Dzimwe nguva unonzwa sekuti muviri wako hauna simba uye tsandanyama dzako hadzina simba here? Pamwe chiremba wako akakuudza kuti ungangoda kuongororwa 'Muscle Biopsy'? Unofanira kunge wakatya zvishoma pawakanzwa zita iroro. "Vachacheka chidimbu chenyama yangu here?" Unofanira kunge wakafunga. Asi usazvidya mwoyo. Izvi hazvityisi sezvazvinonzwika. Nhasi tichataura nezvazvo zviri nyore, nenzira ichapindura mibvunzo yese yaunayo mupfungwa dzako.
Chii chinonzi tsandanyama iyi?
Zvichitaurwa zviri nyore, izvi zvinosanganisira kutora chidimbu chidiki chetsandanyama yako, chisingapfuure nzara, wochiongorora uchishandisa maikorosikopu murabhoritari. Kungofanana nekutora shinda kubva pajira wotarisa kuti chii chiri kunetsa, kuongorora tsandanyama iyi kunogona kuona nemazvo kana uine chirwere (myopathy) chiri kukanganisa tsandanyama dzako. Iyi bvunzo yakakosha zvikuru.
Kuongororwa kwetsandanyama kunodiwa riini?
Chiremba haazokurumidzi kukutumira kuti uongororwe kana akaona kuti une tsandanyama dzisina simba. Vachatanga vaita mimwe miedzo mishoma.
- Kuongororwa kwemuviri netsinga: Chiremba achakuongorora kuti aone kuti tsandanyama dzako hadzina simba zvakadii.
- Kuongororwa kweropa: Kuongororwa kweropa, kunyanya bvunzo ye creatine kinase , uye kumwe kuongororwa kwemajini kunoitwa.
- Kuongororwa kwemifananidzo: Zvinhu zvakaita seMRI scans.
- Zvidzidzo zvekufambisa mitsipa uye electromyography (EMG): Izvi zvinoedza hukama huripo pakati petsinga dzako netsandanyama.
Kana, mushure mekuongororwa kwese uku, uchiri kutadza kuwana mhedziso chaiyo nezvechirwere chako, chiremba wako anogona kukukurudzira kuti uongororwe tsandanyama. Neruzivo rwakawanikwa kubva pane izvi, zvinokwanisika kuziva rudzi chairwo rwechirwere.
Ndezvipi zvirwere zvinogona kuonekwa nebvunzo iyi?
Kuongororwa kwetsandanyama kunogona kunyatsoongorora zvirwere zvakasiyana-siyana zvine chekuita netsandanyama. Tafura iri pazasi ichakupa pfungwa yakanaka.
| Rudzi rwechirwere | Mienzaniso |
|---|---|
| Kusagadzikana kwetsandanyama | Matambudziko akadai seDuchenne muscular dystrophy, Becker muscular dystrophy, uye myotonic dystrophy. |
| Utachiona hweParasitic | Utachiona hunokanganisa tsandanyama, hwakadai se trichinosis ne toxoplasmosis. |
| Mamiriro Ekuzvimba Kwetsandanyama | Polymyositis uye dermatomyositis. |
| Myopathies yeMetabolic | Zvirwere zvekuchengetwa kweglycogen zvakaita sechirwere chePompe. |
| Myopathies dzekuzvarwa nadzo | Zvirwere zvekuzvarwa nazvo zvakaita se nemaline myopathy. |
| Mishonga-induced myopathies (Toxic Myopathies) | Zvirwere zvinogona kuitika nekuda kwekushandisa mimwe mishonga, senge steroid kana statins. |
Biopsy inotorwa kubva mutsandanyama ipi mumuviri?
Pamuedzo uyu, chidimbu chetsandanyama chinowanzotorwa kubva pane imwe yenzvimbo nhatu pamuviri wako.
- Makumbo emakumbo mana (quadriceps): Boka guru remhasuru dziri pamberi pechidya chako.
