I-synovial biopsy

I-synovial biopsy kukususwa kwesiqwengana setishu esifakwe ngokudibeneyo kuviwo. Izicubu zibizwa ngokuba yinwebu ye-synovial.

Uvavanyo lwenziwa kwigumbi lokusebenza, rhoqo ngexesha le-arthroscopy. Le yinkqubo esebenzisa ikhamera encinci kunye nezixhobo zoqhaqho ukuvavanya okanye ukulungisa izicwili ngaphakathi okanye ngeenxa zonke kwilungu. Ikhamera ibizwa ngokuba yiarthroscope. Ngexesha lale nkqubo:

• Unokufumana i-anesthesia ngokubanzi. Oku kuthetha ukuba awuyi kuba nazintlungu kwaye ulale ngexesha lenkqubo. Okanye, unokufumana i-anesthesia yengingqi. Uyakuvuka, kodwa ilungu lomzimba nelidibeneyo liya kuba ndindisholo. Kwezinye iimeko, i-anesthesia yendawo inikezelwa, ephazamisa kuphela idibeneyo.
• Ugqirha usika isikhumba esincinci kufutshane nelungu.
• Isixhobo esibizwa ngokuba yi-trocar sifakwa ngokusikwa kwilungu.
• Ikhamera encinci enokukhanya isetyenziselwa ukujonga ngaphakathi kwilungu.
• Isixhobo esibizwa ngokuba yi-biopsy grasper emva koko sifakwa kwi-trocar. I-grasper isetyenziselwa ukusika isiqwenga seethishu.
• Ugqirha uyayisusa i-grasper kunye nezicubu. Itrokar kunye nezinye izixhobo ziyasuswa. Ukunqunyulwa kolusu kuvaliwe kwaye kufakwa nebhandeji.
• Isampulu ithunyelwa kwilebhu yoviwo.

Landela imiyalelo yomboneleli wakho wezempilo ngendlela yokulungiselela. Oku kunokubandakanya ukungatyi nokusela nantoni na iiyure ezininzi ngaphambi kwenkqubo.

Nge-anesthetic yendawo, uya kuziva ngathi uhlaba kwaye uyatsha. Njengoko i-trocar ifakiwe, kuya kubakho ukungonwabi. Ukuba utyando lwenziwa phantsi kwe-anesthesia yengingqi okanye ebanzi, ngekhe uyive inkqubo.

I-Synovial biopsy inceda ukufumanisa isifo kunye nosulelo lwebacteria, okanye ikhuphe ezinye izifo. Ingasetyenziselwa ukufumanisa ukuphazamiseka komzimba okuzenzekelayo njenge-rheumatoid arthritis, okanye ukusuleleka okungaqhelekanga njengesifo sofuba okanye ukusuleleka kwezifo.

Isakhiwo se-synovial membrane siqhelekile.

I-synovial biopsy inokuchonga le miqathango ilandelayo:

• Ixesha elide (elingapheliyo) i-synovitis (ukudumba kwenwebu ye-synovial)
• ICoccidioidomycosis (usulelo lokungunda)
• Isifo samathambo
• Igawuthi
• I-Hemochromatosis (ukwakheka okungaqhelekanga kwedipozithi yentsimbi)
• Inkqubo ye-lupus erythematosus (isifo se-autoimmune esichaphazela ulusu, amalungu kunye namanye amalungu)
• I-Sarcoidosis
• Isifo sephepha
• Umhlaza weSynovial (uhlobo olunqabileyo kakhulu lomhlaza wethambo)
• Irheumatoid Arthritis

Kukho amathuba amancinci kakhulu osulelo kunye nokopha.

Landela imiyalelo yokugcina inxeba licocekile kwaye lomile de umboneleli wakho athi KULUNGILE ukulifumana limanzi.

Biopsy - inwebu yangaphakathi; I-rheumatoid arthritis - i-synovial biopsy; Igawuthi - i-synovial biopsy; Usulelo ngokudibeneyo - i-synovial biopsy; I-Synovitis-synovial biopsy

• I-synovial biopsy

U-El-Gabalawy HS, uTanner S. Synovial fluid uhlalutyo, i-synovial biopsy, kunye ne-synovial pathology. Ku: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, ii-eds. Incwadi kaFirestein kunye neKelley yeRheumatology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 56.

ENtshona SG. Iimpawu ze-synovial biopsies. Ku: West SG, Kolfenbach J, ii-eds. Iimfihlo zeRheumatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahl 9.