So wɔaka akyerɛ wo sɛ wɔnyɛ wo nufu mu nhwehwɛmu? Mma ɛnhaw wo, yɛbɛka ne nyinaa ho asɛm.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a wo duruyɛfo ka kyerɛ wo sɛ yɛ nufu mu nhwehwɛmu no. Ebia wubesusuw sɛ, "Oo, so mewɔ kokoram?" Nanso ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ esiane sɛ wɔreka akyerɛ wo sɛ wɔnyɛ biopsy nti, ɛnkyerɛ sɛ wowɔ kokoram. Nokwarem no, wohu sɛ mmea 100 biara a wɔyɛ wɔn nipadua mu nhwehwɛmu a ɛte sɛɛ no ​​mu 80 nni kokoram biara. Enti momma yɛnka eyi ho asɛm nkɔ akyiri a yensuro.

Sɛ yɛbɛka no tiawa a, dɛn ne biopsy?

Sɛ yɛbɛka no tiawa a, nufu mu nhwehwɛmu yɛ adeyɛ a wɔfa so yi ntini ketewaa bi fi baabi a ɛwɔ wo nufu mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Fa no sɛ akuru bi wɔ wo nufu mu. Biopsy nkutoo ne ɔkwan a wobɛfa so ahu no yiye sɛ ebia ɛyɛ kokoram anaasɛ ɛnte saa. Bere a scan ahorow afoforo (Mammogram, Ultrasound) betumi ama woanya adwene bi no, biopsy nkutoo na ebetumi ama woahu no yiye.

Dɛn nti na wuhia biopsy?

Mpɛn pii no oduruyɛfo bɛkyerɛ sɛ wɔnyɛ wo nipadua mu nhwehwɛmu esiane nneɛma a edidi so yi mu biako anaa nea ɛboro saa nti:

• Sɛ wote nka sɛ nufu no mu ayɛ kurukuruwa anaasɛ ayɛ den: Sɛ wuhu sɛ nufu no mu ayɛ kurukuruwa, akisikuru, anaa ayɛ den a ɛyɛ soronko a, bere a woreyɛ wo ho nhwehwɛmu anaa bere a wo duruyɛfo reyɛ nhwehwɛmu no.
• Mammogram a ɛnyɛ ne kwan so: Sɛ wo mammogram amanneɛbɔ no kyerɛ sɛ baabi bi wɔ hɔ a ɛyɛ adwenem naayɛ a.
• Nea efi ultrasound scan mu ba: Sɛ ultrasound scan a wɔyɛ wɔ nufu no mu hu baabi a ɛyɛ adwenem naayɛ a ebetumi ayɛ kokoram a.
• Nsakrae a ɛba honam ani a atwa wo nufu anaa areola ho ahyia mu: Nsakrae a ɛyɛ soronko wɔ wo nufu anaa honam ani tuntum a atwa ho ahyia (areola) mu, sɛ nhwɛso no, ɛyɛ kurukuruwa, nsu a ɛyɛ mmerɛw, anaasɛ nsu a ɛyɛ soronko.

Nufu mu nhwehwɛmu ahorow bɛn na ɛwɔ hɔ?

Akwan pii wɔ hɔ a wɔfa so yɛ nufu mu nhwehwɛmu. Wo duruyɛfo no begyina sɛnea wo nufu mu a ɛnyɛ ne kwan so no te so na obesi ɔkwan a eye ma wo ho gyinae. Momma yɛnhwɛ ahorow atitiriw no.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ biopsy?

Ansa na wobɛyɛ biopsy no, akyinnye biara nni ho sɛ ɛsɛ sɛ woka nneɛma yi ho asɛm kyerɛ wo duruyɛfo, oduruyɛfo a ɔyɛ oprehyɛn, anaa radiologist.

• Sɛ woanyinsɛn anaasɛ ebia wobɛnyinsɛn a.
• Sɛ worenom nnuru a ɛma mogya tu (ɛma mogya yɛ mmerɛw) a, ebia wo duruyɛfo betu wo fo sɛ gyae nom anaasɛ wobɛsesa dodow a wode ma no nna kakraa bi ansa na wɔayɛ biopsy.
• Sɛ worenom aspirin anaa nhabannuru afoforo a.
• Ɛfa nyarewa afoforo a wowɔ ne oprehyɛn a woayɛ nnansa yi ho.
• Allergies a wowɔƐho hia titiriw sɛ yɛbɛka nnuru a wɔde kum nipadua no ho akisikuru ho asɛm.

