ʻO ka biopsy Myocardial

ʻO ka biopsy Myocardial ka wehe ʻana i kahi ʻāpana puʻupuʻu puʻuwai no ka hoʻokolokolo ʻana.

Hana ʻia ka biopsy Myocardial ma o kahi catheter i wili ʻia i loko o kou puʻuwai (catheterization cardiac). E mālama ʻia ke kaʻina hana i loko o kahi keʻena radiology haukapila, lumi lumi kūikawā, a i ʻole ke keʻena diagnostics cardiac.

E loaʻa i ke kaʻina hana:

• Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hoʻomaha (sedative) ma mua o ke kaʻina hana. Eia nō naʻe, e makaʻala ʻoe a hiki ke hāhai i nā ʻōkuhi i ka wā o ka hoʻāʻo.
• E moe pā ʻoe ma luna o kahi moe a papa ʻaina paha ke hana ʻia nei ka hoʻāʻo.
• ʻĀnai ʻia ka ʻili a hāʻawi ʻia kahi lāʻau numbing kūloko (anesthetic) hāʻawi ʻia.
• E ʻoki ʻia kahi ʻoki lāʻau i kou lima, ʻāʻī, a i ʻole ke ʻūlū.
• Hoʻokomo ka mea mālama ola i kahi paipu lahilahi (catheter) ma o kahi aa a i ʻole ke aʻa, e pili ana i ka lawe ʻia ʻana o nā mea mai ka ʻaoʻao ʻākau a hema paha o ka puʻuwai.
• Inā hana ʻia ka biopsy me ka ʻole o ke kaʻina hana ʻē aʻe, hoʻokau pinepine ʻia ka catheter ma o kahi aa i ka ʻāʻī a laila hoʻopili pono ʻia i ka puʻuwai. E hoʻohana ke kauka i nā kiʻi x-ray neʻe (fluoroscopy) a i ʻole echocardiography (ultrasound) e alakaʻi i ka catheter i kahi kūpono.
• I ka manawa e kū ai ka catheter, hoʻohana ʻia kahi mea hana kūikawā me nā ʻāʻī liʻiliʻi ma ka piko e hemo i nā ʻāpana kikoʻī mai ka puʻuwai puʻuwai.
• ʻO ke kaʻina hana he 1 mau a ʻoi paha mau hola.

E haʻi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6 a 8 mau hola ma mua o ka hoʻāʻo. Hana ʻia ke kaʻina hana i ka haukapila. ʻO ka pinepine, e ʻae ʻia ʻoe i ke kakahiaka o ke kaʻina hana, akā i kekahi mau hihia, pono ʻoe e ʻae ʻia i ka pō ma mua.

E wehewehe kahi mea hoʻolako i ke kaʻina hana a me kāna mau pilikia. Pono ʻoe e kau inoa i kahi palapala ʻae.

ʻIke paha ʻoe i kekahi kaomi ma ka pūnaewele biopsy. Hiki paha iā ʻoe ke hōʻoluʻolu ma muli o ka moe ʻana no kekahi manawa lōʻihi.

Hana pinepine ʻia kēia hana ma hope o ke kuʻi ʻana o ka naʻau e nānā no nā hōʻailona o ka hōʻole.

E kauoha paha kāu mea hāʻawi i kēia kaʻina hana inā loaʻa iā ʻoe nā hōʻailona o:

• ʻO ka cardiomyopathy ʻalekohola
• Amyloidosis Cardiac
• Cardiomyopathy
• Hypertrophic cardiomyopathy
• ʻO ka maʻi idiopathic cardiomyopathy
• ʻO ka cardiomyopathy Ischemic
• Myocarditis
• Peripartum cardiomyopathy
• ʻO ka cardiomyopathy kaohi

ʻO kahi hopena maʻamau ʻaʻole i ʻike ʻia kahi kino puʻuwai puʻuwai. Eia nō naʻe, ʻaʻole ia he manaʻo he maʻamau kou puʻuwai no ka mea i kekahi manawa hiki i ka biopsy ke haʻalele i nā kiko ʻole.

ʻO kahi hopena maʻamau ke kumu o ka loaʻa ʻana o nā mea ʻino. Hōʻike paha kēia hōʻike i ke kumu o ka cardiomyopathy. Ma muli paha o nā pūnaewele kūpono ʻole e:

• ʻO Amyloidosis
• Myocarditis
• ʻO Sarcoidosis
• ʻO ka hōʻole transplant

Kūpono nā pilikia a hoʻokomo pū ʻia:

• Huʻi koko
• Kahe mai ka pūnaewele biopsy
• Nā arrhythmias Cardiac
• Maʻi kīnā
• Hoʻopilikia i ke aʻalolo laryngeal hou
• Hoʻopilikia i ka aa a i ʻole ke aʻa
• Pneumothorax
• Rupture o ka puʻuwai (kākaʻikahi loa)
• Trurguspid regurgitation

Biopsy puʻuwai; Biopsy - puʻuwai

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Pahu lope biopsy

ʻO Herrmann J. Cardiac catheterization. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 19.

Miller DV. ʻŌnaehana Cardiovascular. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 42.

Rogers JG, O'Connor CM. Hōʻino puʻuwai: pathophysiology a me kahi hōʻailona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 52.