Kodi mukufuna kutenga chidutswa cha mtima wanu ndikuchiyesa? Tiyeni tikambirane za biopsy iyi ya mtima!

Mungachite mantha pang'ono mukamva mawu oti "heart biopsy ." Koma kwenikweni ndi mayeso ofunika kwambiri omwe angathandize kuzindikira mavuto ena a mtima. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane. Kodi ndi chiyani, ndani akuchifuna, chimachitidwa bwanji, komanso ngati pali nkhawa zilizonse.

Kodi biopsy ya mtima ndi chiyani kwenikweni?

Mwachidule, kujambulidwa kwa mtima ndi njira yomwe imafuna kutenga chidutswa chaching'ono kwambiri cha minofu ya mtima wanu ndikuchiyang'ana. Iyi ndi njira yodziwira matenda yomwe imagwiritsidwa ntchito kuti mudziwe bwino matendawo. Taganizirani izi ngati kutenga chidutswa chaching'ono cha nsalu ndikuwona ngati pali vuto lililonse.

Chitsanzo cha minofu chimatumizidwa ku labu. Pali katswiri kumeneko, timamutcha "katswiri wa matenda". Iye ndiye amene amayang'ana chidutswa cha minofu ya mtima ichi pansi pa maikulosikopu ndikuyang'ana kusintha kulikonse, kuwonongeka, kapena zolakwika m'maselo. Izi zimatithandiza kudziwa ngati pali vuto ndi mtima.

Kodi pali mayina ena a izi?

Inde, nthawi zina madokotala amagwiritsa ntchito mayina ena. Mwina munamvapo mayina awa:

• `(Cardiac biopsy)` (Cardiac biopsy ) – "Cardiac" imatanthauzanso zokhudzana ndi mtima.
• `(Endomyocardial biopsy)` (Endomyocardial biopsy) – "Endo" amatanthauza mkati, ndipo "myocardial" amatanthauza minofu ya mtima. Izi zikutanthauza kuti imatengedwa kuchokera mkati mwa minofu ya mtima.
• Kufufuza kwa myocardial - Kufufuza kwa myocardial komwe kumatengedwa mwachindunji kuchokera ku minofu ya mtima.

Kaya munene bwanji, tanthauzo lake ndi lomwelo.

Ndani akufunika biopsy ya mtima?

Si aliyense amene adzafunika kuchita izi, koma pali zochitika zina zapadera pamene izi ndizofunikira kwambiri.

Kwa iwo omwe adasamutsidwa mtima (Kusamutsidwa Mtima)

Tangoganizani kuti wina wapatsidwa mtima watsopano. Zimenezi zikachitika, biopsy iyi iyenera kuchitidwa nthawi zonse kuti ione ngati thupi likukana mtima watsopano ( kukana ziwalo ). Chabwino kwambiri n'chakuti biopsy iyi ikhoza kuzindikira kukana isanawonetse zizindikiro zilizonse. Ndipo ngati itatero, imathanso kudziwa chomwe chinayambitsa.

• Poyamba munthu akapatsidwa mtima wosamutsidwa, izi zingafunike kuchitika kamodzi pa sabata.
• Pambuyo pake, kwa chaka chimodzi, mutha kuchita kamodzi pa milungu isanu ndi umodzi iliyonse kapena kamodzi pa miyezi itatu iliyonse.

Dziwani matenda ena a mtima

Kuonjezera pa kuikidwa mtima, biopsy iyi imathandiza kuzindikira matenda ena angapo a mtima . Nazi zitsanzo zingapo:

• `(ATTR (transthyretin) amyloidosis)`: Chomwe chimachitika pamenepa ndichakuti mtundu wa mapuloteni opangidwa m'thupi lathu amaikidwa mumtima ndikuwuwononga.
• `(Cardiomyopathy)` (Cardiomyopathy):Izi zikutanthauza matenda omwe amapezeka mu minofu ya mtima. Chitsanzo ndi ``hypertrophic cardiomyopathy '', momwe makoma a mtima amakhuthala kwambiri.
• Kuopsa kwa mtima: Mankhwala ena a chemotherapy amatha kuwononga mtima. Izi zimachitikanso kuti aone ngati pali kuwonongeka kotere.
• Khansa ya mtima: Ndi yosowa kwambiri, koma khansa imathanso kuchitika mumtima.
• Kulephera kwa mtima: Pamene mtima ufooka ndipo sungathe kupompa magazi bwino kupita m'thupi.
• Matenda a mtima: Mwachitsanzo, matenda otchedwa ``myocarditis.'' Pamenepa, minofu ya mtima imatupa, zomwe zikutanthauza kuti imatupa.
• Sarcoidosis : Iyi ndi matenda omwe kutupa pang'ono (monga ziphuphu) kumachitika m'mbali zosiyanasiyana za thupi, kuphatikizapo mtima.

