E aʻo kākou e pili ana i ka biopsy ʻiʻo. Pono anei ʻoe i kēia?

Ua lohe paha ʻoe i kahi 'Muscle Biopsy'? Malia paha ua ʻōlelo ʻia ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e hana i kēia. He aha maoli ia? No ke aha i hana ʻia ai? E kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi, i hiki iā ʻoe ke hoʻomaopopo. ʻAʻohe pono e makaʻu, hana pinepine ʻia ia e kōkua i ka ʻike pono ʻana i kāu pilikia.

He aha ka biopsy ʻiʻo?

I ka ʻōlelo maʻalahi, ʻo ka biopsy ʻiʻo kahi hana kahi e lawe ʻia ai kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kou ʻiʻo, ʻo ia hoʻi, mai kahi ʻiʻo i loko o kou kino, a nānā ʻia. Hana ʻia kēia e ʻike inā he mau maʻi kikoʻī kou (`myopathies`) e hoʻopilikia ai i kou mau ʻiʻo. Hoʻouna ke kauka i ka hāpana ʻiʻo iwi i kahi lab. Ma laila, nānā lākou iā ia ma lalo o kahi microscope e ʻike inā he mau mea ʻē aʻe a i ʻole nā ​​​​pilikia. Ua like ia me ka ʻoki ʻana i kahi ʻāpana lole a nānā inā maikaʻi nā kaula a ʻaʻole paha.

I ka manawa hea e pono ai iaʻu kahi biopsy uaua?

E noʻonoʻo ua nāwaliwali kou mau ʻiʻo no kekahi manawa, a i ʻole e ʻeha ana kou mau ʻiʻo, ʻeha, a i ʻole he mau hōʻailona ʻē aʻe (nā hōʻailona o ka 'myopathy'). A laila e haʻi aku paha ke kauka iā ʻoe e pono ʻoe e loaʻa i kēia biopsy. Akā, ʻaʻole lākou e hana koke.

Hoʻoholo mua nā kauka i kekahi mau hoʻokolohua ʻē aʻe:

• Nā hoʻokolohua kino a me nā neurological : E hoʻokolokolo pono ʻia ʻoe e ʻike pehea e hana ai kāu ʻōnaehana nerve.
• Nā hoʻāʻo koko : No ka laʻana, hiki ke hana i kahi hoʻāʻo e nānā ana i kahi enzyme i kapa ʻia ʻo creatine kinase, a i ʻole ka hoʻāʻo genetic.
• Nā hoʻāʻo kiʻi : Nā mea e like me nā scan MRI a me nā scan CT.
• Nā haʻawina hoʻoili aʻalolo a me ka electromyography (EMG) : Nānā kēia i ke kahe ʻana o nā leka ma waena o kou mau aʻalolo a me nā ʻiʻo, a pehea lākou e hana ai.

ʻOiai me kēia mau hoʻokolohua, i kekahi manawa ʻaʻole hiki ke hoʻoholo ʻia ke kumu pololei o ka maʻi. ʻO ia ka manawa e kauoha ai nā kauka i kahi biopsy ʻiʻo e ʻike i ka ʻike hou aku a hōʻoia pono i ka maʻi .

Pono paha ʻoe i kahi biopsy ʻiʻo inā manaʻo kāu kauka he loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Nā dystrophies muscular : ʻO nā hiʻohiʻona e pili ana i ka Duchenne muscular dystrophy, Becker muscular dystrophy, a me ka myotonic dystrophy.
• Nā maʻi Parasitic : ʻO nā maʻi e like me ka trichinosis a me ka toxoplasmosis e hoʻopilikia i kou mau ʻiʻo.
• Nā kūlana ʻeha mumū: e like me ka polymyositis a me ka dermatomyositis.
• Nā myopathies metabolic : No ka laʻana, ka maʻi Pompe a me nā maʻi mālama glycogen ʻē aʻe.
• Nā myopathies hānau ʻole : Nā kūlana i loaʻa i ka wā hānau, e like me ka nemaline myopathy.
• Nā myopathies ʻawahia : Nā kūlana e hiki ke kū mai me ka hoʻohana lōʻihi ʻana o kekahi mau lāʻau lapaʻau, no ka laʻana steroids a i ʻole statins.

