Ingabe ngezinye izikhathi uzizwa sengathi umzimba wakho ubuthakathaka nemisipha yakho ibuthakathaka? Mhlawumbe udokotela wakho ukutshelile ukuthi kungase kudingeke wenze i-'Muscle Biopsy'? Kumelwe ukuthi wesaba kancane lapho uzwa lelo gama. "Ingabe bazongisika ucezu lwenyama yami?" Kumelwe ukuthi wacabanga. Kodwa ungakhathazeki. Lokhu akwesabisi njengoba kuzwakala. Namuhla sizokhuluma ngalokhu kalula, ngendlela ezophendula yonke imibuzo onayo engqondweni yakho.
Iyini le Biopsy yemisipha?
Kalula nje, lokhu kuhilela ukuthatha ingxenye encane kakhulu yomsipha wakho, engadluli uzipho, bese uyihlola ngaphansi kwe-microscope elebhu. Njengokuthatha intambo endwangwini bese ubheka ukuthi yini engalungile ngayo, ukuhlola le ngxenye yomsipha kunganquma ngokunembile ukuthi unesifo (i-myopathy) esithinta imisipha yakho. Lokhu ukuhlolwa okubaluleke kakhulu.
Kudingeka Nini Ukuhlolwa Kwemisipha?
Udokotela ngeke akuthumele ngokushesha kulolu vivinyo uma ebona ukuthi ubuthakathaka bemisipha. Bazokwenza ezinye izivivinyo ezimbalwa kuqala.
- Ukuhlolwa ngokomzimba nangokwezinzwa: Udokotela uzokuxilonga ukuze abone ubukhulu bobuthakathaka bemisipha yakho.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi, ikakhulukazi ukuhlolwa kwe-creatine kinase , kanye nokuhlolwa kofuzo okwenziwayo.
- Ukuhlolwa kwezithombe: Izinto ezifana nokuskena kwe-MRI.
- Izifundo zokuqhuba imizwa kanye ne-electromyography (EMG): Lokhu kuhlola ukuxhumana phakathi kwezinzwa zakho nemisipha.
Uma, ngemva kwazo zonke lezi zivivinyo, ungakakwazi ukufinyelela esiphethweni esiqondile ngesimo sakho, khona-ke udokotela wakho angase akuncome ukuthi wenze i-biopsy yemisipha. Ngolwazi olutholakale kulokhu, kuzokwazi ukuthola uhlobo oluqondile lwesifo.
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Ukuhlolwa kwemisipha kungahlonza ngokunembile izimo ezahlukahlukene ezihlobene nemisipha. Ithebula elingezansi lizokunikeza umbono omuhle.
| Uhlobo lwesimo sezokwelapha | Izibonelo |
|---|---|
| I-Muscular Dystrophies | Izimo ezifana ne-Duchenne muscular dystrophy, i-Becker muscular dystrophy, kanye ne-myotonic dystrophy. |
| Izifo Ezibangelwa Yizinambuzane | Izifo ezithinta imisipha, njenge-trichinosis kanye ne-toxoplasmosis. |
| Izimo Zemisipha Evuvukalayo | I-Polymyositis kanye ne-dermatomyositis. |
| I-Metabolic Myopathies | Izifo zokugcina i-Glycogen njengesifo sikaPompe. |
| I-Myopathies Yokuzalwa | Izimo zokuzalwa ezifana ne-nemaline myopathy. |
| I-myopathies ebangelwa izidakamizwa (i-Toxic Myopathies) | Izimo ezingase zivele ngenxa yokusetshenziswa kwemithi ethile, njenge-steroids noma ama-statin. |
I-biopsy ithathwa kumuphi umsipha emzimbeni?
Kulolu vivinyo, ucezu lomsipha luvame ukuthathwa kwenye yezindawo ezintathu emzimbeni wakho.
- Ama-Quadriceps: Iqembu elikhulu lemisipha elingaphambili kwethanga lakho.
