Maal akka ta'e Biopsii Tiruu? Kaayyoo, Adeemsa & Bu'aa

Biopsiin tiruu adeemsa wal'aansaa yoo ta'u, keessatti ogeessi fayyaa kee sampla tiruu xiqqaa fudhata, mikroskoopii jalatti qorachuuf. Qorannoon salphaan kun ogeessota fayyaa akka waan tiruu kee keessatti ta'aa jiru hubatan gargaara, yeroo qorannoowwan dhiigaa ykn suuraan argisiisuun guutumaatti hin argisiisne.

Akkuma fayyaa tiruu keetii ilaaluu akka ta'etti yaadi. Samplaan tishuun, yeroo baay'ee erasaa pensilii irra xiqqaa ta'e, odeeffannoo barbaachisaa waa'ee dhukkuba tiruu, barbaduu, ykn miidhaa qorannoowwan biroo keessatti hin mul'anne mul'isuu danda'a.

Maal akka ta'e biopsii tiruu?

Biopsiin tiruu tishuun tiruu xiqqaa fayyadamuun funaanuu of keessatti qabata, funaanuun sunis sirna fayyadamuun ykn sirna wal'aansaa irratti. Ogeessi fayyaa kee sampla kana mikroskoopii jalatti qorata, dhukkuboota tiruu adda baasuufi wal'aansa kee karoorfachuuf.

Adeemsichi garee fayyaa keetiif odeeffannoo bal'aa waa'ee caasaafi hojii tiruu keetii kenna. Dhukkuboota addaa adda baasuu danda'a, hammam miidhaan tiruu akka jiru safaruu danda'a, akkasumas haala keetiif tooftaa wal'aansaa gaarii ta'e murteessuuf gargaara.

Biopsiin tiruu baay'een adeemsa ala-patientii ta'ee kan godhamu yoo ta'u, kunis guyyaa tokkicha mana keetti deebita jechuudha. Funnaanni tishuun dhugaa sekondii muraasa fudhata, garuu walgahichi guutuun isaa yeroo qophii fi yeroo fayyuu dabalatee sa'aatii muraasa fudhata.

Maaliif biopsiin tiruu godhama?

Ogeessi fayyaa kee yeroo odeeffannoo bal'aa waa'ee fayyaa tiruu keetii qorannoowwan dhiigaa ykn suuraan argisiisuu kennuu danda'an caalaa barbaadan biopsii tiruu akka godhamu siif gorsuu danda'a. Yeroo baay'ee karaa sirrii ta'een dhukkuboota tiruu tokko tokko adda baasuuf.

Sababoota waliigala keessaa qorannoo qorannoowwan hojii tiruu hin taane, guddisa tiruu hin ibsamne, ykn dhukkuba tiruu shakkamu dabalata. Ogeessi fayyaa kee akkasumas akkaataa tiruun kee wal'aansaaf deebii kennu, haala akka hepatitis ykn dhukkuba tiruu furdina qabuuf itti fayyadamuu danda'a.

Yeroo tokko tokko, baayopsiin sadarkaa dhukkuba tiruu murteessuuf gargaara, kunis murtoo yaalaaf qajeelfama kenna. Fakkeenyaaf, miidhama tiruu (fiibroosisii) salphaa moo cimaa akka ta'e agarsiisuu danda'a, kunis doktarri keessan karoora yaalaa baay'ee bu'a qabeessa ta'e akka uumu gargaara.

Kunis haala fayyaa keessatti doktarri keessan adeemsa kana akka gorsuuf sababa ta'uu danda'u:

• Ol'aantummaa enzayimii tiruu kan hin ibsamne yeroo dheeraaf turu
• Dhukkuboota tiruu oto-immuunii kan akka kolanjayitisii bilisaa jalqabaa shakkamu
• Sadarkaa dhukkuba tiruu furdaa madaaluu
• Mormii tiruu jijjiiramaa hordofuu
• Guddina ykn massii tiruu kan hin ibsamne qorachuu
• Rakkoowwan tiruu meetabolikii baay'ee nadiraa ta'an adda baasuu
• Miidhaa tiruu qoricha ykn toksoota irraa dhufu madaaluu

Doktarri keessan baayopsii gorsuu dura faayidaa isaa balaa kamiyyuu waliin wal madaala. Maaliif qorannoon kun haala keessaniif barbaachisaa akka ta'eefi filannoowwan biraa maal akka jiran isiniif ibsu.