Kodi pali anthu omwe sakufuna kuchita izi?

Ngakhale kuti nthawi zambiri mayesowa ndi otetezeka, akhoza kukhala oopsa pang'ono kwa anthu ena. Mwachitsanzo, anthu omwe ali ndi matenda enaake a mtima amakhala pachiwopsezo chachikulu cha mavuto. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu kuti adziwe ngati mayesowa ndi oyenera kwa inu.

Ndani amachita biopsy ya mtima iyi?

Izi zimachitika ndi dokotala wa mtima . Ali ndi maphunziro apadera ochitira mayesowa. Njira yomwe imagwiritsidwa ntchito pa izi imatchedwa catheterization ya mtima. Mwachidule, mayesowa amachitika polowetsa chubu chopyapyala komanso chosinthasintha (catheter) kudzera mu mtsempha wamagazi kupita mumtima.

Kodi tiyenera kukonzekera bwanji tisanayambe biopsy?

Ngati mwasankha kuchita biopsy, dokotala wanu adzakuuzani izi:

• Muyenera kuuza dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa panopa.
• Mankhwala ena, makamaka ochepetsa magazi, angafunike kuyimitsidwa masiku angapo mayeso asanachitike.
• Mudzapemphedwanso kuti musadye kapena kumwa chilichonse (mosala kudya) kwa maola angapo mayeso asanachitike.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Ngati simukumvetsa kalikonse, funsaninso.

Kodi chimachitika ndi chiyani musanachite biopsy?

Kawirikawiri iyi ndi njira yochizira odwala osapita kuchipatala, zomwe zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo popanda kukhala m'chipatala. Njira yonseyi imatenga pafupifupi ola limodzi.

• Mudzapatsidwa mankhwala ochepetsa ululu kuti akuthandizeni kupumula komanso kugona pang'ono.
• Mankhwala oletsa ululu amaperekedwanso kuti achepetse ululu pamalo omwe biopsy ikuchitikira.
• Mwadzuka, koma palibe chodetsa nkhawa, simudzamva kupweteka kulikonse. Mungamve kukukankhirani pang'ono.
• Mukhoza kupita kunyumba tsiku lomwelo mayeso atatha. Komabe, mudzafunika munthu woti akutengereni kunyumba ndikukhala nanu kwakanthawi pamene mukuchira.

Kodi chimachitika ndi chiyani panthawi ya biopsy?

Dokotala wanu akachita izi, amaona zithunzi za mtima wanu ndi mitsempha yamagazi. Izi zimachitika pogwiritsa ntchito fluoroscopy X-ray (X-ray yomwe imawonekera nthawi zonse) kapena transthoracic echocardiogram (TTE) ( kujambula mtima ).

Izi ndi zomwe zimachitika pang'onopang'ono:

1. Dokotala amaika chubu chaching'ono (catheter) mumtima mwanu kudzera mu mtsempha waukulu wamagazi womwe uli m'dzanja kapena mwendo wanu.

2. Kenako, kudzera mu chubu chimenecho, chida china chabwino (chotchedwa `bioptome`), monga kachipangizo kakang'ono ka mphamvu, chimalowetsedwa mumtima.

3. Pogwiritsa ntchito ``bioptome'', zidutswa zingapo zazing'ono kwambiri (mwina zazing'ono ngati mutu wa pini) zimadulidwa kuchokera ku minofu ya mtima.

4. Kenako bioptome ndi zidutswa za minofu zimachotsedwa ndipo minofuyo imatumizidwa ku labu kuti ikawunikidwe.

5. Pomaliza, chotsani catheter ndikugwiritsa ntchito bandeji yokakamiza kuti magazi asiye kutuluka.

Simudzamva kusasangalala kwambiri zonsezi zikachitika.

Zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa biopsy?

Pambuyo poyesa, ogwira ntchito zachipatala adzakuyang'anirani kwa maola angapo kuti aone ngati pali vuto lililonse. Panthawiyi, X-ray ya pachifuwa chanu idzatengedwa kuti aone ngati pali mavuto monga:

• Pneumothorax
• Hemothorax (kusonkhanitsa magazi pakati pa mapapo ndi khoma la pachifuwa)

Mukapita kunyumba, muyenera kupewa kunyamula zinthu zolemera kapena kugwira ntchito yolemetsa kwa maola pafupifupi 24. Komabe, muyenera kukhala okonzeka kupita kuntchito ndikuchita ntchito zanu za tsiku ndi tsiku kuyambira tsiku lotsatira.

