Sɔntɛnde yu kin fil lɛk se yu bɔdi wik ɛn yu mɔsul dɛn wik? Sɔntɛm yu dɔktɔ tɛl yu se yu kin nid fɔ gɛt ‘Muscle Biopsy’? Yu go mɔs dɔn fred smɔl we yu yɛri da nem de. "Dem go kot wan pies of mai flesh?" Yu go mɔs dɔn tink. Bɔt nɔ wɔri. Dis nɔ de mek pɔsin fred lɛk aw i tan. Tide wi go tɔk bɔt dis rili simpul wan, insay wan we we go ansa ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd.
Wetin na dis Mɔsul Bayɔpsi?
Fɔ tɔk am simpul wan, dis min se yu fɔ tek wan rili smɔl pat pan yu mɔsul, we nɔ big pas finga nel, ɛn chɛk am ɔnda maykroskɔp na lɛb. Jɔs lɛk we yu tek trɛd frɔm klos ɛn luk wetin nɔ fayn wit am, we yu chɛk dis mɔsul, yu kin no kɔrɛkt wan if yu gɛt sik (mayopathy) we de afɛkt yu mɔsul dɛn. Dis na tɛst we rili impɔtant.
Ustɛm dɛn nid fɔ du mɔsul bayɔpsi?
Dɔktɔ nɔ go rifer yu wantɛm wantɛm fɔ dis tɛst we dɛn si se yu gɛt mɔsul wik. Dɛn go du sɔm ɔda tɛst dɛn fɔs.
- Fɔ chɛk yu bɔdi ɛn yu nyurolɔjik: Di dɔktɔ go chɛk yu fɔ si aw yu mɔsul dɛn wik.
- Blɔd tɛst: Dɛn kin du blɔd tɛst, mɔ di kriaytin kinaz tɛst , ɛn sɔm jenɛtik tɛst.
- Imej tɛst: Tin dɛn lɛk MRI skan.
- Nεv kכndukshכn stכdi dεm εn εlektromayografi (EMG): dεn ya de tεst di kכnεkshכn bitwin yu nεv dεm εn mכsul dεm.
If, afta ɔl dɛn tɛst ya, yu stil nɔ ebul fɔ kam fɔ no klia wan bɔt yu sik, den yu dɔktɔ go se yu fɔ du mɔsul bayɔpsi. Wit di infɔmeshɔn we dɛn go gɛt frɔm dis, i go pɔsibul fɔ no di rayt kayn sik.
Us sik dɛn kin no wit dis tɛst?
We dɛn tek di mɔsul bayɔpsi, i kin no di kayn tin dɛn we gɛt fɔ du wit di mɔsul dɛn kɔrɛkt wan. Di tebul we de dɔŋ ya go gi yu gud aidia.
| Tayp fɔ di mɛdikal kɔndishɔn | Ɛgzampul dɛn |
|---|---|
| Distrofi dɛn we de na di mɔsul dɛn | di kכndishכn dεm lεk Duchenne mכskul distrofi, Becker mכskul distrofi, εn myotonic distrofi. |
| Parasayt Infɛkshɔn dɛn | Infεkshכn dεm we de afekt di mכsul dεm, lεk trichinosis εn toxoplasmosis. |
| Inflammatory Muscle Kɔndishɔn dɛn | Polimayosaytis ɛn dɛmatomyosaytis. |
| Mɛtabolik Mayopati dɛn | Glycogen stכrej sik dεm lεk Pompe sik. |
| Mayopathies we dɛn kin bɔn wit | di kכndyushכn dεm we dεn kin bכn wit lεk nemaline myopathy. |
| Mayopathies we dɛn kin mek wit drɔgs (Toxic Myopathies) . | Kɔndishɔn dɛn we kin apin bikɔs dɛn de yuz sɔm mɛrɛsin dɛn, lɛk stɛroyd ɔ statin. |
Us mɔsul na di bɔdi dɛn tek di bayɔpsi frɔm?
