Yu want fɔ tek smɔl pat pan yu at ɛn tɛst am? Lɛ wi tɔk bɔt dis at bayɔpsi!

Yu kin fred smɔl we yu yɛri di wɔd "at biopsy ." Bɔt fɔ tru, na tɛst we rili valyu we kin ɛp fɔ no sɔm prɔblɛm dɛn we gɛt fɔ du wit at. So, lɛ wi tɔk bɔt am mɔ ditayli. Wetin na am, udat nid am, aw dɛn de du am, ɛn if ɛnitin de we de mɔna am.

Wetin rili na at bayɔpsi?

Fɔ tɔk am simpul wan, at bayɔpsi na tin we dɛn kin du we dɛn kin tek wan rili smɔl pat pan yu at mɔsul ɛn chɛk am. Dis na diagnostik prosidur wae dεn kin yuse fכ no εksεktεly wetin na di sik. Tink bɔt am lɛk we yu tek wan smɔl klos ɛn chɛk fɔ si if ɛnitin de we nɔ rayt.

Dɛn kin sɛn di tisu sɛmpul to wan lab. Wan spɛshal pɔsin de de, wi kin kɔl am ``pathologist``. Na in de luk dis pat pan di at tisu ɔnda maykroskɔp ɛn luk fɔ ɛni chenj, damej, ɔ abnɔmal tin na di sɛl dɛn. Dis kin ɛp wi fɔ no if prɔblɛm de wit di at.

Ɔda nem dɛn de fɔ dis?

Yɛs, sɔntɛnde dɔktɔ dɛn kin yuz ɔda nem dɛn fɔ am. Yu go dɔn yɛri dɛn nem ya bak:

• `(Cardiac biopsy)` (Cardiac biopsy ) – "Cardiac" min bak we gɛt fɔ du wit di at.
• `(Endomayocardial biopsy)` (Endomayocardial biopsy) – "Endo" min insay, εn "myocardial" min at mכsul. dis min se dεn tek am frכm di insay layt na di at mכsul.
• Mayokardial bayɔpsi – Na bayɔpsi we dɛn tek dairekt frɔm di at mɔsul.

Ilɛk aw yu tɔk am, di minin na di sem tɛst.

Udat nid fɔ gɛt at bayɔpsi?

Nɔto ɔlman go nid fɔ du dis, bɔt sɔm spɛshal kes dɛn de we dis rili impɔtant.

Fɔ di wan dɛn we dɔn gɛt at transplant (Heart Transplant) .

Imajin se sɔmbɔdi gɛt nyu at transplant. we dat apin, dεn fכ du dis bayopsi כltεm fכ si if di bכdi de rijek di nyu at ( organ rejection ). di bεst tin na dat dis bayopsi kin detekt rεjεkshכn bifo i ivin sho εni sayn. Ɛn if i du dat, i kin no bak wetin mek i apin.

• Na di fɔs stej afta dɛn dɔn transplant di at, dɛn kin nid fɔ du dis maybe wan tɛm insay di wik.
• Afta dat, fɔ lɛk wan ia so, yu kin du am wan tɛm ɛvri siks wik ɔ wan tɛm ɛvri tri mɔnt.

No ɔda tin dɛn we gɛt fɔ du wit di at

Apat frɔm di at transplant, dis bayɔpsi de ɛp fɔ no bɔku ɔda at sik dɛn . Na sɔm ɛgzampul dɛn ya:

• `(ATTR (transthyretin) amyloidosis)`: wetin de apin insay dis na we wan kayn protin we dεn prodyuz na wi bכdi de gεt dכn na di at εn i de pwεl am.
• `(Kadiomayopati)` (Kadiomayopati): .Dis de tɔk bɔt sik dɛn we kin apin na di at mɔsul. wan egzampl na ``hypertrophic cardiomyopathy '', we di wכl dεm na di at kin tik pasmak.
• Cardiotoxicity: Sɔm kemotɛrapi drɔgs kin pwɛl di at. Dɛn kin du dis bak fɔ chɛk fɔ si if dɛn kayn tin ya dɔn pwɛl.
• At kansa : I nɔ kin apin so ɔltɛm, bɔt kansa kin apin bak na di at.
• At nɔ de wok fayn: We di at wik ɛn nɔ ebul fɔ pɔmp blɔd fayn fayn wan na di bɔdi.
• At infεkshכn: fכ egzampl, wan kכndyushכn we dεn kכl ``myocarditis.`` pan dis, di hat mכsul de inflam, we min se i de swel.
• Sarcoidosis : Dis na sik wae de mek smɔl smɔl swɛlin (lɛk lumps) de fɔm na difrɛn pat dɛm na di bɔdi, inklud di at.