Kodi pali zoopsa zilizonse pa izi?

Kuyeza mtima ndi njira yotetezeka.

• Mavuto ang'onoang'ono amapezeka pa milandu yochepera 6%. Mwachitsanzo, kuvulala pang'ono kapena kutuluka magazi pang'ono pamalo a chubu. Izi nthawi zambiri zimatha mkati mwa masiku ochepa.
• Mavuto aakulu amapezeka kawirikawiri, osakwana 1%. Komabe, ndi bwino kudziwa mavuto omwe angakhalepo. Izi zikuphatikizapo:
• Kusakhazikika kwa kugunda kwa mtima (arrhythmia).
• Magazi amaundana. Izi zimatha kupangika m'mapapo (pulmonary embolism), m'mitsempha ya miyendo (deep vein thrombosis - DVT), kapena muubongo ndikuyambitsa sitiroko.
• Kuwonongeka kapena kubooka kwa mitsempha yamagazi.
• Mapapu osweka.
• Magazi odzaza pachifuwa (Hemothorax).
• Matenda kapena kutuluka magazi mkati mwa thupi pamalo oyezetsera magazi.
• Kuwonongeka kwa mitsempha.
• Kutuluka kwa magazi m'mitsempha ya mtima.
• Kutsekeka pang'ono kwa zizindikiro zamagetsi za mtima (chipika cha nthambi yakumanja).
• Kubwerera m'mbuyo kwa magazi ndi njira yobwerera m'mbuyo kudzera mu valavu ya tricuspid ya mtima.

Musachite mantha mukamva za zoopsazi. Dokotala wanu adzakudziwitsani zonsezi. Mwayi woti izi zichitike ndi wochepa kwambiri.

Kodi zimatenga nthawi yayitali bwanji kuti munthu alandire lipotilo?

Zotsatira za kafukufuku wa mtima nthawi zambiri zimapezeka mkati mwa maola 24 mpaka 48, kapena pafupifupi tsiku limodzi kapena awiri . Dokotala wanu adzakufotokozerani zotsatira zake. Kutengera ndi zotsatira zake, mungafunike kuyesedwa kwina.

Ndiyenera kuyimbira dokotala nthawi yanji?

Mukapita kunyumba mutatha kuchitidwa opaleshoni, ngati mukukumana ndi zizindikiro izi , muyenera kuyimbira dokotala nthawi yomweyo, kapena kupita kuchipatala chapafupi:

• Chizungulire.
• Ngati kugunda kwa mtima kuli kofulumira kwambiri, pang'onopang'ono kwambiri, kapena kosasinthasintha (kugunda kwa mtima kosasinthasintha ndi kugunda kwa mtima).
• Kupuma movutikira kapena mavuto opuma.
• Kupweteka pachifuwa, kumva kupsinjika pachifuwa (izi zitha kukhala zizindikiro za matenda a mtima)
• Zizindikiro za sitiroko: Mwachitsanzo, kufooka mbali imodzi ya thupi, kulephera kulankhula, pakamwa kukokedwa mbali imodzi.
• Zizindikiro za matenda, monga malungo ndi kuzizira.

Kotero, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera apa?

Chabwino, tiyeni tikambirane mfundo zofunika kwambiri kuchokera pa zomwe takambirana.

• Kuyeza mtima ndi kuchotsa chidutswa cha minofu kuchokera mumtima kuti chikafufuzidwe.
• Iyi ndi njira yofunikira kwambiri , makamaka kwa olandira chithandizo cha mtima, kuti aone ngati akukana chithandizocho komanso kuti adziwe matenda ena a mtima (monga matenda a mtima, khansa ya mtima, ndi matenda ena) .
• Izi zimachitika ndi dokotala wa mtima, pogwiritsa ntchito njira yotchedwa ``cardiac catheterization''.
• Iyi ndi mayeso omwe nthawi zambiri amatha kuchitidwa popanda kukhala m'chipatala, ndipo mutha kuchira mwachangu.
• Ngakhale pali zoopsa zazing'ono, izi nthawi zambiri zimakhala zotetezeka.

Choncho, ngati dokotala wanu akukuuzani kuti muyeze mtima wanu, musachite mantha, kumbukirani izi, lankhulani ndi dokotala wanu mosamala, ndipo funsani mafunso aliwonse omwe mungakhale nawo. Izi zitha kukhala gawo lofunika kwambiri pa thanzi la mtima wanu!

Kufufuza za mtima , kusanthula za mtima, matenda a mtima, kuyezetsa minofu ya mtima, kusamutsa mtima, kuzindikira matenda a mtima, kuyika catheter mu catheter.