Ngaba ugqirha wakho ukuxelele ukuba wenze 'iHeart Biopsy'? Okanye ngaba kukho umntu omaziyo oye wenza olu vavanyo? Kuqhelekile ukuba uzive usoyika kancinci kwaye unexhala xa usiva eli gama. Ngubani ongengoyiki xa esithi "ukuthatha iqhekeza lentliziyo", akunjalo? Kodwa eneneni ayoyiki njengoko sicinga. Ngoko masifumanise ukuba yintoni kanye kanye namhlanje. Siza kuthetha ngokulula malunga nokuba yintoni, yenziwa njani, kwaye ingaba kukho naziphi na iingozi.
Yintoni i-biopsy yentliziyo?
Ngamafutshane, i-heart biopsy yinkqubo apho kuthathwa khona iqhekeza elincinci kakhulu lesicubu kwi-inclusive yemisipha yentliziyo yakho. Ilingana nentloko yepini, ukuba kuyinyani. Olu luvavanyo olukhethekileyo. Emva koko isampuli yesicubu ihlolwa phantsi kwe-microscope yi-pathologist. Uza kukhangela nawuphi na umonakalo okanye ukungaqheleki kwiiseli zentliziyo.
Olu vavanyo lubizwa ngamanye amagama aliqela. Ugqirha wakho angasebenzisa elinye lala magama:
- I-biopsy yentliziyo
- I-biopsy ye-Endomyocardial
- I-biopsy ye-myocardial
Ngubani ofuna ukwenza olu vavanyo?
Eyona sizathu siphambili sokwenza i-biopsy yentliziyo kukujonga impilo yomntu ofakelwe intliziyo . Khawuthelekelele umntu ofakelwe intliziyo entsha. Ngamanye amaxesha umzimba uzama ukungayifuni intliziyo entsha. Oku sikubiza ngokuba 'kukungafunwa kwamalungu omzimba.' Ngoko ke ngale biopsy, singafumanisa ukuba intliziyo iyaliwa na ngaphambi kokuba kuvele iimpawu. Kwaye singabona unobangela.
Kwinqanaba lokuqala emva kokufakelwa intliziyo, olu vavanyo lunokufuneka lwenziwe kube kanye ngeveki. Ekuhambeni kwexesha, oku kunokufuneka kwenziwe rhoqo kwiiveki ezintandathu, rhoqo kwiinyanga ezintathu, ukuya kuthi ga kunyaka.
Ngaphandle koko, oogqirha basebenzisa olu vavanyo ukuxilonga ezinye iimeko zonyango ezininzi.
- I-Cardiomyopathy: Oku kwenzeka xa izihlunu zentliziyo ziba buthathaka, zande, okanye zijiyile, nto leyo eyenza kube nzima ukupompa igazi.
- I-Myocarditis: Usulelo okanye ukudumba kwemisipha yentliziyo.
- I-Amyloidosis: Imeko ebangelwa kukubekwa kweproteni engaqhelekanga entliziyweni.
- I-Sarcoidosis: Ukwakheka kweeseli ezincinci ezivuvukalayo (iigranuloma) kwizitho ezahlukeneyo zomzimba, ingakumbi intliziyo nemiphunga.
- Ubuthi bentliziyo obuvela kunyango lomhlaza: Jonga ukuba amanye amayeza okulwa nomhlaza (i-chemotherapy) angonakalisa na intliziyo.
- Umhlaza wentliziyo: Ezi azixhaphakanga kakhulu, kodwa olu vavanyo lubalulekile ukulubona.
Eyona nto ibalulekileyo kukuba ngugqirha wakho kuphela, oyazi kakuhle imeko yakho yempilo, onokugqiba ukuba uya kuluvavanya okanye akaluvavanyi na.
Ulungiselela kwaye ubhala njani olu vavanyo?
Olu asilotyando olukhulu, ngoko ke akukho nto yokoyika. Oku kwenziwa yingcali yentliziyo. Usebenzisa indlela ebizwa ngokuba yi-cardiac catheterization. Olu luvavanyo apho ityhubhu encinci (i-catheter) idluliselwa entliziyweni ngemithambo yegazi.
Izinto ekufuneka uzenze ngaphambi kovavanyo
Ugqirha wakho uza kukucebisa ngokucacileyo ngale nto.
- Xelela ugqirha wakho malunga nawo onke amayeza kunye neevithamini ozisebenzisayo. Ingakumbi ukuba uthatha amayeza okunciphisa igazi, unokucelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kovavanyo.
- Uza kucelwa ukuba ungatyi okanye ungaseli (uzile ukutya) kangangeeyure ezimbalwa ngaphambi kovavanyo.
- Buza ugqirha nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Indlela oluqhutywa ngayo uvavanyo
Lonke olu nyango luthatha malunga neyure. Le yinkqubo yokulaliswa ngaphandle enokwenziwa ngaphandle kokuhlala esibhedlele.
1. Okokuqala, uza kunikwa iyeza lokuthomalalisa ukuze uphumle kwaye uzive ulele kancinci. Emva koko, indawo apho umbhobho uza kufakwa khona (ngesiqhelo entanyeni okanye emqolo) iya kuba nentlungu. Oku kuya kukuthintela ekubeni uzive naziphi na iintlungu . Uza kuhlala uphaphile kulo lonke uvavanyo.
