Makemake ʻoe e lawe i kahi ʻāpana liʻiliʻi o kou puʻuwai a hoʻāʻo iā ia? E kamaʻilio kākou e pili ana i kēia biopsy puʻuwai!

E makaʻu iki paha ʻoe ke lohe ʻoe i ka huaʻōlelo "heart biopsy ." Akā, he hoʻāʻo waiwai nui ia e hiki ke kōkua i ka ʻike ʻana i kekahi mau pilikia puʻuwai. No laila, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku. He aha ia, ʻo wai ka mea e pono ai, pehea e hana ʻia ai, a inā he mau hopohopo.

He aha maoli ka biopsy puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka biopsy puʻuwai he hana ia e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kou ʻiʻo puʻuwai a nānā iā ia. He hana hōʻoia kēia i hoʻohana ʻia e ʻike pono ai i ke ʻano o ka maʻi. E noʻonoʻo e like me ka lawe ʻana i kahi ʻāpana lole liʻiliʻi a nānā inā he hewa kekahi mea me ia.

Hoʻouna ʻia ka hāpana ʻiʻo i kahi keʻena hoʻokolohua. Aia kekahi loea ma laila, kapa mākou iā ia he "pathologist". ʻO ia ka mea nāna e nānā i kēia ʻāpana o ka ʻiʻo puʻuwai ma lalo o kahi microscope a nānā i nā loli, nā pōʻino, a i ʻole nā ​​​​​​mea ʻē aʻe i loko o nā cell. Kōkua kēia iā mākou e ʻike pono inā he pilikia me ka puʻuwai.

Aia kekahi mau inoa ʻē aʻe no kēia?

ʻAe, hoʻohana nā kauka i kekahi mau inoa ʻē aʻe no ia mea. Ua lohe paha ʻoe i kēia mau inoa:

• `(Cardiac biopsy)` (Cardiac biopsy ) – ʻO "Cardiac" kekahi manaʻo e pili ana i ka puʻuwai.
• `(Endomyocardial biopsy)` (Endomyocardial biopsy) – ʻO "Endo" ke ʻano o loko, a ʻo "myocardial" ke ʻano o ka ʻiʻo puʻuwai. ʻO ia hoʻi, ua lawe ʻia mai ka papa o loko o ka ʻiʻo puʻuwai.
• ʻO ka biopsy myocardial - He biopsy i lawe pololei ʻia mai ka ʻiʻo puʻuwai.

ʻAʻohe mea pehea ʻoe e ʻōlelo ai, ʻo ka manaʻo like nō ia.

ʻO wai ka mea e pono ai ka biopsy puʻuwai?

ʻAʻole pono nā kānaka a pau e hana i kēia, akā aia kekahi mau hihia kūikawā kahi i mea nui loa ai kēia.

No ka poʻe i loaʻa i kahi hoʻoili puʻuwai (Heart Transplant)

E noʻonoʻo ua loaʻa i kekahi kahi hoʻoili puʻuwai hou. Ke hana ʻia kēlā, pono e hana mau ʻia kēia biopsy e ʻike inā ke hōʻole nei ke kino i ka puʻuwai hou ( hōʻole ʻana o nā ʻōpū ). ʻO ka mea maikaʻi loa, hiki i kēia biopsy ke ʻike i ka hōʻole ʻana ma mua o ka hōʻike ʻana i kekahi mau hōʻailona. A inā hana ia, hiki iā ia ke ʻike i ke kumu.

• I nā wā mua ma hope o ka hoʻoili ʻana o ka puʻuwai, pono paha e hana ʻia kēia i hoʻokahi manawa i ka pule.
• Ma hope o kēlā, no kahi makahiki, hiki iā ʻoe ke hana i hoʻokahi manawa i kēlā me kēia ʻeono pule a i ʻole hoʻokahi manawa i kēlā me kēia ʻekolu mahina.

