A biopsy na thyroid gland shine yake: abin da shi ne, yadda aka yi? A biopsy na thyroid gland shine yake: shirye-shiryen, fassarar da sakamakon da ƙididdiga, sakamakon

A zamani da yanayi da magani daga thyroid ciwon daji ya tashi zuwa wajen babban matakin. A wannan har yanzu ya kasance wani bukatar sa baki a cikin ciki halitta na jiki, wato, yin wani biopsy na thyroid gland shine yake. Mene ne wannan? - Ka tambayi. Amsar ne ba dade a cikin zuwan, idan ka thyroid nodules mafi girma daga 1 cm a size, ko idan akwai lokatan da dama irin wannan abokai. Gaskiyar cewa daga cikin duban dan tayi ne ba ko da yaushe isa. Don san yanayin ilimi, akwai buƙatar ka kai wani samfurin na abu da kuma la'akari da yanayin.

Yarda da hanyoyin dole

Mai masana kimiyya, kazalika da World Health Organization ya gane da bukatar irin wannan hanya. Masana kimiyya sun nuna cewa, ilimi, ko mafi kananan size, idan fiye da daya, suna da mafi m sakamako a kan jikin mutum, sabili da haka, domin in bayyana maku da yanayi - shi ne wajibi na kowane likita, da fuskantar irin wannan matsala a cikin haƙuri. Mutane nemi taimako tare da wannan matsala, su ne a karkashin wani likita ta dubawa. Last nada gwada wa matakan da hormones kamar thyroid hormone, triiodothyronine, thyroxine, da sauransu. lokaci-lokaci duban dan tayi Nazarin aka kuma nada, yawanci wadannan hanyoyin da ake yi 3-6 sau wata, a Bugu da kari, marasa lafiya bukatar sarrafa nasu jihar.

na farko shawara

A shawara tare da likita zai gaya maka duk cikakkun bayanai, wanda aka tare da wani biopsy na thyroid gland shine yake: abin da shi ne, abin da aka yi, abin da shiri matakai bukatar wuce domin aiwatar da shi, kuma haka a.

Shin maganin sa barci?

Shi ne halitta tambaya cewa taso a kowane haƙuri: da yadda za a yi wani biopsy na thyroid gland shine yake? Ko da yake da sunan sauti ban tsoro, da hanya da kanta ne ba haka muni. A gaskiya, wannan salon salula abu daga huda site tare da wani musamman sosai na bakin ciki allura.

Shiri ga hanya

Yi wani biopsy na thyroid gland shine yake, shirye-shirye domin wanda, ba zato ba tsammani, ba da ake bukata, a cikin minti. Maganin sa barci likita kafin aikin da aka za'ayi saboda dalilai guda biyu:

1. A haƙuri abubuwan kusan babu zafi da aka ji kawai allura allura.

2. allura miyagun ƙwayoyi iya isa samfurin kwayoyin nauyi, lalle shafar ingancin, da kuma hanya za a maimaita sau da yawa.

Babban Hanyar biopsy ne m allura huda.

A hanya ga biopsy

Domin sanin jihar da nazarin halittu abu na nodes fara yin wani biopsy hanya. Ya unshi mikewa da musamman allura nazarin halittu abu daga cikin samuwar, wanda aka ruwaito zuwa binciken. All marasa lafiya da suke yi, an kamu da irin wannan tarbiyya dole sha da irin wannan hanya. A mafi m bincika a lokacin biopsy ya zama babban maras aure ilimi.

A kan Hauwa'u na da hanya, idan haƙuri ne sosai m, ya iya ba da wani magani mai kantad da hankali. Da ainihin hanya ta fara da haƙuri da matsayi a kan kujera da kansa jefa baya. Allura site aka bi da tare da barasa, ya bi ta hanyar da dama Shots a yankin mikewa daga nodes na nazarin halittu abu. Make 'yan Shots ka bukatar, kamar yadda guda huda ba zai iya ba dole duba adadin kayan. Next, da aka zaɓa abu da aka sanya a kan gilashin da kuma aika zuwa histological jarrabawa.

