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Ka wehewehe ʻana o ka biopsy muscle
La biopsy mākala he hoʻokolohua e pili ana i ka wehe ʻana i kahi ʻāpana ʻiʻo e nānā ai.
No ke aha e hana ai i kahi biopsy muscle?
Hana ʻia ka biopsy muscle me ka manaʻo e ʻike a ʻike paha i nā kūlana he nui, e like me:
- o ka nā maʻi pili a me nā moku koko
- nā maʻi e pili ana i nā ʻiʻo, e like me toxoplasmosis
- nā maʻi ʻiʻo, e like me dystrophy muscular ai ole ia, he ʻo ka myopathy hānau
- ai ole ia, he hemahema metabolic ʻiʻo (metabolic myopathies).
ʻO ka papa
Hanaʻia ka biopsy muscle ma kahi kikowaena kūikawā. Hana ke kauka i kahi anesthesia kūloko ma ka ʻili, ma ke kiʻekiʻe o ka wahi hoʻohālike, ma mua o ka hana ʻana i ka biopsy. ʻO ke koho ʻana o ka ʻiʻo i ka biopsy e alakaʻi ʻia e ka hoʻokolohua lapaʻau o ke kauka a koi paha i kame ka hoʻohana ʻana i kahi MRI or mīkini ʻimi ʻiʻo mua. E hoʻomaopopo ʻo ka ʻiʻo e hana ʻia i kahi biopsy pono e hōʻike i ka pōʻino hōʻailona, akā ʻaʻole pono e hōʻino nui ʻia, i hiki i ke kauka ke loaʻa i ka nui o nā kiko e nānā ai.
ʻO ke ʻano biopsy mua ka hoʻokomo ʻana i kahi nila i loko o ka ʻiʻo (superficial) a wehe koke iā ia i ka wā i wehe ʻia ai kahi ʻāpana ʻiʻo.
ʻO ke ʻano ʻelua, ʻo ia ka hana ʻana i kahi ʻoki (1,5 a 6 knm) i ka ʻili a me ka ʻiʻo e wehe i kahi ʻāpana ʻiʻo. Hana ʻia kahi humuhumu e pani i ka ʻoki. ʻAʻole pono ia ma ka ʻōpū ʻole. ʻAʻole koʻikoʻi nā hopena ʻaoʻao, maʻamau ka ʻeha a me ka manaʻo o ka ʻoʻoleʻa.
Hoʻouna ʻia nā ʻāpana ʻiʻo i hōʻiliʻili ʻia i ka hale hana no ka nānā ʻana (ke aʻo ʻana i ka ʻiʻo ʻiʻo ma lalo o kahi microscope, ka nānā ʻana i nā protein muscle e immunohistochemistry, genetic analysis, etc.). ʻO ka nānā ʻana ma lalo o kahi microscope hiki ke ʻike i ke ʻano o nā ʻeha (hiki ke ʻike ʻia nā hōʻailona o ka necrosis).
nā hualoaʻa
Hiki i ka biopsy muscle ke kōkua i ke kauka e ʻike i kēia mau kūlana, e like me:
- a huakai (nalo o ka ʻiʻo nui)
- a ʻo ka myopathy inflammatory (ka hū ʻana o ka ʻiʻo ʻiʻo)
- a ʻO Duchenne muscular dystrophy (ka maʻi hoʻoilina i hōʻike ʻia e ka nāwaliwali a me ka degeneration o nā ʻiʻo ma muli o ka nele o ka protein dystrophin) a i ʻole nā genetic myopathy
- a necrosis ʻiʻo
Ma muli o nā hopena, hiki i ke kauka ke ʻike i kahi maʻi a manaʻo paha i kahi lapaʻau kūpono a i ʻole ka hoʻokele kūpono.
Heluhelu pū kekahi: ʻO kā mākou pepa maoli i ka toxoplasmosis E aʻo hou e pili ana i ka myopathy |