E ʻike i nā pilikia puʻuwai ʻē aʻe

Ma waho aʻe o nā hoʻoili puʻuwai, kōkua kēia biopsy i ka ʻike ʻana i kekahi mau maʻi puʻuwai ʻē aʻe. Eia kekahi mau laʻana:

• `(ATTR (transthyretin) amyloidosis)`: ʻO ka mea e hana ʻia ma kēia, ʻo ia ke waiho ʻia ʻana o kahi ʻano protein i hana ʻia i loko o ko mākou kino i loko o ka puʻuwai a hōʻino iā ia.
• `(Cardiomyopathy)` (Cardiomyopathy):Pili kēia i nā maʻi e kū mai ana i loko o ka ʻiʻo puʻuwai. ʻO kahi laʻana ʻo "hypertrophic cardiomyopathy ", kahi e mānoanoa loa ai nā paia o ka puʻuwai.
• Cardiotoxicity: Hiki i kekahi mau lāʻau chemotherapy ke hōʻino i ka puʻuwai. Hana ʻia kēia e nānā i ia ʻano hōʻino.
• Ka maʻi ʻaʻai puʻuwai: He mea kākaʻikahi loa ia, akā hiki nō hoʻi ke loaʻa ka maʻi ʻaʻai i loko o ka puʻuwai.
• Ka hāʻule ʻana o ka puʻuwai: Ke nāwaliwali ka puʻuwai a ʻaʻole hiki ke pamu pono i ke koko i ke kino.
• Nā maʻi puʻuwai: No ka laʻana, he kūlana i kapa ʻia ʻo "myocarditis." I loko o kēia, lilo ka ʻiʻo puʻuwai i pehu, ʻo ia hoʻi ke pehu.
• ʻO Sarcoidosis : He maʻi kēia kahi e hoʻokumu ʻia ai nā pehu liʻiliʻi (e like me nā puʻupuʻu) ma nā ʻāpana like ʻole o ke kino, me ka puʻuwai.

Aia kekahi poʻe makemake ʻole e hana i kēia?

ʻOiai he hoʻāʻo palekana kēia ma ke ʻano laulā, hiki ke lilo i mea pilikia iki no kekahi poʻe. No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi valve puʻuwai. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e hoʻoholo ai inā kūpono kēia hoʻāʻo iā ʻoe.

ʻO wai ka mea e hana i kēia biopsy puʻuwai?

Hana ʻia kēia e ke kauka puʻuwai . Loaʻa iā ia ke aʻo kūikawā e hana i kēia mau hoʻokolohua. ʻO ke kaʻina hana i hoʻohana ʻia no kēia ua kapa ʻia ʻo cardiac catheterization. I ka ʻōlelo maʻalahi, hana ʻia kēia hoʻokolohua ma ka hoʻouna ʻana i kahi paipu lahilahi a palupalu (catheter) ma o kahi kīʻaha koko i loko o ka puʻuwai.

Pehea mākou e hoʻomākaukau ai ma mua o ka biopsy?

Inā hoʻoholo ʻoe e hana i kahi biopsy, e haʻi aku kāu kauka iā ʻoe e pili ana i kēia mau mea:

• Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
• Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau hoʻokahe koko, i kekahi mau lā ma mua o ka hoʻāʻo ʻana.
• E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea (wikiwiki) no kekahi mau hola ma mua o ka hoʻāʻo.

ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā kuhikuhi a kāu kauka. Inā ʻaʻole ʻoe e maopopo i kekahi mea, e nīnau hou.

He aha ka mea e hana ʻia ma mua o ka biopsy?

He hana maʻamau kēia no ka poʻe ma waho o ka haukapila, ʻo ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. ʻO ka lōʻihi o ke kaʻina hana holoʻokoʻa ma kahi o hoʻokahi hola.

• E hāʻawi ʻia ʻoe i kahi lāʻau hoʻomaha e kōkua iā ʻoe e hoʻomaha a hiamoe iki.
• Hāʻawi ʻia hoʻi kahi anesthetic e hoʻomānoino i ka wahi e hana ʻia ai ka biopsy.
• Ua ala ʻoe, akā ʻaʻohe mea e hopohopo ai, ʻaʻole ʻoe e ʻeha iki. Malia paha e manaʻo ʻoe i kahi kaomi iki.
• Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka pau ʻana o ka hoʻāʻo. Eia nō naʻe, pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home a noho pū me ʻoe no kekahi manawa a ʻoiai ʻoe e hoʻōla hou ana.

