E aʻo kākou e pili ana i ka biopsy puʻuwai - ke nānā ʻana i kahi ʻāpana liʻiliʻi o ka puʻuwai.

Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi 'Heart Biopsy'? A i ʻole ua loaʻa i kekahi āu i ʻike ai kēia hoʻāʻo? He mea maʻamau loa ka manaʻo makaʻu iki a me ka hopohopo ke lohe ʻoe i kēia inoa. ʻO wai ka mea e makaʻu ʻole i ka wā e ʻōlelo ai lākou "e lawe ana i kahi ʻāpana o ka puʻuwai", ʻeā? Akā, ʻaʻole ia he mea weliweli e like me kā mākou e manaʻo nei. No laila, e ʻike kākou i ke ʻano o ia mea i kēia lā. E kamaʻilio maʻalahi mākou e pili ana i ke ʻano o ia mea, pehea e hana ʻia ai, a inā paha he mau pilikia.

He aha ka biopsy puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka biopsy puʻuwai kahi hana kahi e lawe ʻia ai kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka papa o loko o kou ʻiʻo puʻuwai. He like ia me ka nui o ke poʻo pine, e pololei. He hoʻāʻo kūikawā kēia. A laila e nānā ʻia ka hāpana ʻiʻo ma lalo o kahi microscope e kahi pathologist. E nānā ʻo ia i kekahi pōʻino a i ʻole nā ​​​​​​mea ʻē aʻe i loko o nā ʻāpana puʻuwai.

Ua kapa ʻia kēia hoʻāʻo e kekahi mau inoa ʻē aʻe. Hiki i kāu kauka ke hoʻohana i kekahi o kēia mau inoa:

• ʻO ka biopsy puʻuwai
• ʻO ka biopsy endomyocardial
• ʻO ka biopsy myocardial

ʻO wai ka makemake e hana i kēia hoʻokolohua?

ʻO ke kumu nui o ka hana ʻana i ka biopsy puʻuwai, ʻo ia ke nānā ʻana i ke olakino o kekahi i loaʻa i kahi hoʻoili puʻuwai . E noʻonoʻo i kahi mea i loaʻa i kahi hoʻoili puʻuwai hou. I kekahi manawa hoʻāʻo ke kino e hōʻole i ka puʻuwai hou. Kāhea mākou i kēia 'hōʻole ʻana o ke kino.' No laila me kēia biopsy, hiki iā mākou ke ʻike inā e hōʻole ʻia ana ka puʻuwai ma mua o ka puka ʻana o nā hōʻailona. A hiki iā mākou ke ʻike i ke kumu.

I nā pae mua ma hope o ka hoʻoili puʻuwai, pono paha e hana ʻia kēia hoʻāʻo i hoʻokahi manawa i ka pule. I ka hala ʻana o ka manawa, pono paha e hana ʻia kēia i kēlā me kēia ʻeono pule, i kēlā me kēia ʻekolu mahina, a hiki i hoʻokahi makahiki.

Ma waho aʻe o kēlā, hoʻohana pū nā kauka i kēia hoʻāʻo e ʻike i kekahi mau kūlana olakino ʻē aʻe.

• Cardiomyopathy: ʻO kēia ka wā e nāwaliwali ai ka puʻuwai puʻuwai, hoʻonui ʻia, a mānoanoa paha, e paʻakikī ai ke kaomi koko.
• Myocarditis: He maʻi a mumū paha o ka ʻiʻo o ka puʻuwai.
• ʻAmyloidosis: He maʻi i hana ʻia e ka waiho ʻana o kahi protein ʻano ʻē i loko o ka puʻuwai.
• ʻO Sarcoidosis: ʻO ka hoʻokumu ʻia ʻana o nā granulomas liʻiliʻi o nā cell mumū (granulomas) ma nā ʻano ʻano like ʻole o ke kino, ʻoiai ka puʻuwai a me nā māmā.
• ʻO ka maʻi cardiotoxicity mai nā lāʻau lapaʻau kanesa: E nānā inā hiki i kekahi mau lāʻau anti-cancer (chemotherapy) ke hōʻeha i ka puʻuwai.
• Ka maʻi ʻaʻai puʻuwai: He mea kakaikahi loa kēia, akā he mea nui e ʻike i kēia hoʻāʻo.

Pehea ʻoe e hoʻomākaukau ai a lawe i kēia hoʻokolohua?

ʻAʻole kēia he ʻoki kino nui, no laila ʻaʻohe mea e makaʻu ai. Hana ʻia kēia e ke kauka puʻuwai. Hoʻohana ʻo ia i kahi ʻano hana i kapa ʻia ʻo cardiac catheterization. He hoʻāʻo kēia kahi e hoʻokomo ʻia ai kahi ʻōmole lahilahi (catheter) ma o kahi kīʻaha koko i loko o ka puʻuwai.