haƙuri Taƙaitawa

Domin da mãsu haƙuri ne da ya rage mata: shi ba zai iya hadiye a lokacin hanya. Wannan shi ne saboda cewa da allura ne sosai na bakin ciki, da kuma samuwar kananan, saboda haka 'yar alamar tura iya aika da allura a cikin daidai ba shugabanci da kuma ba za ta dauki cewa kaya. A dukan hanya aka yi amfani da duban dan tayi inji. Yana da ake bukata don sarrafa shugabanci na allura karkashin fata, yanã ƙara da alama na da ya faru a cikin shafa naúrar. A dukan hanya daukan a kalla rabin awa, zai iya yi kamar yadda wani outpatient, da kuma yayin da a asibiti.

Evaluation na da sakamakon da hanya

Cytological jarrabawa na samfurori samu ya dauki wani talakawan na mako daya. Daidaito na da sakamakon ne sosai high - 95%, ba 100, saboda akwai wani mutum factor cewa shi ne kan sandan da ke sa a huda, ba ko da yaushe suna da wani isasshen matakin na wasan share fagen shiga, da kuma hanya kanta ne quite musamman. A mafi yawan erroneous ko uninformative diagnoses dama a kan daukan samfur lokutta na nodes, girman wanda ba ya isa daya santimita.

Yãfẽwa wording a cikin hali na irin wannan hanya ne wani nodular goiter, da kuma duk da bambancin. Tsarki ya tabbata a lokacin da samun sakamakon ne 98% na duk lokuta. A wani benign shi ne ma contemplated da kuma irin formulations diagnoses kamar yadda colloids kungiyar follicular epithelium - yiwuwar tsarki da irin wannan diagnoses ne 95%.

M, a 50% na lokuta ana bincikar lafiya tare da raka'a:

• wahala a bambance adenoma.
• kumburi da atypia cututtuka.
• yaduwa daga cikin follicular epithelium.

A irin haka ne, wording na wannan - follicular neoplasia.

A mafi hatsari da kuma mafi sau da yawa ne m diagnoses:

• nassoshi a cikin ganewar asali sankara ne malignancy site kusan xari bisa dari.
• da ake zargi sankara - game 80-90 bisa dari yiwuwa.
• a 70% na lokuta da ganewar asali malignancy staging ba zai iya mulkin fitar da wani m kumburi.

An ƙarin analysis na samfurori

A wasu lokuta, thyroid biopsy sakamakon bukatar cigaba da bincike. Alal misali, quite sau da yawa gudanar da gwaje-gwaje ja ruwa tare da allura a gaban thyroglobulin ko calcitonin. Wadannan gwaje-gwaje na iya inganta daidaito na gudanar da bincike, idan sakamakon da na al'ada nazarin sun m, haka wani lokacin gano adenomas na parathyroid gland, wanda aka located a cikin thyroid gland shine yake.

Lokacin kammala thyroid biopsy sakamakon da ƙididdiga aka bai wa haƙuri a kan musamman siffofin. Akwai an rubuta dukkan muhimman bayanai samu bayan gwajin samfurori: kumburi matsayi, location, size da sauransu. Yawanci, matsakaicin lokaci na jiran sakamakon - shi ke 7 kwanaki, wani lokacin ya fi tsayi, a wasu cibiyoyin, a akasin haka, ajalin nazarin kimantawa ne 1-2 kwanaki.

Wata hanyar duba na malignancy

Radioisotope scanning - wata hanya zuwa duba matsayi na nodes. Ya bai sarauta daga wani biopsy, kuma shi ne na farko mataki a gaban ta. A likita terminology, akwai biyu Concepts: da zafi da sanyi nodes. thyroid Kwayoyin sha aidin wanda shi ne wani ɓangare na gland shine yake. Lokacin gudanar da wani haƙuri na rediyoaktif aidin a kan thyroid images 2 iya kunna image. Idan gland shine yake taro kunshi wani salon salula abu, wanda, saboda abin da dalilai, ba sha aidin, shi dai wani bluish image, kuma zai kasance mai sanyi shafin. Idan aiki aidin ne tunawa, hoton jũya mai haske orange image, shi zai zama mai zafi site.