Fɔ dis tɛst, dɛn kin tek wan pat pan di mɔsul frɔm wan pan tri ples dɛn na yu bɔdi.
- Kwadrisɛps: Na di big mɔsul grup we de bifo yu shɔl.
- Deltoid: Na di mɔsul we de atak yu sholda.
- Bicep: Yu ɔpa an, na dat wi de kɔl di mit pat pan yu an.
Di dɔktɔ go tek tɛm pik di say fɔ dis tɛst. Dɛn go tek di sampul frɔm wan mɔsul we wik ɔ we gɛt sɔm sayn dɛn . Bɔt if di mɔsul wik bad bad wan, lɛk if dɛn jɔs dɔn injɛkt am, ɔ if injuri de na da say de, ., nɔ du dis frɔm ples lɛk dat. Bikɔs if yu du dat, di rizɔlt fɔ di tɛst (ripɔt) kin rɔng.
Aw a fɔ pripia bifo di tɛst?
Yu dɔktɔ go ɛksplen aw fɔ du di tɛst ɛn gi yu instrɔkshɔn bɔt aw fɔ pripia fɔ di tɛst. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
- If yu nɔ tu te yet (insay 6 mɔnt) gɛt mɔsul injɛkshɔn , gɛt tɛst lɛk EMG , ɔ yu gɛt mɔsul injuri , mek shɔ se yu tɛl yu dɔktɔ bɔt am.
- If yu de tek antikoagulant ɔ aspirin , yu dɔktɔ kin aks yu fɔ stɔp fɔ tek am sɔm dez bifo di tɛst. Bɔt nɔ stɔp fɔ tek ɛni mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am .
- Dɛn kin aks yu bak fɔ fast (nɔ it ɔ drink ɛni ɔda tin pas wata) fɔ sɔm awa bifo di tɛst.
- If dɛn gi yu jenɛral anestezi ɔ sɛdishɔn fɔ di tɛst, i impɔtant fɔ mek pɔsin de fɔ kɛr yu go na os afta di tɛst.
Wetin kin apin we dɛn de du bayɔpsi?
Tu men we dɛn de fɔ du mɔsul bayɔpsi. Di we aw dɛn kin du am kin difrɛn smɔl dipen pan di we aw dɛn kin du am.
1. Opin Bayopsi Mɛtɔd
Dis tan lɛk smɔl ɔpreshɔn.
1. Fɔs, dɛn kin klin di say we dɛn go tek di sampul fayn fayn wan wit antiseptik sɔlvushɔn.
2. Neks, dem injekt lokal anestetik fo di eria, so yu no go fil eni pen.
3. di dכkta de mek sכm sכm pat na di skin, we de lכng lεk 4-6 sεntimita.
4. Dɔn di skin, di fat we de ɔnda di bɔdi, ɛn di mɔsul we de kɔba (fascia) de separet, ɛn go na di mɔsul we de ɔnda am.
5. Dɛn kin kɔt wan rili smɔl mɔsul ɛn pul am.
6. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt bak wit sutura ɛn kɔba am fayn fayn wan wit bandej.
2. Nidul Bayopsi Mɛtɔd
Dis we aw dɛn de du tin, simpul smɔl.
1. Insay dis kes bak, fɔs klin di say fayn fayn wan.
2. Dɔn dɛn kin injɛkt wan lokal anestetik na di say.
3. Di dɔktɔ kin mek wan rili smɔl say na di skin ɛn put wan spɛshal nidul (bayopsi nidul) we di sayz lɛk pensil tru am.
4. Bɔku tɛm, dɛn kin yuz ɔltra saund skan fɔ gayd di nidul fɔ go insay di kɔrɛkt mɔsul.
5. We yu yuz wan tin we de insay di nidul, dɛn kin kɔt lɛk 3 ɔ 4 smɔl smɔl mɔsul dɛn ɛn gɛda dɛn.
6. Dɔn, dɛn kin pul di nidul, ol am na in ples wit sɔm prɛshɔn fɔ stɔp di blɔd, ɛn kɔba di wund wit bandej.
Yu tink se i kin at bad bad wan we yu du dis?
