Ingabe udokotela wakho ukutshelile ukuthi wenze i-'Heart Biopsy'? Noma ingabe ukhona umuntu omaziyo oke wakwenza lokhu kuhlolwa? Kuvamile kakhulu ukuzizwa wesaba kancane futhi wethukile uma uzwa leli gama. Ubani ongeke esabe uma ethi "ukuthatha ingxenye yenhliziyo", akunjalo? Kodwa empeleni akwesabisi njengoba sicabanga. Ngakho ake sithole ukuthi kuyini ngempela namuhla. Sizoxoxa kalula ngokuthi kuyini, kwenziwa kanjani, nokuthi kukhona yini izingozi.
Kuyini ukuhlolwa kwenhliziyo?
Kalula nje, i-heart biopsy inqubo lapho kuthathwa khona ingxenye encane kakhulu yezicubu engxenyeni engaphakathi yemisipha yenhliziyo yakho. Ingangobukhulu obufana nekhanda lephini, uma kukhulunywa ngqo. Lokhu ukuhlolwa okukhethekile. Isampula yezicubu ihlolwa ngaphansi kwe-microscope ngudokotela wezifo. Uzobheka noma yimuphi umonakalo noma ukukhubazeka emaseli enhliziyo.
Lokhu kuhlolwa kubizwa ngamanye amagama amaningana. Udokotela wakho angase asebenzise elinye lala magama:
- I-biopsy yenhliziyo
- I-biopsy ye-Endomyocardial
- I-biopsy ye-myocardial
Ubani ofuna ukwenza lolu vivinyo?
Isizathu esiyinhloko sokwenza i-biopsy yenhliziyo ukuqapha impilo yomuntu ofakelwe inhliziyo . Cabanga ngomuntu ofakelwe inhliziyo entsha. Ngezinye izikhathi umzimba uzama ukwenqaba inhliziyo entsha. Lokhu sikubiza ngokuthi 'ukwenqatshwa kwezitho.' Ngakho-ke ngale biopsy, singathola ukuthi inhliziyo iyenqatshwa yini ngaphambi kokuba kuvele izimpawu. Futhi singabona imbangela.
Ezigabeni zokuqala ngemva kokufakelwa inhliziyo, lokhu kuhlolwa kungadingeka kwenziwe kanye ngesonto. Ngokuhamba kwesikhathi, lokhu kungadingeka kwenziwe njalo emavikini ayisithupha, njalo ezinyangeni ezintathu, kuze kube unyaka.
Ngaphandle kwalokho, odokotela basebenzisa lolu vivinyo ukuxilonga ezinye izimo eziningana zezokwelapha.
- I-Cardiomyopathy: Lokhu kwenzeka lapho imisipha yenhliziyo iba buthakathaka, ikhule, noma ijiye, okwenza kube nzima ukupompa igazi.
- I-Myocarditis: Ukutheleleka noma ukuvuvukala kwemisipha yenhliziyo.
- I-Amyloidosis: Isimo esibangelwa ukugcwala kweprotheni engajwayelekile enhliziyweni.
- I-Sarcoidosis: Ukwakheka kwamaseli amancane avuvukalayo (ama-granuloma) ezithweni ezahlukene zomzimba, ikakhulukazi inhliziyo namaphaphu.
- Ubuthi benhliziyo obuvela ekwelashweni komdlavuza: Bheka ukuthi eminye imithi yokulwa nomdlavuza (i-chemotherapy) ingalimaza yini inhliziyo.
- Umdlavuza wenhliziyo: Lokhu akuvamile kakhulu, kodwa lokhu kuhlolwa kubalulekile ukukubona.
Into ebaluleke kakhulu ukuthi udokotela wakho kuphela, owazi kahle isimo sakho sezokwelapha, onganquma ukuthi kufanele yini ahlolwe noma cha.
Ulungiselela kanjani futhi ubhale kanjani lolu vivinyo?
Lokhu akuyona indlela enkulu yokuhlinzwa, ngakho akukho okufanele ukwesabe. Lokhu kwenziwa udokotela wezifo zenhliziyo. Usebenzisa indlela ebizwa ngokuthi i-cardiac catheterization. Lokhu ukuhlolwa lapho ipayipi elincane (i-catheter) lidluliselwa khona ngemithambo yegazi liye enhliziyweni.
Izinto okudingeka uzenze ngaphambi kokuhlolwa
Udokotela wakho uzokweluleka ngokucacile ngalokhu.
- Tshela udokotela wakho ngayo yonke imithi namavithamini owathathayo. Ikakhulukazi uma uthatha imithi yokunciphisa igazi, ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Uzocelwa ukuthi ungadli noma uphuze (uzile ukudla) amahora ambalwa ngaphambi kokuhlolwa.
- Buza udokotela noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Indlela yokuhlola eqhutshwa ngayo
Yonke inqubo ithatha cishe ihora. Lena inqubo yokulaliswa esibhedlela engenziwa ngaphandle kokuhlala esibhedlela.
