I-Endopsy biopsy yeyona nto ibalulekileyo yoviwo lwe-tooscopic ye-tooscopic. Phantse zonke iimviwo ze-endoscopic zifuna inkxaso ye-pologragical emva kwe-biopsy. Umzekelo, ukuba i-Mucosa yokugaya i-Mucosa ikrokreleka ukuba inyanzelekile ukuba ivuye, umhlaza, i-Atrophy, iMetasial, kunye nosulelo lwe-HP, i-HPALORT, i-HPOGY iyafuneka ukuba inike iziphumo eziqinisekileyo.
Okwangoku, iindlela ezintandathu ze-biopsy zihlala ziqhutywa rhoqo e-China:
1. Uvavanyo lwe-cytobringe
I-2. Izicubu ze biopsy
I-3. I-Tunnel Biopsy ubuchule
I-4. I-EMR ye-Bulk biopsy ubuchule
I-5. I-TumoPS ye-biopsy ubuchule
I-6. I-Ultrasound-i-FNA
Namhlanje siza kugxila ekuphonononge i-bishu ye biesy, ebizwa ngokuba "yingozi yenyama".
I-biopsy phantsi kwe-Endoscopy ye-Endoscopy ayinakwenziwa ngaphandle kwamandla e-biopsy, nakwesinye sesona sixhobo sisetyenziswa rhoqo ngabafundisi-ntsapho abahlengikazi. Ootitshala ababandakanyekayo e-Endoscopic banokucinga ukuba i-biopsy forps ilula ukuyisebenzisa, njengoku ilula njengokuvula nokuvalwa. Ngapha koko, ukusebenzisa iyeza le-biopsy ngokucacileyo nangokufezekileyo, umntu kufuneka aqonde kwaye asebenze nzima, kunye nokulunga ekuhanjisweni.
I.Okokuqala, masiphonononge ubume bei-biopsy godps:
. Izinto ezininzi ezifana neflethi yomzimba wezinyezweni, i-bissops eshushu, isikere, i-cshettes, njl. Njl.
Icebiso: Incam iqulunqwe ngemihlathi emibini yendebe enokuvulwa kwaye ivaliwe. Ubume bemihlathi yeyona nto iphambili emsebenzini weentsiba ezahlukeneyo ze biopsy. Banokwahlulelwa ukuba bahlulwe baba ziindidi ezisixhenxe: uhlobo oluvulekileyo, uhlobo oluvulekileyo, uhlobo lwefestile, uhlobo lwenaliti, uhlobo lomlomo we-oval, kunye ne-chiep yohlobo olufuhliweyo. Imihlathi ye-biopsy yenziwa ngentsimbi engenasimo kwaye inamabala abukhali. Nangona amabala okulahleka okulahlekileyo abukhali, akwazi ukudinwa. Amabala e-bipys enokuphinda afumaneke kwindawo efanelekileyo ukuba awenze abe bomelele ngakumbi.
Iintlobo eziqhelekileyo zei-biopsy godps
1. Uhlobo lohlobo lwefestile
Kukho iwindow embindini wekomityi ye-forceps, enciphisa kakhulu ukonakala kwe-tissi kwaye yonyusa inani lezicubu ze biopsy.
2. Uhlobo oluqhelekileyo ngefestile kunye nenaliti
Inaliti ibekwe embindini wekomityi ye-forceps ukuthintela i-biopsy ekutyibilikeni kwi-MUCOSA kwaye incedise ukuqonda isampulu ye-tishu.
I-3. Uhlobo lwe-alligator
Indebe ye-Clamp yoSetyenziso iphakamisa indebe yengxowa yokutyibilika, kwaye umda osikiweyo ubukhali wokukhusela okukhuselekileyo.
I-4. Uhlobo lwe-alligator ngenaliti
Imihlathi inayo i-engile ebanzi yokwandisa ivolumu ye biopsy; Umda webala ubukhali wokukhusela okukhuselekileyo.
Kukho inaliti embindini wentloko yenkqutyana, enokwenza ukulungiswa okusebenzayo kwaye ichaneke.
Ilungele i-biopsy kwizicubu ezinzima ezifana namathumba.