- I-Deltoid: Imisipha enamathela ehlombe lakho.
- I-Bicep: Ingalo yakho engenhla, yilokho esikubiza ngokuthi ingxenye yengalo yakho enenyama.
Udokotela uzokhetha indawo yokuhlolwa ngokucophelela. Isampula izothathwa emsipheni obuthakathaka noma onezimpawu . Kodwa-ke, uma umsipha ubuthakathaka kakhulu, njengalapho usanda kufakwa umjovo, noma uma kukhona ukulimala kuleyo ndawo,, ungakwenzi lokhu usendaweni enjalo. Ngoba uma ukwenza, imiphumela yokuhlolwa (umbiko) ingase ibe yiphutha.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzochaza inqubo futhi akunike imiyalelo yokuthi ungalungiselela kanjani ukuhlolwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
- Uma usanda (phakathi nezinyanga eziyi-6) wajova imisipha , wahlolwa njenge -EMG , noma walimala imisipha, qiniseka ukuthi utshela udokotela wakho ngakho.
- Uma uthatha ama-anticoagulant noma i-aspirin , udokotela wakho angase akucele ukuthi uyeke ukuwathatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kodwa-ke, ungayeki ukuthatha noma yimiphi imithi kuze kube yilapho udokotela wakho ekutshele ukuthi uyeke .
- Ungase futhi ucelwe ukuba uzile ukudla (ungadli noma uphuze noma yini ngaphandle kwamanzi) amahora ambalwa ngaphambi kokuhlolwa.
- Uma unikezwa umuthi wokubulala izinzwa ojwayelekile noma umuthi wokudambisa ubuhlungu ngesikhathi sokuhlolwa, kubalulekile ukuthi kube khona umuntu ozokuthatha akuyise ekhaya ngemva kokuhlolwa.
Kwenzekani ngesikhathi se-biopsy?
Kunezindlela ezimbili eziyinhloko zokwenza i-biopsy yemisipha. Inqubo iyahlukahluka kancane kuye ngendlela.
1. Indlela Yokuvula I-Biopsy
Lokhu kufana nokuhlinzwa okuncane.
1. Okokuqala, indawo lapho isampula izothathwa khona ihlanzwa kahle ngesisombululo se-antiseptic.
2. Okulandelayo, kufakwa umuthi wokubulala izinzwa wendawo endaweni, ukuze ungezwa ubuhlungu.
3. Udokotela wenza ukusika okuncane esikhumbeni, okungaba amasentimitha angu-4-6 ubude.
4. Bese kuhlukaniswa isikhumba, amafutha angaphansi kwesikhumba, kanye nemisipha embozwe yi-fascia, kuqhubekele emsipheni ongaphansi.
5. Ingcezu encane kakhulu yomsipha iyasikwa bese isuswa.
6. Ekugcineni, i-incision ivalwa futhi nge-sutures futhi imbozwe kahle ngamabhandeji.
2. Indlela Yokuhlola Inaliti
Le ndlela ilula kancane.
1. Nakulokhu futhi, qala uhlanze indawo kahle.
2. Bese kufakwa umuthi wokubulala izinzwa wendawo endaweni.
3. Udokotela wenza inxeba elincane kakhulu esikhumbeni bese efaka inaliti ekhethekile (inaliti ye-biopsy) elingana nepensela kuyo.
4. Ngokuvamile, kusetshenziswa i -ultrasound scan ukuqondisa inaliti iye emisipheni efanele.
5. Kusetshenziswa idivayisi engaphakathi kwenaliti, cishe izingcezu ezincane ezintathu noma ezine zemisipha ziyanqunywa bese ziqoqwa.
6. Ngemuva kwalokho, inaliti iyasuswa, inxeba libanjwa endaweni yalo ngokucindezela okuthile ukuze kumiswe ukopha, bese inxeba limbozwa ngebhandeji.
Ingabe kubuhlungu kakhulu uma wenza lokhu?