Ƙayyade tsarki da aka gyara domin wadannan hotuna ne quite wuya, amma idan muka yi magana game da yiwuwa, idan zafi kumburi, da yiwuwar cewa shi ne m, shi ne yawa ƙananan fiye da idan da hoto baya ga haka ba. Tun radioisotope scanning ba ya bayar da amsar bayyanannu, likitoci har yanzu ƙarasa resorting zuwa karshe ganewar asali na hankali a cikin wani nau'i na biopsy na thyroid gland shine yake.

A biopsy na thyroid gland shine yake: da sakamakon

Huda na thyroid gland shine yake, a gaskiya - shi ne cikakken m hanya. Bayan ta kusan taba ci gaba da wani rikitarwa, kuma idan sun yi, shi ne sosai qananan. Saboda haka, mafi munin abu da zai iya faruwa - a hemorrhage a wani kulli ko kumburi a huda site, wadannan matsalolin da ake bi na farko.

Wasu kadan-sanar ko, in general, jahilan mutane imani da cewa mahaifa Lymph kumburi bayan shan wani samfurin daga benign iya zama m, amma yana da wani cikakken shirme kawai cewa ba ya faru. Yãfẽwa marurai iya zama m by definition, ita ce kawai zaɓin - shi ne idan da likita a lokacin jarrabawa na samfurori sun rasa wani abu, amma ta faru sosai da wuya. A general, kada ku saurãra ga labarun game da mummunan Properties, wanda shi ne sananne ga wani biopsy na thyroid gland shine yake, sakamakon shi ne cikakken kaɗan.

Yana iya ci gaba da ciwon daji, idan ta kasance ba

Idan cancerous kumburi, shi ne m cuta da kuma can aka asali ci gaba. Idan a farkon da girma a cikin wadannan raka'a aka ba gina irin wannan yanayi da cewa akwai bayyana da ciwon daji iya ba. Gaskiyar ita ce, lokacin da wani kumburi fara girma, ya riga ya samuwa Oncology. Duk da yake kumburi ba fara girma, da akwai ba yawa don duba me ya sa da WHO ta bada shawarar gwaji ne kawai wadanda nodes cewa wuce a size of 1 cm ko kasa idan da samuwar, amma sakamakon duban dan tayi a cikin shi a fili ne ba alamun ciwon daji.

Eh, ba shakka, akwai yanayi a lokacin da bayan huda bayan kamar wata shekara, da kumburi fara girma, da kuma bayan wani biyu hanya ta bayyana cewa akwai har yanzu suna da ciwon daji. Sa'an nan kuma akwai irin wannan plaintive magana, kamar "Aboki delalalas biopsy na thyroid gland shine yake, mai kyau sake dubawa kuma bayan hanya a cikin watanni shida kulli ya fara girma, abin da yake matsalar a nan?". A kasa layin a nan shi ne ba cewa ciwon daji bayyana akwai kawai a yanzu, matsalar yawanci vuya a cikin uku nuances:

• A farko huda da aka yi a wani musamman kananan naúrar masu girma dabam. Mafi m, likita, a lokacin da ya yi hanya, kawai tsince da ba daidai ba abu, a cikin wasu kalmomi, ba buga naúrar.

• Rashin daukan samfur dabara. Wasu masana, musamman wadanda aiki a kananan garuruwa a lokacin da biopsy na thyroid gland shine yake, abin da shi ne talauci sanar, da kuma yadda shi dole yi, da mafi sani ba, shi ke ba daidai ba sakamakon da aka samu.

• Likita-cytologist, a lokacin da Mabudi da za'ayi a biopsy na thyroid gland shine yake, ba zai iya taimaka noticing da Pathology. A hanya kanta za a iya yi daidai da samfurori kuma iya samun mai kyau, amma da wani likita-cytologist ilmi ne ma da muhimmanci sosai, saboda ya kula dogara a kan wani daidai ganewar asali.

Wannan duk akwai su sani game da yadda za a thyroid biopsy aka yi, abin da shi ne da kuma dalilin da ya sa shi ne ake bukata.