So ɛsɛ sɛ wɔyɛ wo nufu mu nhwehwɛmu? Momma yensua Stereotactic Breast Biopsy ho ade wɔ ɔkwan a ɛnyɛ den so!

So oduruyɛfo bi aka akyerɛ wo pɛn sɛ ɛsɛ sɛ woyɛ wo nufu mu nhwehwɛmu? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wɔka saa no. Nanso mma ɛnhaw wo. Mpɛn pii no, wɔyɛ eyi de si nea ɛyɛ ankasa so dua sɛ adwenem naayɛ bi wɔ hɔ a. Ɛnnɛ, yɛbɛka sɔhwɛ titiriw yi a wɔfrɛ no Stereotactic Breast Biopsy ho asɛm. Yɛbɛka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu, te sɛ nea ɛyɛ, sɛnea wɔyɛ, ne nea ɛsɛ sɛ yehu.

Dɛn ne eyi (Stereotactic Breast Biopsy)?

Sɛ yɛbɛka no tiawa a, nufu mu nhwehwɛmu a wɔde stereotactic yɛ yɛ adeyɛ titiriw a sɛ biribi a ɛyɛ adwenem naayɛ wɔ hɔ a, wugye ntini ketewaa bi fi wo nufu mu. Ɛde afiri titiriw bi a wɔde hwehwɛ ntini no mu di dwuma de hwehwɛ baabi pɔtee a ɛsɛ sɛ wɔfa ntini no. Ebia woate nso sɛ wɔfrɛ no tomosynthesis-guided biopsy. Mammogram de X-ray a wɔmfa nni dwuma pii di dwuma de twa wo nufu ho mfonini. Wɔde saa mfonini ahorow yi hwehwɛ ntini biara a ɛnyɛ ne kwan so, anaa mmeae a "ɛyɛ adwenem naayɛ" a ebetumi ayɛ kokoram.

Wɔ ``biopsy`` mu no, akwahosan ho ɔyaresafo, mpɛn pii no oduruyɛfo anaa ɔyarehwɛfo a wɔatete no, yi ntini bi a ɛyɛ adwenem naayɛ. Afei wɔde kɔ aduruyɛdan bi mu kɔhwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaa. Ɔkwan baako pɛ a wobɛfa so ahu no yie sɛ obi wɔ kokoram ne sɛ wobɛyɛ ``biopsy.``

Saa kwan yi a wɔfrɛ no ``Stereotactic Biopsy'' no ayɛ adwuma bɛboro mfeɛ aduasa nnum. Ɛyɛ ɔkwan a wotumi de ho to so kɛse na ɛnyɛ den pii a wɔfa so hu sɛ ebia obi wɔ nufu mu kokoram anaa.

Dɛn nti na wɔyɛ eyi (Stereotactic Biopsy)?

Sɛ wo duruyɛfo hu biribi a ɛnyɛ ne kwan so, te sɛ akisikuru bi wɔ wo nufu mu, bere a wɔreyɛ ultrasound, mammogram, anaa MRI a, obetumi ahyɛ sɛ wɔnyɛ stereotactic biopsy. Ɛwom sɛ ebia mfoninitwa nhwehwɛmu ahorow yi bɛkyerɛ sɛ wo nufu mu nneɛma a ɛnteɛ de, nanso stereotactic biopsy nkutoo na ebetumi ahu sɛ ebia ɛyɛ kokoram, akisikuru a ɛnyɛ hu, anaa biribi foforo ho sɛnkyerɛnne ankasa anaa.

Ebia ɛho behia sɛ woyɛ stereotactic biopsy sɛ wohu saa nneɛma yi wɔ mfoninitwa sɔhwɛ mu a:

• Akuru, anaase `(tumor)`.
• Sɛ calcium nketenkete bi wɔ hɔ a, wɔfrɛ no ``microcalcifications.'' Eyinom te sɛ anhwea nketenkete.
• Nsakrae a ɛba wo nufu mu ntini mu (titiriw baabi a wɔadi kan ayɛ wo oprehyɛn).

Fa no sɛ, sɛ sɔhwɛ yi si so dua sɛ kokoram wɔ ntini a wɔafa no mu a, Stereotactic Biopsy yi bɛboa wo duruyɛfo no ma wɔayɛ ayaresa a wuhia ho nhyehyɛe.

