Kushaya simba kunogona kukonzerwa nokushungurudzika kweuropi, musana wemutsitsi, mhirizhonga dzeropa, chirwere chendaneti, kana mushuga pachako. Iko kune marudzi akasiyana-siyana ezvirwere zvemuviri.
Kuti uratidze zvakajeka dambudziko uye nokudaro kupa chirwere chakakodzera, pane dzimwe nguva chidimbu chemuviri chinofanira kuwanikwa kuitira kutarisa hutachiona hwakakanganiswa pasi pe microscope.
Dzimwe nguva, chaizvoizvo, zvinopfuura imwechete yamuenzaniso inogona kudiwa, sezvo dzimwe zvirwere zvemasumbu hazvisanganisi muviri wose, asi pane kuve nekugoverwa kwakashata.
Ko Muscle Biopsy Inoitwa Sei?
Iko kune miviri miviri mikuru yemisimba yenyuchi. Ikutanga inosanganisira biopsy sindete iri kuiswa kuburikidza neganda kupinda musumbu, iyo inotora chiduku chiduku. Zvimwe, incision inogona kuitwa muganda kuona nekucheka misi zvakananga. Kutaura kwekupedzisira kunonzi "biopsy yakasununguka." Kunyange zvazvo maitiro akazaruka ari zvishoma akabatanidzwa, vanogona kubvumira zvimwe sarudzo yakasarudzwa munyaya yepatchy muscle disorders. Pasinei netsika, chete zvishoma zviduku zvinoda kubviswa.
Nzvimbo yehutano hwemisumbu inobva kune nzvimbo yezviratidzo zvakadai sekushaya simba kana kurwadziwa. Nzvimbo dzakajairika dzinosanganisira chidya, biceps kana mushumba wepafudzi.
Ndiani Anoda Mushonga Wekunyengera?
Vanhu vane utera uye hutsika hutsika hutano hunogona kutaridzirwa semasikirwo emasikirwo, asi haisi kazhinji danho rokutanga.
Zvimwe zviongorori zvakadai seongororo yekudzidzira nharo kana electromyography inogona kuitwa kutanga kuti ione kana chikonzero chacho chiri mumisungo pachayo.
Ndeapi Marudzi Ezvirwere Anogona Kuzivikanwa Nechipfupa Chekunyengera?
Zvirwere zvepachiviri zvinosanganisira mhando dzakasiyana dzemasystrophies muscular , zvinoreva chiremera chinokonzera misi.
Mamwe mavara akafanana anosanganisira Duchenne uye Becker's muscular dystrophy
Myositis zvinoreva kuvhiringidza kwemisumbu, iyo inogonawo kuonekwa pasi pe microscope. Mienzaniso inosanganisira polymyositis uye dermatomyositis.
Tsvina yenyuchi inogonawo kuziva zvimwe zvirwere, zvakadai se trichinosis kana kuti toxoplasmosis.
Iyi rondedzero inopa mimwe mienzaniso, asi haina kukwana. Vanachiremba vanogonawo kugadzirisa tsvina yezvimedu kune zvimwe zvikonzero.
Ndeipi Dambudziko reMuscle Biopsy?
Tsvina yemasumbu inowanzoonekwa seyakachengetedzwa uye isina chirwere chiduku. Zvisinei, kune dzimwe njodzi. Matambudziko anowanzosanganisira kushungurudza kana kurwadziwa panzvimbo yebhiopsy. Kuramba kwenguva refu kana kutapukirwa kunogonawo, zvichida vanachiremba kutora matanho ekudzivirira zvinetso zvakadaro. Iwe unofanirwa kuzivisa chiremba wako kana iwe uri pane chero ropa rega-rinopisa mishonga kana kuti une nhoroondo yehutano hwekubuda ropa.
Chii Chandichaita Panguva Yenzira?
Kunyange zvazvo pane zvimwe zvakasiyana-siyana mukusiyana kwakaita vanachiremba zvakasiyana-siyana mumasikisi, mushoma unogona kutarisira zvinotevera:
- Iwe uchakumbirwa kubvisa zvipfeko zvako kunzvimbo yebhiopsy.
- Iwe uchakumbirwa kurara panguva yekufamba.
- Ganda richacheneswa.
- Mushonga wechipatapata wemishonga inorwadza ichapiwa kuvhara nzvimbo. Iwe unganzwa uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinetseka nemishonga.
- Zvichida biopsy sindete ichaiswa, kana chiremba achashandisa scalpel kuti aite chiduku kubva mukati meganda, uye zvidimbu zviduku zvichabviswa uchitsvaira.
- Mukova uchavharwa nemakumbo kana zvichidiwa.
- Bhandeni isina kuchena ichashandiswa.
Chii Chandinofanira Kuita Mushure Mekunyora?
Iwe unofanirwa kuchengetedza nzvimbo yebiopsy yakachena uye yakaoma. Humwe hunyoro hunojairika kwemazuva mashomanana mushure mekunyora. Tora mishonga sezvinotaurwa nachiremba wako kuti awane marwadzo. Iva nechokwadi chekutaura nachiremba wako kana iwe uchinge uine zviratidzo zvehutachiona hwakafanana nefivha, kubwinya, kana kunyura kubva panzvimbo yebiopsy. Itaiwo kuti vazive kana mune kurwadziwa kunowedzera kana kubuda ropa.
Chii Chinoitika Kumusanganisi Wemisungo?
Mutsipa uchatariswa nemhando dzakasiyana pasi pe microscope. Kusiyana kwemakemikari anoshandiswa kuzivisa zviratidzo zvezvirwere zvakasiyana. Somuenzaniso, hematoxylin uye eosin dzinobatsira kuziva zvirwere zvinoputika, Gomori trichrome tsvina yakanaka kuziva kusanganiswa kwemuviri myositis, cytochrome oxidase inogona kuisa zvirwere zvemitochondrial, uye periodic acid Schiff tsvina inogona kuziva glycogen uye makemikari ekuchengetedza magadzirirwo. Ipi miedzo inoshandiswa inobva pane zvakakanganiswa nachiremba wako pane chinokonzera chikonzero chechirwere.
Tsvina yehuputi haisi nguva dzose yekupedzisira kuongorora. Somuenzaniso, zvirwere zvakasiyana-siyana zvinogona kuonekwa zvakafanana pasi pe microscope. Semuenzaniso, pane dzimwe nguva kuongorora mazita ekuberekwa kunogona kudiwa. Kunyange kana musikirwo yemasikisi isiri danho rekupedzisira, zvisinei, rinogona kutungamira kurongeka kwemimwe miedzo inozosimbisa kunyanya kuongororwa.
Sources:
Ropper AH, Samuels MA. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.