I-biopsy yeMyocardial

I-myocardial biopsy kukususwa kwesiqwengana sentliziyo yemisipha yoviwo.

I-myocardial biopsy yenziwa nge-catheter efakwe entliziyweni yakho (i-catheterization yentliziyo). Inkqubo iya kwenzeka kwisebe le-radiology yesibhedlele, kwigumbi leenkqubo ezizodwa, okanye elebhu yokuqonda isifo sentliziyo.

Ukuba nenkqubo:

• Unokunikwa iyeza lokukunceda uphumle (ukuthambisa) ngaphambi kwenkqubo. Nangona kunjalo, uya kuhlala uphaphile kwaye ukwazi ukulandela imiyalelo ngexesha lovavanyo.
• Uza kulala ungqengqe kwilitha okanye itafile ngelixa uvavanyo lusenziwa.
• Ulusu luyakhuhlwa kuze kunikwe iyeza lendawo elibindayo (iyeza).
• Ukusikwa kotyando kuyakwenziwa ngengalo yakho, intamo, okanye ukugcuma.
• Umboneleli wezempilo ufaka ityhubhu encinci (i-catheter) ngokusebenzisa umthambo okanye umthambo, kuxhomekeke ekubeni izicwili ziya kuthathwa kwicala lasekunene okanye lasekhohlo lentliziyo.
• Ukuba i-biopsy yenziwe ngaphandle kwenye inkqubo, i-catheter ihlala ibekwa ngomthambo entanyeni kwaye emva koko inyanzelwe ngononophelo entliziyweni. Ugqirha uya kusebenzisa imifanekiso ye-x-ray ehambayo (i-fluoroscopy) okanye i-echocardiography (i-ultrasound) ukukhokela i-catheter kwindawo efanelekileyo.
• Nje ukuba i-catheter ime kakuhle, isixhobo esikhethekileyo esinemihlathi emincinci kwincam sisetyenziselwa ukususa izihlunu ezincinci kwintliziyo.
• Inkqubo inokuhlala i-1 okanye ngaphezulu iiyure.

Uya kuxelelwa ukuba ungatyi okanye usele nantoni na iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo. Inkqubo yenzeka esibhedlele. Rhoqo, uya kwamkelwa ngentsasa yenkqubo, kodwa kwezinye iimeko, unokufuna ukwamkelwa kubusuku obungaphambili.

Umboneleli uya kuchaza inkqubo kunye neengozi zayo. Kufuneka usayine ifom yemvume.

Unokuziva uxinzelelo kwindawo ye-biopsy. Unokuba ungonwabi ngenxa yokulala ungathethi ixesha elide.

Le nkqubo yenziwa rhoqo emva kokufakelwa kwentliziyo ukubukela iimpawu zokwaliwa.

Umboneleli wakho unokuyalela le nkqubo ukuba uneempawu zoku:

• I-cardiomyopathy enxilisayo
• Amyloidosis yentliziyo
• Cardiomyopathy
• Hypertrophic cardiomyopathy
• Idiopathic cardiomyopathy
• Ischemic cardiomyopathy
• Isifo esinganyangekiyo
• I-Peripartum cardiomyopathy
• Uthintelo lwe-cardiomyopathy

Iziphumo eziqhelekileyo zithetha ukuba akufunyanwa kwithishu yentliziyo yemisipha engaqhelekanga. Nangona kunjalo, oko akuthethi ukuba intliziyo yakho iqhelekile kuba ngamanye amaxesha i-biopsy inokuphosa izicubu ezingaqhelekanga.

Iziphumo ezingaqhelekanga zithetha ukuba kuye kwafunyanwa izicwili ezingaqhelekanga. Olu vavanyo lunokutyhila unobangela we-cardiomyopathy. Izicubu ezingaqhelekanga zinokubangelwa:

• Amyloidosis
• Isifo esinganyangekiyo
• I-Sarcoidosis
• Ukwala ngokutsha

Iingozi ziphakathi kwaye zibandakanya:

• Amahlwili egazi
• Ukopha kwindawo ye-biopsy
• Iimpawu zentliziyo
• Usulelo
• Ukwenzakala kwi-laryngeal nerve
• Ukonzakala kwethambo okanye umthambo
• Pneumothorax
• Ukugqabhuka kwentliziyo (kunqabile kakhulu)
• Ukuhlaziywa kweTricuspid

I-biopsy yentliziyo; I-Biopsy - intliziyo

• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili
• Ipayipi yebheyiphu

IHerrmann J.Icatheterization yentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 19.

UMiller DV. Inkqubo yentliziyo. Ku: Goldblum JR, Izibane LW, McKenney JK, Myers JL, eds. Rosai kunye neAckerman's Pathology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2018: isahluko 42.

Rogers JG, O'Connor CM. Ukusilela kwentliziyo: i-pathophysiology kunye noxilongo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 52.