ʻO Biopsy - tractary tract

ʻO kahi biopsy tract biliary ka lawe ʻana i nā liʻiliʻi o nā pūnaewele a me nā wai mai ka duodenum, nā aʻa o ka bile, nā pancreas, a me ke ala pancreatic. Nānā ʻia ka laʻana ma lalo o kahi microscope.

Hiki ke loaʻa kahi laʻana no kahi biopsy tract biliary i nā ʻano like ʻole.

Hiki ke hana ʻia kahi biopsy kui kele inā loaʻa iā ʻoe kahi tumo i wehewehe pono ʻia.

• Hoʻomaʻemaʻe ʻia ka pūnaewele biopsy.
• Hoʻokomo ʻia kahi kui kele lahilahi i kahi e hoʻāʻo ai, a lawe ʻia kahi laʻana o nā hunaola a me ka wai.
• Lawe ʻia ka nila.
• Kau ʻia ke kaomi ma luna o ka wahi e hoʻopau ai i ke kahe ʻana o ke kahe. E uhi ʻia ka pūnaewele i kahi kāwili.

Inā loaʻa iā ʻoe ka hoʻopili a blockage paha o ka bile a i ʻole nā ​​pancreatic duct, hiki ke lawe ʻia kahi laʻana i nā kaʻina hana e like me:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• ʻO cholangiogram transhepatic transutanputan (PTCA)

ʻAʻole hiki iā ʻoe ke ʻai a inu paha 8 a 12 mau hola a ʻoi paha ma mua o ka hoʻāʻo. E haʻi aku kāu mea mālama ola iā ʻoe ma mua o ka manawa i kāu mea e pono ai.

E ʻike pono i kekahi e hoʻokele iā ʻoe i kou home.

Pehea ka manaʻo o ka hoʻāʻo e pili ana i ke ʻano o nā kaʻina hana i hoʻohana ʻia e hemo ai i kahi hāpana biopsy. Me kahi nila biopsy, manaʻo paha ʻoe i kahi ʻūlū ke hoʻokomo ʻia ka nila. Manaʻo kekahi poʻe i kahi ʻano cramping a i ʻole pinching i ke kaʻina hana.

Hoʻohana pinepine ʻia nā lāʻau e hōʻoki i ka ʻeha a kōkua iā ʻoe e hoʻomaha ai no nā ʻano biopsy tract biliary ʻē aʻe.

Hiki i kahi biopsy tract biliary ke hoʻoholo inā hoʻomaka kahi tumo i ke akepaʻa a hohola paha mai kahi ʻē aʻe. Hiki iā ia ke hoʻoholo inā he maʻi ʻaʻai ka tumo.

Hana ʻia kēia hōʻike:

• Ma hope o kahi hoʻokolohua kino, x-ray, MRI, CT scan, a i ʻole ultrasound e hōʻike nei i nā ulu ulu ʻole o kāu wahi biliary
• E hoʻāʻo ai i nā maʻi a maʻi paha

ʻO ka hopena maʻamau ʻaʻohe hōʻailona o ka maʻi ʻaʻai, maʻi, a maʻi paha i ka hāpana biopsy.

Nā hopena kūpono ʻole ma muli o:

• Ka maʻi ʻaʻai o nā aʻa aʻa (cholangiocarcinoma)
• ʻO Cysts i ke akepaʻa
• Kanesa maʻi ʻaʻai
• Maʻi ʻaʻai Pancreatic
• ʻO ka pehu ʻana a me ka scarring o nā dile bile (cholangitis sclerosing mua)

Aia nā pōpilikia i ka lawe ʻia ʻana o kahi laʻana biopsy.

Pākuʻi ʻia paha nā pilikia:

• Kahe i ka pūnaewele biopsy
• Maʻi kīnā

Nānā Cytology - biliary tract; ʻO ka biopsy tract Biliary

• ʻO ka hopena o ka Gallbladder
• ʻO ka moʻomeheu bili

Chernecky CC, Berger BJ. ʻO Biopsy, kikoʻī kikoʻī. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 199-201.

Stockland AH, ʻo Baron TH. Hoʻomaʻo Endoscopic a me radiologic o ka maʻi biliary. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 70.