So akisikuru bi a ɛwɔ wo nipadua mu no haw wo? Momma yɛnka Fine-Needle Aspiration (FNA) ho asɛm!

So woate akuru ketewaa bi nka pɛn wɔ wo nipadua no baabi na woate ehu anaa adwenem naayɛ nka kakra? Anaasɛ oduruyɛfo bi ka kyerɛɛ wo sɛ yɛ nhwehwɛmu kakra wɔ beae a ɛte saa? Nsuro! Ɛnnɛ yɛrebɛka sɔhwɛ bi a ɛboa wɔ mmerɛ a ɛte saa mu na ɛho hia ma nnipa pii ho asɛm. Ɛno ne `Fine-Needle Aspiration`, a yɛsan frɛ no `(FNA)` tiawa. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi yɛ sɔhwɛ a wɔde ade a ɛyɛ tratraa di dwuma de fa nkwammoaa bi.

Enti, dɛn ankasa ne Fine-Needle Aspiration (FNA)?

Sɛ yɛbɛka no tiawa a, `Fine-Needle Aspiration` anaa `(FNA)` yɛ adeyɛ a nnuruyɛfo de fa nkwammoaa nhwɛsode fi akuru, ntini, anaa beae foforo bi a ɛyɛ adwenem naayɛ wɔ wo nipadua mu a ɛte sɛ nea ɛnyɛ ne kwan so. Nnipa binom nso frɛ no `Fine-Needle Biopsy`. Fa no sɛ ade a ɛyɛ tratraa paa a wɔde abata syringe ketewaa bi ho a ɛma nkwammoaa, ntini, anaa nsu kakraa bi fi mu.

Afei, wo duruyɛfoɔ de nhwɛsoɔ no kɔma ``cytology lab.'' Ɛhɔ no, ``cytotechnologist'' bi hwehwɛ nkwammoaa no mu. Afei, oduruyɛfo titiriw bi a wɔfrɛ no ``pathologist'' sua nkwammoaa no mu kɔ akyiri, bɔ mmɔden sɛ obehu nea ɛyɛ ne nea ɛyɛ wɔn su. Wɔn baanu nyinaa de ɔkwan bi a wɔfrɛ no ``cytology'' hwehwɛ saa nkwammoaa yi mu.

``(FNA)`` yɛ biopsy bi a ɛnsɛe nipadua no kɛse, kyerɛ sɛ, ɛno na ɛnyɛ nea ɛkɔ nipadua no mu kɛse (ɛnyɛ nea ɛkɔ nipadua no mu kɛse) . Nanso, ɛwɔ anohyeto ahorow bi nso.

Enti, nsonsonoe bɛn na ɛda Core Biopsy ne Fine-Needle Aspiration ntam?

Ebia woate `Core Biopsy` nso ho asɛm. `Core Biopsy` ne `Fine-Needle Aspiration` nyinaa yɛ biopsies ahorow a wɔde nnade di dwuma.

Nanso, ade a wɔde yɛ `Core Needle Biopsy` no yɛ duru kakra sen ade a wɔde yɛ `(FNA)`. Enti, `Core Biopsy` betumi agye ntini pii sen `(FNA)`. Eyi ma wotumi nya beae a adwenem naayɛ wom no ho nsɛm pii.

Bere a wɔde fine needle aspiration (FNA) di dwuma no, ɛtɔ mmere bi a ɛsɛ sɛ wɔtwa core biopsy no mu ketewaa bi na wɔde spring-loaded biopsy needle hyɛ mu.

Nnuruyɛfo taa de `Core Biopsy` di dwuma de yɛ nufu mu nhwehwɛmu . Nanso, wɔde `(FNA)` di dwuma ma nipadua no afã horow.

Dɛn na wɔde Fine-Needle Aspiration (FNA) di dwuma?

FNA sɔhwɛ no atirimpɔw atitiriw abien na ɛwɔ hɔ: nea wɔde hwehwɛ yare ne nea wɔde sa yare .

Ɛtɔ mmere bi a, nnuruyɛfo nso de FNA di dwuma de yɛ ayaresa ho nhyehyɛe sɛ kokoram bi atrɛw afi baabi a edi kan a wɔfrɛ no kokoram a ɛkɔ mmeae afoforo a. Afei ɔyare ho ɔbenfo no betumi ahwehwɛ awosu anaa molecule agyiraehyɛde ahorow wɔ nkwammoaa nhwɛsode no mu de ahu sɛnea kokoram no bɛyɛ n’ade yiye wɔ ayaresa pɔtee bi ho.

