Ingqondo Biopsy

Umxholo

• Kutheni kwenziwa i-nerve biopsy
• Yeyiphi imingcipheko ye-biopsy ye-nerve?
• Uyilungiselela njani i-biopsy ye-nerve
• Indlela eyenziwa ngayo i-nerve biopsy
• Imithambo-luvo yengqondo
• Ukukhetha i-motor biopsy ekhethiweyo
• Fascicular luvo biopsy
• Emva kwe-biopsy ye-nerve

Yintoni i-nerve biopsy?

I-biopsy ye-nerve yinkqubo apho isampulu encinci ye-nerve isuswe emzimbeni wakho kwaye yavavanywa elebhu.

Kutheni kwenziwa i-nerve biopsy

Ugqirha wakho unokucela i-nerve biopsy ukuba ufumana ukuphazamiseka, intlungu, okanye ubuthathaka kwimida yakho. Unokufumana ezi mpawu kwiminwe yakho okanye kwiinzwane zakho.

I-biopsy ye-nerve inokunceda ugqirha wakho ukuba abone ukuba iimpawu zakho zibangelwa:

• umonakalo kwi-myelin sheath, egubungela imithambo-luvo
• umonakalo kwiimbilini ezincinci
• Ukutshatyalaliswa kwe-axon, ulwandiso olufana nefayibha yeseli yomthambo enceda ukuphatha imiqondiso
• imithambo-luvo

Iimeko ezininzi kunye nokungasebenzi kakuhle kwemithambo-luvo kunokuchaphazela iimbilini zakho. Ugqirha wakho unoku-odola i-biopsy ye-nerve ukuba bakholelwa ukuba unokuba yenye yezi meko zilandelayo:

• i-neuropathy yotywala
• ukungasebenzi kakuhle kwemithambo-luvo
• i-brachial plexus neuropathy, echaphazela igxalaba eliphezulu
• Isifo seCharcot-Marie-Tooth, isifo semfuza esichaphazela imithambo yoluvo
• ukungasebenzi kakuhle kwemithambo-luvo, njengokuwohloka kwenyawo
• ukungasebenzi kakuhle kwemithambo-luvo
• mononeuritis multiplex, echaphazela ubuncinci iindawo ezimbini ezahlukeneyo zomzimba
• mononeuropathy
• necrotizing vasculitis, eyenzeka xa kudonga imithambo yegazi
• i-neurosarcoidosis, isifo esinganyangekiyo esidumbayo
• ukungasebenzi kakuhle kwemithambo-luvo
• ukungasebenzi kakuhle kwethambo

Yeyiphi imingcipheko ye-biopsy ye-nerve?

Umngcipheko omkhulu onxulunyaniswa ne-nerve biopsy ngumonakalo wexesha elide. Kodwa oku kunqabile kakhulu kuba ugqirha wakho wotyando uya kuba ngononophelo olukhulu xa ukhetha ukuba yeyiphi na imithambo-luvo kwi-biopsy. Ngokwesiqhelo, i-nerve biopsy iya kwenziwa esihlahleni okanye iqatha.

Kuqhelekile ukuba indawo encinci ejikeleze i-biopsy ihlale ipholile malunga neenyanga ezi-6 ukuya kwezi-12 emva kwenkqubo. Ngamanye amaxesha, ukulahleka kwemvakalelo kuya kuba sisigxina. Kodwa ngenxa yokuba indawo incinci kwaye ayisetyenziswanga, uninzi lwabantu alukhathazwa yiyo.

Eminye imingcipheko inokubandakanya ukungakhululeki okuncinci emva kwe-biopsy, ukusabela okungafunekiyo kwi-anesthetic, kunye nosulelo. Thetha nogqirha wakho malunga nendlela yokunciphisa umngcipheko.

Uyilungiselela njani i-biopsy ye-nerve

Ii-Biopsies azidingi kulungiselelwa kakhulu umntu ophilwayo. Kodwa kuxhomekeke kwimeko yakho, ugqirha unokucela ukuba:

• kuvavanywe ngokomzimba kunye nembali yonyango epheleleyo
• yeka ukuthatha nawaphi na amayeza achaphazela ukopha, njengokunciphisa iintlungu, ii-anticoagulants, kunye nezinye izongezo
• utsale igazi lakho ukuze kwenziwe uvavanyo lwegazi
• yeka ukutya nokusela ukuya kuthi ga kwiiyure ezisibhozo ngaphambi kwenkqubo
• lungiselela ukuba umntu akugoduse

Indlela eyenziwa ngayo i-nerve biopsy

Ugqirha wakho unokukhetha kwiintlobo ezintathu ze-biopsies ye-nerve, kuxhomekeke kwindawo apho uneengxaki. Oku kubandakanya:

• luvo biopsy luvo
• i-motor biopsy ekhethiweyo
• fascicular luvo biopsy

Kuhlobo ngalunye lwe-biopsy, uya kunikwa i-anesthetic yendawo ephazamisa indawo echaphazelekayo. Uya kuhlala uphaphile kuyo yonke inkqubo. Ugqirha wakho uya kwenza isicatshulwa esincinci kwaye asuse isahlulo esincinci se-nerve. Emva koko baya kuvala i-incision nge-stitches.

Inxalenye yesampulu yemithambo-luvo iya kuthunyelwa elebhu ukuvavanywa.

Imithambo-luvo yengqondo

Kule nkqubo, ipaki ye-1-intshi ye-luvo yoluvo iyasuswa kwiqatha lakho okanye kwi-shin. Oku kunokubangela ukuphazamiseka okwethutyana okanye okusisigxina kwinxalenye ephezulu okanye kwicala lonyawo, kodwa akubonakali kakhulu.

Ukukhetha i-motor biopsy ekhethiweyo

I-motor nervo yinto elawula umsipha. Le nkqubo yenziwa xa inzwa yemoto ichaphazelekile, kwaye isampulu ithathwa ngokuthe ngqo kwithambo kwithanga elingaphakathi.

Fascicular luvo biopsy

Ngethuba lale nkqubo, i-nerve iyavezwa kwaye yahlulwe. Icandelo ngalinye linikwa amandla amancinci ombane ukumisela ukuba yeyiphi na imithambo-luvo yemvakalelo ekufuneka isuswe.

Emva kwe-biopsy ye-nerve

Emva kwe-biopsy, uya kuba nenkululeko yokushiya iofisi kagqirha kwaye uhambe malunga nosuku lwakho. Kungathatha ukuya kwiiveki ezininzi ukubuya kweziphumo ezivela elebhu.

Kuya kufuneka ukhathalele inxeba lotyando ngokuligcina licocekile kwaye libotshiwe de ugqirha wakho akhuphe umthungo. Qiniseka ukuba ulandela imiyalelo kagqirha wakho ekukhathaleleni inxeba lakho.

Xa iziphumo zakho ze-biopsy zibuya kwilebhu, ugqirha wakho uya kucwangcisa ukuqeshwa kokulandela ukuze axoxe ngeziphumo. Kuxhomekeke kwiziphumo, unokufuna olunye uvavanyo okanye unyango kwimeko yakho.