Hena na ɔreyɛ sɔhwɛ yi?

Saa ``Stereotactic Breast Biopsy`` sɔhwɛ yi, radiologist a wanya ntetee soronko wɔ adwuma no mu na ɔyɛ. Afei, oduruyɛfo titiriw bi a ɔyɛ soronko a wɔfrɛ no ``pathologist`` de microscope hwehwɛ ntini nhwɛsode no mu hwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa.

Ɔkwan bɛn so na sɔhwɛ yi yɛ adwuma?

Sɛ yɛbɛka no tiawa a, stereotactic biopsy de afiri titiriw bi a wɔde hwehwɛ nufu mu hwehwɛ baabi pɔtee a ntini a ɛyɛ hu no wɔ na ɛma akwankyerɛ ma biopsy no. Fa no sɛ saa afiri yi retwa wo nufu ho X-ray afi mmeae ahorow na ɛde nsɛm no akɔ kɔmputa so.

Afei radiologist no paw beae a ɛnyɛ ne kwan so a wɔbɛyɛ biopsy no. Kɔmputa no gyina ɛno so bu akontaa na ɛboa radiologist no ma ɔde biopsy adwinnade no kɔ baabi pɔtee no. Afei radiologist no de adwinnade no boaboa nhwɛsode ahorow ano fi saa beae no.

Wɔ sɔhwɛ no nyinaa mu no, radiologist no de saa mfiridwuma yi di dwuma de hwɛ hu sɛ wɔrefa nhwɛsode ahorow afi beae a ɛfata pɛpɛɛpɛ na wɔaboaboa ntini a ɛdɔɔso ano na ama wɔanya nea efi mu ba no pɛpɛɛpɛ.

Mɛyɛ dɛn asiesie me ho ama Stereotactic Biopsy?

Wo duruyɛfo bebisa wo nsɛm kakraa bi de ahwɛ ahu sɛ wubetumi ayɛ nhwehwɛmu yi dwoodwoo ne bere ano. Eyinom ne:

• W’ayaresa ho abakɔsɛm: Eyi ka w’abusua (abɔde mu) aduruyɛ ho abakɔsɛm, nyarewa a atwam ne mprempren, ne ayaresa ahorow a woanya ho. Sɛ wowɔ biribi a ɛmma wo ho nyɛ wo hyew, titiriw nnuru a wɔde kum nipadua no wɔ mpɔtam hɔ a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo .
• Nnuru a wonom: Ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ worenom nnuru, vitamin, anaa nnuru a wɔde ka ho bi a wɔakyerɛw ama wo anaa nea wɔmfa nnuru nhyɛ mu. Saa nhwehwɛmu yi de asiane ba sɛ mogya bɛtɔ wo kakra, enti sɛ worenom nnuru a ɛma mogya tu te sɛ aspirin a, ɛho hia titiriw sɛ woka kyerɛ wo duruyɛfo. Di wo duruyɛfo akwankyerɛ akyi yiye wɔ sɛ ebia wubegyae wo nnuru nom anaasɛ wobɛkɔ so anom ansa na woayɛ nhwehwɛmu no.
• Nyinsɛn: Sɛ woanyinsɛn a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo . Nea enti a ɛte saa ne sɛ, sɛ obi de ne ho hyɛ X-ray pii mu a, ebetumi apira akokoaa a ɔhyɛ yafunu mu no. Afei nso, wɔmfa nnuru bi a wɔde kum nipadua no nkyerɛ bere a wɔyem no. Nanso, sɛ woanyinsɛn a, akwan foforo bi wɔ hɔ a asiane biara nni ho sɛ wode bedi dwuma. Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wobɛyɛ eyi ho sɛ wonyinsɛn a, di akyi.

Ɛyɛ papa nso sɛ wobɛka akyerɛ w’adamfo anaa w’abusua muni bi sɛ ɔmfa kar nkɔ fie wɔ sɔhwɛ no akyi. Bere a nnipa dodow no ara tumi ka kar bere a wɔayɛ stereotactic biopsy akyi no, nhwehwɛmu a wɔbɛyɛ de ahwɛ sɛ kokoram bi wɔ hɔ no betumi ayɛ osuahu a ɛhaw adwene kɛse na ɛkanyan nkate. Enti ɛyɛ mmoa kɛse sɛ wowɔ obi a wowɔ ne mu ahotoso ka wo ho.

