Buyrak kasalligi tashxisini buyrak ponksiyon ignasi testisiz tasdiqlash mumkinmi?

Bu buyrak ponksiyoni qilinganmi yoki yo'qmi? Biz birinchi navbatda buyrak ponksiyoni nima uchun ekanligini bilishimiz kerak? Ko'p odamlar javob berishi mumkin: patologiyaning turini aniqlang va buyrak kasalligi nima ekanligini ko'ring. Xo'sh, buyrak ponksiyoni bilan nima sodir bo'ladi? Ko'pchilik buni yaxshi bilishmaydi, bu erda buyrak ponksiyoni haqida mashhur ilmiy bilim:

Buyrak ponksiyoni deb ataladigan-buyrak to'qimalarining bir qismini asbob bilan (eslatma: buyrak shikastlangan, buyrakka to'qima bo'lagini olish buyrak shikastlanishini kuchaytiradimi?) va yuborishdir. uni patologiya bo'limiga yuboring. Patolog birinchi navbatda buyrak namunasining yorug'lik mikroskopi, immunohistokimyosi va elektron mikroskopiyasini ob'ektiv tasvirlaydi, so'ngra nefrolog tashxis qo'yish uchun patologiya hisoboti natijalarini va bemorning klinik holatini birlashtiradi.

1. Buyrak kasalliklarining xilma-xilligi, etiologiyasi va patogenezi murakkab bo'lganligi sababli ko'plab buyrak kasalliklarining klinik ko'rinishi buyraklarning gistologik o'zgarishlariga to'liq mos kelmaydi. Masalan, klinik ko'rinish nefrotik sindrom bo'lib, patologiya turli xil o'zgarishlarni ko'rsatishi mumkin: minimal shikastlanishlar, engil lezyonlar, engil mezangial giperplaziya, membranoz nefropatiya, mezangial proliferativ nefrit, fokal segmentar skleroz va boshqalar. Davolash rejasi va holati. kasallik Rivojlanish natijalari ham juda katta farq qiladi.

2. Buyrak kasalliklarining turli rivojlanish bosqichlarida gistopatologik o'zgarishlar ham bir-biriga mos kelmaydi. Misol uchun, bu ham IgA nefropatiyasi bo'lib, u deyarli normal buyrak to'qimalaridan eng ko'p glomerulyar sklerozgacha bo'lgan rivojlanishning deyarli barcha bosqichlarida patologik tarzda namoyon bo'lishi mumkin. Shuning uchun buyrak to'qimalarining morfologiyasidagi o'zgarishlarni tushunish klinisyenlar uchun vaziyatni baholash, kasallikni davolash va prognozni baholash uchun muhim asos bo'lib xizmat qiladi.

3. Bizning buyraklarimiz 2 milliondan ortiq nefronlardan iborat ekanligini bilib oldik. Buyraklar kasal bo'lganda, bu nefronlar turli darajada shikastlanadi. Bu nefronlarni birma-bir tekshirish uchun olib chiqishning iloji yo'q, faqat bir nechta vakillarni tanlab, dialogga chiqish, ularning jarohatlarini tushunish, tegishli choralarni ko'rish uchun, xuddi Butunxitoy xalq vakillari kongressi saylovi kabi. 1,3 milliard odamning uchrashuvga borishi mumkin emas. Buyrak ponksiyoni 2 million nefrondan 10 dan 20 gacha buyrakni tanlashdir. Birlik, bu nefronlarning shikastlanish darajasini ko'ring va penetratsion nefronlar haqiqatan ham bizning buyraklarimizga to'liq zarar yetkazishi mumkinmi?

4. Complications that may occur are ⑴hematuria: The incidence of hematuria under microscope is almost 100 percent , and it usually disappears within 1 to 5 days after surgery, without treatment. After the renal puncture needle penetrates the renal calyx or renal pelvis, gross hematuria may occur, which usually disappears in 1-3 days. Sometimes gross hematuria with blood clots will occur, and very few patients will have severe bleeding.

⑵Perrenal hematoma: The incidence of perrenal hematoma is about 60-90 percent . It is generally small and has no clinical symptoms. It is mostly absorbed within 1-2 weeks. Larger hematomas are rare and are mostly caused by kidney tears or penetration into large and medium blood vessels, especially arteries. They occur on the day of puncture. In severe cases, blood pressure and hematocrit are decreased. If the bleeding does not stop, surgery can be performed.

⑶ Lumbago: The incidence is about 17-60 percent , and it disappears in more than a week, but most patients will exist for life, especially on cloudy and rainy days.

⑷ Arteriovenous fistula: The incidence is 15-19 percent , and most patients have no symptoms. Typical manifestations are severe hematuria and/or perirenal hematoma, intractable hypertension, progressive heart failure, and lumbar and abdominal vascular murmurs. In severe cases, prompt surgery.

⑸Injury to other organs: Most of the organs are damaged by improper puncture points or deep needles. In severe cases, surgical treatment is required.

⑹Infection: The incidence of infection is low, mostly due to inadequate aseptic measures, pre-renal infection or pyelonephritis, such as fever, severe low back pain, and leukocyte increase require antibiotic treatment.

⑺Death: The incidence rate is 0-0.1 percent . Death is due to severe bleeding, infection, organ damage or other systemic complications.

"Boshida buyrak ponksiyon qilish yaxshi, tashxisni tasdiqlash mumkin! Lekin bu ko'rinishdan keyingi asoratlar biroz qo'rqinchli, shuning uchun endi buyrakni ponksiyon qilmasdan ham buyrak kasalligini aniqlaydigan test bormi? Bu shundaymi? tashxis qo'yilmadimi? U davolanmaydi!

Xavotir olmang, aslida buyrak ponksiyoni gistologik tekshiruv bo'lib, u ko'proq bir tomonlama va nisbatan orqada-bo'ladi, chunki hozirda buyrak hujayralarini batafsil tekshirish mumkin bo'lgan ko'plab tekshiruvlar mavjud. To'qimalar hujayralardan tashkil topgan va qaysi birining belgilari qaysi hujayra turiga mos keladi, shuning uchun hujayraga qarang va hujayra shikastlanishining sababini ko'ring!

Agar sizda biron bir savol bo'lsa, biz bilan bog'laning. Bizning kompaniyamiz turli xil moslashtirilgan ignalar, tibbiy ignalar, ponksiyon ignalari, teri osti ignalari, biopsiya ignalari, vaktsina ignalari, in'ektsiya ignalari, shprits ignalari, veterinariya ignalari, qalam uchi ignalari, tuxum olish ignalari, orqa miya ignalari va boshqalarni ishlab chiqarishi mumkin. Agar sizga moslashtirilgan kerak bo'lsa. igna mahsulotlari, iltimos biz bilan bog'laning. Sizning so'rovingizni kutamiz! Zavodimizda ishlab chiqarilayotgan mahsulotlar sifati sizni albatta qoniqtiradi!

Agar kerak boʻlsa, biz bilan bogʻlaning: zhang@sz-manners.com