Renal biopsy: zvinoratidza, kuti zvinoitwa sei uye kugadzirira

Zvemukati

• Zviratidzo zveitsvo biopsy
• Zvinoitwa sei
• Kugadzirira kweiyo renal biopsy
• Contraindications uye zvinogona kuitika

Yeitsvo biopsy kuongororwa kwekurapa uko kwakatorwa svumbunuro yeitsvo yetsvo kuitira kuti uongorore zvirwere zvinokanganisa itsvo kana kuperekedza varwere vakaiswa itsvo, semuenzaniso. Bhiopsy inofanira kuitwa kuchipatara uye munhu wacho anofanira kuchengetwa achitariswa kwenguva inosvika maawa gumi nemaviri kuitira kuti chiremba akwanise kuongorora kushanduka kwemunhu uye huwandu hweropa mumurini.

Usati waita bhiopsy, unofanirwa kuita mimwe bvunzo, senge coagulogram uye weti bvunzo, kuwedzera kune renal ultrasound, kutarisa kuvapo kwemapundu, chimiro cheitsvo uye hunhu hwetsvo, uye nekudaro, tarisa kana zvichikwanisika kuita biopsy. Kuita kweiyi nzira hakuratidzwe kana munhu aine itsvo imwechete, aine zviratidzo nezviratidzo zvehutachiona, ari hemophilic kana ane polycystic itsvo.

Zviratidzo zveitsvo biopsy

Iyo nephrologist inogona kuratidza mashandiro eiyo renal biopsy kana huwandu hwakawanda hwemapuroteni uye / kana ropa rucherechedzwa mumuti wetsvo usingazivikanwe mavambo, kana paine kukomba kweitsvo kusakundikana uye mushure mekuisirwa kweitsvo kuitira kuongorora murwere.

Nekudaro, itsvo biopsy inoratidzwa kuti iongorore zvirwere zvinokanganisa itsvo uye inosimbisa kuongororwa, senge:

• Chakakomba kana chisingaperi renal kutadza;
• Glomerulonephritis;
• Lupus nephritis;
• Itsvo kutadza.

Mukuwedzera, renal biopsy inogona kuratidzirwa kuongorora kupindura kwechirwere kurapa uye kuongorora kuwanda kwekushaya simba kwetsvo.

Kwete nguva dzese panenge paine shanduko mune mhedzisiro iyo inofanirwa kuita biopsy. Ndokunge, kana munhu aine ropa mumurini, shanduko mu creatinine kana protein mune weti ari ega uye isinga perekedzwe neBP, semuenzaniso, biopsy haina kuratidzwa. Uye zvakare, hapana chikonzero chekuita biopsy kana chikonzero chekubatanidzwa kweitsvo chikazivikanwa.

Zvinoitwa sei

Iyo biopsy inofanirwa kuitirwa kuchipatara, neinesthesia yemuno ichishandiswa kuvarwere vakuru vanoshanda pamwe nemaitiro kana sedation muvana kana mune vakuru vasinga batane. Maitiro acho anotora angangoita maminetsi makumi matatu, zvisinei zvinokurudzirwa kuti murwere agare muchipatara kwemaawa masere kusvika gumi nemaviri mushure mekuitwa kuitira kuti chiremba akwanise kuongorora mhinduro yemunhu pakuongorora.

Pamberi pekuita, ultrasound yeitsvo uye weti system inoitwa kuti uone kana paine shanduko dzinokanganisa kana kuwedzera njodzi yekubvunzo. Uye zvakare, bvunzo dzevarabhoritari dzinoitwa, senge yeropa tsika, coagulogram uye weti bvunzo kuti uone kana zvichikwanisika kuita bhaopsy pasina kunetsekana.

Kana zvese zvikaenderana, munhu anoiswa akarara padumbu uye kuongororwa kunoitwa nekubatsirwa nemufananidzo we ultrasound, iyo inobvumidza kuzivikanwa kwenzvimbo yakanakisa yekuisa tsono. Tsono inodhonza sampuro yetsvo yetsvo, iyo inotumirwa ku laboratori kunoongororwa. Kazhinji yenguva, masampuli maviri anotorwa kubva kunzvimbo dzakasiyana dzeitsvo kuitira kuti mhedzisiro yacho inyatsoita.

Mushure mekuvhenekwa, murwere anofanirwa kugara muchipatara kuti atariswe uye hapana njodzi yekubuda ropa mushure mekuita kana kushanduka kweropa. Izvo zvakakosha kuti murwere azivise chiremba nezve chero zviratidzo zvavanopa mushure mekuvhiya, senge kunetsekana kuita weti, kutonhora, kuvapo kweropa mumurini kweanopfuura maawa makumi maviri nemana mushure mekuvhenekwa, kupera simba kana kuwedzera kurwadziwa kana kuzvimba kwenzvimbo uko bvunzo dzakaitwa. biopsy.

Kugadzirira kweiyo renal biopsy

Kuti uite bhaopsy, zvinokurudzirwa kuti hapana zvinodhaka zvinotorwa senge maanticoagulants, platelet anti-kuunganidzira vamiririri kana anti-anogumbura zvinodhaka kweinenge vhiki imwe pamberi peiyo biopsy yaitwa. Uye zvakare, chiremba anokurudzira kuita renal ultrasound kuti atarise kuvapo kweitsvo imwe chete, mamota, cysts, fibrotic kana itsvo dzakadzvinyirirwa zvinopesana neongororo.

Contraindications uye zvinogona kuitika

Renal biopsy haina kuratidzwa mune imwe itsvo, atrophied kana polycystic itsvo, matambudziko e coagulation, hypertension isingadzoreki kana zviratidzo zvehutachiona hwehutachiona.

Itsvo biopsy yakaderera njodzi, uye hapana akawanda matambudziko anosangana. Zvisinei, kune vamwe zvinokwanisika kuti pane kubuda ropa. Nekuda kweizvi, zvinokurudzirwa kuti munhu arambe ari muchipatara kuitira kuti chiremba atarise kuvapo kwechiratidzo chinoratidza kubuda mukati.