Myocardial biopsy

Myocardial biopsy ndiko kubviswa kwechidimbu chidiki chemoyo mhasuru kuongororwa.

Myocardial biopsy inoitwa kuburikidza nekateti iyo yakasungirirwa mumoyo mako (moyo catheterization). Maitiro acho anozoitika mune dhipatimendi redhipatimendi redhiology, yakakosha maresitoreti mukamuri, kana cardiac diagnostics murabhoritari.

Kuve nemaitiro:

• Unogona kupihwa mushonga wekukubatsira kuzorora (kunyaradza) usati waitwa. Nekudaro, iwe unozoramba wakamuka uye uchikwanisa kuteedzera rairo panguva yebvunzo.
• Iwe unozorara wakatsetseka pane yakatambanudzwa kana tafura apo bvunzo ichiitwa.
• Ganda rinosukwa uye mushonga wekunoita chiveve (anesthetic) unopihwa.
• Kucheka kwekuvhiya kunoitwa ruoko rwako, mutsipa, kana kugomera.
• Anopa hutano anoisa chubhu chena (catheter) kuburikidza netsinga kana tsinga, zvinoenderana nekuti nyama ichatorwa kubva kurudyi kana kuruboshwe kwemoyo.
• Kana iyo biopsy ikaitwa pasina imwe nzira, iyo catheter inowanzo kuiswa kuburikidza netsinga iri mumutsipa uye zvobva zvanyatsoiswa mumoyo. Chiremba anoshandisa inofamba x-ray mifananidzo (fluoroscopy) kana echocardiography (ultrasound) kutungamira iyo catheter kunzvimbo chaiyo.
• Kana catheter yangova panzvimbo, chinhu chakakosha chine shaya diki pamuromo chinoshandiswa kubvisa zvidimbu zvidiki kubva mumhasuru yemwoyo.
• Maitiro acho anogona kutora 1 kana anopfuura maawa.

Unozoudzwa kuti usadya kana kunwa chero chinhu kwemaawa matanhatu kusvika masere bvunzo isati yaitwa. Maitiro acho anoitika muchipatara. Kazhinji kazhinji, iwe unozobvumidzwa mangwanani enzira yacho, asi mune dzimwe nguva, ungangoda kubvumidzwa husiku hwapfuura.

Iye mupi anotsanangura maitiro nemaitiro ayo. Iwe unofanirwa kusaina fomu yekubvuma.

Iwe unogona kunzwa kumwe kumanikidzwa pane iyo biopsy saiti. Unogona kunge uine kusagadzikana nekuda kwekunyepa wakadzikama kwenguva yakareba.

Maitiro aya anowanzoitwa mushure mekushandurwa kwemoyo kutarisa zviratidzo zvekurambwa.

Wako mupi anogona zvakare kuraira maitiro aya kana iwe uine zviratidzo zve:

• Doro cardiomyopathy
• Cardiac amyloidosis
• Cardiomyopathy
• Hypertrophic cardiomyopathy
• Idiopathic cardiomyopathy
• Ischemic cardiomyopathy
• Myocarditis
• Peripartum cardiomyopathy
• Kudzivirira cardiomyopathy

Mhedzisiro mhedzisiro zvinoreva kuti isina kujairika yemoyo mhasuru nyama yakawanikwa. Zvisinei, hazvireve kuti moyo wako wakajairika nekuti dzimwe nguva bhiopsy inogona kupotsa zvinyama zvisina kujairika.

Mhedzisiro isingawanzo zvinoreva kuti zvinyama zvisina kujairika zvakawanikwa. Uyu muedzo unogona kuburitsa chikonzero chemoyo wemoyo. Tissue isina kujairika inogona kunge iri nekuda kwe:

• Amyloidosis
• Myocarditis
• Sarcoidosis
• Kuisazve kuramba

Njodzi dziri pakati nepakati uye dzinosanganisira:

• Ropa rinovhara
• Kubuda ropa kubva kune iyo biopsy saiti
• Cardiac arrhythmias
• Utachiona
• Kukuvadza kune inowanzoitika laryngeal nerve
• Kukuvadza kune tsinga kana tsinga
• Pneumothorax
• Kubvaruka kwemoyo (zvisingawanzoitika)
• Tricuspid kudzokorora

Mwoyo biopsy; Biopsy - moyo

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Bheopsy catheter

Herrmann J. Cardiac catheterization. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 19.

Miller DV. Mwoyo system. Mune: Goldblum JR, Mwenje LW, McKenney JK, Myers JL, eds. Rosai naAckerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: chitsuwa 42.

Rogers JG, O'Connor CM. Kundikana kwemoyo: pathophysiology uye kuongororwa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 52.