Fine-Needle Aspiration (Diagnostic FNA) a wɔde hu yare no

Bere biara a ɛho behia sɛ nnuruyɛfo hu yare bi koraa denam ntini anaa nsu a wɔbɛfa so no, wobetumi ayɛ ``Fine-Needle Aspiration`` (a wɔsan frɛ no ``fine-needle biopsy``). Ɔyare ho ɔbenfo no de afiri a wɔde hwɛ nneɛma nketenkete hwɛ nkwammoaa a wɔaboaboa ano no de hu nea ɛyɛ ne su ahorow.

``(FNA)`` yɛ biopsy ahorow pii no mu biako pɛ. Ɛgyina wo tebea so no, wo duruyɛfoɔ bɛtumi apaw sɛ ɔbɛyɛ ``(FNA)`` anaa biopsy foforɔ, te sɛ ``excisional`` anaa ``incisional``.

Ebia ɛho behia sɛ wɔyɛ ``Fine-Needle Biopsy`` na ama wɔahu akisikuru a ɛyɛ adwenem naayɛ no yiye. Eyi betumi aboa ma wɔahu nneɛma te sɛ:

• Kokoram .
• Bacterial infections , sɛ nhwɛso no, bursitis (ɔyare mmoawa a ɛwɔ kotoku bi a atwa nkwaa ho ahyia mu) anaa septic arthritis (yare mmoawa a ɛba nkwaa bi mu).
• Akisikuru a ɛnyɛ kokoram , sɛ nhwɛso no, akisikuru, fibroadenomas (akisikuru bi a ɛnyɛ kokoram a ɛba nufu mu), anaa lipomas (akisikuru a srade wom).

Ɛkame ayɛ sɛ nnuruyɛfo betumi ayɛ fine needle aspiration (FNA) wɔ nipadua no fã biara. Nanso, wɔtaa de hwehwɛ akisikuru a wɔahu foforo wɔ mmeae a edidi so yi mu:

• Sɛ nhwɛso no, nufu , nufu mu akisikuru.
• Thyroid gland , sɛ nhwɛso no, thyroid nodules.
• Ntini a ɛma mogya tu .
• Wedeɛ .

Esiane sɛ mfiridwuma anya nkɔso nti, mprempren wɔde fine needle aspiration (FNA) nso di dwuma de yi ntini ahorow fi nipadua no afã horow a emu dɔ, denam mfoninitwa akwankyerɛ te sɛ endoscopic ultrasound ne computed tomography (CT) scans mmoa so. Nhwɛsoɔ:

• Pancreas a ɛwɔ nipadua no mu .
• Yafunu mu (GI) kwan .
• Esophagus a ɛwɔ aduan mu .
• Trachea a ɛwɔ nipadua no mu .
• Ahrawa .
• Mediastinum (wo moma so baabi a akwaa a ɛho hia te sɛ wo koma wom).

Fine-Needle Aspiration (Ayaresa FNA) a Wɔde Yɛ Ayaresa

Ɛtɔ mmere bi a nnuruyɛfo de FNA yi nsu fi akisikuru mu na wɔsa. Nhwɛsoɔ:

• Akisikuru a ɛwɔ nipadua no mu(Nkwammoaa a akisikuru ahyɛ mu ma).
• Cysts (nkotoku a nsu ahyɛ mu ma).
• Seromas (eyinom yɛ nsu a wɔboaboa ano wɔ ɔkwan a ɛnteɛ so a ɛtaa ba wɔ nufu mu kokoram oprehyɛn ne plastic oprehyɛn akyi).

Wobetumi de saa `(FNA)` kwan yi adi dwuma sen sɛ wɔde `incision and drainage` kwan a wɔtaa fa so no bedi dwuma, titiriw wɔ mmeae a ɛyɛ fɛ te sɛ nufu no. Nanso, ɛtɔ da bi a `(FNA)` tumi trɛw ɔyare mmoawa mu, enti wontumi mfa nni dwuma wɔ nsɛm nyinaa mu.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma Fine-Needle Aspiration (FNA)?

Mpɛn pii no, ahosiesie titiriw biara nni hɔ a ɛsɛ sɛ woyɛ ma Fine-Needle Aspiration. Nanso, wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ wohwɛ kwan ne sɛnea wusiesie wo ho. Enti mma ɛnhaw wo wɔ ho .

