ʻO ka biopsy nila kele

ʻO kahi biopsy nila kuʻikuʻi he hana ia e hemo ai kahi ʻāpana o nā kiko o ka māmā no ka hoʻokolokolo ʻana. Inā hana ʻia ia ma ka paia o kou umauma, ua kapa ʻia ia he biopsy transthoracic lung.

ʻO ke kaʻina hana he 30 a 60 mau minuke. Hana ʻia ka biopsy i ke ala penei:

• Hiki paha ke hoʻohana i kahi ray-ray a i ʻole ka CT scan scan e loaʻa ai kahi kikoʻī no ka biopsy. Inā hana ʻia ka biopsy me ka hoʻohana ʻana i kahi CT scan, e moe paha ʻoe i lalo i ka wā o ka hoʻokolohua.
• Hāʻawi ʻia ʻoe i ka lāʻau hoʻohiamoe e hoʻomaha ai iā ʻoe.
• Noho ʻoe me kou mau lima e kau ana i mua ma ka papa. Kāhili ʻia kou ʻili kahi e hoʻokomo ʻia ai ka nila biopsy.
• Hoʻokomo ʻia kahi lāʻau painkilling kūloko (anesthetic).
• ʻOkiʻoki ke kauka i kou ʻili.
• Hoʻokomo ʻia ka nila biopsy i loko o ka mākia ʻino, ka tumo, a i ʻole nāʻiʻo māmā. Wehe ʻia kahi ʻāpana liʻiliʻi me ka nila.
• Wehe ʻia ka nila. Kau ʻia ka pilikia ma ka pūnaewele. Ke pau ke kahe ʻana o ke kahe, hoʻopili ʻia kahi kaula.
• Lawe ʻia kahi hihi umauma ma hope pono o ka biopsy.
• Hoʻouna ʻia ka laʻana biopsy i ka lab. ʻImi ʻia ka loiloi i kekahi mau lā.

ʻAʻole ʻoe e ʻai no 6 a 12 mau hola ma mua o ka hoʻāʻo. E hāhai i nā ʻōkuhi e pili ana i ka lawe ʻole ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me aspirin, ibuprofen, a i ʻole nā ​​mea lahilahi e like me warfarin no kekahi manawa ma mua o ke kaʻina hana. E hoʻopaʻa me kāu mea mālama ola ma mua o ka loli ʻana a i ʻole ke kū ʻana i kekahi lāʻau.

Ma mua o kahi biopsy nila o ka akemama, hana ʻia kahi umauma x-ray a i ʻole ka CT scan CT.

E loaʻa iā ʻoe kahi injection o anesthetic ma mua o ka biopsy. E ʻū iki kēia kuikui no kekahi manawa. E ʻike ʻoe i ke kaomi a me kahi pōkole, ʻehaʻeha loa ke pili ka nila biopsy i ka māmā.

Hana ʻia kahi biopsy nila kui kele inā aia kekahi ʻano maʻamau ma kahi o ka ʻāpana o ka akemāmā, ma ka māmā ponoʻī, a i ʻole ka paia umauma. ʻO ka pinepine, hana ʻia e kāpae i ka maʻi ʻaʻai. Hana pinepine ʻia ka biopsy ma hope o ka ʻike ʻia o nā mea ʻē ma ka umauma x-ray a i ʻole CT scan.

I kahi hoʻokolohua maʻamau, maʻamau nā pūnaewele a ʻaʻohe maʻi ʻaʻai a i ʻole ka ulu ʻana o nā koʻohune, nā virus, a i ʻole nā ​​fungi inā hana ʻia kahi moʻomeheu.

ʻO kahi hopena maʻamau ma muli o kekahi o kēia mau mea:

• ʻO ka maʻi maʻi bacteria, viral, a fungal lung paha
• Nā hunaola maʻi ʻaʻai (cancer cancer, lung, mesothelioma)
• Pulumonia
• Ulu ulu

I kekahi manawa, hāhā kahi hāmele hāʻule (pneumothorax) ma hope o kēia hōʻike. E hana ʻia kahi ray-ray e nānā ai i kēia. ʻOi aku ka kiʻekiʻe o ka makaʻi inā loaʻa iā ʻoe kekahi mau maʻi maʻi e like me ka emphysema. ʻO ka maʻamau, ʻaʻohe mahu i hāʻule ma hope o kahi biopsy. Akā inā nui ka pneumothorax, aia ka maʻi o ka maʻi o ka preexisting a i ʻole hoʻomaikaʻi ʻole, hoʻokomo ʻia kahi pahu umauma e hoʻonui i kou māmā.

I nā hihia kakaikahi, hiki i ka pneumothorax ke hoʻoweliweli i ke ola inā pakele ka ea mai ka lung, a paʻa i ka umauma, a kaomi i ke koena o kou mau māmā a puʻuwai paha.

Ke hana ʻia kahi biopsy, aia ka makaʻu o ke kahe nui (hemorrhage). Kūleʻa kekahi kahe, a e nānā ka mea hāʻawi i ka nui o ke kahe. I nā hihia maʻamau, hiki i ke kahe nui a hoʻoweliweli ke ola.

ʻAʻole pono e hana ʻia kahi biopsy nila kuʻikuʻi inā hōʻike ʻia nā hoʻokolohua ʻē aʻe iā ʻoe.

• ʻO ka maʻi maʻi o kēlā me kēia ʻano
• ʻO Bullae (alveoli hoʻonui ʻia e kū me ka emphysema)
• Cor pulmonale (ke kumu e hāʻule ai ka ʻaoʻao ʻākau o ka puʻuwai)
• Nā kūpuna o ka hū
• ʻO ke kiʻekiʻe o ke koko i nā aʻa māmā
• ʻO hypoxia koʻikoʻi (haʻahaʻa oxygen)

ʻO nā hōʻailona o ka hāhā hāhā e komo pū me:

• ʻEnessuli o ka ʻili
• ʻEha ʻeha
• Hōʻemi puʻuwai wikiwiki (wikiwiki wikiwiki)
• Pokole o ka hanu

Inā kū kekahi o kēia mau mea, kāhea koke aku i kāu mea hāʻawi.

Transthoracic Needle aspiration; Moʻo o ka nila kuʻi

• ʻO Biopsy Lung
• ʻO ka biopsy o ka pūpū

Hāʻawi ʻia ʻo MF, Clements W, Thomson KR, Lyon SM. ʻO ka biopsy Percutane a me ke kahe o ka hū, mediastinum, a me ka pleura. I: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Nā hana alakaʻi alakaʻi kiʻi. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2021: chap 103.

Klein JS, Bhave AD. Thoracic radiology: invasive diagnostic imaging a me nā alakaʻi alakaʻi kiʻi. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 19.