Nchifukwa chiyani Sputum Cytology Yachitidwa Ndi Chiyani Ikukuwuzani?
Ngati dokotala wanu akulangiza cytology ya sputum, kodi izi zikuphatikizapo chiyani? Kodi chitsanzocho chatengedwa bwanji? Kodi ndiyeso liti lomwe limayesedwa ndipo ndi zotani pamene mukugwiritsa ntchito ngati chinsalu cha khansara yamapapo ?
Tanthauzo: Chisokonezo cha Cytology
Mphungu yotchedwa cytology imatanthawuza kufufuza msuti (mucus) pansi pa microscope pofuna kuyang'ana maselo osadziwika kapena khansa.
Mphungu, kapena phlegm, imatanthawuza madzi omwe amadziwika ndi maselo omwe ali m'munsi mwa mpweya wotentha monga bronchi ndi trachea.
Mphungu imasiyana ndi saliva, chifukwa imakhala ndi maselo omwe amatsagana ndi mapewa.
Kusonkhanitsa Mbalame
Mphukira nthawi zambiri imasonkhanitsidwa ndi kukakamira mwamphamvu mu chidebe, kapena pa bronchoscopy . Ngakhale kuti njirayi siinapezedwe kuyesa kuyesera khansa ya m'mapapo , ikachitika kwa munthu yemwe ali ndi zizindikiro, nthawi zina ikhoza kupeza matenda a khansa yamapapo.
Kukonzekera kwa Cytology
Musanayambe kukhala ndi sputum cytology chitsanzo, dokotala wanu kapena namwino adzakupatsani malangizo apadera omwe mungatsatire. Pa tsikuli, mutha kutsuka mosamala pakamwa panu ndi mano, koma nkofunika kuti musagwiritse ntchito mankhwala opangira mankhwala. Mudzafuna kulira mphuno yanu musanayambe njirayi kuti muchepetse kuchuluka kwa madzi okwera m'mphepete mwa nyanja.
Pamene mukuchita njirayi, namwino adzakuthandizani kutulutsa mpweya wabwino ndi kutuluka kuchokera pachifuwa chanu. Ndikofunika kubweretsa madzi ngati kuti mukutsokomola m'malo molavulira.
Kawirikawiri anthu amayesetsa kupeza kangapo kamodzi, chifukwa zingakhale zovuta kupeza malovu m'malo mwa phula.
Cytology Zam'madzi: Pansi pa Microscope
Pambuyo pokhapokha ngati mankhwalawa akupezeka, akuwoneka pansi pa microscope. Madontho apadera angapangidwe, ndi njira zina kuti afotokoze zomwe zikuwoneka.
Ngati mabakiteriya alipo, chitsanzocho chidzaikidwa mu chikhalidwe ndi kukula (chikhalidwe cha chibwibwi) kuti mudziwe bwinobwino mabakiteriya omwe akuyambitsa matenda.
Zisonyezo: Zifukwa Zopangira Kuyeza Kuthandizira Kuthandizira
Puloteni yotchedwa cytology ikhoza kulamulidwa kuti ikhale ndi zizindikiro zosiyanasiyana. Ena mwa awa ndi awa:
- Chifuwa, makamaka chifuwa chokhazikika
- Kupuma pang'ono
- Mavupa am'mimba (ululu umene umayamba m'dera la mapapo)
- Zosaoneka pa chifuwa cha x-ray kapena CT
- Kutuluka kwa chifuwa chachikulu
Zinthu Zomwe Zingadziwike
Puloteni yogwiritsira ntchito zimatha kupezeka kuti azindikire zinthu zosiyanasiyana kuphatikizapo;
Chibayo: Mwa njira iyi, munthu wodwala matenda amthenda akhoza kuona mabakiteriya. Malingana ndi mawonekedwe enieni a mabakiteriya (kaya amawoneka pozungulira kapena ngati ndodo,) ndi momwe amawonekera ngati ali ndi matayala osiyanasiyana, dokotala wanu angasankhe mankhwala abwino kwambiri oyamba mankhwala. Chibayo nthawi zambiri amachiritsidwa mwanjira imeneyi chifukwa zamoyo zenizenizi sizingatsimikizidwe kwa maola 48 kapena kuposerapo (pamene zotsatira za chikhalidwe cha chibwibwi zipezekapo). Kuphulika kwa mankhwalawa kungachepetse kusankha kwa antibiotic yolondola kapena kuphatikizapo maantibayotiki kwambiri .
Khansara ya m'magazi: Ngakhale kuti sitingayese kansa ya kansa ya m'mapapo, ngati khansa yamapapu yamapapu imapezeka mumatope akhoza kuthandizira kupeza matendawa.
Komabe, sikuti amapereka mayesero ochuluka omwe angapangidwe ndi khansa.
Phumu: Puloteni yotchedwa sputum cytology ingathenso kuthandizira kufufuza chiwerengero cha eosinophils mu nyemba ya sputum. Mafuta a Eosinophils ndi mtundu wa maselo oyera a magazi omwe alipo powonjezera kuchuluka kwa chifuwa. Kafukufuku wam'mbuyo akuwonetsa kuti kudziwitsa amtundu wa eosinophils kumapindulitsa pokhapokha ngati zizindikiro zimaphatikizapo kuchiza matenda a mphumu ndikuchepetsa kuchuluka kwa nthenda ya mphumu.
Chifuwa chachikulu: Chitukuko chamtundu wamphumphu chingapangidwe kuti tipeze chifuwa chachikulu .
Mphuno ya Cytology ndi Khansa Yam'mimba
Ngakhale kuti anapeza kuti mankhwala osokoneza bongo sali okwanira ngati kuyesa kuyesa, maphunziro amapitiriza kuyang'ana kuti awone chomwe chingathe kukhala ndi matenda a kansa ya m'mapapo.
Kawirikawiri, zotupa mkati kapena pafupi ndi maulendo akuluakulu zowonjezera zimayambitsa maselo a khansa m'mphepete mwa mlengalenga yomwe ingawoneke mumsampha wamatsenga.
M'zaka zaposachedwapa, khansa ya m'mapapo yafala kwambiri. Zaka zapitazo, squamous cell carcinoma m'mapapu ngakhale khansara yaing'ono yamapapo ya m'mapapo inali yofala kwambiri. Mankhwalawa amayamba kukula pafupi ndi misewu yaikulu. Mtundu wa khansa wamapapo kwambiri ndi mapapu adenocarcinoma . Mankhwalawa amayamba kukula m'madera akutali m'mapapo kutali ndi ndege. Choncho, zikutheka kuti phokosoli limakhala ndi gawo lochepetsetsa pakuzindikira khansa yamapapo m'tsogolomu.
Chifukwa china chochepetsera kufunikira kwa khunyu ya kasupe ndikuti tsopano tili ndi mayeso oyeza kansa ya m'mapapo yomwe ili yothandiza, makamaka mwa iwo omwe ali ndi zofunikira zowunika.
> Zotsatira:
> Petsky, H., Li, A., ndi A. Chang. Mapulogalamu Ovomerezeka Otsatira Malingana ndi Ma Sputum Eosinophils motsutsana ndi Clinical Symptoms for Asthma kwa Ana ndi Akuluakulu. Dongosolo la Cochrane la Zosintha Zogwirizana . 2017. 8: CD005603.
> National Library of Medicine. Chikhalidwe chachibwibwi nthawi zonse. Kusinthidwa 09/05/17. https://medlineplus.gov/ency/article/003723.htm