Boitšoaro ba methapo

Biopsy ea methapo ke ho tlosa karoloana e nyane ea methapo bakeng sa tlhahlobo.

Hangata biopsy ea methapo e etsoa ka methapo maqaqailaneng, ka pele kapa ka nthong.

Mofani oa tlhokomelo ea bophelo o sebelisa moriana ho felisa sebaka pele ho ts'ebetso. Ngaka e seha karolo e nyane mme e tlosa karolo ya methapo. Sehiloeng sea koaloa ebe ho tlamisoa bandage ho sona. Sampole ea methapo e romeloa labong, moo e hlahlojoang ka microscope.

Latela litaelo tsa mofani oa hau mabapi le mokhoa oa ho itokisetsa ts'ebetso.

Ha moriana o thethefatsang (moriana o thethefatsang kutlo) o entoa, o tla utloa ho hlaba le ho hlaba hanyane. Sebaka sa biopsy se ka ba bohloko matsatsi a 'maloa kamora tlhahlobo.

Biopsy ea methapo e ka etsoa ho thusa ho fumana:

• Ho senyeha ha axon (timetso ea karolo ea axon ea sele ea methapo)
• Tšenyo ea methapo e menyenyane
• Demyelination (timetso ea likarolo tsa myelin sheath e koahelang methapo)
• Maemo a methapo ea methapo (neuropathies)

Maemo ao teko e ka etsoang bakeng la ona a kenyelletsa e 'ngoe ea tse latelang:

• Alcohol neuropathy (tšenyo ea methapo e tsoang ho noeng joala ho tlola)
• Ho se sebetse ha methapo ea methapo (tšenyo ea methapo ea mahetla e lebisang ho lahleheloeng ke motsamao kapa maikutlo mahetleng)
• Brachial plexopathy (tšenyo ea plexus ea brachial, sebaka se lehlakoreng le leng la molala moo methapo ea methapo e tsoang mokokotlong e arohaneng le methapo ea letsoho ka leng)
• Lefu la Charcot-Marie-Tooth (sehlopha sa mafu a futsitsoeng se amang methapo e ka ntle ho boko le mokokotlo)
• Ho se sebetse ha methapo e tloaelehileng ea pelo (tšenyo ea methapo ea pelo e lebisang ho tahlehelo ea motsamao kapa kutlo maotong le leotong)
• Ho se sebetse ha methapo ea methapo e bohareng (tšenyo ea methapo e bohareng e lebisang ho tahlehelo ea motsamao kapa kutlo matsohong)
• Mononeuritis multiplex (boloetse bo amanang le tšenyo ea bonyane libaka tse peli tse arohaneng tsa methapo)
• Necrotizing vasculitis (sehlopha sa mathata a amanang le ho ruruha ha marako a methapo ea mali)
• Neurosarcoidosis (bothata ba sarcoidosis, moo ho ruruha ho hlahang bokong, mokokotlong le libakeng tse ling tsa tsamaiso ea methapo)
• Ho se sebetse ha methapo ea methapo (tšenyo ea methapo ea maqhubu e lebisang ho tahlehelo ea motsamao kapa kutlo letsohong, letsohong kapa letsohong)
• Ho se sebetse ha methapo ea methapo (tšenyo ea methapo ea tibial e lebisang ho tahlehelo ea motsamao kapa kutlo maotong)

Sephetho se tloaelehileng se bolela hore methapo e bonahala e tloaelehile.

Liphetho tse sa tloaelehang li ka bakoa ke:

• Amyloidosis (hangata methapo ea methapo ea pelo e sebelisoa)
• Ho tlosa maemo
• Ho ruruha ha methapo
• Lepera
• Ho lahleheloa ke lisele tsa axon
• Metabolic neuropathies (mathata a methapo a hlahang ka mafu a sitisang ts'ebetso ea lik'hemik'hale 'meleng)
• Necrotizing vasculitis
• Sarcoidosis

Likotsi tsa ts'ebetso li ka kenyelletsa:

• Allergic reaction ho moriana o thethefatsang kutlo oa lehae
• Ho se utloise bohloko kamora ts'ebetso
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)
• Tšenyo e sa feleng ea methapo (e sa tloaelehang; e fokotsoe ke khetho e hlokolosi ea sebaka)

Lefu la biopsy lea hlasela mme le thusa maemong a mang feela. Bua le mofani oa hau ka likhetho tsa hau.

Biopsy - methapo

• Boitšoaro ba methapo

CC ea Chernecky, Berger BJ. Bokooa ba methapo - tlhahlobo. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 814-815.

Midha R, Elmadhoun TMI. Tlhatlhobo ea methapo ea kutlo, tlhahlobo le biopsy. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 245.