Ukucubungula izinso

I-biopsy yezinso ukususwa kwengcezu encane yezicubu zezinso ukuze ihlolwe.

I-biopsy yezinso yenziwa esibhedlela. Izindlela ezimbili ezejwayelekile zokwenza i-biopsy yezinso zingena ngazimbili futhi zivulekile. Lokhu kuchazwe ngezansi.

I-biopsy enamandla

Izindlela ezithandwayo ngesikhumba. Iningi lezinso zezinso zenziwa ngale ndlela. Inqubo ivame ukwenziwa ngale ndlela elandelayo:

• Ungathola umuthi wokukwenza uzele.
• Ulala ngesisu. Uma unesinso esitshalwe kabusha, ulala ngomhlane.
• Udokotela umaka indawo esikhunjeni lapho kufakwa khona inaliti ye-biopsy.
• Isikhumba siyahlanzwa.
• Umuthi we-numbing (izinzwa) ujojowe ngaphansi kwesikhumba eduze kwendawo yezinso.
• Udokotela usika kancane esikhunjeni. Izithombe ze-Ultrasound zisetshenziselwa ukuthola indawo efanele. Kwesinye isikhathi kusetshenziswa enye indlela yokucabanga, efana ne-CT.
• Udokotela ufaka inaliti ye-biopsy esikhunjeni kuze kufike ebusweni bezinso. Uyacelwa ukuthi uthathe futhi ubambe umoya ojulile lapho inaliti ingena ezinso.
• Uma udokotela engasebenzisi ukuqondiswa kwe-ultrasound, ungacelwa ukuthi uthathe ukuphefumula okuningana. Lokhu kuvumela udokotela ukuthi azi ukuthi inaliti ikhona.
• Inaliti ingafakwa ngaphezu kwesisodwa uma kudingeka isampula lesisicubu esingaphezu kwesisodwa.
• Inaliti iyasuswa. Ingcindezi isetshenziswa kusayithi le-biopsy ukumisa noma yikuphi ukopha.
• Ngemuva kwenqubo, kusetshenziswa ibhandishi endaweni ye-biopsy.

Vula i-biopsy

Kwezinye izimo, udokotela wakho angancoma i-biopsy yokuhlinzwa. Le ndlela isetshenziswa lapho kudingeka isiqeshana esikhudlwana sezicubu.

• Uthola umuthi (i-anesthesia) ekuvumela ukuthi ulale futhi ungabi nezinhlungu.
• Udokotela ohlinzayo usika (ukusika) okuncane.
• Udokotela ohlinzayo uthola ingxenye yezinso lapho izicubu ze-biopsy zidinga ukuthathwa khona. Isicubu siyasuswa.
• Imbobo ivaliwe ngemithungo (ama-sutures).

Ngemuva kwe-biopsy enqamulelayo noma evulekile, ungahlala esibhedlela okungenani amahora ayi-12. Uzothola imithi yezinhlungu noketshezi ngomlomo noma ngomthambo (IV). Umchamo wakho uzohlolwa ukuthi awuphumi kakhulu. Ukopha okuncane kuvamile ngemuva kokuhlolwa komzimba.

Landela imiyalelo mayelana nokuzinakekela ngemuva kwe-biopsy. Lokhu kungafaka ukungaphakamisi noma yini esinda ngaphezu kwamakhilogremu ayi-4.5 (4 kilogram) amasonto ama-2 ngemuva kwe-biopsy.

Tshela umhlinzeki wakho wezempilo:

• Mayelana nemithi oyiphuzayo, kufaka phakathi amavithamini nezengezo, amakhambi, kanye nemithi ethengiswayo
• Uma kukhona komzimba
• Uma unenkinga yokopha noma uma uthatha imishanguzo yokunciphisa igazi efana ne-warfarin (Coumadin), i-clopidogrel (i-Plavix), i-dipyridamole (i-Persantine), i-fondaparinux (i-Arixtra), i-apixaban (i-Eliquis), i-dabigatran (i-Pradaxa), noma i-aspirin
• Uma ukhulelwe noma ucabanga ukuthi kungenzeka ukhulelwe

Kusetshenziswa umuthi wezinduna, ngakho-ke izinhlungu ngesikhathi senqubo zivame ukuba zincane. Umuthi onikindayo ungasha noma ulume lapho uqala ukujova.

Ngemuva kwenqubo, indawo ingazizwa ithenda noma ibuhlungu izinsuku ezimbalwa.

Ungabona igazi elikhanyayo, elibomvu emchameni phakathi namahora angama-24 okuqala ngemuva kokuhlolwa. Uma ukuphuma kwegazi kuhlala isikhathi eside, tshela umhlinzeki wakho.

Udokotela wakho angalawula i-biopsy yezinso uma une:

• Ukwehla okungaqondakali kokusebenza kwezinso
• Igazi emchameni olungapheli
• Amaprotheni emchameni otholakala ngesikhathi sokuhlolwa komchamo
• Isinso esitshalwe kabusha, esidinga ukubhekwa kusetshenziswa i-biopsy

Umphumela ojwayelekile kulapho izicubu zezinso zibonisa ukwakheka okujwayelekile.

Umphumela ongajwayelekile usho ukuthi kukhona ushintsho kwezicubu zezinso. Lokhu kungabangelwa:

• Ukutheleleka
• Ukugeleza kwegazi okubi ngezinso
• Izifo zezicubu ezixhuma njenge-systemic lupus erythematosus
• Ezinye izifo ezingahle zithinte izinso, njengesifo sikashukela
• Ukwenqatshwa kokufakelwa izinso, uma ngabe ubunokufakelwa kabusha

Izingozi zifaka:

• Ukopha okuvela ezinso (ezimweni ezingavamile, kungadinga ukumpontshelwa igazi)
• Ukopha emisipheni, okungadala ukudabuka
• Ukutheleleka (ingozi encane)

I-biopsy yezinso; I-Biopsy - izinso

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo
• I-biopsy yezinso

USalama AD, Cook HT. I-biopsy yezinso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Karl S, Philip AM, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

I-Topham PS, Chen Y. I-biopsy yezinso. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 6.