Bio nso, w’aduruyɛfo kuw no betu wo fo wɔ nneɛma te sɛ sɛ ebia wode deodorant bedi dwuma anaasɛ ɛnsɛ sɛ wode di dwuma da a wɔbɛyɛ biopsy no ne sɛ ebia wuhia obi a ɔde wo bɛkɔ fie bere a wɔayɛ biopsy no awie no ho.

Dɛn na ɛba ansa na wɔayɛ biopsy no?

Ɛtɔ mmere bi a, ansa na wɔbɛfa ntini bi akɔyɛ biopsy no, wɔfa akwan foforo so hyɛ beae pɔtee a ntini a wɔbɛfa no wɔ no agyirae.

Beae a ɛfata a wobehu denam scan ahorow so (Image-guided procedures) .

Bere a wɔreyɛ biopsy no, wobetumi de scanner adi dwuma de ahu baabi pɔtee a wɔde ade no bɛhyɛ mu. Wɔfrɛ eyi `mfonini-kyerɛ kwan nhyehyɛe`. Akwan a wɔfa so yɛ eyi ne:

• Stereotactic nufu mu nhwehwɛmu
• Biopsy a wɔde ultrasound kyerɛ kwan
• Magnetic resonance imaging (MRI) a wɔde kyerɛ nipadua mu nkwaadɔm mu nhwehwɛmu

Wire anaa nea ɛnyɛ waya localization

Sɛ woreyɛ oprehyɛn biopsy a, wobetumi de ɔkwan bi a wɔfrɛ no `wire localization` adi dwuma de aboa oprehyɛnfo no ma wahu beae pɔtee a obeyi afi hɔ. Eyi hwehwɛ sɛ:

1. Nea edi kan no, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ bɛhyɛ wo nufu no fã ketewaa bi mu na ama ayɛ mmerɛw.

2. Afei, wɔ scan (e.g., ultrasound, MRI) akwankyerɛ ase no, oduruyɛfo a ɔyɛ oprehyɛn no de ade a ɛyɛ fɛ yiye a ɛyɛ tokuru hyɛ baabi a ɛsɛ sɛ wɔyɛ biopsy no.

3. Sɛ ade no si baabi a ɛfata wie a, wɔde hama a ɛyɛ tratraa yiye a ɛnyɛ ɔyare mmoawa fa ade no mfinimfini. Saa waya yi wɔ hama ketewaa bi wɔ n’awiei, enti ɛrenkyinkyin.

4. Afei woyi ade no fi hɔ. Waya no nkutoo na ɛka nufu no mu. Wotumi hu waya no fã a ɛpuepue no.

5. Sɛ wɔyɛ oprehyɛn no wie a, woyi saa waya yi fi hɔ koraa.

Saa ara na mprempren wɔde nnɛyi akwan foforo te sɛ magnetic mfiri nketewa ne radioactive mfiri redi dwuma de ahyɛ mmeae agyirae.

Dɛn na ɛba bere a wɔreyɛ biopsy no?

Osuahu no betumi ayɛ soronko kakra a egyina biopsy ko a woayɛ so.

• Wɔ Fine Needle Aspiration (FNA) biopsy ho no: Oduruyɛfo no bɛma beae no ayɛ mmerɛw (local anesthesia) na ɔde ade ahyɛ mu na ama wanya nkwammoaa ne nsu ketewaa bi.
• Core Needle Breast Biopsy: Oduruyɛfo a ɔhwɛ mframa so no ma beae no yɛ mmerɛw, ebia ɔtwa honam ani fã ketewaa bi pɛ, ɔde ade hyɛ mu, na ɔfa ntini bi. Afei wɔde agyiraehyɛde ketewaa bi (`biopsy marker`) si hɔ de hyɛ beae a nhwɛsode no wɔ no agyirae. Eyi ma oduruyɛfo a ɔyɛ oprehyɛn no tumi hu beae pɔtee a wɔde nhwɛsode no wɔ sɛ ɛho hia sɛ wɔyɛ nhwɛsode foforo akyiri yi anaasɛ sɛ ɛho hia sɛ wɔyɛ no oprehyɛn a.
• Sɛ oprehyɛn (te sɛ lumpectomy) yɛ:Oduruyɛfo a ɔma obi dwensɔ no de wo bɛhyɛ aduru a wɔde kum nipadua no nyinaa ase. Afei oduruyɛfo a ɔyɛ oprehyɛn no bɛtwa wo nufu no mu na wayi ntini a ɛka wo no afi hɔ. Afei wɔde nhama ne ade a wɔde kyekyere ade a ɛnyɛ ɔyare mmoawa bɛto nea wɔatwa no mu.

Bere tenten ahe na eyi gye na bere tenten ahe na egye ansa na asa?

So asiane ne nsɛnnennen bi wɔ eyi mu?

Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane ahorow bi wɔ mu. Nanso mma ɛnhaw wo, nsɛnnennen a anibere wom ho yɛ na koraa .

• Nneɛma a ɛtaa ba a ebetumi asi:
• Akuru a ɛyɛ akuru
• Mogya a ɛretu
• Rehono
• Ɛyɛ den sɛ wɔbɛsa ɛyaw anaa opira
• Oprehyɛn a wɔde yɛ kuru mu yare
• Nsɛnnennen a ɛntaa nsi koraa:
• Mogya a wɔboaboa ano wɔ nufu no mu (nufu mu hematoma) .
• Ahurututu bi a ɛsɛe (pneumothorax) .

Dɛn na biopsy amanneɛbɔ no ka?

Ɔyare ho ɔbenfo bi na ɔhwehwɛ wo ntini nhwɛsode no mu. Wobetumi agyina nea ebefi mu aba so ahu sɛ ebia ɛnyɛ nea asiane biara nni ho, kokoram nnim, anaasɛ enni kokoram.

Na sɛ wogye tom sɛ ɛyɛ kokoram nso ɛ?

Sɛ nea efi mu ba ne kokoram a, mma wo ho nnpopo. Wo duruyɛfo no bɛma wo mmoa ne akwankyerɛ a wuhia nyinaa. Ebia nea edidi so yi bɛka amanneɛbɔ no ho:

• Tumor type: Sɛ ɛyɛ `invasive` (ɛtrɛw kɔ ntini a atwa ho ahyia mu) anaasɛ `noninvasive` (ɛtra baabi biako na ɛntrɛw).
• Tumor grade: Sɛnea kokoram nkwammoaa no mu paapae ntɛmntɛm ne sɛnea ɛte sɛ/ɛnte sɛ nkwammoaa a ɛteɛ.
• Hormone receptor tebea: Hormone boa ma kokoram ahorow bi nyin. Eyi ma wohu sɛ ebia wo kokoram no gyina hormone te sɛ estrogen receptor-positive (ER+) so anaa.
• HER2 tebea: `HER2` yɛ protein a ɛboa ma kokoram nkwammoaa nyin na ɛtrɛw. Eyi betumi akyerɛ wo sɛ wo kokoram no yɛ `HER2-positive` anaasɛ ɛnte saa.

Bere tenten ahe na egye ansa na nea efi mu ba no asan aba? Bere bɛn na ɛsɛ sɛ me ne oduruyɛfo no kasa?

Mpɛn pii no, ebetumi agye adapɛn biako kosi abien ansa na wɔanya biopsy no aba. Yenim sɛ eyi betumi ayɛ bere a adwennwen wom. Ɛno yɛ ade a ɛfata. Sɛ wokɔ so yɛ nneɛma a wotaa yɛ, nneɛma a w’ani gye ho yɛ, na wo ne obi a wowɔ ne mu ahotoso bɛka wo nkate ho asɛm a, ɛbɛboa wo wɔ saa bere yi mu.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, frɛ wo duruyɛfo ntɛm ara:

• Atiridiinini (boro Celsius 38.4 / Fahrenheit 101).
• Wora a atwa baabi a wɔyɛɛ biopsy no ho ahyia no yɛ kɔkɔɔ anaasɛ ɛyɛ tuntum a ɛyɛ soronko .
• Ɛyaw a emu yɛ den a wobɛte nka bere a wode wo nsa ka saa beae no.
• Akuru a ɛtrɛw wɔ ɔkwan soronko so .

Tebea afoforo bɛn na ɛte sɛ kokoram, nanso ɛnyɛ kokoram?

Yiw, ɛnyɛ nufu no mu akisikuru anaa nsakrae biara na ɛyɛ kokoram. Tebea horow pii wɔ hɔ a ɛnyɛ kokoram (a ɛnyɛ papa) a ebetumi ada kokoram ho sɛnkyerɛnne adi.

• Fibroadenoma: Eyinom yɛ akisikuru a ɛtaa ba a ɛnyɛ kokoram.
• Nufu mu calcification: Calcium a ɛwɔ nufu mu ntini mu.
• Nkwammoaa a ɛwɔ nipadua no mu:Nsu a ɛyɛ nwini a ɛte sɛ kotoku. Ɛtɔ mmere bi a eyinom betumi ayɛ yaw.
• Fibrosis: Nufu mu ntini yɛ den na ɛyɛ den esiane nsakrae a ɛba nipadua mu nkwaadɔm mu nti.

Enti, sɛ oduruyɛfo no ka kyerɛ wo sɛ yɛ biopsy a, ɛyɛ sɛ ɔde besi tebea horow yi mu nea ɛwɔ he ankasa so dua kɛkɛ.