Kusokoneza impso

Kufufuza kwa impso ndiko kuchotsa kachidutswa kakang'ono ka impso kuti akaunike.

Kufufuza kwa impso kumachitika mchipatala. Njira ziwiri zodziwika bwino zopangira matenda a impso ndizokhazikika komanso zotseguka. Izi zafotokozedwa pansipa.

Zolemba zamagulu

Njira zowonjezera kudzera pakhungu. Zambiri za impso zimachitika motere. Njirayi imachitika motere:

• Mutha kulandira mankhwala kuti akuswenzereni.
• Mumagona pamimba. Ngati muli ndi impso zobzalidwa, mumagona chagada.
• Dokotala amalemba pomwe pakhungu limayikidwa singano ya biopsy.
• Khungu limatsukidwa.
• Mankhwala osungunula (jekeseni) amabayidwa pansi pa khungu pafupi ndi dera la impso.
• Adotolo amadula pakhungu. Zithunzi za Ultrasound zimagwiritsidwa ntchito kupeza malo oyenera. Nthawi zina njira ina yojambula, monga CT, imagwiritsidwa ntchito.
• Dokotala amalowetsa singano yopyola khungu kudzera pakhungu mpaka impso. Mukufunsidwa kuti mutenge mpweya wabwino pamene singano imalowa mu impso.
• Ngati dokotala sakugwiritsa ntchito malangizo a ultrasound, mungapemphedwe kuti mupume mpweya wambiri. Izi zimapangitsa dokotala kudziwa kuti singano ilipo.
• Singanoyo imatha kuyikidwapo kangapo ngati kuli kofunikira zitsanzo zingapo.
• Singano imachotsedwa. Anzanu amagwiritsidwa ntchito patsambalo kuti athetse magazi.
• Pambuyo pa ndondomekoyi, bandage imagwiritsidwa ntchito pa tsamba la biopsy.

Tsegulani zolemba

Nthawi zina, dokotala wanu amalimbikitsa kuti achite opaleshoni. Njirayi imagwiritsidwa ntchito pakufunika chidutswa chokulirapo.

• Mumalandira mankhwala (anesthesia) omwe amakupatsani mwayi wogona komanso osamva ululu.
• Dokotalayo amadula pang'ono (incision).
• Dokotalayo amapeza gawo la impso pomwe minofu ya biopsy imayenera kuchotsedwa. Minofuyo imachotsedwa.
• Kutsekedwa kumatsekedwa ndi timitengo (sutures).

Pambuyo polemba mwachidule kapena momasuka, mutha kukhala mchipatala kwa maola 12. Mukalandira mankhwala opweteka ndi madzi am'mkamwa kapena kudzera mumitsempha (IV). Mkodzo wanu udzafufuzidwa ngati muli ndi magazi ambiri. Kutaya magazi pang'ono kumakhala kwachilendo pambuyo polemba.

Tsatirani malangizo okhudza kudzisamalira pambuyo pa biopsy. Izi zitha kuphatikizira kukweza chilichonse cholemera kuposa mapaundi 10 (4.5 kilograms) kwa milungu iwiri chitatha.

Uzani wothandizira zaumoyo wanu:

• Za mankhwala omwe mukumwa, kuphatikiza mavitamini ndi zowonjezera mavitamini, mankhwala azitsamba, ndi mankhwala owonjezera pakauntala
• Ngati muli ndi chifuwa chilichonse
• Ngati muli ndi vuto lakukha magazi kapena ngati mumamwa mankhwala ochepetsa magazi monga warfarin (Coumadin), clopidogrel (Plavix), dipyridamole (Persantine), fondaparinux (Arixtra), apixaban (Eliquis), dabigatran (Pradaxa), kapena aspirin
• Ngati muli kapena mukuganiza kuti mutha kukhala ndi pakati

Mankhwala ogwiritsira ntchito mankwala amagwiritsidwa ntchito, chifukwa chake kupweteka komwe kumachitika nthawi zambiri kumakhala kochepa. Mankhwala ogodomalitsa amatha kuwotcha kapena kubaya mukayamba kubayidwa.

Pambuyo pochita izi, malowa amatha kumva kukoma kapena kupweteka kwa masiku angapo.

Mutha kuwona magazi ofiira ofiira mkodzo mkati mwa maola 24 oyamba mutayesedwa. Ngati magazi amatenga nthawi yayitali, uzani omwe akukuthandizani.

Dokotala wanu akhoza kuyitanitsa biopsy ya impso ngati muli:

• Kutsika kosadziwika kwa ntchito ya impso
• Magazi mu mkodzo omwe samachoka
• Mapuloteni mu mkodzo omwe amapezeka poyesa mkodzo
• Impso yosungidwa, yomwe imayenera kuyang'aniridwa pogwiritsa ntchito biopsy

Zotsatira zabwinobwino ndi pomwe minofu ya impso imawonetsa mawonekedwe abwinobwino.

Zotsatira zosazolowereka zikutanthauza kuti pamakhala kusintha kwa minofu ya impso. Izi zitha kuchitika chifukwa cha:

• Matenda
• Kutaya magazi koyipa kudzera mu impso
• Matenda olumikizirana monga systemic lupus erythematosus
• Matenda ena omwe atha kukhudza impso, monga matenda ashuga
• Kukanilidwa kwa impso, ngati mungakhale ndikuyika

Zowopsa ndi izi:

• Kutuluka magazi kuchokera ku impso (nthawi zambiri, kumafunikira kuthiridwa magazi)
• Kuthira magazi mu minofu, zomwe zingayambitse kupweteka
• Matenda (chiopsezo chochepa)

Aimpso biopsy; Chiwindi - impso

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo
• Zosokoneza bongo

Salama AD, Cook HT. Chiwopsezo cha impso. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Karl S, Philip AM, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: mutu 26.

Topham PS, Chen Y. Zosintha zamkati. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 6.