2. Ugqirha ukwenza oku ngokujonga intliziyo yakho esebenzisa indlela efana ne-X-reyi.
3. Ityhubhu encinci kakhulu neguquguqukayo (i-catheter) ifakwa kwenye yemithambo yegazi yakho ize ikhokelwe kwicala lasekunene lentliziyo yakho.
4. Emva koko, isixhobo esincinci esifana ne-forceps esibizwa ngokuba yi-'bioptome' sidluliselwa kwityhubhu kwaye malunga neziqwenga ezi-3 okanye ezi-5 ezincinci kakhulu zezicubu zithathwa kwimisipha yentliziyo.
5. Emva koko, isixhobo kunye nombhobho ziyasuswa, kwaye kufakwa ibhandishi yoxinzelelo kwindawo apho umbhobho ufakwe khona ukuze kumiswe ukopha.
6. Iisampulu zezicubu ezifunyenweyo zithunyelwa kwilabhoratri ukuze zivavanywe.
Awuyi kuva iintlungu ezininzi ngeli xesha, kodwa ungaziva uxinezelekile kwaye ungakhululekanga.
Kwenzeka ntoni emva kovavanyo?
Emva kokuba uvavanyo luphelile, abasebenzi bezonyango baza kukujonga iiyure ezimbalwa. Ngeli xesha, kuya kuthathwa i-X-ray yesifuba ukujonga naziphi na iingxaki, ezinje ngomonakalo wemiphunga (pneumothorax). Ukuba yonke into ilungile, ungaya ekhaya ngaloo mini inye. Nangona kunjalo, kuya kufuneka umntu oza kukuqhubela ekhaya kwaye kungcono ukuba kukho umntu oza kuba nawe ngaloo mini.
Ufanele ukuphephe ukuphakamisa iintsimbi okanye ukwenza umsebenzi onzima iiyure ezingama-24 emva kovavanyo. Ungaya emsebenzini wenze imisebenzi yakho yemihla ngemihla njengesiqhelo ukususela ngosuku olulandelayo.
Ngaba kukho iingozi koku?
Uvavanyo lwentliziyo yinkqubo ekhuselekileyo . Kodwa njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezincinci. Masiqaphele loo nto.
| Uhlobo lomngcipheko | Inkcazo elula |
|---|---|
| Iingxaki ezincinci neziqhelekileyo | Ukugruzuka, ukopha kancinci, okanye iintlungu apho kufakwe khona ityhubhu. Ezi zinto zihlala ziphela kwiintsuku ezimbalwa. |
| Iingxaki ezinzulu (kodwa ezingaqhelekanga kakhulu) | Ezi zenzeka kwiimeko ezingaphantsi kwe-1%. Zingabandakanya ukubetha kwentliziyo okungahambelaniyo (i-arrhythmia), ukonakala komthambo wegazi, ukonakala kwemiphunga (i-pneumothorax), amahlwili egazi, okanye ukuqokelelana kolwelo olujikeleze intliziyo (i-pericardial effusion). Nangona kunjalo, ezi azixhaphakanga kakhulu. |
Khumbula, olu vavanyo lwenziwa ziingcali ezinamava kakhulu, ngoko ke amathuba okuba neengxaki ezinkulu aphantsi kakhulu.
Kuthatha ixesha elingakanani ukuba ingxelo ifike?
Ingxelo yovavanyo idla ngokufumaneka kwiiyure ezingama-24 ukuya kwezingama-48 . Oko kukhawuleza kakhulu. Ugqirha wakho uza kuxoxa nawe ngale ngxelo aze akuchazele into ekufuneka uyenze ngokulandelayo.
Ndifanele ndimfowunele nini ugqirha?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kovavanyo nasemva kokuya ekhaya, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Isiyezi (vertigo)
- Ukubetha kwentliziyo okungaqhelekanga okanye okukhawulezayo
- Ubunzima bokuphefumla
- Intlungu yesifuba (iimpawu zokuhlaselwa yintliziyo)
- Iimpawu zestroke (umz., ubuthathaka kwelinye icala lomzimba, ubunzima bokuthetha)
- Umkhuhlane okanye ukubanda (iimpawu zosulelo)
Kubaluleke kakhulu ukuzazi ezi mpawu.
Umyalezo Wokuya Ekhaya
- I-biopsy yentliziyo yinkqubo ebandakanya ukuthathwa kwenxalenye encinci kakhulu yesihlunu sentliziyo size siyihlolisise. Olu asilotyando lukhulu loloyiko.
- Olu luvavanyo olubaluleke kakhulu, ingakumbi ekujongeni impilo yabantu abaye bafakelwa intliziyo kunye nokuxilonga ezinye izifo ezininzi zentliziyo.
- Oku kwenziwa yingcali enamava, kukhuselekile, kwaye ungagoduka ngaloo mini inye.
- Iingxaki ezinkulu azixhaphakanga, kodwa kubalulekile ukuqaphela iimpawu ezilumkisayo ezinokwenzeka emva kovavanyo.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, nceda ubuze ugqirha wakho ngaphandle kokuthandabuza.
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