Synovial biopsy

Synovial biopsy ndiko kubviswa kwechidimbu chechipfuva chakanamatira mubatanidzwa kuti uongororwe. Iyo turu inonzi synovial membrane.

Muedzo unoitwa mukamuri yekuvhiya, kazhinji panguva yeArthroscopy. Iyi ndiyo nzira inoshandisa kamera diki uye maturusi ekuongorora kana kugadzirisa matishu mukati kana kutenderera mubatanidzwa. Iyo kamera inonzi arthroscope. Munguva iyi maitiro:

• Iwe unogona kugamuchira general anesthesia. Izvi zvinoreva kuti unenge warwadziwa uye wakarara panguva yekuita. Kana, iwe unogona kugamuchira yedunhu anesthesia. Iwe unenge wamuka, asi chikamu chemuviri pamwe nejoinhi chichava chiveve. Mune zvimwe zviitiko, anesthesia yemuno inopihwa, iyo inovhiringidza chete mubatanidzwa.
• Chiremba anovhiya akacheka-cheka paganda padhuze nejojo.
• Chimbo chinonzi trocar chinoiswa kuburikidza nekucheka muchijoini.
• Kamera kadiki ine mwenje inoshandiswa kutarisa mukati memubatanidzwa.
• Chishandiso chinonzi biopsy grasper chinobva chaiswa kuburikidza netrocar. Iyo grasper inoshandiswa kutema chidimbu chidiki chemuviri.
• Chiremba anovhiya anobvisa grasper pamwe chete netishu. Iyo trocar uye chero zvimwe zviridzwa zvinobviswa. Ganda rakachekwa rakavharwa uye bhandeji rinoiswa.
• Muenzaniso unotumirwa kubazi kuti riongororwe.

Tevedza rairo yemubatsiri wako wezvehutano nezvekuti ungagadzirira sei. Izvi zvinogona kusanganisira kusadya kana kunwa chero chinhu kwemaawa akati wandei maitiro acho asati aitwa.

Neinesthetic yemuno, iwe unozonzwa kubaya uye kunzwa kupisa. Sezvo trocar inopinzwa, pachave nekumwe kusagadzikana. Kana kuvhiya kwacho kukaitwa pasi penzvimbo kana yakajairwa anesthesia, hauzonzwa maitiro acho.

Synovial biopsy inobatsira kuongorora gout uye hutachiona hutachiona, kana kutonga zvimwe hutachiona. Iyo inogona kushandiswa kuongorora autoimmune kusagadzikana senge rheumatoid arthritis, kana zvisingawanzo hutachiona senge tibhii kana hutachiona hutachiona.

Iyo synovial membrane chimiro chakajairika.

Synovial biopsy inogona kuziva zvinotevera:

• Yenguva refu (isingaperi) synovitis (kuzvimba kweiyo synovial membrane)
• Coccidioidomycosis (hutachiona hutachiona)
• Fungal arthritis
• Gout
• Hemochromatosis (isina kujairika kuvakwa kwesimbi inoisa)
• Systemic lupus erythematosus (autoimmune chirwere chinokanganisa ganda, majoini, uye dzimwe nhengo)
• Sarcoidosis
• Tiibhii
• Kenza yeSynovial (yakasarudzika mhando yekenza nyoro).
• Rheumatoid arthritis

Pane mukana mushoma kwazvo wehutachiona uye kubuda ropa.

Tevera mirairo yekuchengetedza ronda rakachena uye rakaoma kudzamara mupi wako ati zvakanaka kuti rinyorove.

Biopsy - synovial membrane; Rheumatoid arthritis - synovial biopsy; Gout - synovial biopsy; Joint hutachiona - synovial biopsy; Synovitis - synovial biopsy

• Synovial biopsy

El-Gabalawy HS, Tanner S. Synovial fluid inoongorora, synovial biopsy, uye synovial pathology. Mune: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Firestein naKelley's Bhuku reRheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 56.

West SG. Synovial biopsies. Mune: West SG, Kolfenbach J, eds. Rheumatology Zvakavanzika. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 9.