ka ʻai ma loko o nā ʻāpana fractional, ma ke ʻano mushy a i ʻole ʻāʻī paha, ʻelima a ʻeono mau manawa i ka lā. Pono ke ʻoluʻolu ka meaʻai.

Eia kekahi, ma hope o kahi biopsy o ka pancreas, Sandostatin (ʻo ka lāʻau lapaʻau ka poloka i ka hana o nā enzyme pancreatic, hana i ke koena o ka hana) a me Cerucal hiki ke kuhikuhi.

I loko o kahi mau lā ma hope o ka hoʻokuʻu ʻana, e hoʻolako ʻia e mālama i ka regimen hapalua. I loko o hoʻokahi mahina, ua ʻōlelo ʻia e pale aku i ka hoʻā ʻana o ke kino, pono hoʻi ʻoe e hōʻole i ka inu ʻona.

He aha ka biopsy pancreatic?

Hoʻopilikia pinepine ʻia nā ʻōpū o ke kino i nā maʻi a me nā malignancies. Inā kānalua ka oncology a i ʻole neignlasm benign, ua hoʻopiʻi ka mea maʻi e ka puncture ma o ka ʻili a i pololei paha i ka wā o ka hoʻomaʻamaʻa ʻana.

ʻO kahi biopsy pancreatic kahi hana maʻamau ka mea i hana ʻia i nā poʻe maʻi me nā maʻi maʻi ʻaʻa a i ʻole pancacitis exacerbated. Pono inā hōʻiliʻili ka hōʻiliʻili o nā ʻuna a i ʻole ka edema o ka nui o ka retroperitoneal i ʻae ʻia i nā ʻano o nā maʻi ultrasound a i ʻole MRI o ka ʻeha gastrointestinal e hoʻomaopopo pono i nā kaʻina hana e hiki mai ana i ka huelo. Eia kekahi, inā pono e hōʻoia i ke kano a maopopo ʻole i ke ʻano o ke ʻano, e hoʻohana pono ʻia kēia ʻano ʻano no ka maʻi no ka ʻā ʻana o ka ʻōpala.

Hoʻoola ʻia he biopsy no ka luhi i mea kuhihewa ʻia, hana pinepine ʻia i ka wā o ka ʻoihana

Nā ʻ Collectionlelo Hana Puncture

ʻO kekahi ʻākala i loko o ka pancreas, ʻoiai inā i ka ʻōlelo ʻia ma ke ʻano he male benign, pono ia i kahi maʻi kūpono. No ka hana i kēia, hana i ka biopsy. He ʻano kēia no ka nānā ʻana i nā ʻili i lawe ʻia mai ka mea maʻi i ka manawa o ka hoʻomaʻamaʻa ʻana a ma mua o ka hoʻomaʻamaʻa ʻana.

ʻOiai nui ka waiwai ma ka lawe ʻana i ka kiko like mai kahi e hōʻike ai i ka neoplasm i ka pancreas. ʻO ka biopsy ka ala kūpono loa no ka hoʻoholo ʻana i nā tumors malignant a kōkua iā ia e ʻike i nā metastases. Ua hōʻike ʻo ia i ke ʻano o ka maʻi, ke ʻano o ka oncology a hoʻoholo i ke ʻano o ka maʻi i kēia manawa.

ʻO ka biopsy pancreatic he 4 ʻano hana:

I ʻano paʻa kepiki i nā kiko o ke kiko i ka wā o kahi kaʻina wehe i loko o ke ana o ka ʻōpū. He hana maʻamau kēia, ʻoiai inā makemake ʻia kahi biopsy ʻehā pancreatic. He paʻakikī a kaʻina ke kaʻina ʻana, akā like ka ʻike e like me ka hiki. Aia ka pōʻino i ka mea ʻo nā noiʻi non-invasive ʻaʻole paha e hōʻike i nā hiʻohiʻona a pau o ka neoplasm, a ma hope iho, ʻaʻole i hiki ke ʻeke ke ʻano i kekahi manawa, a ua holo mua nō hoʻi ka huli ʻana. Eia kekahi, ʻaʻohe mea i ka manaʻo ʻē aʻe e pane ʻole ka kiko neoplasm i ka puncture a me ka hoʻopili ʻana i kahi ʻāpana, e hoʻomaka ana e ulu a hiki i ka wikiwiki.
I kaʻina laparoscopic Loaʻa nā Biopsies i ka manawa ʻaʻole e lawe wale i kahi kiko kiko, akā e nānā pū ai i kahi ʻōpū a i ʻole ʻo ia hoʻi ke pancreas. Hoʻohana pinepine ʻia kēia mau ala i ka wā e pono ai ke biopsy o nā kaʻina oncological. Hoʻohana ʻia ke kaʻina hana ma lalo o ka manesthesia aoao. Ma ka lolo a maʻi paha ʻo ka pancreatitis, kahi metode laparoscopic diagnostic e hiki ai iā ʻoe ke ʻike i ka nui o ka retroperitoneal, e hoʻoholo ai inā he neoplasms a i ʻole nā hōʻuluʻulu ʻana o nā wai.
I ke ʻano maikaʻi lawe ʻia ka biopsy pancreatic me ka hoʻohana ʻana i ka pono ponoi. Hāʻawi kēia hana diagnostic iā ʻoe e wehewehe maopopo i waena o nā kaʻina pancreatic a me nā neoplasm malignant. Eia nō naʻe, ʻaʻole hiki ke hoʻohana mau i ke ʻano puncture, no ka mea, he mea paʻakikī loa ia e hele i loko o ke kaena a emi mai ka 2 cm o ka nui. ʻOiai ʻo ka diagnostics ultrasound a me ka pancreatic MRI e kōkua i ke kauka, ʻaʻole hiki ke ʻike mau i ke ʻano o ke kaʻina ʻana o ka biopsy me kāna kōkua. Hoʻolā ʻia kahi biopsy transdermal inā ua hoʻomanawanui ka mea maʻi i ka ʻōpū o ka ʻōpū, akā naʻe, ʻo ia ka mea e koi nui i nā kīʻaha ʻē aʻe. Ua hoʻākāka ka pilina ʻana ma o ka neʻe ʻana o kēia mau biopsy o ka pancreas e hōʻeha wale ana i ka mea hōʻeha kino i ka olakino a hōʻemi i ka hopena o ka hoʻonāukiuki i ka zero.
I ke ʻano hopena ua hoʻokomo ʻia kahi Endoscope i loko o ka ʻōpū, hoʻokaʻā ʻia ka ʻaoʻao o ka ʻōpū ma ka duodenum. He kūpono ia ia ʻano inā ʻo ka neoplasm liʻiliʻi i ka nui a i ʻole ka hohonu i ka pancreas.

ʻO ka biopsy pancreatic no kahi maʻi: pehea ka hana?

Ma hope o ka hoʻomanawanui ʻana o ka mea maʻi i kahi ultrasound a i ʻole MRI o ka pankreas, e hōʻike ana he ʻanoʻano ʻaʻaki e pono ai ke loiloi ʻia, hāʻawi ʻia ke kauka i kahi mana no kahi biopsy. Ma mua o ke kau ʻana ke kauka e lawe pehea e lawe ʻia ai ka kiko no ka hoʻokolokolo histological, he mea nui ia e hele a hoʻomanawanui:

hōʻike koko lahilahi
urinalysis
ʻahuʻula i ke koko
helu ʻaihelu,
hōʻike hōʻike hōʻike prothrombin.

