Sịva biopsy

Osimiri synovial bụ iwepụ otu mpempe akwụkwọ nke jikọtara nkwonkwo maka nyocha. A na-akpọ anụ ahụ synovial membrane.

A na-eme ule ahụ n'ime ime ụlọ ọrụ, mgbe mgbe n'oge ọrịa ogbu na nkwonkwo. Nke a bụ usoro nke jiri obere igwefoto na ngwaọrụ ịwa ahụ iji nyochaa ma ọ bụ mezie anụ ahụ dị n'ime ma ọ bụ gburugburu nkwonkwo. A na-akpọ igwefoto ahụ arthroscope. N'ime usoro a:

• Nkụnwụ ahụ n'ozuzu gị. Nke a pụtara na ị ga-enwe ihe mgbu ma hie ụra n’oge usoro ahụ. Ma ọ bụ, ịnwere ike ịnweta ọgwụ mgbochi ọrịa mpaghara. ’Ll ga-eteta, mana akụkụ ahụ ya na nkwonkwo ga-akụ. N'ọnọdụ ụfọdụ, a na-enye ọgwụ mgbochi ọrịa mpaghara, nke na-agwụ nanị nkwonkwo.
• Dọkịta na-awa ahụ na-eme obere ịkpụ na akpụkpọ ahụ n'akụkụ nkwonkwo ahụ.
• A na-etinye ihe akpọrọ trocar site na ịkpụ na nkwonkwo.
• A na-eji obere igwefoto nwere ọkụ eleba anya na nkwonkwo ya.
• Mgbe ahụ, a ga-etinye ngwaọrụ a kpọrọ biopsy grasper site na trocar. A na-eji grasper egbu obere mpempe akwụkwọ.
• Dọkịta na-awa ahụ na-ewepu grasper yana anụ ahụ. A na-ewepụ trocar na ihe ọ bụla ọzọ. A na-emechi ịkpụ akpụkpọ ahụ ma tinye bandeeji.
• A na-ezigara ihe nlele na ụlọ nyocha maka nyocha.

Soro ntuziaka nke onye nlekọta ahụike gị banyere otu esi akwadebe. Nke a nwere ike ịgụnye ịghara iri na ị drinkingụ ihe ọ bụla ruo ọtụtụ awa tupu usoro ahụ.

Site na anestetị nke mpaghara, ị ga-enwe nkụda mmụọ na iwe ọkụ. Dị ka a na-etinye trocar, a ga-enwe ụfọdụ ahụ erughị ala. Ọ bụrụ na a na-awa ahụ n'okpuru mpaghara ma ọ bụ izugbe anesthesia, ị gaghị anụ usoro ahụ.

Synovial biopsy na-enyere aka ịchọpụta gout na nje, ma ọ bụ chịkwaa ọrịa ndị ọzọ. Enwere ike iji ya ịchọpụta nsogbu autoimmune dịka ọrịa ogbu na nkwonkwo, ma ọ bụ ọrịa ndị a na-ahụkarị dị ka ụkwara nta ma ọ bụ ọrịa fungal.

Ọdịdị akpụkpọ ahụ synovial ahụ dị mma.

Synovial biopsy nwere ike ịchọpụta ọnọdụ ndị a:

• Ogologo oge (ala ala) synovitis (mbufụt nke akpụkpọ ahụ synovial)
• Coccidioidomycosis (ọrịa fungal)
• Ogbu ogbu na nkwonkwo
• Gout
• Hemochromatosis (ihe na-adịghị mma nke iron)
• Systemic lupus erythematosus (ọrịa autoimmune nke na - emetụta akpụkpọ ahụ, nkwonkwo, na akụkụ ndị ọzọ)
• Sarcoidosis
• Ụkwara nta
• Ọrịa Synovial (ụdị anụ ahụ dị nro anụ ahụ)
• Ọrịa ogbu ogbu na nkwonkwo

Enwere obere ohere ibute ọrịa na ọbara ọgbụgba.

Soro ntuziaka maka idobe ọnya ahụ ọcha ma kpọọ nkụ ruo mgbe onye na-eweta gị kwuru na ọ dị mma iji mee ya mmiri.

Biopsy - synovial akpụkpọ ahụ; Ọrịa ogbu ogbu na nkwonkwo - synovial biopsy; Gout - synovial biopsy; Ọrịa nkwonkwo - synovial biopsy; Synovitis - synovial biopsy. Ọkpụkpụ synovial

• Sịva biopsy

El-Gabalawy HS, Tanner S. Synovial ọmụmụ nyocha, synovial biopsy, na synovial pathology. Na: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Firestein na Kelley's Akwụkwọ ọgụgụ nke Rheumatology. Nke 11. Philadelphia, PA: Elsevier; 2021: Isi nke 56.

Odida SG. Synovial biopsies. Na: West SG, Kolfenbach J, eds. Ihe nzuzo Rheumatology. Agba nke anọ. Philadelphia, PA: Elsevier; 2020: isi 9.