Myocardial me

Myocardial biopsy yog qhov kev tshem tawm ntawm ib daim me me ntawm cov leeg lub plawv rau kev soj ntsuam.

Myocardial biopsy tau ua los ntawm ib txoj raj yas uas yog sib txuas mus rau hauv koj lub plawv (mob catheterization). Cov txheej txheem yuav muaj nyob rau hauv tsev kho mob radiology chav, chav cov txheej txheem tshwj xeeb, lossis chav kuaj mob plawv.

Yuav kom muaj tus txheej txheem:

• Koj yuav tau muab tshuaj kom pab koj so (sedative) ua ntej ntawm txoj kev. Txawm li cas los xij, koj yuav nyob twj ywm thiab tuaj yeem ua raws cov lus qhia thaum lub sijhawm kuaj.
• Koj yuav tau pw nyob ntawm ib lub ncab lossis rooj lossis lub luag haujlwm thaum qhov kev sim ntsuas lawm.
• Daim tawv yog txhuam thiab ua ib qho tshuaj ntsuab hauv zos (tshuaj loog).
• Ib qho kev phais mob yuav ua rau koj txhais caj npab, caj dab, lossis puab tais.
• Tus kws kho mob ntxig rau ib txoj hlab me me (catheter) dhau ntawm txoj hlab ntshav lossis leeg ntshav, nyob ntawm seb puas yuav tshem cov nqaij mos los ntawm sab xis los yog sab laug ntawm lub plawv.
• Yog tias kev ntsuas me me ua kom tsis muaj lwm qhov txheej txheem, lub raj yas feem ntau tso rau ntawm txoj hlab ntshav hauv caj dab thiab tom qab ntawd ua tib zoo xov mus rau hauv lub siab. Tus kws kho mob yuav siv cov duab xoo hluav taws xob (fluoroscopy) los yog echocardiography (ultrasound) los coj cov raj pa mus rau thaj chaw kom raug.
• Thaum tus catheter nyob hauv txoj hauj lwm, qhov cuab yeej tshwj xeeb nrog lub puab tsaig me me ntawm qhov taub yog siv los tshem cov nqaij me me los ntawm lub siab nqaij.
• Nws yuav nyob ntev li 1 teev lossis ntau teev.

Luag yuav kom koj tsis txhob noj lossis haus dab tsi rau 6 rau 8 teev ua ntej qhov kev kuaj ntawd. Cov txheej txheem coj nyob rau hauv tsev kho mob. Feem ntau, koj yuav tuaj yeem lees paub thaum sawv ntxov ntawm tus txheej txheem, tab sis qee kis, koj yuav tsum raug lees paub hmo ua ntej.

Tus kws khomob yuav piav qhia rau tus txheej txheem thiab nws cov kev pheej hmoo. Koj yuav tsum kos npe rau tsab ntawv tso cai.

Tej zaum koj yuav hnov ​​qee qhov siab ntawm qhov chaw me me. Koj yuav muaj qee qhov tsis xis nyob vim yog dag tseem yuav tau ntev.

Qhov txheej txheem no niaj zaus ua tom qab lub plawv hloov mus saib rau cov cim ntawm kev tsis lees paub.

Koj tus kws khomob yuav hais tau cov txheej txheem no yog koj muaj tej yam cim ntawm:

• Quav cawv cardiomyopathy
• Mob amyloidosis
• Cardiomyopathy
• Hypertrophic cardiomyopathy
• Idiopathic cardiomyopathy
• Ischemic cardiomyopathy
• Myocarditis
• Peripartum cardiomyopathy
• Kev txwv plawv cardiomyopathy

Qhov tshwm sim ib txwm txhais tau tias tsis muaj qhov txawv txav ntawm cov leeg nqaij ntawm lub plawv. Txawm li cas los xij, nws tsis txhais tau tias koj lub siab lub cev vim tias qee zaum kev txaij tawm tuaj yeem tu cov nqaij tsis zoo.

Qhov tshwm sim tsis zoo txhais tau hais tias pom qhov nqaij tsis zoo. Kev kuaj ntshav no yuav qhia pom qhov ua rau cardiomyopathy. Cov ntaub so ntswg uas tsis zoo yuav yog vim:

• Mob Amyloidosis
• Myocarditis
• Sarcoidosis
• Kev tsis lees txais kev hloov tsheb

Kev phom sij muaj pes tsawg thiab suav nrog:

• Cov ntshav txhaws
• Los ntshav los ntawm lub tsev me me
• Mob arrhythmias
• Kab mob
• Kev raug mob rau lub cev ntaj ntsug puas siab ntsws
• Kev raug mob rau txoj leeg lossis leeg ntshav
• Pneumothorax
• Lub plawv tawg (mob tsawg kawg)
• Tricuspid regurgitation

Lub siab txhawv; Biopsy - lub plawv

• Lub Plawv - seem ntawm ntu nruab nrab
• Plawv - saib ua ntej
• Siv lub raj xa hluav taws xob

Herrmann J. Cardiac catheterization. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 19.

Miller DV. Kev kho plawv. Hauv: Goldblum JR, Teeb Yuav LW, McKenney JK, Myers JL, eds. Rosai thiab Ackerman's phais Neeg Kho MobCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 42.

Rogers JG, O'Connor CM. Lub plawv tsis ua haujlwm: pathophysiology thiab kuaj mob. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 52.