Pono ke kauka i ke kiʻi holoʻokoʻa o ka manaʻo o ka mea maʻi, pehea e hoʻomaʻamaʻa ai kona kino i ka wā o ke kaʻina biopsy pancreatic, nā pilikia a me nā mea e ola ʻia ai paha. Inā aia kekahi pilikia ma ke kaʻina hana koikoʻi koko, a laila pāpā ʻia kahi biopsy, ʻokoʻa ʻo MRI ʻōpū me ka hoʻohālikelike ʻana.

No ka mea maʻi, hiki i ka maʻalahi ke kaʻina hana, lawe ʻia ka ʻāpana pepa mai ona, a hāʻawi ʻia iā ia no nā hoʻokolohua lāʻau. Ka hona ana i ka lā me ka pūlou, a i ka hope kahi aia he pono, ma kekahi manawa he ʻāpana, a i kekahi manawa mānoanoa. ʻO ke ʻano o ka lawe ʻana i nā huahana mai kahi neoplasm mai pancreatic me kēia ʻano ua like like me kahi o ka mea i loko o kahi syringe. Hoʻokomo nui ʻia kahi ʻāpana i kahi pūpū a mai loko mai o ka pahu. Hoʻouna ʻia ka pahu me nā mea kumuhana i ka laboratoryo no ka noiʻi. Ma laila, me ke kōkua o nā mea hana kūikawā, hoʻokaʻawale ʻia nā pūpela o ke kiko olakino a me nā maʻi maʻi, ka ʻano o ke neoplasm a me kona ʻano.

ʻO ke kaʻina hana

Pono ka mea maʻi e ʻike ʻaʻole wale nō e hana ai i ka biopsy, akā pili pū ka hoʻoponopono hoʻihoʻi ma hope o ia ʻano hana paʻakikī.ʻAʻole he mea maikaʻi ka hopena, e hōʻoia ʻia a hōʻoia ʻia paha ka maʻi, ma hope o ka hopena, ke koi ʻia ke hōʻola ʻana.

Ma hope o kahi biopsy o ka pancreas ma ka sampra intraoperative, noho mau ke kanaka i ka hale haukapila. I loko o ka hale hōkela, inā pono, ua hāʻawi ʻia i ke ʻano ikaika e hoʻopaʻa i kona ʻano maʻamau, a i ka lā hoʻokahi hoʻi hiki i ka mea maʻi ke piʻi aʻe i luna o kona mau wāwae. A laila, no kekahi mau lā, nānā nā kauka i ka mea maʻi, hana maopopo ka holo ʻana o nā hele kino a pau i kā lākou hana maʻamau. E hele i ka home no nā lā 3-4, inā nā maʻi āpau a maʻamau a like i ka biopsy ʻaʻohe koi wikiwiki ʻia e hoʻokau i ka ʻeha ma ka pancreas. Me ka pancreatitis, lawe ʻia ka mālama ʻana a me ka hoʻokele ma mua o ke ʻano o ka wili o ke koʻikoʻi.

I ka hōʻiliʻili ʻana i nā ʻikepili no ka hoʻopaʻa moʻolelo ʻana me ka hoʻohana ʻana i ke ʻano lāʻau pā pono pono, nui ʻia ka mea maʻi ma lalo o ka mākaʻi ʻana ma lalo o 4 mau hola. Inā i kēia manawa ʻaʻohe loli i ka mālama maikaʻi, a laila hoʻouna ʻia ka mea maʻi i ka home.

ʻO ke ʻano o nā kauka a nā kauka i nā mea aʻoaʻo no ka biopsy o ka pancreas, pono ia e hoʻomanaʻo he mea nui loa ka mea maʻi no ka haʻalele i kekahi mau lā:

mai ka hoʻomaʻamaʻa
ka hana ikaika a me ka hana kino,
inu waiʻona
ka hana mole pau ole,
e kaʻa ana i ka kaʻa
ulaula
ʻai ʻai, ʻala, ʻala.

Hiki ke lawe ʻia ka biopsy me kahi laparoscope i ka wā o ka hoʻokolokolo o ka ʻeha gastrointestinal

Hoʻopili kekahi mea komo hou i ka pancreas me ka ʻike ʻole e ulu ʻia nā ʻōhua.

hoʻonui ka ʻai
nawaliwali i ke kino
ke koko ua wehe
lele i loko o ke koko,
mea ʻalaʻawa
āhāhuʻe.

Inā ʻike ʻia kekahi o nā hōʻailona i kākau ʻia, a laila ʻaʻole hiki iā ʻoe ke haʻalele i ke keʻena olakino, he mea kūpono ke noho ma lalo o ka mākaʻi o ke kauka, no ka mea he ʻano ʻē aʻe kēlā me kēia kino i ka biopsy. I kekahi manawa ma ke kau o nā puncture a i ʻole nā kuli o nā fistulas o ka hoʻopiʻi polipula e kū, a hope pū me nā cysts, tumors, suppurations.

ʻO ka hoʻomākaukau ʻana kahi papa hana hana

He mea nui ia e hoʻomākaukau no ka lawe ʻana i nā meaola biopsy. Hoʻopilikia ʻia ka Manipulation ma luna o ka ʻōpū ʻole, ua pale ʻia ʻo ia no ka inu ʻana i nā kīʻaha, ʻoi pū ka wai. Inā ʻaʻohe mea maʻi ka pancreatitis, nā pilikia me ka pancreas ma ke kōpana o ka maʻi, a laila ʻaʻole ʻoe e pili pono i kahi meaʻai kūikawā i mua. ʻO ka palena no nā lā 2 he mau mea inu wai, nā huahana pia, nā momona a me nā meaʻai momona. Inā makemake ka mea maʻi i ka hoʻomākaukau ʻana no ka noʻonoʻo, a laila ma kahi keʻena olakino hiki iā lākou ke kōkua ʻia me kēia, i nā pilikia paʻakikī, ua ʻōlelo ʻia lākou e lawe i nā lāʻau lapaʻau i nā mea hoʻonaninani. ʻO ka hoʻomaʻemaʻe ʻana i ke kakaka ma mua o ka colonoscopy a i ʻole anoscopy ʻaʻole i koi ʻia.

ʻO nā ʻano Biopsy Pancreatic

Hana nā kauka i ke kaʻina hana me nā mea hana like ʻole, a i kekahi manawa kūpono i ka wā o nā hana ma ke ana o ka ʻōpū.

biopsy pulehu nui
momoni auleʻa manaʻo or percutaneous,
laparoscopic
kaaumono
Endoscope.

ʻO ka biopsy hāmeʻa mānoanoa o ka ʻili i hiki ai ke loaʻa i kahi ʻāpana koʻikoʻi nui o ka kiko no ke aʻo hoʻokahi. O ke anawaena o ka pūka i hana ʻia ma kēia hihia he 1 milimita.

ʻO kahi biopsy transdermal kahi i kapa ʻia hoʻi he aspirle maikaʻi. ʻO kēia ʻano kaʻina hana e hana pinepine ʻia. I kēia hihia, hoʻohana ke kauka i kahi mea lapaʻau i loko o ke ʻano o kahi pū kūikawā, ma ka hopena o kēlā me kēia pūpaki i ka ʻano o kahi pahi. Ke kī ʻia i kahi pihi, ka ʻōwili i ka ʻōpū. Hiki ke hoʻohana ʻia kahi pūpele lōʻihi a lahilahi me kahi syringe. He palapala kauoha o kahi biopsy percutaneous he mea hoʻohālikelike tomography scanner a i ʻole he ultrasound scanner, kahi e nānā ʻia ai ke kaʻina hana.

