Itsvo biopsy

Itsvo biopsy ndiko kubviswa kwechidimbu chidiki cheitsvo yenyama yekuongororwa.

Kuongorora kweitsvo kunoitwa muchipatara. Idzi nzira mbiri dzakajairika dzekuita itsvo biopsy dzakasarudzika uye dzakavhurika. Izvi zvinotsanangurwa pazasi.

Percutaneous biopsy

Percutaneous zvinoreva kuburikidza neganda. Yakawanda itsvo biopsies inoitwa nenzira iyi. Maitiro acho anowanzoitwa nenzira inotevera:

• Unogona kupihwa mushonga wekukutsira.
• Unorara nedumbu. Kana uine itsvo yakasimwa, unorara nemusana.
• Chiremba anoisa mucherechedzo paganda panopinzwa tsono yebhiopsy.
• Ganda rinoshambidzwa.
• Unyanzvi hwechikorobho (jekiseni) rinoiswa pasi peganda padyo nenzvimbo yeitsvo.
• Chiremba anogadzira kamucheka kadiki paganda. Ultrasound mifananidzo inoshandiswa kuwana nzvimbo yakakodzera. Dzimwe nguva imwe nzira yekufungidzira, senge CT, inoshandiswa.
• Chiremba anoisa tsono yebhiopsy kuburikidza neganda kusvika pamusoro peitsvo. Iwe unobvunzwa kuti utore uye ubate kufema kwakadzika sezvo tsono inopinda muitsvo.
• Kana chiremba asiri kushandisa kutungamira kweiyo ultrasound, iwe unogona kukumbirwa kutora akati wandei kufema kwakadzika. Izvi zvinobvumira chiremba kuti azive kuti tsono iri munzvimbo.
• Tsono yacho inogona kuiswa kanopfuura kamwe chete kana pachidikanwa sampuro inopfuura kamwe chete.
• Tsono inobviswa. Kumanikidza kunoiswa kune iyo biopsy saiti kumisa chero kubuda ropa.
• Mushure mekuita, bhandeji rinoshandiswa kune iyo biopsy saiti.

Vhura biopsy

Mune zvimwe zviitiko, chiremba wako anogona kukurudzira chirongwa chekuvhiya. Iyi nzira inoshandiswa panodiwa chidimbu chakakura chetishu.

• Iwe unogashira mushonga (anesthesia) iyo inokutendera iwe kurara uye kusava nemarwadzo-asina.
• Chiremba anovhiya anoita akacheka mashoma ekuvhiya (incision).
• Chiremba anovhiya anowana chikamu cheitsvo kubva pane iyo biopsy tishu inoda kutorwa. Iyo turu inobviswa.
• Iyo incision yakavharwa netambo (sutures).

Mushure mekupararira kana kuvhura biopsy, ungangogara muchipatara kwemaawa gumi nemaviri. Iwe unozogamuchira mishonga yekurwadziwa uye zvinwiwa nemuromo kana kuburikidza nemutsinga (IV). Weti yako inozotariswa kubuda kweropa kwakanyanya. Iko kushoma kwekubuda ropa kwakajairika mushure mebhiopsy.

Tevedzera rairo nezve kuzvitarisira iwe mushure meiyo biopsy. Izvi zvinogona kusanganisira kusasimudza chero chinhu chinorema kudarika mapaundi gumi (4.5 kilograms) kwemavhiki maviri mushure meiyo bhaopsy.

Udza mupi wako wezvehutano:

• Nezve mishonga yauri kutora, kusanganisira mavitamini uye zvinowedzera, mishonga yemakwenzi, uye inopfuura-the-counter mishonga
• Kana uine chero neutachiona
• Kana uine matambudziko ekubuda ropa kana ukatora mishonga yekucheka ropa senge warfarin (Coumadin), clopidogrel (Plavix), dipyridamole (Persantine), fondaparinux (Arixtra), apixaban (Eliquis), dabigatran (Pradaxa), kana aspirin
• Kana iwe uri kana uchifunga kuti ungangove nepamuviri

Unyanzvi hwenhengo hunoshandiswa, saka kurwadziwa panguva yekuita kunowanzo kuve kushoma. Mushonga unonetesa unogona kupisa kana kuruma kana watanga kujekeswa.

Mushure mekuita, nzvimbo yacho inogona kunzwa yakapfava kana kurwadziwa kwemazuva mashoma.

Iwe unogona kuona yakajeka, tsvuku reropa mumurini mukati maawa makumi maviri nemana ekutanga mushure mekuedzwa. Kana kubuda ropa kukatora nguva refu, udza mupi wako.

Chiremba wako anogona kuraira itsvo biopsy kana iwe uine:

• Kudonha kusinga tsanangurike muitsvo basa
• Ropa mune weti risingapere
• Mapuroteni mumurini akawanikwa panguva yekuyedza weti
• Itsvo yakasimwa, iyo inoda kuongororwa uchishandisa biopsy

Mhedzisiro mhedzisiro ndeye apo itsvo tishu inoratidza zvakajairika chimiro.

Mhedzisiro isina kujairika zvinoreva kuti pane shanduko munyama yeitsvo. Izvi zvinogona kukonzerwa ne:

• Utachiona
• Ropa rakashata rinoyerera kuburikidza neitsvo
• Zvinobatanidza hutachiona hutachiona senge systemic lupus erythematosus
• Zvimwe zvirwere zvinogona kunge zvichikanganisa itsvo, senge chirwere cheshuga
• Itsvo kuisazve kurambwa, kana iwe waive nekuisira

Ngozi dzinosanganisira:

• Kubuda ropa kubva muitsvo (mune zvisingawanzoitika zviitiko, kungangoda kuwedzerwa ropa)
• Kubuda ropa mumhasuru, izvo zvinogona kukonzera kushushikana
• Utachiona (njodzi diki)

Renal biopsy; Biopsy - itsvo

• Itsvo anatomi
• Itsvo - kuyerera kweropa uye weti
• Renal biopsy

Salama AD, Cook HT. Iyo renal biopsy. Muna: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Karl S, Philip AM, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 26.

Topham PS, Chen Y. Renal biopsy. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chits.