He aha nā ʻiʻo i koho pinepine ʻia no ka biopsy?

ʻO ka maʻamau, lawe ʻia kēia biopsy mai kekahi o nā ʻiʻo kikoʻī i loko o kou kino. ʻO nā mea maʻamau:

• Quadriceps : ʻO ka hui ʻiʻo nui ma ke alo o kou ʻūhā.
• ʻO Deltoid : ʻO ka ʻiʻo e hoʻohui i ke alo, ʻaoʻao, a me ke kua o kou poʻohiwi.
• ʻO Bicep : ʻO ka ʻiʻo ma ke alo o kou lima luna, ma waena o ka poʻohiwi a me ke kuʻekuʻe.

Makemake ke kauka e hōʻoia ʻaʻole nāwaliwali loa ka ʻiʻo i koho ʻia no ka biopsy a i ʻole he mau hōʻailona ʻē aʻe. Eia nō naʻe, makemake pū ke kauka e hōʻoia ʻaʻole nāwaliwali loa ka ʻiʻo, ʻaʻole i hoʻokomo hou ʻia, a i ʻole ua ʻeha. Hiki i kēia ke hoʻopilikia i nā hopena o ka biopsy a ʻaʻole paha e hāʻawi i ka ʻike pololei.

Pehea e hoʻomākaukau ai no kahi biopsy ʻiʻo?

E wehewehe pono kāu kauka i ka biopsy iā ʻoe a hāʻawi iā ʻoe i nā kuhikuhi no ka hoʻomākaukau ʻana. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi. Inā ʻaʻole ʻoe e maopopo i kekahi mea a i ʻole he mau nīnau kāu, mai makaʻu e nīnau i kāu kauka.

Ma keʻano laulā, pono ʻoe e makaʻala e pili ana i kēia mau mea:

• Inā ua loaʻa iā ʻoe kekahi mau inikini ʻiʻo, nā hoʻāʻo ʻiʻo e like me ka EMG, a i ʻole kekahi ʻeha i kou mau ʻiʻo i nā mahina ʻeono i hala iho nei, pono ʻoe e haʻi i kāu kauka.
• Hiki i kāu kauka ke haʻi aku iā ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau anticoagulant e like me ka aspirin i kekahi mau lā ma mua o ka biopsy e pale aku i nā pilikia kahe koko. Akā, ʻoi aku ka maikaʻi o ka hoʻōki ʻole ʻana i ka lawe ʻana i kekahi mau lāʻau a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe.
• Hiki ke noi ʻia ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ka biopsy, me ka ʻai ʻole a inu ʻole paha i kekahi mea (koe wale nō ka wai).
• Inā hāʻawi ʻia ʻoe i ka hoʻomaha a i ʻole ka anesthesia laulā i kēia kaʻina hana, pono ʻoe i kekahi e lawe iā ʻoe i ka home ma hope o ka biopsy.

He aha ke kaʻina hana no ka biopsy ʻiʻo?

ʻOkoʻa iki nā ʻanuʻu no ka biopsy ʻiʻo ma muli o ke ʻano i hoʻohana ʻia. ʻElua mau ʻano nui: kahi biopsy "hāmama" a me kahi biopsy "nila". Ma nā ʻano ʻelua, hiki ke hāʻawi ʻia iā ʻoe (a i ʻole kāu keiki) ka "sedation" a i ʻole ka "anesthesia laulā" ma mua.

