Ngamanye amaxesha ugqirha wakho angakuxelela ukuba kufuneka wenze "i-biopsy" ukuze ufumane ukuba yintoni kanye kanye ingxaki ngezintso zakho. Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva eli gama. Kodwa eneneni aloyiki njengoko sicinga. Ngoko ke namhlanje, masithethe ngokuba yintoni i-kidney biopsy, kutheni yenziwa, kwaye yenziwa njani.
Ngamafutshane, yintoni i-kidney biopsy?
I-biopsy yezintso, okanye `(i-Renal Biopsy)` yinkqubo apho kuthathwa iqhekeza elincinci kakhulu lesicubu kwizintso zakho lize lihlolwe phantsi kwe-microscope. Ngokuchanekileyo, ugqirha usebenzisa inaliti ekhethekileyo ukuthatha eli qhekeza lincinci lesicubu. Kwiimeko ezingaqhelekanga, eli qhekeza lesicubu linokuthathwa ngexesha lotyando. Ngokuthatha nokuhlola iqhekeza lesicubu ngale ndlela, kunokwenzeka ukufumanisa ukuba zeziphi iingxaki ezingaphakathi kwizintso.
Kutheni ugqirha angacebisa ukuba kwenziwe i-biopsy?
I-biopsy idla ngokwenziwa ukuze kufunyanwe iingxaki ezingaphakathi kwizintso ezingafumanekiyo ngovavanyo lwegazi, uvavanyo lomchamo, okanye iiskeni. Khawuthelekelele, ugqirha wakho urhanela ukuba kukho ingxaki kwizintso zakho, kodwa unobangela awubonakali ngokucacileyo nakwiskeni. Kulapho ke olu vavanyo lwenziwa khona.
Masicacise oku ngakumbi ngetheyibhile engezantsi.
| Iimeko ezinokukhokelela kwi-biopsy | Ingcaciso elula |
|---|---|
| Ukuvaleka kwezintso | Jonga ukuba izicwili zezintso zonakele na kwaye zenze amanxeba. |
| Ukudumba kwezintso | Fumanisa ukuba kukho imeko efana nokudumba okanye usulelo ngaphakathi kwizintso. |
| Iiproteni ezifakwayo | Jonga ukuba akukho protein ininzi kangakanani na kwizintso. |
| Izifo zemfuza | Jonga naziphi na izifo zezintso ezizuzwe njengelifa. |
| Igazi kumchamo (iHematuria) | Ukuba kukho igazi kumchamo, fumana ngokuqinisekileyo ukuba imbangela yingxaki yezintso. |
| I-Proteinuria (ukukhutshwa kweproteni kumchamo) | Ukuba ubungakanani beprotheyini kumchamo buphezulu, jonga ukuba unobangela yingxaki na kwinkqubo yokuhluza izintso. |
| Umsebenzi wokufakelwa kwezintso | Kukwayenziwa i-biopsy kumntu ofakelwe izintso ukuze kubonwe ukuba izintso ezintsha zisebenza kakuhle na. |
Khumbula, olu luvavanyo olukhuselekileyo nolulula kwiimeko ezininzi. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Uzilungiselela njani ngaphambi kokuba wenze i-biopsy?
Ngaphambi kokuba wenze i-biopsy, kuya kufuneka ubone ugqirha wakho. Uza kuxoxa ngembali yakho yempilo, enze uvavanyo lomzimba, aze acele uvavanyo lwegazi nomchamo.
Eyona nto ibalulekileyo kukuxelela ugqirha wakho ngayo yonke imithi oyithathayo, nokuba imiselwe ngugqirha, amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha, iivithamini, okanye amayeza emveli. Amanye amayeza, anjenge-aspirin, anokunyusa umngcipheko wokopha. Ke ngoko, unokucetyiswa ukuba uyeke ukuthatha amayeza athile malunga neveki ngaphambi kokuba kwenziwe i-biopsy.
Kwakhona, uya kuxelelwa ngokucacileyo ukuba uyeke nini ukutya nokusela ngaphambi kokuba kwenziwe i-biopsy, ngawaphi amayeza ekufuneka uqhubeke uwathatha, kunye namayeza ekufuneka uwayeke.
Kwenzeka ntoni ngexesha le-biopsy?
Ungakhathazeki, awuyi kuva ntlungu ngeli xesha. Oku kungenxa yokuba uninzi lwexesha oku kwenziwa ngokukufaka phantsi kwe-sedation ephakathi okanye i-anesthesia eqhelekileyo. Ngexesha le-sedation ephakathi, uya kuba uvukile, kodwa uya kuziva ukhululekile kwaye awuyi kuva ntlungu. Ngexesha le-anesthesia eqhelekileyo, uya kuba ulele.
Olu vavanyo lwenziwa liqela leengcali, ngokuqhelekileyo kuquka ingcali ye-radiology, ingcali ye-nephrologist, kunye nabasebenzi bokonga.
