Wosuro sɛ wɔbɛyɛ Core Needle Breast Biopsy? Momma yɛnka eyi ho asɛm tiawa

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu sɛ wowɔ akisikuru wɔ wo nufu mu, anaasɛ bere a wo duruyɛfo ka kyerɛ wo sɛ biribi asɛe wɔ wo nufu mu nhwehwɛmu no ho no . Saa ehu no betumi ayɛ kɛse mpo bere a wɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ biopsy no . Nanso ‘Core Needle Breast Biopsy’ a yɛreka ho asɛm nnɛ no nyɛ biribi a ɛsɛ sɛ yesuro. Wɔtaa yɛ eyi de yi adwenem naayɛ biara a ɛwɔ wo ne wo duruyɛfo adwene mu no fi hɔ.

Dɛn ankasa ne Core Needle Breast Biopsy?

Sɛ yɛbɛka no tiawa a, eyi yɛ nufu mu nhwehwɛmu ahorow a wɔtaa yɛ no mu biako. Wo duruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wosusuw sɛ nsakrae a ɛba wo nufu mu te sɛ akisikuru betumi ayɛ nufu mu kokoram a.

Eyi hwehwɛ sɛ oduruyɛfo titiriw bi, a mpɛn pii no ɔyɛ radiologist, de ade ketewaa bi a ɛwɔ tokuru bedi dwuma de ayi ntini ketewaa bi afi wo nufu no fã a akuru no wɔ no. Ɛte sɛ nea woretwitwa keeki ketewaa bi sɛnea wopɛ. Afei, ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ ntini no mu hwɛ sɛ ebia kokoram nkwammoaa anaa ɔhaw afoforo wɔ mu anaa.

Dɛn nti na mɛpɛ sɛ meyɛ sɔhwɛ a ɛte sɛɛ?

Nneɛma atitiriw abien nti na ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi:

• Sɛ wo anaa wo duruyɛfo hu akuru bi wɔ wo nufu mu a.
• Sɛ wohu biribi a ɛnteɛ bere a wɔreyɛ scan, te sɛ mammogram, nufu MRI , anaa nufu mu ultrasound.

Nsonsonoe bɛn na ɛda Core Needle Biopsy ne Fine-Needle Aspiration ntam?

Nneɛma abien no nyinaa yɛ nea wɔde nnade yɛ. Nanso nsonsonoe kakra wɔ mu. Fine-Needle Aspiration gye nsu nhwɛsode ne nkwammoaa akuwakuw ankorankoro. Core Needle Biopsy gye ntini kɛse a ɛyɛ den. Eyi ma ɔyare ho ɔbenfo no nya nhwɛsode a eye sen biara a ɔbɛhwehwɛ mu. Ebetumi ama yɛahu yare no ho mfonini a emu da hɔ.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?

Eyi nhia ahosiesie pii, nanso ɛho hia sɛ yɛma nneɛma yi tra yɛn adwenem:

• Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Sɛ worenom aspirin anaa nnuru a ɛma mogya tu ( nnuru a ɛma mogya tu (anticoagulants) a, wobetumi aka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ biopsy.
• Hyɛ ntade a ɛyɛ fɛ da a wɔbɛyɛ sɔhwɛ no. Afei nso, ɛyɛ papa sɛ wobɛhyɛ bra a ɛyɛ mmerɛw a ɛremfa nwene kuru no wɔ sɔhwɛ no akyi.
• Yɛ nhyehyɛe sɛ wobɛkwati mmɔdenbɔ a ɛboro so bɛyɛ da koro wɔ sɔhwɛ no akyi.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Mpɛn pii no, wɔde scanner mmoa na ɛyɛ biopsy yi. Ɛne sɛ, oduruyɛfo no de ade no hyɛ baabi pɔtee a akuru no wɔ bere a ɔrehwɛ scan no. Wɔde akwan horow a wɔfa so scan nneɛma di dwuma ma eyi.

Sɛnea wɔyɛ sɔhwɛ no anammɔn biara:

1. Oduruyɛfo no bɛma wo ho atɔ wo ama afiri a wɔde hwehwɛ nneɛma mu a wode redi dwuma no. Sɛ nhwɛso no, wɔ stereotactic biopsy mu no, wobɛda mpa titiriw bi a wɔayɛ no sɛnea ɛbɛyɛ a wo nufu bɛsensɛn fam so w’anim bu fam.

2. Sɛ yɛde scanner di dwuma a, yehu baabi pɔtee a kɔndua no wɔ.

3. Afei wɔhohoro were a ɛwɔ saa beae no ho yiye na wɔde aduru bi a ɛma obi ho yɛ no yaw gu beae hɔ . Enti wonte ɛyaw biara nka.

4. Bere a wɔayɛ no mmerɛw akyi no, wɔtwa honam ani fã ketewaa bi na wɔde biopsy needle no fa mu.

5. Oduruyɛfo no betumi agye ntini ahorow pii afi baabi a akuru no wɔ no. Ebia wobɛte sɛ wɔrepiapia kakra ne "klik" nnyigyei bere a wɔafa nhwɛsode biara no.

