Aimpso biopsy: zikuwonetsa, momwe zimachitikira ndikukonzekera

Zamkati

• Zikuonetsa aimpso biopsy
• Momwe zimachitikira
• Kukonzekera aimpso biopsy
• Contraindications ndi zotheka zovuta

Kupsyinjika kwa impso ndikowunika kwamankhwala komwe kumatengedwa pang'ono zazing'ono za impso kuti zikafufuze matenda omwe amakhudza impso kapena kutsagana ndi odwala omwe adalowetsedwa impso, mwachitsanzo. Biopsy iyenera kuchitidwa kuchipatala ndipo munthuyo ayenera kuyang'aniridwa kwakanthawi kwa maola 12 kuti adotolo athe kuwunika momwe munthuyo asinthira komanso kuchuluka kwa magazi mkodzo.

Musanachite biopsy, m'pofunika kuyesa mayeso ena, monga coagulogram ndi mkodzo, kuphatikiza pa ultrasound ya impso, kuti muwone ngati pali zotupa, mawonekedwe a impso ndi impso, motero, fufuzani ngati zingatheke zofufuza. Kugwiritsa ntchito njirayi sikuwonetsedwa ngati munthuyo ali ndi impso imodzi, ali ndi zizindikiritso za matenda, ali ndi hemophilic kapena ali ndi impso za polycystic.

Zikuonetsa aimpso biopsy

Nephrologist amatha kuwonetsa magwiridwe antchito a aimpso pomwe kuchuluka kwa mapuloteni ndi / kapena magazi zimawonedwa mumkodzo wosadziwika, ngati kulephera kwa impso komwe sikukuyenda bwino ndikatha kupatsidwa impso kuti athe kuwunika wodwalayo.

Chifukwa chake, biopsy ya impso imawonetsedwa kuti ifufuze matenda omwe amakhudza impso ndikutsimikizira matendawa, monga:

• Pachimake kapena matenda aimpso kulephera;
• Glomerulonephritis;
• Lupus nephritis;
• Impso kulephera.

Kuphatikiza apo, kupsyinjika kwa impso kumatha kuwonetsedwa kuti iwunikire kuyankha kwa matendawa kuchipatala ndikuwonetsetsa kukula kwa impso.

Osati nthawi iliyonse pakakhala kusintha pazotsatira ndikofunikira kuti apange biopsy. Ndiye kuti, ngati munthuyo ali ndi magazi mumkodzo, kusintha kwa creatinine kapena mapuloteni mumkodzo padera ndipo samatsata matenda oopsa, mwachitsanzo, biopsy sichiwonetsedwa. Kuphatikiza apo, palibe chifukwa chochitira biopsy ngati chifukwa chokhudzidwa ndi impso chikudziwika.

Momwe zimachitikira

Biopsy iyenera kuchitidwa kuchipatala, pomwe mankhwala oletsa ululu am'deralo amagwiritsidwa ntchito kwa odwala achikulire omwe amathandizana ndi ndondomekoyi kapena kutonthoza ana kapena akulu omwe sagwirizane. Njirayi imatenga pafupifupi mphindi 30, komabe ndikulimbikitsidwa kuti wodwalayo azikhala mchipatala kwa maola 8 mpaka 12 chitachitika kuti dokotala athe kuwunika momwe munthuyo akuyankhira pamayeso ake.

Asanachitike, ultrasound ya impso ndi kwamikodzo imagwiridwa kuti iwone ngati pali zosintha zilizonse zomwe zimasokoneza kapena kuonjezera chiopsezo cha mayeso. Kuphatikiza apo, kuyezetsa labotale kumachitika, monga chikhalidwe chamagazi, coagulogram ndi kuyesa kwamkodzo kuti muwone ngati zingatheke kuchita biopsy popanda zovuta zilizonse.

Ngati zonse zikutsatira, munthuyo amamuyika atagona pamimba pake ndikuwunikanso mothandizidwa ndi chithunzi cha ultrasound, chomwe chimalola kuzindikira malo abwino oyikapo singano. Singanoyo imakoka chitsanzo cha minofu ya impso, yomwe imatumizidwa ku labotale kuti ikawunikidwe. Nthawi zambiri, zitsanzo ziwiri zimatengedwa m'malo osiyanasiyana a impso kuti zotsatira zake zikhale zolondola.

Pambuyo pa biopsy, wodwalayo ayenera kukhala mchipatala kuti amuyang'anitsidwe ndipo palibe chiopsezo chotaya magazi pambuyo pa ndondomekoyi kapena kusintha kwa kuthamanga kwa magazi. Ndikofunikira kuti wodwalayo adziwitse adotolo za zizindikilo zilizonse zomwe amapereka pambuyo pa biopsy, monga kukodza kukodza, kuzizira, kupezeka kwa magazi mumkodzo patadutsa maola 24 chichitikireni, kukomoka kapena kuwonjezeka kupweteka kapena kutupa kwa malo pomwe kuunika kunachitika.

Kukonzekera aimpso biopsy

Kuti muchite kafukufukuyu, tikulimbikitsidwa kuti tisamamwe mankhwala aliwonse monga ma anticoagulants, platelet anti-aggregating agents kapena anti-inflammatory mankhwala osachepera sabata imodzi isanachitike. Kuphatikiza apo, adotolo amalimbikitsa kupanga impso za ultrasound kuti aone ngati pali impso imodzi yokha, zotupa, zotupa, impso za fibrotic kapena zopinimbira zomwe ndizotsutsana ndi mayeso.

Contraindications ndi zotheka zovuta

Aimpso biopsy sichiwonetsedwa ngati ili ndi impso imodzi, impso za atrophied kapena polycystic, mavuto am'magulu am'magazi, matenda oopsa osagwirizana kapena matenda am'mimba.

Impso biopsy ndizowopsa, ndipo palibe zovuta zambiri zomwe zimakhudzana. Komabe, mwa ena ndizotheka kuti pali magazi. Chifukwa cha izi, tikulimbikitsidwa kuti munthuyo akhalebe mchipatala kuti dokotala awone kupezeka kwa chizindikiro chilichonse chosonyeza kutuluka magazi mkati.