Biopsy - mareenka ilkaha

Cad ka-qaadista marinka marin-biyoodka ayaa ah ka saarista qaddar yaryar oo unugyo iyo dheecaano ah ah duodenum, dheecaanka xiidmaha, xammeetida, ama marinnada ganaca. Muunada waxaa lagu baarayaa mikroskoob.

Muunad loogu talagalay dheecaanka biopsy ee marin biyoodka ah ayaa lagu heli karaa siyaabo kala duwan.

Cad ka-qaadista cirbadda ayaa la samayn karaa haddii aad leedahay buro si fiican loo qeexay.

• Goobta cad ka-qaadista ayaa la nadiifiyay.
• Cirbad khafiif ah ayaa la gelinayaa aagga si loo tijaabiyo, waxaana laga soo qaadayaa sambal unugyo iyo dheecaan ah.
• Cirbadda ayaa markaa laga soo saarayaa.
• Cadaadis ayaa la saarayaa aagga si loo joojiyo wax dhiig bax ah. Goobta waxaa lagu dabooli doonaa faashad.

Haddii aad leedahay cidhiidhi ama xayiraadda dheecaanka xiidmaha ama xammeetida, muunad ayaa lagaa qaadi karaa inta lagu jiro howlaha sida:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Qalliinka 'cholangiogram' ee 'pheutatic cholangiogram' (PTCA)

Waxaa laga yaabaa inaadan awoodin inaad wax cunto ama cabto 8 ilaa 12 saacadood ama ka badan baaritaanka ka hor. Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona kahor waqtiga waxa aad u baahan tahay inaad sameyso.

Hubso inaad haysato qof guriga kuugu kaxeeya.

Sida baaritaanka uu dareemi doono waxay kuxirantahay nooca habraaca loo isticmaalay in lagaa qaado tijaabada baaritaanka. Marka lagaa qalay irbadda irbadda, waxaad dareemi kartaa muruq markii irbadda la gelinayo. Dadka qaarkiis waxay dareemaan casiraad ama qanjaruufo inta ay hawshu socoto.

Daawooyinka joojiya xanuunka oo kaa caawiya inaad nasato waxaa badanaa loo isticmaalaa habab kale oo hababka biopsy-ga ah.

Cad ka-qaadista marinka biyo-mareenka ayaa go'aamin kara haddii buro ka billowday beerka ama ka faafo meel kale. Waxay sidoo kale go'aamin kartaa haddii burooyinka ay yihiin kansar.

Tijaabadani waa la samayn karaa:

• Baadhitaan jireed ka dib, raajo, MRI, CT scan, ama ultrasound wuxuu muujinayaa koritaan aan caadi ahayn oo ku dhaca mareenkaaga ilmo galeenka
• Si loo baaro cudurada ama infekshinka

Natiijo caadi ah waxay ka dhigan tahay inaysan jirin astaamo kansar, cudur, ama infekshan ku dhaca sambalka baaritaanka.

Natiijooyinka aan caadiga ahayn waxaa laga yaabaa inay u sabab yihiin:

• Kansarka xiidmaha xiidmaha (cholangiocarcinoma)
• Fudud ee beerka
• Kansarka beerka
• Kansarka pankreatic
• Barar iyo nabar ka soo baxa xiidmaha xiidmaha (sclerosing cholangitis primary)

Khatartu waxay kuxirantahay sida tijaabada dheecaanka looga qaaday.

Khataraha waxaa ka mid noqon kara:

• Dhiig ku daatay goobta lagaa gooyo
• Caabuq

Falanqaynta Cytology - mareenka biliary; Cad ka-qaadista marin-biyoodka

• Baaritaanka kaadiheysta xameetida
• Dhaqanka Bile

Chernecky CC, Berger BJ. Biopsy, tijaabada-takhasuska u leh goobta. Gudaha: Chernecky CC, Berger BJ, eds. Tijaabooyinka Shaybaarka iyo Nidaamyada Baadhista. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2013: 199-201.

Stockland AH, Baron TH. Endoscopic iyo daaweynta shucaaca ee cudurka biliary. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 70.