Adeemsi baayopsii tiruu akkamitti ta'a?

Gosa baay'ee baramaa ta'e baayopsii tiruu perkutaanasii dha, kunis doktarri keessan cirracha gogaa keessan keessa darsee gara tiruu keessaniitti geessuudha. Adeemsa kana keessatti dugda keessan ykn gama bitaa keessaniitti xiqqoo ciiftu.

Jalqabuun dura, doktarri keessan naannawa sana ni qulqulleessa, anastetiksii naannawaa ni kennuuf, kunis gogaa keessan ni uwwisa. Dhaga'umsa gabaabaa kan akka talaallii fudhachuu ni dhageessu, garuu naannawichi daqiiqaa muraasa keessatti uwwifamuu qaba.

Qajeelfama ultiraasawundii fayyadamuun, doktarri keessan iddoo baay'ee gaarii ta'e cirracha baayopsii itti galchuu danda'u ni argata. Walitti qabamuun tishuun dhugumaa saffisaan ta'a - yeroo baay'ee sekondii tokkoo gadi. Meeshaa baayopsii irraa sagalee tuquu dhageessuu dandeessu.

Kunis wanta yeroo baay'ee adeemsa keessan keessatti ta'u:

1. Uffata hospitaalaa ni uffatta, teebilii qorannaa irratti ni ciifta
2. Marii fayyaa mallattoowwan kee barbaachisoo ta’an ni hordofaanii sarara IV ni jalqabu
3. Doktarri kee ultrasawundii fayyadamuun bakka baayopsii itti godhamu filata
4. Anistetikii naannawaa qaamaa guutummaatti uffisuuf ni kennama
5. Sufii xiqqaan gogaa kee keessa darbuun gara tiruu keetti ni galcha
6. Saampiliin tishuun sekondii muraasa keessatti ni sassaabama
7. Dhiigni akka hin yaaneef iddoo sana irratti dhiibbaan ni godhama
8. Gara manaatti deemuu kee dura sa'aatii muraasaaf ni hordofamta

Namoonni tokko tokko baayopsii tiruu transjugular barbaadu, achitti suufiin ujummoo dhiigaa morma kee keessa jiruun gara tiruu keetti ga'a. Tooftaan kun kan fayyadamu yoo rakkoo dhiigaa qabaatte ykn bishaan garaa kee keessa jiru kan tooftaa idileetti fayyadamuun balaa ta'uudha.

Akkamitti baayopsii tiruu kee qopheessita?

Doktarri kee qophii baayopsii keetiif qajeelfama addaa siif kenna, yeroo baay'ee torban tokko dura adeemsicha jalqaba. Qajeelfamoota kana eeguun nageenya kee fi milkaa'ina qorannichaa mirkaneessuuf ni gargaara.

Qoricha dhiiga yaachisu akka aspiriinii, ibuprofen, ykn dhiiga qoraannee fudhachuu dhaabuu qabda. Doktarri kee qoricha kam akka of eegduu fi yeroo meeqaaf akka of eegdu sirriitti siif hima.

Namoonni hedduun baayopsii dura sa'aatii 8-12f nyaata dhabuu qabu, kunis nyaata ykn dhugaatii hin fudhatan jechuudha, bishaan xiqqaa qoricha eeyyamame waliin fudhachuu malee. Of eeggannoon kun yoo wal'aansa ariifachiisaa barbaachisu rakkoo irraa si eega, kun garuu baay'ee hin argamu.

