Isifo sezintso

I-biopsy yezintso kukususwa kweqhekeza elincinci lezintso kuviwo.

I-biopsy yezintso yenziwa esibhedlele. Ezona ndlela zimbini ziqhelekileyo zokwenza i-biopsy yezintso zihamba gwenxa kwaye zivulekile. Ezi zichazwe ngezantsi.

I-biopsy yamandla

Iindlela ezithandwayo kusetyenziswa ulusu. Uninzi lwezinto eziphilayo zezintso zenziwa ngale ndlela. Inkqubo ihlala isenziwa ngale ndlela ilandelayo:

• Unokufumana iyeza lokukwenza wozele.
• Ulala ngesisu. Ukuba unesifo sezintso esifakelweyo, ulala ngomqolo.
• Ugqirha uphawula indawo eluswini apho inaliti ye-biopsy ifakwe khona.
• Ulusu luyacocwa.
• Iyeza lokuthambisa (iyeza) lifakwe phantsi kolusu kufutshane nendawo yezintso.
• Ugqirha usika isikhumba kancinci. Imifanekiso ye-Ultrasound isetyenziselwa ukufumana indawo efanelekileyo. Ngamanye amaxesha kusetyenziswa enye indlela yokucinga, enjenge-CT.
• Ugqirha ufaka inaliti ye-biopsy kulusu kumphezulu wezintso. Uyacelwa ukuba uthathe kwaye ubambe umphefumlo ophefumlayo njengoko inaliti ingena kwizintso.
• Ukuba ugqirha akasebenzisi ulwalathiso lwe-ultrasound, unokucelwa ukuba uthathe ukuphefumla okunzulu okuninzi. Oku kuvumela ugqirha ukuba azi ukuba inaliti ikho.
• Inaliti inokufakwa ngaphezulu kwesinye ukuba kufuneka ngaphezulu kwesampulu enye yethishu.
• Inaliti iyasuswa. Uxinzelelo lusetyenziswa kwindawo ye-biopsy ukunqanda ukopha.
• Emva kwenkqubo, ibhandeji isetyenziselwa indawo ye-biopsy.

Vula i-biopsy

Kwezinye iimeko, ugqirha wakho unokuncoma i-biopsy yokuhlinzwa. Le ndlela isetyenziswa xa kukho iqhekeza elikhulu lezihlunu.

• Ufumana iyeza (i-anesthesia) elikuvumela ukuba ulale kwaye ungabinazintlungu.
• Ugqirha wenza ukusika okuncinci kotyando (ukusikwa).
• Ugqirha ubeka indawo yezintso apho izicwili ze-biopsy kufuneka zithathwe khona. Izicubu ziyasuswa.
• Incision ivaliwe ngemithungo (sutures).

Emva kwe-biopsy evulekileyo okanye evulekileyo, uya kuhlala esibhedlele okungenani iiyure ezili-12. Uya kufumana amayeza entlungu kunye nolwelo ngomlomo okanye ngomthambo (IV). Umchamo wakho uya kujongwa ukuba wopha kakhulu. Inani elincinci lokuphuma kwegazi liqhelekileyo emva kokuvavanywa.

Landela imiyalelo malunga nokuzikhathalela emva kwe-biopsy. Oku kunokubandakanya ukungaphakamisi nantoni na enobunzima obungaphezu kweekhilogram ezili-10 (4.5 kilogram) kangangeeveki ezi-2 emva kokuba kwenziwe i-biopsy.

Xelela umboneleli wakho wezempilo:

• Malunga namayeza owathathayo, kubandakanya iivithamini kunye nezongezo, amayeza esintu, kunye namayeza awathengisayo
• Ukuba unayo i-aleji
• Ukuba uneengxaki zokopha okanye ukuba uthatha amayeza okucoca igazi afana ne-warfarin (Coumadin), clopidogrel (Plavix), dipyridamole (Persantine), fondaparinux (Arixtra), apixaban (Eliquis), dabigatran (Pradaxa), okanye aspirin
• Ukuba u okanye ucinga ukuba unokukhulelwa

Amayeza okubala asetyenziswa, ke iintlungu ngexesha lenkqubo zihlala zincinci. Iyeza eliqaqanjiswayo linokutsha okanye lihlabe xa kuqala kufakwe inaliti.

Emva kwenkqubo, indawo inokuziva ithenda okanye ibuhlungu iintsuku ezimbalwa.

Unokubona igazi elibomvu, elibomvu kumchamo ngexesha leeyure ezingama-24 zokuqala emva kovavanyo. Ukuba ukuphuma kwegazi kuhlala ixesha elide, xelela umboneleli wakho.

Ugqirha wakho unokuyalela i-biopsy yezintso ukuba unayo:

• Ukuhla okungachazwanga ekusebenzeni kwezintso
• Igazi kumchamo olungapheliyo
• Iiprotheni kumchamo ofunyenwe ngexesha lovavanyo lomchamo
• Intso efakelweyo, efuna ukubekwa esweni kusetyenziswa i-biopsy

Iziphumo eziqhelekileyo kuxa izicwili zezintso zibonisa ukwenziwa kwesiqhelo.

Iziphumo ezingaqhelekanga zithetha ukuba kukho utshintsho kwizicubu zezintso. Oku kunokuba ngenxa:

• Usulelo
• Ukungahambi kakuhle kwegazi kwizintso
• Izifo ezinxulumene nezicubu ezinje ngenkqubo ye lupus erythematosus
• Ezinye izifo ezinokuthi zichaphazele izintso, ezinje ngesifo seswekile
• Ukhatywa kwezintso, ukuba ubunokufakelwa

Iingozi zibandakanya:

• Ukopha kwizintso (kwiimeko ezinqabileyo, kunokufuna ukufakelwa igazi)
• Ukopha kwimisipha, enokubangela ukudakumba
• Usulelo (umngcipheko omncinci)

I-biopsy yezintso; Biopsy - izintso

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo
• I-biopsy yezintso

Salama AD, Pheka i-HT. I-biopsy yezintso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Karl S, Philip AM, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

I-Topham PS, u-Chen Y. I-biopsy ye-renal. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 6.