Dɛn nti na wɔka sɛ wɔfa ntini ketewaa bi na wɔsɔ hwɛ? Momma yensua Muscle Biopsy ho ade wɔ nsɛm a ɛnyɛ den mu

So ɛtɔ mmere bi a wote nka sɛ wo nipadua ayɛ mmerɛw na wo ntini nso ayɛ mmerɛw? Ebia wo duruyɛfo ka kyerɛɛ wo sɛ ebia ɛho behia sɛ wɔyɛ ‘Muscle Biopsy’? Ɛbɛyɛ sɛ wosuro kakra bere a wotee saa din no. "Wɔbɛtwitwa me honam asinasin bi?" Ɛbɛyɛ sɛ woasusuw ho. Nanso mma ɛnhaw wo. Eyi nyɛ hu sɛnea ɛte no. Ɛnnɛ yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a ɛbɛbua nsɛmmisa a wowɔ wɔ w’adwene mu nyinaa so.

Dɛn ne saa Ntini mu Ntini mu Nhwehwɛmu yi?

Sɛ yɛbɛka no tiawa a, eyi hwehwɛ sɛ wobɛfa wo ntini ketewaa bi a ɛnsõ nsen nsateaa nnadewa, na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu wɔ aduruyɛdan mu. Te sɛ nea wofa asaawa bi fi ntama mu na wohwɛ nea enye wɔ ho no, sɛ wohwehwɛ saa ntini yi mu a, wubetumi ahu pɛpɛɛpɛ sɛ wowɔ yare bi (myopathy) a ɛrehaw wo ntini anaa. Eyi yɛ sɔhwɛ a ɛho hia yiye.

Bere bɛn na Ɛho Hia sɛ Wɔyɛ Ntini Mu Ntini Mu Nhwehwɛmu?

Oduruyɛfo bi remfa wo nkɔyɛ nhwehwɛmu yi ntɛm ara bere a wohu sɛ wo ntini mu ayɛ mmerɛw no. Wɔbedi kan ayɛ sɔhwɛ afoforo kakraa bi.

• Nipadua ne ntini mu nhwehwɛmu: Oduruyɛfo no bɛhwehwɛ wo mu ahwɛ sɛnea wo ntini mu mmerɛwyɛ kodu.
• Mogya mu nhwehwɛmu: Wɔyɛ mogya mu nhwehwɛmu, titiriw creatine kinase nhwehwɛmu , ne awosu mu nhwehwɛmu bi.
• Mfonini a wɔde yɛ nhwehwɛmu: Nneɛma te sɛ MRI scan.
• Ntini a ɛkɔ nipadua no mu ho nhwehwɛmu ne electromyography (EMG): Eyinom sɔ abusuabɔ a ɛda wo ntini ne wo ntini ntam no hwɛ.

Nyarewa bɛn na wobetumi de nhwehwɛmu yi ahu?

Ntini mu nhwehwɛmu betumi ahu tebea horow a ɛfa ntini ahorow ho pɛpɛɛpɛ. Pon a ɛwɔ aseɛ ha no bɛma woanya adwene pa.

Nipadua no mu ntini bɛn na woyi biopsy no fi mu?

Wɔ sɔhwɛ yi mu no, wɔtaa yi ntini bi fi mmeae abiɛsa a ɛwɔ wo nipadua no mu biako mu.

• Quadriceps: Ntini kuw kɛse a ɛwɔ w’asen anim.
• Deltoid: Ntini a ɛbata wo mmati ho.
• Bicep: Wo nsa a ɛwɔ soro, ɛno ne nea yɛfrɛ no wo nsa no fã a ɛyɛ nam.

Oduruyɛfo no bɛpaw beae a wɔbɛyɛ nhwehwɛmu yi yiye. Wɔbɛfa nhwɛsode no afi ntini bi a ɛyɛ mmerɛw anaasɛ ɛwɔ sɛnkyerɛnne ahorow mu . Nanso, sɛ ntini no yɛ mmerɛw koraa, te sɛ nea wɔde aduru ahyɛ mu nnansa yi ara, anaa sɛ apirakuru bi wɔ saa beae no a, ., nnyɛ eyi mfi baabi a ɛte saa. Efisɛ sɛ woyɛ saa a, ebia nea efi sɔhwɛ (amanneɛbɔ) no mu ba no bɛyɛ nea ɛnteɛ.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?

Wo duruyɛfo bɛkyerɛkyerɛ ɔkwan a wɔfa so yɛ no mu na wama wo akwankyerɛ a ɛfa sɛnea wubesiesie wo ho ama nhwehwɛmu no ho. Ɛho hia paa sɛ wudi akwankyerɛ ahorow yi akyi pɛpɛɛpɛ.

• Sɛ nnansa yi (wɔ asram 6 mu) wɔde ntini a wɔde twitwiw wo mu , wɔayɛ nhwehwɛmu te sɛ EMG , anaasɛ woapira ntini mu a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo .
• Sɛ worenom nnuru a ekum mogya a ɛtwetwe mogya anaa aspirin , a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no. Nanso, nnyae nnuru biara a wobɛnom kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ .
• Ebia wɔbɛka akyerɛ wo nso sɛ mmuada (nnni anaa nnom biribiara a ɛnyɛ nsu) nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no.
• Sɛ wɔma wo aduru a wɔde kum nipadua no nyinaa anaasɛ wɔma wo aduru a ɛma wo ho dwo wo ma woyɛ nhwehwɛmu no a, ɛho hia sɛ obi wɔ hɔ a ɔde wo bɛkɔ fie bere a wɔayɛ nhwehwɛmu no awie no.