Pono pono nā hoʻokolohua Laparoscopic e kiʻi i kahi tauira o kahi pūnaewele kikoʻī. I kēia hihia, ke kauka nei ke hana i kahi liʻiliʻi liʻiliʻi, e loaʻa ka manawa e nānā i ka ʻōpū o ka ʻōpū ma ke alo o nā metastases. Inā hōʻike ka mea maʻi i ka pancreatitis waha, hiki i ka laparoscopic biopsy ke hiki i ka loiloi ʻana i ka maʻi nui o ka infiltrate inflammatory.

Hoʻokomo ʻia kahi biopsy intraoperative i ka wā o ka ʻoihana. ʻO ke kauka, loaʻa ke komo i ka ʻōpū o ka ʻōpū ma muli o ke kuhi wā, e koho ana i kahi tauira biopsy no ka hoʻokolokolo.

ʻO ʻoe no ka hopena o ka maʻi endoskopika, i kēia hihia, hele ke kauka i ka pancreas ma o ka duodenum, e hoʻohana ana i kahi endoscope a me kahi pono nui i ke ʻano o kahi nozzle ma ka endoscope. No laila, hiki ke lawe a wīwī mai ke poʻo o ke kelepona no ka hoʻokolokolo.

I nā hihia he mea hoʻohālikelike kahi hana i nā wā hiki ʻole

E like me nā ʻano maʻi ʻē aʻe, he papa inoa o ka biopsy. No ka mea maoli, hiki ke hana wale ia e like me ka mea i hōʻike ʻia e ke kauka hele, inā he mea pono no kēia. No laila, hoʻomaka kahi biopsy o ka pancreas i nā hihia inā:

ua luhi ka mea maʻi i ka maʻi kanesa,
ʻO nā hana diagnostic ʻē aʻe i hōʻike i ka noho ʻana o nā neoplasms i loko o nā kōpana o ke kīpē, ke ʻano o ka pono e hoʻokumu ʻia.
ʻaʻole hiki i nā mea noiʻi hewaʻole ke loaʻa i ka ʻike holoʻokoʻa e pono ai no ka hoʻomohala ʻana a me ka mālama ʻana.
ua hōʻike ʻia ka mea maʻi i ka pancreatitis aʻeha paha,
aia ke hoʻonohonoho e hoʻokūkū i ka paʻakikī o ka lesion o ka mea maʻi me ka maʻi maʻi.

Pēlā nō, loaʻa kahi hana biopsy no nā contraindications. ʻAʻole hana ʻia kahi biopsy gland inā:

hāʻawi ka mea maʻi i ka hōʻole kākau kākau ʻana o ka biopsy,
i ka mea maʻi he kolohe i nā koina coagulation koko,
aia ke kumuhana i ke kūlana koʻikoʻi, no ka laʻana, e pili ana i nā polokalamu kākoʻo ola,
Aia nā hana diagnostic non-invasive hiki ke hāʻawi i ka ʻikepili like i ka lahilahi e like me ka biopsy.

No nā wahine hānai, ʻaʻole i kuhikuhi pono ʻia kēia ʻano hana mehameha, no ka mea i hiki mai ka pōpilikia o ke keiki hānau ʻole. Hiki i ke ʻano o nā keiki i kekahi mau pilikia ke lilo i ka pilikia o kahi biopsy o ka pancreas.

Nā rula no ka hoʻomākaukau no ka hoʻokolokolo

ʻO ke koi nui kahi e kau ai ka hopena o ke ʻano maʻi ʻo ia ka pono e hana paʻa ma ka ʻōpū ʻole. 24 mau hola ma mua o ka hoʻomaka ʻana o ke kaʻina hana, pāpā ʻia ka mea maʻi i ka inu ʻona, no nā hola 12 ʻaʻole hiki iā ʻoe ke ulaula.

I ka lā ma mua o ka biopsy, ʻōlelo ʻia kahi ʻai māmā, me ka ʻole o ka momona, ka ʻū a me nā meaʻai. I ke ahiahi, ʻae ʻia kahi ʻaina hoʻomaha, akā ʻaʻole i hala ma mua o 8-10 mau hola ma mua o nā biopsy. I ka manawa like, ʻaʻole hiki iā ʻoe ke inu i ka wai wai.

ʻO ke kaʻina noiʻi ʻo ia iho, me ka ʻole o ke ʻano o kona hoʻokō ʻana, hiki ke hōʻeha nui ʻia, no ka mea e hōʻike mua ana ke kauka i ka mea maʻi. Hoʻomaʻamaʻa pinepine ʻia kahi biopsy me ka hoʻohana ʻana i ka anesthesia kūloko a i ʻole nā mea koʻikoʻi. Ma kēia hihia, e wehewehe pono ke kauka ma mua i ka haʻalele ʻana o ka mea maʻi i kahi anesthetics, inā pono, e kuhikuhi iā ia i nā hoʻokolohua allergy.

ʻO nā wahine ma ka trimester mua o ka hāpai ʻana e hoʻomaopopo pono i ke kauka e pili i kā lākou kūlana kūikawā.

Pehea ka ʻano o nā kaʻina hana

Lawe ʻia kahi biopsy wale nō ma kahi ʻoihana hoʻonaʻauao, ma lalo o ka nānā o kahi ultrasound a i ʻole ka comp Tom tom scanner. I kekahi mau hihia, hiki ke kiʻi ʻia ka mea maʻi i ka haukapila haukapila.

Pono ka mea lapaʻau, nā kahu hānai a me ka anesthetist e hoʻokō i nā kānāwai āpau a aseptic i ke kaʻina ʻohi o nā mea no ka noiʻi.

ʻO ka biopsy percutaneous ʻo ia ka palekana a me ka liʻiliʻi o ka traumatic no ke kumuhana. Hiki i ke kauka ke hoʻohana i kahi manamana lōʻihi manawaleʻa a i ʻole pu. Hāʻawi ʻia i ke kaumaha o ke kaʻina hana, ʻoi pinepine ʻia ka mea maʻi i loaʻa i ka anesthesia kūloko.

Ma hope o ka hana ʻana o ka maʻi maʻi, ma lalo o ka mākaʻi ʻana o ka mīkini ʻimi a i ka tomograph compute paha, kau ʻia ke kauka i kahi lāʻau nui i loko o ka huelo ma o ka paia o ka ʻōpū. Ma muli o ke kau ʻana i ka ea mai ka lua ponoa, ua hoʻokomo ʻia ke ʻano lāʻau olakino i loko. Hoʻohana ka lāʻau biopsy i kahi like like. Inā ʻaʻole i emi iki ka mahele o ka mea i hoʻopili ʻia, a i ʻole ka mea maʻi e hana i ka hōʻoki ʻana a i ʻole laparoscopy o ka ʻōpū, ka hoʻokō ʻana i kahi pono ponoʻī ʻānō biopsy i hana ʻole.

Hana ʻia kahi hua ʻai biopsy nui i kahi like like - ke hana pū ʻia kekahi ʻano anesthetic i ka mea hoʻomanawanui, a me ke kauka, me ka hoʻohana ʻana i kahi jariki nui (1 mm), e lawe i ka ʻōpū no ka hoʻokolokolo.

Ua manaʻo ʻia ʻo Laparoscopy ke ala maikaʻi loa e hoʻokō ai i nā hoʻokolokolo biopsy. I kēia hihia, ua hoʻohui pū ʻia ka invasiveness a me nā trauma me nā ʻike ʻike kiʻekiʻe. Hoʻopili i nā pancreas, i ka wā laparoscopy, hiki i ke kauka ke nānā i ka waha o ka ʻōpū holoʻokoʻa, e nānā i ke ʻano o nā kino i waiho ma laila, e ʻike i nā metastases a me ka foci o nā nekrosis. Hāʻawi ka mea maʻi i kahi ʻano o ka hiamoe lāʻau, ma hope o ka hāʻawi ʻia o carbon carbon i kahi ʻōpū. Hana kekahi kauka i ʻelua a ʻoi aku paha i nā puncture liʻiliʻi e hana pono ai nā mea hana kūikawā, e like me ka laparoscope a i ʻole nā mea kanu biopsy, i loko o ka ʻōpū o ka ʻōpū.

