Ke manaʻo nei ʻoe i kekahi manawa ua nāwaliwali kou kino a ua nāwaliwali kou mau ʻiʻo? Malia paha ua haʻi aku kāu kauka iā ʻoe e pono paha ʻoe e loaʻa i kahi 'Muscle Biopsy'? Ua makaʻu iki paha ʻoe i kou lohe ʻana i kēlā inoa. "E ʻoki anei lākou i kahi ʻāpana o koʻu ʻiʻo?" Ua manaʻo paha ʻoe. Akā, mai hopohopo. ʻAʻole kēia he mea weliweli e like me ke kani ʻana. I kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano e pane ai i nā nīnau a pau āu e noʻonoʻo nei.
He aha kēia Biopsy ʻIʻo?
I ka ʻōlelo maʻalahi, pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o kou ʻiʻo, ʻaʻole i ʻoi aku ka nui ma mua o ka kui lima, a nānā iā ia ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua. E like me ka lawe ʻana i kahi kaula mai kahi lole a nānā i ka mea i hewa iā ia, hiki i ka nānā ʻana i kēia ʻāpana ʻiʻo ke hoʻoholo pololei inā he maʻi kou (myopathy) e hoʻopilikia nei i kou mau ʻiʻo. He hoʻāʻo koʻikoʻi loa kēia.
I ka manawa hea e pono ai kahi Biopsy Muscle?
ʻAʻole e kuhikuhi koke ke kauka iā ʻoe no kēia hoʻokolohua ke ʻike lākou he nāwaliwali kou mau ʻiʻo. E hana mua lākou i kekahi mau hoʻokolohua ʻē aʻe.
- Hoʻokolohua kino a me ka neurological: E nānā ke kauka iā ʻoe e ʻike i ka nui o kou nāwaliwali o nā ʻiʻo.
- Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo koko, ʻoiai ka hoʻāʻo creatine kinase , a me kekahi mau hoʻāʻo genetic.
- Nā hoʻokolohua kiʻi: Nā mea e like me nā scan MRI.
- Nā haʻawina hoʻoili aʻalolo a me ka electromyography (EMG): Hoʻāʻo kēia i ka pilina ma waena o kou mau aʻalolo a me nā ʻiʻo.
Inā, ma hope o kēia mau hoʻokolohua a pau, ʻaʻole hiki iā ʻoe ke hoʻoholo i kahi hopena paʻa e pili ana i kou kūlana, a laila e ʻōlelo paha kāu kauka e hana ʻoe i kahi biopsy ʻiʻo. Me ka ʻike i loaʻa mai kēia, hiki ke hoʻoholo i ke ʻano pololei o ka maʻi.
He aha nā maʻi e hiki ke ʻike ʻia me kēia hoʻāʻo?
Hiki i kahi biopsy ʻiʻo ke ʻike pololei i nā ʻano maʻi like ʻole e pili ana i nā ʻiʻo. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maikaʻi.
| ʻAno o ke kūlana olakino | Nā Laʻana |
|---|---|
| Nā Dystrophies Muscular | ʻO nā kūlana e like me ka Duchenne muscular dystrophy, Becker muscular dystrophy, a me ka myotonic dystrophy. |
| Nā maʻi parasitic | Nā maʻi e hoʻopilikia i nā ʻiʻo, e like me ka trichinosis a me ka toxoplasmosis. |
| Nā kūlana ʻiʻo mumū | ʻO ka polymyositis a me ka dermatomyositis. |
| Nā Myopathies Metabolic | Nā maʻi mālama glycogen e like me ka maʻi Pompe. |
| Nā Myopathies hānau | Nā kūlana hānau e like me ka nemaline myopathy. |
| Nā myopathies i hoʻokomo ʻia i ka lāʻau (Toxic Myopathies) | Nā kūlana e hiki ke kū mai ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, e like me nā steroids a i ʻole statins. |
Mai ka ʻiʻo hea o ke kino i lawe ʻia ai ka biopsy?
No kēia hoʻāʻo, lawe pinepine ʻia kahi ʻāpana ʻiʻo mai kekahi o nā wahi ʻekolu ma kou kino.
- Quadriceps: ʻO ka hui nui o nā ʻiʻo ma mua o kou ʻūhā.
- ʻO Deltoid: ʻO ke koʻokoʻo e pili ana i kou poʻohiwi.
- Bicep: Kou lima luna, ʻo ia ka mea a mākou e kapa nei he ʻāpana ʻiʻo o kou lima.