Pehea e hana ai i kahi biopsy ʻiʻo hāmama

ʻO nā ʻanuʻu o kahi biopsy ʻiʻo hāmama penei:

• Hoʻomaʻemaʻe mua ke kauka i ka wahi ʻoki me kahi hopena antiseptic.
• A laila, hoʻokomo ʻia kahi anesthetic kūloko i loko o ka wahi, no laila ʻaʻole ʻoe e ʻeha i ka wā e hana ʻia ai ka ʻoki ʻana.
• ʻO ka mea aʻe, e hana ʻia kahi ʻoki ma kahi o 4 a 6 kenimika ka lōʻihi i loko o kou ʻili.
• E hoʻokaʻawale ke kauka i kou ʻili, ka papa momona ma lalo o ka ʻili (ka momona subcutaneous), a me ka membrane e uhi ana i nā ʻiʻo (muscle fascia - kahi ʻiʻo hoʻohui), a laila neʻe aku i ka ʻiʻo ma lalo.
• Mai laila mai, ua ʻoki ʻia kahi ʻāpana liʻiliʻi o nā ʻiʻo.
• A laila pani hou ke kauka i ka membrane ʻiʻo a me ka ʻili me nā sutures.
• Ua uhi ʻia ka ʻeha me nā lāʻau lapaʻau a me nā kāʻei a me ka gauze.

Pehea e hana ai i kahi biopsy ʻiʻo nila

ʻO nā ʻanuʻu o kahi biopsy ʻiʻo nila penei:

• Hoʻomaʻemaʻe mua ke kauka i ka wahi biopsy me kahi hopena antiseptic.
• A laila hoʻokomo lākou i kahi anesthetic kūloko, no laila ʻaʻole ʻoe e ʻeha i ka wā o ka biopsy.
• E hana ke kauka i kahi ʻoki liʻiliʻi loa ma kou ʻili.
• A laila, hoʻokomo ʻia kahi mea hana biopsy nila kūikawā ma o ka ʻoki liʻiliʻi. ʻO ka nui maʻamau kēia e like me ka penikala.
• Hoʻohana ʻia kahi mīkini ultrasound (ultrasound imaging) e alakaʻi pololei i kēia hāmeʻa i ka ʻiʻo.
• A laila hoʻohana ke kauka i ka mea hana e ʻokiʻoki i kekahi mau ʻāpana liʻiliʻi o nā ʻiʻo. ʻO ka maʻamau, lawe ʻia ma kahi o 3 a 4 mau laʻana.
• Ma hope o ka wehe ʻana i ka nui o ka ʻiʻo e pono ai, wehe ʻia ka mea hana, kau ʻia ke kaomi ma ka wahi no kekahi manawa e hoʻōki i ke kahe ʻana o ke koko, kau ʻia ka lāʻau lapaʻau ma ka ʻeha, a uhi ʻia ka gauze a me nā kāʻei.

ʻEhia ka nui o kēia ʻeha?

Inā hana ʻia kēia biopsy ma lalo o ka anesthesia laulā, ʻaʻole ʻoe e ʻike i kekahi ʻeha. Inā hana ʻia ma lalo o ka anesthesia kūloko, e liʻiliʻi ka ʻeha, a ʻaʻole paha. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻūmiʻi a huki iki paha.

Ma hope o ka biopsy, hiki iā ʻoe ke manaʻo i kahi ʻeha iki ma kahi o ka biopsy no ʻelua a ʻekolu mau lā. ʻOi loa inā loaʻa iā ʻoe kahi biopsy hāmama, hiki ke ʻeha ka wahi no hoʻokahi pule. Aia paha kekahi mau palapū a puni ka wahi.

He mea maikaʻi ke nīnau i kāu kauka e pili ana i ka mea hiki ke hana no ka ʻeha a me ke ʻano o ka lāʻau lapaʻau āu e lawe ai.

He aha ka mea e hana ma hope o ka biopsy?

