Muscle biopsy chungchang i zir dawn teh ang. Hei hi i mamawh ve dawn em ni?

‘Muscle Biopsy’ tih hi i hre ngai em? Nangmah emaw, i hriat mi emaw chu doctor-in hetiang ti turin a hrilh tawh pawh a ni mai thei. Eng nge ni tak tak? Engvangin nge tih a nih? Thumal awlsam takin sawi ila, i hriatthiam theih nan. Hlauh tur a awm lo, i harsatna dik tak hriatchhuahna tura pui turin tih a ni fo.

Muscle biopsy tih hi eng nge ni?

A awlsam zawngin, muscle biopsy hi i taksa ruh atanga tissue te tak te tak tak, chu chu i taksa chhunga thau pakhat atanga lak chhuah a, enfiahna a ni. Hei hi i taksa ruh tichhe thei natna bik (`myopathies`) i neih leh neih loh hriat nan tih a ni. Doctor chuan skeletal muscle sample chu lab-ah a thawn a. Chutah chuan microscope hmangin thil danglam emaw, harsatna emaw a awm em tih an en a. Puan phek khata tan a, a thread a tha em tih enfiah ang mai a ni.

Engtikah nge muscle biopsy ka mamawh ang?

Hun engemaw chen chu i taksa ruhteah chak lo takin i awm tawh emaw, i taksa ruhte chu a na a, a na emaw, a lan dan danglam tak tak (`myopathy` chhinchhiahna) emaw i nei emaw tih han ngaihtuah teh. Tichuan doctor chuan he biopsy hi i neih a ngai tih a hrilh mai thei che. Mahse, an ti nghal mai dawn lo.

Doctor-te hian test dang tlemte an run hmasa tlangpui thin:

• Physical and neurological exams : I nervous system hnathawh dan tur uluk taka enfiah i ni ang.
• Thisen test : Entirnan, enzyme pakhat creatine kinase an tih enfiahna test emaw, genetic testing emaw tih theih a ni.
• Imaging test : MRI scan leh CT scan ang chi thil.
• Nerve conduction study leh electromyography (EMG) : Hengte hian i nerve leh muscle inkara message kal dan te, leh an hnathawh dan te a en thin.

Heng test hmang pawh hian a chang chuan natna thlentu dik tak hi hriat chian theih a ni lo. Chu chu doctor-te chuan thu belhchian dawl zawk hriat theih nan leh natna chiang taka hriat theih nan muscle biopsy an tih hun a ni .

I doctor-in a hnuaia natnate hi i neih a rinhlelh chuan muscle biopsy i mamawh mai thei:

• Muscular dystrophy : Entirnan Duchenne muscular dystrophy, Becker muscular dystrophy, leh myotonic dystrophy te hi a ni.
• Parasitic infection : Trichinosis leh toxoplasmosis ang chi natna, i taksa ruh tichhe thei.
• Inflammatory muscle conditions: polymyositis leh dermatomyositis te ang chi te.
• Metabolic myopathies : Entirnan, Pompe natna leh glycogen dahkhawmna natna dangte.
• Congenital myopathies : Pian tirh atanga awm thin, nemaline myopathy ang chi.
• Toxic myopathies : Damdawi thenkhat, entirnan steroid emaw statin emaw hman rei avanga lo awm thei.

Biopsy atan hian eng muscle nge thlan chhuah tlangpui?

He biopsy hi i taksa ruh bik engemaw zat zinga pakhat atanga lak a ni tlangpui. A hman tlanglawn berte chu:

• Quadriceps : I kekawr hmalam a taksa peng lian tak.
• Deltoid : I kekawr hmalam, sir leh hnunglam inzawmkhawmtu thau (muscle) a ni.
• Bicep : I kut chunglam hmalam, i kephah leh i kekawrte inkar a thau awm.

Doctor chuan biopsy atana thlan muscle chu a chak lo lutuk lo emaw, symptom dang a nei lo emaw tih chian a duh ang. Mahse, doctor chuan a taksa ruh chu a chak lo lutuk lo emaw, tun hnaia inject a la ni lo emaw, a hliam emaw a nih loh leh hliam a awm loh nan a enfiah duh bawk ang. Hei hian biopsy result a nghawng thei a, thu dik tak a pe lo thei bawk.

Engtin nge muscle biopsy atan ka inbuatsaih ang?

I doctor chuan biopsy chungchang chipchiar takin a hrilhfiah ang che a, inbuatsaih dan tur a hrilh ang che. Heng thupekte hi dik taka zawm a pawimawh hle. Thil i hriatthiam loh emaw, zawhna i neih loh emaw chuan i doctor hnenah zawh hreh suh.

