I-Nerve Biopsy

-Delile

• Kungani kwenziwa i-biopsy yezinzwa
• Ziyini izingcuphe ze-nerve biopsy?
• Ungayilungiselela kanjani i-biopsy yezinzwa
• Kwenziwa kanjani i-nerve biopsy
• I-sensory biopsy yezinzwa
• I-biopsy ye-motor nerve ekhethiwe
• I-Fascicular nerve biopsy
• Ngemuva kwe-biopsy yezinzwa

Yini i-nerve biopsy?

I-nerve biopsy inqubo lapho isampula elincane le-nerve lisuswa emzimbeni wakho bese lihlolwa elabhorethri.

Kungani kwenziwa i-biopsy yezinzwa

Udokotela wakho angacela i-nerve biopsy uma ubhekene nobuthakathaka, ubuhlungu, noma ubuthakathaka emaphethelweni akho. Ungathola lezi zimpawu eminweni noma ezinzwaneni zakho.

I-nerve biopsy ingasiza udokotela wakho ukuthi anqume ukuthi ngabe izimpawu zakho zibangelwa yi:

• ukulimala emgodleni we-myelin, ohlanganisa izinzwa
• ukulimala kwezinzwa ezincane
• ukubhujiswa kwe-axon, izandiso ezinjenge-fiber zeseli yezinzwa ezisiza ukuphatha amasiginali
• izinzwa zemizwa

Izimo eziningi kanye nokungasebenzi kahle kwemizwa kungathinta izinzwa zakho. Udokotela wakho angalawula i-nerve biopsy uma bekholelwa ukuthi ungaba nenye yalezi zimo ezilandelayo:

• i-neuropathy yotshwala
• ukungasebenzi kwemizwa ye-axillary
• i-brachial plexus neuropathy, ethinta ihlombe eliphezulu
• Isifo seCharcot-Marie-Tooth, ukuphazamiseka kofuzo okuthinta izinzwa zomngcele
• ukungasebenzi kahle kwe-peroneal nerve okuvamile, okufana nokwehla konyawo
• ukungasebenzi kahle kwemizwa yangaphakathi
• mononeuritis multiplex, ethinta okungenani izindawo ezimbili ezihlukene zomzimba
• i-mononeuropathy
• necrotizing vasculitis, eyenzeka lapho kuvutha izindonga zemithambo yegazi
• i-neurosarcoidosis, isifo esingamahlalakhona sokuvuvukala
• ukungasebenzi kahle kwemisipha
• ukungasebenzi kwemizwa ye-tibial

Ziyini izingcuphe ze-nerve biopsy?

Ingozi enkulu ehlotshaniswa ne-nerve biopsy ukulimala kwezinzwa zesikhathi eside. Kepha lokhu kuyivelakancane kakhulu ngoba udokotela wakho ohlinzayo uzoqaphela kakhulu lapho ekhetha ukuthi iyiphi inzwa yokuhlolwa. Imvamisa, i-nerve biopsy izokwenziwa esihlakaleni noma eqakaleni.

Kuvamile ukuthi indawo encane ezungeze i-biopsy ihlale indikindiki cishe izinyanga eziyisithupha kuya kwezi-12 ngemuva kwenqubo. Kwezinye izimo, ukulahlekelwa umuzwa kuzohlala unomphela. Kodwa ngenxa yokuthi indawo incane futhi ayisetshenziswanga, abantu abaningi abakhathazwa yiyo.

Ezinye izingozi zingafaka ukungakhululeki okuncane ngemuva kwe-biopsy, ukusabela okweqile ku-anesthetic, nokutheleleka. Khuluma nodokotela wakho mayelana nokuthi unganciphisa kanjani izingozi zakho.

Ungayilungiselela kanjani i-biopsy yezinzwa

Ama-Biopsies awadingi ukulungiswa okuningi komuntu owenza i-biopsied. Kepha kuya ngesimo sakho, udokotela wakho angakucela ukuthi:

• ahlolwe ngokomzimba futhi aqedele umlando wezokwelapha
• yeka ukuthatha noma yimiphi imithi ethinta ukopha, njengokunciphisa izinhlungu, ama-anticoagulants, kanye nezithasiselo ezithile
• udonse igazi lakho ukuze kuhlolwe igazi
• yeka ukudla nokuphuza kuze kube amahora ayisishiyagalombili ngaphambi kwenqubo
• hlela umuntu ozokuhambisa ekhaya

Kwenziwa kanjani i-nerve biopsy

Udokotela wakho angakhetha ezinhlotsheni ezintathu zama-biopsies ezinzwa, kuya ngendawo onenkinga kuyo. Lokhu kufaka phakathi:

• i-sensory biopsy yezinzwa
• i-motor nerve biopsy ekhethiwe
• i-fascicular nerve biopsy

Kuhlobo ngalunye lwe-biopsy, uzonikezwa isibulali sendawo esikindayo indawo ethintekile. Kungenzeka uhlale uphaphile kuyo yonke inqubo. Udokotela wakho uzokwenza imbobo encane yokuhlinzwa futhi asuse ingxenye encane yesibindi. Ngemuva kwalokho bazovala imbobo ngemithungo.

Ingxenye yesisindo esampuliwe izothunyelwa elabhorethri ukuze ihlolwe.

I-sensory biopsy yezinzwa

Ngale nqubo, isiqeshana esingu-1-intshi semizwa yezinzwa sisuswa eqakaleni noma esikhwameni sakho. Lokhu kungadala ukuba ndikindiki kwesikhashana noma unomphela engxenyeni ephezulu noma ohlangothini lonyawo, kodwa akubonakali kakhulu.

I-biopsy ye-motor nerve ekhethiwe

I-motor nerve yinye elawula imisipha. Le nqubo yenziwa lapho kuthinteka inzwa yezimoto, futhi isampula ngokujwayelekile ithathwa emthanjeni osethangeni elingaphakathi.

I-Fascicular nerve biopsy

Ngesikhathi sale nqubo, inzwa iyavezwa futhi ihlukaniswe. Isigaba ngasinye sinikezwa umfutho omncane kagesi wokunquma ukuthi iyiphi imizwa yezinzwa okufanele isuswe.

Ngemuva kwe-biopsy yezinzwa

Ngemuva kwe-biopsy, uzobe ukhululekile ukuphuma ehhovisi likadokotela uhambe ngosuku lwakho. Kungathatha kuze kube amasonto ambalwa ukuthi imiphumela ibuye elabhorethri.

Uzodinga ukunakekela isilonda sokuhlinzwa ngokusigcina sihlanzekile futhi sibhandishiwe kuze kube yilapho udokotela wakho ekhipha umthungo. Qiniseka ukuthi ulandela imiyalo kadokotela wakho ekunakekeleni isilonda sakho.

Lapho imiphumela yakho ye-biopsy ibuya ebhodini, udokotela wakho uzohlela ukuqokwa kokulandelwa ukuxoxa ngemiphumela. Ngokuya ngokutholakele, ungadinga ezinye izivivinyo noma ukwelashwa kwesimo sakho.