Sanarwar da aka gano da yawa daga cikin hanyoyin bincike ba ta kasance cikakke ba, sabili da haka a wasu lokuta likita ya dauki fashewa. A biopsy ne shinge na karamin yanki na koda ta amfani da kayan aiki. An samo samfurin da aka samo a nan da nan don nazarin bincike na bincike mai zurfi da nazarin tarihi.
Kwayoyin halitta na zamani - alamomi da contraindications
Fasaha da aka bayyana ta taimaka wa likita don bayyana fasalin asalin da ake tsammani, gano ƙananan da kuma haddasa ilimin lissafin da aka gano da kuma ci gaba da fasalin tasiri. Bugu da ƙari, ana amfani dashi don bambanta cututtuka. Kwayoyin kwayoyin kwayoyin halitta tare da glomerulonephritis yana tabbatar da bambancinta tare da sauran lalata kwayoyin halitta:
- Amyloidosis ;
- Ciwon Berger;
- pyelonephritis;
- diabetic nephropathy ;
- haɗari, haɓaka ko magunguna na yau da kullum.
Wani nau'in cututtukan koda yake biopsy ne?
Ba a yi amfani da nama a ciki ba a buƙatar mai haƙuri, kawai gwani zai iya bayar da shawarar kawai idan akwai dalilai masu kyau don hanya. Labaran ƙwayar halitta: littattafan:
- Organic glomerular ko tubular proteinuria;
- alamar hematuria;
- ciwon nephrotic;
- renal rashin nasara, glomerulonephritis tare da sauri ci gaba;
- tubulogathy na asxplained asali;
- ake zargin neoplasm;
- aikin ba daidai ba na sashen transplanted.
Anyi amfani da kwayoyin cutar koda akan wadannan dalilai:
- zaɓi na maganin lafiya;
- Sarrafa tasiri na shirin da aka zaɓa;
- kula da yanayin dashi.
Koda biopsy - contraindications
Akwai cututtukan cututtuka da yanayin yanayin da ba za'a iya aiwatar da wannan magudi ba:
- rashin haƙuri da kwayoyi masu dauke da kwayoyi;
- kawai koda daya aiki;
- hana jini jini;
- hydronephrosis;
- anerysm na ƙwararriyar kullun;
- dama ventricular rashin cin nasara;
- cavernous tarin fuka;
- thrombosis na ƙananan veins;
- purulent perinephritis;
- ciyawa;
- hadari;
- lalata;
- zauna a cikin coma.
A wasu lokuta, haɓakaccen halittu na kodan yana halatta, amma ya kamata a yi tare da taka tsantsan:
- ƙananan ƙwarewa a cikin matsala mai tsanani;
- nodular periarteritis;
- hawan jini na jini tare da filayen sama sama da 110 mm Hg;
- myeloma;
- digiri na alama na atherosclerosis;
- motsa jiki na motsa jiki;
- Nasroptosis.
Koda biopsy - Abubuwa da fursunoni
Hanyar da aka yi la'akari da ita tana haɗuwa da matsalolin haɗari, don haka tambayar likita ya yanke shawara ta likita. Tsuntsu zai iya samar da iyakar adadin bayanin game da haddasawa, yanayin yanayin da kuma rashin lafiya, ya taimaka wajen kafa cikakkiyar asali na ɓataccen kuskure. A lokaci guda kuma, yana iya haifar da mummunar sakamako, musamman idan an yi shi a gaban takaddama.
Mahimmanci, nephrologists tattauna wani biopsy na ƙwayar koda. Kasancewar ciwon daji a cikin wannan kwayar kuma an gano shi a wasu hanyoyi ba tare da bukatar buguwa ba. Kusan dukkanin wadanda aka gano cewa girma suna da batun cirewa, wanda ya ba da damar samun dama ga kyallen takalma na koda, kuma ga magungun kanta. A wannan bangaren, kwararru suna da wuya su rubuta aikin magudi wanda aka kwatanta don nazarin neoplasms.
Yana da zafi don yin kwayar cutar koda?
An gabatar da tsari a karkashin aikin ƙwayar cuta na gida (ƙananan sau da yawa ko ƙaddamarwa). Ko da sanin game da cutar shan magani, wasu marasa lafiya suna ci gaba da gano yadda rashin lafiya kwayoyin kwayoyin halitta yake - ko yana da zafi ko ba kai tsaye a lokacin da kuma bayan zaman. Idan hanyar da aka samu ta hanyar kwararrun likita, hakan yakan haifar da rashin tausayi. Kyakkyawan amfani da cututtuka yana tabbatar da rauni kadan.
Me yasa kwayoyin kwayoyin kwayoyin halittu suke da haɗari?
Koma na kowa (cikin 20-30% na marasa lafiya) na magudi shi ne zub da jini, wanda ya tsaya a kansa a cikin kwanaki 2. Wani lokaci kwayoyin halittu ya fi wuya - za'a iya bayyana sakamakon haka kamar haka:
- pneumothorax ;
- kamuwa da cutar tsoka;
- lalata gabobin ciki na ciki;
- m hemorrhage;
- Ƙungiyar gwano;
- zazzabi;
- infarction na kwaya;
- zafi mai tsanani;
- rupture na ƙananan ƙananan rufi na koda;
- bayyanar perirenal hematoma;
- rage yawan karfin jini;
- suprerative paranephritis;
- samfurin fistula na ciki.
