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Biopsia heptica (Biopsia de hgado) - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Biopsia heptica (Biopsia de hgado) - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Su mdico puede obtener una biopsia de hgado para determinar la causa de la enfermedad heptica, as como la magnitud del dao. El hgado est ubicado en la parte superior derecha del abdomen justo debajo del diafragma. Se encuentra casi totalmente dentro de la caja torcica, lo cual brinda cierta proteccin al rgano. El hgado es fundamental para la digestin y el metabolismo, sus diversas funciones incluyen: producir bilis, que es necesaria para la absorcin de grasas; producir protenas a partir de los aminocidos; acumular grasas para su almacenamiento o transporte en la sangre; regular los niveles de azcar en la sangre; y procesar sustancias tales como el alcohol y las drogas. Es posible que se indique una biopsia de hgado para determinar la causa de pruebas de funcin heptica anormales, hinchazn o agrandamiento del hgado e ictericia, la decoloracin amarillenta de la piel y el blanco de los ojos que se desarrolla cuando la bilirrubina srica se encuentra elevada. Usualmente la bilirrubina es metabolizada por el hgado. Estas seales y sntomas pueden presentarse debido a diversas condiciones hepticas que incluyen: cirrosis, hepatitis, o cncer. Antes del procedimiento, se le colocar una va intravenosa y, posiblemente, se le administre un sedante para ayudarlo a relajarse. La biopsia del hgado se realiza con anestesia local, por lo que usted estar despierto durante el procedimiento. Se le pedir que se eche boca arriba con el brazo derecho encima de su cabeza. Deber mantenerse lo ms quieto posible durante el procedimiento. El pulmn derecho y la vescula se encuentran cerca del hgado y moverse podra daar estos rganos. Su mdico determinar la ubicacin de su hgado por medio de un ultrasonido o golpeando suavemente su abdomen con las yemas de sus dedos. Despus de limpiar el rea del lugar de la biopsia con un antisptico, su mdico inyectar anestesia local para adormecer la piel y la superficie del hgado. Una vez que la piel est adormecida, su mdico realizar un pequeo corte con un bistur quirrgico, es ah donde se introducir la aguja. Su mdico har avanzar con cuidado la aguja de biopsia hacia la superficie del hgado. Luego, su mdico le pedir que aguante la respiracin mientras hace avanzar la aguja hacia el interior del hgado y obtiene la muestra del tejido. Tan pronto como se obtenga la biopsia, usted podr respirar con normalidad. Es posible que tenga una sensacin momentnea en su hombro derecho durante o justo despus de la biopsia, algunos pacientes sienten dolor y necesitan medicamentos adicionales, los cuales son provistos por su mdico en caso sea necesario. Luego, se aplicar presin en el lugar de la biopsia para detener cualquier sangrado y se le colocar una venda en la incisin. Deber recostarse sobre su lado derecho por lo menos durante una hora despus de la biopsia. Despus del procedimiento, se controlar de cerca su presin sangunea y ritmo cardaco. Despus de recostarse sobre su lado derecho por una hora o dos, se le pedir que se eche boca arriba por lo menos durante tres horas adicionales. Las biopsias de hgado se consideran procedimientos ambulatorios. Si no hay complicaciones, se le dar de alta entre cuatro y ocho horas despus del procedimiento.

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