ʻO ka biopsy nila kuʻi

ʻO kahi biopsy Pleural kahi hana e hemo i kahi laʻana o ka pleura. ʻO kēia nā mea lahilahi e hoʻopili ana i ka lua o ka umauma a hoʻopuni i nā akemāmā. Hana ʻia ka biopsy e nānā i ka pleura no ka maʻi o ka maʻi.

Hana ʻia kēia hōʻike ma ka haukapila. Hiki nō ke hana ʻia ma ke keʻena lapaʻau a i ʻole ke keʻena o ke kauka.

Pili ke kaʻina hana i kēia:

• I ka wā o ke kaʻina hana, ke noho nei ʻoe i luna.
• Hoʻomaʻemaʻe kāu mea mālama ola i ka ʻili ma ka pūnaewele biopsy.
• Hoʻokomo ʻia ka lāʻau numbing (anesthetic) ma o ka ʻili a i loko o ka pale o nā akemāmā a me ka paia o ka umauma (membrane pleural).
• Hoʻokomo ʻia kahi nila nui nui a hollow ma o ka ʻili i ka lua o ka pahu. I kekahi manawa, hoʻohana ka mea hāʻawi i ke kiʻi ultrasound a i ʻole ke kiʻi CT e alakaʻi i ka nila.
• Hoʻohana ʻia kahi nila kuʻikuʻi ʻoi aku i loko o ka hollow e ʻohiʻohi i nā mea kikoʻī. Ma kēia ʻāpana o ke kaʻina hana, noi ʻia ʻoe e hīmeni, hum, a i ʻole ʻōlelo "eee." Kōkua kēia i ka pale ʻana i ka ea mai ke komo ʻana i ka hakahaka o ka umauma, kahi e hiki ai ke hāneʻe i ka māmā (pneumothorax). ʻO ka maʻamau, lawe ʻia ʻekolu a ʻoi mau laʻana biopsy.
• Ke pau ka hoʻāʻo, kau ʻia kahi bandage ma luna o ka pūnaewele biopsy.

I kekahi mau hihia, hana ʻia ka biopsy pleura e hoʻohana ana i kahi pae fiberoptic. ʻAe ka laulā i ke kauka e ʻike i ka wahi o ka pleura kahi e lawe ʻia ai nā biopsies.

E loaʻa iā ʻoe nā hoʻokolohua koko ma mua o ka biopsy. E loaʻa paha iā ʻoe kahi umauma x-umauma.

Ke kuhi ʻia ka anesthetic kūloko, manaʻo paha ʻoe i kahi prick pōkole (e like me ke kau ʻana o kahi laina intravenous) a me kahi naʻau wela. Ke hoʻokomo ʻia ka nila biopsy, ʻike paha ʻoe i ke kaomi. Ke lawe ʻia nei ka nila, ʻike paha ʻoe i ka hopu ʻana.

Hana pinepine ʻia ka biopsy Pleural e ʻike i ke kumu o kahi hōʻiliʻili o ka wai e pili ana i ka māmā (pleural effusion) a i ʻole nā ​​mea ʻē aʻe o ka membrane pleural. Hiki i ka biopsy Pleural ke kuhikuhi i ka maʻi kō, maʻi ʻaʻai, a me nā maʻi ʻē aʻe.

Inā ʻaʻole lawa kēia ʻano biopsy pleura e hana i kahi kuhi, pono paha ʻoe i kahi biopsy ʻoki lāʻau o ka pleura.

ʻIke ʻia nā pūnaewele Pleural i ka maʻamau, me ka ʻole o nā hōʻailona o ka mumū, maʻi, a i ʻole ke kanesa.

Hōʻike paha nā hopena maʻamau i ka maʻi ʻaʻai (me ka maʻi ʻaʻa nui, ka mesothelioma malignant, a me ka tumural pleural pleast), tuberculosis, nā maʻi ʻē aʻe, a i ʻole ka maʻi collagen vaskular.

Aia kekahi manawa kūpono o ka kui kuʻi ʻana i ka paia o ka māmā, a hiki i kekahi mea ke haki i ka hū. ʻOi aku ka maikaʻi o kēia ma kāna iho. I kekahi manawa, pono ka paipu umauma e hoʻokahe i ka ea a hoʻonui i ka hū.

Aia kekahi manawa o ka nui o ke kahe o ke koko.

Inā ʻaʻole lawa ka biopsy pleura pani e hana i kahi kuhi, pono paha ʻoe i kahi biopsy ʻoki lāʻau o ka pleura.

Pili biopsy pleura; Needle biopsy o ka pleura

• ʻO Biopsy Pleural

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.

ʻO Reed JC. Nā effleions Pleural. I: Reed JC, ed. ʻO Radiology Chest: Nā Pana a me nā Diagnosis ʻokoʻa. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 4.