- Deltoid: Tsandanyama inonamatira pafudzi rako.
- Bicep: Ruoko rwako rwepamusoro, ndizvo zvatinoti chikamu cheruoko rwako chine nyama.
Chiremba achasarudza nzvimbo yekuongororwa uku nokungwarira. Sampuro ichatorwa kubva mutsandanyama isina simba kana ine zviratidzo . Zvisinei, kana tsandanyama isina simba zvakanyanya, senge kana ichangobva kubaiwa jekiseni, kana paine kukuvara munzvimbo iyoyo,, usaite izvi uri panzvimbo yakadaro. Nekuti kana ukadaro, mhedzisiro yebvunzo (mushumo) inogona kunge isiriyo.
Ndinofanira kugadzirira sei bvunzo isati yaitwa?
Chiremba wako achakutsanangurira maitiro acho uye achakupa mirairo yekuti ungagadzirira sei bvunzo. Zvakakosha kutevedzera mirairo iyi nemazvo.
- Kana uchangobva (mukati memwedzi mitanhatu) kubaiwa jekiseni remhasuru , kuongororwa seEMG , kana kukuvara kwemhasuru, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana uri kutora mishonga inorwisa ropa kana aspirin , chiremba wako anogona kukukumbira kuti urege kuitora mazuva mashoma bvunzo isati yaitwa. Zvisinei, usarega kutora mishonga kusvika chiremba wako akuudza kuti udaro .
- Unogonawo kukumbirwa kutsanya (kusadya kana kunwa chimwe chinhu kunze kwemvura) kwemaawa mashoma bvunzo isati yaitwa.
- Kana ukapihwa mushonga wekutindivadza kana kuti wekunyaradza panguva yekuongororwa, zvakakosha kuti pave nemumwe munhu anokutora kuti uende newe kumba mushure mekuongororwa.
Chii chinoitika panguva ye biopsy?
Kune nzira mbiri huru dzekuita biopsy yetsandanyama. Maitiro acho anosiyana zvishoma zvichienderana nenzira yacho.
1. Nzira yeOpen Biopsy
Izvi zvakafanana nekuvhiyiwa kudiki.
1. Kutanga, nzvimbo ichatorwa sample inocheneswa zvakanaka nemushonga unouraya utachiona.
2. Tevere, mushonga wekurwadziwa unopinzwa munzvimbo iyi, kuitira kuti usazonzwa kurwadziwa.
3. Chiremba anoita kucheka kudiki paganda, kureba kwemasendimita 4-6.
4. Zvadaro ganda, mafuta ari pasi peganda, uye chifukidziro chetsandanyama (fascia) zvinoparadzaniswa, zvichienda kune tsandanyama iri pasi.
5. Katsandanyama kadiki kanochekwa kobviswa.
6. Pakupedzisira, ganda rinovharwa zvakare ne sutures uye rakafukidzwa zvakanaka nemabhandiji.
2. Nzira yekuongorora tsono
Nzira iyi iri nyore zvishoma.
1. Panyaya iyi zvakare, tanga wachenesa nzvimbo yacho zvakanaka.
2. Zvadaro mushonga wekurwadziwa unopinzwa munzvimbo iyi.
3. Chiremba anoita kucheka kudiki paganda uye anoisa tsono yakakosha (tsono ye biopsy) yakakura sepenzura nepakati payo.
4. Kazhinji, scan ye ultrasound inoshandiswa kutungamira tsono kupinda mutsandanyama chaiyo.
5. Uchishandisa mudziyo uri mukati metsono, zvidimbu zvidiki zvitatu kana zvina zvetsandanyama zvinochekwa zvounganidzwa.
6. Zvadaro, tsono inobviswa, ronda rinobatwa panzvimbo yaro nekumanikidzwa kuti ropa risabude, uye ronda rinofukidzwa nebhandeji.
Zvinorwadza zvikuru here kana ukaita izvi?
