Engvangin nge taksa peng te tak te la in test thin an tih? Muscle Biopsy chungchang hi a awlsam zawngin i zir dawn nia

A chang chuan i taksa chak lo leh i taksa ruh chak lo ang maiin i inhria em? I doctor chuan ‘Muscle Biopsy’ tih a ngai mai thei tih a hrilh che pawh a ni mai thei? Chu hming i hriat chuan i hlauthawng deuh a ni ngei ang. "Ka sa hrui pakhat an tan dawn em ni?" I ngaihtuah tawh ngei ang. Mahse, lungngai suh. Hei hi a ngaihnawm angin a hlauhawm lo. Vawiin hian he thu hi awlsam takin kan sawi dawn a, i rilrua zawhna i neih zawng zawngte chhanna tur zawng zawngin kan sawi dawn a ni.

He Muscle Biopsy hi eng nge ni?

A awlsam zawngin, hei hian i taksa ruh te tak te, kut zungtang aia lian lo tak tak lak a, lab-a microscope hmanga enfiah a huam a ni. Puan atanga thread lak a, a dik lohna en ang bawkin, he taksa peng hi enfiah hian i taksa ruh tichhe thei natna (myopathy) i neih leh neih loh dik takin a hriat theih a ni. Hei hi fiahna pawimawh tak a ni.

Engtikah nge Muscle Biopsy hi tih ngai?

Doctor chuan taksa ruh chak lohna i neih a hmuh chuan he test atan hian a refer nghal dawn lo che a ni. Test dang tlemte an ti hmasa ang.

• Taksa leh thluak enfiahna: Doctor chuan i taksa ruh chak lohna zau zawng a enfiah ang che.
• Thisen test: Thisen test, a bik takin creatine kinase test , leh genetic test thenkhat tih a ni.
• Imaging test: MRI scan ang chi thil.
• Nerve conduction study leh electromyography (EMG): Hengte hian i nerve leh muscle inzawmna a test thin.

He test hmang hian eng natna nge hriatchhuah theih?

Muscle biopsy hian taksa peng hrang hrangte chu dik takin a hriat theih a ni. A hnuaia table hian ngaihtuahna tha tak a pe ang che.

Taksa chhunga eng muscle atang nge biopsy lak a nih?

He test atan hian i taksa hmun pathum zinga pakhat atang hian taksa ruh pakhat chu lak chhuah a ni tlangpui.

• Quadriceps: I kekawr hmalam a taksa peng lian tak.
• Deltoid: I kekawr ipte nena inzawm muscle.
• Bicep: I kut chunglam, chu chu i kut sa nei kan tih chu a ni.

Doctor chuan he test neihna tur hmun hi uluk takin a thlang ang. Sample hi taksa ruh chak lo emaw symptom nei emaw atanga lak a ni ang . Mahse, chu ruh chu a chak lo hle a nih chuan, tun hnaia inject ang chi emaw, chu lai hmuna hliam a awm chuan emaw, ., chutiang hmun atang chuan hetiang hian ti suh. A chhan chu i tih chuan test (report) result a dik lo mai thei.

Test hmain engtin nge ka inbuatsaih ang?

I doctor chuan a tih dan tur a hrilhfiah ang che a, test atana inbuatsaih dan tur a hrilh ang che. Heng thupekte hi dik taka zawm a pawimawh hle.

• Tun hnaia (thla 6 chhungin) taksa ruh injection i neih tawh chuan , EMG ang chi test i nei tawh a, taksa ruh hliam i tuar tawh a nih chuan, chu chu i doctor hnenah hrilh ngei ang che .
• Anticoagulants emaw aspirin emaw i ei a nih chuan i doctor chuan test hma ni engemaw zat chhung chu ei tawh loh turin a ti thei che a ni. Mahse, i doctor-in a tih hma loh chuan damdawi engmah ei kha titawp suh .
• Test hma darkar engemaw zat chaw nghei (tui tih loh thil dang ei leh in loh) turin an ti thei bawk.
• Test atan general anesthesia emaw sedation emaw pek i nih chuan test zawhah in lama hruai tur che mi a awm a pawimawh hle .