6. Sɛ wɔfa nhwɛsode no wie a, woyi ade no na wɔde dade ketewaa bi a wɔde kyekyere (biopsy marker) gu mu de hyɛ beae a wɔfaa nhwɛsode no agyirae. Eyi bɛma woahu baabi pɔtee a wɔbɛyɛ biopsy no sɛ woyɛ scan akyiri yi a.

7. Awiei koraa no, fa nhyɛso gu beae no so kakra na ama mogya no agyae na fa aduru a ɛho tew a ɛnyɛ ɔyare mmoawa kata so.

So eyi yɛ yaw? Bere tenten ahe na ebegye?

Ɛnsɛ sɛ wote ɛyaw biara, efisɛ beae no yɛ mmerɛw. Nanso ebia wobɛte nhyɛso kakra nka bere a woyi ntini no. Nanso, sɛ wote ɛyaw bi a, ka kyerɛ oduruyɛfo no ntɛm ara . Wɔbɛma wo nnuru a ɛma wo ho tɔ wo bio.

Biopsy no ankasa gye bɛyɛ simma 15-20 ansa na wɔayɛ, nanso ebia ɛsɛ sɛ wotra dan a wɔyɛ nhwehwɛmu no mu bɛyɛ simma 60, a bere a egye na wode asiesie wo ho ama scan no ka ho.

Dɛn na ɛsɛ sɛ mehwɛ kwan wɔ sɔhwɛ no akyi?

Wubetumi akɔ fie da koro no ara. Wubetumi nso ayɛ wo dwumadi ahorow a wotaa yɛ no. Nanso, ɛbɛyɛ papa sɛ wobɛkwati dwumadi ahorow a emu yɛ den te sɛ mmirikatu, ahuruhuruw, anaa nneɛma a emu duru a wɔma so anyɛ yiye koraa no nnɔnhwerew 48 . Ɛyɛ ade a ɛfata sɛ wubehu akuru bi wɔ baabi a wɔyɛɛ biopsy no.

So asiane bi wɔ eyi mu?

Eyi yɛ sɔhwɛ a ahobammɔ wom yiye. Asiane ahorow ho yɛ na koraa. Nsɛnnennen a ebetumi aba no bi ne:

• Mogya a ɛboaboa ano wɔ nufu no mu esiane mogya a ɛretu (breast hematoma) nti .
• Nyarewa a ɛma obi nya ɔyare mmoawa
• Ahurututu mu asɛe (pneumothorax) - Eyi ho yɛ na yiye.

Nea ebefi mu aba no bɛyɛ dɛn?

Ɔyare ho ɔbenfo no bɛhwehwɛ wo ntini nhwɛsode no mu ahwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa.

• Sɛ kokoram nkwammoaa biara nni hɔ a (Benign): Amanneɛbɔ no ka sɛ. Ɛno kyerɛ sɛ ɔhaw biara nni hɔ.
• Sɛ kokoram nkwammoaa wɔ hɔ a (Malignant): Amanneɛbɔ a oduruyɛfo no nsa bɛka no bɛka nsɛm a edidi so yi ho:
• Tumor type: Sɛ́ ebia kokoram no yɛ nea ɛkɔ nipadua no mu (ɛtrɛw kɔ nufu mu ntini mu) anaasɛ ɛnyɛ nea ɛkɔ nipadua no mu (ɛnyɛ nea ɛkɔ nipadua no mu).
• Tumor grade: Sɛnea kokoram nkwammoaa no mu paapae ntɛmntɛm ne sɛnea ɛte sɛ nkwammoaa a ɛteɛ.
• Hormone receptor tebea: Sɛ́ ebia hormone ahorow a ɛwɔ nipadua no mu no ka kokoram nyin anaa.
• HER2 tebea: Sɛ́ ebia protein (HER2) bi wɔ kokoram nkwammoaa bi mu a ɛboa wɔn ma wonyin anaa.

Bere tenten ahe na egye ansa na nea efi mu ba no aba?

Mpɛn pii no, wonya nea efi mu ba no wɔ dapɛn biako kosi nnafua 10 akyi wɔ biopsy no akyi. Ɛtɔ da bi a, saa bere yi betumi ayɛ soronko a egyina ɔkwan a wɔfa so sɔ nhwɛsode no hwɛ so.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Nsɛnnennen a efi sɔhwɛ yi mu ba no ntaa mma, nanso sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara .

So sɔhwɛ yi betumi asiw kokoram ano?

Yiw, hokwan ketewaa bi wɔ hɔ sɛ eyi bɛba. Eyi kyerɛ sɛ ebia biopsy needle no rennye kokoram nkwammoaa, na mmom ntini a ɛbɛn a ɛte apɔw nkutoo. Wɔfrɛ eyi amanneɛbɔ a ɛyɛ ‘atoro a enye’. Nanso nhwehwɛmu ada no adi sɛ ɛnyɛ nea ɛbɛyɛ yiye koraa sɛ eyi bɛba wɔ Core Needle Biopsy mu.A.

Awiei koraa no, sɛ wuhu nsakrae biara wɔ wo nufu mu a, ɔkwan a eye sen biara na ahobammɔ wom a wobɛfa so ahu no yiye ne sɛ wobɛyɛ Core Needle Breast Biopsy. Eyi bɛma woanya mmuae a emu da hɔ. Enti nsuro eyi. Sɛ wowɔ nsɛmmisa bi a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.