A tlangpuiin hengte hi i fimkhur tur a ni:

• Thla ruk kalta chhung khan taksa ruh injection emaw, EMG ang chi taksa ruh test emaw, i taksa ruh hliam emaw i neih chuan doctor hnenah i hrilh ngei ang.
• I doctor chuan thisen chhuahna lama harsatna i neih loh nan biopsy neih hma ni engemaw zat chhungin aspirin ang chi anticoagulant damdawi ei tawh loh turin a hrilh thei che a ni. Mahse, doctor-in a tih hma loh chuan damdawi engmah ei kha bansan loh a tha ber.
• Biopsy hma darkar engemaw zat chaw nghei turin an ti thei che a, engmah ei leh in lovin (tui tih loh chu).
• Hetianga tih lai hian sedation emaw general anesthesia emaw pek i nih chuan biopsy zawhah in lama hruai tur che i mamawh ang.

Muscle biopsy tih dan tur chu eng nge ni?

Muscle biopsy neih dan tur chu a hman dan azirin a danglam deuh hlek a ni. Thil tih dan tlangpui pahnih a awm a, chungte chu ``open`` biopsy leh ``needle`` biopsy te an ni. Engti kawng pawhin, nangmah (or i fate) hi ``sedation`` emaw ``general anesthesia`` emaw pek hmasak theih a ni.

Open muscle biopsy tih dan tur

Open muscle biopsy tih dan tur chu hetiang hi a ni tlangpui.

• Doctor chuan a incision na hmun chu antiseptic solution hmangin uluk takin a tifai hmasa thin.
• Tichuan, chu hmunah chuan local anesthetic an inject a, chuvang chuan incision an siam hunah natna i nei lovang.
• A dawtah chuan i vunah centimetre 4 atanga 6 vel a sei incision siam a ni ang.
• Doctor chuan i vun, vun hnuaia thau layer (subcutaneous fat), leh ruh khuh tu membrane (muscle fascia - a connective tissue) te chu a then ang a, a hnuaia muscle-ah a kal leh ang.
• Chuta tang chuan taksa peng (muscle tissue) sample te tak te chu an tan a.
• Tichuan doctor chuan muscle membrane leh vun chu suture hmangin a khar leh a.
• Hliam hi damdawi leh bandage leh gauze hmanga khuh a ni.

Needle muscle biopsy tih dan tur

Needle muscle biopsy tih dan tur chu hetiang hi a ni tlangpui.

• Doctor chuan biopsy tihna tur hmun chu antiseptic solution hmangin a tifai hmasa thin.
• Tichuan local anesthetic an inject a, chuvang chuan biopsy neih chhung hian natna i nei lovang.
• Doctor chuan i vunah hian incision te tak te tak a siam ang.
• A dawtah chuan incision te tak te hmang hian needle biopsy instrument bik an dah lut a. Hei hi pencil ang vel a ni tlangpui.
• He hmanrua hi ultrasound machine (ultrasound imaging) hmangin taksa ruh (muscle) lam chiang taka kaihruai a ni.
• Chumi hnuah chuan doctor chuan chu instrument hmangin taksa peng hrang hrangte chu a tikehsawm a. A tlangpuiin sample 3 emaw 4 vel lak a ni.
• Tissue mamawh zat an lakchhuah hnuah instrument chu lakchhuah a ni a, thisen chhuah tihtawp nan a hmunah pressure pek a ni a, hliam chu damdawi hnawih a ni a, gauze leh bandage te chu khuh a ni.

Hei hian engtiang chiahin nge a tihnat?

He biopsy hi general anesthesia hmanga tihsak i nih chuan natna engmah i nei lovang. Local anesthesia hmanga tihsak i nih chuan a natna chu a tlem hle ang a, a awm lo pawh a ni thei. Mahse, pinch emaw, pull emaw tlem i nei thei.

Biopsy zawhah hian biopsy neihna hmunah hian ni hnih atanga ni thum vel chhung chu natna tlem i nei thei. A bik takin open biopsy i neih chuan kar khat vel chu a hmun chu a na thei. Site chhehvelah hian hliam engemaw zat a awm thei bawk.

Natna tur tih theih dan tur leh eng damdawi nge i ei tur tih doctor zawt la a tha ber.

Biopsy hnuah eng nge thleng?

Sedation emaw general anesthesia emaw pek i nih chuan biopsy hnuah rei vak lo recovery room-ah hruai i ni ang. Damdawi nghawng a reh hma loh chuan chutah chuan i awm reng ang. Chumi hnuah chuan i haw thei a, mahse mi dangin an hruai haw che a ngai a ni. I doctor chuan biopsy hliam enkawl dan tur a hrilh ang che.

Doctor hian chemical bik hmangin biopsy atanga lak muscle sample chu rang takin a freeze (`flash freeze`). Hei hi tissue chu a awm reng theih nan leh enfiahna atana tha turin an ti thin. Tichuan lab pakhatah thawn a ni. `Pathologist neuromuscular diseases lama tui tak` a awm bawk. Microscope hmangin sample chu uluk takin a enfiah ang. A châng chuan specialist chuan sample-ah hian test dang a ti leh ṭhin. Entirnan, special dye (`stains`) an hmang ang a, `antibodies` thenkhat an check ang.

