I thinlung hmun tlemte la la, i test duh em? He heart biopsy chungchang hi han sawi ila!

"Heart biopsy " tih thumal i hriat hian i hlau deuh mai thei. Mahse a takah chuan test hlu tak a ni a, chu chuan thinlung lama harsatna thenkhat chu a finfiah thei a ni. Chuvangin, chipchiar zawkin han sawi ila. Eng nge ni, tute nge mamawh, engtin nge tih leh ngaihtuahna a awm em tih te.

Heart biopsy hi eng nge ni tak tak?

A awlsam zawngin, heart biopsy hi i heart muscle atanga tissue te tak te tak tak lak chhuah a, enfiah a ngai a ni. Hei hi diagnostic procedure a ni a, natna chu eng nge a nih chiah hriat nan hman a ni. Puan te tak te la a, thil dik lo a awm leh awm loh enfiah ang maiin han ngaihtuah teh.

Tissue sample chu lab-ah thawn a ni. Chutah chuan specialist a awm a, ``pathologist`` kan ti a. He thinlung tissue chi khat hi microscope hmanga en a, cell-a inthlak danglamna, chhiatna leh thil danglam awm zawng zawng zawngtu a ni. Chu chuan thinlunga buaina a awm leh awm loh chiang taka hriat theih nân min ṭanpui a ni.

Hei hi hming dang a awm em?

Ni e, Doctor-te chuan a hming dang an hmang \hin. Heng hmingte pawh hi i hre tawh mai thei:

• `(Cardiac biopsy)` (Cardiac biopsy ) – "Cardiac" tih hian thinlung nena inzawm tihna a ni bawk.
• `(Endomyocardial biopsy)` (Endomyocardial biopsy) – "Endo" tih hian chhungril a kawk a, "myocardial" tih hian thinlung thau tihna a ni. Chumi awmzia chu thinlung ruh chhung lam atanga lak a ni tihna a ni.
• Myocardial biopsy – Lung ruh atanga lak chhuah direct a biopsy.

Engtiang pawhin sawi mah la, a awmzia chu fiahna inang a ni.

Tute nge heart biopsy mamawh?

Mi zawng zawng hian hetiang hi an tih a ngai dawn lo a, mahse hei hi a pawimawh em emna special case thenkhat a awm.

Heart transplant (Heart Transplant) nei tawhte tan .

Mi pakhatin heart transplant thar a nei ang tih han ngaihtuah teh. Chutiang a nih chuan he biopsy hi taksain thinlung thar ( organ rejection ) a hnawl em tih hriat nan tih fo a ngai a ni. A tha ber chu he biopsy hian rejection a hmuchhuak thei a, chu chu chhinchhiahna engmah a lantir hmain a ni. Tin, a awm chuan a chhan pawh a zawng chhuak thei bawk.

• Heart transplant hnua a tir lamah chuan kar khatah vawi khat tal tih a ngai mai thei.
• Chumi hnuah kum khat vel chu kar ruk danah vawi khat emaw, thla thum danah vawi khat emaw i ti thei ang.

Lung natna dangte pawh hriatchhuah tir rawh

He biopsy hian heart transplant bakah hian heart disease dang engemaw zat a hriat theih nan a pui bawk . Entirna tlemte chu hetiang hi a ni:

• `(ATTR (transthyretin) amyloidosis)`: Hetah hian thil thleng chu kan taksaa protein chi khat siam chhuah chu thinlungah a awm a, a tichhia a ni.
• `(Cardiomyopathy)` (Thinlung lam natna): 1.1.Hei hian heart muscle-a natna lo awmte a kawk a ni. Entirnan ``hypertrophic cardiomyopathy '' tih hi a ni a, chutah chuan thinlung bang chu a thim lutuk a ni.
• Cardiotoxicity: Chemotherapy damdawi thenkhat chuan thinlung a tichhe thei. Hei hi chutiang chhiatna chu enfiah nan pawh tih a ni.
• Lung cancer : A tlem hle a, mahse thinlungah cancer a awm thei bawk.
• Heart failure: Lung a chak lo a, taksaah thisen a pump tha thei lo a nih chuan.
• Lung natna: Entirnan, ``myocarditis'' an tih natna a ni.Hetah hian thinlung ruh chu a lo inflamed a, chu chu a hring tihna a ni.
• Sarcoidosis : Hei hi taksa peng hrang hrangah, thinlung pawh tiamin, hliam te te (lump ang chi) a lo awm thin a ni.