Dɛn na ɛsɛ sɛ mehwɛ kwan da a wɔbɛyɛ sɔhwɛ no?

Hwɛ kwan sɛ oprehyɛn no nyinaa begye bɛyɛ dɔnhwerew biako, nanso biopsy fã no begye simma kakraa bi pɛ. Ma saa nneɛma yi ntra w’adwenem da a wɔbɛyɛ wo biopsy no:

• Hyɛ ntade a ɛnyɛ den sɛ wobɛsesa, efisɛ wɔbɛma wo ayaresabea atade a wobɛhyɛ.
• Fa agumadi bra a ɛyɛ den na ɛboa ma wohyɛ bere a woawie sɔhwɛ no bra.
• Mfa deodorant nhyɛ wo ho. Afei nso, mfa aduru anaa powder nhyɛ wo nsateaa, wo nsa, anaa wo nufu mu. Wobetumi akyinkyim X-ray no na aka nea efi mu ba no.
• Siesie wo ho sɛ wubeyi ahwehwɛ, nsensanee, agude a asomuade ka ho, anaa dade nneɛma afoforo afi hɔ. Eyinom nso betumi asiw X-ray no kwan.
• Kae sɛ wɔbɛtu wo fo sɛ ɛnsɛ sɛ woguare nnɔnhwerew 24 wɔ sɔhwɛ no akyi.

Sɛ wɔyɛ stereotactic biopsy a, dɛn na ɛba?

Wobɛda wɔ sɔhwɛ no nyinaa mu, nanso worente ɛyaw biara efisɛ wo nufu bɛyɛ mmerɛw.

• Wobɛda sɔhwɛ pon bi so a w’anim abɔ fam. Saa pon yi wɔ tokuru bi a wo nufu betumi afa mu. Wɔde mprɛte abien bɛkura wo nufu no mu. *(Ɛtɔ da bi a, sɛ ɛyɛ den ma wo sɛ wobɛda anim a, mfiri bi wɔ mmeae bi a ebetumi ayɛ eyi bere a wote ase. Enti sɛ ɛyɛ den ma wo ansa na wɔayɛ biopsy a, ka kyerɛ wo duruyɛfo .)*
• Afei wɔma pon no so sɛnea ɛbɛyɛ a oduruyɛfo no betumi adu wo nufu ho ntɛm. Sɛ wode wo si baabi a ɛfata wie a, afiri no twa wo nufu no X-ray fi mmeae ahorow na ɛde nsɛm no kɔ kɔmputa so. Kɔmputa no na ɛkyerɛ baabi a wɔbɛfa biopsy no.
• Afei, akwahosan ho ɔyaresafo no de aduru a ekum ɔyare mmoawa anaa samina bɛhohoro wo nufu ho na ɔde aduru bi a ɛma wo ho yɛ hyew a ɛwɔ mpɔtam hɔ bɛhyɛ wo nufu no mu ma ayɛ nufu no mu ayɛ mmerɛw. Ebia wobɛte nka sɛ ntɛtea ketewa bi reka wo.
• Sɛ wo nufu no ayɛ mmerɛw wie a, wo duruyɛfo no bɛtwa wo honam ani fã ketewaa bi na ɔde biopsy needle ahyɛ mu. Afiri bi a wɔde vacuum-assisted device (VAD) abata ade no ho bɛma wɔahyɛ no ma ayi ntini no ntɛmntɛm. Wɔbɛma wo nnuru a ɛma wo ho yɛ wo hyew pii bere a wɔrefa nhwɛsode no. Wobetumi afa nhwɛsode pii afi ntwitwiridii ketewaa koro no ara mu.
• Afei woyi afiri no.
• Oduruyɛfo no de dade ketewaa bi bɛhyɛ wo nufu mu de ahyɛ baabi a wɔfaa ntini no agyirae. Eyi bɛboa sɛ ɛho hia sɛ woyɛ nhwehwɛmu foforo anaa oprehyɛn wɔ saa beae yi daakye a. Worente clip no nka, na ɛyɛ nea ahobammɔ wom koraa. Ɛrentumi nhyɛ mfiri a wɔde hwehwɛ dade mu, na wubetumi ayɛ MRI.