Muscle biopsy hi a hlauhawm em?

Muscle biopsy atanga harsatna lo thleng hi a tlem hle. Mahse, thil engemaw zat chu a tlem berah a thleng thei a ni:

• Hliam natna hrik awm.
• Hliam atanga taksa ruh chhuak (`muscle hernia`).
• Stitch a lo chhuah hnua hliam chu hawn leh.
• Accidental injury chu tum loh taka i taksa ruh, nerve emaw thisen kalna kawng emaw tihchhiat a ni.

Biopsy neihna hmunah hian hliam a awm thei. Mi thenkhat vun hliam hi midang aiin a awlsam zawk.

Engtikah nge report ka dawn ang?

Biopsy hnuah result nghah hi a harsa ber mai thei. I doctor chuan engtin nge report i dawn ang a, engtikah nge i dawn tih a hrilhfiah ang che. Ni engemaw zat a la ngai thei a, kar khat aia rei pawh a la ngai thei bawk. I doctor-in a sawi ni thlenga report a lo kir leh loh chuan i doctor chu ko leh la, zawt leh rawh.

Report hian eng chungchang nge a sawi?

Muscle biopsy report-ah hian muscle sample lak dan chipchiar takin tarlan a ni. Hei hian hetiang hi a huam thei a ni:

• Thil chi hrang hrang, muscle fibers (i.e. muscle cells) awm dan, an hrisel dan, leh an "kum" te.
• Chu tissue chhunga cell dang, entirnan, nerve cell (neurons) chungchang chipchiar takin.
• Thil hrang hrang, inflammation, mitochondrial dik lo, glycogen leh lipid dahkhawmna dik lo.

I doctor chuan he report-a thil awm leh a awmzia a hrilhfiah ang che.

A châng chuan, biopsy chu a pangngai angin a lang thei a, a nih loh leh natna chhinchhiahna tenau tak tak chauh a awm thei bawk. Hetiang a nih chuan "unspecified myopathy" an ti \hin. Hei hi biopsy-in natna awmna hmun dik tak a hmuh loh vang a ni thei a, a nih loh leh natna hi a hmasa berah a la awm mai thei bawk. Chutiang a nih chuan muscle biopsy dang i neih leh a ngai mai thei.

Report-ah harsatna a awm chuan eng nge i tih leh ang?

Muscle biopsy result hian taksa natna bik (`myopathy`) a hriat theih fo thin.

Natna engemaw i nei tih hmuhchhuah a nih chuan i doctor chuan a hrilhfiah ang che a, i tih leh tur chu a sawipui ang che. In pahnih hian in tan a tha ber tur enkawlna ruahmanna in siam ang. Lungngai suh, i doctor in a pui ang che.

Engtikah nge doctor nen inbiakna neih a ngaih?

I biopsy site-ah hian a hnuaia chhinchhiahna pakhat emaw a aia tam emaw i hmuh chuan i doctor i ko nghal tur a ni:

• Hliam vel a hring, vun sen emaw, vun rawng danglam emaw hi thil pangngai a ni.
• Hliam vel vun hi hmun dang aiin a lum zawkin a hria.
• Hliam atanga tui dang lo chhuak (`Pus or drainage`).
• Khawsik (fever) a nei.
• Chau lutuk tih hriat (`Fatigue`).

Muscle biopsy hmangin MS (Multiple Sclerosis) a awm tih a hriat theih em?

Muscle biopsy hi MS (Multiple Sclerosis) a nih leh nih loh finfiah nan hman a ni lo. Mahse, doctor chuan MS ang chi natna dang nei lote chu paih chhuah nan he biopsy hi a rawt thei a ni.

Muscle biopsy i mamawh tih i hriat chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. Tin, result nghah lai hian lungkhamna i neih hi thil pangngai tak a ni bawk. I doctor chuan he biopsy hian side effect awm thei zawng zawng a hre vek ang a, chuvangin zawhna i neih chuan zawt hlau suh. I biopsy report-ah thil dik lo a awm tih a hriat chuan, dam lehna kawnga i hmalakna hmasa ber atan ngaihtuah tum ang che. I doctor chuan i hriselna chungchangah thutlukna pawimawh tak siam turin a thawkpui ang che.

He thawnthu atang hian eng nge kan in lama kan hruai haw tur pawimawh ber?

Okay, chuvangin kan sawi tawh atang khan kan hriat reng tur pawimawh ber chu i taksa ruh chhunga harsatna emaw natna emaw dik taka hriat theihna tur test pawimawh tak chu muscle biopsy hi a ni.

Hei hi i tan chuan hlauhawm deuhin a lang mai thei. Mahse, diagnosis dik tak i neih theih nan leh i tana enkawlna dik tak i tan theih nan a pui thei che a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor nen sawiho ngei ngei tur a ni. Hei hi i dinhmun hriatthiamna leh a dik taka enkawl dan tur pawimawh tak a ni tih hre reng ang che.

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