URenops Biopsy

Ukuhlolwa kwe-Kidney Biopsy e-Hyderabad

I-renal biopsy noma i-renal biopsy inqubo yokuhlaziya ilabhorethri ehlanganisa ukukhipha ucezu oluncane lwezicubu zezinso ukuze luhlolwe ngaphansi kwesibonakhulu. Udokotela ohlola izifo uhlola izicubu zezinso zesiguli elebhu ukuze azibheke izimpawu zezifo zezinso noma izifo. Izicubu zezinso zizobonisa ukuvuvukala, ukutheleleka, izibazi, noma inani elingavamile lediphozithi ye-immunoglobulin. I-renal biopsy ingasiza ekuhlonzeni uhlobo lwesifo sezinso kanye nobukhulu baso obuthinta isiguli futhi isize ekuqondiseni ekukhetheni uhlelo lokwelapha olungcono kakhulu. Le nqubo isiza futhi ukuqapha ukusebenza kokwelashwa kwezinso nanoma yiziphi izinkinga ezilandelayo ukufakelwa kwezinso.

Inconywa nini i-renal biopsy?

Kungase kube nenqwaba yezimpawu nezimpawu zezinkinga zezinso. Uma uhlushwa uphawu olulodwa noma eziningi kulezi ezibalulwe ngezansi, kufanele uthintane nethimba lethu lodokotela abaqeqeshwe kahle nabanolwazi oluphezulu ezibhedlela ze-CARE, abazokuqondisa ngokuxilonga, ukwelashwa, nokunakekelwa ngemva kwesikhathi esifanele. Izimpawu nezimpawu yilezi:

• Ikhanda elibuhlungu njalo,

• Ukuvuvukala kwemilenze, amaqakala nezinyawo,

• Isicanucanu,

• Ukoma noma ukulunywa kwesikhumba,

• Izinkinga ze-Lethargy kanye nokuhlushwa,

• Ukuncipha kokuzwa kokunambitha kanye nesifiso sokudla,

• Ubuhlungu noma ukuqina kwamalunga,

• Amajaqamba emisipha, ubuthakathaka noma ndikindiki,

• Ukudlula igazi ngomchamo,

• Ukuzizwa ukhathele emini kodwa unenkinga yokulala ebusuku,

• Ukukhipha umchamo okwehlisiwe hhayi ngenxa yokuphelelwa amanzi emzimbeni,

• Izinkinga ezingachazeki mayelana nomfutho wegazi,

• Ukuncipha kwesisindo esingavamile.

Kungani kwenziwa i-renal biopsy?

I-renal biopsy yenziwa ukuhlola noma yiziphi izimo ezilandelayo:

• I-Hematuria- ukuphenya ngembangela yegazi kumchamo

• I-Albuminuria- ukuthola imbangela yamanani angaphezu kwavamile amaprotheni emchameni

• I-Tumor- ukuhlola ukukhula okungavamile kwezicubu ezinjenge-tumor ezinso futhi ubone ukuthi ziyingozi noma ziyingozi

• Ukuthola imbangela yamazinga angavamile wokunqwabelana komkhiqizo egazini

Ukuhlolwa kwezinso kungase futhi kunikeze ukuqonda ngobunzima nezinga lokuhluleka kwezinso okuqhubekayo noma ukuthi izinso ezitshaliwe zisebenza kahle kangakanani.

Izinqubo ze-Biopsy

Ithimba lethu lamathimba anolwazi, ahlukahlukene esibhedlela i-CARE lihlala litshala isikhathi, umzamo, nobungcweti bokwelapha iziguli ngezikhungo ezisezingeni eliphezulu lisebenzisa izindlela zokuxilonga ezingangeneleli kangako. Kunezindlela ezimbili zokwenza i-renal biopsy-

• I-Percutaneous renal biopsy:

Kule nqubo, kufakwa inaliti encane ye-biopsy esikhumbeni ukuze kukhishwe izicubu zezinso. Le nqubo isizwa i-ultrasound noma i-CT scan ukuze iqondise inaliti endaweni ethile ezinso.

• Vula i-biopsy:

Kule nqubo, ukusika kwenziwa eduze nezinso okuvumela ukuhlolwa kwendawo lapho isampula yethishu kufanele ithathwe khona.

Yini eyenziwa ku-renal biopsy?

