Ubuthakathaka bungabangelwa ukukhathazeka kobuchopho, intambo yomgogodla, izinzwa ze-peripheral, ukuhlangana kwe-neuromuscular, noma umsila ngokwawo. Kunezinhlobo eziningi ezihlukahlukene zezifo ze-muscle.
Ukuze uhlolisise kahle inkinga futhi ngaleyo ndlela unikeze ukwelashwa okufanele, ngezinye izikhathi ucezu lwesisipha kufanele litholakale ukuze ubheke imisipha ethintekile ngaphansi kwe-microscope.
Ngezinye izikhathi, empeleni, kungadingeka isampula esingaphezu kweyodwa, njengoba ezinye izifo ze-muscle azibandakanyi wonke umzimba, kodwa kunalokho ziba nokusabalalisa okuncane.
I-Muscle Biopsy Yenzani Kanjani?
Kunezinhlobo ezimbili eziyinhloko ze-muscle biopsy. Owokuqala uhilela inaliti ye-biopsy efakwe esikhumbeni ibe yisisipha, esithatha isampula encane. Ngaphandle kwalokho, ukuqubuka kungenziwa esikhumbeni ukubuka nokusika imisipha ngokuqondile. Indlela yokugcina ibizwa ngokuthi "i-biopsy evulekile." Nakuba ama-biopsi avulekile ahlangene kakhulu, angase avumele ukukhethwa kwesampula okungaphezulu uma kunezifo eziphazamisayo zomzimba. Kungakhathaliseki ukuthi yiyiphi inqubo, kuphela inani elincane lamathambo okufanele lisuswe.
Isayithi le-biopsy ye-muscle incike endaweni yezimpawu ezinjengobuthakathaka noma ubuhlungu. Izindawo ezivamile zihlanganisa ithanga, ibiceps noma imisipha yehlombe.
Obani Abadinga Ukuphikisana Kwemisipha?
Abantu abanobuthakathaka kanye nezwi eliphansi lemisipha bangabhekwa njenge-muscle biopsy, kodwa ngokuvamile akuyona isinyathelo sokuqala.
Okunye ukuhlolwa okufana nezifundo zokuqhutshwa kwesisindo noma i-electromyography kungenziwa kuqala ukucacisa ukuthi imbangela impela imisipha ngokwayo.
Yiziphi izinhlobo zezifo ezingabonakala nge-muscular biopsy?
Izifo ze-muscle zihlanganisa izinhlobo eziningana zama- dystrophies ezinama-muscular , okusho ukuthi i-genetic disorder eyabangela ukuhlukana kwemisipha.
Ezinye izinhlobo ezivamile zihlanganisa i-dystrophy ye-Duchenne ne-Becker's muscular dystrophy
I-Myositis kusho ukuvuvukala kwemisipha, okungase kubonakale ngaphansi kwe-microscope. Izibonelo zihlanganisa i- polymyositis ne- dermatomyositis.
I-muscle biopsy nayo ingathola izifo ezithile, njenge-trichinosis noma i-toxoplasmosis.
Lolu hlu lunikeza izibonelo, kodwa aluphelele. Odokotela bangase bahlele futhi i-biopsy ye-muscle ngezinye izizathu.
Yiziphi Izingozi Ze-Muscle Biopsy?
I-biopsy yama-muscle ngokuvamile ibhekwa njengendlela ephephile nencane yokuhlinzwa. Nokho, kunezingozi ezithile. Izinkinga ezivame kakhulu zihlanganisa ukulimaza noma ubuhlungu esakhiweni se-biopsy. Ukuphuma kwegazi isikhathi eside noma ngisho nokutheleleka nakho kungenzeka, okudinga odokotela ukuba bathathe izinyathelo zokugwema izinkinga ezinjalo. Kumele utshele udokotela wakho uma kukhona noma yimaphi imishanguzo yegazi noma unomlando wesifo sokugaya igazi.
Ngizokwenzani Phakathi Nendlela?
Ngenkathi kukhona ukuhluka okuhlukile ukuthi odokotela abahlukene benza kanjani ama-biopsies emisipha, ngokuvamile ungalindela lokhu okulandelayo:
- Uzocelwa ukuba ususe izingubo zakho eduze nesayithi le-biopsy.
- Uzocelwa ukuba uqambe amanga ngesikhathi senqubo.
- Isikhumba sizohlanzwa.
- Umjovo wendawo wezokwelapha uzonikezwa ukuba unqotshwe endaweni. Ungase uzizwe unesizwa sokuqala esivuthayo nesivuthayo nemithi ephazamisayo.
- Kungenzeka ukuthi inaliti ye-biopsy ifakwe, noma udokotela uzosebenzisa isikhumba se-scalpel ukwenza isikhumba esincane esikhumbeni, futhi izingcezu ezincane zomsila zizosuswa besebenzisa isikebhe sokuhlinza.
- Ukuvulwa kuzovaliwe ngeziqu uma kunesidingo.
- I-bandage oyinyumba izosetshenziselwa.
Yini Okufanele Ngiyenze Ngemuva Kokuqeda I-Biopsy?
Kufanele ugcine indawo ye-biopsy ihlanzekile futhi isomile. Olunye uzwela luvame ezinsukwini ezimbalwa emva kwe-biopsy. Thatha imithi njengoba okuphakanyiswa udokotela wakho ngenxa yobuhlungu. Qinisekisa ukuthi uxhumane nodokotela wakho uma uhlakulela izimpawu zokutheleleka njengemfiva, ubomvu, noma amanzi kusuka kusayithi le-biopsy. Futhi ubazise uma unomunyu ophuthumayo noma uphepha.
Kwenzekani Esikhathini Sokusikisela Kwemisipha?
I-muscle izobukwa ngamasu ahlukene ngaphansi kwe-microscope. Amakhemikhali ahlukene asetshenziselwa ukukhomba izimpawu zezifo ezehlukene. Isibonelo, i- hematoxylin ne-eosin iyasiza ekutholeni izifo ezivuthayo, i-Gomori trichrome stain inhle ekuboneni ukufakwa komzimba we-myositis, i-cytochrome oxidase ingakwazi ukubona izifo ze-mitochondrial, futhi izikhathi ezithile ze-acid Schiff zingakwazi ukuthola ukukhathazeka kwesitoreji se-glycogen ne-carbohydrate. Yikuphi ukuhlolwa okusetshenzisiwe kuzokuxhomeka kokusola kukadokotela wakho ngenxa yesisusa esiyinhloko sesifo.
I-biopsy ye-muscle akuyona njalo isinyathelo sokugcina ekuxilongweni. Isibonelo, izinhlobo ezahlukene zezifo zingabonakala ezifanayo ngaphansi kwe-microscope. Isibonelo, kwezinye izimo ukuhlolwa kofuzo kungadingeka. Ngisho noma ngabe i-muscle biopsy ayiyona isinyathelo sokugcina, noma kunjalo, ingaqondisa ukuhlelwa kwezivivinyo ezengeziwe ezizoqinisekisa ukuxilongwa okuqondile.
Imithombo:
I-Ropper AH, ama-Samuels MA. Adams kanye Nemigomo kaVictor ye-Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.