Zosokoneza m'mimba

Myocardial biopsy ndikuchotsa kathupi kakang'ono ka mtima kuti akaunike.

Myocardial biopsy imachitika kudzera mu catheter yomwe imakulungidwa mumtima mwanu (catheterization yamtima). Njirayi idzachitika mu dipatimenti ya radiology ya chipatala, chipinda chapadera chazithandizo, kapena labotale yokhudza matenda a mtima.

Kukhala ndi njirayi:

• Mutha kupatsidwa mankhwala oti akuthandizeni kupumula musanachitike. Komabe, mudzakhalabe ogalamuka ndipo mutha kutsatira malangizo poyesedwa.
• Mudzagona pansi pakama kapena patebulo pomwe mayeso akuyesedwa.
• Khungu limachotsedwa ndipo mankhwala am'maginidwe am'deralo (ochititsa dzanzi) amaperekedwa.
• Kudula opareshoni kudzapangidwa mkono wanu, khosi, kapena kubuula.
• Wothandizira zaumoyo amalowetsa chubu yocheperako (catheter) kudzera mumitsempha kapena mtsempha, kutengera ngati minofu idzatengedwa kuchokera kumanja kapena kumanzere kwa mtima.
• Ngati biopsy imachitika popanda njira ina, catheter nthawi zambiri imayikidwa kudzera mumitsempha m'khosi ndipo kenako imalowetsedwa mumtima. Dokotala adzagwiritsa ntchito zithunzi za X-ray (fluoroscopy) kapena echocardiography (ultrasound) kutsogolera catheter kumalo oyenera.
• Catheter ikakhala kuti ili bwino, chida china chapadera chokhala ndi nsagwada zazing'ono kumapeto kwake chimagwiritsidwa ntchito kuchotsa tiziduswa ting'onoting'ono tomwe timakhala mu minofu ya mtima.
• Njirayi imatha kutenga ola limodzi kapena kupitilira apo.

Mudzauzidwa kuti musadye kapena kumwa chilichonse kwa maola 6 mpaka 8 mayeso asanayesedwe. Njirayi imachitika mchipatala. Nthawi zambiri, mumaloledwa m'mawa, koma nthawi zina, mumayenera kuvomerezedwa usiku watha.

Wothandizira adzalongosola njirayi ndi kuopsa kwake. Muyenera kusaina fomu yovomerezeka.

Mutha kumva kupsinjika patsamba la biopsy. Mutha kukhala ndi vuto lina chifukwa chogona nthawi yayitali.

Njirayi imachitika pafupipafupi mukayika mtima kuti muwone ngati akukana.

Wothandizira anu amathanso kuyitanitsa njirayi ngati muli ndi zizindikiro za:

• Mowa woledzeretsa
• Amyloidosis yamtima
• Matenda a mtima
• Hypertrophic cardiomyopathy
• Idiopathic cardiomyopathy
• Ischemic cardiomyopathy
• Myocarditis
• Peripartum cardiomyopathy
• Kuletsa mtima kwa mtima

Zotsatira zabwinobwino sizitanthauza kuti palibe minofu yabwinobwino yamtima yomwe idapezeka. Komabe, sizitanthauza kuti mtima wanu ndi wabwinobwino chifukwa nthawi zina zofufuza zimatha kuphonya minofu yachilendo.

Zotsatira zosazolowereka zikutanthauza kuti minofu yosadziwika idapezeka. Mayesowa atha kuwulula chomwe chimayambitsa matenda amtima. Minofu yachilendo imatha kukhala chifukwa cha:

• Amyloidosis
• Myocarditis
• Sarcoidosis
• Kukaniza kukana

Zowopsa ndizochepa ndipo zimaphatikizapo:

• Kuundana kwamagazi
• Kutulutsa magazi kuchokera patsamba latsamba
• Makhalidwe amtima
• Matenda
• Kuvulala kwamitsempha yam'mimba mobwerezabwereza
• Kuvulaza mtsempha kapena mtsempha
• Pneumothorax
• Kung'ambika kwa mtima (chosowa kwambiri)
• Kubwezeretsanso kwa Tricuspid

Kusanthula mtima; Biopsy - mtima

• Mtima - gawo kupyola pakati
• Mtima - kuwonera kutsogolo
• Catheter ya biopsy

Herrmann J. Catheterization yamtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 19.

Miller DV. Dongosolo mtima. Mu: Goldblum JR, Nyali LW, McKenney JK, Myers JL, olemba. Rosai ndi Ackerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: mutu 42.

Rogers JG, O'Connor CM. Kulephera kwa mtima: pathophysiology ndi matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 52.