ʻO Biopsy Muscle

ʻO kahi biopsy musele ke wehe ʻana i kahi ʻāpana puʻupuʻu puʻupuʻu no ka nānā ʻana.

Hana pinepine ʻia kēia kaʻina hana ke ala ʻoe. E hoʻopili ka mea mālama ola i kahi lāʻau numbing (anesthesia kūloko) i ka wahi biopsy.

ʻElua ʻano o ka biopsy musele:

• ʻO kahi biopsy nila e pili ana i ka hoʻokomo ʻana i kahi nila i loko o ka mākala. Ke hoʻoneʻe ʻia ka nila, noho kahi ʻāpana liʻiliʻi o ke kiko i ka nila. Ma mua o hoʻokahi koʻokoʻo nila e pono ai e loaʻa kahi laʻana nui lawa.
• ʻO kahi biopsy ākea e pili ana i ka hana ʻana i kahi ʻoki liʻiliʻi i ka ʻili a i loko o ka mākala. Lawe ʻia ka mākala mākala.

Ma hope o kekahi ʻano biopsy, hoʻouna ʻia ke kiko i kahi keʻena hoʻokolohua no ka hoʻokolokolo ʻana.

ʻAʻole pono ka hoʻomākaukau kūikawā. Inā loaʻa iā ʻoe ka anesthesia, e hāhai i nā ʻōkuhi no ka ʻai ʻole a me ka inu ʻole i kekahi mea ma mua o ka hoʻāʻo.

I ka wā o ka biopsy, aia ka liʻiliʻi a ʻaʻohe pilikia o ka maʻi. Hoʻomaopopo paha ʻoe i kahi kaomi a i ʻole ke ʻūlū ʻana.

Puhi paha ke anesthetic a wili ʻia ke injected (ma mua o ka numb o kahi). Ma hope o ka pau ʻana o ke anesthetic, ʻeha paha ka wahi ma kahi o hoʻokahi pule.

Hana ʻia kahi biopsy muso e ʻike ai i ke kumu e nāwaliwali ai ʻoe ke manaʻo ke kauka he pilikia pilikia kou maʻa.

Hana ʻia kahi biopsy muso e kōkua a ʻike ai:

• Nā maʻi hōʻeha o nā mākala (e like me polymyositis a i ʻole dermatomyositis)
• Nā maʻi o nā mea hoʻopili a me nā kīʻaha koko (e like me polyarteritis nodosa)
• Nā maʻi i hoʻopili i nā mākala (e like me trichinosis a i ʻole toxoplasmosis)
• ʻO nā maʻi maʻi hoʻoilina i hoʻoili ʻia e like me ka mustrular dystrophy a i ʻole myopathy congenital
• Nā ʻino Metabolic o ka mākala
• Nā hopena o nā lāʻau, toxins, a me nā maʻi electrolyte

Hiki ke hana ʻia kahi biopsy muso e haʻi i ka ʻokoʻa ma waena o nā maʻi nerve a me nā mākala.

ʻO kahi ʻeha i hōʻeha ʻia i kēia manawa, e like me kahi nila EMG, a i ʻole hoʻopili ʻia e kahi kūlana mua, e like me ke kaomi ʻana o ke aʻa, ʻaʻole pono e koho ʻia no kahi biopsy.

ʻO ka hopena maʻamau ka maʻamau o ka mākala.

Hiki i kahi biopsy muso ke kōkua i ke kuhi ʻana i nā ʻano aʻe:

• Ka nalowale o ka nui o nā mākala (atrophy)
• ʻO ka maʻi maʻi e pili ana i ka mumū a me ka ʻili (dermatomyositis)
• Hoʻopilikia i ka maʻi muscle (Duchenne muscular dystrophy)
• Ka hoʻohaunaele o kaʻiʻo
• ʻO nā dystrophies muscular ʻokoʻa
• Ka luku ʻia ʻana o ka mākala (hoʻololi ʻo myopathic)
• ʻO ka make ʻana o ka mākala (nekrosis)
• Nā maʻi e hoʻopili i ka wela o nā kīʻaha koko a pili i nā mākala (nekrotizing vasculitis)
• Hoʻopilikia i nā mākala hōʻeha
• Nā mākala lōlō
• ʻO ka maʻi hoʻoweliweli e hōʻeha i ka nāwaliwali o ka mākala, palupalu ka palupalu, a me ka hōʻino ʻana o nā ʻaʻa.
• Nā pilikia nerve e hoʻopili i nāʻiʻo
• ʻO nāʻiʻo o ka ʻili ma lalo o ka ʻili (fascia) lilo i pehu, pehu, a manoanoa (eosinophilic fasciitis)

Aia kekahi mau kumu hou aʻe ma lalo o kahi e hōʻike ai ka hōʻike.

Liʻiliʻi nā makaʻu o kēia hoʻokolohua, akā hiki ke hoʻopili ʻia:

• Kahena
• ʻUpala
• Ka hōʻino ʻana i nāʻiʻo o ke kino a i ʻole nā ​​mea ʻē aʻe i kahi.
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Biopsy - nāʻiʻo

• ʻO Biopsy Muscle

ʻO Shepich JR. ʻO Biopsy Muscle. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 188.

ʻO Warner WC, Sawyer JR. Nā maʻi Neuromuscular. I: Azar FM, Beaty JH, eds. ʻO Campbell's Operative Orthopedics. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 35.