Imisipha biopsy

I-biopsy yemisipha kukususwa kwesiqwengana seethishu zemisipha zoviwo.

Le nkqubo ihlala isenziwa ngelixa uvukile. Umboneleli wezempilo uya kufaka iyeza elibindayo (i-anesthesia yendawo) kwindawo ye-biopsy.

Zimbini iintlobo ze-biopsy yezihlunu:

• I-biopsy yenaliti ibandakanya ukufaka inaliti kwisihlunu. Xa inaliti isusiwe, intwana encinci yethishu iyahlala kuloo naliti. Kufuneka intonga yenaliti enye ukufumana isampulu enkulu ngokwaneleyo.
• I-biopsy evulekileyo ibandakanya ukusika okuncinci kulusu nakwisihlunu. Izicubu zemisipha emva koko ziyasuswa.

Emva koluphi na uhlobo lwe-biopsy, izicubu zithunyelwa kwilabhoratri ukuze zihlolwe.

Akukho lungiselelo lukhethekileyo ludla ngokufuneka. Ukuba uya kuba ne-anesthesia, landela imiyalelo yokungatyi okanye ukusela nantoni na ngaphambi kovavanyo.

Ngexesha le-biopsy, kuhlala kukho ukungakhululeki okuncinci okanye kungabikho kwaphela. Unokuziva uxinzelelo okanye utsala.

I-anesthetic ingatshisa okanye ihlaba xa ifakwe inaliti (ngaphambi kokuba indawo ibe ndindisholo). Emva kokuba i-anesthetic iphelile, loo ndawo ingaba buhlungu malunga neveki.

I-biopsy ye-muscle yenziwa ukufumanisa ukuba kutheni ubuthathaka xa ugqirha ekrokrela ukuba unengxaki yemisipha.

I-biopsy ye-muscle ingenziwa ukunceda ukuchonga okanye ukufumanisa:

• Izifo ezivuthayo zemisipha (ezinjenge-polymyositis okanye i-dermatomyositis)
• Izifo zethishu edibeneyo kunye nemithambo yegazi (enjenge-polyarteritis nodosa)
• Usulelo oluchaphazela izihlunu (ezinjenge-trichinosis okanye i-toxoplasmosis)
• Ukuphazamiseka kwemisipha okulindelwe njenge-muscular dystrophy okanye i-myopathy yokuzalwa
• Iziphene zeMetabolic kwezihlunu
• Iziphumo zamayeza, iityhefu, okanye ukuphazamiseka kwe-electrolyte

I-biopsy yemisipha inokwenziwa ukwazisa umahluko phakathi kokuphazamiseka kwemithambo-luvo kunye nezihlunu.

Imisipha esandula ukwenzakala, enje ngenaliti ye-EMG, okanye echaphazeleka kwimeko esele ikho, njengokucinezeleka kwentliziyo, akufuneki ikhethelwe i-biopsy.

Iziphumo eziqhelekileyo zithetha ukuba umsipha uqhelekile.

I-biopsy ye-muscle inokukunceda ukufumanisa le miqathango ilandelayo:

• Ukuphulukana nobunzima bemisipha (atrophy)
• Isifo semisipha esibandakanya ukudumba kunye nerhashalala yesikhumba (dermatomyositis)
• Ilifa lokuphazamiseka kwemisipha (njengeDuchenne muscular dystrophy)
• Ukudumba kwezihlunu
• Ezahlukeneyo zemisipha dystrophies
• Ukutshatyalaliswa kwemisipha (utshintsho lwe-myopathic)
• Ukufa kwethishu yemisipha (necrosis)
• Ukuphazamiseka okubandakanya ukudumba kwemithambo yegazi kunye nokuchaphazela izihlunu (necrotizing vasculitis)
• Ukulimala kwemisipha
• Izihlunu ezikhubazekileyo
• Isifo sokudumba esibangela ubuthathaka bemisipha, ukudumba ukuthamba, kunye nokonakala kwethishu (polymyositis)
• Iingxaki zemithambo-luvo ezichaphazela izihlunu
• Izicubu zemisipha phantsi kolusu (i-fascia) ziyadumba, zivutha, kwaye zingqingqwa (i-eosinophilic fasciitis)

Kukho iimeko ezongezelelweyo apho uvavanyo lunokwenziwa khona.

Imingcipheko yolu vavanyo incinci, kodwa inokubandakanya:

• Ukopha
• Ukuthuthuzela
• Umonakalo kwizihlunu zemisipha okanye ezinye izicubu ezikuloo ndawo (kunqabile kakhulu)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

I-Biopsy - umsipha

• Imisipha biopsy

I-Shepich JR. Imisipha biopsy. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahl. 188.

IWarner WC, iSawyer JR. Iingxaki ze-Neuromuscular. Ku: Azar FM, Beaty JH, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-14. IPhiladelphia, PA: Elsevier; 2021: isahluko 35.