E koho pono ke kauka i kahi no kēia hoʻāʻo. E lawe ʻia ka hāpana mai kahi ʻiʻo nāwaliwali a i ʻole he mau hōʻailona . Eia nō naʻe, inā nāwaliwali loa ka ʻiʻo, e like me ka mea i hoʻokomo ʻia i kēia manawa, a inā he ʻeha ma ia wahi,, mai hana i kēia mai kahi e like me ia. No ka mea, inā hana ʻoe, hewa paha nā hopena o ka hoʻāʻo (hōʻike).
Pehea e hoʻomākaukau ai au ma mua o ka hoʻokolohua?
E wehewehe kāu kauka i ke kaʻina hana a hāʻawi iā ʻoe i nā kuhikuhi no ka hoʻomākaukau ʻana no ka hoʻokolohua. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.
- Inā ua loaʻa iā ʻoe kahi inikini ʻiʻo i kēia manawa koke nei (i loko o 6 mau mahina), ua loaʻa iā ʻoe kahi hoʻokolohua e like me ka EMG , a i ʻole ua loaʻa iā ʻoe kahi ʻeha ʻiʻo, e haʻi pono i kāu kauka e pili ana i ia mea.
- Inā ʻoe e lawe ana i nā anticoagulants a i ʻole aspirin , e noi paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka hoʻāʻo. Eia naʻe, mai hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe .
- Hiki ke noi ʻia ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu paha i kekahi mea ʻē aʻe ma mua o ka wai) no kekahi mau hola ma mua o ka hoʻāʻo ʻana.
- Inā hāʻawi ʻia ʻoe i ka anesthesia laulā a i ʻole ka hoʻomaha no ka hoʻāʻo ʻana, he mea nui e loaʻa kekahi e lawe iā ʻoe i ka home ma hope o ka hoʻāʻo ʻana.
He aha ka mea e hana ʻia i ka wā o kahi biopsy?
ʻElua mau ʻano hana nui no ka hana ʻana i kahi biopsy ʻiʻo. ʻOkoʻa iki ke kaʻina hana ma muli o ke ʻano hana.
1. Ke ʻAno Biopsy Hāmama
Ua like kēia me kahi ʻoki kino liʻiliʻi.
1. ʻO ka mea mua, e hoʻomaʻemaʻe pono ʻia ka wahi e lawe ʻia ai ka hāpana me kahi wai hoʻomaʻemaʻe.
2. A laila, hoʻokomo ʻia kahi anesthetic kūloko i loko o ka wahi, no laila ʻaʻole ʻoe e ʻeha.
3. Hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili, ma kahi o 4-6 kenimika ka lōʻihi.
4. A laila ua hoʻokaʻawale ʻia ka ʻili, ka momona subcutaneous, a me ka uhi ʻiʻo (fascia), e neʻe ana i ka ʻiʻo ma lalo.
5. Ua ʻoki ʻia a wehe ʻia kahi ʻāpana ʻiʻo liʻiliʻi loa.
6. ʻO ka hope loa, ua pani hou ʻia ka ʻoki me nā humuhumu a uhi maikaʻi ʻia me nā kāʻei.
2. Ke ʻAno Biopsy Nila
He maʻalahi iki kēia ʻano hana.
1. I kēia hihia hoʻi, e hoʻomaʻemaʻe mua i ka wahi.
2. A laila, hoʻokomo ʻia kahi lāʻau anesthetic kūloko i loko o ka wahi.
3. Hana ke kauka i kahi ʻoki liʻiliʻi loa ma ka ʻili a hoʻokomo i kahi nila kūikawā (nila biopsy) e like me ka nui o ka penikala ma loko.
4. ʻO ka maʻamau, hoʻohana ʻia kahi scan ultrasound e alakaʻi i ka nila i loko o ka ʻiʻo kūpono.
5. Me ka hoʻohana ʻana i kahi mea hana i loko o ke kui, ua ʻoki ʻia a hōʻiliʻili ʻia ma kahi o 3 a 4 mau ʻāpana ʻiʻo liʻiliʻi.
6. A laila, wehe ʻia ke kui, paʻa ʻia ma kahi me kekahi kaomi e hoʻōki i ke kahe ʻana o ke koko, a uhi ʻia ka ʻeha me kahi kāʻei.