Inā ua hāʻawi ʻia ʻoe i ka hoʻomaha a i ʻole ka anesthesia laulā, e lawe ʻia ʻoe i kahi lumi hoʻōla no kekahi manawa pōkole ma hope o ka biopsy. E noho ʻoe ma laila a pau nā hopena o ka lāʻau. A laila hiki iā ʻoe ke hoʻi i ka home, akā pono ʻoe e loaʻa i kekahi e hoʻokele iā ʻoe i ka home. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i ka ʻeha biopsy.

Hoʻohana ke kauka i nā kemika kūikawā e hoʻopaʻa koke i ka hāpana ʻiʻo i lawe ʻia mai ka biopsy (`flash freeze`). Hana ʻia kēia e mālama i ka ʻiʻo a kūpono no ka hoʻokolokolo ʻana. A laila hoʻouna ʻia i kahi keʻena hoʻokolohua. Aia kekahi `pathologist loea i nā maʻi neuromuscular`. E nānā pono ʻo ia i ka hāpana ma lalo o kahi microscope. I kekahi manawa e hana ke kauka loea i nā hoʻokolohua ʻē aʻe ma ka hāpana. No ka laʻana, e hoʻohana lākou i nā kala kūikawā (`stains`) a i ʻole e nānā no kekahi mau `antibodies`.

Aia kekahi mau pilikia i ka biopsy ʻiʻo?

He mea kākaʻikahi loa nā pilikia mai kahi biopsy ʻiʻo. Eia nō naʻe, aia kekahi mau mea e hiki ke hana i nā hihia kākaʻikahi:

• Ka maʻi ʻeha.
• Ka puka ʻana o nā ʻiʻo ma loko o ka ʻeha ('muscle hernia').
• Ka wehe hou ʻana o ka ʻeha ma hope o ka wehe ʻana o nā humuhumu.
• ʻO ka ʻeha ulia ka hōʻeha i manaʻo ʻole ʻia i kou ʻiʻo, aʻalolo, a i ʻole ke kīʻaha koko.

Hiki ke waiho ʻia kahi ʻōpala ma kahi o ka biopsy. ʻOi aku ka maʻalahi o nā ʻōpala o ka ʻili o kekahi poʻe ma mua o nā poʻe ʻē aʻe.

Āhea wau e loaʻa ai ka hōʻike?

Ma hope o kahi biopsy, ʻo ke kali ʻana i nā hopena paha ka ʻāpana paʻakikī loa. E wehewehe kāu kauka pehea a me ka manawa e loaʻa ai iā ʻoe ka hōʻike. Hiki ke hala i kekahi mau lā, a i ʻole e hala paha ma mua o hoʻokahi pule. Inā ʻaʻole e hoʻi mai ka hōʻike ma ka lā i ʻōlelo ai kāu kauka, e kāhea hou i kāu kauka a nīnau e pili ana i ia mea.

He aha ka ʻōlelo a ka hōʻike?

Aia i loko o ka hōʻike biopsy ʻiʻo nā kikoʻī e pili ana i nā ʻano o ka hāpana ʻiʻo i lawe ʻia. Hiki ke komo pū me kēia nā mea e like me:

• Nā mea e like me ke ʻano o nā olonā ʻiʻo (ʻo ia hoʻi nā hunaola ʻiʻo), pehea ko lākou olakino, a me ko lākou "makahiki".
• Nā kikoʻī e pili ana i nā pūnaewele ʻē aʻe i loko o kēlā ʻiʻo, no ka laʻana, nā pūnaewele nerve (neurons).
• Nā mea e like me ka mumū, nā ʻano mitochondrial, ka glycogen a me nā ʻano mālama lipid.

E wehewehe kāu kauka iā ʻoe i ka mea i loko o kēia hōʻike a me kona manaʻo.