Hetiang ti duh lo mi an awm em?

Hei hi a tlangpuiin test him tak ni mahse, mi thenkhat tan chuan risky deuh a ni thei. Entirnan, heart valve natna thenkhat nei te chu harsatna an neih theihna chance a sang deuh hlek a ni. Chuvangin, he test hi i tan a tha em tih hriat tumin i doctor nen inbiakna neih a tha ber.

He heart biopsy hi tuin nge ti thin?

Hei hi cardiologist ten an ti thin . Heng test te ti turin training bik a nei a ni. Chumi atana hman dan chu cardiac catheterization an ti a. A awlsam zawngin sawi ila, he test hi thisen kalna kawng (catheter) te tak te, flexible tak tak, thisen kalna kawng atanga thinlung chhunga luhtir hmanga tih a ni.

Biopsy neih hmain engtin nge kan inbuatsaih ang?

Biopsy tih i tum chuan i doctor chuan a hnuaia mite hi a hrilh ang che:

• Tuna i damdawi, vitamin leh supplement i ei zawng zawngte chu i doctor hnenah i hrilh tur a ni.
• Damdawi thenkhat, a bik takin thisen tithianghlimtu te hi test hma ni engemaw zatah tihtawp a ngai mai thei.
• Tin, test hma darkar engemaw zat chhung chu engmah ei lo tur leh in loh tur (fast) turin an ti bawk ang che.

A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. Thil i hriatthiam loh chuan zawt nawn leh rawh.

Biopsy hma hian eng nge thleng?

Hei hi outpatient procedure a ni tlangpui a, chu chu damdawi ina awm ngai lovin ni vek hian i haw thei tihna a ni. Procedure zawng zawng hi darkar khat vel a ni.

• I chawlh hahdam theih nan leh mut hahdam deuh turin sedative pek i ni ang.
• Biopsy an tihna hmun chu numb turin anesthetic an pe bawk.
• I harh tawh a, mahse lungkham tur a awm lo, hrehawm i nei lovang. Tlemte chuan nawr luih i hre mai thei.
• Test zawh ni vek hian i haw thei bawk. Amaherawhchu, i in lama khalhtu tur leh i dam leh huna rei lo te i bula awm tur che i mamawh dawn a ni.

Biopsy neih chhung hian eng nge thleng?

I doctor-in hetianga a tih hian i thinlung leh thisen kalna kawng thlalak a en thin. Hei hi fluoroscopy X-ray (X-ray hmuh theih chhunzawm zel) emaw, transthoracic echocardiogram (TTE) ( thinlung scan ) emaw hmanga tih a ni.

Step by step khata thil thleng chu hetiang hi a ni:

1. Doctor chuan i kut emaw ke emaw a thisen kalna kawng lian tak hmangin i thinlungah tube (catheter) te tak te a thun lut a.

2. Tichuan, chu tube hmang chuan hmanraw tha tak dang (`bioptome`), forceps te tak te ang mai chu thinlung chhungah a lut leh a.

3. ``Bioptome'' hmangin thinlung ruh atang hian a te tak te tak tak (pin lu ang maia te pawh a ni mai thei) engemaw zat an tan a.

4. Tichuan bioptome leh tissue piece te chu la chhuakin tissue chu lab-ah enfiah turin an thawn a.

5. A tawp berah chuan catheter chu la chhuakin pressure bandage hnawih la, thisen chhuah a reh ang.

Heng zawng zawng a lo thlen hunah hian lungawi lohna i nei vak lovang.

Biopsy hnuah eng chen nge a dam theih ang?

Test zawh hnuah medical staff te chuan darkar engemaw zat chu uluk takin an lo en ang che a, harsatna a awm leh awm loh an en ang. Hemi chhung hian i rilru X-ray lak a ni ang a, harsatna i neih leh neih loh enfiah a ni ang a, chungte chu:

• Pneumothorax natna (Pneumothorax) a ni
• Hemothorax (lung leh rilru bang inkara thisen lakkhawm) .

