Ukuhlolwa kwe-liver biopsy yinqubo yokususa ingxenye encane yethishu ye-liver, ukuze ihlolwe elabhoratri ngaphansi komkhiqizo ukuze kubonwe izimpawu zomonakalo noma sesifo. Uchwepheshe wakho wezokunakekelwa kwezempilo angase akukhuthaze ukuhlolwa kwe-liver biopsy uma ukuhlolwa kwegazi noma izifundo zokwenza izithombe kusikisela ukuthi ungase ube nenkinga ye-liver. Ukuhlolwa kwe-liver biopsy futhi kusetshenziswa ukuthola isimo sesifo se-liver somuntu. Ulwazi lolu lusiza ekuqondiseni izinqumo zokwelapha.
Ukuhlolwa kwe-liver biopsy kungenziwa ukuze ku: Kufunwe imbangela yengxaki ye-liver engatholakali ngokuhlolwa komsebenzi wezempilo, ukuhlolwa kwegazi noma izifundo zokubonisa. Kuthathwe isampula yethishu evela ekuhlanekezelweni okutholakele ngokuhlolwa kokubonisa. Kutholakale ukuthi ukugula kwe-liver kubi kangakanani, inqubo ebizwa ngokuthi yi-staging. Kusizwe ukwakha izinhlelo zokwelapha ezisekelwe esimweni se-liver. Kutholakale ukuthi ukwelashwa kokugula kwe-liver kusebenza kangakanani. Kuhlolwe i-liver ngemuva kokufakelwa kwe-liver. Uchwepheshe wakho wezempilo angakuncoma i-liver biopsy uma una: Imiphumela yokuhlolwa kwe-liver engachazeki. I-tumor noma ezinye izinto ezingavamile e-liver yakho njengoba kubonakala ekuhlolweni kokubonisa. I-liver biopsy futhi ivame kakhulu ukwenziwa ukusiza ekuthola nasekuqondeni izifo ezithile ze-liver, okuhlanganisa: I-Nonalcoholic fatty liver disease. I-Chronic hepatitis B noma C. I-Autoimmune hepatitis. I-Liver cirrhosis. I-Primary biliary cholangitis. I-Primary sclerosing cholangitis. I-Hemochromatosis. I-Wilson's disease.
Ukuhlolwa kwe-liver biopsy kuyindlela ephephile uma kwenziwa yisazi sezempilo esinobuchwepheshe. Izingozi ezingase zenzeke zihlanganisa: Ubuhlungu. Ubuhlungu endaweni lapho kwenziwe khona i-biopsy yiyona inkinga evame kakhulu ngemuva kwe-liver biopsy. Ubuhlungu ngemuva kwe-liver biopsy buvamise ukuba buthambile. Unganikezwa imithi yokuqeda ubuhlungu, njenge-acetaminophen (Tylenol, nezinye), ukusiza ekuqedeni ubuhlungu. Ngezinye izikhathi imithi yokuqeda ubuhlungu enenarcotic, njenge-acetaminophen ene-codeine, ingase ilotshwe. Ukuphuza igazi. Ukuphuza igazi kungenzeka ngemuva kwe-liver biopsy kodwa akuvamile. Uma kukhona ukuphuza igazi okukhulu, kungase kudingeke uhlale esibhedlela ukuze unikezwe igazi noma kwenziwe ukuhlinzwa ukuze kuqedeke ukuphuza igazi. Ukutheleleka. Ngokungavamile, amabhaktheriya angangena esiswini noma egazini. Ukulimala okungahlosiwe kwilungu eliseduze. Ngezinye izikhathi, inhlanzi ingase ihlunge kwenye inhlangothi yangaphakathi, njenge-gallbladder noma uphuphu, ngesikhathi se-liver biopsy. Enqubweni ye-transjugular, ithyube elithinwa lifakwa ngomqala omkhulu ezinqeni futhi liyadluliselwa emithanjeni edlula e-liver. Uma une-transjugular liver biopsy, ezinye izingozi ezingavamile zihlanganisa: Ukuqoqwa kwegazi ezinqeni. Igazi lingase liqoqane endaweni lapho ifakwe khona ithyube, okungenzeka kubangele ubuhlungu nokuvuvukala. Ukuqoqwa kwegazi kubizwa ngokuthi yi-hematoma. Izinkinga zesikhashana ngezinso zobukhulu. Ngokungavamile, inqubo ye-transjugular ingalimaza izinso futhi ithonye ubuso nemihlobiso, okubangela izinkinga zesikhashana, njengokwehla kweliso. Izinkinga zesikhashana zezwi. Ungase ube nokhwela, ube nezwi elibuthakathaka noma ulahlekelwe yizwi isikhashana. Ukuhlunga uphuphu. Uma inhlanzi ingase ihlunge uphuphu lwakho, umphumela ungaba uphuphu oluwa, oluthiwa yi-pneumothorax.
Ngaphambi kokwenza i-biopsy yesibindi sakho, uzohlangana nochwepheshe wakho wezokunakekelwa kwezempilo ukuze uxoxe ngalokho okulindelekile ngesikhathi se-biopsy. Lesi yisikhathi esihle sokuthola izimpendulo zemibuzo mayelana nenqubo futhi uqinisekise ukuthi uyaqonda izingozi nezinzuzo.
Okusalindeleka ngesikhathi sokwenziwa kwe-biopsy yesibindi kuzoletha ngohlobo lwesiqondiso esiyenzayo. I-biopsy yesibindi esenziwa nge-percutaneous yilona uhlobo oluvamile lwe-biopsy yesibindi, kodwa aliyona into yokukhetha kwabo bonke. Uchwepheshe wakho wezokunakekelwa kwezempilo angase akukhuthazelele uhlobo oluhlukile lwe-biopsy yesibindi uma: Ungase ube nezinkinga zokuhlala uzolile ngesikhathi senqubo. Unembali yokuba nezinkinga zokopha noma isifo sokuqina kwegazi. Ungase ube nomdlavuza ohilela imithambo yegazi esibindini sakho. Unefutha eliningi esiswini sakho, okuthiwa yi-ascites. Unesisindo esikhulu. Une-infection yesibindi.
Isibaya sakho se-liver siya elabhoratri ukuhlolwa yisazi sezempilo esikhethekile ekutholeni izifo, esibizwa ngokuthi yi-pathologist. I-pathologist ifuna izimpawu zesifo nokonakala kwe-liver. Umbiko we-biopsy ubuya elabhoratri ye-pathology ezinsukwini ezimbalwa kuya kwesonto. Ekuhambeleni okulandelayo, isazi sakho sezempilo sizochaza imiphumela. Umthombo wemizimba yakho ungaba yisifo se-liver. Noma isazi sakho sezempilo singanika isifo sakho se-liver inombolo yesigaba noma izinga ngokusekelwe ekuthandeni kwaso. Izigaba noma amazinga avame ukuba lula, oluphakathi noma olukhulu. Isazi sakho sezempilo sizoxoxa ngokwelashwa, uma kukhona, okudingayo.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.