ʻO ka biopsy nerve

ʻO kahi biopsy nerve kahi e hemo ai kahi ʻāpana liʻiliʻi o ke aʻalolo no ka hoʻokolokolo ʻana.

Hana pinepine ʻia kahi biopsy nerve ma ke aʻalolo i ka kuʻekuʻe wāwae, ka forearm, a i ʻole ka iwi ʻaoʻao.

Hoʻopili ka mea mālama ola i ka lāʻau e nū i ka wahi ma mua o ke kaʻina hana. Hana ke kauka i kahi ʻoki liʻiliʻi a wehe i kahi ʻāʻī o ke aʻalolo. Hoʻopaʻa ʻia ka ʻoki a kau ʻia ka bandage ma luna. Hoʻouna ʻia ka laʻana o ke aʻalolo i kahi lab, kahi e nānā ʻia ai ma lalo o kahi microscope.

E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka hoʻomākaukau ʻana no ke kaʻina hana.

Ke kuhi ʻia ka lāʻau numbing (anesthetic kūloko), ʻike ʻoe i kahi kui a me kahi ʻū mālie. ʻEha paha ka pūnaewele biopsy no kekahi mau lā ma hope o ka hoʻāʻo ʻana.

Hana ʻia paha ke biopsy nerve e kōkua i ke kuhi:

• Ka hoʻohaʻahaʻa axon (ka luku ʻana i ka ʻākona axon o ke aʻalolo nerve)
• Poino i nā ʻalalā liʻiliʻi
• Demyelination (luku ʻia o nā ʻāpana o ka uhi myelin e uhi ana i ke aʻalolo)
• Nā kūlana nerve hōʻeha (neuropathies)

ʻO nā kūlana e hana ʻia ai ka hoʻāʻo e komo i kekahi o kēia mau mea:

• ʻO ka neuropathy ʻalekoke (ʻinoʻino i nā aʻalolo mai ka inu nui ʻana i ka waiʻona)
• ʻO ke kīnā ʻole o ke aʻalolo Axillary (ʻino i ka ʻūhā poʻohiwi e alakaʻi ai i ka nalo ʻana o ka neʻe a i ʻole ka sensation i ka poʻohiwi)
• ʻO ka plexopathy brachial (ʻinoʻino i ka plexus brachial, kahi ma kēlā me kēia ʻaoʻao o ka ʻāʻī kahi o nā aʻa nerve mai ka iwi kuamoʻo i māhele ʻia i nā aʻa o kēlā me kēia lima)
• ʻO ka maʻi Charcot-Marie-Tooth (ka hui hoʻoilina o nā maʻi e hoʻopili i nā ʻalalā ma waho o ka lolo a me ka iwi kuamoʻo)
• ʻO ke kīnā ʻole o ke aʻalolo peroneal (hōʻino ʻia i ke aʻalolo peroneal e alakaʻi ana i ka nalo ʻana o ka neʻe a i ʻole ka sensation i ka wāwae a me ka wāwae)
• Distal median nerve disfunction (hōʻino i ke aʻa waena e alakaʻi ana i ka nalo ʻana o ka neʻe a i ʻole ka sensation i nā lima)
• ʻO Mononeuritis multiplex (maʻi e pili ana i ka hōʻino ʻana ma kahi o ʻelua mau ʻāpana nerve ʻokoʻa)
• Necrotizing vasculitis (hui o nā maʻi e pili ana i ka hoʻā o nā paia o nā kīʻaha koko)
• Neurosarcoidosis (ka pilikia o ka sarcoidosis, kahi e laha ai ka lolo, ka iwi kuamoʻo, a me nā wahi ʻē aʻe o ka ʻōnaehana hopohopo)
• ʻO ke kīnā ʻole nerve radial (ʻino i ke aʻa radial e alakaʻi ana i ka nalo ʻana o ka neʻe a i ʻole ka sensation i ka lima, ka pulima a me ka lima)
• ʻO ke kīnā ʻole o Tibial nerve (hōʻino i ka nerve tibial e alakaʻi ana i ka nalo ʻana o ka neʻe a i ʻole ka sensation i ka wāwae)

ʻO kahi hopena maʻamau ke ʻano o ke aʻa he maʻamau.

Nā hopena kūpono ʻole ma muli o:

• ʻO Amyloidosis (hoʻohana pinepine ʻia ka biopsy nerve sural)
• Demyelination
• Ka hoʻohaunaele o ke aʻalolo
• Lepera
• Ka nalowale o nāʻiʻo axon
• Nā metopolic neuropathies (nā maʻi nerve e kū me nā maʻi e hōʻino i nā hana kemika i ke kino)
• Necrotizing vasculitis
• ʻO Sarcoidosis

Pākuʻi ʻia paha nā pilikia o ke kaʻina hana:

• ʻO ka hopena āpau i ka anesthetic kūloko
• Ka hōʻoluʻolu ma hope o ke kaʻina hana
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
• Nā hōʻino nerve paʻa mau (ʻike ʻole ʻia; hoʻemi ʻia e ke koho ʻana i ka pūnaewele akahele)

Hoʻokomo a mālama pono ke biopsy nerve i kekahi mau hanana. E kamaʻilio i kāu mea hāʻawi e pili ana i kāu koho.

ʻO Biopsy - nerve

• ʻO ka biopsy nerve

Chernecky CC, Berger BJ. ʻO ke biopsy nerve - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 814-815.

Midha R, Elmadhoun TMI. ʻO ka nīnaninau pilikino Peripheral, loiloi, a me ka biopsy. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 245.