Mediastinoscopy tare da biopsy

Mediastinoscopy tare da biopsy hanya ce wacce ake saka kayan aikin wuta (mediastinoscope) a cikin sararin samaniya tsakanin huhu (mediastinum). Ana ɗauke nama (biopsy) daga kowane ci gaban da ba a saba ba ko lymph nodes.

Ana yin wannan aikin a asibiti. Za a ba ku maganin rigakafi na kowa don ku yi barci kuma kada ku ji wani ciwo. Ana saka bututu (endotracheal tube) a cikin hanci ko bakinka don taimaka maka numfashi.

Ana yin ƙaramin yanka a saman ƙashin ƙirji. An saka wata na'urar da ake kira mediastinoscope ta wannan hanyar kuma a hankali ta shiga tsakiyar-kirjin.

Ana ɗaukar samfurin nama na ƙwayoyin lymph a kewayen hanyoyin iska. Daga nan aka cire ikon kuma aka rufe aikin tiyatar tare da dinki.

Za'a ɗauki rayukan kirji sau da yawa a ƙarshen aikin.

Tsarin yana ɗaukar kimanin minti 60 zuwa 90.

Dole ne ku sanya hannu a kan takardar izinin da aka ba da sanarwa. Ba za ku iya samun abinci ko ruwa na awanni 8 kafin gwajin ba.

Za ku yi barci yayin aikin. Za a sami ɗan taushi a wurin aiwatarwar daga baya. Kuna iya ciwon makogwaro.

Yawancin mutane na iya barin asibiti da safe.

A mafi yawan lokuta, ana shirya sakamakon kwayar cutar cikin kwanaki 5 zuwa 7.

Ana yin wannan aikin don duba sannan kuma ƙwayoyin cuta na kwayar halitta ko duk wani ci gaban da ba na al'ada ba a gaban ɓangaren mediastinum, kusa da bangon kirjinku.

• Babban dalili shine don ganin idan cutar sankarar huhu (ko kuma wata cutar kansa) ta bazu zuwa waɗannan ƙwayoyin lymph. Wannan ana kiran sa staging.
• Ana yin wannan aikin kuma don wasu cututtuka (tarin fuka, sarcoidosis) da cututtukan autoimmune.

Kwayar halittar ƙwayoyin lymph kumburi al'ada ce kuma basa nuna alamun cutar kansa ko kamuwa da cuta.

Abubuwan da ba na al'ada ba na iya nuna:

• Cutar Hodgkin
• Ciwon huhu
• Lymphoma ko wasu ciwace-ciwace
• Sarcoidosis
• Yaduwar cuta daga wani sashin jiki zuwa wani
• Tarin fuka

Akwai haɗarin bugun hanji, bututun iska, ko jijiyoyin jini. A wasu lokuta, wannan na iya haifar da zub da jini wanda ka iya zama barazanar rai. Don gyara raunin, za a raba kashin ƙirjin kuma a buɗe kirjin.

• Matsakaici

Cheng GS, Varghese TK. Mediastinal ciwace-ciwacen daji da cysts. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin Murray & Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 83.

Putnam JB. Huhu, kirjin kirji, roƙo, da matsakaici. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 57.