Lena yinkinga enkulu kubantu abaningi. Eqinisweni, uma unikezwa i-anesthesia ejwayelekile, ngeke uzwe lutho . Uma unikezwa i-anesthesia yendawo kuphela, uzozwa umuzwa omncane wokuhlaba ovela enalithini. Ngemva kwalokho, ungase uzwe into icindezela noma idonsa, kodwa ngeke kube buhlungu kakhulu .
Kungase kube nobuhlungu obuncane izinsuku ezimbili kuya kwezintathu ngemva kwenqubo. Uma kwenziwe i-biopsy evulekile, indawo ingaba buhlungu cishe isonto lonke. Ngezinye izikhathi indawo ingaba luhlaza okwesibhakabhaka, njengokulunywa. Udokotela wakho uzokweluleka ngalokho okufanele ukwenze ukuze ulawule ubuhlungu.
Ngemva kokuhlolwa kwegazi kuze kube yilapho umbiko ufika
Uma unikezwe i-anesthesia, uzothunyelwa ekhaya egumbini lokululama kuze kube yilapho imiphumela yomuthi iphela. Isampula yemisipha iyaqandiswa kusetshenziswa amakhemikhali akhethekile bese ithunyelwa elabhorethri ukuze ihlolwe. Lapho, isazi sezifo, uchwepheshe wezifo ze-neuromuscular, siyihlola ngaphansi kwe-microscope.
Ingxenye enzima kakhulu ukulinda umbiko wokuhlolwa. Ngokuvamile kuthatha izinsuku ezimbalwa noma ngaphezulu kwesonto ukuthi imiphumela ivele. Udokotela wakho uzokutshela ngalokhu.
Kufanele ngiphinde ngimbone nini udokotela?
Kunethuba elincane lokuthi indawo yokuhlolwa kwegazi izotheleleka, ngakho-ke uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele uxhumane nodokotela wakho ngokushesha .
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Ukuvuvukala noma ukubomvu | Uma isikhumba esizungeze inxeba sivuvukele, sibomvu, noma sesishintshe umbala. |
| Ukufudumala | Uma isikhumba esizungeze inxeba sifudumele kunezinye izindawo. |
| Ubomvu noma ukuphuma kwamanzi | Uma ubomvu noma olunye uketshezi luphuma enxebeni. |
| Imfiva | Uma unomkhuhlane. |
| Umsebenzi onzima | Uma uzizwa ukhathele ngendlela engavamile. |
Kuvamile ukuzizwa ukhathazekile futhi ukhathazekile lapho utshelwa ukuthi uzokwenziwa i-biopsy yemisipha. Futhi ngenkathi ulinde imiphumela, uzoba nezinto eziningi engqondweni yakho. Udokotela wakho uyaqonda konke lokhu. Ngakho - ke ungangabazi ukumbuza noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uma imiphumela iqinisekisa isimo sezokwelapha, cabanga ngaso njengesinyathelo sokuqala ohambweni lwakho lokululama. Kusukela lapho, udokotela wakho uzosebenza nawe ukudala uhlelo lokwelashwa olungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Muscle Biopsy iyindlela yokuhlola ephephile kakhulu esetshenziselwa ukuxilonga ngokunembile izifo ezihlobene nemisipha.
- Lokhu kuhlolwa kwenziwa kuphela ngemva kokunye ukuhlolwa okufana nokuhlolwa kwegazi kanye nokuskena, uma kudingeka ukufinyelela esiphethweni esiqondile ngalesi sifo.
- Noma yibuphi ubuhlungu ngesikhathi sokuhlolwa nangemva kokuhlolwa buyalawulwa kahle, ngakho ungakhathazeki ngokungadingekile ngakho.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlolwa.
- Uma uba nezimpawu zokutheleleka, njengokuvuvukala, ukubomvu, ubomvu, noma umkhuhlane, endaweni yokuhlolwa kwe-biopsy, yazisa udokotela wakho ngokushesha.
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