Abu da wuya (kasa da 0.2% na lokuta) kwayoyin kwayoyin halitta sun ƙare. Matsalar da ke da hatsarin gaske na hanya:
- cessation na aiki na jiki;
- buƙatar nemprectomy;
- sakamakon mutuwa.
Me zai iya maye gurbin kwayoyin koda?
Ba'a riga an ƙirƙira shidodin tsari ba, amma ƙarancin saɓo da traumatic, analogs na binciken fasahar da aka bayyana. Kwayoyin kwayoyin cututtuka kamar yadda aka gano hanyar ƙwarewa yana nuna ƙaddaraccen bayani da daidaito. Sauran hanyoyin da za a gano magungunan tsarin urinary ba su da wani abin dogara kuma zasu iya haifar da sakamakon ƙarya. A matsayin madadin wannan manipulation, ana amfani da duban dan tayi ne kawai, amma a cikin dakunan shan magani, an maye gurbin kwayar cutar koda ta hanyar fasahar zamani:
- lissafin rubutu;
- urography intravenous ;
- Rediyo na rediyo;
- veno- da arteriography;
- Alamar bayanai;
- panoramic radiography tare da bambanci.
Yaya aka yi wani kwayar cutar koda?
An yi jigilar bambance-bambancen na yau da kullum a cikin hanyar rufewa. Yin amfani da na'ura ta duban dan tayi ko X-ray, an nuna wurin koda. A cewarsa, likita ya gabatar da allurar mahimmanci a sama da kwayar da ke ƙarƙashin binciken, ya shiga cikin fata da kuma tsoka. Bayan cimma burin, na'urar fashewa ta sa samfurin atomatik. Wani lokaci, don nazari mai kyau, kana buƙatar abubuwa masu yawa na halitta, kuma dole ka yi amfani da allurar sau da yawa (ta daya rami).
Akwai wasu hanyoyi, kamar kwayoyin kwayoyin halitta:
- Share. Abubuwan samfurori da nazarin su na gaba yayin da ake aiki a ƙarƙashin ƙwayar cuta.
- Tare da samun dama ta hanyar jakar jugular. Wannan dabarar ya fi dacewa ga marasa lafiya da halayen jini, rashin gaji na numfashin jini, ko kuma rashin lafiya na tsarin koda.
- Urethroscopy tare da fashewa. An tsara wannan hanya a gaban duwatsu a cikin ƙashin ƙugu da ƙananan ƙafa, gabobin da aka sassauka, an bada shawara ga mata masu juna biyu da yara.
Mene ne yake haifar da zafin jiki bayan kwayar cutar koda?
Yanayin tsoro ko ƙananan canje-canje a cikin thermoregulation ana kiyaye su bayan da yawa daga cikin sa'o'i ko kwanakin daga fashewa. Rawanni bayan wani kwayar cutar kwayoyin halitta zai iya faruwa don dalilai masu zuwa:
- ƙwayoyin kumburi a cikin kyallen takalma na kwaya ko tsokoki;
- kamuwa da fata a wurin fashewa;
- purulent pathologies;
- lalacewa ga sassa na kusa.
Matsalar matsalar da ke tattare da kwayar cutar koda yana da karfi kuma yana amfani da jini cikin ciki cikin fiber na paranephric kuma a karkashin sashin kwayar halitta (perirenal hematoma). Lokacin da sakamakon wannan cututtukan ya ɓace, kuma haɗuwa da ruwa mai zurfi ya ɓace, zazzaɓi zai iya faruwa. Kada ku yi kokarin gano abubuwan da ke faruwa a kan ku, yana da kyau a gaggauta samun shiga cikin mai ciki zuwa ga nephrologist.
Hematoma bayan koda kwayoyin
Hanyar da aka kwatanta ta hanyar da aka yi bayani yana da wuya, yana da asusun na kasa da 1.5% na lokuta. Zai yiwu yiwuwar ciwon jini a cikin gida da kuma samuwar babban hematoma ya dogara ne akan yadda aka yi amfani da kwayar cutar kwaya daidai-yadda aka yi wannan magudi (hanyar zabi), ko maganin rigakafin farko da maganin antiseptic.
Tsaro mai ciwon ƙwayar cuta ba ya magana ne game da illa mai haɗari na ganewar asali kuma baya buƙatar tsoma baki, amma yawanci yana haɗuwa da yanayin jiki da kuma ƙarin alamun bayyanar cututtuka:
- rage yawan karfin jini;
- yanke, zafi mai tsanani a cikin baya baya;
- bayyanar jini a cikin fitsari ko canji a cikin launi zuwa ruwan hoda, m;
- rage rage yawan haemoglobin cikin gwajin jini;
- rashin ƙarfi, lalata;
- rashin ci;
- damuwa na urination.