I-curops yomzimba: Umzimba weeprogram ze-biopsy zenziwe ngetyhubhu yentsimbi engenasitayile, equlethe intambo yentsimbi yokutsala ivali yokuvula kwaye ivale. Ngenxa yesakhiwo esikhethekileyo setyhubhu edityanisiweyo, i-tissule mucus, igazi kunye nezinye izinto zinokungena ngokulula, kodwa akukho lula ukuyicoca kakuhle. Ukusilela ukuyicoca ngokucokisekileyo kuya kubangela ukungasebenzi ekusebenzeni kweendlela ze-biopsy, kwaye ukuvulwa nokuvulwa kunye nokuvalwa akuyi kuba yinto egudileyo okanye engenakwenzeka ukuba ivule. Isiphatho sokusebenza: Iringi kwisiphatho esisebenzayo isetyenziselwa ukubamba isithupha, kwaye i-Groove ebanzi isetyenziselwa ukubeka umnwe wesalathiso kunye nomnwe ophakathi. Phantsi kokusebenza kwezi zinto zintathu, amandla adluliselwa kwi-ciops ngentambo yomkhwa wokuvula nokuvala.
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1. Ukuchonga kwangaphambili:
Ngaphambi kokusetyenziswa, qiniseka ukuba iyeza le-biopsy lichithwe kwaye lisetyenziswe kwixesha lokufundela elisebenzayo. Ngaphambi kokufaka i-Endoscope Pleceps Channel, ukuvulwa nokuvalwa kweendlela kufuneka kuvavanywe (umzobo 2).
Umzobo 2 fiopsy
Indlela ethile kukulawula umzimba we-biopsy kwisangqa esikhulu kwisangqa esikhulu (ububanzi besangqa simalunga ne-20cm), kwaye senze inyathelo lokuvula kunye nokuvala amanyathelo okujonga ukuba i-cerceps ivuliwe kwaye isondele kakhulu. Ukuba kukho izihlandlo ezi-1-2 ze-onsoths, kungcono ukuba ungasebenzisi i-biopsy affic. Okwesibini, kuyimfuneko ukuvavanya ukuvalwa kweendawo ze-biopsy. Thatha iqhekeza lephepha elincinci elifana nephepha leeleta kwaye liyibethelele nge-biopsy goness. Ifanelekile ukuba iphepha elincinci aliwisi. Okwesithathu, kuyimfuneko ukuqaphela ukuba ngaba iikomityi ezimbini zeflethi zilungelelaniswe ngokupheleleyo (umzobo 3). Ukuba kukho into ephosakeleyo, yeka ukuyisebenzisa kwangoko, kungenjalo iyakukhulisa umbhobho wemibhobho.
Umzobo 3 we-3 biopsy flapp
Amanqaku ngexesha lokusebenza:
Ngaphambi kokufaka ityhubhu yetyhubhu, imihlathi kufuneka ivaliwe, kodwa khumbula ukungasebenzisi amandla amakhulu okuvalwa okukhululekileyo, okuya kubangela ukuvula nokuvalwa kwemihlathi. 2. Xa ufaka ityhubhu, faka ecaleni kwendlela yokuvula ityhubhu ye-curbaps kwaye ungayi hlikisi ukuvulwa kwetyhubhu. Ukuba udibana nokunganyangeki xa ungena, kufuneka ukhuphe iqhosha le-angle kwaye uzame ukungena kwimeko ethe ngqo ngokwemvelo. Ukuba awukakwazi ukudlula, urhoxise i-endoscope evela emzimbeni ukuze uvavanyiwe, okanye uyibuyisele ezinye ii-biopsys ezinamafutha anjengeemodeli ezincinci. 3. Xa utsala i-biopsy process, kuphephe ukusebenzisa amandla agqithisileyo. Umncedisi kufuneka ayibambe ngezandla zozibini kwaye emva koko agobe. Sukuzolula kakhulu iingalo zakho kakhulu. 4. Xa imihlathi ayinakuvalwa, musa ukuyikhupha ngokunyanzelekileyo. Ngeli xesha, kufuneka ikhutshwe ngaphandle emzimbeni kunye ne-endoscope yokuqhubekeka.