Hoʻopili pinepine ʻia ka biopsy endoskopika i nā hihia inā neoplasms ʻo ka liʻiliʻi liʻiliʻi e waiho ma nā papa hohonu o nā lau o ke poʻo. ʻO ke kumuhana, ma ke ana o ka waha a me ka esophagus, ua hoʻokomo ʻia kahi endoskope i loko o ka ʻōpū o ka ʻōpū. Mai ka ʻōpū, komo ke kāmeʻa i ka duodenum, mai kahi mea hiki i kahi nozzle kūikawā hiki ke hopu i nā selu mai ke poʻo o ka kelepona. Hāʻawi i ka uhi liʻiliʻi o kēia ʻano, ʻaʻole maʻamau.

Hoʻopuka pololei ʻia ka ʻike intraoperative i ka wā o ka ʻōpū o ka ʻōpū. Ua manaʻo ʻia ke ʻano ʻo ka ʻike nui loa, akā, ʻo ia ka mea maikaʻi loa a me ka traumatic no ka mea maʻi. Ua koi ʻia nā koi āpau no ka hana ʻeha i ia mea. ʻO ka mea maʻi ma lalo o ka anesthesia aoao i ka wā o ka pale ʻana i ka paia o ke ana o kona ʻōpū, ʻo ia hoʻi ke loaʻa pololei i ka ʻōpū. Hiki i ka biopsy intraoperative ʻo ia iho ke hana ma nā ʻano he nui. No laila, hiki ke loaʻa ka biopsy kūkaʻi wale nō ma ke alo o nā pehu nui i kū i ke kahua o ka piko poʻokela o lalo a i ʻole ka palena. Hoʻopau ʻia ia ma o ka incision, a i hoʻohana ʻia i nā pono kūikawā a me nā pahi. Hana ʻia ke ala transduodenal ma o ka duodenum, i pani a wehe paha, me ka hoʻohana ʻana i nā pono kuʻi a me ka endoscope. Hiki ke hoʻopili ʻia kēia kaʻina hana me kahi lāʻau wīwī me ke kuono ʻo 10 milliliter, aia kahi 3-4 mililika o ka ea. Hoʻopaʻi ʻia ka ʻūpepa a lawe ʻia nā mea mai ia.

ʻO nā hiʻohiʻona o ka hana o nā mea i hopu ʻia

Ma hope o ka loaʻa ʻana o ka mea maʻi loea i ka ʻili i hoʻopili ʻia, pono e hoʻouna ʻia i ka laboratory no ka hoʻokolokolo. Hoʻokuʻu ʻia nā keliʻi i loko o nā ʻōpala wai. Diagnostics, ma mua o ka hoʻomau ʻana me ka noiʻi ʻana o biomaterial, hana iā ia a hoʻomākaukau ia no ka noiʻi.

Hoʻopili ʻia nā ʻili i koho ʻia no ka hana paraffin a i ʻole ka manuahi, ma hope o ka mea e ʻoki ʻia i nā ʻāpana ʻāpana - ʻili, e hoʻohana ana i ka pahi microtome. Ua kau ʻia nā ʻāpana i loaʻa ma luna o nā aniani maikaʻi a ʻehā paha e hoʻomoʻi.

Ua hoʻāʻo ʻia ka mea i hoʻomākaukau ʻia ma kēia ala ma lalo o kahi mikroscope māmā. Ke hoʻohana nei i nā optical precision kiʻekiʻe, hiki i ke kauka ke hoʻoholo i ke ʻano o ke ʻano o nā patology i pā i ke kino, kona ʻōpio, a me ka ʻike mua ʻana i kona hoʻomohala ʻana.

Inā ʻaʻole lawa ka nānā ʻana ma ka mikroskopika e hana i kahi maʻi a me ka hoʻoholo ʻana i kahi ʻōpoki o ke kanesa, ua ʻike ʻia kahi hōʻike immuno-histological o nā kiko. No kēia, ʻikea nā ʻāpana i nā serit antitumor sera. ʻO ka hiʻohiʻona i loko o kahi o ka hoʻomākaukau o ka maunu melemele, hoʻokaʻawale ʻia me ka mikroscope, hōʻike ʻia i ke ʻano o ke kūlohelohe i kū i ke ʻano kahi i kuhikuhi ʻia ai ka serum i kekahi ʻāpana.

Hoʻopilikia ka mikroscopy electron me ka nui o nā ʻola olakino a hiki i ka 100 tausani mau manawa, a hiki iā ʻoe ke nānā i ke ʻano o nā organeles cell pancreatic.

Hoʻopau a me kahi hoʻoponopono hou ma hope o ke kaʻina hana

ʻO ka mea ʻoi loa e pili ana i nā hopena hopena he intraoperative organ biopsy. Ma hope o ka hōʻoki ʻana i ka ʻōpū, aia ka mea maʻi i ka puʻina mālama koʻikoʻi, kahi i hoʻohuli maoli ʻia kona ʻano. Ma hope o kekahi manawa, ua lawe ʻia ʻo ia i loko o kahi keʻena kaʻaila. I loko o 5-25 mau lā ma hope o ke kaʻa ʻana, aia ke kumuhana i loko o ka haukapila.

Ma hope o ka nānā ʻana me ka huila ʻinihi, ke noho mau ka mea maʻi ma lalo o ka mālama ʻana o nā kauka no nā hola. Inā hana ʻo ia i kēia manawa he mea maʻamau, e ʻae ʻia ʻo ia e hoʻi i ka home, maikaʻi ma lalo o ka mālama ʻana o kekahi e kokoke iā ia.

ʻO ke kaʻina hana ma hope o ke kū ʻana e hele me ka puhi ʻole a me ka inu ʻona. Ma hope koke o ke kaʻina hana, ʻaʻole ia e ʻōlelo e hoʻokele a hana i nā mea paʻakikī ʻē aʻe.

Mai 3 a 30 mau lā (ma muli o ke ʻano o ka maʻi i hoʻopaʻa ʻia), kāhea ʻia ka mea maʻi mai ka hana kino.

ʻO nā hopena ma hope o ka pauʻana he mea ʻokoʻa ma mua o ka lula. Inā hana maikaʻi ʻia ke kaʻina hana, ke koko, nā peritonitis, nā cysts a me nā fistulas e hele mai.

ʻO kahi biopsy pancreatic kahi paʻakikī invasive paʻakikī no ke aʻo ʻana i ke kūlana o kahi mea maʻi. Ma ka loaʻa ʻana o ka mea maʻi i nā ʻōhua o ka maʻi, a ʻo nā mea noiʻi ʻē aʻe ʻaʻole i hiki ke hoʻoholo i ka hopena hewa a i ʻole ke kala, he mea palupalu ʻo ia ia e ʻimi ʻia e ka histological a me ka mikroscopic hoʻokolohua i hiki ke hāʻawi i ke kauka i ka ʻike pono. Me ke ʻano o ka hoʻomohala ʻana i ka maʻi pancreatic, he mea maʻamau, i kēia manawa, e hāʻawi ana i nā hopena ʻoi loa i ka 85-95% o nā hihia.