Qophiin kee tarkaanfiiwwan barbaachisoo armaan gadii of keessaa qaba:

• Qorannaa dhiigaa guutuu gochuun hojii itti hidhamuu dhiigaa fi lakkoofsa dhiigaa kee ilaaluu
• Namni si geeessu akka siif qopheessu erga hojiin sun xumuramee booda
• Yeroo ogeessi fayyaa kee jedhetti nyaachuu fi dhuguu dhaabuu
• Galgala ykn ganama biyoopsii kee dura shaawarii fudhadhu
• Uffata mijataa, kan qaama hin hirkifne walitti qabattee walga'ii keetti dhufi
• Waraqaa qorichaawwan kee fi wantoota gargaaran hundaa walitti qabi
• Guyyaa sanaaf mana keessatti boqonnaa fudhachuuf karoora qabaadhu

Ogeessa fayyaa kee beeksisi yoo ulfoofte, alerjii yoo qabaatte, ykn guyyaa hojii keetii dhukkubsatte. Wantoonni kun yeroo ykn karaa biyoopsii keetii irratti dhiibbaa geessisuu danda'u.

Akkamitti bu'aa biyoopsii tiruu keetii dubbisuu?

Bu'aan biyoopsii tiruu keetii gabaasa bal'aa paatooloojistii irraa kan dhufu ta'a, kunis ogeessa fayyaa kan saampilaa tishuutti qorachuun beekamu. Gabaasni kun guutummaatti akka xumuramuuf guyyoota 3-7 fudhata, garuu yoo hatattamaan ta'e saffisaan hojjetamuu danda'a.

Paatooloojistiin tishuun tiruu keetii maaykirooskooppii jalatti ilaalee wanta argan ibsa, kunis walnyaatinsa, miidhama, kuufama furdaa, fi seelota hin baratamneen. Isaanis yeroo barbaachisutti dhibeewwan tokko tokkoof giredii fi stage kennu.

Dhibeewwan akka hepatiitisii, gabaasni kun giredii walnyaatinsaa (akkamitti dhukkubichi hojjechaa akka jiru) fi stage fiibroosii (akkamitti miidhamni akka uumame) dabalata. Lakkoofsawwan kun ogeessi fayyaa kee hamaa dhukkuba keetii akka hubatuu fi akkaataa yaalaas akka karoorsu gargaaru.

Gabaasni biyoopsii keetii wantoota armaan gadii ilaalchisee odeeffannoo ni dabalata:

• Ijaarama tiruu waliigalaa fi mul'ata seelii
• Argamuu fi bal'ina walnyaatinsaa
• Baay'inaa fi fakkaattii tishu miidhamaa (fiibroosii)
• Kuufama furdaa keessatti seelota tiruu
• Kuufama sibiilaa ykn copper yoo barbaachisaa ta'e
• Seelota hin baratamne ykn kaansarii
• Maarkera dhibee addaa yeroo barbaachisutti

Doktarri kee bu'aawwan kana fayyaa kee irratti maal akka hiikan siif ibsa, akkasumas bu'aa qorannoo irratti hundaa'uun filannoowwan yaalaas ni mari'ata. Afaan wal'aansaa yoo walxaxaa fakkaate hin yaadda'in - gareen fayyaa kee bu'aawwan kana odeeffannoo itti fayyadamuu dandeessuun siif hiiku.

Maalfaatu wantoota balaa baay'ee namaaf fidan kan biyoopsii tiruu barbaachisu?

Haalli fayyaa fi wantoonni jireenyaa baay'een carraa biyoopsii tiruu barbaachisuu kee ni dabalu. Wantoota balaa kana hubachuun fayyaa tiruu kee eeguuf tarkaanfii fudhachuu si gargaara.

Hepatitis vaayirasii yeroo dheeraa, keessumaa hepatitis B fi C, yeroo baay'ee guddina dhukkubaa fi deebii yaala murteessuuf hordoffii biyoopsii ni barbaada. Alkolii baay'ee waggoota hedduuf fayyadamuunis miidhaa tiruutti geessisuu danda'a, kunis qorannoo biyoopsii barbaada.