Iri ndiro dambudziko guru kune vanhu vazhinji. Kutaura zvazviri, kana ukapihwa anesthesia yakajairika, hauzonzwi chero chinhu . Kana ukapihwa anesthesia yemunharaunda chete, uchangonzwa kurwadza kudiki kubva patsono. Mushure meizvozvo, unogona kunzwa chimwe chinhu chichidzvanya kana kudhonza, asi hazvizorwadzi zvakanyanya .
Panogona kuva nekurwadza kudiki kwemazuva maviri kusvika matatu mushure mekuvhiyiwa. Kana pakaongororwa nzvimbo yacho, nzvimbo yacho inogona kuva kurwadza kweinenge vhiki. Dzimwe nguva nzvimbo yacho inogona kuita bhuruu, kunge kukuvara. Chiremba wako achakupa mazano ezvekuita kuti uderedze marwadzo.
Mushure mekuongororwa kwe biopsy uye kusvika mushumo wasvika
Kana ukapihwa mushonga wekutindivadza, uchadzoserwa kumba muimba yekupona kusvika mushonga wacho wapera. Tsandanyama dzinoomeswa nechando uchishandisa makemikari akakosha dzoendeswa kurabhoritari kuti dziongororwe. Ikoko, nyanzvi yezvirwere zvetsinga dzemuviri, nyanzvi yezvirwere zvetsinga dzemuviri, inoiongorora pasi pemaikorosikopu.
Chinhu chakanyanya kuoma kumirira mushumo webvunzo. Zvinowanzotora mazuva mashoma kana anopfuura vhiki kuti mhinduro dzibude. Chiremba wako achakuudza nezvazvo.
Ndinofanira kuona chiremba zvakare rini?
Pane mukana mudiki wekuti nzvimbo ye biopsy ichabatwa nehutachiona, saka kana ukaona chimwe chezviratidzo zviri pazasi, unofanira kuonana nachiremba wako nekukasika .
| Chinhu chekuteerera | Tsananguro |
|---|---|
| Kuzvimba kana kutsvuka | Kana ganda rakatenderedza ronda rakazvimba, rakatsvuka, kana kuti rachinja ruvara. |
| Kudziya | Kana ganda rakatenderedza ronda richidziya kupfuura mamwe mativi aro. |
| Urwa kana kubuda | Kana hurwa kana chimwe chinhu chiri kubuda kubva paronda. |
| Kupindwa nechando | Kana uine fivha. |
| Basa rakaoma | Kana uchinzwa kuneta zvisina kujairika. |
Zvakajairika kunzwa kutya uye kunetseka paunoudzwa kuti uchaongororwa tsandanyama. Uye paunenge wakamirira mhinduro, unenge uine zvinhu zvakawanda mupfungwa dzako. Chiremba wako anonzwisisa zvese izvi. Saka usazeza kumubvunza chero mibvunzo kana zvinokunetsa zvaungave nazvo . Kana mhinduro dzikaramba dzichiratidza chirwere, funga nezvazvo sedanho rekutanga parwendo rwako rwekupora. Kubva ipapo, chiremba wako achashanda newe kugadzira hurongwa hwakanakisa hwekurapa kwako.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwetsandanyama inzira yakachengeteka inoshandiswa kunyatsoongorora zvirwere zvine chekuita netsandanyama.
- Kuongororwa uku kunongoitwa mushure mekuongororwa kweropa nekuongororwa kweropa, kana zvichidikanwa kuti pave nemhedzisiro chaiyo nezvechirwere ichi.
- Marwadzo ese panguva uye mushure mekuongororwa anodzorwa zvakanaka, saka usazvidya mwoyo zvisina basa nezvazvo.
- Tevedzera mirairo yachiremba nokungwarira usati waongororwa uye mushure mekuongororwa.
- Kana ukaona zviratidzo zvehutachiona, zvakaita sekuzvimba, kutsvuka, urwa, kana fivha, panzvimbo ye biopsy, zivisa chiremba wako nekukasika.
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