Qhov tseem ceeb ntawm Lub Raum Biopsy hauv Renal Needle Biopsy

Kev nkag siab txog cov kev hloov ntawm lub raum histomorphology muab lub hauv paus tseem ceeb rau cov kws kho mob los txiav txim rau tus kab mob, kho tus kab mob thiab kwv yees qhov tshwm sim. Nws tuaj yeem hais tau tias kev txhim kho ntawm lub raum pathological kev kuaj mob yog kev dhia hauv kev txhim kho nephrology. Tam sim no, cov txiaj ntsig ntawm kev kuaj mob raum pathological tau dhau los ua qhov ntsuas kub rau kev kuaj mob raum kab mob. Hauv cov ntsiab lus, qhov tseem ceeb ntawm kev kuaj mob raum puncture feem ntau suav nrog cov ntsiab lus hauv qab no:

(1) Kev kuaj pom tseeb: Lub raum biopsy tuaj yeem kho qhov kev kuaj mob hauv ntau tshaj ib feem peb ntawm cov neeg mob.

(2) Kev cob qhia kev kho mob: Kev kho mob ntawm ze li ib feem peb ntawm cov neeg mob tuaj yeem hloov kho los ntawm lub raum biopsy.

⑶ Kev kwv yees kwv yees: Lub raum biopsy tuaj yeem siv los ntsuas qhov tseeb ntawm cov neeg mob raum.

Tsis tas li ntawd, rov ua lub raum pathology qee zaum yuav tsum nkag siab txog cov txiaj ntsig ntawm kev kho mob lossis kom nkag siab txog kev loj hlob ntawm cov kab mob (xws li crescentic nephritis, lupus nephritis, thiab IgA nephropathy).

Txhawm rau kom paub meej qhov kev kuaj mob, coj kev kho lossis txiav txim qhov kev tshwm sim, tab sis tsis muaj puncture contraindications, ntau yam kab mob thawj, theem nrab thiab keeb kwm ntawm lub raum parenchymal (tshwj xeeb tshaj yog cov kab mob sib kis) tuaj yeem ua rau mob raum.

⑴ Primary kidney disease: ① Acute nephritis syndrome, rapid deterioration of renal function, suspected rapid progressive nephritis, should be punctured as soon as possible; According to the acute nephritis treatment for 2 ~ 3 months the condition does not improve should do renal perforation. ② Primary nephrotic syndrome, first treatment, hormone treatment for 8 weeks when the failure of renal puncture; Or puncture first, according to the pathological type of different treatment. ③ When the clinical diagnosis of asymptomatic hematuria and deformed red blood cell hematuria is unclear, when the diagnosis of asymptomatic proteinuria is not clear, albuminuria persists >1g / d, kev kuaj lub raum yuav tsum tau ua.

(2) Cov kab mob hauv lub raum thib ob lossis cov kab mob hauv lub raum: thaum qhov kev kuaj mob tsis raug xav tias, qhov kev kuaj mob tau lees paub, tab sis cov ntaub ntawv rau lub raum pathological tseem ceeb heev los coj kev kho lossis txiav txim qhov kev kuaj mob, lub raum puncture yuav tsum tau ua.

⑶ Lub raum tsis ua haujlwm: Kev txhaj tshuaj yuav tsum tau ua kom sai thaum kev kuaj mob thiab kuaj tsis tuaj yeem txiav txim siab qhov ua rau (xws li mob raum ua haujlwm tsis zoo hauv cov neeg mob raum mob ntev).

(4) Kev hloov pauv raum: ① thaum lub raum tsis ua haujlwm tsis meej, ② kev tsis lees paub hnyav txiav txim siab seb puas yuav tshem lub raum hloov; ③ Xav tias yuav rov tshwm sim ntawm tus kab mob hauv lub raum qub hauv lub raum hloov.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob txhaj tshuaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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