Nā hopena ma hope o kahi Biopsy RV

ʻO ka pinepine, ʻo ka minopsy aspir o ka pancreas e hoʻomanawanui maikaʻi. Kumuhana i nā lula āpau o ka hoʻomākaukau a me ka hoʻōla hou aʻe, loaʻa pinepine nā ʻōpiopio.

ʻO ka manawa pinepine, nā ʻōwili ma hope o kahi biopsy o ka pancreas e hiki mai:

nā hōʻailona ʻōpū
nāwaliwali
nā ʻōpū hōʻeha
ninaki a me ka luaʻi
mea ʻalaʻawa
āhāhuʻe.

No ka hōʻemi i ka hopena o nā hoʻopiʻi ʻana, pono kahi hana biopsy pancreatic e hana wale ʻia e nā poʻe loea i mākaukau, ma lalo o ka mākaʻi o ka ultrasound, CT, etc.

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 kekahi 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).

Nā hana o ka hoʻokō ʻana i ke kaʻina hana

Hoʻohana ʻia kēia ʻano ʻano biopsy o ke kanā pancreatic i hōʻike ʻia ai ka maʻi pancreatitis biopsy maʻamau, oncology. ʻO ka maʻi ʻokoʻa o ka maʻi o kēia ʻōpū kūloko e waiho i nā hōʻike biopsy ma ka mua. Hoʻokumu i nā hopena o nā noi, ua kiʻi ʻia kahi hopena ma luna o ka ʻōlelo aʻo aku e hoʻoneʻe i ka pancreas.

No ka hana ʻana i ka maʻi pancreatic me ka liʻiliʻi o ka liʻiliʻi o ka kūlana o ke olakino, pono e ʻike ʻia nā haʻawina i nā ʻoihana aʻe:

ʻaʻole i lawa ka ʻike e pili ana i nā hana i loaʻa i ka invasive,
ka manaʻo nui e hoʻopaʻa i nā hōʻailona no ka loli i ka kaila o ka cell. Hoʻopiʻi kēia i nā mea kūikawā nui i ka wā e ulu ai ka ulu,
ke hoʻokumu ʻana o nā foci o ka hoʻokūkū.

ʻO nā contraindications e pale aku i kahi biopsy o nā pancreas i loaʻa:

hōʻole piha o ka mea maʻi e hana i nā haʻawina pancreatic,
hūnā koko
nā kaʻina no ka hana ʻana i nā kaʻina diagnostic non-invasive e hāʻawi i ka ʻike piha a me ka hiki ke pili i ka mokuʻāina o nā pancreas,
ka hiki ʻole o ka pancreas no kekahi mau ʻano mea hana ma muli o ke ʻano o nā puka.

ʻO nā maʻi no ka biopsy ka hōʻeha kaumaha i ka ulu ʻana o ka epigastrium, ka hypochondrium pololei, hiki iā lākou ke hāʻawi ma hope. Hoʻopili ka maʻi ʻeha me ka hoʻopiʻi ʻana i nā kahi o nā nerve, clog of the Wirsung, bile ducts, peritoneal phenomena i loaʻa e ka exacerbation o ke kaʻina hana i loko o ka pancreas.

Ke ulu nei ka ʻeha, pili pū ka jaundice i nā hōʻailona, lilo ia kekahi o nā hōʻailona nui o ka oncology, akā naʻe ʻo ka manawa pinepine kēia mau maʻi ma hope o ka hoʻoluhi ʻana a me nā mea kikowaena dyspeptic.

Pehea e lawe ʻia ai ka biopsy pancreas? Ma muli o ke ʻano noiʻi, hana maʻamau ka hoʻokaʻawale ʻana i nā ʻano ʻehā no ka hōʻiliʻili ʻana i nā mea ola: intraoperative, laparoscopic, percutaneous, endoscopic.

Ke lawe ʻia nei ka mea i ka wā e wehe ʻia ai ka hāmeʻa ma luna o ka pancreas, ke kamaʻilio nei lākou e pili ana i ka biopsy intraoperative. Ua koho ʻia kēia ala noiʻi inā loaʻa nā hōʻike e lawe i kahi hoʻohālike mai ka ʻili a i ʻole ke kino o ke ʻano. Ua manaʻo ʻia ke kaʻina hana:

Hana paʻakikī
traumatic
pilikia loa.

Hoʻohana ka poʻe loiloi i ka hana laparoscopic e hōʻiliʻili ai i ka biomaterial mai kekahi wahi kūikawā o ka pancreas a nānā aku i ka ʻōpū o ka ʻōpū o nā metastases.

Ua pono ke aʻo ʻana i nā maʻi maʻi, no ka hoʻomohala ʻana i ka neoplasms o ka volumetric fluid ma hope o ka peritoneum ma ke ake o ka pancreatitis, ka huina o nā momona pankreatic momona (i ka wā e make ana ka pancreatic tissue).

ʻO kēia maʻa o ka pancreas e ke ala transcutaneous i kapa ʻia i kēia ʻano ʻoi, maikaʻi-pono manaʻo biopsy, ia:

pololei hoʻi i ka hiki
hiki iā ʻoe ke hoʻokaʻawale i ka pancreatitis mai ka ʻōnaehana oncological,
Hana ʻia ka pancreas puncture ma lalo o ka mana o ka ultrasound.

ʻAʻole hoʻohana ʻia ke ʻano inā he liʻiliʻi loa ka nui o ke tumi ma mua o ʻelua mau kenimika, ʻo ka mea paʻakikī loa ia e komo i loko. Eia kekahi, ʻaʻole kuhikuhi ʻia ke ʻano o ka ʻōiwi hūnā ma mua o ka hana hoʻokō e hiki mai ana. ʻO ka hoʻolele ʻia ma lalo o ka kaohi o ka CT a me ka ultrasound he wehewehe piha ʻana i ke kaʻina hana.

Hiki i ke ke ala transdermal ke hōʻike i ka oncology ma kahi o 70-95% o nā hihia, a me ka hopena me ka wā o ka hoʻopunipuni e hele mai:

implantation metastasis,
hōʻemi i ka ʻōpū o ka ʻōpū,
o na olala e ae.

Ke wā liʻiliʻi a hohonu paha nā neoplasm a pancreatic i loko o ka pancreas, he mau hōʻailona no ka biopsy endoscopic; ʻo kekahi inoa no ke kaʻina hana he transduodenal biopsy. Ua pili i ka hoʻomaka ʻana o kahi mea hana me ka kāmera i ke poʻo o ka pancreas ma o ka duodenum.

ʻOi aku ka manawa hou o ka manawa, ua koho nā kauka i kahi pono huʻihuʻi maikaʻi, no ka mea, no kāna hana ʻana, ua hōʻā ʻia ka pancreas me kahi pū poʻopaka biopsy, a aia kekahi pahi liʻiliʻi ma ka palena o ka pipa.

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.

Nā hōʻailona a me nā contraindications no ke koho ʻana i ka kiko

Pono e mālama ʻia ka noiʻi ʻana:

ʻaʻole i lawa ka ʻike ʻikepili o nā hanana non-invasive diagnostic,
ka pono no ka ʻokoʻa ʻana o nā loli e hiki mai ana i ka pae ʻai, ka mea nui loa i nā hihia o nā maʻi maʻi kānalua,
ka pono e hoʻokau i nā lika a i ʻole focal pathology.