Haalli fayyaa tokko tokko tiruu kee irratti dhiibbaa dabalataa waan fidanif, dhuma irratti qorannoo unka tiruu barbaachisuu danda'u. Dhukkuboonni of-eegumsaa, dhukkuboonni metaboolikii, fi qorichi tokko tokko yeroo booda hojii tiruu irratti dhiibbaa geessisuu danda'u.

Wantoonni balaa baay'ee namaaf fidan kan biyoopsii tiruutti geessisan:

• Infekshinii hepatitis B ykn C yeroo dheeraa
• Alkolii baay'ee waggoota hedduuf fayyadamu
• Dhukkuba tiruu furdaa alkoolii hin qabne, keessumaa namoota dhukkuba sukkaaraa ykn ulfaatina qaamaa guddaa qaban keessatti
• Dhukkuboota tiruu of-eegumsaa kan akka cholangitis bilisaa jalqabaa
• Guddina enzayimoota tiruu kan hin ibsamne yeroo dheeraaf turu
• Seenaa maatii dhukkuboota tiruu jeneetikii
• Qoricha tokko tokko kan tiruu irratti dhiibbaa geessisan yeroo dheeraaf fayyadamu
• Kemikaalota warshaa ykn summiiwwanitti saaxilamuu

Wantoota balaa kana qabaachuun biyoopsii gochuu qabda jechuu miti. Namoonni hedduun dhukkuba tiruu qaban, keessumaa qorannoo dhiigaa fi teeknikii suuraa ammayyaa har'aa waliin, yeroo kamiyyuu adeemsa kana barbaachisuu malee hordofamuu fi yaalamuu danda'u.

Rakkoowwan biyoopsii tiruu maal fa'i?

Yoo biopsii tiruu walii galaan nagaa ta'eyyuu, akka yaala fayyaa kamiiyyuu, balaawwan tokko tokko qaba. Misiraachoon garuu, rakkooleen guddaan baay'ee hin mul'atan, kanneen akkaataa yaala keessatti ogeeyyii fayyaan hojjetaman keessatti %1 gadiitti mul'atu.

Bu'aan yeroo baay'ee mul'atu dhukkubbii salphaa bakka biopsiitti, kan yeroo baay'ee akka dhukkubbii salphaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa gabaabaa 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Yoo mallattoowwan akeekkachiisaa kana argitan, daqiiqatti doktar keessan bilbilaan waamaa:

• Dhukkubbii garaa cimaa ykn hamaan kan boqonnaan hin fooyyessine
• Dhiphina, mataa dhukkubbii, ykn akka salphattanii kufuu
• Riqisa onnee saffisaa ykn akka humna hin qabneetti dhaga'amuu
• Qusaa ykn kusaa kan akka bishaan dhuguu hin danda'amne
• Hoo'a qaamaa 101°F (38.3°C) ol ta'e
• Dhiigni ykn bishaan baay'ee baay'ee bakka baayopsii irraa
• Hafuura baafachuu ykn dhukkubbii qomaa
• Gogaan kan halluu qabaatu, qabbana'aa, ykn qoree ta'u

Hordoffii yeroo hundaaaf, doktarri keessan yeroo baay'ee walga'ii torban 1-2 keessatti qopheessuun bu'aa baayopsii keessanii irratti mari'achuu fi yaala barbaachisaa ta'e kamiyyuu karoorfata. Walga'ii kana dura gaaffii ykn yaaddoo qabaattan bilbiluun hin shakkinaa.

Gaaffiiwwan yeroo baay'ee gaafatamanii waa'ee baayopsii tiruu

Q.1 Qorannoon baayopsii tiruu dhukkuba tiruu furdoo adda baasuuf gaarii dhaa?

