ʻO Biopsy Renal: nā hōʻailona, ​​pehea e hana ai a hoʻomākaukau ai

Anter

• Nā hōʻike no ka biopsy renal
• Pehea e hana ai
• Hoʻomākaukau no ka biopsy renal
• Contraindications a me nā pilikia i hiki

ʻO kahi biopsy kidney kahi hoʻokolohua olakino kahi i lawe ʻia ai kahi mea liʻiliʻi o nā ʻaʻa puʻupaʻa i mea e nānā ai i nā maʻi e pili ana i ka puʻupaʻa a i ʻole e hele pū me nā mea maʻi i hana i ka transplantation kidney, no ka laʻana. Pono e hana i ka biopsy ma ka haukapila a mālama ʻia ke kanaka ma lalo o ka nānā ʻana no 12 mau hola i hiki i ke kauka ke nānā i ka ulu a ke kanaka a me ka nui o ke koko i ka mimi.

Ma mua o ka hana ʻana i ka biopsy, pono e hana i nā hoʻokolohua ʻē aʻe, e like me ka coagulogram a me ka mimi, me ka hoʻohui ʻana i ka ultrasound renal, e nānā ai i ke kū ʻana o nā cist, nā ʻano hakuʻala a me nā ʻano hakuʻala, a pēlā, e nānā inā hiki ke hana ka biopsy. ʻAʻole hōʻike ʻia ka hana o kēia kaʻina hana inā loaʻa i ke kanaka kahi puʻupaʻa hoʻokahi, loaʻa nā hōʻailona a me nā ʻōuli o ka maʻi, he hemophilic a i ʻole he polycystic kidney.

Nā hōʻike no ka biopsy renal

Hiki i ka nephrologist ke hōʻike i ka hana ʻana o kahi biopsy renal ke ʻike ʻia kahi nui o nā protein a me / a i ʻole ke koko i ka mimi o kahi kumu i ʻike ʻole ʻia, i ka hihia o ka hōʻeha hōʻino nui ʻole e hoʻomaikaʻi a ma hope o ka hoʻoneʻe ʻana o ka puʻupaʻa i mea e nānā ai ka mea maʻi.

No laila, hōʻike ʻia ka biopsy kidney e nānā i nā maʻi e pili ana i ka puʻupaʻa a hōʻoia i ke kuhi, e like me:

• Huʻi ʻole a hōʻeha ʻole paha i ke kīkī;
• Glomerulonephritis;
• Lupus nephritis;
• Hewa ʻole nā ​​hakuʻala.

Hoʻohui ʻia, hiki ke hōʻike ʻia i ka biopsy renal e nānā i ka pane o ka maʻi i ka lāʻau lapaʻau a me ka hōʻoia ʻana i ka nui o ka hōʻino hōʻino.

ʻAʻole i kēlā me kēia manawa ke hoʻololi i nā hopena pono e hana i kahi biopsy. ʻO ia, inā he koko ko ke kanaka i ka mimi, hoʻololi i ka creatinine a i ʻole protein i loko o ka mimi i kahi kaʻawale a ʻaʻole hele pū ʻia me ka hanu kiʻekiʻe, no ka laʻana, ʻaʻole hōʻike ʻia ka biopsy. Eia hou, ʻaʻohe pono e hana i kahi biopsy inā ʻike ʻia ke kumu o ka hoʻopili ʻana o ka puʻupaʻa.

Pehea e hana ai

Pono e hana i ka biopsy ma ka haukapila, me ka anesthesia kūloko e hoʻopili ʻia i nā mea maʻi makua e hana pū me ka hana a i ʻole ka sedation i nā keiki a i ʻole nā ​​mākua hui pū ʻole. Lawe ʻia ke kaʻina hana ma kahi o 30 mau minuke, eia naʻe koi ʻia e noho ka mea maʻi i ka haukapila no 8 a 12 mau hola ma hope o ke kaʻina hana i hiki i ke kauka ke nānā i ka pane a ke kanaka i ka hōʻike.

Ma mua o ke kaʻina hana, hana ʻia ka ultrasound o nā puʻupaʻa a me ka ʻōnaehana urinary e nānā inā aia nā loli e hoʻopili a hoʻonui paha i ka makaʻu o ka hōʻike. Hoʻohui ʻia, hana ʻia nā hoʻokolohua hoʻokolohua, e like me ka moʻomeheu koko, coagulogram a me ka hoʻāʻo mimi e nānā inā hiki ke hana i ka biopsy me ka ʻole o nā pilikia.

Inā kūlike nā mea āpau, hoʻokau ʻia ke kanaka e moe ana ma luna o kona ʻōpū a hana ʻia ka hoʻokolokolo me ke kōkua o ke kiʻi ultrasound, e ʻae ai i ka ʻike ʻia o kahi maikaʻi loa no ke kau ʻana i ka nila. Kuhi ka nila i kahi laʻana o ka puʻupaʻa puʻupaʻa, i hoʻouna ʻia i ka hale hana no ka loiloi. ʻO ka hapanui o ka manawa, lawe ʻia ʻelua mau laʻana mai nā wahi like ʻole o ka puʻupaʻa i ʻoi aku ka pololei o ka hopena.

Ma hope o ka biopsy, pono ka mea hoʻomanawanui e noho i ka haukapila e nānā ʻia a ʻaʻohe pilikia o ke kahe ʻana ma hope o ke kaʻina hana a i ʻole hoʻololi i ke kaomi koko. He mea nui na ka mea hoʻomanawanui e hoʻomaopopo i ke kauka i nā ʻōuli a lākou e hōʻike ai ma hope o ka biopsy, e like me ka paʻakikī o ka mimiki ʻana, nā anuanu, ke kū ʻana o ke koko i ka mimi ma mua o 24 mau hola ma hope o ka biopsy, maʻule a hoʻomāhuahua ʻia hoʻi ka ʻeha a i ʻole ka pehu ʻana o ka wahi kahi ua hana ʻia ka hoʻokolokolo. biopsy.

Hoʻomākaukau no ka biopsy renal

No ka hoʻokō ʻana i ka biopsy, koi ʻia ʻaʻole e lawe ʻia nā lāʻau e like me nā anticoagulants, nā ʻāpana anti-hōʻuluʻulu platelet a i ʻole nā ​​lāʻau anti-inflammatory ma mua o 1 mau pule ma mua o ka hana ʻia ʻana o ka biopsy. Hoʻohui ʻia, paipai ke kauka i ka hana ʻana i ka ultrasound renal e nānā no ke kū hoʻokahi o nā puʻupaʻa, nā tumors, nā kometa, nā fibrotic a i ʻole nā ​​puʻupaʻa stunted i cont contications no ka hōʻike.

Contraindications a me nā pilikia i hiki

ʻAʻole hōʻike ʻia ka biopsy Renal i ka hihia o kahi puʻupaʻa hoʻokahi, atrophied a i ʻole nā ​​polycystic kidney, nā pilikia coagulation, hypertension ʻole i kāohi ʻole ʻia a i ʻole nā ​​hōʻailona o ka maʻi urinary tract.

ʻOi aku ka liʻiliʻi o ka maʻi biopsy, a ʻaʻole nui nā pilikia e pili ana. Eia nō naʻe, i kekahi hiki ke kahe ʻia ke kahe. Ma muli o kēia, koi ʻia e noho ke kanaka i ka haukapila i hiki i ke kauka ke nānā i ke kū ʻana o nā hōʻailona e hōʻike ana i ke kahe ʻana o loko.