Dɛn na ɛba bere a wɔreyɛ Fine-Needle Aspiration (FNA) sɔhwɛ no?

Ɛda adi sɛ wɔyɛ FNA wɔ wo duruyɛfo adwumayɛbea anaa ayaresabea a wɔhwɛ ayarefo a wɔda abɔnten, a ɛkyerɛ sɛ enhia sɛ wotra ayaresabea.

Saa adeyɛ yi betumi ayɛ soronko kakra a egyina wo nipadua no fã a wogye nhwɛsode no fi mu so. Nanso, wɔ ɔkwan a ɛkɔ akyiri so no, wubetumi ahwɛ biribi te sɛ eyi kwan wɔ `Fine-Needle Aspiration` bere mu:

• Wɔbɛma woada anaa wobɛtra aduruyɛ pon so.
• Oduruyɛfo no de aduru a ekum ɔyare mmoawa hohoro baabi a wɔde ade no ahyɛ mu no .
• Oduruyɛfo no betumi de aduru bi a wɔde kum nipadua no ahyɛ mu de ama baabi a wɔreyɛ FNA no ayɛ mmerɛw. Nanso, ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra anaasɛ wo ho nyɛ wo dɛ bere a ade no hyɛn honam ani no. Eyi yɛ ade a ɛfata.
• Sɛ wɔfaa nhwɛsode no fi wo nipadua no fã a emu dɔ a, oduruyɛfo no de mfoninitwa akwankyerɛ bedi dwuma de akyerɛ ade no kwan wɔ baabi pɔtee ne ɔkwan bɛn so. Sɛ nhwɛso no, ultrasound, CT scan, anaa mammogram.
• Oduruyɛfo no de ade bi hyɛ baabi a ɔde n’ani asi so no na afei ɔde syringe yi nkwammoaa, ntini, anaa nsu.
• Ebia ɛho behia sɛ oduruyɛfo no hwehwɛ mmeae bɛboro biako mu anaasɛ ɔfa nhwɛsode bɛboro biako. Sɛ ɛte saa a, ɔde ade foforo ne syringe bedi dwuma ama nhwɛsode biara. Wɔremfa ade koro no ara nni dwuma mpɛn pii .
• Sɛ wɔyɛ sɔhwɛ no wie a, wɔde aduru ketewaa bi a wɔde kyekyere beae no.

Dɛn na ɛba bere a wɔayɛ Fine-Needle Aspiration (FNA) sɔhwɛ akyi?

Wo duruyɛfo de nhwɛsode biako anaa nea ɛboro saa (anaa nea ɛboro saa) bɛkɔ lab. Ɛhɔ no, ‘yare ho ɔbenfo’ bi bɛhwehwɛ wɔn mu. Ɔde afiri a wɔde hwɛ nneɛma nketenkete bɛhwɛ nkwammoaa no na ebia ɔbɛyɛ nhwehwɛmu afoforo wɔ nhwɛsode no so. Nyarewa ho ɔyaresafo no bɛkyerɛw nea wohui no ho amanneɛbɔ na ɔde akɔma wo duruyɛfo, na ɔbɛkyerɛ wo na wakyerɛkyerɛ mu akyerɛ wo.

Asiane bɛn na ɛwɔ Fine-Needle Aspiration (FNA) mu?

Ɛyɛ ade a ɛfata sɛ wobɛte ɛyaw ketewaa bi anaa akuru bi wɔ baabi a wɔde ade no hyɛɛ mu no. Eyinom taa yɛ nketenkete na ɛbɛsa wɔ nnansa kosi nnansa mu.

Nsɛnnennen a efi Fine-Needle Aspiration mu ba no ho yɛ na yiye , nanso ɛtɔ mmere bi a nea edidi so yi betumi aba:

• Mogya a ɛtɔ: Asiane yi dɔɔso wɔ nnipa a wɔwɔ mogya a ɛtwetwe ne/anaasɛ wɔn a wɔnom nnuru a ekum mogya a ɛtwetwe mogya no mu.
• Mmoawa a wɔde nyarewa ba: Ɛno nti na wɔhohoro ade no ho yiye ansa na wɔde ahyɛ mu no.
• Ntini a atwa ho ahyia a ɛsɛe: Eyi nso ho yɛ na koraa.
• Fistula: Eyi yɛ nkitahodi a ɛnteɛ a ɛda nipadua no mu ntini abien ntam, sɛ nhwɛso no, akwaa bi, mogya ntini bi, anaa nhyehyɛe foforo bi. Eyi nso ho yɛ na koraa.