Nā ʻōmole no ke kaʻina hana:

hōʻole i ka mea maʻi e hana i kahi hōʻike o ka pancreas,
nā maʻi hoʻokāʻeha koʻikoʻi,
ka hiki ʻana o nā pilikia i ka hoʻomaka ʻana o ka mea kani (neoplasms),
hiki ke hana i nā hanana diagnostic non-invasive i ʻike ʻia i ka haʻahaʻa ma nā biopsies i ka ʻike ʻike.

ka hiki ke hoʻoholo i ka cytology kiko a loaʻa nā ʻike pono e pili ana i ka pae, ka nui o ka maʻi.
Hiki ke hoʻomaopopo ʻia ka pathology i nā wā mua o kona hoʻomohala ʻana a hiki ke pale ʻia i nā hoʻopiʻi huhū he nui,
hiki i kahi biopsy ke hoʻoholo i ka nui o nā kau e hiki mai ana i nā maʻi me nā maʻi.

ʻO ka hana nui o ke kaʻina hana, ʻo ia ke hoʻomaopopo i ke ʻano a me ke ʻano o ka kaʻina pili i loaʻa i ke kanaka i loko o ka ʻōpala ma lalo o ke aʻo ʻana. Inā makemake, hiki ke hoʻohui ʻia ke ʻano o nā ala e nā ʻano diagnostic ʻē aʻe, me ka x-ray, ka nānā ʻana immunological, endoscopy.

Video mai ka loea.

Nā Palapala Biopsy

Hiki ke hoʻokō ʻia ka lāʻau biopsy i ka wā o ke kaʻina hana a hana ʻia he ʻano kūʻokoʻa kūʻokoʻa. E pili ana i ke kaʻina hana i nā pono o nā pono ponoi i loaʻa nā diameters ʻokoʻa.

Hoʻohana ʻia kahi ʻōmole ultrasound, CT scan (compect tomography) e hana ai, e hoʻohana ʻia ai paha ke ʻano laparoscopic.

Nā ʻano kumu o ka noiʻi material:

Kumuhana. ^ E Ha yM. Ua hoʻohana ʻia i kēia ʻano hana he hoʻokolohua mikroskopeka o kahi mahele ʻāpana. Hoʻonohonoho ʻia ma mua o ka aʻo ʻana ma kahi hopena kūikawā, a laila ma ka paraffin a pānu ʻia. Ma kēia hoʻomaʻamaʻa hiki iā ʻoe ke hoʻokaʻawale i waena o nā ʻāpana o nā pona a hana i ka hopena maikaʻi. Loaʻa ka mea maʻi i ka hopena ma ka lima ma hope o kahi manawa o 4 a 14 mau lā. I kekahi mau pilikia, i ka wā e pono ai e hoʻoholo maʻalahi i ke ʻano o ka neoplasm, ke hoʻokō nui ʻia nei ka hōʻike ʻana, no laila ke hoʻokuʻu ʻia nei ka hopena ma hope o 40 mau minuke.
Cytology. ^ E Ha yM. Kahi ʻia ke ʻano ma ka hoʻopaʻa ʻana o nā hana pili i loko. Hoʻohana ʻia ia i nā hihia o ka mea hiki ʻole ke loaʻa i nā ʻāpana o ke aihue. Hiki iā Cytology ke loiloi i ke ʻano o ka helehelena o ka hoʻonaʻauao a me ke wehe ʻana i kahi maʻi malignant mai kahi hōʻailona hōʻailona paipai. ʻOiai ke maʻalahi a me ka wikiwiki o ka loaʻa ʻana o ka hopena, he haʻahaʻa loa kēia ʻano i ka histology me ka hilinaʻi.

Nā ʻano helehelena kiko:

biopsy alo,
kaʻina laparoscopic
ka hana transduodenal
puncture intraoperative.

ʻO nā ala āpau o luna e kau i kahi hoʻonohonoho ʻana e pale ai i ka hiki ʻana o nā microorganisms pathogen i loko o ka hōʻeha.

Manaʻo huina maikaʻi

ʻO ka puncture Pancreatic ka palekana a me ka traumatic ma muli o ka hoʻohana ʻana i kahi pistol a syringe hoʻi i hoʻolālā ʻia no kēia kumu.

Ma kona hope he pahu bea kūikawā e hiki ke wehe koke i ka kiko i ka manawa o ka pana a hopu i ka wahi o ke kaʻa.

Hōʻalo ka mea maʻi i ka anesthesia kūloko ma mua o kahi biopsy e hōʻemi ai i ka ʻehaʻeha.

A laila, ma lalo o ka kaohi o ka scan ultrasound a i ʻole ka hoʻohana ʻana i kahi ʻōpiopio CT, hoʻokomo ʻia ka lāʻau pono ma ka pā o ka peritoneal i loko o ka ʻāpana pancreatic e loaʻa ai kahi tauira biopsy i loko o ka pūpū.

Inā hoʻohana ʻia kahi pū kūikawā, a laila hoʻopiha ʻia ka lumen o ka pulupulu i kahi kolamu o nā pakanela i ka manawa e hoʻolaʻa ai i ka mea.

ʻAʻole pono kahi biopsy pono maikaʻi i nā wā ke hoʻoholo ʻia nei ka mea maʻi:

ka laparoscopy, i loko o nā puncture o ka pā peritoneal,
laparotomy i hana ʻia e ka pale ʻana i ka io peritoneal.

ʻAʻole hoʻohana ʻia kēia ala inā ke ka nui o ka pā i ka hapa ma o 2 cm. ʻO kēia no ka paʻakikī o ka komo ʻana i loko o ka wahi i hoʻopaʻa ʻia.

Laparoscopic

Hoʻomaopopo kēia ʻano o ka biopsy i ʻike a me ka palekana. Hoʻemi ʻia ka hōʻemi ʻana o nā trauma, a hiki i ka hiki ke nānā ʻike ʻike i ka pancreas a me nā ʻōpala i loaʻa i ka peritoneum i mea e maopopo ai nā ʻōpū o nā nekrosis hou, ʻike ʻia nā metastases a me nā ʻōnaehana maʻi.

Me ke kōkua o laparoscopy, hiki ke lawe ʻia ka mea i hoʻolālā ʻia e hōʻike ʻia i kahi wahi kūikawā. ʻAʻole nā loea āpau i kēia pono, no laila he mea nui ia i ka hoʻolālā diagnostic.

ʻAno ʻeha ʻole ʻo Laparoscopy, e like me ka hana ʻana ma lalo o ka maʻi maʻamau. Ma ke kaʻina o kona hoʻokō ʻana, loaʻa i kahi laparoscope a me nā mea pono e pono ai no ka hoʻopiʻi ʻana i ka hōʻoki ʻana a me nā biopsy i loko o ka ʻōpū o ka ʻōpū ma o nā puncture kūikawā o nā pā.

Transduodenal

Hoʻohana ʻia kēia ʻano hana puncture e hoʻopaʻa ai i nā hoʻoili liʻiliʻi liʻiliʻi e loaʻa i nā hana hohonu o ke kino.

Hana ʻia kahi biopsy ma o nā mea i hoʻokomo ʻia ma ka endophope ma o ka oropharynx, e hiki ai iā ʻoe ke hopu i ka huahana mai ke poʻo o ka kipi. ʻAʻole hiki ke hoʻohana ʻia ke kaʻina hana e noiʻi ai i nā leʻaleʻa e loaʻa i nā wahi ʻē aʻe o ke kino.

Pili loa

ʻO ka puncture me kēia ʻano e pili ana i ka hōʻiliʻili o ka waiwai ma hope o ka laparotomy. I ka nui o nā manawa, e hana ʻia i ka wā i hoʻolālā ʻia, akā i kekahi manawa hiki ke lilo i kahi kūʻokoʻa kūʻokoʻa.

