I-renal biopsy: izinkomba, ukuthi kwenziwa kanjani futhi kulungiselelwa

-Delile

• Izinkomba ze-biopsy yezinso
• Kwenziwa kanjani
• Ukulungiselela i-biopsy yezinso
• Izimo kanye nezinkinga ezingenzeka

I-biopsy yezinso wukuhlolwa kwezokwelapha lapho kuthathwa khona isampula elincane lezicubu zezinso ukuze kuphenywe izifo ezithinta izinso noma ukuhambisana neziguli ezifakelwe izinso, ngokwesibonelo. I-biopsy kumele yenziwe esibhedlela futhi umuntu kufanele agcinwe isikhathi esingamahora ayi-12 ukuze udokotela akwazi ukuqaphela ukuvela komuntu kanye nenani legazi emchameni.

Ngaphambi kokwenza i-biopsy, kuyadingeka ukwenza okunye ukuhlolwa, okufana nokuhlolwa kwe-coagulogram kanye nomchamo, ngaphezu kwe-ultrasound yezinso, ukuhlola ubukhona bama-cysts, ukuma kwezinso nezici zezinso, futhi ngaleyo ndlela, hlola ukuthi kungenzeka yini ukwenza ukuhlolwa kwesidumbu. Ukusebenza kwale nqubo akuboniswa uma umuntu enenso elilodwa, enezimpawu zokutheleleka, ene-hemophilic noma enezinso ze-polycystic.

Izinkomba ze-biopsy yezinso

I-nephrologist ingakhombisa ukusebenza kwe-biopsy yezinso lapho inani elikhulu lamaprotheni kanye / noma igazi libonwa emchameni ongaziwa ukuthi ungowaluphi uhlobo, uma kwenzeka ukwehluleka okukhulu kwezinso okungathuthuki nangemva kokufakelwa kwezinso ukuze kuqashwe isiguli.

Ngakho-ke, i-biopsy yezinso ikhonjiswa ukuphenya izifo ezithinta izinso futhi iqinisekise ukuxilongwa, okufana nalokhu:

• Ukwehluleka okukhulu kwezinso;
• I-Glomerulonephritis;
• I-Lupus nephritis;
• Ukuhluleka kwezinso.

Ngaphezu kwalokho, i-renal biopsy ingakhonjiswa ukuhlola ukuphendula kwalesi sifo ekwelashweni nokuqinisekisa ubukhulu bokukhubazeka kwezinso.

Hhayi njalo lapho kuba noshintsho emiphumeleni lapho kudingeka khona ukwenza i-biopsy. Okusho ukuthi, uma umuntu enegazi emchameni, ushintsho ku-creatinine noma amaprotheni emchameni wedwa futhi aluhambisani nomfutho wegazi ophezulu, isibonelo, i-biopsy ayikhonjisiwe. Ngaphezu kwalokho, asikho isidingo sokwenza i-biopsy uma isizathu sokubandakanyeka kwezinso saziwa.

Kwenziwa kanjani

I-biopsy kufanele yenziwe esibhedlela, kusetshenziswe i-anesthesia yendawo ezigulini zabantu abadala ezisebenzisana nenqubo noma ukuthambisa kwezingane noma kubantu abadala abangahlanganyeli. Le nqubo ithatha cishe imizuzu engama-30, kepha kuyanconywa ukuthi isiguli sihlale esibhedlela amahora angama-8 kuye kwayi-12 ngemuva kwenqubo ukuze udokotela akwazi ukuhlola impendulo yomuntu ekuhlolweni.

Ngaphambi kwenqubo, kwenziwa i-ultrasound yezinso nohlelo lokuchama ukubheka ukuthi ngabe kukhona yini ushintsho oluyekethisa noma lwenyuse ubungozi bokuhlolwa. Ngaphezu kwalokho, kwenziwa ukuhlolwa kwelabhoratri, okufana namasiko egazi, i-coagulogram nokuhlolwa komchamo ukubheka ukuthi kungenzeka yini ukwenza i-biopsy ngaphandle kwezinkinga.

Uma konke kuhambisana, umuntu ubekwa elele ngesisu futhi ukuhlolwa kwenziwa ngosizo lwesithombe se-ultrasound, esivumela ukuhlonza indawo engcono kakhulu yokubeka inaliti. Inaliti idonsa isampula lezicubu zezinso, ezithunyelwa elabhorethri ziyohlaziywa. Isikhathi esiningi, amasampula amabili athathwa ezindaweni ezihlukene zezinso ukuze umphumela unembe kakhudlwana.

Ngemuva kwe-biopsy, isiguli kufanele sihlale esibhedlela ukuze siqashwe futhi ayikho ingozi yokopha ngemuva kwenqubo noma ukushintsha kwengcindezi yegazi. Kubalulekile ukuthi isiguli sazise udokotela nganoma yiziphi izimpawu azivezayo ngemuva kwe-biopsy, njengobunzima bokuchama, ukugodola, ukuba khona kwegazi emchameni ngaphezu kwamahora angama-24 ngemuva kokuhlolwa, ukuquleka noma ukwanda kobuhlungu noma ukuvuvukala kwendawo lapho ukuhlolwa kwenziwa. i-biopsy.

Ukulungiselela i-biopsy yezinso

Ukwenza i-biopsy, kunconywa ukuthi kungathathwa zidakamizwa ezinjenge-anticoagulants, ama-platelet anti-aggregating agents noma izidakamizwa ezilwa nokuvuvukala okungenani isonto elilodwa ngaphambi kokuba kwenziwe i-biopsy. Ngaphezu kwalokho, udokotela uncoma ukwenza i-renal ultrasound ukubheka ukutholakala kwesinso esisodwa kuphela, izicubu, ama-cysts, izinso ezine-fibrotic noma ezinokuqina okuphikisana nokuhlolwa.

Izimo kanye nezinkinga ezingenzeka

I-renal biopsy ayikhonjisiwe esimweni senso elilodwa, izinso ezi-atrophied noma i-polycystic, izinkinga ze-coagulation, umfutho wegazi ophakeme ongalawulwa noma izimpawu zokutheleleka ngomgudu womchamo.

I-biopsy yezinso inobungozi obuphansi, futhi azikho izinkinga eziningi ezihambisanayo. Kodwa-ke, kwabanye kungenzeka ukuthi kuphuma ukopha. Ngenxa yalokhu, kunconywa ukuthi lowo muntu ahlale esibhedlela ukuze udokotela abone ukuthi kukhona yini uphawu olukhombisa ukopha ngaphakathi.