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Infakt, if dɛn gi yu jenɛral anestezi, yu nɔ go fil natin . If dɛn gi yu lokal anestezi nɔmɔ, yu go jɔs fil smɔl stinging senseshɔn frɔm di nidul. Afta dat, yu kin fil se sɔntin de prɛs ɔ pul, bɔt i nɔ go rili pen .
Sɔm kayn pen kin de fɔ tu to tri dez afta di ɔpreshɔn. If dɛn du opin bayɔpsi, di say kin at fɔ lɛk wan wik so. Sɔntɛnde, di say kin tɔn blu, lɛk brus. Yu dɔktɔ go advays yu bɔt wetin fɔ du fɔ kɔntrol di pen.
Afta di biopsy ɛn te di ripɔt kam
If dɛn gi yu anestezi, dɛn go sɛn yu na os na rum usay dɛn de mɛn pipul dɛn te di tin dɛn we di mɛrɛsin kin du to dɛn dɔn. Dɛn kin flash frɔz di mɔsul sɛmpul bay we dɛn yuz spɛshal kemikal dɛn ɛn sɛn am na lɛbɔtri fɔ mek dɛn tɛst am. Na de, wan dɔktɔ we de mɛn sik dɛn we de mek pɔsin sik, we sabi bɔt nyuromɔskul sik dɛn, kin chɛk am wit maykroskɔp.
Di tin we at pas ɔl na fɔ wet fɔ di tɛst ripɔt. Bɔrku tɛm, i kin tek sɔm dez ɔr pas wan wik fɔ mek di rizɔlt kam in. Yu dɔktɔ go tɛl yu bɔt dis.
Ustɛm a fɔ go to di dɔktɔ bak?
Smɔl chans de fɔ mek di say we dɛn tek di bayɔpsi gɛt di sik, so if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm .
| Ficha fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Swel ɔ rɛd | If di skin we de rawnd di wund dɔn swel, rɛd, ɔ i dɔn tɔn difrɛn kɔlɔ. |
| Wam wam pɔsin | If di skin we de rawnd di wund wam pas di ɔda say dɛn. |
| Pus ɔ dischaj | If pus ɔ ɔda wata de kɔmɔt na di wund. |
| Fiva | If yu gɛt fiva. |
| Wok tranga wan | If yu fil se yu taya pasmak. |
Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we dɛn tɛl yu se yu go gɛt mɔsul bayɔpsi. Ɛn we yu de wet fɔ di rizɔlt, yu go gɛt bɔku tin dɛn na yu maynd. Yu dɔktɔ ɔndastand ɔl dis. So nɔ shem fɔ aks am ɛni kwɛstyɔn ɔ tin we de mɔna yu. If di rizɔlt kɔnfirm se yu gɛt mɛrɛsin, tink bɔt am as di fɔs tin we yu fɔ du fɔ mek yu wɛl. Frɔm de, yu dɔktɔ go wok wit yu fɔ mek di bɛst tritmɛnt plan fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Muscle Biopsy na wan test we sef pasmak we dɛn kin yuz fɔ no di sik dɛn we gɛt fɔ du wit di mɔsul dɛn kɔrɛkt wan.
- Dɛn kin jɔs du dis tɛst afta ɔda tɛst lɛk blɔd tɛst ɛn skan, if i nid fɔ rich wan patikyula kɔnklushɔn bɔt di sik.
- Ɛni pen we yu de fil we yu de du di tɛst ɛn afta yu dɔn du di tɛst, dɛn kin kɔntrol am fayn fayn wan, so nɔ wɔri bɔt am we nɔ impɔtant.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di tɛst.
- If yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fɔ swel, rɛd, pus, ɔ fiva, na di say we dɛn de du di bayɔpsi, tɛl yu dɔktɔ wantɛm wantɛm.
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