Tsvina biopsy

Tsinga yemhasuru kubviswa kwechikamu chidiki chetsandanyama kuti chiongororwe.

Maitiro aya anowanzoitwa iwe uchinge wakamuka. Anopa hutano anozoshandisa mushonga unovhiya (anesthesia yemuno) kunzvimbo yebiopsy.

Kune mhando mbiri dzemhasuru biopsy:

• Tsono biopsy inosanganisira kuisa tsono mumhasuru. Kana tsono ikabviswa, chidimbu chidiki chetishu chinosara mutsono. Zvinopfuura tsono imwe tsvimbo inogona kudikanwa kuti uwane muyero wakakura zvakakwana.
• Bhiopsy yakavhurika inosanganisira kugadzira kudimbudzira paganda uye mumhasuru. Iyo nyama yemhasuru inobviswa.

Mushure meimwe mhando yebhiopsy, munyama unotumirwa murabhoritari kunoongororwa.

Hapana gadziriro yakasarudzika inowanzodiwa. Kana iwe uchinge uine anesthesia, tevedzera rairo pamusoro pekusadya kana kunwa chero chinhu usati waedzwa.

Munguva yebiopsy, kazhinji pane kusagadzikana kushoma kana kusavapo. Unogona kunzwa kumanikidzwa kana kukweva.

Iyo anesthetic inogona kupisa kana kubaya painobayiwa jekiseni (iyo nzvimbo isati yaita chiveve). Mushure mekunge anesthetic yapera, nzvimbo yacho inogona kunge ichirwadza kweinenge vhiki.

Tsinga yemhasuru inoitwa kuti uone kuti nei usina simba kana chiremba achifungidzira kuti une dambudziko remhasuru.

Tsvina yemhasuru inogona kuitwa kuti ibatsire kuziva kana kuona:

• Zvirwere zvekuzvimba zvetsandanyama (senge polymyositis kana dermatomyositis)
• Zvirwere zvezvisungo zvinobatanidza uye mitsipa yeropa (senge polyarteritis nodosa)
• Zvirwere zvinokanganisa mhasuru (senge trichinosis kana toxoplasmosis)
• Nhaka yemhasuru kusagadzikana senge muscular dystrophy kana congenital myopathy
• Metabolic kukanganisa kwemhasuru
• Migumisiro yemishonga, chepfu, kana kusagadzikana kwemagetsi

Tsinga yemhasuru inogona zvakare kuitwa kuti utaure musiyano uripo pakati petsinga nemhasuru.

Tsandanyama iyo ichangobva kukuvadzwa, senge ne EMG tsono, kana inokanganiswa neyakagara huripo mamiriro, senge kutsinga kwetsinga, haifanire kusarudzirwa bhiopsy.

Mhedzisiro mhedzisiro zvinoreva kuti mhasuru yakajairika.

Tsinga yemhasuru inogona kubatsira kuongorora aya anotevera mamiriro:

• Kurasikirwa kwemhasuru (atrophy)
• Tsandanyama chirwere chinosanganisira kuzvimba uye ganda kuputika (dermatomyositis)
• Nhaka yemhasuru kusagadzikana (Duchenne muscular dystrophy)
• Kuzvimba kwetsandanyama
• Yakasiyana mhasuru dystrophies
• Kuparadzwa kwemhasuru (myopathic shanduko)
• Tissue kufa kwemhasuru (necrosis)
• Kukanganisa kunosanganisira kuzvimba kwemitsipa yeropa uye kukanganisa mhasuru (necrotizing vasculitis)
• Kushungurudzika kwemhasuru kukuvara
• Mitezo yakaremara
• Chirwere chinoputira chinokonzeresa kushomeka kwemhasuru, kuzvimba unyoro, uye kukuvara kwetishu (polymyositis)
• Matambudziko etsinga anokanganisa mhasuru
• Tsvina yemhasuru pasi peganda (fascia) inozvimba, kupisa, uye gobvu (eosinophilic fasciitis)

Kune mamwe mamiriro ekuwedzera ayo ekuedzwa anogona kuitiswa.

Njodzi dzemuedzo uyu idiki, asi dzinogona kusanganisira:

• Kubuda ropa
• Kutuka
• Kukuvara kwemhasuru yemhasuru kana zvimwe zvinyama munzvimbo (zvisingawanzoitika)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Biopsy - mhasuru

• Tsvina biopsy

Shepich JR. Tsvina biopsy. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 188.

Warner WC, Sawyer JR. Neuromuscular kusagadzikana. Mune: Azar FM, Beaty JH, eds. Kushanda kwaCampbell Orthopedics. 14th ed. Philadelphia, PA: Elsevier; 2021: chits. 35.