ʻO ka biopsy ate

ʻO kahi biopsy ate he hōʻike ia e lawe i kahi laʻana o nā kiko mai ke akepaʻa no ka hoʻokolokolo ʻana.

ʻO ka hapanui o ka manawa, hana ʻia ka hōʻike ma ka haukapila. Ma mua o ka hoʻāʻo ʻana, hāʻawi ʻia paha ʻoe i lāʻau e pale ai i ka ʻeha a i ʻole e hoʻomaliʻi iā ʻoe (sedative).

Hana ʻia ka biopsy ma o ka paia o ka ʻōpū.

• E moe ʻoe ma kou kua me kou lima ʻākau ma lalo o kou poʻo. Pono ʻoe e noho me ka hiki ke hiki.
• E ʻike ka mea mālama ola i kahi kūpono no ka nila biopsy e hoʻokomo ʻia i ke ake. Hana pinepine ʻia kēia ma ka hoʻohana ʻana i ka ultrasound.
• Hoʻomaʻemaʻe ʻia ka ʻili, a hoʻokomo ʻia ka lāʻau numbing i loko o ka wahi e hoʻohana ana i ka nila liʻiliʻi.
• Hana ʻia kahi ʻoki liʻiliʻi, a hoʻokomo ʻia ka nila biopsy.
• E haʻi ʻia ʻoe e paʻa kou hanu i ka lawe ʻia ʻana o ka biopsy. ʻO kēia ka mea e hōʻemi ai i ka manawa o ka hōʻino ʻana i ka hū a i ʻole ke ake.
• Wehe koke ʻia ka nila.
• E kau ʻia ka pihi e hoʻōki i ke kahe ʻana o ke koko. Kau ʻia kahi bandage ma luna o ka pūnaewele hoʻokomo.

Hiki ke hana i ke kaʻina hana ma ka hoʻokomo ʻana i kahi nila i loko o ka aa jugular.

• Inā hoʻokō ʻia kēia hana i kēia ala, e moe ʻoe ma kou kua.
• E hoʻohana ʻia nā kukuna X e alakaʻi i ka mea hāʻawi i ka aa koko.
• Hoʻohana ʻia kahi nila kuʻikuʻi kūikawā a me ka catheter (paipu lahilahi) e lawe i ka laʻana biopsy.

Inā loaʻa iā ʻoe ka sedation no kēia hōʻike, pono ʻoe i kekahi e hoʻokele iā ʻoe i kou home.

E haʻi i kāu mea hoʻolako e pili ana i:

• Nā pilikia koko
• Nā lāʻau āpau lāʻau
• ʻO nā lāʻau āu e lawe nei me nā mea kanu, nā mea hoʻopili, a i ʻole nā ​​lāʻau āu i kūʻai ai me ka ʻole o ka lāʻau
• Inā hāpai ʻoe

Pono ʻoe e kau inoa i kahi palapala ʻae. Hana ʻia nā hoʻokolohua koko i kekahi manawa e hoʻāʻo i kou hiki ke kōkō i kou koko. E haʻi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ka hoʻāʻo.

No nā pēpē a me nā keiki:

Aia ka mākaukau no ke keiki i ka makahiki a me ke oʻo o ke keiki. E haʻi ka mea hāʻawi i kāu keiki iā ʻoe i ka mea hiki iā ʻoe ke hana e hoʻomākaukau ai i kāu keiki no kēia hōʻike.

E ʻeha ʻoe i ka ʻeha ke hōʻeha ʻia ka anesthetic. ʻO ke nila biopsy paha e like me ke kaomi hohonu a me ka ʻehaʻeha. ʻIke kekahi poʻe i kēia ʻeha ma ka poʻohiwi.

Kōkua ka biopsy i ke kuhi ʻana i nā maʻi hepa he nui. Kōkua pū ke kaʻina hana e loiloi i ke kahua (kakahiaka, mua) o ka maʻi ate. He mea nui loa kēia i ka maʻi hepatitis B a me C.

Kōkua pū ka biopsy i ke kuhi:

• Kanesa
• Nā maʻi ʻino
• ʻO ke kumu o nā pae maʻamau o nā enzyme ate i loaʻa i nā hoʻokolohua koko
• Ke kumu o ka hoʻonui ākea ʻole i wehewehe ʻia

ʻO ke akepaʻa ka akepaʻa he maʻamau.

Hōʻike ka biopsy i kekahi mau maʻi akepaʻa, e like me ka cirrhosis, ka maʻi hepa, a i ʻole nā ​​maʻi e like me ka tuberculosis. Hōʻike paha ia i ka maʻi ʻaʻai.

Hana ʻia kēia hōʻike no:

• ʻO ka maʻi akepaʻa ʻalekohola (ate momona, hepatitis, a i ʻole cirrhosis)
• Holo ke akepaʻa Amebic
• ʻO ka hepatitis autoimmune
• Biliary atresia
• He hepatitis hana mau
• ʻO ka hepatitis hoʻomau mau
• ʻO coccidioidomycosis i hoʻolaha ʻia
• Hemochromatosis
• Hepatitis B
• Hepatitis C
• Hepatitis D.
• ʻO ka maʻi maʻi hepococularular
• Hodgkin lymphoma
• Maʻi maʻi ʻona non-alkohol
• Non-Hodgkin lymphoma
• ʻO ka cirrhosis biliary mua, i kapa ʻia i kēia manawa ʻo cholangitis biliary mua
• Pau ke ake o ke ake Pyogenic
• Reye maʻi maʻi
• Sclerosing cholangitis
• Maʻi ʻo Wilson

Pākuʻi ʻia paha nā pilikia:

• Pulupā naha
• Nā pilikia mai ka hoʻohaʻahaʻa
• Hoʻopilikia i ka gallbladder a i ʻole hakuʻala
• Koko kūloko

Biopsy - ake; ʻO ka biopsy Percutaneous; Needle biopsy o ke ake

• ʻO ka biopsy ate

Bedossa P, Paradis V, Zucman-Rossi J. Nā ʻenehana a me nā ʻenehana mole. I: Burt AD, Ferrell LD, Hubscher SG, eds. ʻO MacSween's Pathology of the Liver. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 2.

Berk PD, Korenblat KM. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 147.

Chernecky CC, Berger BJ. ʻO ke biopsy ate (biopsy ake ākea perkutan) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 727-729.

Nā Squires JE, Balistreri WF. Nā hōʻike o ka maʻi ate. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 355.

Wedemeyer H. Hepatitis C. I: Feldman M, Friedman LS, Brandt LJ, hua. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 80.