He ʻeha nui anei ke hana ʻoe i kēia?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. ʻOiaʻiʻo, inā hāʻawi ʻia ʻoe i ka anesthesia laulā, ʻaʻole ʻoe e manaʻo i kekahi mea . Inā hāʻawi ʻia ʻoe i ka anesthesia kūloko wale nō, e ʻike wale ʻoe i kahi ʻeha iki mai ke kui. Ma hope o kēlā, hiki iā ʻoe ke manaʻo i kahi mea e kaomi ana a huki ana paha, akā ʻaʻole ia e ʻeha loa .
Aia paha kekahi ʻeha iki no ʻelua a ʻekolu mau lā ma hope o ke kaʻina hana. Inā ua hana ʻia kahi biopsy hāmama, hiki ke ʻeha ka wahi no hoʻokahi pule. I kekahi manawa e polū paha ka wahi, e like me ka palapū. E aʻo aku kāu kauka iā ʻoe i ka mea e hana ai e mālama i ka ʻeha.
Ma hope o ka biopsy a hiki i ka hiki ʻana mai o ka hōʻike
Inā hāʻawi ʻia ʻoe i ka anesthesia, e hoʻouna ʻia ʻoe i ka home i loko o kahi lumi hoʻōla a hiki i ka pau ʻana o nā hopena o ka lāʻau. Hoʻopaʻa koke ʻia ka hāpana ʻiʻo me ka hoʻohana ʻana i nā kemika kūikawā a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ma laila, nānā kahi pathologist, he loea i nā maʻi neuromuscular, ma lalo o kahi microscope.
ʻO ka ʻāpana paʻakikī loa ka kali ʻana i ka hōʻike hoʻāʻo. ʻO ka maʻamau, he mau lā a ʻoi aku paha ma mua o hoʻokahi pule no ka hiki ʻana mai o nā hopena. Na kāu kauka e haʻi iā ʻoe e pili ana i kēia.
Āhea wau e ʻike hou ai i ke kauka?
Aia kahi manawa liʻiliʻi e loaʻa ai ka maʻi i ka wahi biopsy, no laila inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka .
| Hiʻohiʻona e hoʻolohe ai | Wehewehena |
|---|---|
| Ka pehu ʻana a i ʻole ka ʻulaʻula | Inā pehu ka ʻili a puni ka ʻeha, ʻulaʻula, a ua lilo paha i kala ʻokoʻa. |
| Mehana | Inā ʻoi aku ka mehana o ka ʻili a puni ka ʻeha ma mua o ke koena o ka ʻāpana. |
| Pus a i ʻole ka hoʻokuʻu ʻana | Inā e kahe ana ka pus a i ʻole kekahi wai ʻē aʻe mai ka ʻeha. |
| kuni | Inā he kuni kou. |
| Hana paʻakikī | Inā ʻoe e luhi loa. |
He mea maʻamau ka hopohopo a me ka hopohopo ke haʻi ʻia aku iā ʻoe e hana ʻia ana kahi biopsy ʻiʻo. A ʻoiai ʻoe e kali ana i nā hopena, nui nā mea e noʻonoʻo ai ʻoe. Hoʻomaopopo kāu kauka i kēia mau mea a pau. No laila, mai kānalua e nīnau iā ia i kekahi mau nīnau a hopohopo paha āu e loaʻa ai. Inā hōʻoia nā hopena i kahi maʻi, e noʻonoʻo iā ia ʻo ia ke kaʻina mua ma kāu huakaʻi i ka hoʻōla ʻana. Mai laila mai, e hana pū kāu kauka me ʻoe e hana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
Leka Lawe-Home
- ʻO ka Muscle Biopsy kahi hoʻāʻo palekana loa i hoʻohana ʻia no ka ʻike pololei ʻana i nā maʻi e pili ana i nā ʻiʻo.
- Hana ʻia kēia hoʻāʻo ma hope o nā hoʻokolohua ʻē aʻe e like me nā hoʻāʻo koko a me nā scan, inā pono e hiki i kahi hopena paʻa e pili ana i ka maʻi.
- Hoʻomalu maikaʻi ʻia kekahi ʻeha i ka wā a ma hope o ka hoʻāʻo ʻana, no laila mai hopohopo nui ʻole no ia mea.
- E hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ka hoʻāʻo ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ka pehu ʻana, ka ʻulaʻula, ka pus, a i ʻole ke kuni, ma kahi o ka biopsy, e hoʻomaopopo koke i kāu kauka.
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