Manaʻo ʻia kahi biopsy intraoperative kahi ʻano lohi kaila, akā ka ʻike. I ka manawa e hoʻokō ʻia ai, ʻike ʻia nā kino ʻē aʻe i loko o ka ʻōpū o ka ʻōpū. Hana ʻia ia ma lalo o ka hana hanu a ua ukali ʻia e ka haʻalele ʻana o nā pā o ka peritoneum.

ʻO nā poʻomanaʻo nui o kahi biopsy ka nui o ka hoʻonui ʻia o ka trauma, ka pono e hoʻolōʻihi ʻia ka hoʻomaha ʻana i ke kula, he lōʻihi ka hoʻihoʻi ʻana a me nā kumu kūʻai kiʻekiʻe.

ʻO nā ʻōhua hiki

I mea e pale ai i nā hopena maikaʻi ʻole, e pale ka mea maʻi i ka hoʻāhewa kino, haʻalele i ka hana ʻino, ʻaʻole hoʻi i ke kaʻa i ka kaʻa ma hope o ka hoʻopololei ʻana.

hiki ke hoʻopau ʻia ma muli o ka pōʻino o ka vascular i ka wā hana.
ka hana ʻana o kahi cyst a fistula i loko o kahi okana,
ka hoʻomohala ʻana o ka peritonitis.

Ua manaʻo ʻia kēia mau biopsy i kahi hoʻopunipuni maʻamau, no laila ʻo ka hoʻopiʻi ma hope o ka ākea.

Pehea e hoʻomākaukau ai, hoʻōla

Pehea e hana ʻia ai kahi biopsy pancreas? Hoʻomaka lākou me ka hoʻomākaukau no ka hoʻowalewale, nā meaʻai e hiki ke hoʻonāukiuki i ka lemulence a hoʻonui ʻia e haʻalele ʻia i ka meaʻai no kekahi mau lā.

ʻO ka waiū piha, nā lau ʻai maka, nā manamana, a me nā berena rye mai ka papa kuhikuhi.

Hoʻololi ʻia ka hōʻike ʻana ma hope o ka loaʻa ʻana o nā hopena o nā hōʻike ʻoihana, me ka: ka nānā ʻana i ka paʻakai maʻamau, urinalysis no ke kō, ke nānā ʻana i ke koko, ka hoʻoholo ʻana o nā platelets koko, ka manawa koko, koikoi, prothrombin index. a hoʻoneʻe a hiki i ka hoʻōla ʻana.

ʻOi nō hoʻi e mākaukau no ka wawa pono ma ke kino; no ka hapa o ka poʻe maʻi, ʻo ke kākoʻo maʻalahi i ka poʻe ʻē aʻe, nā hoahānau a me nā hoahānau he mea pono loa ia. ʻO ka biopsy, ʻoiaʻiʻo, ʻo ia nō ka mea me ke keʻena hana hoʻokahi, ʻaʻole ka poʻe a pau i hele aʻe a ʻike ʻia ke ʻano o ke ʻano.

ʻO ka ʻōpū ka hapa nui o ka mālama ʻana i ke kino o ke kanaka, ʻike ka mea maʻi i ka ʻeha nui loa i ka manawa e kali ai no kahi maʻi. No kēia kumu, ʻaʻole hiki i kekahi mau mea maʻi ke hana me ka ʻole o ka premedication, ka mea e pili ai:

E hōʻoluʻolu kēia mau kālā i ke kaumaha, hiki ke kōkua i ka hoʻokaumaha ʻia o ke kaumaha a me ka makaʻu i ke kaʻina hana.

Inā hoʻokō ʻia kahi biopsy i ka wā o ka hōʻeha o ka ʻōpū, e hoʻoneʻe ʻia ka mea maʻi i ka ʻāpana mālama mālama e hoʻomau ai i ka nohona maikaʻi. A laila ʻae ʻia e waiho iā ia i loko o ke keʻena hoʻokipa, ma kahi e noho ai ʻo ia ma lalo o ka mākaʻi o nā kauka a hiki ke hoʻōla ʻia.

I ka manawa e hoʻohana ʻia ke ala makemake o kahi pono ponoʻī, pono ke nānā i kahi kanaka no nā hola ʻelua ma hope o ke kaʻina hana. Eia ke hoʻomau nei kona kūlana, e hoʻokuʻu ʻia ʻo ia i ka home i ka lā like, pono kekahi e hui mai i kona mau hoahānau i ka mea maʻi, ʻoiai ke ʻae ʻia ka hoʻokele.

No kekahi manawa ma hope o ka biopsy, pono ia e kaohi:

ka hana kino kaumaha (me ke ʻano o ka hana pāʻani)
inu waiʻona
ulaula.

Hoʻomaʻamaʻa pinepine nā poʻe maʻi a pau i kēia ʻano o ka noiʻi pancreatic, eia naʻe, ke hōʻike nei nā loiloi e hōʻino i nā moku koko liʻiliʻi, ke koko, ka hoʻomohala ʻana o nā cysts waha, fistulas, a me ka hoʻomaka ʻana o ka peritonitis ʻaʻole i hoʻoholo ʻia. I mea e pale ʻole ai i kēlā mau hopena maikaʻi ʻole a pili ʻole, pono e kamaʻilio wale i nā lāʻau lapaʻau i hōʻoia ʻia.

Hāʻawi ʻia ka ʻike ʻo Biopsy i loko o ke wikiō ma kēia ʻatikala.

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 kahi maʻi maʻi, ʻaʻole hiki i ka mea maʻi ke hoʻokele 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.

Hiki i ka hoʻomohala ʻana o ka maʻi pancreatic i ke kakahiaka nui me kahi ala hoʻohui, e komo ai:

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 ka momona 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.

Haʻa i ke kauka

Hoʻomaka hoʻomanawanui

ʻO ka mea mua, pono ke kūkā kamaʻilio me ke kauka, kahi e pono ai i ka mea maʻi e hoʻomaopopo e pili ana i nā ʻano kūlohelohe e pili ana i nā lāʻau lapaʻau, e pili ana i nā maʻi maʻi a me nā wā hou, nā lāʻau lapaʻau i lawe ʻia.

Ma mua o ka hōʻike ʻana i kahi biopsy, pono ʻia nā hoʻokolohua laboratorium:

ka nānā pinepine ʻana o ke koko a me ka urine,
uhaki palapala
ma ke kau inoa prothrombin,
Nā kīlā
i ka lōʻihi lele.

Hoʻomoe ia ma ka hoʻomākaukau ʻana no kahi biopsy penei:

i kēlā me kēia lā pono ʻoe e hōʻemi i ka inu ʻana i nā mea inu ʻona.
ʻAʻole hiki iā ʻoe ke ʻai a inu paha ma mua o ke kaʻina,
ʻaʻole ʻae ʻia ka ulaula no nā hola 12.
hopohopo kekahi mau maʻi ma mua o ke kaʻina hana, a laila ua kuhikuhi lākou i mua o ke ʻano o ka loaʻa ʻana o kahi tranquilizer (Seduxen, Relanium).

Nā hōʻailona a me nā contraindications no ka laweʻana i ka mana biopsy

Nā hōʻailona no ka biopsy o ka pancreas:

Hōʻike haʻahaʻa haʻahaʻa o nā palapala hoʻokolohua non-invasive,
Ka pono e hoʻokaʻawale i nā loli morphological i ka hoʻonohonoho ʻana o nā pūpili, ʻoi aku hoʻi me nā maʻi ʻeha,
ʻO ka hoʻokolokolo e hoʻokū i nā pahuhopu a kuhi ʻole paha i nā kaʻina holomua.