He aha ka mea e hana ʻia i ka wā o kahi biopsy?

Ke hana kāu kauka i kēia, nānā ʻo ia i nā kiʻi o kou puʻuwai a me nā kīʻaha koko. Hana ʻia kēia me ka hoʻohana ʻana i nā kukuna X fluoroscopy (kahi kukuna X e ʻike mau ʻia ana) a i ʻole kahi echocardiogram transthoracic (TTE) (kahi scan o ka puʻuwai ).

Eia ka mea e hana ʻia ma kēlā me kēia ʻanuʻu:

1. Hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi (catheter) i loko o kou puʻuwai ma o kahi kīʻaha koko nui ma kou lima a i ʻole kou wāwae.

2. A laila, ma o kēlā ʻōmole, ua hoʻokomo ʻia kekahi mea hana maikaʻi ʻē aʻe (he `bioptome`), e like me kahi forceps liʻiliʻi, i loko o ka puʻuwai.

3. Me ka hoʻohana ʻana i ka "bioptome", ua ʻoki ʻia kekahi mau ʻāpana liʻiliʻi loa (malia paha e like me ke poʻo o ke kui) mai ka ʻiʻo puʻuwai.

4. A laila lawe ʻia ka bioptome a me nā ʻāpana ʻiʻo a hoʻouna ʻia ka ʻiʻo i ka lab no ka hoʻokolokolo ʻana.

5. ʻO ka hope loa, e wehe i ke catheter a kau i kahi kāʻei kaomi e hoʻōki i ke kahe ʻana o ke koko.

ʻAʻole ʻoe e ʻike i ka ʻoluʻolu ʻole ke hana ʻia kēia mau mea a pau.

Pehea ka lōʻihi e ho'ōla ai ma hope o ka biopsy?

Ma hope o ka pau ʻana o ka hoʻāʻo, e nānā pono nā limahana lapaʻau iā ʻoe no kekahi mau hola e ʻike ai inā he mau pilikia. I loko o kēia manawa, e lawe ʻia nā X-ray o kou umauma e nānā i nā pilikia e like me:

• Pneumothorax
• Hemothorax (hōʻiliʻili koko ma waena o nā māmā a me ka paia o ka umauma)

Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hana kaumaha no kahi o 24 mau hola. Eia nō naʻe, pono ʻoe e hiki ke hele i ka hana a hana i kāu mau hana o kēlā me kēia lā ma ke ʻano maʻamau mai ka lā aʻe.

Aia kekahi mau pilikia i loko o kēia?

He hoʻāʻo palekana ka biopsy puʻuwai.

• ʻAʻole hiki ke loaʻa nā pilikia liʻiliʻi ma mua o 6% o nā hihia. Eia kekahi laʻana, he palapū liʻiliʻi a he koko iki paha ma kahi o ka ʻōmole. Hoʻopau pinepine ʻia kēia mau mea i loko o kekahi mau lā.
• ʻAʻole hiki pinepine nā pilikia koʻikoʻi , ʻaʻole i hiki i ka 1%. Eia nō naʻe, he mea maikaʻi ke makaʻala i nā pilikia e hiki mai ana. ʻO kēia mau mea:
• Nā ʻano like ʻole o ka puʻuwai (Arrhythmia).
• Nā ʻūpā koko. Hiki i kēia ke hana i loko o nā māmā (pulmonary embolism), i loko o nā aa koko o nā wāwae (deep vein thrombosis - DVT), a i ʻole i loko o ka lolo a hoʻoulu i ka hahau ʻana.
• Ka hōʻino ʻia a i ʻole ka puka ʻana o nā kīʻaha koko.
• Pūmāmā i hiolo.
• Ke koko e hoʻopiha ana i ka umauma (Hemothorax).
• He maʻi a i ʻole ke kahe koko kūloko ma kahi biopsy.
• Ka pōʻino o ke aʻalolo.
• Ka hoʻokahe ʻana o ka puʻuwai.
• He ālai liʻiliʻi i nā hōʻailona uila o ka puʻuwai (ālai lālā ʻākau).
• ʻO Regurgitation ka holo ʻana o ke koko i hope o ka puʻuwai ma o ka valve tricuspid.

