Ubucukumbuzi bw'umwijima

Biopsi ya kwigana ni uburyo bwo gukuramo igice gito cy'umwijima, kugira ngo gisuzumwe muri laboratwari hakoreshejwe microscope kugira ngo harebwe ibimenyetso byangirika cyangwa indwara. Umuhanga mu buvuzi ashobora kugusaba gukora biopsi ya kwigana niba ibizamini by'amaraso cyangwa ibizamini byo kubona amashusho bigaragaza ko ushobora kuba ufite ikibazo cy'umwijima. Biopsi ya kwigana kandi ikoreshwa mu kumenya uko indwara y'umwijima ihagaze. Aya makuru afasha mu gutanga imiti.

Biopsi ya kwigana umwijima ishobora gukorwa kugira ngo: Ishakishe impamvu y'ikibazo cy'umwijima kitashobora kuboneka mu isuzuma ry'umuganga, ibizamini by'amaraso cyangwa ibizamini by'amashusho. Ibona igice cy'umubiri kivuye mu gice kitazwi cyabonetse mu isuzuma ry'amashusho. Imenye uburemere bw'indwara y'umwijima, inzira yitwa staging. Ifasha gutegura gahunda y'ubuvuzi hakurikijwe uko umwijima umeze. Imenye neza uko ubuvuzi bw'indwara y'umwijima bugenda. Irebe umwijima nyuma yo kubyaza umwijima. Umuganga wawe ashobora kugusaba biopsi y'umwijima niba ufite: Ibipimo by'umwijima bitazwi bitasobanuwe. Uburibwe cyangwa ibindi bintu bitazwi ku mwijima nkuko bigaragazwa n'ibizamini by'amashusho. Biopsi y'umwijima ikorwa cyane cyane kugira ngo ifashe kuvura no gusuzuma indwara zimwe na zimwe z'umwijima, harimo: Indwara y'umwijima y'amavuta atari yo ya alukoro. Hepatitis B cyangwa C ikaze. Hepatitis ya autoimmune. Cirrhosis y'umwijima. Cholangite ya biliary y'ibanze. Cholangite ya sclerosing y'ibanze. Hemochromatosis. Indwara ya Wilson.

Ubucukumbuzi bw'umwijima ni uburyo butekanye iyo bukozwe n'umuhanga mu buvuzi ufite ubunararibonye. Ibyago bishoboka birimo: Kubabara. Kubabara ahantu hacukumbitswe ni ikibazo gikunze kugaragara nyuma yo gukora ubucukumbuzi bw'umwijima. Kubabara nyuma yo gukora ubucukumbuzi bw'umwijima akenshi biba bito. Ushobora guhabwa imiti igabanya ububabare, nka acetaminophen (Tylenol, izindi), kugira ngo igufashe guhangana n'ububabare. Rimwe na rimwe, imiti igabanya ububabare ikomeye, nka acetaminophen irimo codeine, ishobora kwandikwa. Kuzana amaraso. Kuzana amaraso bishobora kubaho nyuma yo gukora ubucukumbuzi bw'umwijima ariko si byo bikunze kubaho. Niba amaraso menshi azanye, ushobora gukenera kujyanwa mu bitaro kugira ngo umenye uko amaraso ashyirwamo cyangwa kubagwa kugira ngo amaraso ahagarikwe. Kwandura. Gake, udukoko dushobora kwinjira mu gifu cyangwa mu maraso. Gukomeretsa undi mubiri utari wo. Mu bihe bidafite akamaro, umugozi ushobora gukomeretsa undi mubiri wo imbere, nka gallbladder cyangwa umusonga, mu gihe cyo gukora ubucukumbuzi bw'umwijima. Mu buryo bwa transjugular, umuyoboro muto winjizwa mu mubiri munini wo mu ijosi hanyuma ukajyanwa mu mubiri uca mu mwijima. Niba ufite ubucukumbuzi bw'umwijima bwa transjugular, ibindi byago bidafite akamaro birimo: Gukusanya amaraso mu ijosi. Amaraso ashobora gukusanywa ahantu umuyoboro winjirijwe, bishobora gutera ububabare no kubyimba. Gukusanya amaraso bita hematoma. Ibibazo by'igihe gito ku mitsi yo mu maso. Gake, uburyo bwa transjugular bushobora gukomeretsa imitsi no kugira ingaruka ku maso n'amaso, bigatera ibibazo by'igihe gito, nko kugwa kw'ijisho. Ibibazo by'igihe gito by'ijwi. Ushobora kugira amajwi, kugira ijwi rike cyangwa gutakaza ijwi igihe gito. Gukomeretsa umusonga. Niba umugozi ukomeretsa umusonga, ibyavuye byo bishobora kuba umusonga utakibasha gukora, bita pneumothorax.

Mbere y'uko ukorerwa biopsie y'umwijima, uzahura n'umuganga wawe kugira ngo muganire ku byo kwitega muri iyo biopsie. Iyi ni umwanya mwiza wo kubaza ibibazo ku bijyanye n'uburyo bwo kubikora no kwemeza ko usobanukiwe ibyago n'ibyiza byabyo.

Icyo ushobora kwitega mu gihe cyo gupima umwijima bizaterwa n'uburyo bwo kubikora. Gupima umwijima binyuze mu ruhu (percutaneous liver biopsy) ni bwo buryo busanzwe, ariko si bwo bugenewe buri wese. Umuhanga mu by'ubuzima ashobora kugutegurira ubundi buryo bwo gupima umwijima niba: Ushobora kugira ikibazo cyo guhora utuje mu gihe cyo kubikora. ufite amateka y'indwara ziterwa no kubura amaraso cyangwa indwara zituma amaraso adakama. Ushobora kuba ufite uburibwe mu mwijima bugira aho buhuriye n'imijyana y'amaraso. ufite amazi menshi mu gifu, icyo bita ascites. Uri umubyibuhe cyane. ufite indwara y'umwijima.