Imishini yesimanjemanje enemishini yesimanje kanye nezinsiza ze-renal biopsy isebenza 24/7 ngomthamo ogcwele kuzo zonke izibhedlela ze-CARE. I-renal biopsy yenziwa ngesisekelo sesiguli esingalalisiwe noma emnyangweni we-radiology uma kudingeka i-ultrasound noma i-CT scan ngokulandela izindinganiso zamazwe ngamazwe zezivumelwano kanye nezinqubo ezihlasela kancane. Izisebenzi zethu eziqeqeshwe kahle futhi ezinolwazi olunzulu zinakekela izinqubo zokuqala ezihilela ukuhlolwa kwegazi nomchamo ukuze kuqinisekiswe ukuthi ukuhlolwa kwezinso esigulini ngeke kube yingozi ngenxa yanoma yisiphi isimo umuntu abhekene naso. I-renal biopsy ngokuvamile ithatha cishe ihora elilodwa futhi ihilela noma iyiphi yalezi zinqubo ezilandelayo:

I-Percutaneous biopsy

Kule nqubo, udokotela uzofaka isiguli kuma-sedative ngokusebenzisa umugqa we-intravenous. Ithimba lethu lodokotela bemikhakha eminingi lizoqapha impilo yonke inqubo futhi lifake i-anesthesia yendawo engxenyeni lapho kuzokwenziwa khona ukusika okuncane futhi izicubu zizokhishwa ziqondiswa i-ultrasound noma i-CT scan. Izinhlobo ezimbili ze-percutaneous renal biopsy ziyatholakala lapho udokotela azonquma ngazo njengoba kudingeka ukuze kukhishwe izicubu.

• Fine inaliti aspiration- Ngale ndlela, izicubu zezinso ezincane zikhishwa kusetshenziswa inaliti encane, encanyana exhunywe kwisirinji.

• I-needle core biopsy- Le ndlela isetshenziselwa ukukhipha isampula yezicubu zezinso ezinkulu ngosizo lwenaliti egcwele intwasahlobo.

Vula i-biopsy

Kuye ngempilo yesiguli kanye nezimo zomzimba, udokotela angase atuse i-biopsy evulekile uma kwenzeka umlando wokopha noma ukugcwala kwegazi. Ithimba lethu lezinhlaka eziningi lizonakekela impilo yonke yesiguli futhi lifake i-anesthesia jikelele. Kusetshenziswa i-laparoscope, okuyishubhu elincanyana, elikhanyayo elinekhamera yevidiyo enamathiselwe kuyo, i-biopsy ingenziwa ngokubheka izinso nokukhipha isampula yethishu ngokusikwa okuncane.

Ngemva kokuba isampula selibuyisiwe, abasebenzi bethu abanolwazi olunzulu bazosinakekela ngokugcwele isiguli ukuze baqinisekise ukunethezeka okukhulu, ukululama ngokushesha, nokuhlala isikhathi esifushane esibhedlela. 

Ukubuyiselwa kanye nokunakekelwa ngemuva

Ngemva kokuhlolwa kwezinso, isiguli singase sihlale esibhedlela ukuze silulame futhi sibhekwe. Abasebenzi bethu abaqeqeshwe kahle bazohlinzeka ngokunakekelwa kokuphela kanye nokulandelela izimpawu ezibalulekile, okuhlanganisa umfutho wegazi, izinga lokushisa, izinga lokushaya kwenhliziyo, nezinga lokuphefumula. Ukuhlolwa kwegazi okuphelele nokuhlolwa komchamo kungenziwa ukuze kutholwe noma yikuphi ukopha kwangaphakathi noma ezinye izinkinga ngemva kokuhlolwa kwe-biopsy. Isiguli sizonikezwa umuthi wokudambisa izinhlungu yithimba lethu lezempilo kuye ngesimo somzimba. Ngemva kokuqinisa ukushaya kwenhliziyo, ukucindezela nokopha, isiguli singase sidedelwe noma sigcinwe esibhedlela ukuze sibhekwe okwengeziwe. 

Odokotela bethu abangochwepheshe bangase futhi batuse ukudla futhi bacele isiguli ukuba sigweme noma yimiphi imisebenzi enzima engase icindezele izinso amasonto amabili futhi ivimbele ukopha endaweni ye-biopsy. Isiguli singabuye selulekwe ukuthi silandele ezinye iziqondiso kuye ngezimo zezempilo.

Izingozi ezihilelekile

Ukuthuthukisa noma yikuphi ukutheleleka ngemva kwalokho kuyingozi enkulu futhi ubheke izimpawu nezimpawu ezingase zibe izinkomba zokutheleleka. Kufanele uxhumane nodokotela bethu kunoma yiliphi igatsha lesibhedlela i-CARE uma uhlangabezana nenye yalezi zinkinga ezilandelayo:

• Igazi elibomvu elikhanyayo noma amahlule emchameni ngemva kwamahora angu-24 e-biopsy,

• Inkinga yokuchama,

• Ukubanda noma umkhuhlane,

• Ubuhlungu obukhulayo endaweni ye-biopsy,

• Ububomvu, ukuvuvukala, noma ukuphuma endaweni ye-biopsy,

• Ukuzizwa ubuthakathaka noma ukuquleka. 

Chofoza lapha ukuze ufunde kabanzi mayelana nenani lalokhu kwelashwa.