ʻO Biopsy

ʻO kahi biopsy ka wehe ʻana i kahi ʻāpana liʻiliʻi o ke kiko no ka nānā ʻana i ka hale hana.

Aia kekahi mau ʻano biopsies.

Hana ʻia kahi biopsy nila me ka hoʻohana ʻana i ka anesthesia kūloko. Aia ʻelua ʻano.

• Hoʻohana ka moʻo o ka nila maikaʻi i kahi nila kuʻikuʻi i hoʻopili ʻia i kahi syringe. Wehe ʻia nā huna liʻiliʻi o nā pūnaewele iʻa.
• Hōʻalo ka biopsy Core i nā ʻoki o nā kiko me ka hoʻohana ʻana i kahi nila kuha i hoʻopili ʻia i kahi hāmeʻa i hāpai ʻia i ka puna.

Me kēlā me kēia ʻano biopsy o ka nila, hala ʻia ke kui kele i nā manawa he nui ma o ke kiko e nānā ʻia. Hoʻohana ke kauka i ke kui kele e hemo i ka hāpana kiko. Hana pinepine ʻia nā biopsies o ka nila ma ka hoʻohana ʻana i ka CT scan, MRI, mammogram, a me ultrasound. Kōkua kēia mau mea hana kiʻi i ke kauka i kahi kūpono.

ʻO kahi biopsy ākea kahi ʻoki e hoʻohana i ka anesthesia kūloko a i ʻole ka laulā. ʻO kēia ke ʻano hoʻomaha ʻoe (hoʻomaha) a hiamoe a ʻehaʻeha ʻole i ke kaʻina hana. Hana ʻia ia i loko o kahi lumi hoʻokipa haukapila. ʻO ke kaukoki e ʻokiʻoki i ka wahi i hoʻopilikia ʻia, a hemo kaʻiʻo.

Hoʻohana kahi biopsy laparoscopic i nā ʻoki lāʻau liʻiliʻi ma mua o ka biopsy hāmama. Hiki ke hoʻokomo ʻia i kahi mea hana like me ka kāmela (laparoscope) a me nā pono hana. Kōkua ka laparoscope i ke alakaʻi ʻana i ke kaukōkō i kahi kūpono e lawe i ka hāpana.

Hana ʻia kahi biopsy lesion ʻili ke lawe ʻia kahi ʻili liʻiliʻi o ka ʻili i hiki ke nānā ʻia. Hōʻaʻo ʻia ka ʻili e nānā no nā ʻano ʻili a i ʻole nā ​​maʻi.

Ma mua o ka hoʻonohonoho ʻana i ka biopsy, e haʻi i kāu mea mālama ola e pili ana i nā lāʻau āu e lawe nei, e like me nā mea kanu a me nā mea hoʻohui. E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i kekahi manawa. Hoʻopili kēia i nā mea lahilahi koko e like me:

• NSAIDs (aspirin, ibuprofen)
• ʻO Clopidogrel (Plavix)
• Warfarin (Coumadin)
• Dabigatran (Pradaxa)
• ʻO Rivaroxaban (Xarelto)
• Apixaban (Eliquis)

Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.

Me kahi nila biopsy, manaʻo paha ʻoe i kahi pinch liʻiliʻi ma ka pūnaewele o ka biopsy. Hoʻokomo ʻia ka anesthesia kūloko e hoʻemi i ka ʻeha.

I loko o kahi biopsy hamama a laparoscopic hoʻi, hoʻohana pinepine ʻia ka anesthesia āpau i mea e ʻeha ai ʻoe i ka ʻeha.

Hana pinepine ʻia kahi biopsy e nānā i nā aʻa no ka maʻi.

He mea maʻamau kaʻiʻo i lawe ʻia.

ʻO kahi biopsy ʻokoʻa ke ʻano o ke kiko a me nā pūnaewele i kahi ʻano ʻokoʻa, ʻano, ka nui, a i ʻole ke ʻano.

ʻO kēia paha he maʻi kou, e like me ka maʻi ʻaʻai, akā pili ia i kāu biopsy.

ʻO nā pōʻino o kahi biopsy e:

• Kahena
• Maʻi kīnā

Nui a hewahewa nā ʻano biopsies a ʻaʻole pau i ka hana ʻia me ke kui. E noi i kāu mea hāʻawi no ka ʻike hou aku e pili ana i ke ʻano kikoʻī o ke biopsy āu e loaʻa nei.

Laʻana o ka mānoanoa

Ke Kulanui o Radiology ʻAmelika (ACR), ka Society of Interventional Radiology (SIR), a me ka Society for Pediatric Radiology. Hoʻomaʻamaʻa ʻo ACR-SIR-SPR no ka hana ʻana o ka biopsy kuʻikuʻi percutaneus alakaʻi ʻia (PNB). Nānā Hou 2018 (Hoʻoholo 14). www.acr.org/-/media/ACR/Files/Practice-Parameter/PNB.pdf. Loaʻa iā Nowemapa 19, 2020.

Chernecky CC, Berger BJ. ʻO Biopsy, kikoʻī pūnaewele - hiʻohiʻona. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 199-202.

Kessel D, Robertson I. Ka loaʻa ʻana o kahi kuhi kiko. I: Kessel D, Robertson I, eds. ʻO Radiology Interventional: Kahi alakaʻi ola. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 38.

ʻO Olbricht S. Nā ʻenehana Biopsy a me nā haʻalulu maʻamau. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 146.