Afei, akwahosan ho ɔyaresafo bi bɛmia baabi a wɔyɛ biopsy no so na ama mogya biara a ɛbɛtɔ no agyae. Wɔde gauze anaa aduru bɛkata so. Ebia wɔde nsukyenee a wɔde ahyɛ mu nso bɛhyɛ mu na aboa ma ɛho a ɛhoa no so atew.

Awiei koraa no, wɔyɛ wo nufu ho mfonini, na radiologist no hwɛ hu sɛ biopsy clip no wɔ baabi a ɛfata.

Dɛn na ɛsɛ sɛ mehwɛ kwan wɔ sɔhwɛ no akyi?

Ebia wubehia ahomegye kakra ansa na woakɔ fie, nanso wubetumi akɔ fie da koro no ara. Ebia wobɛnya akuru bi, wo ho ahonhon, na wo ho ayɛ wo yaw kakra. Nanso eyinom taa yɛ yiye wɔ adapɛn kakraa bi mu.

Sɛ wowɔ ɔhaw bi a, wo duruyɛfo betumi akyerɛw wo aduru a wɔde sa ɛyaw ano a wɔtɔn a wɔmfa nnuru nhyɛ mu. Fa nsukyenee gu beae hɔ nnɔnhwerew kakraa a edi kan wɔ biopsy no akyi (simma 20 wɔ so, simma 20 gyae). Wɔbɛma wo akwankyerɛ foforo a ɛfa sɛnea wobɛhwɛ mpɔtam hɔ ho.

Ɛyɛ papa sɛ wobɛkwati dwumadi ahorow a emu yɛ den nnɔnhwerew 24 kosi 48 wɔ nipadua no mu nhwehwɛmu no akyi. Nnipa dodow no ara betumi asan afi dwumadi ahorow a wɔtaa yɛ no ase wɔ saa bere yi akyi, nanso ebia ebinom behia bere tenten kakra. Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wobɛhwɛ wo ho bere a wo ho retɔ wo no akyi.

Asiane bɛn na ɛwɔ sɔhwɛ yi mu? So nsunsuanso bɔne bi wɔ hɔ?

Stereotactic biopsy yɛ adeyɛ a ahobammɔ wom. Nanso, sɛnea ɛte wɔ oprehyɛn biara a ehia sɛ wotwitwa mu ho no, asiane ahorow bi wɔ hɔ, te sɛ mogya a ɛbɛtɔ, nsu anaa mogya a wɔbɛboaboa ano, ne ɔyare mmoawa. Nanso, eyinom ho yɛ na koraa.

Stereotactic Biopsy yɛ yaw dɛn?

Nnipa dodow no ara nte ɛyaw biara bere a wɔreyɛ nhwehwɛmu no esiane aduru a wɔde kum nipadua no nti. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wɔde aduru a wɔde kum nipadua no ama wo no. Ebia wobɛte nhyɛso nka bere a wɔde biopsy needle no ahyɛ mu no.

Ebia nnipa binom te yaw anaa wɔn ho nyɛ wɔn dɛ sen afoforo. Sɛ nhwɛso no, sɛ wowɔ nufu mu ntini a ɛyɛ den, anaasɛ sɛ akisikuru no wɔ baabi a ɛyɛ mmerɛw te sɛ wo nufu akyi pɛɛ a, ebia ɛbɛyɛ mmerɛw sɛ wobɛte ɛyaw anaasɛ wo ho nyɛ wo dɛ bere a woreyɛ biopsy no.

Mpɛn pii no, nea ɛde ɔhaw no ba ne sɛ obi tra gyinabea koro no ara mu nnɔnhwerew pii wɔ bere koro mu. Sɛ nhwɛso no, sɛ wotena pon bi ho a w’ani kyerɛ fam na wodan wo ti kɔ ɔfã biako a, ebia wo kɔn mu ayɛ den.

Nneɛma bɛn na wonya fi mu ba, na dɛn na saa aba no kyerɛ?