Ngokwesiqhelo, oku kwenziwa ngokukujika uze ulale ngomqolo. Nangona kunjalo, ukuba ukhe wafakelwa izintso, uza kubekwa ngesisu uze ulale ngecala.
Kukho iindlela ezimbini eziphambili:
1. I-Percutaneous Biopsy: Le yindlela esetyenziswa kakhulu. Emva kokuba ugqirha evalile indawo, usebenzisa i-scanner (i-Ultrasound okanye i-CT imaging) ukuze afumane indawo echanekileyo yezintso aze afake inaliti ekhethekileyo yokususa izicubu.
2. I-Open Biopsy: Kule meko, kwenziwa umsikelo omncinci eluswini, kususwe isiqwenga sezintso, kwaye umsikelo uvalwe ngemithungo. Oku kudla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo.
Le nkqubo yonke idla ngokuthatha malunga neyure.
Kwenzeka ntoni emva kwe-biopsy?
Emva kovavanyo lwe-biopsy, uza kusiwa kwigumbi lokuchacha kwaye ujongwe ngabasebenzi bezonyango iiyure ezininzi. Kusenokufuneka uhlale esibhedlele ubusuku bonke. Ngeli xesha, uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho kuya kuhlolwa rhoqo. Uza kuhlolwa kwakhona ukuze kubonwe ukuba uyakwazi na ukuchama kakuhle kwaye ukuba kukho ukopha okugqithisileyo.
Nje ukuba yonke into iqinisekiswe ukuba iqhelekile, uza kuvunyelwa ukuba ugoduke. Kodwa khumbula, awuyi kukwazi ukuqhuba imoto kuba uphantsi kwe-anesthesia. Ngokuqinisekileyo kuya kufuneka ukuba ilungu losapho okanye umhlobo eze kukuthatha akuse ekhaya.
Isampuli yethishu ethathwe kuwe iya kuthunyelwa kwilebhu. Apho, ingcali (ingcali yezifo) iya kuyihlola ize ilungiselele ingxelo. Ugqirha wakho uya kufumana le ngxelo kwiintsuku ezimbalwa.
Zithini iingenelo kunye neengozi?
Eyona nzuzo iphambili kukuba iyakwazi ukuxilonga ngokuchanekileyo imeko yezintso kwaye ikwajonge ukuba izintso ezifakelwe kwenye indawo zisebenza kakuhle kangakanani.
Iingozi ziphantsi kakhulu, kodwa ezinye iingxaki zinokubakho.
| Iingxaki ezinokwenzeka |
|---|
| Ukopha: Usenokuba negazi elithile kumchamo wakho emva kokuhlolwa kwegazi. Nangona kunjalo, ukuba kukho ukopha okukhulu, unyango lunokufuneka. Oogqirha balumkele kakhulu olu phawu. |
| Intlungu: Kunokubakho iintlungu kwindawo yenaliti kangangeentsuku ezimbalwa. |
| Okunye: Ukudinwa, umkhuhlane, usulelo lomchamo (UTI), kunye nobunzima bokuchama zinokwenzeka rhoqo. |
Iza kuthatha ixesha elingakanani ukuphila?
Intlungu evela kwi-biopsy yenaliti kufuneka iphele kwiintsuku ezimbalwa. Intlungu evela kwi-biopsy yotyando inokuhlala malunga neveki. Ugqirha wakho uza kukunika iintlungu. Kufuneka uphephe ukuphakamisa izinto ezisindayo, ukuphakamisa izinto ezisindayo, okanye ukwenza umthambo onzima kangangeveki okanye ezimbini.
Xa kufuneka ubone ugqirha ngokukhawuleza
Ukuba ufumana naziphi na iimpawu ezingezantsi, fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
- Ukuba unomkhuhlane ophezulu (ngaphezulu kwe-100.4°F okanye i-38°C).
- Ukuba indawo ye-biopsy ibomvu, idumbile, okanye itshintshile umbala.
- Ukuba kusekho igazi kumchamo emva kweeyure ezingama-24 emva kokwenziwa kwe-biopsy.
- Ukuba unengxaki yokuchama.
- Ukuba utsha okanye unentlungu xa uchama (iDysuria).
- Ukuba uziva unesiyezi okanye unentloko ebuhlungu ngelixa uhamba.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-kidney biopsy luvavanyo olukhuselekileyo lokufumanisa isifo sezintso.
- Xa usenza oku, uza kuthatha amanyathelo afunekayo ukuqinisekisa ukuba awuziva iintlungu.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kovavanyo.
- Musa ukoyika ukuxelela ugqirha wakho malunga namayeza onke owasebenzisayo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kovavanyo lwe-biopsy, musa ukuzityeshela kwaye funa ingcebiso kagqirha ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onalo.
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