Pathogenesis, Symptom Identification and Prevention Management Of Postoperative Infection Tom Core Needle Breast Biopsy

https://www.mayoclinic.org/tests-procedures/breast-biopsy/about/pac-20384812

Postoperative kab mob yog ib qho tsis tshua muaj tshwm sim tab sis muaj kev phom sij ntawm cov tub ntxhaiskoob lub mis biopsy, cais raws li iatrogenic minimally invasive teeb meem. Kev txheeb xyuas cov ntaub ntawv qhia pom tias muaj kab mob kis tau yooj yim tsuas yog 0.1% mus rau 0.3% ntawm cov neeg mob biopsy, feem ntau nthuav tawm qhov mob me me hauv zos; mob hnyav suppurative los yog sib sib zog nqus cov ntaub so ntswg yog heev tsawg. Kev nce qib hauv cov txheej txheem kho mob aseptic thiab cov cuab yeej ua kom raug mob tau txuas ntxiv txwv tsis pub muaj kev pheej hmoo kis tus kab mob, tab sis kev nkag siab zoo ntawm kev kis tus kab mob, kev paub txog cov tsos mob thaum ntxov thiab tag nrho - cov txheej txheem tiv thaiv kab mob tseem ceeb heev rau kev tiv thaiv tus neeg mob kev nyab xeeb thiab txo cov kev tsis sib haum xeeb hauv chaw kho mob.

Tom qab-biopsy mammary kab mob tshwm sim los ntawm kev sib xyaw ua ke ntawm exogenous pathogen ntxeem tau thiab tsis muaj zog tiv thaiv kab mob hauv zos. Puncture yog ib qho kev tawm tsam uas tsim micro- cov kab mob hauv lub cev tawg ua rau daim tawv nqaij tiv thaiv kab mob. Cov tshuaj tua kab mob tsis zoo ua ntej, tsis yog- cov cuab yeej siv tshuaj tua kab mob tsis muaj menyuam lossis kev kho mob tom qab lub qhov txhab tsis zoo ua rau cov kab mob nyob hauv daim tawv nqaij suav nrog Staphylococcus aureus thiab Streptococcus nkag mus rau hauv cov hlab ntsha thiab ua rau cov ntaub so ntswg subcutaneous thiab glandular mis, ua rau cov lus teb inflammatory. Nyob rau hauv ib txwm physiological tej yam kev mob, tib neeg lub cev tiv thaiv kab mob neutralizes kab invading kab mob yam tsis muaj cov tsos mob. Txawm li cas los xij, cov neeg mob uas tawm hws ntau dhau ntawm qhov chaw biopsy, nquag kov lub qhov txhab lossis nthuav tawm nws mus rau dej ntxov ntxov, lossis cov neeg uas muaj kev tiv thaiv kab mob tsis zoo tso cai rau cov kab mob uas tsis muaj kev txwv uas cuam tshuam cov kab mob hauv zos thiab ua rau muaj kab mob hauv chaw kho mob.

Biopsy koob zoo thiab cov txheej txheem tsim khoom ua raws li cov khoom siv tseem ceeb uas txiav txim siab txog kev pheej hmoo kis mob. Cov koob tshuaj kho mob lub mis uas tsim nyog yog tsim los ntawm corrosion-tiv taus 304 thiab 316 stainless hlau nrog cov khoom tsis muaj menyuam tsis taus, ua kom tsis muaj menyuam raws li cov qauv kev lag luam ua ntej ntim. Lawv du, burr-dawb qhov chaw tiv thaiv qhov txhab tsis tu ncua thiab cov ntaub so ntswg seem uas ua rau cov kab mob loj hlob tuaj. Integrated precision tsim tsim kom nruj haum ntawm stylet thiab cannula uas tsis muaj qhov khoob rau ntxiab cov kab mob, thiab echogenic marking etching tsis ua kom tsis muaj menyuam txheej txheej, tshem tawm kev phom sij ntawm cov khoom siv. Nyob rau hauv sib piv, inferior puncture koob muaj cov khoom impurities, feature ntxhib nto thiab feem ntau undergo tsis tiav sterilization; lawv qhov kev nkag mus ua rau muaj qhov txhab jagged uas ua rau muaj kev pheej hmoo kis mob tom qab kis tau tus mob, piav qhia txog kev lag luam kev tswj hwm nruj ntawm cov cuab yeej tsim nyog tshawb xyuas thiab ua raws li cov qauv kev yuav khoom.

Tom qab-biopsy kab mob ua rau pom cov tsos mob tshwm sim rau tus kheej ncaj nraim- tshuaj xyuas thiab txheeb xyuas qhov chaw kho mob. Cov kab mob me me tshwm sim thaum ntxov tshwm sim raws li erythema, qhov sov sov hauv zos thiab kev sib tw me me nyob ib puag ncig ntawm qhov chaw puncture tsis muaj paug tawm, qee zaus nrog rau qib qis - kub taub hau. Kev cuam tshuam raws sij hawm daws cov tsos mob li ntawm ob mus rau peb hnub. Kev kis tus kab mob nruab nrab tuaj yeem ua rau mob o thiab mob, me me purulent exudate ntawm lub qhov txhab thiab mob lub mis nodules nrog tsis tu ncua qis - qib kub taub hau, tswj los ntawm qhov ncauj los tiv thaiv - tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob hauv zos. Cov kab mob sib sib zog nqus sib sib zog nqus tsis tshua muaj tshwm sim, uas tshwm sim los ntawm qhov mob ntawm lub mis liab, mob hnyav hnyav, ua npaws kub thiab muaj peev xwm ua rau mammary abscess tsim nyog yuav tsum tau tso dej thiab tso rau hauv cov hlab ntsha los tiv thaiv - kev kho mob nrog kev rov ua haujlwm ntev.

Ib tug ntau-kev soj ntsuam kev tiv thaiv kev tswj xyuas qhov system tshem tawm feem ntau ntawm kev pheej hmoo kis mob. Preoperatively, standardized tag nrho - thaj tsam ntawm daim tawv nqaij tua kab mob npog thaj tsam puncture thiab ib puag ncig cov ntaub so ntswg kom tshem tawm cov kab mob saum npoo; ua tiav kev soj ntsuam ntawm daim ntawv pov thawj biopsy koob sterilization thiab cov ntim khoom tsis zoo uas tsis tsim nyog los ntawm kev siv tshuaj kho mob. Intraoperatively, nruj aseptic raws tu qauv nrog rau tsis muaj menyuam draping thiab cov txheej txheem tsawg kawg nkaus txo lub sij hawm raug mob. Tom qab kev phais, cov neeg mob tau txais cov txheej txheem kev saib xyuas lub qhov txhab txwv tsis pub dej sib cuag nrog qhov chaw sib tsoo rau 48 xuab moos, tswj kev ua kom qhuav thiab huv, thiab txwv tsis pub ua luam dej, saunas thiab siv lub mis ntau zaus. Mob ntshav qab zib mellitus thiab kev tiv thaiv kab mob siab heev- cov neeg mob muaj kev pheej hmoo tuaj yeem tau txais cov tshuaj tiv thaiv mob me me los tiv thaiv- cov tshuaj tiv thaiv kab mob los txhawb kev tiv thaiv kab mob. Nrog cov txheej txheem kev ua haujlwm ua haujlwm thiab muaj ntawv pov thawj siab- cov khoom siv biopsy zoo, tom qab kev phais mob tom qab lub koob txhaj tshuaj ntawm lub mis muaj peev xwm ua tau raws li qhov tsis muaj peev xwm zam tau qis dua - qhov tshwm sim tshwm sim.