I kekahi manawa, ʻike ʻia paha he maʻamau ka biopsy, a i ʻole he mau hōʻailona liʻiliʻi wale nō paha o ka maʻi. I kēia hihia, kapa ʻia ʻo "unspecified myopathy." ʻO kēia no ka mea ʻaʻole paha i loaʻa i ka biopsy kahi kikoʻī o ka maʻi, a i ʻole aia nō paha ka maʻi i kona mau pae mua. Inā hana ʻia kēia, pono paha ʻoe e loaʻa i kahi biopsy ʻiʻo ʻē aʻe.

Inā he pilikia me ka hōʻike, he aha kāu e hana ai ma hope?

Hiki i nā hopena o kahi biopsy uaua ke ʻike pinepine i kahi maʻi ʻiʻo kikoʻī ('myopathy').

Inā ua ʻike ʻia ʻoe me kekahi ʻano maʻi, e wehewehe kāu kauka iā ʻoe a e kūkākūkā i kāu mea e pono ai e hana ma hope. E hui pū ʻoe, e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe. Mai hopohopo, e kōkua kāu kauka iā ʻoe.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona e hōʻike ana ua loaʻa ka maʻi i kāu wahi biopsy, pono ʻoe e kāhea koke i kāu kauka:

• He mea maʻamau ka pehu ʻana a puni ka ʻeha, ka ʻulaʻula, a i ʻole ke kala ʻana o ka ʻili.
• ʻOi aku ka wela o ka ʻili a puni ka ʻeha ma mua o nā wahi ʻē aʻe.
• Ka pus a i ʻole kekahi wai ʻē aʻe e puka mai ana mai ka ʻeha ('Pus or drainage').
• Ke loaʻa nei ke kuni.
• Manaʻo luhi loa ('Fatigue').

Hiki i kahi biopsy uaua ke ʻike i ka MS (Multiple Sclerosis)?

ʻAʻole hoʻohana pinepine ʻia kahi biopsy ʻiʻo e hōʻoia i ka hōʻailona o MS (Multiple Sclerosis). Eia nō naʻe, hiki i ke kauka ke ʻōlelo i kēia biopsy e kāpae i nā kūlana ʻē aʻe i loaʻa nā hōʻailona like me MS.

He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe e pono ana ʻoe i kahi biopsy ʻiʻo. A he mea maʻamau nō hoʻi ka hopohopo i kou kali ʻana i nā hopena. E ʻike ana kāu kauka i nā hopena ʻaoʻao āpau o kēia biopsy, no laila mai makaʻu e nīnau i nā nīnau āu e loaʻa ai. Inā hōʻike kāu hōʻike biopsy ua hewa kekahi mea, e hoʻāʻo e noʻonoʻo iā ia ma ke ʻano he hana mua ma kāu huakaʻi i ka hoʻōla ʻana. E hana pū kāu kauka me ʻoe e hana i nā hoʻoholo koʻikoʻi e pili ana i kou olakino.

He aha ka mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo?

ʻAe, no laila ʻo ka mea nui e hoʻomanaʻo mai ka mea a mākou i kamaʻilio ai, ʻo ia ka biopsy ʻiʻo he hoʻāʻo koʻikoʻi loa ia e kōkua ai i ka ʻike pololei ʻana i kahi pilikia a maʻi paha i kou mau ʻiʻo.

He mea hopohopo iki paha kēia iā ʻoe. Akā hiki iā ia ke kōkua iā ʻoe e loaʻa kahi hōʻailona pololei a hoʻomaka i ka lāʻau kūpono nou. Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka. E hoʻomanaʻo, he hana koʻikoʻi kēia i ka hoʻomaopopo ʻana i kou kūlana a me ka hoʻokele pono ʻana.

ʻO ka Biopsy ʻIʻo, Biopsy ʻIʻo, myopathy, nāwaliwali o nā ʻiʻo, maʻi ʻiʻo, ʻike ʻana, nā hoʻokolohua lapaʻau, ʻoki kino