Yu tink se pipul dɛn de we nɔ want fɔ du dis?

Pan ɔl we dis kin bi sef tɛst, i kin mek sɔm pipul dɛn gɛt prɔblɛm smɔl. Fɔ ɛgzampul, pipul dɛm wae gɛt sɔm kayn hat valv sik kin gɛt prɔblɛm smɔl. So, i go fayn fɔ mek yu tɔk to yu dɔktɔ fɔ disayd if dis tɛst fayn fɔ yu.

Udat de du dis at bayɔpsi?

Na wan dɔktɔ we de mɛn di at kin du dis . I gɛt spɛshal trenin fɔ du dɛn tɛst ya. di we aw dεn kin yuz fכ dis dεn kכl am kadyak kateshכn. Fɔ tɔk am simpul wan, dɛn kin du dis tɛst bay we dɛn pas wan tiub we rili tan ɛn we kin chenj (kateta) tru wan blɔd vesel insay di at.

Aw wi fɔ pripia bifo wi tek bayɔpsi?

If yu disayd fɔ du bayɔpsi, yu dɔktɔ go tɛl yu bɔt dɛn tin ya:

• Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek naw.
• Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek blɔd tan, kin nid fɔ stɔp sɔm dez bifo dɛn du di tɛst.
• Dɛn go aks yu bak fɔ nɔ it ɔ drink ɛnitin (fast) fɔ sɔm awa bifo di tɛst.

Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If yu nɔ ɔndastand sɔntin, aks am bak.

Wetin kin apin bifo dɛn tek di bayɔpsi?

Dis na ɔutpatient prosidur, we min se yu kin go na os di sem de we yu nɔ nid fɔ de na ɔspitul. Di wan ol tin we dɛn kin du kin tek lɛk wan awa so.

• Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks ɛn slip smɔl.
• Dɛn kin gi anestetik bak fɔ mek di say we dɛn de du di bayɔpsi nɔ gɛt bɛtɛ trɛnk.
• Yu wek, bɔt natin nɔ de fɔ wɔri bɔt, yu nɔ go fil ɛni pen. Yu kin fil se dɛn de push yu smɔl.
• Yu kin go na os di sem de afta di tɛst dɔn. Bɔt yu go nid pɔsin fɔ drayv yu go na os ɛn de wit yu fɔ sɔm tɛm we yu de wɛl.

Wetin kin apin we dɛn de du bayɔpsi?

We yu dɔktɔ du dis, i kin luk yu at ɛn yu blɔd vesel dɛn pikchɔ dɛn. Dɛn kin du dis bay we dɛn de yuz fluoroscopy X-ray (wan X-ray we pɔsin kin si ɔltɛm) ɔ transthoracic echocardiogram (TTE) (we dɛn kin skan di at ).

Na dis na wetin kin apin stɛp bay stɛp:

1. Di dɔktɔ kin put smɔl tiub (kateta) insay yu at tru wan big blɔd vesel we de na yu an ɔ yu leg.

2. afta dat, tru da tכb de, dεn de pas כda fayn instrכmεnt (a `bioptome`), lεk sכm fכs fכs insay di at.

3. we yu yuz di ``bioptome'', dεn kin kכt sεvεra sכm sכm sכm pat dεm (sכmtεm sכmtεm lεk di ed fכ pin) frכm di hat mכsul.

4. afta dat dεn kin pul di bayoptom εn di tisu pis dεm εn dεn kin sεnd di tisu na di lab fכ egzamin.

5. Fɔ dɔn, pul di kateshɔn ɛn put prɛshɔn bɛnd fɔ stɔp di blɔd.

Yu nɔ go fil bɔku diskɔmfɔt we ɔl dis apin.

Aw lɔng i kin tek fɔ wɛl afta dɛn dɔn du bayɔpsi?

Afta di tɛst dɔn, di dɔktɔ dɛn go wach yu gud gud wan fɔ sɔm awa fɔ si if ɛni prɔblɛm de. Insay dis tɛm, dɛn go tek ɛkstrem rayt na yu chɛst fɔ chɛk fɔ ɛni kɔmplikeshɔn lɛk:

• Nyumotɔraks we de na di bɔdi
• Ɛmotɔraks (we dɛn kin gɛda blɔd bitwin di lɔng ɛn di chɛst wɔl) .

Afta yu dɔn go na os, yu nɔ fɔ es ebi ebi tin ɔ du wok we tranga fɔ lɛk 24 awa so. Bɔt yu fɔ ebul fɔ go wok ɛn du di tin dɛn we yu kin du ɛvride nɔmal wan frɔm di nɛks de.