Eeyyee, baayopsiin tiruu dhukkuba tiruu furdoo alkoolii hin qabne (NAFLD) adda baasuuf sadarkaa warqee akka ta'etti ilaallama. Qorannoon dhiigaa fi suuraan tiruu furdoo agarsiisuu kan danda'u yoo ta'u, baayopsiin qofa adda baasuu kan danda'u tiruu furdoo salphaa fi haala cimaa kan NASH (non-alcoholic steatohepatitis) jedhamu gidduutti.

Baayopsiin furdoo hammam akka seelota tiruu keessatti jiru fi walitti dhufeenya barbadu ykn miidhamaa akka qabu sirriitti ni agarsiisa. Odeeffannoon kun doktarri keessan yaala akka barbaachisuu fi gosa akkamiitu haala keessaniif akka ta'u murteessuuf isin gargaara.

Q.2 Baayopsiin tiruu yeroo adeemsa keessatti ni miidhaa?

Namoonni baay'een yeroo baayopsii dhugaa irratti qoricha naannawaa fayyadamuun miidhaa xiqqaa qofa ni dhaga'u. Yeroo cirracha sunjii tiruu keessan seenu dhiphina ykn miira qaraa gabaabaa dhaga'uu dandeessu, garuu kun sekondii tokkoo gadii turti.

Iinjeekshinii dhukkubbii hir'isuun dura kennamu yeroo baay'ee dhukkubbii baay'ee kan fidu qaba, biopsii mataa isaa caalaa. Namoonni hedduun muuxannoo guutuu akka isaan eeganitti hin dhukkubsanne, dhiiga harkisuu ykn talaallii argachuu fakkaata.

Gaaffii 3. Biopsii tiruu irraa fayyuun yeroo meeqa fudhata?

Namoonni hedduun biopsii tiruu erga godhatanii booda sa'aatii 24-48 keessatti guutummaatti fayyu. Adeemsicha erga xumurtee guyyaa hafeef boqonnaa gochuu qabda, ulfaatina guddaa harkisuu ykn hojii cimaa irraa of qusachuu qabda.

Namoonni hedduun guyyaa itti aanu hojii fi gochaalee idileetti deebi'u, garuu torban tokkoof ulfaatina guddaa harkisuu irraa of qusachuu qabda. Doktarri kee hojii kee fi sadarkaa gochaa kee irratti hundaa'uun qajeelfama addaa siif kenna.

Gaaffii 4. Biopsiin tiruu kansarii tiruu adda baasuu danda'aa?

Eeyyee, biopsiin tiruu kansarii tiruu adda baasuu danda'a akkasumas gosa isaa murteessuuf gargaara. Saampiliin tishuun paatooloojistootni seelii tokko tokkoon qorachuufi jijjiirama kansarii kan iskaanota suuraa irratti hin mul'anne adda baasuuf isaan gargaara.

Haa ta'u malee, doktaroonni yeroo hundumaa biopsii kansarii tiruu adda baasuuf hin barbaadan. Yeroo tokko tokko walitti qabamni qorannoo dhiigaa, suuraa, fi seenaa fayyaa keetii odeeffannoo gahaa argachuuf si gargaara, akkasumas yaala jalqabuuf si gargaara.

Gaaffii 5. Biopsii tiruu bakka bu'aa qabaa?

Qorannoowwan hin weerarree hedduun fayyaa tiruu ilaalchisee odeeffannoo kennuu danda'u, saampila tishuu hin barbaachisne. Isaanis qorannoowwan dhiigaa addaa, elaastograafii (kan cimaa tiruu safaru), fi teeknikii suuraa fooyya'aa ni dabalatu.

Yoo ta'e iyyuu, bakka bu'ootni kun haala tiruu hedduu to'achuuf gargaaraa yoo ta'an, yeroo hundumaa odeeffannoo bal'aa biopsiin kennu kennuu hin danda'an. Doktarri kee bakka bu'ootni kun haala kee addaa irratti sirrii ta'uu isaa ni mari'ata.