Ubuthathaka bubangelwa zizifo zengqondo, intambo yomgogodla, iimbilini ze-peripheral, i-neuromuscular junction, okanye i-muscle ngokwayo. Zininzi iintlobo ezahlukeneyo zezifo zomzimba.
Ukuze ufumane ingxaki ngokufanelekileyo ngxaki kwaye ngaloo ndlela unikeze unyango olufanelekileyo, ngamanye amaxesha inxalenye yesisipha kufuneka ifunyanwe ukuze ikhangele i-muscle echaphazelekayo phantsi kwe-microscope.
Ngamanye amaxesha, enyanisweni, kunokusadingeka isampuli enye, njengoko ezinye izifo zomzimba zingabandakanyeli umzimba wonke, kodwa kunokuba ube nokusabalalisa.
I-Muscle Biopsy yenziwe njani?
Kukho iindlela ezimbini eziphambili ze-biopsy muscle. Iyokuqala ibandakanya inaliti ye-biopsy efakwe kwilusu ibe yintsimi, ethatha isampuli encinane. Ngaphandle koko, ukukhangela kungenziwa kwesikhumba ukujonga kunye nokusika imisipha ngokuthe ngqo. Indlela yokugqibela ibizwa ngokuthi "i-biopsy evulekile." Nangona i-biopsi evulekile ibandakanyeka ngakumbi, ingavumela ukukhethwa kweesampula ngaphezulu xa kukho ukuphazamiseka kwemisipha. Kungakhathaliseki ukuba yiyiphi inqubo, isisombululo esincinci kuphela kufuneka sisuswe.
Indawo ye-biopsy ye-muscle ixhomekeke kwindawo yokubonakalisa ubuthathaka okanye intlungu. Iindawo eziqhelekileyo ziquka umlenze, i-biceps okanye imisipha yehlombe.
Ngubani Ofuna I-Biopsy Muscle?
Abantu abanobuthakathaka kunye neetoni eziphantsi ze-muscle bangaqwalaselwa nge-biopsy ye-muscle, kodwa ayisoloko isinyathelo sokuqala.
Ezinye iimvavanyo ezifana nezifundo zokuqhutyelwa kwamathambo okanye i-electromyography zingenziwa kuqala ukuba zichane ukuba ngaba imbangela iyenzi ngokwenene.
Ziziphi iintlobo zeZifo ezinokuthi zichongwe nge-Muscle Biopsy?
Izifo zomzimba ziquka iintlobo ezininzi ze- dystrophies ze- muscular, ezichaza intsholongwane yofuzo eyenza ukuphazamiseka kwemisipha.
Ezinye iintlobo eziqhelekileyo ziquka i-dystrophy ye-Duchenne kunye ne-Becker
I-Myositis ithetha ukuvuvukala kwemisipha, enokuthi ichongwe kwakhona phantsi kwe-microscope. Imizekelo ibandakanya i- polymyositis kunye ne- dermatomyositis.
I-biopsy ye-muscle nayo inokufumanisa izifo ezithile, njenge-trichinosis okanye i-toxoplasmosis.
Olu luhlu lunikeza imizekelo, kodwa aluzalisekanga. Oogqirha banokuphinde balayishe i-biopsy ye-muscle ngezinye izizathu.
Ziziphi iingozi ze-Muscle Biopsy?
I-biopsy ye-muscle ngokuqhelekileyo ithathwa njengenkqubo ekhuselekileyo yokuqapha. Nangona kunjalo, kukho iingozi. Iingxaki eziqhelekileyo ziquka ukubetha okanye intlungu kwisayithi ye-biopsy. Ukuphuma kwintsholongwane okanye nokuba nosuleleko kunokwenzeka, kufune ukuba oogqirha baqaphele ukuba baphephe iingxaki ezinjalo. Kufuneka uxelele ugqirha wakho ukuba ukhona nawaphi na amayeza enomgubo wegazi okanye unembali yokugula kwegazi.
Ndiya kwenza ntoni ngexesha leNkqubo?
Nangona kukho ukuhlukahluka kwindlela oogqirha abahlukene ngayo ukwenza i-biopsies ye-muscle, ngokubanzi ungalindela oku kulandelayo:
- Uya kucelwa ukuba ususe iimpahla zakho kwiziko le-biopsy.
- Uya kucelwa ukuba ulale ngexesha leenkqubo.
- Ulusu luya kucocwa.
- Ijoza lendawo yengxwaba liya kunikwa kwinqanaba lommandla. Unokuziva uqala ukuvakala kunye nokuvutha komzimba kunye neyeza elincinci.
- Ingaba inaliti ye-biopsy iya kufakwa, okanye ugqirha uya kusebenzisa i-scalpel ukwenza iincinci ezinqunywe ngesikhumba, kwaye izicucu ezincinci ziyakususwa usebenzisa isikhephe sokukhangela.
- Ukuvulwa kuya kuvalwa kunye neziqu xa kuyimfuneko.
- I-bandage eyinyumba iya kusetyenziswa.
Yintoni endiyenzayo ukuba ndiyenze emva kwe-Biopsy?
Kufuneka ugcine indawo ye-biopsy ihlambulukile kwaye iyomile. Olunye utyeshelo luqhelekile kwiintsuku ezimbalwa emva kwe-biopsy. Thatha amayeza njengoko kucetyiswa ngugqirha wakho ngentlungu. Qiniseka ukuba uqhagamshelane nodokotela wakho ukuba uhlakulela iimpawu zentsholongwane njengomkhuhlane, ubomvu, okanye umjelo kwiziko le-biopsy. Nabaye bazise ukuba unesihlungu okanye utyhafa.
Yintoni eyenzekayo kwiSample Sample?
I-muscle iya kukhangela ngamasu ahlukeneyo phantsi kwe-microscope. Iimichiza ezahlukeneyo zisetyenziselwa ukuchonga iimpawu zezifo ezahlukileyo. Ngokomzekelo, i- hematoxylin kunye ne-eosin zincedo ekufumaneni izifo ezivuthayo, i-Gomori trichrome stain ekulungele ukuchonga ukufakwa komzimba we-myositis, i-cytochrome oxidase ingakwazi ukubona izifo ze-mitochondrial, kunye ne-acid periodic Schiff stains ziyakwazi ukubona i-glycogen ne-carbohydrat disorders. Ziziphi iimvavanyo ezisetyenzisiweyo ziya kuxhomekeka kwiingxaki zakho zogqirha kwisifo esiyintloko.
I-biopsy ye-muscle ayisoloko isinyathelo sokugqibela ekuxilongweni. Ngokomzekelo, iintlobo ezahlukeneyo zezifo zingabonakala ezifanayo ngaphantsi kwe-microscope. Ngokomzekelo, kwezinye iimeko ukuhlolwa kofuzo kungafuneka. Nangona xa i-biopsy ye-muscle ingeyo isinyathelo sokugqibela, kunjalo, inokukhokela ukulungiswa kweemvavanyo ezongezelelweyo eziya kuqinisekisa ukuxilongwa okuthe ngqo.
Imithombo:
I-Ropper AH, i-Samuels MA. I-Adams kunye neMigaqo yeVictor ye-Neurology, 9th: I-McGraw-Hill Companies, Inc., 2009.