Sei Sputum Cytology Inoitwa uye Inokuudzei?
Kana chiremba wako akakurudzira sputum cytology, izvi zvinosanganisirei? Muenzaniso wacho watorwa sei? Ndeipi iyo miedzo yakakurudzirwa uye ndei zvisingakwanisi kuishandisa sechiso chemupenza wemapapu ?
Tsanangudzo: Dutu reCytology
Sputum cytology inoreva kuongorora sputum (mucus) pasi pe microscope kuti uone masero asina kuchena kana kenza.
Siputum, kana phlegm, inoreva kumvura inoshandiswa nemasero ari mumucheto wepamusoro wepumusoro sebronchi uye trachea.
Sputum yakasiyana nemate, pakuti ine masero anokonzera mapepa ekufema.
Sputum Collection
Sputum inowanzosanganiswa nekukanganiswa nesimba mukati memudziyo, kana panguva yebronchoscopy . Kunyange zvazvo iyi nzira isati yamboonekwa kuti inobudirira kuongororwa kwekenza yemapapu , kana yaitwa kune mumwe munhu ane zviratidzo, zvinogona kuita kuti kuongororwa kwekenza yemapapu.
Sputum Cytology Kugadzirira
Usati wawana sputum yako cytology samuti yakatorwa, chiremba wako kana mukoti achakupa mirayiridzo yakakosha yekutevera. Pazuva rekuita, iwe unoda kunyatsogunzva muromo wako nemazino, asi zvakakosha kusashandisa mano okurapa. Iwe unoda kurira mhino yako isati yasvika kuti udzikise huwandu hwemhepo yepamusoro yegeji iwe unayo.
Paunenge uchiita nzira iyi, mukoti achakubatsira iwe kutora kufema kwakanyanya uye expectorate kubva mukati mukati mako. Zvichave zvakakosha kuunza mvura sekunge iwe uri kukwezva panzvimbo yekupfira.
Vanhu kazhinji vanofanira kuedza kuwana sampu kanopfuura kamwe chete, sezvo zvingave zvakaoma kuwana chiputu panzvimbo pemata.
Sputum Cytology: Pasi pa Microscope
Kana imwe sampu yakagadziriswa inowanikwa, inotaridzirwa pasi pe microscope. Tsvina inokosha inogona kuitwa, uye mamwe maitiro okuwedzera kutsanangura izvo zviri kuonekwa.
Kana mabhakitiriya aripo, muenzaniso wacho uchazoiswa mumutambo uye kukura (sputum culture) kuti aone kuti mabhakitiriya ari kukonzera utachiona.
Zviratidzo: Zvikonzero Zvokuita Sputum Cytology Test
Sputum cytology inogona kurongerwa kune zviratidzo zvakawanda. Zvimwe zvezvi zvinosanganisira:
- Chifukidziro, kunyanya kurwisa kunoramba kuripo
- Kupfupika kwemhepo
- Maronda ane maronda (kurwadziwa kunotanga munharaunda yemapapu)
- Chimwe chinhu chisingaoneki pabhokisi x-ray kana CT scan
- Kusuruvara nechirwere chetachiona
Mamiriro Ezvinhu Anogona Kuongororwa
Sputum cytology inogona kuitwa kuti iongorore huwandu hwemamiriro ezvinhu kusanganisira;
Pneumonia: Munzira iyi, chiremba anogona kuona mabhakitiriya. Kubva pane humwe huri hwebhakitiriya (ingave inotarisa kumativi ose kana sematanda,) uye kuti chii chinoita sechine mavara akasiyana, chiremba wako anogona kusarudza mishonga yakanakisisa yekutanga kurapwa. Chirwere chinowanzotanga kurapwa nenzira iyi sezvo zvipenyu izvozvi zviripo zvisingagone kutsanangurwa kwemaawa makumi mana kana kupfuura (kana mitsara yemagumisi yemigumisiro iripo inowanika.) A sputum cytology inogona kuderedza kusarudzwa kwemishonga inorwisa mabhakitiriya kana kusanganiswa kwemishonga inorwisa mabhakitiriya .
Kenza yemaperembudzi: Kunyange zvazvo isiri kunyatsoongorora kuongororwa kwekenza yemapapu, kana kenza yemapapu yemapapu inowanika mu sputum inogona kubatsira kuongorora chirwere chacho.
A sputum cytology, zvisinei, haisi kupa nzvimbo yekenza mimwe miedzo ichawedzerwa.
Chirwere cheputi : Sputum cytology inogona kuitwawo kutarisa nhamba yeeosinophils mune sampuli ye sputum. Eosinophils inorudzi rwemachena masero eropa aripo mukuwedzera kwemazana nemishonga. Zvidzidzo zvenguva pfupi zvinoratidza kuti kutarisa sputum eosinophils kunobatsira kana ichibatanidzwa nezviratidzo kujekesa kurapwa kwechirwere uye kuderedza nhamba yehutachiona hwekushisa.
Tuberculosis: Chirwere cheputum cytology chinogona kuitwa kuti chiongorore tuberculosis .
Sputum Cytology uye Lung Cancer
Kunyange zvazvo zvakawanikwa kuti sputum cytology haisi yakakwana sekuongorora kwekuongorora, zvidzidzo zviri kuramba zvichitevera kuti zvione kuti zvinogona kuita sei pakuonekwa kwekenza yemapapu.
Muzhinji, zvipembenene mukati kana pedyo nemakiromita makuru emhepo zvinowanzoita kuti kenza yemukenza iende mumhepo inenge ichinyanya kuonekwa mumutambo weputi.
Mumakore achangopfuura, mhando dzakawanda zvikuru dzekenza yemapapu dzakashanduka. Mumakore akapfuura, squamous cell carcinoma yemapapu uye kunyange kechidiki chekenza yemapapu yaiva yakawanda. Izvi zvinokonzera kukura pedyo nemhepo huru. Iye zvino chirwere chinopararira pamapapu mapapu chirwere adenocarcinoma . Izvozvo zvinokonzera kukura munzvimbo dzekunze dzemapapu kubva kumhepo. Nokudaro, zvinenge zvichiitika kuti sputum cytology ichaita basa shoma mukuonekwa kwekenza yemapapu munguva yemberi.
Chimwe chikonzero chekuderera kwechidimbu che sputum cytology ndechokuti isu iye zvino tine kuongorora kuongorora kwekenza yemapapu iyo inoshanda, kunyanya kune avo vanoona zvinotarisirwa kuti vaongorore.
> Sources:
> Petsky, H., Li, A., uye A. Chang. Yakagadziriswa Kupindira Kubva paSputum Eosinophils neChitachidzo Zviratidzo zveAhma muvana nevakuru. Cochrane Database yekuongorora kwakarongeka . 2017. 8: CD005603.
> US National Library of Medicine. Routine Sputum Culture. Updated 09/05/17. https://medlineplus.gov/ency/article/003723.htm