II. ISISHWANKATHELO ZEEMPAHLA ZE-BOPSYY
1. Ukuvula nokuvala i-biopsysssssys yimisebenzi yezobugcisa. Ukuvula kufuna ulwahlulo, ngakumbi i-angle ye-gestric, ekufuneka ibe yindawo yendawo ye-biopsy. Ukuvala kufuna ixesha. Intshutshiso yeJastrointentinal kunye nokuSebenza koSurgeon ziZinzile kwaye akunakulungiswa ngokuqhubekayo. Umncedisi makabambe ithuba ngokuphumelelayo nangokukhuselekileyo akhuthaze amagorha le biopsy.
2. I-biopsy i-biopsy kufuneka ibe inkulu ngokwaneleyo kwaye inzulu ngokwaneleyo ukufikelela kwi-Muscrouris Mucosa.
3. Cinga ngefuthe lokwaphula emva kwe-biopsy kwiincwadi ezilandelayo. Xa i-angle ye-gustric kunye ne-antrum kufuneka ihlawulwe kwangaxeshanye, i-engile ye-gestric kufuneka ihlawulwe kuqala kwaye emva koko i-antrum; Xa indawo ye-lesion inkulu kwaye izicubu ezininzi zezicubu ziyacelwa, iqhekeza lokuqala kufuneka liqwalasele, kwaye kuyayimfuneko ukuthathela ingqalelo ukuba i-tiesting ye-times, kungenjalo ilandelayo Ukubethwa kuya kuba yimfama kwaye kudlula.
Ukulandelelana kwe-biopsy eqhelekileyo ye-lessions kwi-angle ye-gestric, kuthathelwa ingqalelo ifuthe lokuhamba kwegazi kwiibhadisi ezilandelayo
4. Zama ukwenza uxinzelelo oluthe tye kwi-biopsy ye-biopsy ye-biopsy kwindawo ekujoliswe kuyo, kwaye usebenzise i-cussoction xa kukho imfuneko. Ukunyanzelwa kwembambano ye-MUCOSA, ukuvumela izicubu ukuba zigqobhoze kwaye zincinci ukuba zityibilika.
I-biopsy kufuneka yenziwe njengokuthe nkqo ngokusemandleni akho, kwaye ubude bobude bemigodi ye biopsy akufuneki budlule kwi-2cm.
I-5. Nika ingqalelo ekukhetheni iindawo zesampulu kwiintlobo ezahlukeneyo zeziloion; Ukukhethwa kwamanqaku amdaka kuhambelana nenqanaba elifanelekileyo. Ugqirha ugqirha uneliso elibukhali kwaye kufuneka anikele ingqalelo kwizakhono zokukhetha izixhobo.
Iindawo eziza kuba zeziphi iindawo zebhadisa
6. Iinxalenye ezinzima kwi-biopsy ibandakanya i-russis yesisu kufutshane ne-Cardia, i-curvatud encinci yomzimba kufutshane nodonga lwasemva kodonga, kunye nekona ephezulu ye-duodenum. Umncedisi kufuneka agxile ekubambeni. Ukuba ufuna ukufezekisa iziphumo ezigqibeleleyo, kufuneka afunde ukucwangcisa kwangaphambili kwaye ahlengahlengise indlela ye-Flomp Flep nangaliphi na ixesha. Kwangelo xesha, kufuneka agwebe ngokukhawuleza ixesha lokubhengeza ngokusebenzisa lonke ithuba. Ngamanye amaxesha xa ulinde imiyalelo evela kugqirha, i-LE ye-1 yesibini inokukhokelela kumathuba aphumileyo. Ndinokulinda kuphela ngomonde kwithuba elilandelayo.
Iintolo zibonisa iindawo apho kunzima ukufumana izixhobo okanye ukuyeka ukopha.
7. Ukukhetha i-biopsys i-biopsy: i-biopsy i-biopsy iquka abo bavulekileyo bendebe kwaye bangenzulu, abanye bebeka inaliti, kwaye abanye bekulume kunye nokuluma kwecala.
8. Ukukhula okuhlanganisiweyo kunye ne-elektroniki yokukhokela i-biopsy ichanekile ngakumbi, ingakumbi kwiSampling Esophageal Mucosa.
Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps, i-hemoclip, I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Draheter Catheter catheter njl. ezisetyenziswe ngokubanzi ngaphakathiEms, Esd, I-ercp. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!
IXESHA LOKUQALA: UJan-23 ukuya ku-525