In i haw hnuah darkar 24 vel chu thil rit phur emaw, hna hahthlak tak tak emaw tih loh tur a ni. Amaherawhchu, hnathawhna hmuna kal thei tur leh a tuk atanga nitin hna pangngai taka thawk thei tur a ni.

Hei hian risk a nei em?

Heart biopsy hi test him tak a ni.

• Complication tenau te hi 6% aia tlem loah a awm thin. Entirnan, tube awmna hmuna hliam tenau emaw, thisen chhuak tlem emaw. Chungte chu ni engemaw zat chhungin a reh tlangpui.
• Complication na tak tak hi a awm tlem hle a, 1% aia tlem a ni. Mahse, harsatna awm thei te hriat chian a tha. Chung zingah chuan:
• Thinlung thawk mumal lo (Arrhythmia).
• Thisen a chhuak thin. Chungte chu lung (pulmonary embolism), ke ruh (deep vein thrombosis - DVT), emaw thluaka lo awmin stroke a thlen thei a ni.
• Thisen kalna kawng chhia emaw, perforation emaw.
• Lung a tlakbuak.
• Thisen chhuakin rilru a luah khat (Hemothorax).
• Biopsy na hmuna natna hrik emaw, chhungril lama thisen chhuak emaw a awm.
• Nerve tihchhiat a ni.
• Pericardial atanga chhuak (Pericardial effusion) a awm.
• Thinlung electrical signal (right bundle branch block)-a blockage te tak te a awm.
• Regurgitation chu thinlung tricuspid valve kal tlanga thisen hnunglam hawia kalna a ni.

Heng hlauhawmnate hi i hriat hian hlauthawng suh. I doctor chuan heng zawng zawng hi a sawipui ang che. Hengte hi a thlen theihna chance a tlem hle.

Report dawng tur hian eng chen nge hun a duh?

Heart biopsy result hi darkar 24 atanga 48 chhung, a nih loh leh ni khat emaw ni hnih emaw vel a ni tlangpui . I doctor chuan a result chu a hrilhfiah ang che. Results a zirin test dang neih belh a ngai mai thei.

Engtik hunah nge doctor ka biak ang?

Biopsy zawha in i haw hnuah, heng symptoms te hi i neih chuan , i doctor i ko nghal tur a ni a, a nih loh leh damdawi in hnai ber pan tur a ni:

• Luak chhuak thei.
• Heartbeat hi a danglam bik taka chak, a slow lutuk, a nih loh leh a mumal lo (Irregular pulse and heart rate) a nih chuan.
• Thâwk harsa emaw, thawk lama harsatna emaw.
• Chhung na, rilru a tight tih hriatna (hengte hi heart attack symptoms a ni thei) .
• Stroke chhinchhiahna: Entirnan, taksa sir khata chak lohna, tawng thei lo, hmui sir khata hrual.
• Infection chhinchhiahna, khawsik leh khawsik te.

Chuti a nih chuan, he thil atang hian eng thil nge kan hriat reng tur?

Okay, chuvangin kan sawi tawh atang khan point pawimawh ber berte hi han recap leh ila.

• Heart biopsy chu heart atanga tissue te tak te te chu enfiah nan lakchhuah a ni.
• Hei hi test pawimawh tak a ni , a bik takin heart transplant dawngtu tan chuan, hnawl a nih leh nih loh enfiah nan leh thinlung natna dang engemaw zat (cardiomyopathy, heart cancer, leh infection ang chi) hmuhchhuah nan a ni .
• Hei hi cardiologist-in a ti a, ``cardiac catheterization'' tih hmangin a ti a ni.
• Hei hi a tlangpuiin damdawi ina awm ngai lovin tih theih a ni a, i dam thuai thei bawk.
• Risk tenau engemaw zat awm mahse, hei hi a tam zawk chu a him a ni.

Chuvangin, i doctor-in heart biopsy ti turin a hrilh che a nih chuan tih hlau suh la, he thu hi i rilruah vawng reng la, i doctor nen fimkhur takin inbia la, zawhna i neih apiang zawt rawh. Hei hi i thinlung hriselna atana hmalakna pawimawh tak a ni thei!

` Heart biopsy, cardiac biopsy, thinlung natna, heart tissue test, heart transplant, thinlung natna hriatchhuah, catheterization