Dyagnostik ak tretman nan pike fwa
Jul 31, 2022
Byopsi fwa se yon metòd egzamen ki ka dirèkteman konprann chanjman patolojik nan tisi yo epi fè yon dyagnostik pi egzak. Li se tou yon baz enpòtan pou klasifikasyon nan maladi fwa, kidonk byopsi fwa trè enpòtan. Wòl li nan epatit viral se jan sa a: (1) ka byen dyagnostike
Dyagnostik klinik maladi souvan gen yon sèten devyasyon, sèlman dyagnostik patolojik se reyèlman serye. Pafwa dyagnostik klinik la se epatit egi, pandan y ap patoloji a sijere yon atak egi nan epatit kwonik. Dyagnostik klinik la te egi oswa subegi epatit grav, ak rezilta yo patolojik yo te masiv oswa submassif nekwoz sou baz siwoz, se sa ki, kwonik epatit grav. Dyagnostik klinik epatit kwonik oswa pòtè viris, ak prèv patolojik pou siwoz bonè ak sou sa. Gen kèk pasyan ki pa viral epatit domaj nan fwa, tès san pou kont li, ltrason B, CT ak lòt egzamen yo difisil pou idantifye epatit viral. Pou egzanp, Zhang Hongfei analize 1020 byopsi fwa pedyat epi li montre ke domaj fwa ki pa viral te konte pou 9.6 pousan (98 ka), nan mitan ki te gen otan ke 18 kòz, senk an tèt yo te: A. Maladi ki gen rapò ak metabolis lipid; B. Koripsyon epatolentikilè; C. maladi depo glikojèn; D. Distwofi miskilè pwogresif; E. Epatit otoiminitè. Se poutèt sa, byopsi fwa ka bay endikasyon enpòtan pou dyagnostik maladi fwa.
(2) Pou jije kondisyon an, gide tretman an epi evalye pronostik la
Chronic disease virulent HEPATITIS PERSON LIVER INFLAMMATION AND fibrosis degree AND treatment and prognosis have close CONCERN, ONLY CLINICAL symptom AND ASSAY RESULT, DO NOT HAVE LIVER BIOPSY TO MAKE CORRECT JUDGMENT VERY HARD. For example, hepatitis B virus carriers, through liver biopsy found that 10% of the liver tissue normal; 70% of the patients had mild liver lesions. 20% have chronic active hepatitis, liver cirrhosis. The top 80 percent do not need treatment; the bottom 20 percent do. There is a direct relationship between the severity of severe hepatitis and the degree of hepatocyte necrosis. The prognosis of severe hepatitis can be estimated by calculating the proportion of hepatocyte volume in liver biopsy. Those whose hepatocyte volume was less than 10% died, and those whose hepatocyte volume was more than 35% regained consciousness. In 22 CASES OF SEVERE HEPATITIS, MULTIPLE liver BIOPSIES WERE PERFORMED AND IT WAS FOUND THAT THE proportion OF hepatocyte VOLUME in liver tissue after hepatocyte regeneration was >45 pousan nan pasyan ki gen konsyans reprann. Nan pwosesis rekiperasyon pasyan epatit grav, re-egzamen nan byopsi fwa, dapre degre nan rekiperasyon epatosit ak ipèrplasi tisi fib, tou gen sèten siyifikasyon referans pou pronostik. Patoloji te montre destriksyon grav epatosit ak twoub estrikti lobule epatik. Hyperplasie tisi fib se anpil, pasyan adumbrative ap devlope siwotik.
(3) Evalyasyon efè tretman an
Efè tretman an pa ka depann sou santiman subjectif pasyan an, tès laboratwa yo tou afekte pa divès faktè, pandan y ap byopsi fwa a pi objektif ak egzat.
(4) Li bay yon mwayen enpòtan pou etid patojèn maladi fwa yo.
Endikasyon yo se jan sa a: ⑴ epatomegalia nan kòz enkoni, tankou epatit viral, epatit otoiminitè, maladi metabolik konjenital, tibèkiloz fwa, histiocytosis malfezan ak sarkodonti, elatriye. , ak epatit dwòg-induit. (3) Jije maladi a, pronostik ak efikasite. Kontr: koma epatik, tandans senyen, enfeksyon lokal, ascit, lajònis grav, lajònis obstriktif ekstraepatik, epatoserkoz, emangiom epatik.
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