ʻO Biopsy hakuʻala

ʻO kahi biopsy kidney kahi e hemo ai kahi ʻāpana liʻiliʻi o nā puʻupaʻa puʻupaʻa no ka nānā ʻana.

Hana ʻia kahi biopsy ʻōpala i ka haukapila. ʻO nā ala maʻamau ʻelua e hana ai i kahi biopsy kidney he percutaneous a hāmama. Hōʻike ʻia kēia mau mea ma lalo.

Biopsy pākēnē

ʻO Percutaneous ma o ka ʻili. Hana ʻia ka hapa nui o nā biopsies kidney i kēia ala. Hana ʻia nā kaʻina hana i ke ala penei:

• Hiki paha iā ʻoe ke loaʻa ka lāʻau e hiamoe ai ʻoe.
• Moe ʻoe i kou ʻōpū. Inā loaʻa iā ʻoe kahi puʻuwai transplanted, moe ʻoe ma kou kua.
• Kaha ke kauka i kahi ma ka ʻili kahi i hoʻokomo ʻia ai ka nila biopsy.
• Hoʻomaʻemaʻe ʻia ka ʻili.
• Hoʻokomo ʻia ka lāʻau numbing (anesthetic) ma lalo o ka ʻili kokoke i ka wahi o ka puʻupaʻa.
• ʻOkiʻoki ke kauka i ka ʻili. Hoʻohana ʻia nā kiʻi ultrasound e ʻike i kahi kūpono. I kekahi manawa hoʻohana ʻia kekahi ʻano kiʻi ʻē aʻe, e like me CT.
• Hoʻokomo ke kauka i ka nila biopsy ma o ka ʻili i ka ʻili o ka puʻupaʻa. Nonoi ʻia ʻoe e lawe a paʻa i ka hanu hohonu ke hele ka nila i loko o ka puʻupaʻa.
• Inā ʻaʻole hoʻohana ke kauka i ke alakaʻi ultrasound, noi ʻia ʻoe e lawe i nā hanu hohonu. ʻAe kēia i ke kauka e ʻike i ka nila ma kahi.
• Hoʻokomo ʻia paha ke kui kele ma mua o hoʻokahi manawa inā makemake ʻia ma mua o hoʻokahi hāpana kiko.
• Wehe ʻia ka nila. Hoʻohana ʻia ka pilikia i ka pūnaewele biopsy e hoʻōki i ke kahe ʻana o ke kahe.
• Ma hope o ke kaʻina hana, hoʻopili ʻia kahi kaula i ka pūnaewele biopsy.

Wehe biopsy

I kekahi mau hihia, hiki i kāu kauka ke koi aku i kahi biopsy ʻoki. Hoʻohana ʻia kēia hana ke pono ʻia kahi ʻāpana nui aʻe.

• Loaʻa iā ʻoe ka lāʻau lapaʻau (anesthesia) e ʻae iā ʻoe e hiamoe a ʻaʻohe ʻeha.
• Hana ke kaukoki i kahi ʻoki ʻoki liʻiliʻi (incision).
• ʻImi ke kauka lāʻau i ka ʻāpana o ke konāpona kahi e pono ai e lawe i kaʻiʻo biopsy. Wehe ʻia ka ʻaʻa.
• Hoʻopili ʻia ka ʻokiʻoki me nā humuhumu (sutures).

Ma hope o ke kino a wehe paha, e noho paha ʻoe i ka haukapila no 12 mau hola. E loaʻa iā ʻoe nā lāʻau ʻeha a me nā wai e ka waha a i ʻole ma o ke aa (IV). E nānā ʻia kou mimi no ke kahe nui o ke kahe. ʻO kahi liʻiliʻi o ke kahe ʻana he maʻamau ma hope o kahi biopsy.

E hāhai i nā ʻōkuhi e pili ana i ka mālama ʻana iā ʻoe iho ma hope o ka biopsy. Pākuʻi paha kēia i ka hāpai ʻole ʻana i kekahi mea ʻoi aku ka nui ma mua o 10 paona (4.5 kilokilo) no 2 mau pule ma hope o ka biopsy.

E haʻi i kāu mea mālama ola:

• E pili ana i nā lāʻau āu e lawe nei, e like me nā wikamina a me nā mea hoʻopihapiha, nā mea kanu lāʻau, a me nā lāʻau ʻoi loa
• Inā loaʻa iā ʻoe nā maʻi āpau
• Inā loaʻa iā ʻoe nā pilikia kahe o ke kahe a i ʻole inā lawe ʻoe i nā lāʻau hoʻomāliʻi koko e like me warfarin (Coumadin), clopidogrel (Plavix), dipyridamole (Persantine), fondaparinux (Arixtra), apixaban (Eliquis), dabigatran (Pradaxa), a i ʻole aspirin
• Inā ʻoe a noʻonoʻo paha e hāpai ʻoe

Hoʻohana ʻia ka lāʻau numbing, no laila, ʻemi iki ka ʻeha i ke kaʻina hana. Puni paha ka lāʻau numbing i ka wā ʻino mua.

Ma hope o ke kaʻina hana, ʻoluʻolu a ʻeha paha ka wahi no kekahi mau lā.

ʻIke paha ʻoe i ke koko ʻulaʻula, ʻulaʻula i ka mimi i loko o nā hola he 24 ma hope o ka hoʻāʻo ʻana. Inā lōʻihi ka lōʻihi o ke kahe ʻana, e haʻi i kāu mea hāʻawi.

Kauoha paha kāu kauka i kahi biopsy ʻōpala inā loaʻa iā ʻoe:

• ʻO kahi kulu i hōʻike ʻole ʻia i ka hana puʻupaʻa
• Koko i ka mimi ʻaʻole e hele
• ʻO ke protein i loko o ka mimi i loaʻa i ka wā o kahi hōʻike mimi
• ʻO kahi puʻuwai transplanted, pono e nānā ʻia me ka hoʻohana ʻana i kahi biopsy

ʻO kahi hopena maʻamau ke hōʻike ʻia nā ʻaʻa puʻupaʻa i ke ʻano maʻamau.

ʻO kahi hopena maʻamau ke ʻano o nā loli i ke kiko o ka hakuʻala. Pili paha kēia i:

• Maʻi kīnā
• Holo ke koko maikaʻi ʻole ma o ka hakuʻala
• ʻO nā maʻi pili pili e like me systemic lupus erythematosus
• Nā maʻi ʻē aʻe e hoʻopilikia paha i ka hakuʻala, e like me ka maʻi kō
• ʻO ka hōʻole ʻana i ke transplant kidney, inā he transplant kāu

Nā pilikia me:

• Kahe mai ka puʻupaʻa (i nā hanana kakaikahi, koi paha i kahi kōpili koko)
• Hele aku i loko o ka mākala, i kumu e ʻeha ai
• Maʻiʻaʻai (liʻiliʻi kamepiula)

ʻO Biopsy Renal; Biopsy - hakuʻala

• Anatomia hakuʻala
• ʻO Kidney - ke kahe o ke koko a me ka mimi
• ʻO Biopsy Renal

Salama AD, Cook HT. ʻO ka biopsy renal. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Karl S, Philip AM, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 26.

Topham PS, Chen Y. Renal biopsy. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 6.