Dɛn na ɛba bere a wɔreyɛ biopsy no?

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so yɛ ntini mu nhwehwɛmu. Ɔkwan a wɔfa so yɛ no gu ahorow kakra a egyina ɔkwan a wɔfa so yɛ no so.

1. Open Biopsy Ɔkwan a Wɔfa so Yɛ

Eyi te sɛ oprehyɛn ketewaa bi.

1. Nea edi kan no, wɔde aduru a ekum ɔyare mmoawa hohoro baabi a wɔbɛfa nhwɛsode no yiye.

2. Afei, wɔde aduru bi a ɛma obi dwensɔ gu baabi a ɛwɔ hɔ no, enti worente ɛyaw biara.

3. Oduruyɛfo no twa honam ani fã ketewaa bi a ne tenten bɛyɛ sɛntimita 4-6.

4. Afei wɔtetew honam ani, srade a ɛwɔ honam ani, ne ntini a ɛkata so (fascia) no mu, na ɛkɔ ntini a ɛwɔ ase no so.

5. Wotwa ntini ketewaa bi na woyi fi hɔ.

6. Awiei koraa no, wɔde nhama san to baabi a wɔatwa no mu na wɔde aduru kata so yiye.

2. Ɔkwan a Wɔfa so Yɛ Needle Biopsy

Saa kwan yi yɛ mmerɛw kakra.

1. Wɔ eyi nso mu no, di kan siesie beae no yiye.

2. Afei wɔde aduru bi a ɛma obi dwensɔ gu baabi a ɛhɔ yɛ.

3. Oduruyɛfo no twa honam ani fã ketewaa bi na ɔde ade titiriw bi (biopsy needle) a ne kɛse bɛyɛ pɛnsere fa mu.

4. Mpɛn pii no, wɔde ultrasound scan na ɛkyerɛ ade no kwan kɔ ntini a ɛfata mu.

5. Sɛ wɔde afiri bi a ɛwɔ ade no mu di dwuma a, wotwitwa ntini nketenkete bɛyɛ 3 anaa 4 na wɔboaboa ano.

6. Afei, woyi ade no, de nhyɛso bi kura mu na ama mogya no agyae, na wɔde aduru kata kuru no so.

Sɛ woyɛ eyi a, ɛyɛ yaw kɛse?

Eyi ne ɔhaw kɛse ma nnipa pii. Nokwarem no, sɛ wɔma wo aduru a wɔde kum nipadua no nyinaa a, worente biribiara nka . Sɛ wɔma wo aduru a wɔde kum nipadua no nkutoo a, wobɛte nka sɛ wobɛte nka sɛ wobɛte nka kakra afi ade no mu. Ɛno akyi no, ebia wobɛte nka sɛ biribi repiapia anaasɛ ɛretwe, nanso ɛrenyɛ yaw kɛse .

Ebia ɛyaw kakra bɛba nna abien kosi abiɛsa wɔ oprehyɛn no akyi. Sɛ wɔyɛɛ biopsy a wɔabue ano a, ebia beae no bɛyɛ yaw bɛyɛ dapɛn biako. Ɛtɔ mmere bi a, beae no betumi adan bruu, te sɛ akuru. Wo duruyɛfo betu wo fo wɔ nea ɛsɛ sɛ woyɛ de di ɛyaw no ho dwuma.

Biopsy no akyi ne kosi sɛ amanneɛbɔ no bɛba

Sɛ wɔmaa wo aduru a wɔde kum nipadua no a, wɔde wo bɛkɔ fie wɔ dan a wɔhwɛ wɔn a wɔyare no mu kosi sɛ nnuru no nkɛntɛnso bɛsɛe. Wɔde nnuru titiriw bi na ɛyɛ ntini a wɔde yɛ nhwɛso no flash frozen na wɔde kɔ aduruyɛdan mu ma wɔsɔ hwɛ. Ɛhɔ no, ɔyare ho ɔbenfo bi a ɔyɛ ntini mu ntini mu nyarewa ho ɔbenfo de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.

Ɔfã a ɛyɛ den sen biara ne sɛ wobɛtwɛn sɔhwɛ amanneɛbɔ no. Mpɛn pii no, egye nna kakraa bi anaa bɛboro dapɛn biako ansa na nea efi mu ba no aba Wo duruyɛfo no bɛka eyi ho asɛm akyerɛ wo.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Hokwan ketewaa bi wɔ hɔ sɛ baabi a wɔyɛ biopsy no benya ɔyare no, enti sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, ɛsɛ sɛ wo ne wo duruyɛfo di nkitaho ntɛm ara .

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wɔka kyerɛ wo sɛ wɔbɛyɛ wo ntini mu nhwehwɛmu no. Na bere a woretwɛn nea ebefi mu aba no, wubenya nneɛma pii wɔ w’adwenem. Wo duruyɛfo no te eyinom nyinaa ase. Enti ntwentwɛn wo nan ase sɛ wubebisa no nsɛm anaa nsɛm biara a ɛhaw wo. Sɛ nea efi mu ba no si aduruyɛ mu tebea bi so dua a, susuw sɛ ɛyɛ anammɔn a edi kan wɔ w’akwantu a ɛkɔ wo ho a wobɛtɔ mu no mu. Efi hɔ no, wo duruyɛfo ne wo bɛyɛ adwuma de ayɛ ayaresa nhyehyɛe a eye sen biara ama wo.