Daim tawv nqaij biopsy: qhia, txheej txheem, txiaj ntsig

Cov txheej txheem:

Daim tawv nqaij biopsy: qhia, txheej txheem, txiaj ntsig
Daim tawv nqaij biopsy: qhia, txheej txheem, txiaj ntsig

Video: Daim tawv nqaij biopsy: qhia, txheej txheem, txiaj ntsig

Video: Daim tawv nqaij biopsy: qhia, txheej txheem, txiaj ntsig
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Kev kho mob ua rau muaj kev ntshai ntawm ntau tus neeg mob. Lawv tsis nkag siab cov ntsiab lus thiab cov ntsiab lus ntawm cov txheej txheem tsis meej. Qee tus txawm tsis kam lees qhov kev ntsuam xyuas tsim nyog, coj los ntawm kev xav ntawm cov kws tshaj lij hauv tsev nyob ze lossis poob rau hauv kev cuam tshuam ntawm stereotypes. Tab sis txhua yam koj yuav tsum tau ua yog tham nrog tus kws kho mob, nug kom paub meej ntxiv txog qhov tseem ceeb ntawm kev teem caij. Piv txwv li, yog hais tias daim tawv nqaij biopsy yog muab rau ib tug neeg mob, ces nws yuav tsum to taub hais tias cov txheej txheem no yog muab los qhia kom meej qhov kev kuaj mob thiab kom muaj peev xwm kov yeej tus kab mob no thaum ntxov.

daim tawv nqaij biopsy
daim tawv nqaij biopsy

Kev kuaj tawv nqaij - nws yog dab tsi?

Biopsy yog ib txoj kev kuaj mob uas ib feem ntawm cov khoom muaj sia raug coj mus kawm ntxiv txog nws cov cellular muaj pes tsawg leeg. Raws li, daim tawv nqaij biopsy yog ib qho kev txiav txim siab los tshuaj xyuas ib daim tawv nqaij.

Cov ntaub ntawv tshawb fawb tuaj yeem tau txais ntau txoj hauv kev:

  • shaving;
  • trepanobiopsy;
  • existential.

Kev xaiv txoj hauv kev yog nyob ntawm qhov xav tias muaj kab mob, tab sis nyob rau hauv txhua rooj plaub cov txheej txheem yog ua nrog tsis muaj menyuam, feem ntau cov twj siv pov tseg.

ua qhov twgdaim tawv nqaij biopsy
ua qhov twgdaim tawv nqaij biopsy

Kev qhia rau daim tawv nqaij biopsy

Histological kuaj ntawm cov khoom siv biopsy (biopsy) tuaj yeem txiav txim hauv cov xwm txheej hauv qab no:

  • hauv kev kuaj mob ntawm cov kab mob, fungal, kab mob kis;
  • txhawm rau txheeb xyuas qhov mob zoo;
  • kom qhia meej qhov phem;
  • txhawm rau txheeb xyuas qhov tshwm sim tom qab tshem tawm cov qog;
  • yog xav tias mob lupus;
  • yog tias xav tias muaj kab mob qog nqaij hlav;
  • rau cov quav hniav psoriatic;
  • nrog scleroderma, amyloidosis, reticulosis;
  • nyob rau hauv lub xub ntiag ntawm mycosis tob;
  • nyob rau hauv cov ntaub ntawv nodular periarteritis;
  • rau kev kuaj mob Darya;
  • yog kev tswj hwm kev kho mob.

Qhov ntau tshaj plaws ntawm kev teem caij yog kuaj pom ntawm oncological neoplasms. Tau pom qhov hloov pauv ntawm pigmentation lossis deterioration nyob rau hauv kev kho ntawm integument, tus kws kho mob nyiam mus sau ib tug biopsy nyob rau hauv thiaj li yuav kho tau nyob rau hauv thaum ntxov theem ntawm kev loj hlob.

daim tawv nqaij biopsy instrument
daim tawv nqaij biopsy instrument

Leej twg teem caij?

Nrog cov kab mob ntawm daim tawv nqaij, koj yuav tsum sab laj nrog kws kho hniav. Yog tias qhov teeb meem tsis pom tseeb, tab sis tus neeg mob xav tias tsis xis nyob, ces nws yuav tsum sab laj nrog tus kws kho mob. Tom qab kev ntsuam xyuas, tus kws kho mob-kuaj xyuas yuav xa koj mus rau tus kws kho mob tshwj xeeb. Nws tseem yuav qhia rau koj seb yuav coj mus kuaj tawv nqaij qhov twg.

Yuav siv dab tsi los kuaj ntshav?

Raws li twb tau hais lawm, muaj ntau txoj hauv kev los ntawm kev ua biopsy. Nyob ntawm qhov no, cov cuab yeej tsim nyog thiab cov cuab yeej raug xaiv. Feem ntau, qhov no yog ib qho khoom siv uas muaj cov cannula nrog lub qhov qhib, kev sojntsuam, thiab lub raj txav tau nrog lub protrusion los tuav cov qauv ntaub so ntswg.

Puncture biopsy yog ua nrog ib rab koob ntawm txoj kab uas hla. Nws tuaj yeem yog ib lub koob txhaj tshuaj tshwj xeeb, lub tshuab tsis siv neeg nrog lub caij nplooj ntoo hlav lossis lub tshuab nqus tsev.

