I-biopsy ye-myocardial

I-myocardial biopsy ukususwa kwengcezu encane yemisipha yenhliziyo ukuze ihlolwe.

I-myocardial biopsy yenziwa nge-catheter efakwe enhliziyweni yakho (i-catheterization yenhliziyo). Inqubo izokwenzeka emnyangweni we-radiology wesibhedlela, igumbi lezinqubo ezikhethekile, noma ilabhorethri yokuxilonga inhliziyo.

Ukuze ube nenqubo:

• Unganikezwa umuthi ozokusiza uphumule (ukuthambisa) ngaphambi kwenqubo. Kodwa-ke, uzohlala uphapheme futhi ukwazi ukulandela imiyalelo ngesikhathi sokuhlolwa.
• Uzolala phansi ku-stretcher noma etafuleni ngenkathi kwenziwa isivivinyo.
• Isikhumba siyakhucululwa bese kunikezwa umuthi wendawo oyindikindiki (i-anesthetic).
• Ukusikwa kokuhlinzwa kuzokwenziwa ingalo, intamo, noma ukububula kwakho.
• Umhlinzeki wezokunakekelwa kwempilo ufaka ishubhu elincane (ipayipi) ngomthambo noma umthambo, kuya ngokuthi izicubu zizothathwa ohlangothini lwesokudla noma lwesobunxele lwenhliziyo.
• Uma i-biopsy yenziwa ngaphandle kwenye inqubo, i-catheter ivame ukufakwa emthanjeni entanyeni bese ifakwa ngokucophelela enhliziyweni. Udokotela uzosebenzisa izithombe ezihamba nge-x-ray (i-fluoroscopy) noma i-echocardiography (i-ultrasound) ukuqondisa i-catheter endaweni efanele.
• Lapho ipayipi liba sesimeni esifanele, kusetshenziswa umshini okhethekile onemihlathi emincane esicongweni ukususa izingcezu ezincane zezicubu emisipheni yenhliziyo.
• Inqubo ingahlala ihora elingu-1 noma ngaphezulu.

Uzotshelwa ukuthi ungadli noma uphuze noma yini amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Inqubo yenzeka esibhedlela. Imvamisa, uzongeniswa ekuseni kwenqubo, kepha kwezinye izimo, kungadingeka ukuthi ungeniswe izolo ebusuku.

Umhlinzeki uzochaza inqubo kanye nezingozi zayo. Kufanele usayine ifomu lokuvuma.

Ungase uzwe ingcindezi ethile kusayithi le-biopsy. Ungaba nokungakhululeki ngenxa yokulala unganyakazi isikhathi eside.

Le nqubo yenziwa njalo ngemuva kokufakelwa kwenhliziyo ukubuka izimpawu zokwenqatshwa.

Umhlinzeki wakho futhi anga-oda le nqubo uma unezimpawu ze:

• I-cardiomyopathy ephuzile
• I-amyloidosis yenhliziyo
• I-Cardiomyopathy
• I-hypertrophic cardiomyopathy
• Idiopathic cardiomyopathy
• Ischemic cardiomyopathy
• I-myocarditis
• I-Peripartum cardiomyopathy
• I-cardiomyopathy evimbelayo

Umphumela ojwayelekile usho ukuthi akukho sithambo semisipha yenhliziyo esingajwayelekile esitholakele. Kodwa-ke, akusho ukuthi inhliziyo yakho ijwayelekile ngoba kwesinye isikhathi i-biopsy ingaphuthelwa izicubu ezingavamile.

Umphumela ongajwayelekile usho ukuthi kwatholakala izicubu ezingavamile. Lokhu kuhlolwa kungaveza imbangela ye-cardiomyopathy. Izicubu ezingavamile kungenzeka ngenxa ye:

• I-Amyloidosis
• I-myocarditis
• I-Sarcoidosis
• Ukwenqaba ukufakelwa

Izingozi zilinganisiwe futhi zifaka:

• Amahlule egazi
• Ukopha esizeni se-biopsy
• Ama-arrhythmias enhliziyo
• Ukutheleleka
• Ukulimala kwezinzwa eziphindaphindayo zelaryngeal
• Ukulimala emthanjeni noma emthanjeni
• Pneumothorax
• Ukudabuka kwenhliziyo (okungajwayelekile kakhulu)
• Ukuvuselelwa kabusha kweTricuspid

Ukuhlolwa kwenhliziyo; I-Biopsy - inhliziyo

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili
• Ipayipi le-biopsy

UHerrmann J. Catheterization yenhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 19.

UMiller DV. Isistimu yenhliziyo. Ku: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. URosai no-Ackerman's Pathology Yokuhlinzwa. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2018: isahluko 42.

URogers JG, O'Connor CM. Ukwehluleka kwenhliziyo: i-pathophysiology kanye nokuxilongwa. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 52.