Myocardial biopsy

Myocardial biopsy shine cire ƙaramin ƙwayar tsoka don bincika.

Myocardial biopsy ana yin sa ne ta hanyar catheter wanda aka lika a cikin zuciyar ka (cardiac catheterization). Za a gudanar da aikin a cikin sashen rediyon asibiti, ɗakin hanyoyin musamman, ko dakin gwaje-gwaje na cututtukan zuciya.

Don samun aikin:

• Za a iya ba ku magani don taimaka muku shakatawa (mai kwantar da hankali) kafin aikin. Koyaya, zaku kasance a farke kuma zaku iya bin umarni yayin gwajin.
• Za ku kwanta kwance a kan gado ko tebur yayin gwajin.
• An goge fatar kuma a ba da magani na numban jiki (anestical).
• Yaran da aka yanka zai zama hannun, wuyan ku, ko makwancin ku.
• Mai ba da kula da lafiyar ya sanya wani bututun bakin ciki (catheter) ta jijiya ko jijiya, ya danganta da ko za a ɗauki nama daga hannun dama ko hagu na zuciya.
• Idan anyi biopsy ba tare da wani aikin ba, akasari ana sanya catheter ne ta wata jijiya a cikin wuya sannan sai a sanya a hankali cikin zuciya. Dikita zai yi amfani da hotuna masu daukar hoto (fluoroscopy) ko echocardiography (duban dan tayi) don jagorantar catheter din zuwa daidai yankin.
• Da zarar catheter ya kasance a wuri, ana amfani da wata na'ura ta musamman tare da ƙananan muƙamuƙai a saman don cire ƙananan ƙwayoyin daga tsokar zuciya.
• Hanyar na iya wuce 1 ko fiye da sa'o'i.

Za a gaya maka kada ka ci ko sha wani abu har tsawon awanni 6 zuwa 8 kafin gwajin. Ana yin aikin a cikin asibiti. Mafi sau da yawa, za a shigar da ku da safiyar lokacin aikin, amma a wasu lokuta, kuna iya buƙatar a shigar da ku daren da ya gabata.

Mai ba da sabis zai yi bayanin aikin da haɗarinsa. Dole ne ku sanya hannu a takardar izini.

Kuna iya jin ɗan matsi a wurin biopsy. Kuna iya samun ɗan damuwa saboda kwance har yanzu na dogon lokaci.

Ana yin wannan aikin koyaushe bayan dasawar zuciya don kallon alamun ƙi.

Mai ba da sabis ɗinku na iya yin wannan umarnin idan kuna da alamun:

• Maganin bugun jini
• Amyloidosis na Cardiac
• Ciwon zuciya
• Hypertrophic cututtukan zuciya
• Idiopathic cututtukan zuciya
• Ischemic cututtukan zuciya
• Ciwon ciki
• Tsarin jijiyoyin jiki
• Iomuntataccen cututtukan zuciya

Sakamakon yau da kullun yana nufin ba a gano ƙwayar tsoka da ƙwayar cuta ba. Koyaya, ba lallai bane ya nuna cewa zuciyar ku ta al'ada ce saboda wani lokacin biopsy na iya rasa tsokar nama.

Wani sakamako mara kyau yana nufin an sami nama mai haɗari. Wannan gwajin na iya bayyana abin da ke haifar da ciwon zuciya. Abinda ba al'ada ba na iya zama saboda:

• Amyloidosis
• Ciwon ciki
• Sarcoidosis
• Amincewa dashi

Hadarin yana matsakaici kuma sun haɗa da:

• Jinin jini
• Zub da jini daga shafin biopsy
• Ciwon zuciya na Cardiac
• Kamuwa da cuta
• Rauni ga jijiyar laryngeal mai maimaitawa
• Rauni ga jijiya ko jijiya
• Pneumothorax
• Rushewar zuciya (mai matukar wuya)
• Tsarin tricuspid

Zuciyar zuciya; Biopsy - zuciya

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Biopsy catheter

Herrmann J. Cardiac catheterization. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 19.

Miller DV. Tsarin zuciya da jijiyoyin jini. A cikin: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. Rosai da Ackerman na Ciwon Tiyata. 11th ed. Philadelphia, PA: Elsevier; 2018: babi na 42.

Rogers JG, O'Connor CM. Rashin zuciya: cututtukan cututtukan zuciya da ganewar asali. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 52.