1. Okokuqala, uzonikezwa umuthi wokudambisa ukuze uphumule futhi uzizwe ulele kancane. Ngemuva kwalokho, indawo lapho kuzofakwa khona ipayipi (ngokuvamile entanyeni noma embotsheni) izovaleka. Lokhu kuzokuvimbela ukuthi ungezwa ubuhlungu . Uzohlala uphapheme phakathi nokuhlolwa.
2. Udokotela ukwenza lokhu ngokubheka inhliziyo yakho esebenzisa indlela efana ne-X-ray.
3. Ipayipi elincane kakhulu neliguquguqukayo (i-catheter) lifakwa komunye wemithambo yegazi yakho bese liqondiswa ohlangothini lwesokudla lwenhliziyo yakho.
4. Bese kuba khona ithuluzi elincane, elifana ne-forceps elibizwa ngokuthi i-'bioptome' elidluliselwa ngepayipi bese kuthathwa izingcezu ezincane kakhulu ezintathu noma ezi-5 emisipheni yenhliziyo.
5. Ngemuva kwalokho, kokubili idivayisi kanye nepayipi kuyasuswa, bese kufakwa ibhandishi lokucindezela endaweni lapho ipayipi lifakwe khona ukuze kumiswe ukopha.
6. Amasampula ezicubu atholwe athunyelwa elabhorethri ukuze ayohlolwa.
Ngeke uzwe ubuhlungu obukhulu ngalesi sikhathi, kodwa ungase uzizwe ucindezelekile futhi ungakhululeki.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuphela kokuhlolwa, abasebenzi bezokwelapha bazokuqapha amahora ambalwa. Phakathi nalesi sikhathi, kuzothathwa i-X-ray yesifuba ukuze kuhlolwe noma yiziphi izinkinga, njengomonakalo wamaphaphu (i-pneumothorax). Uma konke kuhamba kahle, ungaya ekhaya ngalolo suku. Kodwa-ke, uzodinga umuntu ozokuhambisa ekhaya futhi kungcono uma othile enawe ngalolo suku.
Kufanele ugweme ukuphakamisa izinsimbi noma ukwenza umsebenzi onzima amahora angama-24 ngemva kokuhlolwa. Ungaya emsebenzini futhi wenze imisebenzi yakho yansuku zonke njengenjwayelo kusukela ngosuku olulandelayo.
Ingabe zikhona izingozi kulokhu?
Ukuhlolwa kwenhliziyo kuyindlela ephephile . Kodwa njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Masiqaphele nalokho futhi.
| Uhlobo lwengozi | Incazelo elula |
|---|---|
| Izinkinga ezincane nezivamile | Ukudumba, ukopha okuncane, noma ubuhlungu lapho ipayipi lifakwe khona. Lokhu kuvame ukunyamalala zingakapheli izinsuku ezimbalwa. |
| Izinkinga ezinkulu (kodwa ezingavamile kakhulu) | Lokhu kwenzeka ngaphansi kwe-1% yamacala. Kungafaka phakathi ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia), ukulimala kwemithambo yegazi, ukulimala kwamaphaphu (i-pneumothorax), amahlule egazi, noma ukunqwabelana koketshezi oluzungeze inhliziyo (i-pericardial effusion). Kodwa-ke, lokhu akuvamile kakhulu. |
Khumbula, lolu vivinyo lwenziwa ochwepheshe abanolwazi oluphezulu, ngakho-ke amathuba okuba nezinkinga ezinkulu aphansi kakhulu.
Kuthatha isikhathi esingakanani ukuthi umbiko ufike?
Umbiko wokuhlolwa uvame ukutholakala zingakapheli amahora angama-24 kuya kwangu-48 . Lokho kuyashesha impela. Udokotela wakho uzoxoxa nawe ngalo mbiko futhi akuchazele ukuthi yini okudingeka uyenze ngokulandelayo.
Ngingashayela nini udokotela ucingo?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlolwa nangemva kokuya ekhaya, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Isiyezi (i-vertigo)
- Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo
- Ubunzima bokuphefumula
- Ubuhlungu besifuba (izimpawu zokuhlaselwa yinhliziyo)
- Izimpawu zesifo sohlangothi (isib., ubuthakathaka ohlangothini olulodwa lomzimba, ubunzima bokukhuluma)
- Umkhuhlane noma ukubanda (izimpawu zokutheleleka)
Kubaluleke kakhulu ukuqaphela lezi zici.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwenhliziyo kuyindlela ehilela ukuthatha ingxenye encane kakhulu yomsipha wenhliziyo bese uyihlola. Lokhu akuyona indlela enkulu yokwesatshwa.
- Lokhu ukuhlolwa okubaluleke kakhulu, ikakhulukazi ekuqapheni impilo yabantu abaye bafakelwa inhliziyo kanye nokuxilonga ezinye izifo eziningana zenhliziyo.
- Lokhu kwenziwa uchwepheshe onolwazi, kuphephile, futhi ungaya ekhaya ngalolo suku.
- Izinkinga ezinkulu azivamile, kodwa kubalulekile ukuqaphela izimpawu eziyisixwayiso ezingase zenzeke ngemva kokuhlolwa.
- Uma unemibuzo noma ukukhathazeka ngalokhu, sicela ubuze udokotela wakho ngaphandle kokungabaza.
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