Kae sɛ asiane ahorow yi sua koraa. Oduruyɛfo no reka akyerɛ wo sɛ yɛ nhwehwɛmu yi efisɛ osusuw sɛ mfaso a ɛwɔ so no boro asiane nketenkete yi so koraa.

Dɛn ne nea efi Fine-Needle Aspiration (FNA) mu ba?

Nneɛma ahorow pii wɔ hɔ a wobetumi anya afi `Fine-Needle Aspiration` mu. Sɛ wɔhwehwɛ nhwɛsode no mu a, ebetumi akyerɛ nneɛma te sɛ:

• Nkwammoaa a ɛnyɛ ne kwan so biara nni hɔ: ɛno kyerɛ sɛ biribiara ye.
• Nkwammoaa a ɛnyɛ ne kwan so ne nkwammoaa a ɛteɛ a wɔadi afra: Ebia wubehia nhwehwɛmu afoforo na ama woahu sɛ woahu.
• Nkwammoaa a edi kokoram anim: Eyinom yɛ nkwammoaa a ɛwɔ hɔ ansa na wɔabɛyɛ kokoram. Sɛ wohu eyinom ntɛm a, ɛnyɛ den sɛ wɔbɛsa.
• Kokoram nkwammoaa: Sɛ eyi ba a, wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi.
• Adanse a ɛkyerɛ sɛ ɔyare mmoawa bi wɔ hɔ: Sɛ ɛte saa a, wobetumi asa.

Ɛtɔ da bi a, ebia lab no bɛbisa sɛ wɔmfa nhwɛsoɔ pii mma na ama wɔanya amanneɛbɔ a ɛyɛ pɛpɛɛpɛ. Nanso, wo duruyɛfo bɛkyerɛkyerɛ amanneɛbɔ no mu akyerɛ wo . Afei, mo baanu bɛbom asi nea mobɛyɛ akyi.

Bere bɛn na ɛsɛ sɛ mefrɛ me duruyɛfo?

Sɛ wunya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa wɔ nhwehwɛmu no akyi, te sɛ atiridiinini, akisikuru a efi baabi a wɔde ade no gu mu, anaasɛ ɛyɛ kɔkɔɔ , frɛ wo duruyɛfo ntɛm ara. Sɛ wuhu nsakrae biara a wonhwɛ kwan wɔ wo kurukuruwa anaa wo ntini mu wɔ FNA akyi a, ka ɛno nso kyerɛ wo duruyɛfo.

Ɛyɛ ade a ɛfata sɛ wobɛte adwennwen ne ehu nka bere a wuhu sɛ wowɔ akisikuru bi a ɛyɛ adwenem naayɛ no. Nanso asɛmpa no ne sɛ biopsy, te sɛ fine-needle aspiration, ne ɔkwan a eye sen biara a wobɛfa so ahu nea ɛyɛ ankasa. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ afiri a wɔde twetwe ade a ɛyɛ fɛ ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa . Wɔwɔ hɔ sɛ wɔbɛboa wo na wɔama wo awerɛhyem.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

• `Fine-Needle Aspiration (FNA)` yɛ sɔhwɛ a ɛnyɛ den a ɛnyɛ nea wɔde hyɛ nipadua mu a ɛfa nkwammoaa nhwɛsode bi fi nipadua no fã bi a ɛyɛ adwenem naayɛ.
• Eyi tumi hu tebea horow , te sɛ kokoram, ɔyare mmoawa, ne akisikuru a ɛnyɛ kokoram. Ɛtɔ mmere bi a wɔde yi nsu fi mu na wɔsa .
• Ɛho nhia sɛ wosiesie wɔn ho pii ansa na wɔayɛ sɔhwɛ no, na ɛntaa mma sɛ ɔhaw kɛse ba wɔ sɔhwɛ no akyi.
• Sɛ wowɔ nsɛmmisa anaa biribi a ɛhaw wo a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa . Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.
• Kae sɛ wɔyɛ sɔhwɛ a ɛte sɛɛ de boa wo ma wusi gyinae a eye sen biara wɔ w’akwahosan ho.

Enti, sɛ wɔka kyerɛ wo sɛ kɔ sɔhwɛ a ɛte saa mu a, nsuro sɛ wubegyina ano. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` FNA, Fine-Needle Aspiration, Biopsy, Nkwammoaa mu Nhwehwɛmu, Tumor Test, Kokoram Nhwehwɛmu, Aduruyɛ mu Nhwehwɛmu