ʻO ka hōʻole ʻole o ka mea maʻi e hana i kēia hana palaualelo,
Hoʻolālā koko
ʻO ka heleʻana ma ke ala o ka hāmeʻa o nā ʻano ʻano like ʻole (he mea nui ia i ke koho ʻana i ke ʻano o ka hana biopsy),
ʻO ka loaʻa ʻana o nā loiloi diagnostic non-invasive e like me ka hoʻolaha ʻana.

ʻO nā ʻano koho pulu pancreatic

Nui nā ala e wehe ai i ka waihona biopsy o ka pancreas, lawe ʻia ia ma ke ʻano kūʻokoʻa kūʻokoʻa ʻole a i ka wā o kahi hana hōʻeha.

ʻO kekahi o nā ala i hōʻike ʻia ʻo ka biopsy ka pili o ka mālama ʻana i nā rula asepsis (kahi pae o nā kaʻina e pili ana i ka pale ʻana i ke komo ʻana o nā microorganism i loko o ka hōʻeha).

ʻO ka pīpī palani biopsy hina

ʻO ke ala maʻamau, ma ke ʻano he traumatic a me ka pilikia. Hoʻohana ʻia ia me ka hoʻohana ʻana i kahi syringe me kahi lāʻau manamana (ʻoi aku ka liʻiliʻi ma lalo o 1 mm) a i kahi puʻu biopsy kūikawā paha. Hoʻomaka ʻia ka pīnoi kūloko, no ka mea he mea ʻeha loa kēia kaʻina. ʻOi aku, ma lalo o ka mana o ka CT a i ka ultrasound paha, ke kau ʻia ka pono i loko o ka pihi pancreatic ma o ka ʻōpū o ka ʻōpū a me ka makemake ʻana (e ke kolo ʻana i ka lewa a i kona ʻano ikaika loa), ke komo ʻia ka mea olaola i ka lāʻau. Ke hoʻohana nei i kahi pū biopsy me ka pahi ma ka hope o ka pahu, i ka manawa e hoʻāla ai ka pono, pana i ka pono i ke kiko me ka wikiwiki nui a me ka lumen o ka pūlei e hoʻopiha i ka kolamu o nā pū.

ʻAʻole kūpono paha kēia ala i ka hana maʻi e hiki mai ana me ka hoʻohana ʻana i ka laparoscopy (ka hōʻemi hōʻemi ʻana ma o nā punctures ma ka pā o ka ʻōpū) a i ʻole ka laparotomy (ka hana hoʻokele e hiki ai ke komo i nā ʻōpū o ke kino ma o ka hoʻokaʻawale ʻana i nā kiko o ka pā o ka ʻōpū). Eia nō hoʻi, ʻaʻole i hoʻohana ʻia kēia ʻano ke hele i ka nui o ka "target" (ka ʻāpā i hoʻopā ʻia) ma lalo o ʻelua mau kenimika, ka manawa o ka paʻakikī o ka komo ʻana e piʻi nui.

ʻO biopsy laparoscopic

ʻO ke kumu gula o ka palekana i hui pū ʻia me nā ʻike ʻike. Hiki i kēia ala ke hana, me ka trauma liʻiliʻi loa, e alakaʻi, ma ka hoʻohui ʻana i ka biopsy, ka ʻike maka ʻike i ka pancreas a me nā ʻōpū o ka ʻōpū o ka ʻōpū, e hiki ai iā ʻoe ke ʻike i ka foci o ka ʻāʻī o ka ʻōpū, e nānā i ka nui o ka foci o ka mumū, ka hele ʻana o ka metastasis i ke kanesa, e nānā i ka ʻōpū o ka ʻōpū, nā ʻāpana ona, a me nā mea ʻē aʻe. Eia kekahi, hiki ke koho pono i ka biopsy pololei (kahi i koho ʻia e ka biopsy) mai kahi wahi i wehewehe pono ʻia, ka mea e hana ai i laparoscopy a i nā kumu diagnostic koʻikoʻi nui loa. hoʻolālā.

Hana ʻia ka laparoscopic biopsy ma lalo o ke kumukūʻau ākea. Ma hope aku, ua hoʻopaʻa ʻia ka carbon dioxide i loko o ka ʻōpū o ka ʻōpū (e hana i kahi wahi hana), hoʻokomo ʻia kahi laparoscope, me kekahi mea hana biopsy (hiki iā ia ke hana biopsy a i ʻole ka hana laparoscopic kūikawā) ma o nā puncture i ka pā o ka ʻōpū.

ʻO ka biopsy Transduodenal

Hoʻohana ʻia ma ka hoʻopaʻa ʻia ʻana o nā mea liʻiliʻi liʻiliʻi i loaʻa i loko o nā wahi hohonu o ka umauma pancreatic. Hoʻokuʻu ʻia ia ma ka hoʻolaha ʻana o ka endoscope ma o ka waha, esophagus a me ka ʻōpū i loko o ka duodenum, kahi i lawe ʻia ai ka hoʻohālikelike ʻana o ka biopsy, akā hiki ke koho wale ʻia ke ʻano o nā ʻimi no ka hoʻopaʻa ʻana mai ka poʻo o ka kihi. ʻO ka hemahema o ka ʻaoʻao transduodenal ka uhi ʻana o nā ʻāpana wale nō.

Biopsy Intraoperative

ʻO kahi ala e koho ai i nā mea no ka biopsy, kahi i pili ai i ke koho ʻana i kahi hua biopsy ma hope o kahi laparotomy. Hiki i kahi kūʻokoʻa kūʻokoʻa a i ʻole ka hoʻohui i kahi kaʻeha ʻokoʻa o ka ʻōpū. He mea paʻakikī loa kēia ʻano, ʻoi loa ka pilikia no ka mea maʻi, akā ʻike nui. Ke lawe nei i kahi biopsy intraoperatively, aia ke ʻike hou i kahi ʻokoʻa hou o kahi ʻōpū o ka ʻōpū a me nā mea kokoke i nā pancreas.

Hoʻopau ʻia kēia hana ʻino ma lalo o ka pohihihi e ka hōʻole ʻana i ka paia o ka ʻōpū a koho i nā mea no ka noiʻi.

ʻO ka hapa nui o kēia loeaʻo ka morbidity kiʻekiʻe, ka mea e hoʻopilikia i ka manawa o ka hoʻihoʻi o ke kino a me ka pono o ka mea maʻi e noho i loko o ka haukapila.

Mana‘o Kōkua: ka hoʻopaʻapaʻa kūloko - he mea pono ke ʻae wale nō ma ka lāʻau ponoʻu a i ʻole ka laparoscopic biopsy, i ka ʻike ʻana i ko lākou pilina palekana, a i ka hihia o laparoscopy a me nā ʻike ʻike.

I ka hopena, makemake wau e ʻōlelo i hiki i nā kauka ke mālama i kahi maʻi biopsy o ka ʻōpū, pancreas a me nā kino ʻē aʻe, e kuhikuhi ana i kahi papaʻai ma hope o ka lawe ʻana i ka pancreas a he manawa nui loa, a ʻo ka mea nui, e wehewehe mākaʻikaʻi i ka hopena o ka maʻi pancreatic, nele i nā ton o nā mea nui aʻe, akā pono mau ʻia i ai i ka manao. ʻAʻole e hoʻonele nui kēia manaʻo, ʻoi aku ka maikaʻi, akā ke alakaʻi ʻia nei ka mea maʻi e ka nīnau, he liʻiliʻi nā loilo no ka scam e hoʻohana ana i nā manaʻo abstruse a me nā ʻōlelo, ʻoi aku ka maʻalahi iā ʻoe.