Nyob rau hauv ntau zaus, daim tawv nqaij biopsy yog ua los ntawm curettage. Nyob rau hauv cov ntaub ntawv no, lub ntsuas yog ib tug annular curette los yog ib tug phais phais. Cov cuab yeej no txawv ntawm txoj kab uas hla ntawm qhov chaw tuav.

daim tawv nqaij biopsy rau psoriasis
daim tawv nqaij biopsy rau psoriasis

Methodology. Shaving daim tawv nqaij biopsy

Ib shaving biopsy yog ua nrog lub scalpel lossis hniav kho mob. Nyob rau hauv cov ntaub ntawv no, ib tug superficial txiav yog ua nyob rau hauv nruab nrab ntawm thickening. Qhov txiav protruding ib feem ntawm pathological neoplasm yog muab tso rau hauv ib lub thawv nrog ib tug formalin tov. Thiab thaj chaw ntawm kev tswj hwm yog them nrog cov ntaub so ntswg tsis muaj menyuam. Cov txheej txheem, ib yam li lwm qhov, tau ua raws li kev tshuaj loog hauv zos.

Trepanobiopsy

Nyob rau hauv rooj plaub no, kev tshuaj xyuas histological ntawm cov khoom siv biopsy coj los ntawm qhov chaw ntawm thaj chaw cuam tshuam tau ua. Ib kab ntawm daim tawv nqaij thiab cov rog subcutaneous yog pierced nrog ib rab koob trepanation, tig thiab tshem tawm. Tom qab ntawd nws tau khaws nrog tweezers thiab kos rau ntawm qib xav tau. Ib thaj chaw tsis muaj menyuam yog siv rau ntawm qhov txhab, tsis pub tshaj 3 hli. Nrog rau txoj kab uas hla ntawm lub qhov txhab loj dua, siv suture.

kuaj histological ntawm biopsy cov ntaub ntawv
kuaj histological ntawm biopsy cov ntaub ntawv

Excision biopsy

Raws li txoj kev no, qhov txhab raug tshem tawm nrog thaj chaw noj qab haus huv ntawm daim tawv nqaij. Txoj kev no muaj txiaj ntsig zoo rau kev kuaj mob qog nqaij hlav malignant. Cov qhov txhab ntxiv yog npog nrog cov ntaub qhwv tsis muaj menyuam, tab sis yog tias thaj chaw qhov txhab loj, ces nws yog sutured los yog npog nrog daim tawv nqaij graft.

Cov cuab yeej ntawm daim tawv nqaij tus kheej tsis rov siv dua. Tag nrho cov hnav khaub ncaws yuav tsum tsis muaj menyuam. Cov txiaj ntsig ntawm kev tshuaj ntsuam yog npaj hauv 1-4 lub lis piam. Lub sij hawm nyob ntawm qhov nyuaj ntawm kev ua biopsy.

Biopsy rau psoriasis

Ntau tus neeg mob ntseeg tias psoriasis tuaj yeem kuaj tau yam tsis muaj kev sim los ntawm nws cov tsos mob. Txawm li cas los xij, daim tawv nqaij biopsy hauv psoriasis yog qhov tsim nyog kom tsis suav nrog lwm yam pathologies. Nyob rau hauv cov txheej txheem hnyav, Reete lub cev muaj nyob rau hauv biopsy, uas yog ib qho kev tshwm sim ntawm histological immaturity thiab thickening ntawm keratinocyte txheej.

daim tawv nqaij biopsy rau psoriasis
daim tawv nqaij biopsy rau psoriasis

Thaum tshem tawm cov khoom siv rau kev tshawb fawb, pom cov ntshav pom hauv qab cov quav hniav. Qhov no yog pov thawj ntawm pathology ntawm vascular permeability ntawm qhov chaw raug mob. Tsis tas li ntawd, qhov no tso cai rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau angiogenesis.

Npaj rau kev kawm

Tsis tas yuav npaj ua kom tawv nqaij ntawm daim tawv nqaij. Ua ntej tus txheej txheem, tus kws kho mob yuav tsum tau ceeb toom txog cov tshuaj tiv thaiv kab mob, kev tsis haum tshuaj thiab los ntshav. Cov poj niam yuav tsum qhia lawv tus kws kho mob yog tias lawv cev xeeb tub.

Kev rov qab los tom qab txheej txheem

Qhov chaw kuaj yuav tsum tsuas yog kov tes kom huv si nrog xab npum thiab dej. Kev hnav khaub ncaws lossis lwm yam khoom siv phais raug tshem tawm ib hnub tom qab kev tswj hwm.

daim tawv nqaij biopsy
daim tawv nqaij biopsy

Kev ntxuav lub qhov txhab, xab npum tsis muaj dyes thiab flavoring additives yog siv. Tom qab ntxuav, petroleum jelly los yog tshuaj pleev bactericidal yog siv rau ntawm qhov txhab. Re-bandaging ntawm lub qhov txhab yog ua raws li tus kws kho mob cov tshuaj. Yog tias tsis muaj cov lus qhia ntxiv, ces nws tsim nyog siv cov ntaub so ntswg uas tsis muaj menyuam lossis cov ntaub qhwv ntaub yog tias lub qhov txhab nyob hauv qhov chaw uas tau rub nrog cov khaub ncaws. Qhov chaw ntawm daim tawv nqaij biopsy yuav tsum tau moistened nrog tshuaj pleev tshwj xeeb ob peb zaug ib hnub twg. Qhov no yuav zam qhov tshwm sim ntawm qhov khawb.

Yog tias qhov nqaij tawv nqaij liab lossis o, koj yuav tsum mus ntsib kws kho mob. Qhov no tej zaum yuav yog ib qho cim ntawm tus kab mob.

Yam tsawg kawg ib lub lis piam tom qab txheej txheem, txwv koj cov khoom noj uas muaj vitamin E, tsis txhob haus cawv, tsis txhob noj tshuaj aspirin thiab ibuprofen. Tsis ua li ntawd yuav ua rau los ntshav.

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