I-Synovial biopsy

I-synovial biopsy ukususwa kwesiqeshana sezicubu ezihlanganisa ilunga lokuhlolwa. Izicubu zibizwa ngokuthi ulwelwesi lwe-synovial.

Ukuhlolwa kwenziwa egumbini lokuhlinza, imvamisa ngesikhathi se-arthroscopy. Le yinqubo esebenzisa ikhamela elincane namathuluzi okuhlinza ukuhlola noma ukulungisa izicubu ezingaphakathi noma ezungeze ilunga. Ikhamera ibizwa nge-arthroscope. Ngesikhathi sale nqubo:

• Ungathola i-anesthesia ejwayelekile. Lokhu kusho ukuthi uzoba nezinhlungu futhi ulale ngesikhathi senqubo. Noma, ungathola i-anesthesia yesifunda. Uzobe uphapheme, kodwa isitho somzimba esihlangene siyoba ndikindiki. Kwezinye izimo, kunikezwa i-anesthesia yendawo, enqamula ilunga kuphela.
• Udokotela ohlinzayo usika kancane esikhunjeni eduze nejoyinti.
• Ithuluzi elibizwa ngokuthi i-trocar lifakwa ngokusebenzisa ukusika kujoyini.
• Ikhamera encane enokukhanya isetshenziselwa ukubheka ngaphakathi kwejoyinti.
• Ithuluzi elibizwa ngokuthi i-biopsy grasper bese lifakwa nge-trocar. I-grasper isetshenziselwa ukusika isiqeshana esincane sezicubu.
• Udokotela ohlinzayo ususa i-grasper kanye nezicubu. I-trocar nezinye izinsimbi ziyasuswa. Ukusikwa kwesikhumba kuvaliwe futhi kufakwa nebhandishi.
• Isampuli ithunyelwa ebhodini ukuze ihlolwe.

Landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungazilungiselela kanjani. Lokhu kungafaka ukungadli nokuphuza noma yini amahora ambalwa ngaphambi kwenqubo.

Ngomuthi wokubulala izinzwa wendawo, uzozizwa ubhoboza futhi ushise. Njengoba kufakwa i-trocar, kuzoba khona ukungakhululeki okuthile. Uma ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia yesifunda noma ejwayelekile, ngeke uyizwe inqubo.

I-Synovial biopsy isiza ukuxilonga i-gout kanye nezifo ezibangelwa amagciwane, noma ikhiphe ezinye izifo. Ingasetshenziselwa ukuxilonga iziyaluyalu zomzimba ezizimele njenge-rheumatoid arthritis, noma izifo ezingajwayelekile njengesifo sofuba noma ukutheleleka kwefungal.

Isakhiwo se-synovial membrane sijwayelekile.

I-Synovial biopsy ingakhomba lezi zimo ezilandelayo:

• I-synovitis yesikhathi eside (engapheli) (ukuvuvukala kolwelwesi lwe-synovial)
• ICoccidioidomycosis (isifo sokukhunta)
• Isifo samathambo
• Gout
• I-Hemochromatosis (ukwakheka okungavamile kwamadiphozi wensimbi)
• Isystemic lupus erythematosus (izifo ezizimele ezithinta isikhumba, amalunga, nezinye izitho)
• I-Sarcoidosis
• Isifo sofuba
• Umdlavuza weSynovial (uhlobo olungavamile kakhulu lomdlavuza wezicubu ezithambile)
• Isifo samathambo

Kunamathuba amancane kakhulu okutheleleka nokopha.

Landela imiyalelo yokugcina isilonda sihlanzekile futhi somile kuze kube yilapho umhlinzeki wakho ethi KULUNGILE ukusithambisa.

I-biopsy - ulwelwesi lwe-synovial; Isifo samathambo - i-synovial biopsy; I-Gout - i-synovial biopsy; Ukutheleleka okuhlangene - i-synovial biopsy; I-Synovitis - i-synovial biopsy

• I-Synovial biopsy

I-El-Gabalawy HS, iTanner S. Synovial fluid ihlaziya, i-synovial biopsy, kanye ne-synovial pathology. Ku: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, abahleli. Incwadi kaFirestein noKelley yeRheumatology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 56.

ENtshonalanga SG. I-Synovial biopsies. Ku: West SG, Kolfenbach J, abahleli. Izimfihlo ZeRheumatology. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 9.