Mediastinoscopy nwere biopsy

Mediastinoscopy na biopsy bụ usoro nke etinyere ngwa ọkụ (mediastinoscope) n'ime oghere dị n'ime igbe dị n'etiti ngụgụ (mediastinum). A na - ewepụta anụ ahụ (biopsy) site na uto ọ bụla ma ọ bụ akụkụ lymph.

A na-eme usoro a n'ụlọ ọgwụ. A ga-enye gị ọgwụ nhụjuanya izugbe ka ị wee hie ụra ma ghara inwe ihe mgbu. A na-etinye ọkpọkọ (endotracheal tube) n’ime imi ma ọ bụ n’ọnụ iji nyere gị aka iku ume.

Obere obere oria ka emere n’elu okpukpu obi. A na-etinye ngwaọrụ a na-akpọ mediastinoscope site na mkpụmkpụ a wee jiri nwayọ gafee n'etiti akụkụ nke obi.

A na-ewere ụdị anụ ahụ nke lymph n'akụkụ ikuku. Mgbe ahụ, a ga-ewepụ akụkụ ya ma kpochapụ ịwa ahụ ya na stitches.

A ga-ewere x-ray ugboro ugboro na ngwụcha nke usoro ahụ.

Usoro ahụ na-ewe ihe dịka 60 ruo 90 nkeji.

Ga-abịanye aka na akwụkwọ nnabata nke akwadoro Gaghị enwe ike ịnweta nri ma ọ bụ mmiri mmiri ruo awa 8 tupu ule ahụ.

Ga-ehi ụra n'oge usoro ahụ. A ga-enwe nro n ’saịtị ahụ nke usoro ahụ ma emechaa. May nwere ike ịnwe akpịrị na akpịrị.

Ọtụtụ mmadụ nwere ike ịhapụ ụlọ ọgwụ n'ụtụtụ echi ya.

Ọtụtụ oge, nsonaazụ nke biopsy dị njikere na ụbọchị 5 ruo 7.

A na-eme usoro a iji lelee ma mkpụrụ ndụ lymph biopsy ma ọ bụ uto ọ bụla ọzọ na-adịghị mma n'ihu akụkụ nke mediastinum, na nso mgbidi obi gị.

• Ihe kachasị kpatara ya bụ ịlele ma ọ bụrụ na ọrịa kansa akpa ume (ma ọ bụ ọrịa kansa ọzọ) agbasawo na akụkụ lymph ndị a. A na-akpọ nke a staging.
• A na-eme usoro a maka ụfọdụ ọrịa (ụkwara nta, sarcoidosis) na ọrịa autoimmune.

Biopsies nke lymph node anụ ahụ dị nkịtị ma ghara igosi akara nke kansa ma ọ bụ ọrịa.

Nchọpụta ndị na-adịghị mma nwere ike igosi:

• Ọrịa Hodgkin
• Ọrịa afọ akpa ume
• Lymphoma ma ọ bụ etuto ndị ọzọ
• Sarcoidosis
• Ọrịa na-agbasa site n’otu akụkụ ahụ́ gaa n’ọzọ
• Ụkwara nta

Enwere ihe egwu ikpu akpịrị, trachea, ma ọ bụ akwara ọbara. N'ọnọdụ ụfọdụ, nke a nwere ike ibute ọbara ọgbụgba nke nwere ike iyi ndụ egwu. Iji dozie mmerụ ahụ, ọkpụkpụ obi ga-achọ ka ekewaa ma mepee obi.

• Mediastinum

Cheng GS, Varghese TK. Mediastinal etuto ahụ na ahu otutu. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray & Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi 83.

Putnam JB. Lung, mgbidi obi, arịrịọ, na mediastinum. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 57.