Nā mea e pono ai ʻoe e hana ma mua o ka hoʻokolohua

E aʻo akāka aku kāu kauka iā ʻoe e pili ana i kēia.

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora āu e lawe nei. ʻOiai inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka hoʻāʻo.
• E noi ʻia ʻoe e hōʻole i ka ʻai ʻana a me ka inu ʻana (hoʻokē ʻai) no kekahi mau hola ma mua o ka hoʻāʻo.
• E nīnau i ke kauka i nā nīnau a hopohopo paha āu e loaʻa ai.

Pehea e hana ʻia ai ka hoʻāʻo

Ma kahi o hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. He kaʻina hana outpatient kēia e hiki ke hana ʻia me ka ʻole o ka noho ʻana i ka haukapila.

1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi mea hoʻomaha e hoʻomaha iā ʻoe a hoʻohiamoe iki iā ʻoe. A laila, e hoʻomānoanoa ʻia ka wahi e hoʻokomo ʻia ai ka paipu (ma ka ʻāʻī a i ʻole ka ʻūhā). E pale aku kēia iā ʻoe mai ka ʻeha . E noho ala ʻoe i ka wā o ka hoʻāʻo.

2. Hana ke kauka i kēia ma ka nānā ʻana i kou puʻuwai me ka hoʻohana ʻana i kahi ʻano hana e like me ke kiʻi X.

3. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu (catheter) i loko o kekahi o kou mau kīʻaha koko a alakaʻi ʻia a hiki i ka ʻaoʻao ʻākau o kou puʻuwai.

4. A laila, hoʻokomo ʻia kahi mea hana liʻiliʻi e like me ka forceps i kapa ʻia ʻo `bioptome` ma loko o ka ʻōmole a lawe ʻia ma kahi o 3 a 5 mau ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka ʻiʻo puʻuwai.

5. A laila, wehe ʻia ka hāmeʻa a me ka ʻōmole, a kau ʻia kahi kāʻei kaomi ma kahi i hoʻokomo ʻia ai ka ʻōmole e hoʻōki i ke kahe ʻana o ke koko.

6. Hoʻouna ʻia nā hāpana ʻiʻo i loaʻa i ka hale hana no ka hoʻāʻo ʻana.

ʻAʻole ʻoe e ʻike nui i ka ʻeha i kēia manawa, akā e manaʻo paha ʻoe i kahi kaomi iki a me ka ʻoluʻolu ʻole.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o ka pau ʻana o ka hoʻāʻo ʻana, e nānā pono nā limahana lapaʻau iā ʻoe no kekahi mau hola. I loko o kēia manawa, e lawe ʻia kahi X-ray umauma e nānā i nā pilikia, e like me ka hōʻino ʻana o ka māmā (pneumothorax). Inā maikaʻi nā mea āpau, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home a ʻoi aku ka maikaʻi inā he kanaka me ʻoe i kēlā lā.

Pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hana kaumaha no 24 mau hola ma hope o ka hoʻāʻo. Hiki iā ʻoe ke hele i ka hana a hana i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau mai ka lā aʻe.

Aia kekahi mau pilikia i kēia?

He hana palekana ka biopsy puʻuwai. Akā e like me nā hana lapaʻau āpau, aia nā pilikia liʻiliʻi. E makaʻala pū kākou i kēlā.

ʻEhia ka lōʻihi o ka hōʻea ʻana mai o ka hōʻike?

Loaʻa pinepine ka hōʻike hoʻāʻo i loko o 24 a 48 mau hola . He wikiwiki loa ia. E kūkākūkā kāu kauka i ka hōʻike me ʻoe a wehewehe i kāu mea e pono ai e hana ma hope.

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

Inā ʻike ʻoe i kekahi o nā hōʻailona ma hope o ka hoʻāʻo ʻana a ma hope o ka hoʻi ʻana i ka home, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻO ka poniuniu (vertigo)
• Puʻuwai wikiwiki a ʻano ʻole paha
• Paʻakikī ka hanu ʻana
• ʻEha umauma (nā hōʻailona o ka hōʻeha puʻuwai)
• Nā hōʻailona o ka hahau ʻana (e.g., nāwaliwali ma kekahi ʻaoʻao o ke kino, paʻakikī ke ʻōlelo)
• Kuni a ʻūlū paha (nā hōʻailona o ka maʻi)

He mea nui loa ka ʻike ʻana i kēia mau ʻano.