Radiologist anaa w’abusua oduruyɛfo bɛkyerɛ wo sɛ wowɔ kokoram (`positive` anaa `negative`). Sɛ nea efii mu bae no nyɛ nea ɛyɛ nokware a, ebia ebehia sɛ woyɛ nhwehwɛmu pii. Di wo duruyɛfo akwankyerɛ a ɛfa nea ɛsɛ sɛ woyɛ akyi no akyi.

Bere bɛn na mɛhu nea efi sɔhwɛ no mu aba?

Nea ebefi mu aba no betumi agye nna kakraa bi kosi dapɛn biako. Ansa na wobɛkɔ akɔyɛ nhwehwɛmu no, bisa wo duruyɛfo bere tenten a ebegye ansa na woanya nea efi mu ba ne sɛnea wɔbɛka akyerɛ wo.

Kokoram ahe na wobetumi de stereotactic biopsy ahu?

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ ``Stereotactic Biopsy'' efisɛ ɛkyerɛ sɛ sɔhwɛ bi ahu ntini a "ɛyɛ adwenem naayɛ" dedaw. Nanso,Biopsies pii – a stereotactic biopsies ka ho – san ba a ɛnyɛ papa. Nhwehwɛmu bi a wɔyɛe nnansa yi kyerɛ sɛ nnipa a wɔyɛɛ stereotactic biopsy no mu nnu 30% na wohui sɛ wɔwɔ kokoram.

Enti mma nsuro. Eyi yɛ nea wɔde besi so dua ara kwa.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no ?

Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ baabi a wɔyɛ biopsy no nnya ayaresa yiye a, wo ne wo duruyɛfo nkasa . Ɛsɛ sɛ woma wo duruyɛfo hu nso sɛ wowɔ nea edidi so yi mu bi a:

• Sɛ ɔfe no ankɔ fam (anaasɛ ankɔ soro).
• Sɛ mogya anaa nsu (te sɛ akisikuru) fi baabi a wɔyɛɛ biopsy no mu ba a, ɛnyɛ hwee.
• Sɛ baabi a wɔyɛ biopsy no yɛ kɔkɔɔ, ɛyɛ yaw, anaasɛ ɛyɛ hyew a.

Sɛ wɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ stereotactic biopsy a, ebetumi ayɛ adwennwen, efisɛ ɛkyerɛ sɛ wowɔ ntini a "ɛyɛ adwenem naayɛ" wɔ wo nipadua mu a ebetumi ayɛ kokoram. Nanso ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ wɔda so ara yɛ sɔhwɛ yi de yɛ nhwehwɛmu. Nnipa pii – mpo wɔn a "ɛyɛ adwenem naayɛ" aba no – wɔrensi so dua da sɛ wɔwɔ kokoram. Sɛ ɛte saa a, stereotactic biopsy betumi aboa ma wo suro no so atew. Ɔkwan foforo so no, sɛ wowɔ kokoram ampa a, ebetumi aboa ma woahu no ntɛm. Eyi betumi ama ayaresa no atu mpɔn kɛse.

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

Okay, enti seesei woanya nteaseɛ pa wɔ deɛ yɛaka ho asɛm (Stereotactic Breast Biopsy) no ho. Ne tiaatwa mu no:

• Wɔyɛ eyi denam ntini ketewaa bi a woyi fi nufu no fã bi a ɛyɛ adwenem naayɛ so de hwɛ sɛ ebia ɛyɛ kokoram anaasɛ ɛnte saa no so.
• Wɔde ``mammogram'' mmoa na ɛyɛ eyi, a wɔyɛ wɔ aduru a wɔde kum nipadua no mu, enti ɛnte ɛyaw kɛse.
• Mpɛn pii no, nea efi mu ba no san ba a enye.
• Sɛ kokoram wɔ hɔ mpo a, ɛnyɛ den sɛ wɔbɛsa efisɛ wotumi hu no ntɛm.

Enti, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu a ɛte saa a, nsuro, bisa nsɛm a ɛho hia, na fa adwene a ɛyɛ komm gyina ano. Ade a ɛho hia sen biara ne sɛ wobɛhwɛ w’akwahosan so.

` Nufu mu kokoram, biopsy, stereotactic biopsy, mammogram, nufu akwahosan, kokoram a wohu, mmea akwahosan