Mai hopohopo ke lohe ʻoe e pili ana i kēia mau pilikia. E kamaʻilio kāu kauka me ʻoe e pili ana i kēia mau mea a pau. He liʻiliʻi loa ka manawa e hiki ai kēia mau mea.

ʻEhia ka lōʻihi e loaʻa ai ka hōʻike?

Loaʻa pinepine nā hopena o ka biopsy puʻuwai i loko o 24 a 48 mau hola, a i ʻole ma kahi o hoʻokahi a ʻelua paha lā . E wehewehe kāu kauka i nā hopena iā ʻoe. Ma muli o nā hopena, pono paha ʻoe e loaʻa nā hoʻokolohua hou aʻe.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

Ma hope o kou hoʻi ʻana i ka home ma hope o ka biopsy, inā ʻike ʻoe i kekahi o kēia mau hōʻailona , ​​​​pono ʻoe e kāhea koke i kāu kauka, a i ʻole e hele i ka haukapila kokoke loa:

• Pōʻaiʻī.
• Inā wikiwiki loa ka puʻuwai, lohi loa, a i ʻole kūlike ʻole (Pulse a me ka helu puʻuwai kūpono ʻole).
• Ka pōkole o ka hanu a i ʻole nā ​​pilikia hanu.
• ʻEha ka umauma, kahi manaʻo o ka paʻa i ka umauma (hiki i kēia ke lilo i mau hōʻailona o ka hāʻule puʻuwai)
• Nā hōʻailona o ka hahau ʻana: Eia kekahi laʻana, nāwaliwali ma kekahi ʻaoʻao o ke kino, hiki ʻole ke ʻōlelo, huki ʻia ka waha i kekahi ʻaoʻao.
• Nā hōʻailona o ka maʻi, e like me ke kuni a me ke anu.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia?

ʻAe, e hōʻuluʻulu kākou i nā kumu koʻikoʻi mai nā mea a mākou i kamaʻilio ai.

• ʻO ka biopsy puʻuwai ka wehe ʻana i kahi ʻāpana liʻiliʻi o ke kino mai ka puʻuwai no ka hoʻokolokolo ʻana.
• He hoʻāʻo koʻikoʻi kēia , ʻoi aku hoʻi no ka poʻe i loaʻa i ka hoʻoili puʻuwai, e nānā i ka hōʻole ʻia ʻana a e ʻike i kekahi mau maʻi puʻuwai ʻē aʻe (e like me ka cardiomyopathy, ka maʻi ʻaʻai puʻuwai, a me nā maʻi ʻē aʻe) .
• Hana ʻia kēia e ke kauka cardiologist, me ka hoʻohana ʻana i ke ʻano hana i kapa ʻia ʻo "cardiac catheterization".
• He hoʻāʻo kēia e hiki ke hana maʻamau me ka ʻole o ka noho ʻana i ka haukapila, a hiki iā ʻoe ke ho'ōla koke.
• ʻOiai aia kekahi mau pilikia liʻiliʻi, he palekana kēia.

No laila, inā haʻi aku kāu kauka iā ʻoe e hana i kahi biopsy puʻuwai, mai makaʻu e hana ia, e hoʻomanaʻo i kēia ʻike, e kamaʻilio pono me kāu kauka, a e nīnau i nā nīnau āu e loaʻa ai. Hiki i kēia ke lilo i kahi hana koʻikoʻi no ke olakino o kou puʻuwai!

ʻO ka biopsy puʻuwai, biopsy puʻuwai, maʻi puʻuwai, hoʻāʻo ʻana i nā ʻiʻo puʻuwai, hoʻoili puʻuwai, ʻike maʻi puʻuwai, catheterization