Biopsy neih chhung hian eng nge thleng?

Muscle biopsy tih dan tlangpui pahnih a awm a. A kalphung a zirin a kalphung a inang lo deuh.

1. Open Biopsy tih dan tur

Hei hi surgery tenau ang mai a ni.

1. A hmasain sample lakna tur hmun chu antiseptic solution hmangin uluk takin silfai thin a ni.

2. A dawtah chuan a hmunah local anesthetic an inject a, chuvang chuan natna engmah i hre lo ang.

3. Doctor chuan vunah hian incision te tak te, centimetre 4-6 vel a sei a siam thin.

4. Tichuan vun, subcutaneous fat, leh muscle covering (fascia) te chu a inthen a, a hnuaia muscle lam pan chuan a kal ta a ni.

5. Muscle te tak te tak te chu tan chhuakin lakchhuah a ni.

6. A tawp berah chuan incision chu suture hmangin khar leh a, bandage hmangin uluk takin khuh a ni.

2. Needle Biopsy tih dan tur

Hetiang method hi a awlsam deuh.

1. Hetiang hunah pawh hian a hmun chu uluk takin silfai hmasa phawt ang che.

2. Tichuan local anesthetic chu a hmunah an inject leh thin.

3. Doctor chuan vunah hian incision te tak te a siam a, chuta tang chuan pencil ang vela lian needle bik (biopsy needle) a dah lut a.

4. A tlangpuiin ultrasound scan hmangin needle chu muscle dik takah a hruai lut thin.

5. Needle chhunga hmanrua hmangin taksa peng te te 3 emaw 4 vel chu tan a, lakkhawm a ni.

6. Tichuan, needle chu la chhuakin, hliam chu a hmunah pressure engemaw zat hmangin thisen chhuah tihtawp nan an vawn a, hliam chu bandage hmangin an khuh a.

Hetianga i tih hian a na em?

Hei hi mi tam tak tan chuan harsatna lian ber a ni. Dik tak chuan, general anesthesia pek i nih chuan engmah i hre lo vang . Local anesthesia chauh pek i nih chuan needle atanga stinging sensation tlemte chauh i nei ang. Chumi hnuah chuan thil pakhatin a nawr emaw, a hrual emaw i hre mai thei a, mahse a hrehawm vak lo vang .

A tih zawh hnu ni hnih atanga ni thum chhung chu natna na lo deuh a awm thei. Open biopsy an tih chuan kar khat vel chu a hmun chu a na thei. A châng chuan chu hmun chu a sen a, hliam ang maiin a rawn lang thei bawk. I doctor chuan natna enkawl dan tur a hrilh ang che.

Biopsy zawhah leh report a lo thlen hma loh chuan

Anesthesia pek i nih chuan damdawi avanga a nghawng a reh hma loh chuan recovery room-ah in lamah an thawn ang che. Muscle sample hi chemical bik hmangin flash frozen a ni a, laboratory-ah test turin thawn a ni. Chutah chuan pathologist, neuromuscular diseases lama specialist chuan microscope hmangin a enfiah a.

A harsa ber chu test report nghah hi a ni. A tlangpuiin ni engemaw zat emaw kar khat aia rei emaw a ngai a, result a lo lut a, i doctor chuan he thil hi a hrilh ang che.

Engtikah nge doctor ka hmuh leh ang?

Biopsy site-ah hian natna kai theihna chance tlemte a awm a, chuvangin a hnuaia symptoms te hi i neih chuan i doctor hnenah i biak nghal tur a ni .

Muscle biopsy tih tur i tih hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Tin, result i nghah lai hian i rilruah thil tam tak i nei dawn a ni. I doctor hian heng zawng zawng hi a hrethiam vek a ni. Chuvangin zawhna emaw, ngaihtuahna emaw i neih apiang zawt hreh suh. Results hian damdawi lam dinhmun a nemnghet a nih chuan, dam lehna kawnga i hmalakna hmasa ber atan ngaihtuah rawh. Chuta tang chuan i doctor chuan i tan enkawlna tur ruahmanna tha ber siam turin a thawkpui ang che.