Ɛni risk de we dis kin apin?

At bayɔpsi na tɛst we nɔ kin rili sef.

• Sכm sכm kכmplikεshכn dεm kin apin insay less dan 6% pan di kes dεm. Fɔ ɛgzampul, smɔl brus ɔ smɔl blɔd we de kɔmɔt na di say we di tiub de. Bɔku tɛm, dɛn tin ya kin sɔlv insay sɔm dez.
• Siriɔs kɔmplikeshɔn dɛn kin apin smɔl smɔl, i nɔ kin rich 1%. Bɔt i fayn fɔ no bɔt di prɔblɛm dɛn we kin apin. Dɛn tin ya na:
• Di at bit we nɔ de bit ɔltɛm (Aritmia).
• Blɔd we de klɔt. dis kin fכm na di lכng dεm (pulmonary embolism), na di vein dεm na di leg dεm (dip vein thrombosis - DVT), כ na di bren εn mek yu strכk.
• Di blɔd vesel dɛn we dɔn pwɛl ɔ we dɔn pɔt.
• Di lɔng we dɔn fɔdɔm.
• Blɔd we de ful-ɔp di chɛst (Hemothorax).
• Infεkshכn כ intanεt bכdi na di say we dεn de du bayopsi.
• Nɛv dɛn we dɔn pwɛl.
• Pɛrikardia efyushɔn.
• sכm sכm blכk na di at in ilektrikal signal dεm (rayt bכndεl branch blכk).
• rigεt na di bak we di bכdi de fכlכ tru di trikuspid valv na di at.

Nɔr frayd wae yu yɛri bɔt dɛn risk ya. Yu dɔktɔ go tɔk to yu bɔt ɔl dɛn tin ya. Di chans fɔ mek dɛn tin ya apin rili smɔl.

Aw lɔng i kin tek fɔ gɛt di ripɔt?

Di rizulyt fɔ di at bayɔpsi kin de insay 24 to 48 awa, ɔ lɛk wan ɔ tu dez . Yu dɔktɔ go ɛksplen to yu di tin dɛn we go apin. Dipen pan di rizɔlt, yu kin nid fɔ du ɔda tɛst dɛn.

Us tɛm a fɔ kɔl di dɔktɔ?

Afta yu go na os afta yu dɔn du di bayɔpsi, if yu si ɛni wan pan dɛn sik ya , yu fɔ kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul we de nia yu:

• Diziz we pɔsin kin gɛt.
• If di at bit nɔ kɔmɔn fast, i rili slo, ɔ i nɔ de bit ɔltɛm (Irregular pulse and heart rate).
• Fɔ blo shɔt ɔ fɔ gɛt prɔblɛm wit yu brith.
• Chɛst pen, filin fɔ tayt na yu chɛst (dεn kin bi sayn dεm fɔ hat atak) .
• Di sayn dɛm fɔ strok: Fɔ ɛgzampul, wikɛd na wan say na di bɔdi, nɔr kin ebul fɔ tɔk, dɛn kin pul yu mɔt na wan say.
• Sayn dɛm fɔ sho se yu gɛt di sik, lɛk fiva ɛn kol.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm dis?

Okay, so lɛ wi rikap di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt.

• At bayɔpsi na we dɛn pul wan smɔl pat pan di at fɔ mek dɛn chɛk am.
• Dis na impɔtant tɛst , mɔ fɔ di wan dɛn we gɛt at transplant, fɔ chɛk if dɛn nɔ gri fɔ tek dɛn at ɛn fɔ no bɔku ɔda at sik dɛn (lɛk kadiomayopathy, at kansa, ɛn infɛkshɔn) .
• Dis na wan dɔktɔ we de mɛn di at kin du am, we i de yuz wan we we dɛn kɔl ``cardiac catheterization''.
• Dis na tɛst wae dɛn kin du ɔltɛm wae yu nɔr nid fɔ de na ɔspitul, ɛn yu kin wɛl kwik kwik wan.
• Pan ɔl we sɔm smɔl smɔl prɔblɛm dɛn de, bɔku pan dis na tin we nɔ bad.

So, if yu dɔktɔ tɛl yu fɔ mek dɛn tek yu at bayɔpsi, nɔ fred fɔ du am, mɛmba dis infɔmeshɔn, tɔk to yu dɔktɔ fayn fayn wan, ɛn aks ɛni kwɛstyɔn we yu gɛt. Dis kin bi impɔtant tin fɔ mek yu at gɛt wɛlbɔdi!

` At bayɔpsi, kadyak bayɔpsi, at sik, at tisu tɛst, at transplant, at sik diagnosis, kateshɔn